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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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Buerger’s Disease and Fitness for Work in a Flight Personnel: A Case Report

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Occupational Diseases and Environmental Medicine 2022年第2期10卷 71-77页

作者： Imen Jammeli Asma Aloui malek ben abdelkader Zeineb Athimni Marwa Bouhoula Chouchene Asma Imen Kacem Maher Maoua Aicha Brahem Houda Kalboussi Olfa El Maalel Souhaiel Chatti Nejib Mrizak University Hospital Farhat Hached Sousse Tunisia Department of Occupational Medicine University Hospital Ibnou El Jazzar Faculty of Medicine of Sousse University of Sousse Sousse Tunisia

Buerger’s disease, also called thromboangiitis obliterans (TAO), is an inflammatory disease affecting small and medium size blood vessels of the limbs. Several risk factors are strongly associated with this disease. In fact, heavy smokers represent 99% of patients diagnosed with Buerger’s disease and smoking cessation can slow down the progression of the pathology. Ulcers and gangrene are very common complications and TAO may also cause a vasculitis as well as ischemic damage to the distal part of the limbs that can eventually lead to limb amputation. Here, we report the case of a 43 years old patient, a flight personnel working in a Tunisian airline company who consults for a lesion of the left toe that appeared 2 weeks ago. He is a chronic inveterate smoker with 36 pack-years. The diagnosis of TAO was made based on the clinical presentation and the results of the Doppler Ultrasound of the left toe. This disease has a major impact on the quality of life due to the risk of necrotic ulcers and amputation. Navigation is a profession that requires a high level of physical and mental fitness. According to the international and Tunisian standards, the applicant or the holder of medical certificate must not have a cardiovascular condition that may affect the safety of the exercise.

关键词： Buerger’s Disease Flight Personnel Medical Fitness

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Fragrant Microcapsules Based onβ-Cyclodextrin for Cosmetotextile Application

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Journal of Renewable Materials 2019年第12期7卷 1347-1362页

作者： Maroua ben abdelkader Nedra Azizi Ayda Baffoun Yves Chevalier Mustapha Majdoub Laboratoire des Interfaces et Matériaux Avancés(LIMA) Facultédes SciencesUniversitéde Monastirbd de l’Environnement5019 MonastirTunisia Laboratoire d’Automatique de Génie des Procédés et de Génie Pharmaceutique(LAGEPP)UniversitéClaude Bernard Lyon 1UMR CNRS 500743 bd du 11 Novembre 191869622 Villeurbanne CedexFrance Unitéde Recherche Matériaux et Procédés Textiles Universitéde MonastirÉcole Nationale d’Ingénieurs de Monastirav.Ibn Eljazzar5019 MonastirTunisia

Microencapsulation of neroline inside microcapsules having a polyurethane shell based onβ-cyclodextrin(β-CD)and hexane diisocyanate was performed by interfacial *** polyol nature ofβ-CD caused tight crosslinking of microcapsules *** of neroline were characterized for their chemical composition and structure of the polyurethane shell by FTIR spectroscopy,thermogravimetric analysis,optical and electron microscopy,light scattering and electrophoresis *** content and encapsulation yield were 15%and 60%,*** microcapsules of mean diameter 29μm were slightly cationic with an isoelectric point of ***-loaded microcapsules were fixed on cotton fabric using an impregnation *** functionalized fabric showed improved resistance to washing cycles in comparison with previously reported diol-based *** microcapsules display great potential for the long-lasting release of fragrance in the framework of cosmetotextile.

