Tunisie Medicale最新文献_第10页

Access to healthcare for migrants in Tunisia in 2023-2024: Current situation and ethical challenges. 2023-2024 年突尼斯移民获得医疗保健的情况：现状与伦理挑战。

Tunisie Medicale Pub Date : 2024-02-05 DOI: 10.62438/tunismed.v102i2.4617

Rihem Kouada, Khaled Annabi, Amal Mosbahi, Tasnim Masmoudi, Mohamed Ben Dhiab

{"title":"Access to healthcare for migrants in Tunisia in 2023-2024: Current situation and ethical challenges.","authors":"Rihem Kouada, Khaled Annabi, Amal Mosbahi, Tasnim Masmoudi, Mohamed Ben Dhiab","doi":"10.62438/tunismed.v102i2.4617","DOIUrl":"10.62438/tunismed.v102i2.4617","url":null,"abstract":"Introduction: Transformed progressively into a transit country towards Europe but also as a host, Tunisia has seen a diversification of migratory movements since the 2011 revolution, as well as the profiles of migrants who face multiple difficulties that can have an impact on their health.Aim: This update aimed to expose the situation of migrants in Tunisia regarding access to healthcare, and to raise the ethical issues that result from it.Results: Providing care to vulnerable individuals, especially migrants, compels us to reevaluate our practices and question ourselves. Ethical questioning is constant to determine how to do well and not harm. The reflection on this more humane \"social medicine\" comprehending the patient in its entirety, is only in its beginnings. The critical health status of the poorest populations and their extreme vulnerability do not only call for adapted and specific care measures but also a more comprehensive questioning of social ties and the place that our society grants to the weakest and excluded.Conclusion: Migration must be considered as a central issue of the ethics of the health of a population in order to provide quality care without prejudice.","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Proximal femur fracture: Direct medical costs of hospital treatment. 股骨近端骨折：住院治疗的直接医疗费用。

Tunisie Medicale Pub Date : 2024-02-05 DOI: 10.62438/tunismed.v102i2.4760

Sana Dorgham, Mohamed Amine Selmene, Mourad Zaraa, Ahmed Amine Lahmar, Hedi Annabi, Sabri Mahjoub

{"title":"Proximal femur fracture: Direct medical costs of hospital treatment.","authors":"Sana Dorgham, Mohamed Amine Selmene, Mourad Zaraa, Ahmed Amine Lahmar, Hedi Annabi, Sabri Mahjoub","doi":"10.62438/tunismed.v102i2.4760","DOIUrl":"10.62438/tunismed.v102i2.4760","url":null,"abstract":"Introduction: Proximal femur fractures are one of the most common injuries in older adults representing a serious health condition in developed as well as developing countries.Aim: This study aimed to assess the hospitalization costs of the proximal femur fracture.Methods: We conducted a prospective descriptive study spread over six months about patients hospitalized and operated on for proximal femur fractures. In order to estimate the cost we referred to the nomenclature of professional acts and the prices set by the Ministry of Public Health and the Ministry of Finance.Results: The study included 100 patients, 55 females and 45 males with an average age of 76 years. The average hospital length of stay was 5 days. The preoperative stay was at a mean of three days. The average total hospitalization cost for these fractures was 2877 Tunisian Dinars depending on the type of fracture and surgical treatment. The main components of the costs were hospital stay costs and human resources costs 40%, cost of the implant 25.9%, cost of consumables 12%, operating cost 10%, cost of additional examinations 9% and cost of medications 2%.Conclusion: Proximal femur fractures represent an important cause of health resource consumption. To reduce the cost of hospital care, we recommend limiting the length of hospital stay as much as possible, investing in total hip and hemi-arthroplasties and adapting economical behavior taking into account the cost of consumables.","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Direct medical cost related to the management of pemphigus: A pilot Tunisian study. 与丘疹性荨麻疹治疗相关的直接医疗成本：突尼斯试点研究。

Tunisie Medicale Pub Date : 2024-02-05 DOI: 10.62438/tunismed.v102i2.4651

Faten Hayder, Emna Bahloul, Sourour Yaich, Sana Turki, Khadija Sellami, Noureddine Litaiem, Hatem Masmoudi, Manel Turki, Hamida Turki

