Houda Kalboussi - Academia.edu (original) (raw)

Papers by Houda Kalboussi

Occupational Diseases and Environmental Medicine

Occupational diseases and environmental medicine, 2022

Buerger's disease, also called thromboangiitis obliterans (TAO), is an inflammatory disease affec... more Buerger's disease, also called thromboangiitis obliterans (TAO), is an inflammatory disease affecting small and medium size blood vessels of the limbs. Several risk factors are strongly associated with this disease. In fact, heavy smokers represent 99% of patients diagnosed with Buerger's disease and smoking cessation can slow down the progression of the pathology. Ulcers and gangrene are very common complications and TAO may also cause a vasculitis as well as ischemic damage to the distal part of the limbs that can eventually lead to limb amputation. Here, we report the case of a 43 years old patient, a flight personnel working in a Tunisian airline company who consults for a lesion of the left toe that appeared 2 weeks ago. He is a chronic inveterate smoker with 36 pack-years. The diagnosis of TAO was made based on the clinical presentation and the results of the Doppler Ultrasound of the left toe. This disease has a major impact on the quality of life due to the risk of necrotic ulcers and amputation. Navigation is a profession that requires a high level of physical and mental fitness. According to the international and Tunisian standards, the applicant or the holder of medical certificate must not have a cardiovascular condition that may affect the safety of the exercise.

La Tunisie medicale, 2021

The drafting of the initial medical certificate (IMC) is an innocuous act that can engage the res... more The drafting of the initial medical certificate (IMC) is an innocuous act that can engage the responsibility of the certifier. AIM To evaluate the quality of the IMC and their compliance with the legal provisions and to develop good practice recommendations for the drafting of the occupational accident certificate. METHOD An epidemiological, descriptive and retrospective study was conducted in the University Hospital Center Farhat Hached (Tunisia) based on the occupational accident certificates completed by physicians during a period of 12 months. RESULTS In our study, 241 certificates were collected. The number of the patient's ID card was mentioned in 12% of cases. The date of the accident was noted in almost all cases (99.6%). The date of certification was indicated in all the cases. The average number of days of permanent work incapacity was significantly higher among male patients (p = 0.015), married patients (p≤10⁻³), and night workers (p = 0.05) and significantly lower a...

Médecine du Sommeil, 2022

International Journal of Research in Dermatology, 2021

Background: Epidemiological monitoring of sensitization rates to common allergens and identificat... more Background: Epidemiological monitoring of sensitization rates to common allergens and identification of emerging allergens are needed to assess preventive measures. The aim of this study was to assess trends in the frequencies of sensitization to the different allergens in the European standard battery over a 26 year period from 1989 to 2015. Methods: It’s a descriptive study of the trend of sensitization to BSE allergens over a period of 26 years, at the dermato-allergology unit of occupational medicine department of Farhat Hached university hospital-Sousse (Tunisia), based on the results of patch tests of all patients who consulted the unit between 1989 and 2015. Results: During the study period, 1716 patients were patch tested, 48048 patch tests were performed with 886 positive tests to at least one allergen (51.6%). Between 1989 and 2015, the number of positive patch tests has shown a significantly positive trend with an annual percentage change (APC) of 10.03% (p<10 -3 ). Ho...

Archives Des Maladies Professionnelles Et De L Environnement, 2018

Introduction La redaction du certificat medical initial est un acte medical que tout medecin peut... more Introduction La redaction du certificat medical initial est un acte medical que tout medecin peut etre amene a effectuer dans sa pratique quotidienne. C’est un acte anodin pouvant engager la responsabilite du medecin redacteur. L’objectif de notre travail etait d’evaluer la qualite de la redaction des certificats medicaux initiaux (CMI) ainsi que leurs conformites aux dispositions legales. Materiel et methodes Il s’agit d’une etude epidemiologique descriptive, retrospective et analytique portant sur l’ensemble des CMI etablis pour le personnel de la sante, dans les suites d’un accident de travail (AT) et par les medecins exercant au service des urgences du centre hospitalier universitaire Farhat-Hached de Sousse sur une periode de 12 mois allant du 1er novembre 2013 au 31 octobre 2014. Resultats Dans notre travail, le nom et le prenom du medecin ont ete mentionnes dans tous les certificats medicaux. Le titre du medecin redacteur etait precise dans 93,4 % des cas et sa specialite eta...

