Tunisie Medicale最新文献

{"title":"Epidemiological profile and risk factors of community-acquired caused by enterobacteria strains producing ESBL urinary tract infections in Tunisian children.","authors":"Selsabil Nouir, Sameh Mabrouk, Sirine Mansar, Safa Hannachi, Farah Azouzi, Raja Boukadida, Azza Harbi, Hajer Mokni, Houda Ajmi","doi":"10.62438/tunismed.v104i01.6232","DOIUrl":"10.62438/tunismed.v104i01.6232","url":null,"abstract":"<p><strong>Introduction: </strong>The rise in community-acquired urinary tract infections (UTI) caused by enterobacteria strains producing extended spectrum beta-lactamase (ESBL) in children has complicated treatment strategies.</p><p><strong>Objective: </strong>This study aimed to evaluate risk factors associated with ESBL-producing UTIs in pediatric patients and analyze the antibiotic resistance patterns of the causative pathogens.</p><p><strong>Methods: </strong>A six-year cross-sectional study (January 2019-December 2024) was conducted at Sahloul University Hospital's pediatric department, including children under 15 years hospitalized with community-acquired UTIs.</p><p><strong>Results: </strong>A total of 383 UTI were included with 20.4% of UTI caused by ESBL producing strains. Females represented 62.66% (sex ratio=0.59). The median patient age was 11 months [3-66]. Escherichia coli and Klebsiella pneumoniae were the most common isolates (80.4% and 12.27%). Common risk factors included prior antibiotic use (41%), hospitalization in the past year (30.81%), recurrent UTIs (20.89%), and the presence of malformative uropathy (8.62%). Multivariate analysis confirmed only prior hospitalization (≤12 months) as an independent factor with ESBL strains (p = 0.005).</p><p><strong>Conclusion: </strong>The increasing prevalence of ESBL-related UTIs in children calls for stricter antibiotic stewardship and ongoing surveillance of resistance trends in this population.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139080","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}

{"title":"Psychosocial and academic impact of blood transfusion-dependent diseases on children.","authors":"Ines Maaloul, Majida Nakti, Taicir Rekik, Ilhem Ben Fraj, Monia Ouderni, Imen Chabchoub, Hajer Aloulou, Thouraya Kamoun","doi":"10.62438/tunismed.v104i01.6283","DOIUrl":"10.62438/tunismed.v104i01.6283","url":null,"abstract":"<p><strong>Introduction: </strong>Children with transfusion dependant diseases are confronted with multiple physical, psychosocial and cognitive obstacles, which touches significantly on their well-being and quality of life.</p><p><strong>Aim: </strong>to assess the quality of life of children with transfusion-dependent diseases using the PedsQL 4.0 scale.</p><p><strong>Method: </strong>This was a descriptive and a cross-sectional study conducted on children with chronic regular transfusion therapy in the paediatric department A of Hedi Chaker Hospital in Sfax, Tunisia between December 2024 and Mai 2025. We collected demographic informations about the children and their families and the clinical characteristics of the disease. The quality of life was assessed using the PedsQL 4.0 Generic score scales for children aged over 5 years old.</p><p><strong>Results: </strong>Fifteen children requiring chronic transfusion therapy were included. Eleven families belonged to a low socio-economic class. The mean score of the children's quality of life was 58.3%. The quality-of-life dimension with the highest score was the social function with a mean score of 67% while the dimension with the lowest score was the physical function with a mean score of 50.6%.</p><p><strong>Conclusion: </strong>Transfusion dependant diseases have major negative impact on the daily lives of affected patients. Understanding the challenges faced by these children and their families is important to guide management decisions aimed not only at prolonging life, but also at improving their overall quality of life.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139147","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}

