OBJECTIVE To determine the prevalence, risk factors as well as consequences of exposure to violen... more OBJECTIVE To determine the prevalence, risk factors as well as consequences of exposure to violence among youth in Maghreb countries. METHODS This is a systematic review. The documentary request was done on 2 October 2019 and no filters were used. It examined all scientific publications indexed in Medline database via Pubmed using the following search equation: ("Violence"[Mesh] OR "suicide"[Mesh] OR "crime victims"[Mesh] OR "Child abuse"[Mesh]) AND ("Young Adult"[Mesh] OR "Adolescent"[Mesh] OR "Child"[Mesh]) AND ("Tunisia"[Mesh] OR "Algeria"[Mesh] OR "Morocco"[Mesh] OR "Libya"[Mesh] OR "Mauritania"[Mesh]). RESULTS A total of 16 articles were included. Most of them (68.7%) were published in Uganda, United States and England. The most common type of violence was physical abuse (43.8%). Adolescent boys were mostly affected by physical violence. However, girls were mo...
Pregnancy outside 19 - 34 years interval is risk factors of the maternal and fetal morbidity and ... more Pregnancy outside 19 - 34 years interval is risk factors of the maternal and fetal morbidity and mortality. Tunisia, witch known an epidemiological transition, implanted the national program of perinatality since 1990 and one of its objectives is the surveillance of the high risk pregnancies. The aim of this study is to draw up the epidemiological profile of the parturient in extreme ages in the region of Monastir and to study the chronological tendencies of the associated factors during a decade (1994 - 2003). In all, the study interest 13225 extreme ages parturient, representing 22.5% of all women admitted for delivery in the public maternities of the district. The means age was 18.6 ± 0.6 years for the parturient less than 20 years and 37 ± 2 years for the older than 35 years and more, among them 40% were older primipara. The prenatal care was inadequate for 35.4% of younger women and 47.6% of aged women. During the decade, we notice a significant decrease of the frequency of pre...
BACKGROUND The study of morbidity and cost of drug prescriptions generated by the primary care ph... more BACKGROUND The study of morbidity and cost of drug prescriptions generated by the primary care physician, with specific populations directs Quality Improvement strategies of care. AIM To identify acute pathologies in primary care medicine forces for internal security and to study the cost of drug prescription . METHODS This is a cross-sectional survey during which, we analyzed the medical records (MR) and medical prescriptions (MP)for patients older than 5 years, presenting for acute pathologies, at the first online consultation polyclinic of the internal security forces(ISF) of Mahdia, during the year 2014. Data were collected using a standardized form. We opted for a two-stage sampling the first agreement by taking the second month of each season, the second systematic taking MR from one day to two. RESULTS We analyzed 701 MR. The average age of the consultants was 37 years with a sex ratio de1,34. Systems, respiratory, digestive, musculoskeletal, skin and cardiovascular, were acc...
OBJECTIVE To evaluate the impact of introduction of the WHO safe surgery checklist in the univers... more OBJECTIVE To evaluate the impact of introduction of the WHO safe surgery checklist in the university hospital of Monastir over a period of five months. METHODS We conducted a longitudinal study (before - after) with evaluation of five result indicators which were: percentage of surgical site infections, not prescribed antibioprophylaxis, unplanned return to the operating room, postoperative length of stay and postoperatively death. RESULTS We identified 185 patients during the period and 323 patients after the introduction of the WHO checklist. The proportion of surgical site infection decreased significantly from 13.5% in the reference period to 1.3% after the introduction of the checklist (p < 0.001). The proportion of unplanned return to the operative room was 10.3% before the introduction of the checklist and deceased significantly to 1.3% at the intervention period (p = 0.003). The proportion of not prescribed antibioprophylaxis and median post-operative length of stay decea...
In the Tunisian healthcare system, the mother-child pair is a key target of the national perinata... more In the Tunisian healthcare system, the mother-child pair is a key target of the national perinatal program established in 1990. The purpose of this study is to define the epidemiological profile and to study the chronological tendencies of the main perinatal care indicators in the region of Monastir. The paper is based on a population study involving all parturients who gave birth in Monastir public maternities over a period of 15 years (1 January 1994 to 31 December 2008). Data were drawn from the register of births of all public maternities located in the region. The study examined 121,046 parturients. The mean age of parturients was 28.8 ± 5.5 years. 17.2% of parturients were aged 35 and over. Two thirds of deliveries were performed in the 2nd and 3rd level care maternities. Over the course of the fifteen years, absent prenatal care decreased significantly, from 11% in 1994 to 1% in 2008 (p<0.001). The percentage of parturients aged 35 and over increased significantly, from 14...
