514 results match your criteria: "Hedi chaker Hospital[Affiliation]"

[Not Available].

Tunis Med

December 2024

Endocrinology-Diabetology Department, Hédi Chaker Hospital, Sfax, Tunisia.

Introduction: Metabolic syndrome (MS) is responsible for the increased cardiovascular risk in patients with type 2 diabetes. Few studies have focused on MS in type 1 diabetes mellitus (T1DM).

Aim: To describe the clinical, biochemical and therapeutic characteristics of T1DM patients affected by MS.

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Unlabelled: Polycystic ovary syndrome (PCOS) is a common condition. Its pathophysiology involves an interaction between genetic and environmental factors, resulting in different reproductive and metabolic subtypes. Genetic variation in the angiotensin converting enzyme (ACE) gene has been implicated in the pathophysiology of the syndrome.

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Basic and preclinical epilepsy research Scientists' perception of clinical epileptology.

Epilepsia

November 2024

Saul R. Korey Department of Neurology, Dominick P. Purpura Department of Neuroscience, Isabelle Rapin Division of Child Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.

The interaction between basic science epilepsy researchers and clinical epileptologists is a longstanding issue. Efforts to provide opportunities for a dialogue between preclinical and clinical epilepsy professionals are crucial to reduce the knowledge gap between them and improve the translational success of neurobiology-based research. The International League Against Epilepsy (ILAE) Research and Innovation Task Force circulated a survey to investigate the need for an update on new clinical epilepsy concepts within the basic science community.

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Predictive Factors for Fertility of Daughter Cysts in Hepatic Cystic Echinococcosis and Insights into the Origin of Daughter Cysts.

Surg Infect (Larchmt)

November 2024

Faculty of Medicine, Department of General and Digestive Surgery, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia.

Article Synopsis
  • The study investigates the fertility of daughter cysts (DC) from hepatic echinococcal cysts to understand their origin, amidst ongoing debates about their developmental potential.
  • A total of 248 DC from 27 cysts in 21 patients were analyzed, revealing a fertility rate of 64.5%, with specific factors such as cyst size, DC size, and WHO classification type CE2 significantly influencing fertility.
  • The results indicate most DC were fertile, and the absence of hooks in infertile DC challenges existing theories about their formation.
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Article Synopsis
  • This study focuses on chronic immune thrombocytopenic purpura (ITP) in children, reporting on epidemiological data and clinical management from a pediatric department in southern Tunisia over 13 years.
  • Out of 72 newly diagnosed ITP cases, 11 evolved into chronic ITP, with a mix of symptoms and complications, including two patients who experienced severe cases requiring advanced treatment.
  • The findings highlight the difficulties pediatricians face in managing chronic ITP, emphasizing the importance of existing guidelines to assist in treatment strategies for severe cases.
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Objective: The purpose of this study is to compare the surgical outcomes of open appendectomy (OA) and laparoscopic appendectomy (LA) for pediatric acute appendicitis in order to guide its future management.

Materials And Methods: We conducted a retrospective study including all children under the age of 14 years, who underwent appendectomy for acute appendicitis, during a period of 6 years (2013-2018). We divided our patients in two groups based on the surgical modality: the laparoscopic and open group.

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Article Synopsis
  • - The objective of the study was to review how neonatal status epilepticus (SE) is defined and measured, focusing on literature available on seizure burden in newborns.
  • - The review analyzed 44 studies that primarily included infants with conditions like hypoxic-ischemic encephalopathy, using continuous EEG (cEEG) for SE identification, and mostly defined SE via specific seizure durations.
  • - Key findings revealed significant variability in definitions of neonatal SE, with a consistent trend showing that higher seizure burden was linked to worse outcomes in the 16 studies that explored this relationship.
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Outcomes of peripartum cardiomyopathy in North Africa: insights from a single-center observational study in Tunisia.

BMC Pregnancy Childbirth

November 2024

Department of Gynecology and Obstetrics, Faculty of Medicine, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia.

Article Synopsis
  • - Peripartum cardiomyopathy (PPCM) is a rare and serious heart condition often occurring during or after pregnancy; this study assessed its outcomes in North Africa over a 12-year period from 2010 to 2022.
  • - Out of 27 PPCM patients studied, most presented symptoms like severe dyspnea and had a low average heart function measurement (LVEF of 30%); complications included pulmonary edema (85%) and the need for ECMO support in two patients.
  • - The follow-up revealed that 67% of patients showed recovery in heart function, but the overall mortality rate was 15%, with significant mortality associated with factors like past pregnancies and poor prenatal care.
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Can We Predict Post-operative Sepsis after Neonatal Abdominal Surgery?

Surg Infect (Larchmt)

November 2024

Research laboratory "developmental and induced diseases" (LR19ES12), Faculty of medicine of Sfax, University of Sfax, Sfax, Tunisia.

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Gardner syndrome (GS) is a subtype of familial adenomatous polyposis (FAP) characterized by colorectal polyps, multiple osteomas, soft tissue tumors, and specific oral manifestations, such as jaw osteomas. GS is caused by mutations in the APC gene, resulting in a nonfunctional protein. This study reports a comprehensive clinical evaluation and genetic analysis of a Tunisian family affected by GS.

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Role of pulmonary ultrasonography in diagnosis of acute heart failure.

