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La Tunisie Médicale

Joël Ladner, Ahmed Ben Abdelaziz
In the 21st century, public health is not only about fighting infectious diseases, but also contributing to a "multidimensional" well-being of people (health promotion, non-communicable diseases, the role of citizens and people in the health system etc.). Six themes of public health, issues of the 21st century will be addressed. Climate change is already aggravating already existing health risks, heat waves, natural disasters, recrudescence of infectious diseases. Big data is the collection and management of databases characterized by a large volume, a wide variety of data types from various sources and a high speed of generation...
October 2018: La Tunisie Médicale
Sassi Boughizane, Raja Briki, Imen Bannour, Faouzi Noomane, Larbi Hireche
No abstract text is available yet for this article.
October 2018: La Tunisie Médicale
Sid Ahmed Dahdi, Asma Ben Abdelaziz, Tarek Baroumi, Ousmane Ba, Mohamadou Diagana, Lebchir Dada, Ahmed Ben Abdelaziz
BACKGROUND: As part of the preparatory work for the elaboration of a strategic plan for the development of scientific research in Mauritania, an overview of national biomedical research was recommended by the supervisory authorities. AIM: Describe the bibliometric profile of biomedical scientific publications in Mauritania, indexed in Medline database, over the past 25 years. METHODS: A bibliometric study was carried out on Medline Database covering the period from 1 January 1992 to 31 December 2016...
October 2018: La Tunisie Médicale
Hatem Shili, Sonia Ben Hadj Hassen, Taycir Daoud, Hichem Denguir, Françoise Ounalli
The Tunisian health care system is experiencing a significant period of change and needs reforms so as to adapt. The nursing profession, which is the main actor of this system, in terms of number and function, is barely known or utterly unknown. The present paper's authors, who are paramedical teachers, aim to shed light on the specificity of the nursing and the nursing profession based on data collecting, and rare articles and legislation texts. In four sections, the paper will discuss the following issues: the nursing population demography, providing several indicators, their training throughout the reforms period, their training which has been "hooked" to university studies, their job profile and career plan...
October 2018: La Tunisie Médicale
Abdeldjellil Bezzaoucha, Abderrezak Bouamra, Benyoucef Sidoumou, Ahmed Ben Abdelaziz
BACKGROUND: The scarcity of trained teachers in charge of critical appraisal of medical literature is a major obstacle for the development of this learning in low-middle-income countries. OBJECTIVES: The aim of the study was to show equivalence in providing training on critical appraisal by either junior or senior teacher in epidemiology. METHODS: Learners, volunteer teachers of all specialties at the medical school of Blida (Algeria), were randomized between the two teachers in an equivalence randomized controlled trial...
October 2018: La Tunisie Médicale
Abdelkrim Soulimane, Ahmed Ben Abdelaziz, Zineb Serhier, Sid Ahmed Dahdi, Mohamed Amine Merbouh
BACKGROUND: Training in public health, an essential lever for the success of health programs, mobilizes several disciplines, from the description of health situations to the study of their determinants, and to health management. OBJECTIVE: To compare postgraduate training programs in Public Health, provided in the countries of the Greater Maghreb. METHODS: Through a documentary study, various components of post-graduate training in Public Health in the Maghreb have been identified: offers and methods of training, learning objectives, program content and reference skills...
October 2018: La Tunisie Médicale
Ahmed Ben Abdelaziz, Sina Haj Amor, Ines Ayadi, Mohamed Khelil, Chokri Zoghlami, Sami Ben Abdelfattah
CONTEXT: As part of its strategy of Universal Health Coverage (UHC), Tunisia has calculated, after its revolution, its Health Accounts (HA), in a standardized and interdepartmental way. OBJECTIVES: Describe the current structure of care financing in Tunisia, through the HA reports, from 2012 to 2014, and assess its compliance with the principles of socialization of health insurance. METHODS: Crude data on health care expenditures were collected by a multi-departmental group that is responsible for calculating health accounts, using a methodology developed by WHO...
October 2018: La Tunisie Médicale
Sana Rouis, Asma Ben Abdelaziz, Hajer Nouira, Mohamed Khelil, Chokri Zoghlami, Ahmed Ben Abdelaziz
BACKGROUND: Despite the wealth of knowledge on hospital performance, the majority of health facilities in the Maghreb don't have yet a Balanced Scorecard for its measurement. OBJECTIVE: Elaborate, through a systematic review of the biomedical literature, a Balanced Scorecard for hospital performance, consisting of indicators of quality of care, highly recommended and suitable for the professional and managerial contexts of Greater Maghreb health systems. MATERIALS AND METHODS:   This is a "systematic review" study on the topic of indicators to measure hospital performance...