OBJECTIVE To assess the distribution of cardiovascular risk factors in Maghreb's countries. M... more OBJECTIVE To assess the distribution of cardiovascular risk factors in Maghreb's countries. METHODS It is a systematic review including articles and reports that applied the WHO "STEPwise" approach, or a similar approach, studying cardiovascular risk factors in the Maghreb countries: Tunisia, Morocco, Algeria, Libya and Mauritania between 2004 and 2018. RESULTS We selected five articles, a report for each country. The prevalence of smoking was between 13.4% (12.2-14.6) in Morocco and 29.4% (28.3-30.4%) in Tunisia. 50.6% of the population of Mauritania had insufficient physical activity. The prevalence of high blood pressure was highest in Libya (40.6%) The prevalence of obesity was up to 41.1% (37-43.3) for women and 21.4% (19-23.8) in men in Libya. The prevalence of diabetes mellitus was between 10.6% (9.7-11.6) in Morocco and 16.4% (14.7-19.1) in Libya. CONCLUSION The distribution of cardiovascular risk factors in the Maghreb countries shows that the level of cardiov...
BACKGROUND Thirty years after the discovery of human immunodeficiency virus (HIV), knowledge and ... more BACKGROUND Thirty years after the discovery of human immunodeficiency virus (HIV), knowledge and practices must be improved. AIM Contribute to reducing the risk of virus transmission. METHODS A study about the determinants of risky practices was conducted among the consultants of the Voluntary HIV Counseling and Testing Centre (VCTC) in Monastir University Hospital. RESULTS We performed a cross sectional descriptive study with a total of 241 consultants who used the services of the VCTC during the period from January 1, 2008 to December 31, 2011. Data gathering was based on a self-administered questionnaire. Consultant's mean age was 27.4 ± 8 years with a male predominance. Three patients out of four were single and 65% have at least secondary-level education. Knowledge about the risk of HIV infection after an unprotected sex and drug use by injection were reported by 94.3% and 76.7% of the participants respectively. Risky sex practices were adopted by 89.3% of the subjects. At ...
... suite du même auteur. Inès Bouanene[1] [1] Service de Médecine Préventive et d&#x27;Épidé... more ... suite du même auteur. Inès Bouanene[1] [1] Service de Médecine Préventive et d&#x27;Épidémiologie... suite du même auteur. Mohamed Soussi Soltani[1] [1] Service de Médecine Préventive et d&#x27;Épidémiologie... suite du même auteur. Introduction. ...
Background We sought to investigate the relationship between social violence and adult overweight... more Background We sought to investigate the relationship between social violence and adult overweight/obesity and the role of common mental disorders (CMD) in mediating this relationship. Methods A cross-sectional study was conducted from January to June 2016 in Tunisia. Participants were selected from randomly selected Primary Health Care Centers. The Arabic version of the Adverse Childhood Experiences-International Questionnaire (ACE-IQ) was used. Results A total of 2120 participants were included. Women exposed to social ACEs had higher rates of overweight/obesity than men (13.5 versus 9.5%; P = 0.004). For women, statistically significant partial mediation effects of CMD were observed for exposure to community violence (% mediated = 17.7%). For men, partial mediation was found for the exposure to peer violence (% mediated = 12.5%). Conclusion Our results provide evidence of the independent increase of overweight/obesity after exposure to social ACEs. Efforts to uncover and address u...
Early life adversities (ELAs) are shown as significant risk factors for chronic health conditions... more Early life adversities (ELAs) are shown as significant risk factors for chronic health conditions (CHCs). ELAs include multiple types of abuse such as the social abuse (peer, community, and collective violence). The purpose is to describe the relationship between childhood social abuse and chronic conditions in adulthood among a sample of adults in Tunisia and to investigate the role of obesity and tobacco use as mediators of this association. A cross-sectional study was conducted in Tunisia, from January to June 2016 using the Arabic Adverse Childhood Experiences International Questionnaire (ACE-IQ). Items of social abuse (peer violence, witnessing community violence, and exposure to collective violence) were analyzed. A total of 2,120 adults were enrolled. After adjustment for age, gender, and intrafamilial ELA, social adversities were associated significantly with the selected CHC. Experiencing more than two social ELA increase the risk of occurrence of hypertension and coronary ...