Authors : H. Kalboussi, A. Aloui, W. Boughattas, M. Maoua, A. Brahem, S. Chatti, O. El Maalel, F.... more Authors : H. Kalboussi, A. Aloui, W. Boughattas, M. Maoua, A. Brahem, S. Chatti, O. El Maalel, F. Debbabi, N. Mrizak, Y. Ben Youssef, A. Khlif, I. Bougmiza Abstract : Background: In recent decades, the incidence of children's hematological malignancies has been increasing worldwide including Tunisia. Their severity is reflected in the importance of the medical, social and economic impact. This increase remains fully unexplained, and the involvement of genetic, environmental and occupational factors is strongly suspected. Materials and Methods: Our study is a cross-sectional survey of the type case-control conducted in the University Hospital of Farhat Hached of Sousse during the period ranging between 1 July 2011 and 30 June 2012,and which included children with acute leukemia compared to children unharmed by neoplastic disease . Cases and controls were matched by age and gender. Our objective was to: Describe the socio-occupational characteristics of the parents of children wit...

Revue Française d'Allergologie, 2018

Annales de Cardiologie et d'Angéiologie, 2019

Pour citer cet article : Brahem A, et al. Impact du bruit professionnel sur le développement de l... more Pour citer cet article : Brahem A, et al. Impact du bruit professionnel sur le développement de l'hypertension artérielle : enquête réalisée au sein d'une centrale de production d'électricité et de gaz en Tunisie. Ann Cardiol Angeiol (Paris) (2018),

Revue Française d'Allergologie, 2017

0,7 %), la prise médicamenteuse (AINS et bêtabloqueurs) dans 8,6 % et la prise alimentaire dans 1... more 0,7 %), la prise médicamenteuse (AINS et bêtabloqueurs) dans 8,6 % et la prise alimentaire dans 10,5 %, l'acidocétose diabétique et le pneumothorax spontané dans 0,7 % chacun. Afin d'améliorer la prise en charge et réduire la fréquence des crises d'asthme, une éducation des patients est élémentaire notamment l'éviction des facteurs déclenchants. Conclusion À travers cette étude, nous remarquons que le facteur déclenchant de la crise d'asthme est dans la majorité des cas allergiques, et on souligne l'intérêt de l'éducation des patients en matière d'éviction des facteurs déclenchants surtout que le pourcentage des hospitalisations évitables est important. Déclaration de liens d'intérêts Les auteurs n'ont pas précisé leurs éventuels liens d'intérêts.

Revue de Pneumologie Clinique, 2017

I. Kacem et al. Conclusion.-Le SAOS est une maladie astreignante dont l'impact sur la qualité de ... more I. Kacem et al. Conclusion.-Le SAOS est une maladie astreignante dont l'impact sur la qualité de vie est important et nécessite une attention particulière. La prise en charge de cette pathologie ne doit pas se limiter au contrôle de la maladie, mais aspirer à la satisfaction globale du patient.

Occupational Diseases and Environmental Medicine, 2017

Objectives: Low back pain is a major occupational problem especially among nursing staff. The obj... more Objectives: Low back pain is a major occupational problem especially among nursing staff. The objectives of our study are to evaluate the prevalence of low back pain among nurses and to look for physical and psychosocial risk factors. Methods: It is a cross-sectional study based on a self-administered questionnaire destined for all nurses working in Farhat Hached Teaching hospital of Sousse (Tunisia). Results: Our study included 203 nurses with an average age of 39.8 years. The prevalence of low back pain over the last twelve months was 58.1%. The factors that are significantly associated to low back pain were: high BMI, number of pregnancies, arthritis, poor physical condition, daily frequency of inappropriate posture for the activity being performed, and the layout of materials in the workplace. Conclusion: Our study evidenced the high prevalence of LBP among nurses and allowed bringing to light the role of individual and ergonomic physical factors in the genesis of LBP. Such identification permits to undertake targeted preventive actions. The association between psychosocial factors and LBP was not emphasized.

