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Outcome of Nurses with Occupational Dermatitis

Open Journal of Nursing 2024年第6期14卷 239-251页

作者： Amira Omrane Chayma Harrathi Asma kheder Maher Maoua Malek ben Abdelkader Taoufik Khalfallah Najib Mrizak Mohamed Akrout Mohamed Adnene Henchi Hichem Bel Hadj ali Department of Occupational Medicine and Ergonomics Taher Sfar Teaching Hospital Mahdia Tunisia Department of Occupational Medicine Houcine Bouzaiene Teaching Hospital Gafsa Tunisia Department of Occupational Medicine Farhat Hached Teaching Hospital Sousse Tunisia Department of Occupational Medicine and Ergonomics Fattouma Bourguiba Teaching Hospital Monastir Tunisia Department of Dermatology Fattouma Bourguiba Teaching Hospital Monastir Tunisia

Background: Occupational dermatitis is considered as the second most common occupational disease. It accounts for 25% of all lost workdays. Several international studies reported a prevalence of occupational dermatitis in healthcare workers between 17% and 55%. This study aims to identify factors that affect the professional outcome of nurses suffering from occupational dermatitis. Methods: This was a multicenter cross-sectional study concerning nurses declared having occupational dermatitis in the central region of Tunisia. A synoptic sheet related to socio-professional and administrative data was completed. A self-administered Questionnaire going over medical and occupational characteristics was completed during a direct interview. Results: The study involved forty nurses working in four public hospitals in the center of Tunisia. Only 37 workers were included in the study. A professional reclassification was introduced among 19 workers (51% of study population). Work-station adaptation was requested in 14 cases (38%). Exposure to allergens in the workplace was eliminated in 20 cases. Two study participants were transferred to other departments (5.4%) and three people retired (8.1%). A statistically significant association was found between professional reclassification and a history of allergic manifestations (p = 0.003). Similarly, a significant association was found between professional reclassification and the allergic agent (p = 0.014). Workstation layout was significantly associated with a history of allergic manifestations (p = 0.039), the palm hand location (p = 0.04), professional eviction (p Conclusion: This study identified the main factors influencing the occupational outcome of nurses suffering from occupational dermatitis. This outcome depended on a history of atopy (especially allergic rhinitis) and sensitization to allergens (thiuram mix).

关键词： Nursing Occupational Dermatitis Hospital

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Hemothorax Revealing Aortic Aneurism and Aortic Dissection

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Open Journal of Respiratory Diseases 2013年第3期3卷 113-115页

作者： Fatma Chermiti ben Abdallah Houda Gharsalli Hamida Kwas Sofia Taktak Amel Chtourou ali ben kheder Pneumology IV department Abderrahman Mami Hospital Ariana Tunisie

Hemothorax caused by rupture of aortic aneurysm or aortic dissection is an uncommon manifestation and carries a high mortality rate. We report two cases of 75- and 80-year-old men, who were referred to our department for exploration of a left pleural opacity. Thoracentesis produced a hemorrhagic fluid. The computed tomography scan revealed an aortic dissection type B of Stanford in the first case and an aneurysm of the descending thoracic aorta in the second patient. Emergency operation was performed in the first case but the patient died of multiple organ failure 48 hours after surgery. Aortic dissection or aneurysm can result in a hemothorax especially in patient with favourable conditions such as elderly patient and systemic hypertension. Diagnosis relies on computed tomography (CT) scan and echocardiography.

关键词： Aortic Aneurysm Aortic Dissection Hemothorax Computed Tomography Scan Echocardiography

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Asthma-Like Tracheo-Bronchial Amyloidosis

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Open Journal of Respiratory Diseases 2012年第2期2卷 57-59页

作者： Fatma Chermiti ben Abdallah Hanene Smadhi Ridha Mahouachi Amel Chtourou Sofia Taktak Ayda Ayadi Faouzi El Mezni ali ben kheder Anatomy-Pathology Department Abderrahmen Mami Hospital Ariana Tunisia Pneumology IV Department Abderrahmen Mami Hospital Ariana Tunisia

Localized bronchial Amyloidosis is an uncommon disease of unknown origin. Clinical signs are not specific. Tracheobronchial symptoms are the most frequent. We report a case of a 31 year-old man complaining of asthma-like dyspnea. Bronchoscopy was performed because of ineffectiveness of antiasthmatic treatment, showed a submucosal infiltration with stenosis of both right and left upper bronchi and a complete stenosis of intermediate troncus. Multiple biopsies were performed and concluded to Amyloidosis of AL type. Oral corticosteroids were indicated with clinical improvement.