OBJECTIVE To determine the prevalence, risk factors as well as consequences of exposure to violen... more OBJECTIVE To determine the prevalence, risk factors as well as consequences of exposure to violence among youth in Maghreb countries. METHODS This is a systematic review. The documentary request was done on 2 October 2019 and no filters were used. It examined all scientific publications indexed in Medline database via Pubmed using the following search equation: ("Violence"[Mesh] OR "suicide"[Mesh] OR "crime victims"[Mesh] OR "Child abuse"[Mesh]) AND ("Young Adult"[Mesh] OR "Adolescent"[Mesh] OR "Child"[Mesh]) AND ("Tunisia"[Mesh] OR "Algeria"[Mesh] OR "Morocco"[Mesh] OR "Libya"[Mesh] OR "Mauritania"[Mesh]). RESULTS A total of 16 articles were included. Most of them (68.7%) were published in Uganda, United States and England. The most common type of violence was physical abuse (43.8%). Adolescent boys were mostly affected by physical violence. However, girls were mo...
Pregnancy outside 19 - 34 years interval is risk factors of the maternal and fetal morbidity and ... more Pregnancy outside 19 - 34 years interval is risk factors of the maternal and fetal morbidity and mortality. Tunisia, witch known an epidemiological transition, implanted the national program of perinatality since 1990 and one of its objectives is the surveillance of the high risk pregnancies. The aim of this study is to draw up the epidemiological profile of the parturient in extreme ages in the region of Monastir and to study the chronological tendencies of the associated factors during a decade (1994 - 2003). In all, the study interest 13225 extreme ages parturient, representing 22.5% of all women admitted for delivery in the public maternities of the district. The means age was 18.6 ± 0.6 years for the parturient less than 20 years and 37 ± 2 years for the older than 35 years and more, among them 40% were older primipara. The prenatal care was inadequate for 35.4% of younger women and 47.6% of aged women. During the decade, we notice a significant decrease of the frequency of pre...
BACKGROUND The study of morbidity and cost of drug prescriptions generated by the primary care ph... more BACKGROUND The study of morbidity and cost of drug prescriptions generated by the primary care physician, with specific populations directs Quality Improvement strategies of care. AIM To identify acute pathologies in primary care medicine forces for internal security and to study the cost of drug prescription . METHODS This is a cross-sectional survey during which, we analyzed the medical records (MR) and medical prescriptions (MP)for patients older than 5 years, presenting for acute pathologies, at the first online consultation polyclinic of the internal security forces(ISF) of Mahdia, during the year 2014. Data were collected using a standardized form. We opted for a two-stage sampling the first agreement by taking the second month of each season, the second systematic taking MR from one day to two. RESULTS We analyzed 701 MR. The average age of the consultants was 37 years with a sex ratio de1,34. Systems, respiratory, digestive, musculoskeletal, skin and cardiovascular, were acc...
OBJECTIVE To evaluate the impact of introduction of the WHO safe surgery checklist in the univers... more OBJECTIVE To evaluate the impact of introduction of the WHO safe surgery checklist in the university hospital of Monastir over a period of five months. METHODS We conducted a longitudinal study (before - after) with evaluation of five result indicators which were: percentage of surgical site infections, not prescribed antibioprophylaxis, unplanned return to the operating room, postoperative length of stay and postoperatively death. RESULTS We identified 185 patients during the period and 323 patients after the introduction of the WHO checklist. The proportion of surgical site infection decreased significantly from 13.5% in the reference period to 1.3% after the introduction of the checklist (p < 0.001). The proportion of unplanned return to the operative room was 10.3% before the introduction of the checklist and deceased significantly to 1.3% at the intervention period (p = 0.003). The proportion of not prescribed antibioprophylaxis and median post-operative length of stay decea...
In the Tunisian healthcare system, the mother-child pair is a key target of the national perinata... more In the Tunisian healthcare system, the mother-child pair is a key target of the national perinatal program established in 1990. The purpose of this study is to define the epidemiological profile and to study the chronological tendencies of the main perinatal care indicators in the region of Monastir. The paper is based on a population study involving all parturients who gave birth in Monastir public maternities over a period of 15 years (1 January 1994 to 31 December 2008). Data were drawn from the register of births of all public maternities located in the region. The study examined 121,046 parturients. The mean age of parturients was 28.8 ± 5.5 years. 17.2% of parturients were aged 35 and over. Two thirds of deliveries were performed in the 2nd and 3rd level care maternities. Over the course of the fifteen years, absent prenatal care decreased significantly, from 11% in 1994 to 1% in 2008 (p<0.001). The percentage of parturients aged 35 and over increased significantly, from 14...