{"title":"Reform of the pricing system and evolution of the private medicines market in Morocco.","authors":"Fatima Zahra Bimegdi, Abdelmajid Belaiche, Samir Ahid","doi":"10.62438/tunismed.v104i01.6074","DOIUrl":"10.62438/tunismed.v104i01.6074","url":null,"abstract":"<p><strong>Objective: </strong>The study shows the evolution of the market for medicines sold in pharmacies following the price revisions published by the Ministry of Health after the reform of the pricing system adopted in December 2013.</p><p><strong>Methods: </strong>This is a retrospective study carried out following the crossing of lists of official price review bulletins published on the website of the General Secretariat of the Government and sales data for medicines between 2010 and 2018.</p><p><strong>Results: </strong>Between 2010 and 2018, the total private market for generic and originator medicines recorded an average annual growth of +3% in volume and +3.7% in turnover. Between 2015 and 2018 and after the implementation of the reform, it rose from +1.1% to +3.9%. Once the price revisions were applied, the sales volume of generic medicines recorded an average annual growth of +3.5%, compared to +5.1% for their turnover (2015 and 2018). However, the sales volume of originator medicines recorded negative average annual growth (-0.7%). As for the segment of medicines affected by price reductions, between 2015 and 2018 it experienced negative average annual growth in volume (-0.8%), while its growth in turnover was positive (+3.3%).</p><p><strong>Conclusion: </strong>Following the adoption of the terms of Decree 2-13-852 and the application of the revisions, the private medicines market has seen variable growth.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139179","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}

{"title":"Arabic Translation and Adaptation of the CVID_QoL Questionnaire to Measure Health-RelatedQuality of Life of Adultswith Common Variable Immune Deficiency.","authors":"Salim Zridi, Abderrahmane Errami, Leila Baraket, Mina Moudatir, Ahmed Aziz Bousfiha, Ibtihal Benhsain","doi":"10.62438/tunismed.v104i01.5835","DOIUrl":"10.62438/tunismed.v104i01.5835","url":null,"abstract":"<p><strong>Introduction: </strong>Common Variable Immune Deficiency (CVID) is the most frequent symptomatic inborn error of immunity, associated with recurrent infections, autoimmunity, and malignancy. These complications substantially impair health-related quality of life (HRQoL). To date, no disease-specific HRQoL instrument has been validated in Arabic. This study aimed to translate, culturally adapt, and validate the CVID_QoL questionnaire for Arabic-speaking patients.</p><p><strong>Methods: </strong>The CVID_QoL was translated and adapted into Arabic according to international cross-cultural guidelines. A pilot test was performed, followed by administration of the pre-final version to 20 adults with CVID at Abderrahim El Harouchi Hospital, Casablanca. Internal consistency was assessed using Cronbach's alpha, and test-retest reliability with intraclass correlation coefficients (ICC). Construct validity was evaluated through Pearson's correlations with the General Health Questionnaire-12 (GH-12) and the Short Form-36 (SF-36). Discriminant validity was tested using the Mann-Whitney U test across clinical subgroups.</p><p><strong>Results: </strong>The Arabic CVID_QoL showed high internal consistency (Cronbach's α = 0.91) and excellent test-retest reliability (ICC = 0.88). Convergent validity was confirmed by significant correlations between CVID_QoL domains and GH-12 and SF-36 scores (e.g., emotional functioning with SF-36 mental health, r = 0.65, p< 0.001). Discriminant validity was established by significantly lower scores among patients with recurrent infections, pulmonary complications, or autoimmunity (p< 0.05).</p><p><strong>Conclusion: </strong>The Arabic CVID_QoL is a reliable and valid tool for measuring HRQoL in Arabic-speaking adults with CVID. It provides a valuable contribution for both clinical care and research. Larger, multicenter studies are recommended to further confirm its utility.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138812","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}

