1
|
Thabet H, Gribaa R, Kacem M, Meddeb A, Slim M, Ben Farhat S, Ben Ali I, Hraiech A, Ouannes S, Neffati E. Percutaneous closure of the persistent ductus arteriosus in adults. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.10.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
2
|
Romero Soto L, Thabet H, Maghembe R, Gameiro D, Van-Thuoc D, Dishisha T, Hatti-Kaul R. Metabolic potential of the moderate halophile Yangia sp. ND199 for co-production of polyhydroxyalkanoates and exopolysaccharides. Microbiologyopen 2021; 10:e1160. [PMID: 33650793 PMCID: PMC7892980 DOI: 10.1002/mbo3.1160] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 12/20/2020] [Accepted: 12/22/2020] [Indexed: 12/02/2022] Open
Abstract
Yangia sp. ND199 is a moderately halophilic bacterium isolated from mangrove samples in Northern Vietnam, which was earlier reported to grow on several sugars and glycerol to accumulate poly(hydroxyalkanoates) (PHA). In this study, the potential of the bacterium for co‐production of exopolysaccharides (EPS) and PHA was investigated. Genome sequence analysis of the closely related Yangia sp. CCB‐M3 isolated from mangroves in Malaysia revealed genes encoding enzymes participating in different EPS biosynthetic pathways. The effects of various cultivation parameters on the production of EPS and PHA were studied. The highest level of EPS (288 mg/L) was achieved using sucrose and yeast extract with 5% NaCl and 120 mM phosphate salts but with modest PHA accumulation (32% of cell dry weight, 1.3 g/L). Growth on fructose yielded the highest PHA concentration (85% of CDW, 3.3 g/L) at 90 mM phosphate and higher molecular weight EPS at 251 mg/L yield at 120 mM phosphate concentration. Analysis of EPS showed a predominance of glucose, followed by fructose and galactose, and minor amounts of acidic sugars.
Collapse
Affiliation(s)
- Luis Romero Soto
- Division of Biotechnology, Center for Chemistry and Chemical Engineering, Lund University, Lund, Sweden.,Instituto de Investigación y Desarrollo de Procesos Químicos, Universidad Mayor de San Andrés, La Paz, Bolivia
| | - Habib Thabet
- Division of Biotechnology, Center for Chemistry and Chemical Engineering, Lund University, Lund, Sweden.,Food Science and Technology Department, Ibb University, Ibb, Yemen
| | - Reuben Maghembe
- Division of Biotechnology, Center for Chemistry and Chemical Engineering, Lund University, Lund, Sweden.,Department of Molecular Biology and Biotechnology, College of Natural and Applied Sciences, University of Dar es Salaam, Dar es Salaam, Tanzania
| | - Denise Gameiro
- Division of Biotechnology, Center for Chemistry and Chemical Engineering, Lund University, Lund, Sweden
| | - Doan Van-Thuoc
- Department of Biotechnology and Microbiology, Faculty of Biology, Hanoi National University of Education, Hanoi, Vietnam
| | - Tarek Dishisha
- Department of Pharmaceutical Microbiology and Immunology, Faculty of Pharmacy, Beni-Suef University, Beni-Suef, Egypt
| | - Rajni Hatti-Kaul
- Division of Biotechnology, Center for Chemistry and Chemical Engineering, Lund University, Lund, Sweden
| |
Collapse
|
3
|
Thabet H, Gribaa R, Kacem M, Meddeb A, Sghaier A, Ajmi N, Ghardallou H, Slim M, Lagren A, Ben Ali I, Ouaness S, Neffati E. Percutaneous closure of ventricular septal defect: Short and medium term results. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
4
|
Thabet H, Slim M, Dahmani W, Ben Slama A, Kacem M, Meddeb A, Dardouri S, Kallala Y, Amamou I, Mekki N, Ghariani A, Lagren A, Ben Ali I, Hraiech A, Ouannes S, Gribaa R, Neffati E. Cirrhotic cardiomyopathy: Prevalence and predictive factors. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
5
|
Thabet H, Gribaa R, Slim M, Lagren A, Hraiech A, Neffati E, Boughzala E. Percutaneous mitral dilatation in pregnant women: Short-term results. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
6
|
Thabet H, Gribaa R, Slim M, Lagren A, Hraiech A, Ouannes S, Neffati E, Boughzala E. Short, medium and long-term results of a series of percutaneous mitral dilatation. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
7
|
El-Faham A, Ibrahim S, El-Alaily H, Thabet H. THE EFFECT OF DIETARY LEVELS OF CALCIUM, PHOSPHORUS AND CHOLECALCIFEROL ON PERFORMANCE, CARCASS AND TIBIA CHARACTERISTICS OF BROILER CHICKS. ACTA ACUST UNITED AC 2019. [DOI: 10.21608/ejnf.2019.103484] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
8
|
Thabet H, Boughzala E, Abdllah M, Laabidi O, Slim M, Gribaa R, Ben Brahim K, Lagren A, Neffati E. Coronary artery birth defects, epidemiological and clinical features: A retrospective study of 82 cases. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2018.10.303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
9
|