Curr Probl Cardiol

January 2025

Cardiology Department, Hedi Chaker Hospital, Sfax 3000,Tunisia. Electronic address:

Background: One of the most prevalent causes of emergency room visits is acute dyspnea. Several etiologies, including cardiac, pulmonary, metabolic, psychogenic etc… may be involved. Acute heart failure (AHF) is among the most common causes.

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Hypomyelinating leukodystrophy-5 (HLD5) is a rare autosomal recessive hypomyelination disorder characterized by congenital cataract, progressive neurologic impairment, and myelin deficiency in the central and peripheral nervous system, caused by mutations in the HYCC1 gene. Here we report a 23-year-old girl with HLD5 from unrelated families. Molecular analysis was performed using sequence screening of the HYCC1 gene.

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[Not Available].

Tunis Med

October 2024

Department of Obstetrics and Gynaecology, Hedi Chaker Hospital, Sfax. Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.

Introduction: Vaginal delivery after caesarean section (VBAC) is recommended, but the rising rate of uterine rupture calls into question the safety of this practice.

Aim: To identify risk factors for uterine dehiscence and rupture.

Methods: This was a prospective, analytical and descriptive observational study, carried out in a tertiary care maternity.

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Recurrent positional unilateral pulmonary edema following CABG: an uncommon case report.

J Surg Case Rep

October 2024

Cardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital, AL ain Road, Km 0.5, 3000, Sfax, Tunisia.

Article Synopsis
  • A 60-year-old patient was found to have pericardial agenesis during heart surgery, but the condition was not addressed at that time.
  • After surgery, the patient suffered from recurring right pulmonary edema when positioned semi-upright.
  • A second surgery to reconstruct the pericardium was performed 48 hours later, and the patient recovered well afterward.*
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Can We Predict 30-day Mortality After Neonatal Surgery for Major Gastrointestinal Conditions? A Prospective Cohort Study.

J Pediatr Surg

September 2024

Research Laboratory "Developmental and Induced Diseases" (LR19ES12), Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia; Department of Pediatric Surgery, Hedi Chaker Hospital, 3029 Sfax, Tunisia.

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Can Ultrasound Reliably Detect Complicated Appendicitis in Pediatric Patients?

J Pediatr Surg

August 2024

Research Laboratory "Developmental and Induced Diseases" (LR19ES12), Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia; Department of Pediatric Surgery, Hedi Chaker Hospital, 3029 Sfax, Tunisia.

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Invasive pulmonary aspergillosis in patients with acute leukemia.

Tunis Med

September 2024

Department of hematology University Hedi Chaker Hospital Faculty of Medecine Sfax, University of Sfax.

Introduction: Invasive pulmonary aspergillosis is a serious complication in hematology.

Aim: Describe the prevalence, diagnostic aspects, therapeutic modalities, and evolution of the IPA cases occurring in patients with acute leukemia.

Methods: Our study was retrospective including patients with acute leukemia who developed invasive pulmonary aspergillosis during the period January 2009 and December 2020 at the hematology department in south Tunisia.

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Features Associated with Delayed Diagnosis of Appendicitis in Children: A Retrospective Analysis of 1411 Cases.

J Pediatr Surg

August 2024

Research Laboratory "Developmental and Induced Diseases" (LR19ES12), Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia; Department of Pediatric Surgery, Hedi Chaker Hospital, 3029 Sfax, Tunisia.

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Time-Restricted Eating Benefits on Pulmonary Function and Postural Balance in Overweight or Obese Women.

Nutrients

September 2024

Interdisciplinary Laboratory in Neurosciences, Physiology, and Psychology: Physical Activity, Health, and Learning-LINP2, UFR STAPS, Paris Nanterre University, 92000 Nanterre, France.

Unlabelled: This study aimed to evaluate the impact of time-restricted eating (TRE) on neuro-physiological parameters, objective and subjective sleep, pulmonary capacity, and postural balance among women with excess body weight.

Methods: Thirty-one participants were assigned to either a TRE group (n = 15, 28.74 ± 9.

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Can We Distinguish Testicular Torsion From Torsion of the Appendix Testis in Children With Acute Scrotum? A Prospective Cohort Study.

J Pediatr Surg

August 2024

Research Laboratory "Developmental and Induced Diseases" (LR19ES12), Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia; Department of Pediatric Surgery, Hedi Chaker Hospital, 3029 Sfax, Tunisia.

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Dysfunction of the autonomic nervous system in gastro-esophageal reflux disease: Consequences for the cardiovascular system.

Neurophysiol Clin

November 2024

Functional Explorations Department, Habib Bourguiba Hospital, Sfax Tunisia; LR19ES15, Medical School, University of Sfax, Tunisia. Electronic address:

Objective: The pathophysiology of gastro esophageal reflux disease (GERD) implicates autonomic dysregulation of the lower esophageal sphincter tone. Our goal is to investigate whether this dysregulation of the autonomic nervous system (ANS) function observed in isolated GERD cases can affect other systems, such as cardiovascular regulation.

Methods: Twenty-five participants were included in the study, 11 patients with isolated GERD and 14 controls.

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Article Synopsis
  • The study aims to identify key factors affecting the success of returning to work (RTW) after occupational injuries among Tunisian workers.
  • It involved a survey of 199 injured workers, revealing that 39.7% struggled with RTW, with low social support and higher biomechanical exposure being critical issues.
  • The findings highlight that inadequate social support at work is the most significant risk factor for unsuccessful RTW, alongside factors like job repetitiveness and the physical effort required.
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