{"title":"Redefining learning in the digital era: Innovative tools shaping modern medical education.","authors":"Khouloud Kchaou, Soumaya Khaldi, Saloua Ben Khamsa Jameleddine","doi":"10.62438/tunismed.v104i01.5670","DOIUrl":"10.62438/tunismed.v104i01.5670","url":null,"abstract":"<p><p>The rapid development of digital tools for medical education and training has expanded the possibilities for flexible and personalized learning, but it has also created challenges in choosing the best tools to meet specific learning needs. This article presents a functional framework that assists educators and learners in selecting tools based on their needs and the learning context. By categorizing tools into synchronous and asynchronous types, we aim to simplify the decision-making process and optimize educational experiences. Synchronous learning tools like YouTube Live, PathCast, Zoom and Microsoft Teams support real-time participation and promote communication, collaboration and responsiveness in the learning environment. These tools are especially useful for live streaming, Q&A, and discussions where instant feedback can support learning outcomes. Asynchronous learning tools such as YouTube, Canvas, Elicit and Quizlet, give learners the flexibility to learn material at their own pace, encouraging independent learning and memorization. Asynchronous platforms allow for pausing, reviewing and repeating material as needed, making them ideal for complex courses that require effective repetition. Hybrid models, especially the flipped classroom approach, blend these modes effectively. Tools like Edpuzzle and Nearpod make it possible to create interactive lessons and exercises in the classroom. The integration of innovative technology in medical education is not solely about adopting new tools but also about promoting adaptability and a culture of continuous learning. Blending synchronous and asynchronous tools with a human-centered approach, can build flexible, responsive learning environments that empower educators and learners to make informed choices, creating adaptive and effective learning environments that meet diverse needs.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139121","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}

{"title":"Predictive factors of recurrence and chronic pain in inguinal hernia repair in a tertiary multicenter study: Lichtenstein versus transabdominal preperitoneal versus totallyextraperitoneal approach.","authors":"Mohamed Ali Chaouch, Mohamed Zayati, Ahmed Saidani, Ahmed Hadj Taieb, Mohamed Noomen, Sadok Ben Jabra, Ramzi Ben Letaifa, Amine Ben Slimane, Ibtissem Korbi, Besma Gafsi, Faouzi Ben Salem, Faouzi Chebbi, Faouzi Noomen","doi":"10.62438/tunismed.v104i01.6006","DOIUrl":"10.62438/tunismed.v104i01.6006","url":null,"abstract":"<p><strong>Objective: </strong>To compare the postoperative outcomes of inguinal hernia repair using Lichtenstein, transabdominal preperitoneal(TAPP), and totallyextraperitoneal (TEP) techniques, focusing on the incidence and predictive factors of recurrence and chronic postoperative pain.</p><p><strong>Methods: </strong>This cohort study included patients operated on for inguinal hernia at Monastir and Ariana University Hospitals between January 2020 and November 2023. The primary outcomes measured were postoperative morbidity and its risk factors, with secondary endpoints including chronic pain and recurrence. Data were analyzed using Pearson's chi² test, Student's t-test, Mann-Whitney test, and multivariate analysis.</p><p><strong>Results: </strong>This cohort study included 308 patients. The patientswere divided into three groups: Lichtenstein (n=124), TAPP (n=117), and TEP (n=67). The Lichtenstein patients were older (52.02±11.11 years) and had a higher BMI (26.45±3.60 kg/m²) compared to TAPP (48.02±15.62 years, 20.89±5.1 kg/m²), and TEP (46.19±13.52 years, 20.11±2.13 kg/m²). Lichtenstein had the highest morbidity (12.09%) compared to TAPP (8.54%) and TEP (7.46%). Grade II and III complications were significantly more frequent in the Lichtenstein group. Recurrence was higher in the Lichtenstein group (8.06%) compared to TAPP (3.41%) and TEP (2.98%). Chronic pain was more common in Lichtenstein (9.67%) compared to TAPP (1.70%) and TEP (0%). For predictive factors, age >50 years (OR=1.7), BMI >30 kg/m² (OR=1.9), and comorbidities (OR=1.8) were significant predictors of recurrence. The Lichtenstein technique (OR=5.5), wound complications (OR = 3.2), and smoking (OR=2.0) were key predictors of chronic pain.</p><p><strong>Conclusions: </strong>In this retrospective study, statistically significant differences were observed between groups: the Lichtenstein ....( abstract truncated at 250 words).</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139144","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}

