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Biomedical subjects

T Kilani

Publications and source records attributed to T Kilani.

49 records · Page 3Linked to original sources
PubMed1992

[Secondary bronchogenic pulmonary hydatidosis].

Secondary bronchogenic hydatid disease is a rare and little known complication of primary hydatid cyst of the lung, which is even refuted by some authors. We report 7 cases of secondary bronchogenic hydatid after surgical cure of a hydatid cyst which had ruptured into the bronchi, while the last case concerned a young girl who was treated by corticosteroids for rheumatoid arthritis and who developed secondary bronchogenic hydatid from a cyst rupturing into the bronchi in the absence of surgery. Hydatid dissemination was ipsilateral to the primary cyst in 5 cases, controlateral in one case and bilateral in one case. Five patients underwent radical surgery. The patient with bilateral dissemination was operated on one side and a large number of residual cysts were eliminated by vomica, as for the last patient; these two patients are still under surveillance. The operation and general anaesthesia played a predisposing role in the pathogenesis of this complication and inhibition of immune mechanisms could also play a role. Prevention is necessary when treating a hydatid cyst of the lung which has ruptured into the bronchi. Treatment is surgical, bearing in mind that a large number of secondary cysts can be eliminated by vomica or may involute spontaneously.

Adolescent↗
PubMed1991

[Place of thoracotomy in thoracic complications of hydatid cysts of the liver].

The authors present 16 cases of hydatid cyst of the liver with rupture into the thorax, operated by thoracotomy. In 15 cases, the cyst ruptured into the right hemithorax and in one case, it ruptured into the left hemithorax. We adopted the classification proposed by our master S. Mestiri, which completes that proposed by Dévé. The diagnosis is essentially based on thoraco-abdominal ultrasonography, which visualises the hydatid cyst, reveals intrathoracic collections, demonstrates the diaphragmatic tear and studies the biliary tract looking for obstruction or dilatation. The diagnosis was established in 12 out of 16 cases. There were 3 postoperative deaths (18.7%): two from septic shock and one from cerebral vein thrombosis. Only one patient had to be operated via an abdominal incision one month after thoracotomy for cholangitis secondary to stones in the common bile duct which were not seen on the preoperative ultrasonography. Laparotomy is required whenever there is a biliary problem and may be sufficient in type 1 lesions. Thoracotomy is necessary whenever there is an intrathoracic collection (types II, III, IV) and is sufficient in the absence of any biliary tract lesions.

Adult↗
PubMed1989

[Pneumoblastoma. Report of a case. Immunohistochemistry and discussion of histogenesis].

A case of pulmonary blastoma in a 50-year old man is reported. The initial diagnosis was one of pulmonary hydatid cyst, but at surgery a solid tumour of the left upper lobe was discovered. The histological study showed the characteristic features of pulmonary blastoma with its two components: epithelial and mesenchymatous. Immunohistochemistry yielded a double cellular response to keratin and vimentin--a finding which supports the hypothesis of a tumour arisen from a multipotent cell.

Humans↗
PubMedDate not supplied

An evaluation of the cost-effectiveness of mobile family planning services in Tunisia.

This report presents the results of a study conducted in Tunisia in 1986 to evaluate the cost-effectiveness of the 63 mobile units managed by the Tunisian Office National de la Famille et de la Population (ONFP). In 1985 the units produced one-third of the ONFP's national program output, serving 868 service sites dispersed throughout the rural governorates of Tunisia. In some governorates the mobile units contributed as much as 74 percent of program output. Overall, in 1985, the units provided over 250,000 service visits, saw almost 25,000 new acceptors, and provided approximately 34,500 couple-years of contraceptive protection (CYPs). The median cost per visit was US$4.93 and the median cost per CYP (including tubal ligations) was US$18.66. Multivariate analysis is used to identify significant variables that explain variation in unit output; among these, literacy of the population, number of centers served by a unit, and frequency with which centers were served in a month were positively correlated with unit output. Specific recommendations are made on how to improve cost-effectiveness.

Contraception↗
PubMedDate not supplied

The role of information, education, and communication in family planning service delivery in Tunisia.

In an effort to measure the value of outreach, a prospective study using an experimental comparison group design was implemented in a rural region of Tunisia, where an outreach program had been implemented in 1981 to increase contraceptive prevalence. The main components of the program included the improvement and expansion of rural health care services through mobile clinics, and the implementation of an information, education, and communication (IEC) outreach program. While the program tended to focus on the implementation of the mobile clinics, service statistics suggested that the IEC outreach component in fact accounted for much of the success of the program. The study shows that the addition of outreach to existing services more than doubles the number of new family planning acceptors, and that outreach has a more positive impact on service output than does the creation of new services.

Communication↗