Archives des Maladies Professionnelles et de l'Environnement, 2016

Revue des Maladies Respiratoires, 2015

Le syndrome d’apnees obstructives de sommeil (SAOS) est une situation clinique hautement prevalen... more Le syndrome d’apnees obstructives de sommeil (SAOS) est une situation clinique hautement prevalente, entrainant des repercussions sur le plan fonctionnel, psychologique, socioprofessionnel. La reconnaissance de la qualite de vie (QDV) comme objectif therapeutique est une notion assez recente. But Notre objectif est d’evaluer la QDV des patients suivis pour SAOS et determiner les facteurs predictifs d’une alteration de la QDV. Il s’agit d’une etude descriptive transversale sur des patients suivis au service de Pneumologie pour SAOS. L’evaluation de la qualite de vie s’est basee sur un questionnaire generique (le SF-36). Resultats Au total, 103 cas ont ete inclus. Ces patients sont caracterises par un âge moyen de 55 ± 11 ans avec une predominance feminine (58 %), un IMC a 39 ± 7,19 Kg/m 2 (dont 95 % obeses), 72 % ont des comorbidites, le score de somnolence d’Epworth moyen etait de 14,4 ± 3,9, 85 % des cas avaient une somnolence diurne excessive. L’IAH moyen etait de 54,7 ± 2,06/h. L’etude de la qualite de vie par le SF-36 nous a permis de constater que les dimensions de la qualite de vie les plus alterees etaient : les limitations dues a l’etat physique, les limitations liees a l’activite physique et la vitalite. Les facteurs independants influant sur les composantes physique et mentale du SF-36 reveles par les analyses par regression logistique etaient : le genre, l’âge, l’IMC et les troubles anxieux et depressifs. Des facteurs d’alteration de la qualite de vie ont ete identifies nous laissant envisager la possibilite d’une prise en charge precoce, adapte a la gravite potentielle du SAOS et la plus proche des preoccupations du patient.

International Journal of Respiratory and Pulmonary Medicine, 2018

Introduction: The association between occupational asthma (OA) and occupational allergic rhinitis... more Introduction: The association between occupational asthma (OA) and occupational allergic rhinitis (OAR) is often described in the literature supporting the concept of "United airways disease" based on a parallel significant reaction of the nose and lungs after challenges with occupational agents and involving several occupational, host-related and environmental factors and thus exacerbating the medical and socioeconomic impact of the OR. In Tunisia, only limited studies were carried out to explore association between OA and OR. Objectives: Assess the incidence and prevalence of OR among workers in the textile sector, to determine their socioprofessional characteristics, and to study the association between this pathology and OA. Material and methods: We carried out a descriptive epidemiological study about charts of occupational allergic rhinitis cases in the textile sector recognized by the competent commissions of the National Medical Care Fund (CNAM) in the region of the Tunisian center during the period from January 1 st , 2008 to December 31, 2012. Results: One hundred seventy-three cases of OAR declared in the central region of Tunisia were enrolled in the study during the study period representing a prevalence of 3.9% of all occupational diseases, recognized during this same period. Our study population was mainly women with a mean age of 40 ± 8.32 years. The mean delay of respiratory complaints onset was of 13.46 years. The average duration of OR evolution before it is reported to CNAM was of 5.13 years. Rhinitis was isolated in 34.10% of the cases. The association between OA and OR was present among 59.5% of the cases. Rhinitis symptoms preceded asthma symptoms in most of the cases (96.12%). According to the results of rhinomanometry, 40.5% of OR (i.e. n = 70) were severe. Most of reported OR cases were attributable to Vegetable textile dusts. After multiple binary logistic regression, the association was 2.29 times more frequent in the subjects aged more than 39 years (IC at 95% [1.08-4.86]) and 3.22 times more frequent in subjects poorly or not skilled (IC at 95% [1.38-7.5] (p = 0.05)). Conclusion: Our study is the first one to evaluate the association between rhinitis and asthma among workers in the textile sector in Tunisia. The standard profile of our cases reporting allergic occupational rhinitis is a young unskilled worker in the textile sector. There is a strong association between OAR and OA. A rigorous and adequate prevention is necessary and allows reducing the importance of these occupational pathologies and their serious consequences.

Archives des Maladies Professionnelles et de l'Environnement, 2020

BMC Health Services Research

Background People's lives were seriously affected by the emergence and the spread of the COVI... more Background People's lives were seriously affected by the emergence and the spread of the COVID-19 disease. Several vaccines were developed in record time to overcome this pandemic. However, putting an end to this public health problem requires substantial vaccination coverage rate. This latter depends on the acceptance of these vaccines especially by health professionals; the leaders of the current war against COVID-19. In fact, they have a central role in promoting vaccination against the SARS-CoV-2. In the developed countries, hesitancy rates towards these vaccines among health professionals vary from 4.3% to 72%. In the developing countries, few studies focused on this issue. Objective To estimate the prevalence and the predictors of SARS-CoV-2 vaccine hesitancy among the Tunisian health professionals. Methods A cross-sectional study was led online between the 7th and the 21th of January 2021 among Tunisian health professionals. At least 460 participants were required. Snowba...

Archives des Maladies Professionnelles et de l'Environnement