232 results match your criteria: "Mongi Slim hospital[Affiliation]"

Introduction: Patient education is crucial in managing chronic diseases like Juvenile Idiopathic Arthritis (JIA). Traditional methods such as videos and brochures often fail to maintain long-term knowledge retention. Therapeutic Patient Education (TPE) offers a more effective, patient-centered approach.

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Background: Knee Osteoarthritis (KOA) can cause considerable impairment of functional capacity and quality of life (QoL), especially in elderly individuals.

Objectives: To evaluate the impact of KOA on the functional capacity and QoL of elderly patients and to identify the factors associated with their impairment.

Methods: This was a cross-sectional study including patients aged 65 years or more with primary KOA.

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Gastric foveolar adenoma in the duodenal bulb: case report.

Pan Afr Med J

December 2024

Department of Gastroenterology, International University of Rabat, Riad Annakhil International Polyclinic, Rabat, Morocco.

Foveolar-type adenomas are very rare lesions, representing approximately 2.7% of duodenal adenomas with gastric phenotype, histologically characterized by tall columnar cells resembling gastric foveolar epithelium and a tubulovillous structure with various degrees of dysplasia. Their risk of progression to adenocarcinoma is related to the size of the polyp and the presence of high-grade dysplasia.

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Supplementation with nicotinamide limits accelerated aging in affected individuals with cockayne syndrome and restores antioxidant defenses.

Aging (Albany NY)

November 2024

Laboratory of Biomedical Genomics and Oncogenetics, LR16IPT05, Institut Pasteur de Tunis, Université Tunis El Manar, El Manar I, Tunis 1002, Tunisia.

Cockayne syndrome (CS) is a segmental progeroid syndrome characterized by defects in the DNA excision repair pathway, predisposing to neurodegenerative manifestations. It is a rare genetic disorder and an interesting model for studying premature aging. Oxidative stress and autophagy play an important role in the aging process.

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[Not Available].

Tunis Med

November 2024

Department of Anaesthesia and Intensive Care, Mongi Slim Hospital. University of Tunis El Manar, Faculty of Medicine, Tunis, Tunisia.

Unlabelled: Introduction-Aim: Clinical reasoning in situations of uncertainty is a skill to be acquired from initial training. The aim of this study was to evaluate the clinical reasoning ability in a context of uncertainty of health science students using the Script Concordance Test (SCT).

Methods: This was a cross-sectional and descriptive study which included students in the third year of the National License in Anesthesia-Resuscitation, with their consent, and a panel of experts made up of ten members.

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Article Synopsis
  • Myocardial infarction (MI) is increasingly common among young women under 50, yet there is limited research on this demographic's specific risk factors and outcomes compared to older women.
  • A study analyzed data from 197 hospitalized women, finding that young women had high rates of smoking, hypertension, and diabetes, and typically presented with chest pain and monovessel disease, with a noteworthy number admitted late for treatment.
  • The findings indicate that while young women have fewer cardiovascular risk factors overall, they experience unique challenges such as a higher prevalence of certain conditions and different presentation patterns of MI compared to older women.
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Youth mental health in Tunisia: challenges and resources.

Lancet Psychiatry

November 2024

Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience & Human Behavior, University of California, Los Angeles, CA, USA.

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Gastric collision tumor of adenocarcinoma and MALT lymphoma: A rare case report and literature review.

Int J Surg Case Rep

December 2024

Pathology Department, Mongi Slim Hospital, Sidi Daoud, La Marsa-2070, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.

Article Synopsis
  • Gastric collision tumors are rare instances where two different types of cancer occur simultaneously in the stomach, with this case featuring adenocarcinoma and marginal zone lymphoma post-surgery.
  • A 58-year-old male patient presented with symptoms like anemia and abdominal pain, leading to a diagnosis that involved significant medical interventions including chemotherapy and surgery.
  • The complexity of collision tumors underscores the need for thorough diagnostic approaches and customized treatment plans, with ongoing monitoring essential for patient outcomes.
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We aimed to understand how risk (trauma history, health problems, financial problems, family problems) and protective (friend support, family support) factors influenced daily functioning (e.g., self-care, mobility, social participation) among Tunisian adults during the COVID-19 pandemic, directly and through their impact on depression, with a focus on gender differences.

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[Not Available].

Tunis Med

October 2024

Department of Anesthesia and Intensive Care, Mongi Slim Hospital, La Marsa, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

Introduction: Audiovisual distraction (AVD) is one of the non-pharmacological means of anxiety prevention. However, few studies have evaluated its perioperative effect in adults.

Aim: To evaluate the contribution of audio-visual distraction in the prevention of perioperative anxiety in adult patients proposed for surgery under spinal anesthesia.

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Arabic validation of the Body-Esteem Scale for Adolescents and Adults.

Encephale

October 2024

University Tunis El Manar, Faculty of Medicine of Tunis, rue Djebal Lakhdar, 1006 Tunis, Tunisia; Child Psychiatry Department, Mongi Slim Hospital, Sidi Daoud, 2046 Tunis, Tunisia; Research Laboratory "Laboratoire Santé Mère-Enfant LR22SP01", Tunis, Tunisia.

Objectives: The aim of this study was to validate the questionnaire "Body-Esteem Scale for Adolescents and Adults" (BESAA).

