[Not Available].

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.

GAIA therapeutic farm: Prospective study on multidisciplinary care efficacy.

Introduction: The therapeutic farm "GAIA" in Sidi Thabet is a non-profit organization created in 2009, situated in the North-Western suburbs of the capital Tunis/Tunisia. Its main aims are the day-care for and the socio-professional integration of children and young adults between age 6 and 30 with diverse types of disability through multiple activities, such as pet assisted therapy and horticulture.

Aim: to assess the potential benefits of therapeutic on-farm management.

[Not Available].

Introduction: Several non-invasive tests (NIT) have been reported for predicting liver fibrosis to avoid percutaneous liver biopsy (PLB).

Aim: To evaluate the performance of NIT in Tunisian patients with chronic hepatitis B (CHB).

Methods: We calculated the ASAT/platelet ratio index (APRI), GGT-to-platelet ratio (GPR), Fibrosis-4 score (FIB-4), and RDW/platelet ratio (RPR).

Bill Length of Non-breeding Shorebirds Influences the Water Depth Preferences for Foraging in the West Coast of India.

Body size, bill length and shape determine foraging techniques, habitat selection and diet among shorebirds. In this study, water depth preferences of different shorebirds with different bill sizes in various habitats including mudflats, mangroves at Kadalundi-Vallikkunnu Community Reserve (KVCR) (19 shorebird species) and adjacent agroecosystems at Vazhakkad (12 species) were studied between 2017 and 2020. The bill length of the shorebirds was significantly and positively associated with the average water depth, where shorebirds were observed to forage.

Tremor Ataxia With Central Hypomyelation Phenotype Related to a Recurrent POLR3A Mutation in Six Unrelated Tunisian Families.

Background: POLIII-related leukodystrophies are a group of recently recognized hereditary white matter diseases with a similar clinical and radiological phenotype. No Tunisian studies have been published about POLIII-related leukodystrophy due to POLR3A variants. The aim of this study was to contribute to the clinical, radiological, and genetic characterization of POLR3A-related leukodystrophy in a Tunisian cohort.

Enhancing diagnostic accuracy in symptom-based health checkers: a comprehensive machine learning approach with clinical vignettes and benchmarking.

Introduction: The development of machine learning models for symptom-based health checkers is a rapidly evolving area with significant implications for healthcare. Accurate and efficient diagnostic tools can enhance patient outcomes and optimize healthcare resources. This study focuses on evaluating and optimizing machine learning models using a dataset of 10 diseases and 9,572 samples.

Elevated Interleukin-21 expression is correlated with systemic sclerosis' severity in Tunisian patients.

Systemic sclerosis (SSc), a rare and lethal autoimmune disorder where patients presents diverse clinical features, therefore unravelling a potential biomarker within a specific cohort is crucial for improving patient care, especially for rare diseases. This study sought to identify potential biomarkers in Tunisian SSc patients. Gene expression analysis of interleukins (IL)-21 and IL-22 in peripheral blood mononuclear cells, using quantitative real-time polymerase chain reaction (qrt-pcr), revealed upregulated IL-21 and downregulated IL-22 in SSc patients compared to healthy controls.

Structure-Function Relationship of a Novel MTX-like Peptide (MTX1) Isolated and Characterized from the Venom of the Scorpion .

Maurotoxin (MTX) is a 34-residue peptide from venom. It is reticulated by four disulfide bridges with a unique arrangement compared to other scorpion toxins that target potassium (K) channels. Structure-activity relationship studies have not been well performed for this toxin family.

Unicystic ameloblastoma: Diagnostic challenges and uncommon treatment strategy: Case report.

Introduction: Unicystic ameloblastoma (UA) is frequently associated with an impacted tooth with a challenging diagnosis and decision making. The aim of this article is to emphasize a novel approach of treatment with tooth reimplantation after conservative treatment.

Presentation Of Case: A 7-year-old boy consulting with a chief complaint of swelling in the upper left front region.

