mansour njah | Faculté De Medecine De Sousse (original) (raw)
Papers by mansour njah
PubMed, Oct 5, 2023
Introduction: Resilience is one's ability to adapt to internal and external stressors and cope wi... more Introduction: Resilience is one's ability to adapt to internal and external stressors and cope with challenges encountered throughout life. Aim: Our work aimed to determine resilience levels at the Medical University of Ibn El Jazzar-Sousse (Faculty of Medicine of Sousse) Tunisia and to identify the key factors influencing resilience in order to help students improve their college experience, as well as their future career and eventually their quality of life. Methods: It's a cross-sectional study conducted during October and November 2021 at the FMS including all undergraduate medical students using a questionnaire elaborated in French language and composed of 02 major parts Socio-demographic and general health data and The Connor-Davidson Resilience Scale (CD-RISC). Data were collected using Google Forms platform via social networks (Facebook students' groups). Results: A total of 225 participants filled the questionnaire; the mean age was 21±5 years. Among them 75.1% were females (sex ratio=0.33). The total resilience mean score was 56.36±12.43. Comparison of resilience scores according to different covariates showed that resilience was positively associated with male gender, extracurricular activities, relationships with both colleagues and teachers and physical exercise, but negatively associated with imposed course of study and perception of both study difficulties and personal academic results. No correlation was found between resilience score and age. Conclusions: This work encourages university administrators to devote more resources to promote resilience, and it emphasizes the importance of implementing new educational and entertaining interventions to improve students' ability to deal with academic challenges.
Current Nutrition & Food Science
Background: Periodic monitoring of food quality can help determine the staff’s satisfaction at an... more Background: Periodic monitoring of food quality can help determine the staff’s satisfaction at any institution, such as the hospital. However, the lack of published studies on the evaluation of staff’s satisfaction with hospital food prompted us to conduct the first survey on this topic in Tunisia. The aim was to determine the prevalence of food satisfaction among health professionals and identify factors affecting the satisfaction level. Methods: It was an analytic cross-sectional study conducted among all staff members of Farhat Hached University Hospital in Sousse in November 2020. Data collection took place over a period of 10 days with one service being surveyed per day. Free and informed consent was obtained from all participants. Categorical variables were described in percentages and compared using the Chi-square test. Univariate analyses were performed to examine associations between the level of satisfaction and various factors. Binary logistic regression was used to elimi...
PLOS ONE
Background Healthcare workers (HCWs) are highly vulnerable to compassion fatigue (CF), which not ... more Background Healthcare workers (HCWs) are highly vulnerable to compassion fatigue (CF), which not only leads to decreased mental and physical health, but also to deterioration in the safety of care delivered. Our study aims to measure compassion satisfaction (CS), CF levels and their predictors among Tunisian HCWs. Methods We conducted a cross-sectional study among HCWs caring for confirmed and suspected Covid-19 patients, staff at two university hospitals in Sousse, Tunisia during the 4thwave of coronavirus through a self-administrated Questionnaire, using the French version of the Professional Quality of Life scale ProQol, version 5. Results A total of 274 professionals were recruited with a mean age of 32.87±8.35 years. HCWs tend to have an overall moderate levels of compassion satisfaction, secondary traumatic stress and burnout with mean scores 35.09±7.08, 29.72±7.62, 28.54±5.44 respectively. Self-reported resilience (β = 0.14, p = 10−3), work engagement (β = 0.39, p = 10−3) and...
Libyan Journal of Medicine
La Tunisie medicale, 2021
Mohamed Soussi SOLTANI (June 27, 1953 - March 2, 2016) is Professor of Preventive and Community M... more Mohamed Soussi SOLTANI (June 27, 1953 - March 2, 2016) is Professor of Preventive and Community Medicine at the Faculty of Medicine of Monastir (Tunisia). The objective of this paper is to present, to new generations of the specialty in the Greater Maghreb, this leading teacher from the Center-East of Tunisia (Monastir), through the testimonies of his companions, and his indexed publications. All the colleagues of the late SOLTANI testified to his high human and professional qualities, particularly perseverance, commitment, forward thinking, integrity and professionalism. The scientific life of the late Professor Soltani was oriented towards two major themes: Public Health and Family Medicine. Indeed, the deceased has developed several new preventive activities in first-line structures such as anonymous and free HIV screening, family planning, rational use of drugs, breast cancer screening, smoking cessation, prevention of rheumatic heart disease. Pr SOLTANI welcomed general practit...