关键词： Microcapsules interfacial polycondensation β-cyclodextrin neroline cosmetotextile

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Urban Morphological Rules Classification for Digital Design

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Journal of Civil Engineering and Architecture 2021年第4期15卷 175-180页

作者： Alia Belkaid abdelkader ben Saci National School of Architecture and Urbanism Univ.CarthageM2ASidi Bou Said 2026Tunisia School of Architecture Univ.Grenoble AlpesCNRSAAU-CRESSONGrenoble 38000France

The hidden dimension of the urban morphology is the underlying the urban morphological rules *** number of these rules has increased and their application tends to become more *** urban morphosis based digital approaches tends to become ***,achieving the target values for all the rules is *** impacts the social,environmental and aesthetic objectives of these *** paper proposes a classification of urban morphological rules to assist the digital morphosis of urban *** aim is to endow the system of rules with a hierarchy,which can make efficient the automatic generation of the urban forms respectful of the urban ***,this work promotes the concerns of artificial intelligence in urban morphology.

关键词： Artificial intelligence rules classification digital moprhosis urban morphology urban rules

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Intra-Abdominal Cystic Lymphangioma: Report of 21 Cases

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Journal of Cancer Therapy 2015年第7期6卷 572-578页

作者： Mohamed ben Mabrouk malek Barka Waad Farhat Fathia Harrabi Mohamed Azzaza Nefis Abdennaceur Amine Schaidar abdelkader Mizouni Jaafar Mazhoud Ali ben Ali Department of Digestive Surgery Sahloul Hospital Sousse Tunisia

Studying in a retrospective review of 21 cases, diagnostic, therapeutic and evolutionary aspects of intra-abdominal cystic lymphangioma (CL). Methods: Between 1992 and 2014, 21 patients were operated at our institution for a CL. Clinical presentation, location, surgical management and outcome were studied. Results: There were 14 women and 7 men. All CL were diagnosed by abdominal ultrasound and/or abdominal CT scan. The most common site was the retroperitoneum (24%) followed by equally by the mesentery, the mesocolon and abdominal wall. Surgical treatment consisted of a complete resection of cyst in 20 patients. This resection required a splenectomy in one case for a splenic location and digestive resection in 2 cases. Two cases of recurrence of CL were revealed. The first case was a result of partial resection, but the second case occurred in a patient who underwent a total cystectomy. These patients were asymptomatic, so we decided to monitor them. Conclusion: CL in adult is a rare disease. The preoperative diagnostic has benefited from the contribution of imaging mainly ultrasound and CT scan, treatment consisted of surgical complete excision to prevent recurrences.

关键词： Cystic Lymphangioma Intra-Abdominal Diagnosis Surgical Treatment Evolution

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Laboratory Study of Geotextiles Performance on Reinforced Sandy Soil

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Journal of Earth Science 2016年第6期27卷 1060-1070页

作者： Brahim abdelkader Arab Ahmed Belkhatir Mostefa Shahrour Isam Laboratory of Materials Sciences and Environment Civil Engineering Department Hassiba Ben Bouali University of ChiefChief 02000Algeria Laboratory of Civil Engineering and Geo-Environment(LGCGE) University of Lille 1Villeneuve d'Ascq 59650France

This paper presents the results of triaxial tests conducted for the investigation of the influence of geotextiles on stress-strain and volumetric change behaviour of reinforced sandy soil. Tests were carried out on loose sandy soil. The experimental program includes drained compression tests on samples reinforced with different values of both geotextiles layers （Ng） and confining pressure （σ′c）. Two methods of preparation were used： air pluviation （AP） and moist tamping （MT）. Test results show that the geotextiles induce a quasi-linear increase in the stress deviator （q） and volume contraction in the reinforced sand. Method of preparation significantly affects the shear strength; samples prepared by the air pluviation method and mobilized deviator stresses are significantly higher than those prepared by moist tamping method. Geotextiles restrict the dilation of reinforced sandy soil and consequently the contraction increases. The mobilized friction angle increases with increasing number of layers and decreases with increasing initial confining pressure. Samples prepared by moist tamping present mobilized friction angles significantly lower than those prepared by air pluviation method. For samples prepared by the air pluviation method, the secant modulus at ε1=1% and 5% decreases with increasing geotextile layers; those prepared by the moist tamping method, secant modulus at ε1=1% and 5% increases with increasing number of geotextile layer sand confining pressure. From 10% axial strain, secant modulus increases with increasing inclusions of geotextile layers.