Hadj mabrouk knani K, Mansar A, Bouslah H, Charrada A, Essanaa E, Amimi S, Boukadida F, Thabet H. À propos d’une enquête sur l’exposition aux risques chimiques dans les entreprises affiliées au GMTGS. ARCH MAL PROF ENVIRO 2012. [DOI: 10.1016/j.admp.2012.03.628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
10
|
Kamoun H, Thabet H, Chouchane C, Tabka F, Hammou A. Prévention du risque radiologique en orthopédie dans la région du centre de la Tunisie. ARCH MAL PROF ENVIRO 2012. [DOI: 10.1016/j.admp.2012.03.621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
11
|
Kouraichi N, Brahmi N, Elghord H, Béji O, Thabet H, Amamou M. Intoxication par le chloralose : facteurs pronostiques et prise en charge. ACTA ACUST UNITED AC 2010. [DOI: 10.1016/j.reaurg.2010.05.014] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
12
|
Ben Abdelaziz A, Amira Z, Gaha K, Thabet H, Soltane I, Ghedira A, Gaha R. [Attitudes of teachers to tobacco smoking]. East Mediterr Health J 2007; 13:907-915. [PMID: 17955774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
We aimed to evaluate the attitudes of teachers to tobacco smoking in Kalaa Kebira (a semi-urban region in the Tunisian Sahel). Data from 358 of 402 teachers surveyed were obtained using a self-completed questionnaire. The mean age of the teachers was 35.7 (SD 7.9) years. The prevalence of smoking was 29.3% (51.6% of men and 3.6% of women), and 79% of smokers were addicted to nicotine according to the Fagerström test. About 50% of the teachers were badly-informed about the dangers of smoking and 75.2% of smoking teachers did not refrain from smoking in front of their pupils. The lack of knowledge of teachers limits their role as a model and information source in the anti-tobacco struggle. It is essential to draw up an education programme for the teaching staff.
Collapse
|
13
|
Ben Abdelaziz A, Thabet H, Soltane I, Gaha K, Gaha R, Tlili H, Ghannem H. [Knowledge of patients with type 2 diabetes about their condition in Sousse, Tunisia]. East Mediterr Health J 2007; 13:505-14. [PMID: 17687822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
We assessed the knowledge of 404 type 2 diabetic patients about their condition in order to evaluate the quality of diabetes education in primary health care units in Sousse in 2003. We found that knowledge was satisfactory in only 59% of the patients. Their knowledge about the definition of diabetes and its pathophysiology were the 2 main areas where knowledge was lacking: the proportion of correct answers were 62.6% and 50.3% respectively. More attention should be paid to educating diabetic patients within the chronic disease care national programme.
Collapse
Affiliation(s)
- A Ben Abdelaziz
- Département de Santé communautaire, Faculté de Médecine de Sousse, Sousse, Tunisie.
| | | | | | | | | | | | | |
Collapse
|
14
|
Brahmi N, Thabet H, Kouraichi N, Driss I, Amamou M. [Brugada syndrome and other cardiovascular abnormalities related to tricyclic antidepressants ans related drugs intoxication]. Arch Mal Coeur Vaiss 2007; 100:28-33. [PMID: 17405551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
UNLABELLED The aim of this paper is to report major cardiovascular complications related to intoxication due to tricyclic antidepressants (TCA) and related drugs, especially the stabilizing membrane effect (SME) and Brugada syndrome, and identify risk factors related to cardiac toxicity. POPULATION AND METHODS A retrospective study (35 months), including all adult patients admitted for an isolated intoxication by a TCA or a related drug. The statistical analysis of clinical signs and history as well as ECG abnormalities included parameters recorded in emergency rooms. RESULTS 65 patients without underlying cardiovascular history were retrieved (mean age 30 + 12 years). The intoxication was intentional in all cases, and the mean estimated taken dosage (ETD) was at 749 + 436 mg. Amitriptyline was the most common drug (66%) followed by clomipramine (29%). The cardiovascular examination noted a tachycardia in 63% of cases (mean HR - 108 + 13 bpm), followed by hypotension (SBP = 80 + 40 mmHg) in 11% of cases. The ECG showed a sinus tachycardia (63%), a PR prolongation (>200 ms) in 28% of cases, a MSE (15.4%) and a type-I aspect of Brugada syndrome (15.4%). The analysis of influence of ETD on HR showed a linear relationship, with the equation HR = 82.276 + 0.039 EDT (mg) (R2=0.138, p=0.001). Analyzing the influence of type of drug on ECG abnormalities revealed a more tachycardia effect of amitryptiline vs. clomipramine (p=0.047). CONCLUSION Tachycardia is a frequent sign of intoxication, which can be expressed by a linear function depending on ETD. The MSE is more frequently noted with amitriptyline. The clinical aspect of type-I Brugada syndrome is as frequent as the MSE but does not seem prognostic. It is unclear whether it is related to an isolated electrical aspect or it hides a genetic mutation.