First principles approach and experimental exploration of a new double perovskite phase Sr(In SnSb)O: evaluation of structural, optical, and dielectric properties.

A new double perovskite phase, Sr(SnSbIn)O, was successfully synthesized a solid-state reaction and comprehensively characterized using both experimental and theoretical techniques. Powder X-ray diffraction was used to determine the crystal structure, while scanning electron microscopy (SEM) revealed a high degree of densification and uniform grain distribution across the ceramic. Raman and Fourier-transform infrared (FTIR) absorption spectra of the powder present broad bands predominantly due to different stretching modes of the various SnO , InO and SbO octahedra in the region = 400-800 cm.

A hybrid LSTM random forest model with grey wolf optimization for enhanced detection of multiple bearing faults.

Bearing degradation is the primary cause of electrical machine failures, making reliable condition monitoring essential to prevent breakdowns. This paper presents a novel hybrid model for the detection of multiple faults in bearings, combining Long Short-Term Memory (LSTM) networks with random forest (RF) classifiers, further enhanced by the Grey Wolf Optimization (GWO) algorithm. The proposed approach is structured in three stages: first, time and frequency domain features are manually extracted from vibration signals; second, these features are processed by a dual-layer LSTM network, which is specifically designed to capture complex temporal relationships within the data; finally, the GWO algorithm is employed to optimize feature selection from the LSTM outputs, feeding the most relevant features into the RF classifier for fault classification.

Aromatherapy Using Lavender Oil Effectiveness on Pain and Anxiety After C-Section: A Randomized Controlled Trial.

Background: Managing postoperative setting, regarding pain and anxiety after cesarean delivery is crucial for the mother's recovery, her emotional well-being, mother-infant bonding and initiating breastfeeding. Although some research have suggested that aromatherapy with lavender essential oil can be effective in reducing pain and anxiety in various medical settings, the efficacy of lavender aromatherapy in the postoperative setting after cesarean delivery is less well-studied. We aimed to assess the effectiveness of lavender essential oil therapy in the management of pain and anxiety after cesarean delivery.

Phenotypic and molecular characterization of vancomycin resistant enterococci from wild birds: first detection of a plasmid-borne vanC1 in Enterococcus faecalis.

Vancomycin-resistant enterococci (VRE) are a public health concern as they lead to therapeutic impasses and play a pivotal role in the dissemination of vancomycin resistance genes. As recent evidence suggests that wildlife can play a role in the dissemination of bacterial resistomes, this study explored the potential role of Algerian wild birds as a reservoir of VRE. A total of 222 cloacal and fecal samples were collected from various wild bird species and screened for VRE using a selective medium.

Effect of cholecalciferol versus calcifediol on serum 25(OH)D concentrations: a systematic review with meta-analysis.

Background: Deficiency in vitamin D is widely prevalent around the world. Oral vitamin D supplementation is suggested for older adults to sustain appropriate 25-hydroxyvitamin D (25(OH)D) levels throughout the year. At present, cholecalciferol (vitamin D3) and ergocalciferol (vitamin D2) are the most commonly used compounds.

Discovery and characterization of novel lipopeptides produced by with biosurfactant and antimicrobial activities.

Unlabelled: The study aimed to evaluate the biosurfactants (BSs) production by SM-23 strain of identified by phenotypical and WGS analysis as . We first demonstrated the lipopeptides production by specie and studied their biochemical and molecular analysis as well as their biological potential. The GC-MS analysis indicated that methyl.

Soil contamination by trace elements and radioelements and related environmental risks in agricultural soils of the M'Dhilla Basin (southwestern Tunisia).

Agricultural soil contaminated by phosphogypsum pile stocked in plan air remains a major problem in M'Dhilla city southwestern of Tunisia. The present effort aimed to enhance the knowledge of trace elements and radioactivity abundance and to assess the corresponding environment. X-ray fluorescence spectroscopy was used to evaluate the trace elements, radioactive elements, and major element concentrations.

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

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.