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Symptomatic Tarlov Cysts and Occupational Outcome: A Case Report

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Occupational Diseases and Environmental Medicine 2023年第2期11卷 115-121页

作者： Belhadj Chabbah Narjes aloui asma Athimni Zeineb Nakhli Rania Bouhoula Maroua Chelly Farah Chouchane asma Kacem Imène Maoua Maher Brahem Aicha Kalboussi Houda Elmaalel Olfa Chatti Souhail Mrizek Najib Faculty of Medicine of Sousse University of Sousse Sousse Tunisia Department of Occupational Medicine University Hospital Farhat Hached Sousse Tunisia Department of Occupational Medicine University Hospital Sahloul Sousse Tunisia

Tarlov cysts are often asymptomatic and incidentally discovered. However, in few cases, these cysts can be symptomatic and may manifest as chronic low back pain. We report a case of a Tarlov cyst incidentally diagnosed by MRI in a wiring factory worker complaining of chronic low back pain exacerbated with the carrying of heavy loads and the hyper solicitation of the lumbar spine during his professional activity. The clinical manifestations of symptomatic Tarlov cysts can influence the life quality of patients and have enormous repercussions on their work ability, which in some cases can lead to job loss. Thus, the socio-professional aspects of symptomatic Tarlov cysts should not be underestimated and maintaining these patients in employment should be considered from the outset as an objective in its own right in the management.

关键词： Tarlov Cysts Neurosurgery Occupational Outcomes

Healing Humor: The Use of Humor in the Nurse-Patient Relationship

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Occupational Diseases and Environmental Medicine 2022年第3期10卷 217-231页

作者： Farah Chelly Imène Kacem Amen Moussa Amal Ghenim Imen Krifa Feriel Methamem asma Chouachane asma aloui Aicha Brahem Houda Kalboussi Olfa El Maalel Souhail Chatti Maher Maoua Sameh Bannanou Nejib Mrizak Université de Sousse Faculty of Medicine of Sousse Sousse Tunisia Department of Occupational Medicine Farhat Hached Academic Hospital Sousse Tunisia University of Sciences Arts and Techniques of Sousse Sousse Tunisia

Objective: To identify the importance of using humor in patient/nurse relationship, its factors, its conditions and the barriers that might limit its use. Methods: We systematically searched PubMed, Science Direct and Google Scholar, for relevant articles published in English between 2010 and 2019. We included the studies that investigated humor between nurses and their patient’s relationship. Results: From the initial 287 articles found, 15 were included for final revision. Data allowed retrieving information on humor definition;its applicability as a nursing intervention;humor as a tool to improve nurse-patient communication and relationship;influencing factors;humor benefits in health care context and the limits that come against its use. Conclusion: Humor is considered a powerful communication tool, it promotes well-being, relieves anxiety and stress, helps deal with stressful situations but it should be used cautiously in order to prevent undesired consequences.

关键词： Humor Patient/Nurse Relationship Communication

Racial variation of aerobic and anaerobic performances in sedentary men

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Open Journal of Internal Medicine 2012年第2期2卷 129-133页

作者： Salma Abedelmalek Hamdi Chtourou asma aloui Zouhair Tabka Nizar Souissi Department of Physiology Sousse Faculty of Medicine Sousse Tunisia Research Laboratory “Sports Performance Optimization” National Center of Medicine and Science in Sports (CNMSS) Tunis Tunisia

The present study was designed to compare the effect of racial variations on short- and incremental maximal exercises in sedentary men whites (WT) and blacks (BT) Tunisian and South African (SA). In a randomized order, thirty-six physically sedentary men including 12 BT, 12 WT, and 12 SA were asked to perform a force-velocity (i.e., determination of maximal power (Pmax), F0, and V0) and a treadmill maximal aerobic (i.e., determination of maximal oxygen uptake (VO2 max)) tests. Pmax and F0 were significantly higher in SA than WT (p 0 values. Moreover, VO2 max was significantly higher in SA and BT than WT (p < 0.001). However, no significant difference was observed between SA and BT. Compared to white subjects, the present study’ results suggest the superiority of blacks races on aerobic and anaerobic exercises in physically sedentary men.

关键词： Anaerobic Performance Aerobic Performance Ethnicity

Occupational Allergic Contact Dermatitis in Tunisia: Epidemiology and Occupational Outcome

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Occupational Diseases and Environmental Medicine 2018年第3期6卷 107-117页

作者： asma aloui Maher Maoua Houda Kalboussi Imène Kacem Sana El Guedri Aicha Brahem Olfa El Maalel Faten Debbabi Souhaiel Chatti Néjib Mrizak Department of Occupational Medicine Faculty of Medicine of Sousse University of Sousse Farhat Hached Teaching Hospital Sousse Tunisia

Background: Occupational allergic contact dermatitis (ACD) is one of the most frequent diseases on the workplace worldwide. Its national incidence and prevalence were not previously studied in Tunisia. Objective: To assess incidence of occupational allergic contact dermatitis and its occupational outcome in Tunisia. Methods: Descriptive epidemiological study of all cases of occupational allergic contact dermatitis reported from 2002 to 2012 in Tunisia and recognized by the medical commissions of the National Health Insurance Fund. Results: 315 cases of occupational ACD were collected representing an annual incidence of 31.65 cases/100.000 workers in the private sector in Tunisia. The mean age of our population was 42.70 ± 9.02 years with a male predominance (sex ratio 3.03). The most affected sectors were the clothing sector (14.3% of cases) and the cement industry (13.7% of cases). Patch tests were positive in 188 patients (59.67%). The most frequently positive allergen was potassium dichromate in 27.3% of the cases. Overall, 25.4% of patients had lost their jobs. After multiple binary logistic regression, job loss had a statistically significant relationship with localization of lesions on the face and on dominant hand. Conclusion: Occupational ACD is frequent in Tunisia and is responsible for an important rate of job loss. Preventive measures must be reinforced, especially the wearing of protective gloves.

关键词： Epidemiology Occupational Disease Allergic Contact Dermatitis Job Loss Tunisia

Access Pricing to An Operating System Platform when Piracy Matters

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Journal of Systems Science and Systems Engineering 2020年第2期29卷 184-202页

作者： asma Brahem Khaireddine Jebsi Faculty of Management and Economic Sciences of Sousse University of SousseTunisia

This paper examines the impact of piracy on access pricing strategy of an operating system *** study the behavior of users and developers due to an increase in software protection when positive network externalities *** show that when piracy cost increases,access demands to the platform vary in the same direction and the magnitude of this variation depends on both the marginal network benefit that a developer derives and a certain threshold of piracy *** into account the behavior of these two sides when piracy matters,the monopoly platform changes its pricing *** show that,it tends to reduce or to increase access ***,we show that under certain conditions,the divide-and-conquer pricing strategy can be reversed.

关键词： Platform software developers piracy two-sided market single-homing