Journal of Advances in Medicine and Medical Research, 2017
Background: Breast cancer is a major public health problem. It represents the first female cancer... more Background: Breast cancer is a major public health problem. It represents the first female cancer which creates physical, psychological and social disorders. Objectives: This study aimed to describe the perception of the self-esteem and the body image of women reached by breast cancer in the hospital of Habib Bourguiba of Sfax-Tunisia during three months. Methods: It is a cross-sectional observational study. Two measure scales of beforehand designed and validated were administered to 125 patients treated for breast cancer: a scale estimating the Original Research Article
Santé (Montrouge, France)
Scorpion envenomation is a public health problem in Tunisia (40.000 cases/year), particularly in ... more Scorpion envenomation is a public health problem in Tunisia (40.000 cases/year), particularly in the zone of central Tunisia (region of Sidi Bouzid). The size of the province, its low rate of urbanization and the relatively limited health ressources required an anti-scorpion approach based on the implication of community health workers. During the year 1997, the 338 health workers who assure 76% of the emergency points treated 42% of scorpion envenomation cases. In spite of the success of the experience, authors discuss "the specialization" of these agents whose the contribution to others aspects of primary care could be improven. These health workers don't constitute a basic component of the organization of health care, but an exceptional measure for special geographical considerations.
Revue française de gynécologie et d'obstétrique, 1993
Several barriers to and motivators of antenatal care are analysed in the context of a developing ... more Several barriers to and motivators of antenatal care are analysed in the context of a developing country. The authors found that socio-cultural factors are as important as organizational factors in motivating women to seek antenatal care. While social and economic development may improve the quality of life in the long term, it is important to respond now to the needs of pregnant women in order to encourage them to use such services. A comprehensive analysis of certain organizational factors would be useful in achieving this goal.
La Tunisie médicale, 1993
Pan African Medical Journal, 2015
Introduction: our study was conducted, in university hospital center (UHC) Farhat Hached of Souss... more Introduction: our study was conducted, in university hospital center (UHC) Farhat Hached of Sousse (city in Tunisian center-east), within healthcare-associated infections (HAI) epidemiological surveillance (ES) program, based, among others, on HAI regular prevalence surveys. Our objectives are to resituate HAI prevalence rate and to identify their risk factors (RF) in order to adjust, in our hospital, prevention programs. Methods: it is a transversal descriptive study, including all patients who had been hospitalized for at least 48 hours, measuring prevalence of HAI a "given day", with only one passage by service. Risk factors were determined using Epiinfo 6.0, by uni-varied analysis, then, logistic regression stepwise descending for the variables whose pResults: the study focused on 312 patients. Infected patients prevalence was 12.5% and that of HAI was 14.5 %. Infections on peripheral venous catheter (PVC) dominated (42.2%) among all HAI identified. HAI significant RF were neutropenia (p<10-4) for intrinsic factors, and PVC for extrinsic factors (p=0,003). Conclusion: predominance of infections on PVC should be subject of specific prevention actions, including retro-information strategy, prospective ES, professional practices evaluation and finally training and increasing awareness of health personnel with hygiene measures. Finally, development of a patient safety culture with personnel ensures best adherence to hygiene measures and HAI prevention.
Santé (Montrouge, France)
Women get most of their information about gynaecological cancers from their encourage. Breast can... more Women get most of their information about gynaecological cancers from their encourage. Breast cancer is more frequently recognised than cervical cancer. Nevertheless, for both cancers, risk factors and opportunities for screening are rarely identified by women. Generally, most women would like information about cancer and the majority is in favour of screening. However, the absence of preventive practice by health professionals is a problem. Changes in health professionals' attitudes are required to enhance women's participation in screening programmes, particularly in primary health care.