Collapse
Affiliation(s)
- N Brahmi
- Service de réanimation médicale et toxicologique-CAMU, Kacem Chebbi, 1008 Montfleury, Tunis, Tunisie.
| | | | | | | | | |
Collapse
|
15
|
Brahmi N, Blel Y, Kouraichi N, Ben Hamouda R, Thabet H, Amamou M. [Impact of antibiotic use and prescribing policy in a Tunisian intensive care unit]. Med Mal Infect 2006; 36:460-5. [PMID: 17027213 DOI: 10.1016/j.medmal.2006.07.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2006] [Accepted: 07/21/2006] [Indexed: 12/18/2022]
Abstract
OBJECTIVE The aim of this study was to assess the efficacy of local antibiotic policy in a Tunisian ICU. The predefined primary efficacy objectives were the decrease of antibiotic consumption, reduction of inappropriate antibiotic (ATB) use and antimicrobial resistance. DESIGN This prospective intervention study lasted from January 2002 to December 2004. In the first study period or the baseline phase (from January to December 2002) we focused on physician education for ATB prescription practice. The second period concerned intervention (control of all ATB use). RESULTS The number of infection episodes significantly decreased from 2002 to 2004; 198 infection episodes in 2002 (1.63+/-1.15 episodes/patient) versus 124 in 2003 (1.22+/-0.93) (P<0.0008) versus 121 in 2004 (1.23+/-0.8) (P1<0.0008). The number of ATB/prescription also significantly decreased from 1.85+/-1.3 in 2002 to 1.5+/-0.9 in 2003 (P=0.02) and 1.5+/-1.4 in 2004 (P1=0.05). Appropriateness of antibiotherapy improved during the intervention period: 65% in 2002 versus 86% in 2003 (P=0.0003) and 81% in 2004 (P1=0.02). The length of antibiotherapy in survivors was considerably reduced: 14.1+/-2.9 days in 2002 versus 11.9+/-1.2 days in 2003 (P<10(-5)) and 10.9+/-2.5 days in 2004 (P1<10(-5)) with a significant reduction of antibiotherapy cost and length of stay (20.4+/-9 days in 2002 versus 18.3+/-6 days in 2003 and 16.9+/-8 days in 2004; P=0.05; P1=0.02). There was a significant decrease of carbapenem resistant Enterobacteriaceae esbeta, Pseudomonas aeruginosa and Acinetobacter baumannii.
Collapse
Affiliation(s)
- N Brahmi
- Service de Réanimation Médicale Polyvalente CAMU, 2, rue Raspail, 1008 Montfleury, Tunis, Tunisie.
| | | | | | | | | | | |
Collapse
|
16
|
Ben Abdelaziz A, Soltane I, Gaha K, Thabet H, Tlili H, Ghannem H. Facteurs déterminants du contrôle glycémique des patients diabétiques de type 2 suivis en première ligne. Rev Epidemiol Sante Publique 2006; 54:443-52. [PMID: 17149165 DOI: 10.1016/s0398-7620(06)76742-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
PURPOSE To determine the factors associated with poor glycemic control in type 2 diabetic patients followed in primary care units in Sousse, Tunisia. METHODS A cross-sectional study was conducted on a representative sample of type 2 diabetic patients followed at least two years in primary health care units in Sousse, Tunisia. Data were gathered from three sources: a self-administrated questionnaire, analysis of patient files and HbA1c level. HbA1c level was measured with turbidimetric immunoinhibition assay. Patients were considered well-controlled if glycated hemoglobin (HbA1c) was less than 7%, according to the American Diabetics Association (ADA) recommendations. RESULTS The study enrolled 404 type 2 diabetic patients. The mean age was 60.5+/-10.89 years, sex-ratio was 0.5, and mean disease duration 8.7+/-6.1 years. ADA recommendations were met by 16.7% of patients. Multivariate analysis using variables in relation with the patient, his/her family, the disease, the treatment and the health care unit, showed that only poor geographic access to the care center (adjusted OR: 1.89, p=0.009) and Body Mass Index (BMI) less than 30 kg/m2 (adjusted OR: 2.21, p=0.034) were significantly and independently associated with poor glycemic control. CONCLUSION Glycemic control in type 2 diabetic patients is poor. It depends strongly on geographic access to health care. Type 2 diabetic patients should be referred, as much as possible, to the nearest health care unit.