Methods: We conducted a cross-sectional study involving 340 adolescents who attend a Tunisian high school. We translated the BESAA into dialectal Tunisian Arabic based on the translation back-translation method.

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Giant cell tumor of the cervical spine: A very uncommon cause for cervical spine compression.

Radiol Case Rep

December 2024

Department of Neurosurgery, Trauma and Burns Center, Ben Arous. University of Tunis - El Manar, Faculty of Medicine of Tunis, Ben Arous, Tunisia.

Giant cell tumors (GCTs) are rare neoplasms, primarily found in long bones, typically affecting the epiphysis of the distal femur, proximal tibia, and distal radius. However, their occurrence in the cervical spine is exceedingly rare. Here, we present a case report of a 21-year-old female patient who presented with progressive neck pain, radiating numbness, and right hemiparesis.

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Unusual coexistence of low-grade mucinous cystic neoplasm and idiopathic granulomatous hepatitis.

Int J Surg Case Rep

November 2024

University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia; Department of Surgery, Mongi Slim Hospital La Marsa, Tunisia.

Introduction And Importance: Mucinous cystic neoplasms (MCNs) of the liver are rare precancerous lesions, accounting for less than 5 % of all hepatic cysts. The coexistence of MCNs with idiopathic granulomatous hepatitis is exceedingly uncommon and lacks documentation in the existing literature.

Case Presentation: A 43-year-old Tunisian woman with no significant medical history presented with persistent right hypochondrium pain.

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Purpose: Ansa pancreatica is an embryologic malformation where the accessory pancreatic duct is obliterated and replaced instead by a loop merging from the main duct. It is associated with recurrent acute pancreatitis.

Case Presentation: 1st case A 47-year-old male patient with a history of former alcoholism presented in the last three years five episodes of acute pancreatitis.

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Introduction: Congenital heart disease is a heterogeneous group of malformations and one of the most common causes of mortality in children.

Aim: The aim of this study was to investigate the clinical, genetic and evolutive characteristics of congenital heart disease.

Methods: A retrospective, descriptive study was carried out between 2020 and 2023 at the pediatrics and neonatology department of Mongi Slim university hospital of Tunis.

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Article Synopsis
  • - Nutcracker syndrome occurs when the left renal vein is compressed between the aorta and superior mesenteric artery, often seen in patients who have lost significant weight; this case reports a rare instance following complex biliary surgery.
  • - A 32-year-old patient with a history of laparoscopic cholecystectomy developed persistent low back pain, and a CT scan revealed nutcracker syndrome due to weight loss that reduced the aorto-mesenteric angle; anticoagulant treatment resulted in improvement.
  • - The syndrome has three types categorized by the angle of compression, and significant weight loss can worsen the condition; conservative management is effective in most cases, with 60-80% of patients seeing symptom resolution.
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Hidden schistosomiasis unveiled by appendicular peritonitis: A case report.

Int J Surg Case Rep

October 2024

University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia; Department of Surgery, Mongi Slim Hospital La Marsa, Tunisia.

Introduction And Importance: Schistosomal appendicitis is a rare disease, with reported prevalence rates ranging from 1.31 to 3.2 %.

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Background: The prevalence of back and neck pain is common in children and adolescents, and in some series the numbers are alarming. Various risk factors have been identified, although some are controversial.

Objective: To determine the prevalence of neck and back pain in children and adolescents and to investigate the potential association with various risk factors identified in the literature.

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Article Synopsis
  • - The text discusses the different conditions that can be mistaken for popliteal ganglion cysts.
  • - Possible alternatives include Baker's cysts, which are fluid-filled sacs behind the knee.
  • - Other potential diagnoses to consider are popliteal artery aneurysms, popliteal tendinitis, lymph node swelling, lipomas, and synovial sarcoma.
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Article Synopsis
  • * A case study of a 62-year-old man revealed a fatty mass causing gastrointestinal blockage, leading to surgery where two lipomas were found, one responsible for the intussusception.
  • * Despite advances in imaging, diagnosing CI due to lipomas remains difficult, highlighting the need for awareness and research on this condition and its treatment options.
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Introduction: Osteochondromas, also known as osteocartilaginous exostosis, are among the most common benign cartilaginous bone tumors, primarily occurring as solitary lesions. While typically found in long bones, spinal involvement is rare, accounting for only a small percentage of benign lesions in this location. Solitary osteochondromas responsible for spinal cord compression are seldom.

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Introduction: Behçet disease (BD) is an inflammatory multisystem disorder of unknown etiology, believed to be triggered by infection and environmental factors in genetically predisposed individuals. The significance of understanding BD lies in its impact on global health due to its diverse clinical manifestations and geographical distribution.

Areas Covered: This review discusses the epidemiology of BD, emphasizing its prevalence estimated at 10.

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Background: The spectrum of Juvenile Idiopathic Arthritis (JIA) in Africa is still largely unknown. We thus set out to illustrate how we set up the PAFLAR JIA registry and describe the clinical profile of Juvenile Idiopathic Arthritis across various regions in Africa.

Methods: We carried out a retrospective observational cohort study where collaborators were trained on use of the existing PAFLAR REDCAP database to enter data for the JIA patients currently under their care capturing their epidemiological data, clinical features, laboratory investigations, diagnosis and therapy at initial diagnosis.

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