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Low Back Pain among Nurses: Prevalence, and Occupational Risk Factors

Occupational Diseases and Environmental Medicine 2017年第1期5卷 26-37页

作者： Wided Boughattas Olfa El Maalel Maher Maoua Iheb Bougmiza Houda Kalboussi Aicha Brahem souhaiel chatti Fethi Mahjoub Néjib Mrizak Department of Occupational Medicine Faculty of Medicine Ibn El Jazzar Sousse Tunisia Department of Community Health Faculty of Medicine Ibn El Jazzar Sousse Tunisia

Objectives: Low back pain is a major occupational problem especially among nursing staff. The objectives of our study are to evaluate the prevalence of low back pain among nurses and to look for physical and psychosocial risk factors. Methods: It is a cross-sectional study based on a self-administered questionnaire destined for all nurses working in Farhat Hached Teaching hospital of Sousse (Tunisia). Results: Our study included 203 nurses with an average age of 39.8 years. The prevalence of low back pain over the last twelve months was 58.1%. The factors that are significantly associated to low back pain were: high BMI, number of pregnancies, arthritis, poor physical condition, daily frequency of inappropriate posture for the activity being performed, and the layout of materials in the workplace. Conclusion: Our study evidenced the high prevalence of LBP among nurses and allowed bringing to light the role of individual and ergonomic physical factors in the genesis of LBP. Such identification permits to undertake targeted preventive actions. The association between psychosocial factors and LBP was not emphasized.

关键词： Low Back Pain Prevalence Nurses Physical Factors Psychosocial Factors

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Extraprofessional and Occupational Risk Factors for Colorectal Cancer

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Journal of Life Sciences 2012年第8期6卷 848-857页

作者： Olfa El Maalel Wided Boughattas Maher Maoua Houda Kalboussi Iheb Bougmiza Houssem Rhif souhaiel chatti Kader N'Daye Faten Debbabi Ali Mtiraoui Noejib Mrizak Department of Occupational Medicine Teaching Hospital Farhat Hached of Sousse Avenue Ibn El Jazzar 4000 Tunisia Department of Communal Medicine Medicine University Avenue Mohamed Karoui Sousse 4002 Tunisia

Colorectal cancers （CRC） account for frequent and serious cancers which result from the interaction between individual genetic factors and environmental factors, and in particular widely studied nutritional ones. The role of other occupational factors remains a controversial subject. The objective of this study is to evaluate the possible impact of occupational factors on the risk of developing CRC. Materials and Methods： This is a retrospective case-control study. The cases and the control group were enlisted in the general surgical ward of Farhat Hached Teaching Hospital of Sousse （Tunisia） during the period extending from 2004 to 2008, and they were age and gender-matched. The data were analyzed using SPSS 11.0 software with a signification threshold fixed at 5%. A univariate analysis was carried out as well as a multiple binary logistical regression. Results： During the period of the study, 40 cases of colorectal cancers have been colligated including 28 men and 12 women with a sex ratio of 0.43. The average age of the cases was 61.55 ± 13.3 years and 60.40 ± 12.84 years for the control group, with a non significant difference （P = 0.69）. The univariate analysis has objectivized significant associations between colorectal cancer and the housing conditions, the neoplastic and digestive family history, the occupational activity sector, exposure to pesticides, and lack of periodic medical supervision. After logistical regression, the occurrence risk of CRC was significantly associated with： alcohol and smoking （ORa = 3.43; Pa = 0.05）, meat consumption （ORa = 3.34; Pa = 0.03）, exposure to pesticides （ORa = 20.44; Pa = 0.012） and lack of periodic medical supervision （OR = 7.45; P = 0.004）. Conclusion： The occupational risk factors might play a role in the etiopathogenesis of colorectal cancers. With regard to our study, pesticides seem to be most implicated and necessitate suitable preventive measures. Nevertheless, it seems useful to multiply the studies to a much l

关键词： Colorectal cancer occupational risk factors extraprofessional factors epidemiology.

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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

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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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