La Tunisie médicale
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La Tunisie médicale · Jan 2004
[Mechanical ventilation in intensive care units: indications, modalities and complications. Results of a prospective multicenter survey in Tunisia].
The survey was performed during the month of March 1998 and concerned 9 ICUs located in teaching hospitals. To be included each ICU had to MV for more than 12 hours were included in the study and had a 28 day follow-up in the ICU or until hospital discharge. Collected parameters were indications of MV, modalities of MV and of weaning, complication and outcome at hospital discharge. ⋯ Fifty nine patients (54%) were alive at discharge form the ICU of whom 4 ultimately died during their hospital stay. MV practice as well as ICU facilities are not homogenous in Tunisia. Recommendations and guidelines should be built in order to standardize MV practice in Tunisia.
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Halothane (Fluothane) is a halogenic volatile anaesthetic used in therapeutic since 1956. His adverse effects are generally moderate with the exception of hepatitis that is usually severe and sometimes fatal. In our study, we analyze 8 cases of halothane-induced hepatitis, notified in the Centre National de Pharmacovigilance between 1994 and 1999 and validate according to B. ⋯ It was fulminant in 3 cases of which 2 leaded to death. These injuries are usually graves, with an unforeseeable appearance and a hypothetical mechanism. In our opinion, a liver function control is necessary at the time of utilization of this drug.
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La Tunisie médicale · Aug 2003
[Laparoscopic aspects of peritoneal tuberculosis. Report of 163 cases].
The aim of this study is to report the results, the complications and limits of laparoscopy in patients with tuberculous peritonitis. In a retrospective study of 163 laparoscopy realized from 1970 to 1998. All the patients had exsudative ascites with predominantly of lymphocytes. ⋯ One patient had complication as a bowel perforation. Miliary nodules and adherences are the more frequent appearances into peritoneal cavity in tuberculous peritonitis. With peritoneal biopsies, laparoscopy is always the best method for definitively and rapidly diagnosis of tuberculous peritonitis.
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La Tunisie médicale · Jul 2003
Case Reports[Kikuchi disease: an unusual clinico-pathologic presentation].
Histiocytic necrotizing lymphadenitis, also known as KIKUCHI disease is rare self-limited condition of young adults. Manifestations include enlargements of the cervical lymph nodes, sometimes with fever, and can be associated with other non-specific signs. The aetiologie of this affection is still unclear. This is a case report of a 27 year-old man who presented cervical and sus-clavicular lymphadenopathy diagnosed first as lymph nodes tuberculosis before the diagnostic of KIKUCHI disease was made.
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La Tunisie médicale · Jul 2003
Comparative Study[Attitude of health personnel to organ donation and transplantation].
It was shown that the rate of organ donation depends not only on the attitudes of the public but also of the predisposition of the health care staff. An opinion poll has interested 702 physicians, nurses and technicians. It comes out from this study that 59% of the sample are favorable to the organ donation. ⋯ For approximately 10% of the doctors the refusal is ethical. In conclusion, the Tunisian physicians adopt an attitude favorable to the organ donation, whereas nurses and technicians are rather reticent. Refusal reasons identified during this study could direct the organizers of the public awareness campaigns for the promotion of organs donation.