F1000Research
Background: Data reported from several countries show that both children and adolescents accounte... more Background: Data reported from several countries show that both children and adolescents accounted for less than 2% of symptomatic cases of Coronavirus disease 2019 (COVID-19). The study objective was to describe the clinical characteristics of children admitted to Tunisian paediatric intensive care units (PICU). Methods: This was a single centre observational retrospective study conducted in the PICU of the Farhat Hached tertiary teaching hospital in Sousse, Tunisia during the period from the March 1, 2020 to February 28, 2022. We included all children aged from one month to 15 years with recent severe or critical severe acute respiratory syndrome coronavirus 2. Infection was confirmed by the positivity of reverse transcriptase either for SARS-CoV2 or with presence of IgM antibodies. We included severe and critical forms of COVID-19 according to the World Health Organization (WHO) classification. Results: 26 patients were included. 16 (61%) were one year old or younger. 18 patients...
Revue d'Épidémiologie et de Santé Publique, 2006
![Research paper thumbnail of [Costs of basic health services in a health district in Tunisia]](https://attachments.academia-assets.com/104293627/thumbnails/1.jpg)
](Eastern Mediterranean Health Journal, 2004
Information on the cost of health services is essential for good planning and management and the ... more Information on the cost of health services is essential for good planning and management and the efficient use of resources. We calculated the total costs incurred in running primary health services for one year [1995] in the health district of Enfidha [Tunisia]. The yearly operating expenditure for the health district was 1 219 099 Tunisian dinars and the cost per inhabitant was 17.494 dinars [US dollar 1 = Tunisian dinar 0.950 in 1995] ; 65.37% of total costs went on staff and 17.03% on drugs. Looked at another way, 84, 96% went on curative services and 14.04% on preventive services. The cost of a consultation for curative care was 6.847dinars, for perinatal care was 2.764 dinars, for immunization was 3.680 and for school visit was 6.680 dinars. The study helps to identify ways in which cost analysis can be used to explore efficiency and resource adequacy in the district
La Tunisie médicale, 2002
During last years, blood transfusion and transfusion security were domains which have preoccupied... more During last years, blood transfusion and transfusion security were domains which have preoccupied health authorities, the population and health professionals. Beginning with the principle that blood transfusion is a care that must be under medical responsibilities, authors analyse physician's implication in this field. To reach this objective, a study interested 199 young physicians, working in two university hospitals in Tunisia. Results indicate that physician's knowledge about blood transfusion is insufficient to guarantee quality of this medical act. In terms of attitudes and practices, physicians are not really always implicated in the different stages of blood transfusion process. Intervention is limited to prescription and blood transfusion record card writing. Transfusion herself and monitoring were, in particular, delegated to nurses. So transfusion incidents were under--declared. Transfusion medicine must occupy important place in physicians curriculum. At hospital...
Revue française de gynécologie et d'obstétrique, 1995
The authors analyse, in the context of a developing country, a number of factors which can determ... more The authors analyse, in the context of a developing country, a number of factors which can determine the choice of site of delivery in a population with access to several possibilities. The role of peripheral (or local) maternity units is considered in particular, in view of the utilisation problems which they raise. This leads to the conclusion of a degree of irrationality in the choice of health care services and the characteristics of women interacting with those of professionals when explaining the choice of site of delivery. Better management of available services is desirable in order to render peripheral maternity units more useful, and improve the medical performance at the time of delivery. Sensitization of the public and above all of health professionals nevertheless remains essential.