October 2018: La Tunisie Médicale
Ahmed Ben Abdelaziz, Sarra Melki, Asma Ben Abdelaziz, Kamel Ben Salem, Abdelkrim Soulimane, Zineb Serhier, Sid Ahmed Dahdi
BACKGROUND: The Global Burden of Disease (GBD) is an objective method of measurement of disease disability, allowing the quantification of a population's health status, the identification of its health needs, and the determination of its public health priorities. OBJECTIVES: To document the epidemiological transition in Maghreb countries (Tunisia, Morocco, Algeria) over the past three decades and to identify their priority health problems, which are responsible for a considerable burden of disability...
October 2018: La Tunisie Médicale
Kamel Ben Salem, Ahmed Ben Abdelaziz
Tunisia, with its tradition of periodic general census of the population since 1921, has a database to describe and analyze the evolution of the population not only from a quantitative point of view, but also its structure (especially according to age) over time.This work aims to verify the process of the demographic transition and describe the aging of our population. The different demographic indicators were collected from INS data, local press and international sources.From a broad-based age pyramid and fine point in 1956 we are today with a pyramid with a notch in the under 25 years...
October 2018: La Tunisie Médicale
Takoua Merhabene, Farah Blel, Amira Jamoussi, Samia Ayed, Jalila Ben Khelil, Mohamed Besbes
BACKGROUND: Rationing in intensive care unit (ICU) beds is common and can leads to admission refusal. Understanding factors involved in triage practices is the first step towards an ethically optimal decision-making process. AIM: To identify determinants and patients' characteristics associated with decisions to deny ICU admission. METHODS: This prospective observational study was conducted in AbderrahmeneMami Hospital's medical ICU, in Ariana, between 1st January and 31th December 2016...
October 2018: La Tunisie Médicale
Imen Zemni, Mouna Safer, Mohamed Khelil, Meriem Kacem, Chokri Zoghlami, Ahmed Ben Abdelaziz
INTRODUCTION: Patient satisfaction is one of the most commonly used indicators in healthcare service quality evaluation. The aim of the study was to measure overall and specific patient satisfaction rates and to identify determinants of satisfactionin Sahloul University hospital during 2015 and 2016. METHODS: This is a cross-sectional study which included a random sample of patients hospitalized in Sahloul University Hospital between 2015 and 2016. The survey was conducted through an original self-administered questionnaire...
October 2018: La Tunisie Médicale
A Jamoussi, S Ayed, K Ben Ismail, K Chtara, M Bouaziz, A Mokline, A Messaadi, T Merhebene, N Tilouche, S El Atrous, M Boussarsar, F Daly, S Benlakhel, I Fathallal, N Kouraichi, Y Z El Hechmi, Z Jerbi, R Attigue, H Hamouda, H Ghadhoun, H El Ghord, K Ben Romdhane, S Khedher, R Allala, H Mateur, N Brahmi, J Ben Khelil, M Besbes
OBJECTIVES: To determine the prevalence of Healthcare-Associated Infection (HAI) in medical Intensive Care Unit (ICU), risk factors for these infections and identify the predominant infecting organisms. METHODS: A 1-day point-prevalence study within all medical ICUs in Tunisia, all patients occupying an ICU bed over a 48-hour period were included. Rates of HAI, resistance patterns of microbiological isolates and potential risk factors for HAI were recorded. RESULTS: One hundred and three patients were collected from 15 Tunisian medical ICUs...
October 2018: La Tunisie Médicale
Sarra Ben Youssef, Marwen Ben Alaya, Ahmed Ben Abdelaziz
INTRODUCTION: With the aim of rebuilding the memory of the specialty of Preventive Medicine and Community Medicine (MPC) in Tunisia, through its indexed scientific publications, the objective of this work was to describe the thematic and methodological profile of indexed scientific research, of this specialty over four decades. METHODS: This is a descriptive bibliometric study of MPC articles, indexed in the Medline database over a 40-year period (1975-2014), and based on their Medline Material Safety Data Sheets (MSDS)...