关键词： Amyloidosis Biopsy Histology Corticosteroids

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Photosynthesis and growth responses of pea Pisum sativum L. under heavy metals stress

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Journal of Environmental Sciences 2009年第11期21卷 1552-1556页

作者： Sabrine Hattab Boutheina Dridi Lassad Chouba Mohamed ben kheder Hamadi Bousetta Laboratory of Biochemistry and Environmental Toxicology Laboratory of Marine Biology National Institute of Sea Sciences and Technologies Lagoulette Technical Centre of Organic Agriculture

The present work aimed to study the physiological effects of cadmium （Cd） and copper （Cu） in pea （Pisum sativum）. Pea plants were exposed to increasing doses of cadmium chloride （CdCl2） and copper chloride （CuCl2） for 20 d. The examined parameters, namely root and shoot lengths, the concentration of photosynthetic pigments and the rate of photosynthesis were affected by the treatments especially with high metals concentrations. The analysis of heavy metals accumulation shows that leaves significantly accumulate cadmium for all the tested concentrations. However, copper was significantly accumulated only with the highest tested dose. This may explain the higher inhibitory effects of cadmium on photosynthesis and growth in pea plants. These results are valuable for understanding the biological consequences of heavy metals contamination particularly in soils devoted to organic agriculture.

关键词： Pisum sativum heavy metals photosynthesis growth

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Impact of Dialysis Modality on Kidney Transplantation Outcomes

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Journal of Biomedical Science and Engineering 2015年第2期8卷 67-72页

作者： Imed Helal Imen Gorsane Fethi ben Hamida Adel kheder Department of Medicine A (M8) Charles Nicolle Hospital Tunis Tunisia Laboratory of Kidney Pathology (LR00SP01) Charles Nicolle Hospital Tunis Tunisia Faculty of Medicine University of Tunis El Manar Tunis Tunisia

Survival benefits of renal transplantation over dialysis therapy are well established for patients with end-stage renal disease (ESRD). Transition from one treatment modality to another is common. Understanding the differences in outcomes with the various renal replacement therapies will help nephrologists to provide best advice for dialysis patients. The influence of pretransplant dialysis modality on post-transplant outcomes is not clear. An overview of the various issues related to dialysis modality on kidney transplantation outcomes is discussed in this topic review. These include allograft and recipient survival, the impact of dialysis vintage and choice of dialysis modality on transplant outcomes.

关键词： Peritoneal Dialysis Hemodialysis Kidney Transplantation

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Mortality in Kidney Transplantation

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Open Journal of Nephrology 2015年第2期5卷 25-28页

作者： Karima Boubaker Madiha Mahfoudhi Amel Gaieb Battikh Hayet Kaaroud Ezzeddine Abderrahim Taieb ben Abdallah Adel kheder Department of Internal Medicine A Charles Nicolle Hospital Tunis Tunisia

It’s a retrospective study whose aim was to evaluate the incidence and the mortality in a popula-tion including 329 patients who received first kidney transplants from a living donor in 269 cases and cadaveric donor in 60 cases at Internal Medicine A department between June 1986 and December 2003. Aetiologies of mortality in our kidney transplant recipients were determined. There were 157 males and 75 females having an average age of 30.8 years. After a period of follow-up of 5.64 years, 51 patients (21.98%) died. Aetiologies of mortality were multiple and were known in approximately 98% of cases. Infections were observed in 25 cases. Cancer was observed in 7 cases (13.72%). Patient survival was not affected by gender, donor age or cause of donor death. Infections represent the major cause of mortality in our patients even many years after kidney transplantation. The maximum of death occurred in the 8th year after kidney transplantation.

关键词： Kidney Transplantation Aetiology Mortality

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