Revue française de gynécologie et d'obstétrique, 1994
As the first phase of a breast cancer screening campaign in central Tunisia, a survey aimed at ev... more As the first phase of a breast cancer screening campaign in central Tunisia, a survey aimed at evaluating the frequency of self-examination of the breasts (SEB) and identifying factors which might influence this practice took place in the Kalâa Kbira region of Tunisia, involving 300 first-line out-patients. Women answered a questionnaire presented by a resident in medicine during the course of the visit. The survey showed that the use of SEB remains slight (28%). Discriminant analysis enabled identification of parameters influencing this practice. Thus age of the patient, educational level of the woman and/or spouse and the source of information were the most significant parameters, in increasing order of importance. The results of this survey should enable definition of the content and form of information to be given to women in order to obtain their participation in a breast cancer screening campaign in central Tunisia.
L’entourage represente la principale source d’information des femmes, en Tunisie, en matiere de c... more L’entourage represente la principale source d’information des femmes, en Tunisie, en matiere de cancers gynecologiques ; le cancer du sein y est d’ailleurs mieux connu que le cancer du col uterin. Dans les deux cas cependant, les facteurs de risque sont rarement identifies et les moyens de depistage souvent ignores. Dans l’ensemble, les femmes souhaitent etre informees et une majorite d’entre elles est favorable aux examens de depistage. Les problemes se situeraient au niveau des professionnels qui semblent peu adherer a une telle prevention. Dans la perspective de promouvoir les actions de depistage, un changement dans les attitudes et pratiques des professionnels, surtout au niveau des praticiens, est souhaite.
BMC Health Services Research
Background The COVID-19 pandemic has presented various challenges, one of which is the discovery ... more Background The COVID-19 pandemic has presented various challenges, one of which is the discovery that after the acute episode, around 30% of patients experience persistent symptoms or develop new ones, now known as long COVID. This new disease has significant social and financial impacts. The objective is to determine the prevalence of long COVID in the Tunisian population and identify its predictive factors. Methods This was a cross-sectional study conducted among Tunisians who were infected with COVID-19 between March 2020 and February 2022. An online self-administered questionnaire was distributed through social media, radio, and television channels over the course of one month (February 2022). Long COVID was defined as the persistence of existing symptoms or the development of new symptoms within three months after onset, lasting for at least two months, and with no differential diagnosis. We performed univariate and multivariate analyses using binary stepwise logistic regressio...
PubMed, Oct 5, 2023
Introduction: Resilience is one's ability to adapt to internal and external stressors and cope wi... more Introduction: Resilience is one's ability to adapt to internal and external stressors and cope with challenges encountered throughout life. Aim: Our work aimed to determine resilience levels at the Medical University of Ibn El Jazzar-Sousse (Faculty of Medicine of Sousse) Tunisia and to identify the key factors influencing resilience in order to help students improve their college experience, as well as their future career and eventually their quality of life. Methods: It's a cross-sectional study conducted during October and November 2021 at the FMS including all undergraduate medical students using a questionnaire elaborated in French language and composed of 02 major parts Socio-demographic and general health data and The Connor-Davidson Resilience Scale (CD-RISC). Data were collected using Google Forms platform via social networks (Facebook students' groups). Results: A total of 225 participants filled the questionnaire; the mean age was 21±5 years. Among them 75.1% were females (sex ratio=0.33). The total resilience mean score was 56.36±12.43. Comparison of resilience scores according to different covariates showed that resilience was positively associated with male gender, extracurricular activities, relationships with both colleagues and teachers and physical exercise, but negatively associated with imposed course of study and perception of both study difficulties and personal academic results. No correlation was found between resilience score and age. Conclusions: This work encourages university administrators to devote more resources to promote resilience, and it emphasizes the importance of implementing new educational and entertaining interventions to improve students' ability to deal with academic challenges.
Current Nutrition & Food Science
Background: Periodic monitoring of food quality can help determine the staff’s satisfaction at an... more Background: Periodic monitoring of food quality can help determine the staff’s satisfaction at any institution, such as the hospital. However, the lack of published studies on the evaluation of staff’s satisfaction with hospital food prompted us to conduct the first survey on this topic in Tunisia. The aim was to determine the prevalence of food satisfaction among health professionals and identify factors affecting the satisfaction level. Methods: It was an analytic cross-sectional study conducted among all staff members of Farhat Hached University Hospital in Sousse in November 2020. Data collection took place over a period of 10 days with one service being surveyed per day. Free and informed consent was obtained from all participants. Categorical variables were described in percentages and compared using the Chi-square test. Univariate analyses were performed to examine associations between the level of satisfaction and various factors. Binary logistic regression was used to elimi...