{"title":"Direct medical cost related to the management of pemphigus: A pilot Tunisian study.","authors":"Faten Hayder, Emna Bahloul, Sourour Yaich, Sana Turki, Khadija Sellami, Noureddine Litaiem, Hatem Masmoudi, Manel Turki, Hamida Turki","doi":"10.62438/tunismed.v102i2.4651","DOIUrl":"10.62438/tunismed.v102i2.4651","url":null,"abstract":"Introduction: Pemphigus is a therapeutically challenging disease with high morbidity and economic burden. First-line prescription of rituximab remains limited in Tunisia due to its high cost. Systemic steroids remain the standard of care but are associated with a major risk of morbidities and higher treatment costs.Aim: To assess the direct medical costs of pemphigus in Tunisia.Methods: Retrospective estimation of direct medical costs during the 18 months following the diagnosis using the \"bottom-up approach\" in the Dermatology Department of Hedi Chaker Hospital, Sfax, Tunisia.Results: Total medical costs were estimated at 38745.7 €, with an average cost of 1 210 € per patient and per year: paraclinical investigations (46%), medical treatment (30%), hospitalization (21%) and outpatient visits (3%). The average cost was the highest in the age group of 15-24 years (1553 €). Treatment costs related to corticosteroid-induced morbidity were estimated at 1208 €.Conclusions: The management of pemphigus in Tunisia needs to be adapted to take into account the health economic analysis in order to reduce overall disease costs and the burden of steroid-induced morbidities.","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"La Tunisie Médicale" Towards greater editorial visibility and academic recognition. "La Tunisie Médicale "争取更高的编辑知名度和学术认可度。

Tunisie Medicale Pub Date : 2024-02-05

Ahmed Ben Abdelaziz

引用次数: 0

Chronic blepharitis due to Demodex: A prospective study in Sfax (Tunisia). 蜕皮虫引起的慢性睑缘炎：突尼斯斯法克斯的一项前瞻性研究。

Tunisie Medicale Pub Date : 2024-02-05 DOI: 10.62438/tunismed.v102i2.4449

Mohamed Slim Werda, Fatma Cheikhrouhou, Zeineb Ben Zina, Fattouma Makni, Ali Ayadi

{"title":"Chronic blepharitis due to Demodex: A prospective study in Sfax (Tunisia).","authors":"Mohamed Slim Werda, Fatma Cheikhrouhou, Zeineb Ben Zina, Fattouma Makni, Ali Ayadi","doi":"10.62438/tunismed.v102i2.4449","DOIUrl":"10.62438/tunismed.v102i2.4449","url":null,"abstract":"Introduction: Chronic blepharitis is a common cause of eye irritation and dryness. They are often treated without regard to causal factors such as parasites which are rarely mentioned.Aim: To describe the role of Demodex in the pathogenesis of chronic blepharitis, to analyze the epidemiological, clinical, diagnostic and therapeutic particularities.Methods: This is a prospective, case-control study conducted in the mycology parasitology department at the Habib Bourguiba university hospital in Sfax covering 100 cases with chronic blepharitis and 87 control cases. Clinical examination and eyelash removal were performed with direct examination for qualitative and quantitative analysis, before and after treatment.Results: Demodex was significantly more found in patients than in controls (48% vs 13.8%). The quantitative analysis showed a significant difference between the two groups with 52.1% of Demodex (+++) for patients versus 8.3% for controls. Demodex blepharitis were treated with yellow oxid mercure ophthalmic ointment with a good outcome in 81,3%.Conclusion: Although it is admitted to be a saprophyte of the skin, a large number of arguments argues for the incrimination of Demodex in the etiopathogenesis of chronic blepharitis, hence the interest of eyelashes examination and a parasitic research in front of any chronic blepharitis resistant to usual treatments. In case of positive research, a specific treatment should be prescribed. Its effectiveness is another argument for the etiological diagnosis.","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nonpuerperal uterine inversion caused by an adenosarcoma: A case report. 腺肉瘤引起的非产褥期子宫内翻：病例报告。

Tunisie Medicale Pub Date : 2024-02-05 DOI: 10.62438/tunismed.v102i2.4352

Cyrine Belghith, Ghada Abdelmoula, Mariem Garci, Zeineb Ghali, Saoussam Armi, Mehdi Makni, Fatma Dhieb, Miriam Boumediene, Myriam Jrad, Nabil Mathlouthi, Olfa Slimani