{"title":"Unplanned Hemodialysis Initiation inTunisia: Clinical Profile and Predictors of Early Mortality in a Prospective Cohort.","authors":"Mayssa Hadj Brahim, Zohra El Ati, Amel Ayed, Imene Mlouki, Rihem Dahmane, Asma Hadhri, Lazhar Jaballah","doi":"10.62438/tunismed.v104i01.6368","DOIUrl":"10.62438/tunismed.v104i01.6368","url":null,"abstract":"<p><strong>Aim: </strong>Unplanned hemodialysis (HD) initiation is associated with increased mortality. This study aimed to characterize clinical profiles and identify predictors of early mortality in Tunisian HD patients.</p><p><strong>Methods: </strong>A prospective cohort study was conducted at Tahar Sfar University Hospital, Mahdia, Tunisia, between June 2022 and June 2023, with follow-up until June 2024. A total of 125 adult patients initiating chronic HD were enrolled. Data on demographic, clinical, biochemical, and dialysis-related parameters were collected. Survival analysis was performed using Kaplan-Meier and Cox regression methods.</p><p><strong>Results: </strong>The mean age was 59 ± 15years, with male predominance (57.6%). Diabetic nephropathy (36.8%) and chronic tubulointerstitial nephropathy (26.4%) were the leading causes of ESRD. Only 13.2% of patients-initiated HD in a planned manner; 50.4% started due to uremic symptoms and 28.1% due to volume overload. Vascular access was predominantly central venous catheters(70.4%), with only 20% having a mature arteriovenous fistula (AVF). The mean eGFR at HD initiation was 6.2 ± 2.4 mL/min/1.73 m². During follow-up (median: 15 months), 20.8% of patients died, with 34.6% of deaths occurring within the first three months. On univariate analysis, heart failure, AVF thrombosis, fewer than three HD sessions per week, and lack of prior nephrology referral were associated with higher mortality. Multivariate analysis identified dialysis frequency <3 sessions/week as the sole independent predictor of mortality (HR: 0.19; 95% CI: 0.042-0.9; p = 0.036).</p><p><strong>Conclusion: </strong>Unplanned HD initiation remains common in our setting, with high early mortality. Inadequate dialysis frequency significantly impacts survival......( abstract truncated at 250 words).</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139218","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}

{"title":"Immune thrombocytopenia in children: An observation a study inTunisia.","authors":"Sabrine Khirallah, E Azza, M Bahri, R Hsasna, Y Ben Abdennebi, L Aissaoui","doi":"10.62438/tunismed.v104i01.6163","DOIUrl":"10.62438/tunismed.v104i01.6163","url":null,"abstract":"<p><p>Immunevthrombocytopenic purpura(ITP)in children is a heterogeneous condition,varying in Clinical features, need for treatment and outcome. Our study aimed to describe epidemiological, clinical and therapeutic data of ITP inourcenter.This study included patients aged between 2 and 18 years old,diagnosed with ITP duringa17-years period in the pediatric hematology department at Aziza Othmana hospital,in Tunisia. Thirty-one children were followed up for ITP during the study's period,with a mean age of 15 years old [2-18]. Eighteen patients(58%)had mild bleeding while 4patients(13%)had severe hemorrhage. Buchanan score was higherthan2 in12patients (39%).The median platelet count was 14 G/L[1-85]. No etiology was identified in any of them. Eighteen patients were treated by oral corticosteroids(1mg/kg),2 by intravenous corticosteroids and 4 by oral corticosteroids (4 mg/kg)in association with intravenous immunoglobulins.Therest of patients, were not in indication for medical treatment.Among the treated patients,63%had a complete response, 29% a partial response and8%were cortico-resistant. Seven patients were corticosteroid-dependent.Twelve patients relapsed(46%)with a median delay of relapseof31months [11-106].As a second line treatment, 10 patients were treated by corticosteroids(1 mg/kg), just one patient had a splenectomy.Management of ITP in children,represents are al challenge. Although corticosteroids and immunoglobulinare effective as first line therapy,the high rate of relapse high lights theneed to improve new therapeutic strategies for second-line treatment. 22.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139182","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}