PLOS ONE
Background Healthcare workers (HCWs) are highly vulnerable to compassion fatigue (CF), which not ... more Background Healthcare workers (HCWs) are highly vulnerable to compassion fatigue (CF), which not only leads to decreased mental and physical health, but also to deterioration in the safety of care delivered. Our study aims to measure compassion satisfaction (CS), CF levels and their predictors among Tunisian HCWs. Methods We conducted a cross-sectional study among HCWs caring for confirmed and suspected Covid-19 patients, staff at two university hospitals in Sousse, Tunisia during the 4thwave of coronavirus through a self-administrated Questionnaire, using the French version of the Professional Quality of Life scale ProQol, version 5. Results A total of 274 professionals were recruited with a mean age of 32.87±8.35 years. HCWs tend to have an overall moderate levels of compassion satisfaction, secondary traumatic stress and burnout with mean scores 35.09±7.08, 29.72±7.62, 28.54±5.44 respectively. Self-reported resilience (β = 0.14, p = 10−3), work engagement (β = 0.39, p = 10−3) and...
Libyan Journal of Medicine
La Tunisie medicale, 2021
Mohamed Soussi SOLTANI (June 27, 1953 - March 2, 2016) is Professor of Preventive and Community M... more Mohamed Soussi SOLTANI (June 27, 1953 - March 2, 2016) is Professor of Preventive and Community Medicine at the Faculty of Medicine of Monastir (Tunisia). The objective of this paper is to present, to new generations of the specialty in the Greater Maghreb, this leading teacher from the Center-East of Tunisia (Monastir), through the testimonies of his companions, and his indexed publications. All the colleagues of the late SOLTANI testified to his high human and professional qualities, particularly perseverance, commitment, forward thinking, integrity and professionalism. The scientific life of the late Professor Soltani was oriented towards two major themes: Public Health and Family Medicine. Indeed, the deceased has developed several new preventive activities in first-line structures such as anonymous and free HIV screening, family planning, rational use of drugs, breast cancer screening, smoking cessation, prevention of rheumatic heart disease. Pr SOLTANI welcomed general practit...
Journal of Advances in Medicine and Medical Research, 2017
Background: Breast cancer is a major public health problem. It represents the first female cancer... more Background: Breast cancer is a major public health problem. It represents the first female cancer which creates physical, psychological and social disorders. Objectives: This study aimed to describe the perception of the self-esteem and the body image of women reached by breast cancer in the hospital of Habib Bourguiba of Sfax-Tunisia during three months. Methods: It is a cross-sectional observational study. Two measure scales of beforehand designed and validated were administered to 125 patients treated for breast cancer: a scale estimating the Original Research Article
Santé (Montrouge, France)
Scorpion envenomation is a public health problem in Tunisia (40.000 cases/year), particularly in ... more Scorpion envenomation is a public health problem in Tunisia (40.000 cases/year), particularly in the zone of central Tunisia (region of Sidi Bouzid). The size of the province, its low rate of urbanization and the relatively limited health ressources required an anti-scorpion approach based on the implication of community health workers. During the year 1997, the 338 health workers who assure 76% of the emergency points treated 42% of scorpion envenomation cases. In spite of the success of the experience, authors discuss "the specialization" of these agents whose the contribution to others aspects of primary care could be improven. These health workers don't constitute a basic component of the organization of health care, but an exceptional measure for special geographical considerations.
