Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ
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East. Mediterr. Health J. · Jul 2001
[Availability and use of emergency services in Tunisia: principal results of an exhaustive national survey].
In order to assess hospital emergency rooms, a comprehensive national epidemiological investigation was conducted in all 155 public emergency structures in Tunisia. Here we present the main results of the levels of availability and use of emergency services. Coverage of the population by services is adequate (one emergency service per 60,000 people). ⋯ The university hospital emergency services are the most heavily used (150 patients per day on average). Emergency services are sought for medical (60%), surgical (18%), paediatric (14%) and gynaecological reasons (5%). It would be useful to assess the quality of care delivered and the satisfaction of citizens and health workers.
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The clinical files of 16,443 women delivered during the period June 1994 to June 2000 at Queen Alia Military Hospital were retrospectively studied for clinical presentation, investigation, operative findings and histopathological diagnosis of appendicitis during pregnancy. The result showed that 10 of the women underwent laparotomy for probable appendicitis. ⋯ The clinical presentation varies and diagnosis is usually delayed. Right-side abdominal pain is the principal basis for diagnosis, while leukocytosis and low-level fever, as in the non-pregnant state, are unreliable for diagnosis.
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The development of mental health services is described here. Some of the activities undertaken are outlined including intersectoral collaborations to further mental health services.
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East. Mediterr. Health J. · May 2001
ReviewDevelopment of national mental health programmes in the countries of the eastern Mediterranean region.
In this paper, the need for all countries to tackle mental health problems is emphasized. The development of mental health services in the Eastern Mediterranean Region is discussed and national mental health programmes in the Region are described.
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East. Mediterr. Health J. · May 2001
Effect of trauma on the mental health of Palestinian children and mothers in the Gaza Strip.
A cross-sectional study was conducted among 286 Palestinian children 9-18 years of age and their mothers in the Gaza Strip. Traumatic events recollected by children living in areas of conflict, the prevalence of post-traumatic stress reactions and the relationship between children's and mothers' mental health were investigated. ⋯ Children experienced on average four traumatic events; one-third reported significant post-traumatic stress reactions. IES scores were higher among girls and mothers' GHQ scores significantly predicted children's IES scores.