La Tunisie médicale
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La Tunisie médicale · Aug 2013
[Is BNP assay useful for the diagnosis of acute dyspnea in emergencies departments?].
It would be interesting to the emergency doctor to have at his disposal a helpful diagnostic tool like brain natriuretic peptide (BNP). Such assay is simple, available and reliable. ⋯ The BNP assay, has allowed us to confirm the AHF all cases. Given the prognostic value and economic benefit of this test we recommend its use in ER of our country.
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La Tunisie médicale · May 2013
Comparative Study[Diagnostic hysteroscopy before the first in vitro fertilization. For whom?].
For some teams, hysteroscopy, should be performed before each IVF attempt to maximize the chances of implantation because of the high cost, the investment in time and the psychological impact of each IVF cycle, but answer to the question of the systematic practice of hysteroscopy prior to IVF is far from settled. ⋯ Our study finds no benefit in terms of outcomes of IVF/ ICSI to the completion of hysteroscopy in a systematic way, despite a high incidence of abnormalities detected by intra-cavity examination. The benefit of routine hysteroscopy is significant only in women 40 and older.
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La Tunisie médicale · Jan 2013
Randomized Controlled Trial Comparative StudyRopivacaine 0.2% versus Bupivacaine 0.25% in para-umbilical block in children.
Para-umbilical block was an old block that regains a new interest. No study was available using Ropivacaine in this block. ⋯ Ropivacaine 0.2% is equivalent to the Bupivacaine 0.25% concerning postoperative and peroperative analgesia in the para-umbilical block for umbilical herniorrhaphy.
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La Tunisie médicale · Jan 2013
Epidemiological evolution of epidemiology of the inflammatory bowel diseases in a hospital of Tunis.
The epidemiological studies showed that the incidence of the inflammatory bowel diseases describes a gradient North-South. Besides, concerning the evolution according to the time,recent studies noted an increase of the incidence of the Crohn's disease at the expense of the one of the ulcerative colitis. ⋯ Although we cannot amount the exact incidence, we noted an increase of the frequency of the inflammatory bowel diseases, with a more marked elevation for the Crohn's disease.