{"title":"Knowledge of Parents toward their Children's Oral Health: A Survey in Monastir, Tunisia.","authors":"Yamina Elelmi, Chayma Ben Arbia, Fatma Masmoudi, Ahlem Baaziz","doi":"10.62438/tunismed.v103i10.5657","DOIUrl":"10.62438/tunismed.v103i10.5657","url":null,"abstract":"<p><strong>Introduction: </strong>The establishment and preservation of optimal oral health in children are largely contingent upon the active participation of their parents and caregivers. These primary figures are instrumental in shaping children's preventive practices and facilitating necessary treatment, highlighting a critical interface for health interventions. The aim of the study was to evaluate the knowledge of parents in Monastir city, Tunisia, toward their children's oral health care and prevention of tooth decay and to determine the influence of parental socio-demographic variables on knowledge.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in the pediatrician's waiting room in Monastir, Tunisia. Ethical Clearance was obtained. The sample was made up of 195 parents. The questionnaire was completed to obtain information regarding demographic and education variables, knowledge about oral health prevention, parents', children's oral hygiene habits, and risk behaviors. The data collected were subjected to statistical analysis using the Pearson chi-square test and the ANOVA test.</p><p><strong>Results: </strong>Sixty-three percent of parents who participated in the study had an insufficient knowledge score (score<50%). The mean knowledge score among mothers was slightly greater than fathers. The parents having fewer than three children have better knowledge, and the parents with one child have better scores. Similar results with a higher educational level were statistically significant. The majority of parents recognized many preventive dental aspects like the number of daily brushings, the nature of toothbrush of the child's dental, effective brushing time, and caries as an infectious disease. However, it was revealed that there was limited knowledge among parents about the importance of early oral health prevention.</p><p><strong>Conclusion: </strong>The oral health knowledge among the participants was relatively low. Parents should get better education in oral health knowledge in order to influence their children to gain better oral health.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"103 10","pages":"1474-1479"},"PeriodicalIF":0.0,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13716374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515497","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}

{"title":"When to Publish? Perspectives of North African researchers in the medical field.","authors":"Rihem Dahmane, Rym Fakhfakh, Meriem Gaddas, Imen Ben Saida, Helmi Ben Saad","doi":"10.62438/tunismed.v103i10.6173","DOIUrl":"10.62438/tunismed.v103i10.6173","url":null,"abstract":"<p><strong>Introduction: </strong>Scientific publication plays a vital role in sharing research outcomes, enhancing knowledge, and fostering academic careers. However, researchers in low-income countries like Tunisia often face significant barriers, including limited access to funding, training, mentorship, and high-impact journals. These challenges can hinder their ability to publish effectively and at the right time. This study explored strategies for successful medical publication and examined the optimal timing for manuscript submission, drawing on the experiences of Tunisian researchers.</p><p><strong>Methods: </strong>This perspective-based study combines a comprehensive literature review with expert-facilitated group discussions. A research session held at the Faculty of Medicine of Sousse (Tunisia) brought together 44 participants from diverse medical specialties. The session included expert presentations, group discussions, and a review of relevant literature.</p><p><strong>Results: </strong>Timing was highlighted as a key strategic factor: submitting a manuscript upon completion of data analysis, in response to a call for papers, ahead of a major scientific event, or when the topic is particularly relevant can significantly increase the visibility and impact of the publication. Scientific publication also plays a crucial role in academic recognition and career progression. Careful planning, strategic journal selection, and adherence to editorial and ethical standards were identified as essential elements for improving publication success.</p><p><strong>Conclusion: </strong>Knowing when to publish can make all the difference. Submitting a manuscript at the right time - whether it is shortly after completing data analysis, when the topic is gaining attention, or in response to a specific call for papers - can significantly increase a study's visibility and impact. However, timing alone is not enough. With the right training, thoughtful journal selection, and strong institutional support, researchers - especially those in low- and middle-income countries - can overcome many of the barriers they face and share their work more effectively with the global scientific community.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"103 10","pages":"1356-1361"},"PeriodicalIF":0.0,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13716384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515365","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}