{"title":"Nonpuerperal uterine inversion caused by an adenosarcoma: A case report.","authors":"Cyrine Belghith, Ghada Abdelmoula, Mariem Garci, Zeineb Ghali, Saoussam Armi, Mehdi Makni, Fatma Dhieb, Miriam Boumediene, Myriam Jrad, Nabil Mathlouthi, Olfa Slimani","doi":"10.62438/tunismed.v102i2.4352","DOIUrl":"10.62438/tunismed.v102i2.4352","url":null,"abstract":"Introduction: Eighty-five per cent of uterine inversions are puerperal. Non-puerperal uterine inversion is usually caused by tumours that exert a traction force on the fundus of the uterus. This causes the uterus to be partially or completely inverted. It is commonly related to benign tumours like submucosal leiomyomas. Nevertheless, malignancies are an infrequent association.Case presentation: We report a case of a 35-year-old female patient, medically and surgically free, gravida0 para0, complaining of menometrorrhagia associated with pelvic pain for 2 years. A suprapubic ultrasound scan showed an enlarged, globular uterus with a heterogeneous, undefined mass of 49 mm in size. MRI scan showed the appearance of a U-shaped uterine cavity and a thickened inverted uterine fundus with an endometrial infiltrating mass of 25 mm. Intraoperative exploration showed uterine inversion involving the ovaries; the fallopian tubes and the round ligaments and a necrotic intracavitary mass. The malignancy of the tumor was confirmed through anatomopathological examination as Adenosarcoma.Conclusions: Uterine inversion is rare outside the puerperal period, and malignant etiology must not be overlooked. Therefore, comprehensive care with meticulous etiological investigation is crucial.","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

La Tunisie Médicale: Past, Present, and Future. 突尼斯医学：过去、现在和未来》。

Tunisie Medicale Pub Date : 2024-02-05 DOI: 10.62438/tunismed.v102i2.4826

Muhammed Al Huda Ballouk

引用次数: 0

Designing a study on footballers' injuries in the 2024 African cup of nations competition (Ivory Coast). 设计一项关于 2024 年非洲国家杯（象牙海岸）比赛中足球运动员受伤情况的研究。

Tunisie Medicale Pub Date : 2024-02-05 DOI: 10.62438/tunismed.v102i2.4815

Amr Chaabeni, Amine Kalai, Jaouher Dhouibi, Helmi Ben Saad, Anis Jellad

{"title":"Designing a study on footballers' injuries in the 2024 African cup of nations competition (Ivory Coast).","authors":"Amr Chaabeni, Amine Kalai, Jaouher Dhouibi, Helmi Ben Saad, Anis Jellad","doi":"10.62438/tunismed.v102i2.4815","DOIUrl":"10.62438/tunismed.v102i2.4815","url":null,"abstract":"Introduction: To enhance players' performance and implement effective injury prevention protocols and surveillance programs in football, it is essential to conduct epidemiological studies. Since significant disparities in injury rates across various football competitions were reported, it is important to characterize injuries in the context of the African cup of nation (AFCON) competition.Aim: To determine the incidence and factors associated with injuries among African footballers during the 2024 AFCON competition, which will be held in Ivory Coast from January 13 to February 11, 2024.Methods: Two expert physician in sports medicine will perform an analytical study (i.e.; a video-based analysis) of the 52 matches that will be played during the 2024 AFCON. The following parameters will be noted: i) Injury incidence, ii) Characteristics of injured players such as age, on-field position, and player league continent, iii) Characteristics ofinjuries such as mechanism, body location, moment of injury in terms of the minute of play and the round of the match, place of the injury in term of stadium zone, replacement consequent to the injury, absence next match, re-injury, recurrence of the injury with the same location during the competition, referee decision, and stoppage time for on-field injury, and iv) Characteristics of matches such as the match' schedule, ambient temperature, humidity, and wind speed.Conclusion: This study will allow enriching the existing literature with additional data regarding the injuries and the players' characteristics in the African context.","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of depression in blood pressure control. A cross-sectional multicentric study. 抑郁症在血压控制中的作用。一项横断面多中心研究。