OBJECTIVE To assess the distribution of cardiovascular risk factors in Maghreb's countries. M... more OBJECTIVE To assess the distribution of cardiovascular risk factors in Maghreb's countries. METHODS It is a systematic review including articles and reports that applied the WHO "STEPwise" approach, or a similar approach, studying cardiovascular risk factors in the Maghreb countries: Tunisia, Morocco, Algeria, Libya and Mauritania between 2004 and 2018. RESULTS We selected five articles, a report for each country. The prevalence of smoking was between 13.4% (12.2-14.6) in Morocco and 29.4% (28.3-30.4%) in Tunisia. 50.6% of the population of Mauritania had insufficient physical activity. The prevalence of high blood pressure was highest in Libya (40.6%) The prevalence of obesity was up to 41.1% (37-43.3) for women and 21.4% (19-23.8) in men in Libya. The prevalence of diabetes mellitus was between 10.6% (9.7-11.6) in Morocco and 16.4% (14.7-19.1) in Libya. CONCLUSION The distribution of cardiovascular risk factors in the Maghreb countries shows that the level of cardiov...
BACKGROUND Thirty years after the discovery of human immunodeficiency virus (HIV), knowledge and ... more BACKGROUND Thirty years after the discovery of human immunodeficiency virus (HIV), knowledge and practices must be improved. AIM Contribute to reducing the risk of virus transmission. METHODS A study about the determinants of risky practices was conducted among the consultants of the Voluntary HIV Counseling and Testing Centre (VCTC) in Monastir University Hospital. RESULTS We performed a cross sectional descriptive study with a total of 241 consultants who used the services of the VCTC during the period from January 1, 2008 to December 31, 2011. Data gathering was based on a self-administered questionnaire. Consultant's mean age was 27.4 ± 8 years with a male predominance. Three patients out of four were single and 65% have at least secondary-level education. Knowledge about the risk of HIV infection after an unprotected sex and drug use by injection were reported by 94.3% and 76.7% of the participants respectively. Risky sex practices were adopted by 89.3% of the subjects. At ...
... suite du même auteur. Inès Bouanene[1] [1] Service de Médecine Préventive et d&#x27;Épidé... more ... suite du même auteur. Inès Bouanene[1] [1] Service de Médecine Préventive et d&#x27;Épidémiologie... suite du même auteur. Mohamed Soussi Soltani[1] [1] Service de Médecine Préventive et d&#x27;Épidémiologie... suite du même auteur. Introduction. ...
Background We sought to investigate the relationship between social violence and adult overweight... more Background We sought to investigate the relationship between social violence and adult overweight/obesity and the role of common mental disorders (CMD) in mediating this relationship. Methods A cross-sectional study was conducted from January to June 2016 in Tunisia. Participants were selected from randomly selected Primary Health Care Centers. The Arabic version of the Adverse Childhood Experiences-International Questionnaire (ACE-IQ) was used. Results A total of 2120 participants were included. Women exposed to social ACEs had higher rates of overweight/obesity than men (13.5 versus 9.5%; P = 0.004). For women, statistically significant partial mediation effects of CMD were observed for exposure to community violence (% mediated = 17.7%). For men, partial mediation was found for the exposure to peer violence (% mediated = 12.5%). Conclusion Our results provide evidence of the independent increase of overweight/obesity after exposure to social ACEs. Efforts to uncover and address u...
Early life adversities (ELAs) are shown as significant risk factors for chronic health conditions... more Early life adversities (ELAs) are shown as significant risk factors for chronic health conditions (CHCs). ELAs include multiple types of abuse such as the social abuse (peer, community, and collective violence). The purpose is to describe the relationship between childhood social abuse and chronic conditions in adulthood among a sample of adults in Tunisia and to investigate the role of obesity and tobacco use as mediators of this association. A cross-sectional study was conducted in Tunisia, from January to June 2016 using the Arabic Adverse Childhood Experiences International Questionnaire (ACE-IQ). Items of social abuse (peer violence, witnessing community violence, and exposure to collective violence) were analyzed. A total of 2,120 adults were enrolled. After adjustment for age, gender, and intrafamilial ELA, social adversities were associated significantly with the selected CHC. Experiencing more than two social ELA increase the risk of occurrence of hypertension and coronary ...
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