Revue française de gynécologie et d'obstétrique, 1993
Several barriers to and motivators of antenatal care are analysed in the context of a developing ... more Several barriers to and motivators of antenatal care are analysed in the context of a developing country. The authors found that socio-cultural factors are as important as organizational factors in motivating women to seek antenatal care. While social and economic development may improve the quality of life in the long term, it is important to respond now to the needs of pregnant women in order to encourage them to use such services. A comprehensive analysis of certain organizational factors would be useful in achieving this goal.
La Tunisie médicale, 1993
Pan African Medical Journal, 2015
Introduction: our study was conducted, in university hospital center (UHC) Farhat Hached of Souss... more Introduction: our study was conducted, in university hospital center (UHC) Farhat Hached of Sousse (city in Tunisian center-east), within healthcare-associated infections (HAI) epidemiological surveillance (ES) program, based, among others, on HAI regular prevalence surveys. Our objectives are to resituate HAI prevalence rate and to identify their risk factors (RF) in order to adjust, in our hospital, prevention programs. Methods: it is a transversal descriptive study, including all patients who had been hospitalized for at least 48 hours, measuring prevalence of HAI a "given day", with only one passage by service. Risk factors were determined using Epiinfo 6.0, by uni-varied analysis, then, logistic regression stepwise descending for the variables whose pResults: the study focused on 312 patients. Infected patients prevalence was 12.5% and that of HAI was 14.5 %. Infections on peripheral venous catheter (PVC) dominated (42.2%) among all HAI identified. HAI significant RF were neutropenia (p<10-4) for intrinsic factors, and PVC for extrinsic factors (p=0,003). Conclusion: predominance of infections on PVC should be subject of specific prevention actions, including retro-information strategy, prospective ES, professional practices evaluation and finally training and increasing awareness of health personnel with hygiene measures. Finally, development of a patient safety culture with personnel ensures best adherence to hygiene measures and HAI prevention.
Santé (Montrouge, France)
Women get most of their information about gynaecological cancers from their encourage. Breast can... more Women get most of their information about gynaecological cancers from their encourage. Breast cancer is more frequently recognised than cervical cancer. Nevertheless, for both cancers, risk factors and opportunities for screening are rarely identified by women. Generally, most women would like information about cancer and the majority is in favour of screening. However, the absence of preventive practice by health professionals is a problem. Changes in health professionals' attitudes are required to enhance women's participation in screening programmes, particularly in primary health care.
F1000Research
Background: Data reported from several countries show that both children and adolescents accounte... more Background: Data reported from several countries show that both children and adolescents accounted for less than 2% of symptomatic cases of Coronavirus disease 2019 (COVID-19). The study objective was to describe the clinical characteristics of children admitted to Tunisian paediatric intensive care units (PICU). Methods: This was a single centre observational retrospective study conducted in the PICU of the Farhat Hached tertiary teaching hospital in Sousse, Tunisia during the period from the March 1, 2020 to February 28, 2022. We included all children aged from one month to 15 years with recent severe or critical severe acute respiratory syndrome coronavirus 2. Infection was confirmed by the positivity of reverse transcriptase either for SARS-CoV2 or with presence of IgM antibodies. We included severe and critical forms of COVID-19 according to the World Health Organization (WHO) classification. Results: 26 patients were included. 16 (61%) were one year old or younger. 18 patients...