Tunisie Medicale Pub Date : 2024-01-05 DOI: 10.62438/tunismed.v102i1.4723

Yosra Raddaoui, Ahmed Ben Amara, Aymen Noamen, Saoussen Antit, Youssef Hajri, Jamila Habli, Hassen Ibn Hadj Amor, Youssef Ben Youssef, Lilia Zakhama, Wafa Fehri

{"title":"Role of depression in blood pressure control. A cross-sectional multicentric study.","authors":"Yosra Raddaoui, Ahmed Ben Amara, Aymen Noamen, Saoussen Antit, Youssef Hajri, Jamila Habli, Hassen Ibn Hadj Amor, Youssef Ben Youssef, Lilia Zakhama, Wafa Fehri","doi":"10.62438/tunismed.v102i1.4723","DOIUrl":"10.62438/tunismed.v102i1.4723","url":null,"abstract":"Research problem: Hypertension is a multifactorial disease that affects approximately one third of the Tunisian adult population. It is a major risk factor for stroke and cardiovascular disease. Environmental and psychosocial factors play an important role in hypertension onset and control. The prevalence of depression among hypertensive patients is 26, 8% and its presence is associated with increased risk of cardiovascular related morbi-mortality. Our study aims to evaluate the role of depression in blood pressure control among ambulatory hypertensive patients. Investigative process: This study is a cross-sectional, multicentric and descriptive study. We intend to include three hundred and two patients. A 24-hour ambulatory blood pressure monitor will be used to evaluate blood pressure control. Depression will be assessed by the 9-item Patient Health Questionnaire (PHQ-9) in Tunisian dialect. Clinical, socio-environmental, psychosocial and therapeutic and prognosis data will be collected from medical records. Patients will be classified into two groups: Controlled versus non-controlled hypertension. PHQ-9 scores will be then compared between the two cohorts.Research plan: Ethical considerations will be undertaken and respected. All patients should express an informed oral consent before enrollment. This trial will run for three months from the 15th August 2022.Trial registration: NCT05516173.","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of therapeutic education program on quality of life among type 2 diabetic North-African patients: a randomized controlled trial. 治疗教育计划对北非 2 型糖尿病患者生活质量的影响：随机对照试验。

Tunisie Medicale Pub Date : 2024-01-05 DOI: 10.62438/tunismed.v102i1.4689

Imen Turki, Mouna Mnif, Chekib Zedini

{"title":"The effect of therapeutic education program on quality of life among type 2 diabetic North-African patients: a randomized controlled trial.","authors":"Imen Turki, Mouna Mnif, Chekib Zedini","doi":"10.62438/tunismed.v102i1.4689","DOIUrl":"10.62438/tunismed.v102i1.4689","url":null,"abstract":"Introduction: Type 2 Diabetes Mellitus (T2DM) is a chronic non-communicable disease with major impact on health in general and quality of life (QoL) in particular. The ultimate goal of all health interventions is to reduce the burden of this disease.Aim: To evaluate the effect of therapeutic education program on the QoL among patients with T2DM.Methods: Between May 2021 and July 2022, 320 outpatients were enrolled in a randomized controlled trial in Sfax, Tunisia. The experimental group received the therapeutic education program, whereas the control group received only standard care. For data collection, the Arabic version of the Diabetes Quality of Life (DQoL-Arabic) questionnaire was used.Results: In total, 263 patients completed the intervention, 132 in the experimental group and 131 in the control group. In terms of the main baseline characteristics, the two groups were comparable. After the intervention, there was a significant difference in all domains of QoL scores (median [interquartile]) between the experimental and control groups: satisfaction (3.14 [2.64-3.36] vs. 3.57 [3.43-3.71], p<0.001, respectively), impact (2.09 [1.91-2.36] vs. 2.45 [2.27 2.64], p<0.001, respectively) and worries (2.50 [2.25-2.75] vs. 3.00 [2.75 3.14], p<0.001, respectively). The QoL improves over time in the experimental group (3.01 [2.79-3.17] vs. 2.59 [2.21-2.80], p<0.001, respectively) and remains comparable in the control group (2.99 [2.81-3.14] vs. 3.01 [2.81-3.15], p=0.724, respectively).Conclusions: The benefits of implementing an educational program among patients with T2DM are observed in terms of all QoL domains.","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0