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Biomedical subjects

N Gharbi

Publications and source records attributed to N Gharbi.

30 records · Page 2Linked to original sources
PubMed1990

[Epidemiologic aspects of cerebrovascular accidents in Tunisia].

We report the results of 3 epidemiological studies of stroke in Tunisia. In Tunis urban population, the crude annual incidence rate of stroke has been estimated at 0.54/1,000 and the prevalence rate at 6 to 14/1,000. The incidence rate adjusted to population at risk (greater than or equal to 45 years old), is around 1.92/1,000. A door-to-door survey conducted in Kelibia, according to a WHO protocol, showed a prevalence rate of 7.2/1,000 when adjusted to population at risk. CT diagnosed infarction and haemorrhage and excluded non-stroke cases (10 p. 100). Cerebral haemorrhage was more frequent than in other published studies (28 p. 100).

Adolescent↗
PubMed1989

[Endobronchial lipomas. Apropos of 16 cases].

Intrabronchial lipomas are rare and benign tumours. Sixteen cases treated between 1956 and 1988 at the Marie Lannelongue Surgical Centre, Paris, are reviewed. The patients presented with various symptoms such as cough, haemoptysis, infection or dyspnoea. Radiography was abnormal in 15 cases, and the lesion was regularly located at bronchoscopy. Treatment was chiefly surgical. Owing to the slow and silent growth of intrabronchial lipomas, there is a risk of progressive bronchial obstruction resulting in bronchopulmonary lesions. With an early detection, treatment should be as conservative as possible.

Adult↗
PubMedDate not supplied

Spirometric reference values in Tunisian children.

BACKGROUND: In Tunisia, there are no normal values of pulmonary function for healthy Tunisian children. OBJECTIVES: The purpose of this study was to set reference values for spirometric lung function in Tunisian children and to compare these results with other data sets. METHODS: Spirometric values were measured with a Minato portable spirometer in 1,114 asymptomatic, nonsmoking Tunisian children (581 boys and 533 girls) 6-16 years of age. Natural logarithmic values of lung function and standing height were used in the final regression model. RESULTS: Prediction equations for forced vital capacity (FVC), forced expiratory volume in 1 s (FEV(1)), FEV(1)/FVC x 100, maximum mid expiratory flow (MMEF 25-75%) and peak expiratory flow (PEF) for both sexes are presented with standing height as the dependent variable. Our data show a significant increase in lung function with standing height in both sexes. Comparing our results with recent data, values of FVC and FEV(1) in both sexes in the present study are close to those in European, white US and Asian children, whereas our values are higher than the Libyan ones. CONCLUSIONS: Healthy Tunisian children showed similar spirometric reference values compared to European, white US and Asian children. Thus, these standards of lung function could also be used in Tunisia.

Anthropometry↗
PubMedDate not supplied

[Dispensation of opioids by pharmacists in Tunisia].

This national survey aims to evaluate opioid availability and prescription by pharmacists in Tunisia and to examine pharmacists' attitude regarding Tunisian law. We surveyed a sample of 300 pharmacists randomly selected from the National Council of Pharmacists list and using the random table. This study started in September 1999 by sending to pharmacists a confidential questionnaire asking about the importance, the rate of sale and the availability of analgesics in their pharmacy. It also tried to determine pharmacists' opinions regarding Tunisian law. A total of 157 pharmacists out of 300 responded to the survey (52 per cent), 95 per cent were working in pharmacies and 15 per cent in hospitals. Analgesics were estimated to be important to very important in their work in 84 per cent and less important in 16 per cent of cases. They were given under advice with great importance in 85 per cent of cases and with less importance in 15 per cent of cases. Analgesic self-medication was frequent in 95 per cent of cases and rare in 4 per cent of cases. Analgesics of levels 1 and 2 were often to always available in 97 per cent of cases and rarely available in 1.5 per cent of cases. Some 84.7 per cent of pharmacists had opioid supplies and 8.9 per cent had no opioids in stock and 6.4 per cent hadn't given a response. 30 per cent of pharmacists think that the 7 days law for opioid prescription should be modified and 66 per cent think it should not, fearing illicit use, fraud and dependance. Pharmacists think that the minimal list of opioids to be stocked in a pharmacy is sufficient because of low demand.

Analgesics, Opioid↗
PubMedDate not supplied

[About 35 cases of pleural aspergillosis (author's transl)].

Considering 36 observations, the authors show the relative infrequency of pleural aspergillosis localizations by comparison with pulmonary aspergillomas. Twenty four pleural aspergilloses developed on post-operative residual cavities, particularly after pulmonary exeresis and not only for aspergilloma; 11 forms were apparently primitive after therapeutical pneumothorax; 3 anatomo-clinical forms were found, aspergillomas and pyothoraxes were the most frequent. Pleural involvement can be associated to pulmonary, even bronchial involvement. Discovery circulstances vary: 4 times symptomatology was noisy, other times diagnosis was founded on radiological changes or hemoptysis or on the systematic fungal detection. Therapeutical indications are discussed. A major intervencal changes or hemoptysis or on the systematic fungal detection. Therapeutical indications are discussed. A major intervention with a radical aim (pulmonary decortication or pleuro-pneumonectomy) is rarely envisaged (7 times out of 35). Parietopleurectomy and rooting out with thoracoplasty are often the only possible ways or even a simple pleurotomy or a medical treatment with is modalities. Post-operative complications are often serious, particularly acute mycotic outbursts. Out of 35 patients, one was never seen again, 13 died, rather late of cardio-respiratory insufficiency, 21 are still alive but only 13 can truly be considered cured.

Aged↗
PubMedDate not supplied

[Right subphrenic abscess and bronchial fistula from late trans-diaphragmatic migration of a postoperative abdominal foreign body.(author's transl)].

Late trans-diaphragmatic migration of a postoperative abdominal foreign body followed a left hepatectomy for injury. Operative treatment, by means of the low posterior thoracic approach consisted of partial resection of the right inferior lobe with immediate closure of the diaphragm and subphrenic drainage. The natural history of the course taken by this abdominal foreign body is used as a basis for discussing diagnostic and therapeutic factors, particularly the surgical route of approach.

Abdomen↗