关键词： sand triaxial geotextile drained method of preparation strength.

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Preparation, Characterization and Statistical Studies of the Physicochemical Results of Series of “B” Carbonated Calcium Hydroxyapatites Containing Mg2+and CO2-3

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American Journal of Analytical Chemistry 2014年第14期5卷 995-1009页

作者： S. ben abdelkader F. Bel Hadj Yahia I. Khattech Applied Thermodynamics Laboratory Chemistry Department Faculty of Sciences Tunis Tunisia

In this study, series of hydroxyapatites containing Mg2+ and?CO2-3 are prepared by the precipitation method with independently varying concentrations of?CO2-3 and Mg2+. All the compounds are characterized by infrared spectra (IR);powder X-ray diffraction (PXRD) and elemental analysis. The physical analysis results show that the prepared compounds are pure B-type carbonate apatite. The presence of Mg2+ and?CO2-3 in the apatite cause the following effects on its physical properties: a decrease in a-dimension but no changes in c-dimension and a decrease in crystallinity as shown in XDR patterns and IR spectra. The results of the chemical analysis allow us to predict the predominant substitution mechanisms for the CO2-3 and the Mg2+ incorporations in the calcium hydroxyapatites and to calculate their relative contributions x, y and z. (II);?? 2. (IV);?? (V). Statistical studies of the results “multiple linear regression, analysis of variance (ANOVA) and t-test of the regression coefficients” allow us to determine and to test the mathematical model proposed. Finally, the present study makes it possible to write the general formula for these com-pounds.

关键词： B-Type Carbonated Calcium Hydroxyapatite Containing Magnesium “B” CO3Mg-HAps Substitution Mechanism(s) Multiple Linear Regression F-Test (ANOVA) t-Test of the Coefficients

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Geochemical characterization of the salinity of irrigated soils in arid regions(Biskra, SE Algeria)

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Acta Geochimica 2021年第2期40卷 234-250页

作者： Mohamed Amine Abdennour abdelkader Douaoui Jesus Barrena Manuel Pulido Abdelhamid Bradai Amel bennacer Chiara Piccini Alberto Alfonso-Torreno Laboratory of Ecosystem Diversity and Agricultural Production System Dynamics in Arid Zones(DEDSPAZA) Mohamed Khider University07000 BiskraAlgeria Laboratory of Crop Production and Sustainable Valorization of Natural Resources Djilali Bounaama University44225 Khemis MilianaAlgeria GeoEnvironmental Research Group University of Extremadura10071 CaceresSpain Laboratory of Water and Environment Hassiba Ben Bouali University02180 ChiefAlgeria Laboratory of Valorization and Conservation of Biological Resources Faculty of SciencesMohamed Bougara University35000 BoumerdesAlgeria Research Centre for Agriculture and Environment Council for Agricultural Research and EconomicsVia della Navicella 2-400184 RomeItaly

The agriculture in Biskra,southeastern Algeria,is based on traditional practices and characterized by small irrigated *** the last decades,the increasing demand in water as well as the scarcity of rainfall has forced many farmers to use groundwater of low quality to maintain the profitability of their ***,this practice seems to be the main harmful factor for soil quality in the region since it is responsible for the salinization of the irrigated *** to assess the impact of this phenomenon,the soils of the irrigated perimeter of El Ghrous-a representative rural community located in the west of Biskra-have been analyzed.A set of 82 soil samples was collected from top and subsoil(0-15 and15-35 cm respectively),on which the following physicochemical analyzes were performed:Ca^(2+),Mg^(2+),K^(+),Na^(+),Cl^(-),SO_(4)^(2-),HCO_(3)^(-),NO_(3)^(-),pH,electrical conductivity(EC)and sodium adsorption ratio.A Principal Component Analysis was performed to individuate the geochemical processes that influenced significantly the evolution of soil salinity and its *** results showed a calcium sulfate(CaSO_(4))facies with a high risk of salinity and a low to medium risk of *** calcite residual alkalinity and generalized residual alkalinity decreased as the solutions became more *** of the samples were oversaturated in carbonate minerals(aragonite,calcite,and dolomite)and under saturated in evaporitic minerals(anhydrite,gypsum,and halite).Finally,two multiple linear regressions(using cations and anions as independent variables)have been proposed to quantify soil *** equations,with an accuracy of 85%,can represent a time and money-saving tool for managers and farmers to estimate the EC,in comparison to the traditional estimation methods.