October 2018: La Tunisie Médicale
Ahmed Ben Abdelaziz, Asma Ben Abdelaziz, Chokri Zoghlami, Mohamed Khelil, Tarek Barhoumi, Sami Ben Abdelfattah, Kamel Ben Salem
CONTEXT: Following the Tunisian revolution of 2010/2011, a new Public Health literature emerged, by the ministerial departments as well as the civil society, which was marked by the transparency and the comprehensiveness of the approach. OBJECTIVE: To identify the key ideas of the new Tunisian Public Health discourse, reconciling the principles of a globalizing paradigm with the health problems of a country in transition. METHODS: During this qualitative research, a selected series of three Tunisian reports of Public Health, published in the first quinquennium of the revolution, was read by an independent team of experts in Public Health, not having contributed to their elaboration, to identify the consensual foundations of the new Public Health discourse...
October 2018: La Tunisie Médicale
Meriem Kacem, Wafa Dhouib, Cyrine Bennasrallah, Imen Zemni, Hela Abroug, Manel Ben Fredj, Asma Sriha Belguith
BACKGROUND: Vaccination is the most cost-effective intervention for primary prevention. The Maghreb countries had joined the The Expanded Programme on Immunization (EPI). Tunisia had also introduced the vaccine against hepatitis B and Haemophilus influenzae type B (Hib). OBJECTIVE: To describ, through a systematic review, the specific documentation on the EPI in Tunisia. METHOD: Target publications were collected using Medline database and Google Scholar from published articles from January 01 1998 to December 12 2017...
October 2018: La Tunisie Médicale
Mohamed Hsairi, Faouzi Mehdi, Ridha Bellaaj, Mondher Kassis
BACKGROUND: The aim of screening is to improve individual health through an early detection of diseases at a stage where the prognosis of disease could be significantly. However, this kind of intervention is costly and it's necessary to respect criteria in selection of targeted diseases and screening tests. OBJECTIVE: The objective of this study was to describe public health screening policy in the Maghreb countries in order to identify the main barriers to the development of this type of intervention...
October 2018: La Tunisie Médicale
Marwen Ben Alaya, Sara Ben Youssef, Ahmed Ben Abdelaziz
BACKGROUND: In an article published in the journal "La Tunisie médicale" in 1972, Professor Sleim Ammar, a visionary North African psychiatrist, announced that "suicide is a public health problem" in the Maghreb. OBJECTIVES: This work, on the one hand, aims to describe the profile of Maghreb publications indexed in the Medline database, on the topic of suicide during the last forty years, and on the other hand to extract the Maghreb specificities of the epidemiology and the suicide management, used as tracer of Maghreb mental health...
October 2018: La Tunisie Médicale
Ahmed Aziz Bousfiha, Abderrrahmane Errami, Leila Jeddane, Fethi Mellouli, Shereen M Reda, Mehdi Adeli, Waleed Al-Herz, Raed Zyoud, Nahla Erwa, Yousif Suleiman, Rachida Boukari, Meriam Dakkoune, Abdelghani Yagoubi, Hamoud Al-Mousa, Rand Arnaout, Suleiman Alhamadi, Mohamed Bejaoui, Mohamed Ridha Barbouche, Bander AlSaoud, Hasan Al-Dhekri
INTRODUCTION: Primary Immunodeficiency (PIDs) is a set of 330 rare hereditary diseases that increase susceptibility to infections, allergies, autoimmunity, and neoplasia. North American registries give higher prevalence than Maghreb ones, whereas consanguinity is high. The purpose of this study is to compare prevalence and coverage rate of Maghreb PID registries with estimates based on USA. METHODS: We searched the prevalence of PIDs in the Maghreb registers. Next, we estimated the expected values based on recent publications...
October 2018: La Tunisie Médicale
L Ben Fatma, I Belaid, N Said, S Gahbiche, M Hochlef, I Chabchoub, F Ezzairi, S Ben Ahmed
INTRODUCTION: Breast cancer is often diagnosed at a late stage in Tunisia with long delay in time to consultation and to diagnosis. The aim of the study was to identify explanatory factors to delayed diagnosis. METHODS: A case control analytical was performed from January 2013 to December 2014 in the department of Medical Oncology in FarhatHachedUniveristy Hospital.Patients with the diagnosis of ductal breast carcinoma were included in the study.Characteristics of a first group of 200 women with locally advanced or metastatic breast cancer (G1)were compared to a second group of 200 patients with early stage (G2)...
October 2018: La Tunisie Médicale
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