La Tunisie médicale
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La Tunisie médicale · Jan 2010
[The physicians' perception of the general practitioner management of mental disorders: importance, difficulties and perspectives].
Mental disorders are common in general medicine consultation. According to international studies, their prevalence in primary care varies from 34 to 54%. In Tunisia, the general practitioner role, as well as the difficulties that encountered them in the management of these disorders, are little known. ⋯ This investigation has permitted to identify reciprocal expectations of general practitioners and psychiatrists. They both agreed upon the need of a more important implication of the general practitioners in the mental disorder management and the necessity of psychiatrists' involvement in the general practitioners training and information.
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La Tunisie médicale · Oct 2009
Case Reports[Catastrophic antiphospholipid syndrome and rituximab: a new report].
Catastrophic antiphospholipid syndrome is a distinctly rare dramatic condition characterized by widespread thrombosis of small vessels. Early diagnosis and aggressive therapies are essential in this condition because of its extremely high mortality rate. Therapeutic management include heparine, high dose steroids, cyclophosphamide, plasma exchange, intravenous immunoglobuline, however a number of patients are refractory to treatment. ⋯ Effectiveness of Rituximab for the CSAPL should be demonstrated by further studies.
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La Tunisie médicale · Sep 2009
Comparative StudyRisk factors of fetal macrosomia: role of maternal nutrition.
To assess the effect of maternal diet during pregnancy on the risk of delivering a large for gestational baby (macrosome). ⋯ Maternal food intakes in the end of pregnancy are not a significant determinant of fetal macrosomia compared to maternal BMI, and term of pregnancy.
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La Tunisie médicale · May 2009
Case Reports[Crohn's disease, primary sclerosing cholangitis and antiphospholipid syndrome: an uncommon association].
Inflammatory bowel diseases are frequently associated with extra-intestinal manifestations and other autoimmune disorders. Association between primary sclerosing cholangitis and Crohn's disease is established. However, the association of antiphospholipid syndrome with Crohn's disease was reported in the literature only in the form of isolated case reports. ⋯ Although the anticardiolipin antibodies were frequently found during the course of primary sclerosing cholangitis, the association with antiphospholipid syndrome is exceptionally described. In the same way, triple association of primary sclerosing cholangitis, Crohn's disease and antiphospholipid syndrome was not brought back in the literature.