关键词： Electrical conductivity Cations Anions Soil quality Saturation index PHREEQC

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CD4+/CD56+ Hematodermic Neoplasm Presenting in the Skin: A Tunisian Case Report and Current Review of the Literature

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Open Journal of Blood Diseases 2012年第4期2卷 95-99页

作者： Yosra ben Youssef Nessrine ben Sayed Kmira Zahra Abir Gmidène Naouel ben Salah Atef ben abdelkader Nejia Brahem Hlima Sennana Colanda Belajouza Abderrahim Khelif Department of Anatomopathology Farhat Hached University Hospital Sousse Tunisia Department of Clinical Hematology Farhat Hached University Hospital Sousse Tunisia Department of Cytogenetics Farhat Hached University Hospital Sousse Tunisia Department of Cytology Aziza Othmana University Hospital Tunis Tunisia Department of Cytology Farhat Hached University Hospital Sousse Tunisia Department of Dermatology Farhat Hached University Hospital Sousse Tunisia

The CD4+/CD56+ hematodermic neoplasm is a rare aggressive systemic neoplasm for which effective therapies have not yet been established, it is clinically characterized by cutaneous involvement with spread to bone marrow, blood and poor prognosis with current chemotherapy regimens. Our objective is to report diagnosis and treatment difficulties of CD4+/CD56+ hematodermic neoplasm. We describe here a Tunisian man who presented with subcutaneous ulcerated lesion localized in the right leg and multiples generalized nodules. Skin biopsy showed an atypical lymphoid cell infiltration with an angiocentric pattern and extensive necrosis by immuno-histochemical analysis, these cells were positive for CD4, CD56, granzyme B and negative for CD8, CD123, CD20 and CD30. T-cell rearrangement and Epstein-Barr-virus (EBV) in situ hybridation studies were negative. The patient underwent 5 cycles chemotherapy SMILE regimen monthly sandwiched with radiotherapy on the residual lesions of the right leg with great tolerance but he relapsed within 8months with skin, blood, bone marrow, lung, and cerebrospinal involvement. Based on these findings, the patient was diagnosed with CD4+/CD56+ hematodermic neoplasm (blastic NK-like T-cell lymphoma) treated with one course of hyper-CVAD regimen, he died within 20 days with a septic chok. Despite the use of L-Asparaginase and radiotherapy the prognosis is very poor;we suggest the exploration for highly active drugs, hematopoietic stem cell transplantation (HSCT) is crucial to improve survival.

关键词： Blastic NK-Like T-cell Lymphoma Hyper-CVAD SMILE Prognosis Treatment

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A Mass Shadow on Chest X-Ray in a 40-Year-Old Man: What’s Your Diagnosis?

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Advances in Infectious Diseases 2012年第4期2卷 148-150页

作者： Foued Bellazreg Wissem Hachfi Atef ben abdelkader Zouhour Hattab Naoufel Kaabia Fathi Bahri Amel Letaief Department of Internal Medicine and Infectious Diseases Farhat Hached Hospital Sousse Tunisia Department of Pathology Farhat Hached Hospital Sousse Tunisia

A 40-year-old man presented recurrent cough and bloody sputum for 4 months. Chest X-ray showed a large mass in the right upper lobe. Histopathologic examination of tissue from percutaneous biopsy of the lesion revealed actinomycotic granules and branching filamentous bacteria, and therefore pulmonary actinomycosis was diagnosed. These findings suggest that pulmonary actinomycosis should be included in the differential diagnosis of a mass on a chest X-ray film.

关键词： Actinomycosis Lung Infections Thoracic Neoplasms

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