Revue d'Épidémiologie et de Santé Publique, 2006
Eastern Mediterranean Health Journal, 2004
Information on the cost of health services is essential for good planning and management and the ... more Information on the cost of health services is essential for good planning and management and the efficient use of resources. We calculated the total costs incurred in running primary health services for one year [1995] in the health district of Enfidha [Tunisia]. The yearly operating expenditure for the health district was 1 219 099 Tunisian dinars and the cost per inhabitant was 17.494 dinars [US dollar 1 = Tunisian dinar 0.950 in 1995] ; 65.37% of total costs went on staff and 17.03% on drugs. Looked at another way, 84, 96% went on curative services and 14.04% on preventive services. The cost of a consultation for curative care was 6.847dinars, for perinatal care was 2.764 dinars, for immunization was 3.680 and for school visit was 6.680 dinars. The study helps to identify ways in which cost analysis can be used to explore efficiency and resource adequacy in the district
La Tunisie médicale, 2002
During last years, blood transfusion and transfusion security were domains which have preoccupied... more During last years, blood transfusion and transfusion security were domains which have preoccupied health authorities, the population and health professionals. Beginning with the principle that blood transfusion is a care that must be under medical responsibilities, authors analyse physician's implication in this field. To reach this objective, a study interested 199 young physicians, working in two university hospitals in Tunisia. Results indicate that physician's knowledge about blood transfusion is insufficient to guarantee quality of this medical act. In terms of attitudes and practices, physicians are not really always implicated in the different stages of blood transfusion process. Intervention is limited to prescription and blood transfusion record card writing. Transfusion herself and monitoring were, in particular, delegated to nurses. So transfusion incidents were under--declared. Transfusion medicine must occupy important place in physicians curriculum. At hospital...
Revue française de gynécologie et d'obstétrique, 1995
The authors analyse, in the context of a developing country, a number of factors which can determ... more The authors analyse, in the context of a developing country, a number of factors which can determine the choice of site of delivery in a population with access to several possibilities. The role of peripheral (or local) maternity units is considered in particular, in view of the utilisation problems which they raise. This leads to the conclusion of a degree of irrationality in the choice of health care services and the characteristics of women interacting with those of professionals when explaining the choice of site of delivery. Better management of available services is desirable in order to render peripheral maternity units more useful, and improve the medical performance at the time of delivery. Sensitization of the public and above all of health professionals nevertheless remains essential.
Revue française de gynécologie et d'obstétrique, 1994
As the first phase of a breast cancer screening campaign in central Tunisia, a survey aimed at ev... more As the first phase of a breast cancer screening campaign in central Tunisia, a survey aimed at evaluating the frequency of self-examination of the breasts (SEB) and identifying factors which might influence this practice took place in the Kalâa Kbira region of Tunisia, involving 300 first-line out-patients. Women answered a questionnaire presented by a resident in medicine during the course of the visit. The survey showed that the use of SEB remains slight (28%). Discriminant analysis enabled identification of parameters influencing this practice. Thus age of the patient, educational level of the woman and/or spouse and the source of information were the most significant parameters, in increasing order of importance. The results of this survey should enable definition of the content and form of information to be given to women in order to obtain their participation in a breast cancer screening campaign in central Tunisia.
L’entourage represente la principale source d’information des femmes, en Tunisie, en matiere de c... more L’entourage represente la principale source d’information des femmes, en Tunisie, en matiere de cancers gynecologiques ; le cancer du sein y est d’ailleurs mieux connu que le cancer du col uterin. Dans les deux cas cependant, les facteurs de risque sont rarement identifies et les moyens de depistage souvent ignores. Dans l’ensemble, les femmes souhaitent etre informees et une majorite d’entre elles est favorable aux examens de depistage. Les problemes se situeraient au niveau des professionnels qui semblent peu adherer a une telle prevention. Dans la perspective de promouvoir les actions de depistage, un changement dans les attitudes et pratiques des professionnels, surtout au niveau des praticiens, est souhaite.
BMC Health Services Research
Background The COVID-19 pandemic has presented various challenges, one of which is the discovery ... more Background The COVID-19 pandemic has presented various challenges, one of which is the discovery that after the acute episode, around 30% of patients experience persistent symptoms or develop new ones, now known as long COVID. This new disease has significant social and financial impacts. The objective is to determine the prevalence of long COVID in the Tunisian population and identify its predictive factors. Methods This was a cross-sectional study conducted among Tunisians who were infected with COVID-19 between March 2020 and February 2022. An online self-administered questionnaire was distributed through social media, radio, and television channels over the course of one month (February 2022). Long COVID was defined as the persistence of existing symptoms or the development of new symptoms within three months after onset, lasting for at least two months, and with no differential diagnosis. We performed univariate and multivariate analyses using binary stepwise logistic regressio...