Collapse
Affiliation(s)
- A Ben Abdelaziz
- Service d'Epidémiologie et Statistiques Médicales, CHU Farhat-Hached, Sousse 4000, Tunisia.
| | | | | | | | | | | |
Collapse
|
17
|
Ben Abdelaziz A, Amira Z, Gaha K, Thabet H, Ghedira A, Gaha R, Ghannem H. Le tabagisme des enseignants dans une commune du Sahel tunisien. Rev Mal Respir 2006; 23:319-23. [PMID: 17127907 DOI: 10.1016/s0761-8425(06)71597-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the scale of tobacco use among teachers in the district of Kalaa Kebira (a semi-urban region in the Tunisian Sahel). METHODS The study design was descriptive and cross sectional, employing a self administered questionnaire given to 402 teachers. RESULTS The response rate was 89%. The average age of respondents was 35.7 7.9 years. The global prevalence of smoking among teachers was 29.3% (men: 51.6%; women: 3.6%). 79% of smokers were addicted to nicotine according to the Fagerstrôm test. Half of the teachers were poorly informed about the hazards of smoking and 77.9% of smoking teachers didn't refrain from smoking in front of their pupils. CONCLUSIONS The teachers' lack of knowledge limits their effectiveness both as a role model and information relay in the war against tobacco.
Collapse
Affiliation(s)
- A Ben Abdelaziz
- Département de Santé Communautaire, Faculté de Médecine Ibn Jazzar de Sousse, Sousse, Tunisie.
| | | | | | | | | | | | | |
Collapse
|
18
|
Brahmi N, Blel Y, Kouraichi N, Mokline A, Laabidi N, Beji O, Thabet H, Amamou M. Crit Care 2005; 9:P19. [DOI: 10.1186/cc3082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
19
|
Brahmi N, Gueye PN, Thabet H, Kouraichi N, Ben Salah N, Amamou M. Extrapyramidal syndrome as a delayed and reversible complication of acute dichlorvos organophosphate poisoning. Vet Hum Toxicol 2004; 46:187-9. [PMID: 15303389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
We describe 4 cases of delayed extrapyramidal disorder following acute dichlorvos poisonings. All patients were seriously poisoned since all exhibited profound coma and respiratory failure, and they were all tracheally intubated and mechanically ventilated. On admission, plasma cholinesterase activity was greaty decreased, < 10 micromol/ml/h at 37 C in all patients (< 10% of normal for our laboratory). Extrapyramidal symptoms occurred between 5 and 15 d and were characterized by dystonia of arms and legs, resting tremor, cogwheel rigidity, and hypereflexia. With bromocriptine therapy the features of extrapyramidal syndrome disappeared progressively with complete recovery in all patients. Our observations suggest a delayed extrapyramidal syndrome should be taken into account during the course of acute dichlorvos organophosphate poisonings.
Collapse
Affiliation(s)
- N Brahmi
- Centre d'Assistance Médicale Urgente, 1008, Montfleury, Tunis, Tunisie
| | | | | | | | | | | |
Collapse
|
20
|
Ben Mokhtar H, Thabet H, Brahmi N, Zaghdoudi I, Hédhili A, Hamouda C, Amamou M. Acute iron poisoning. Vet Hum Toxicol 2002; 44:219-20. [PMID: 12136969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
Intoxications with ferrous compounds are uncommon but ferrous sulphate is most frequently involved. Ferrous fumarate is less toxic than ferrous sulphate. Two cases of ferrous fumarate poisoning that resulted in digestive mucosal lesions are reported.
Collapse
Affiliation(s)
- H Ben Mokhtar
- Intensive Care Unit, Centre dássistance Medicale Urgente, Tunis, Tunisia
| | | | | | | | | | | | | |
Collapse
|
21
|
Ben MH, Thabet H, Zaghdoudi I, Amamou M. Metformin associated acute pancreatitis. Vet Hum Toxicol 2002; 44:47-8. [PMID: 11824780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
Metformin poisoning is not common and is usually associated with lactic acidosis and acute hepatitis. A case of metformin-poisoning associated with acute pancreatitis is reported here for the first time.
Collapse
Affiliation(s)
- Mokhtar H Ben
- Intensive Care unit, centre d'assistance medicale urgente, Tunis, Tunisia
| | | | | | | |
Collapse
|
22
|
Hamouda C, Amamou M, Jédidi S, Hédhili A, Salah NB, Thabet H. [Graded classification of acute chloralose poisoning. 509 cases]. Presse Med 2001; 30:1055-8. [PMID: 11471277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/20/2023] Open
Abstract
OBJECTIVE The annual incidence of chloralose poisoning has exceeded 3 cases per 100,000 inhabitants in Tunisia since 1997. The purpose of this study was to analyze clinical features of chloralose poisoning. METHODS We reviewed patients admitted to the intensive care unit during the last 5 years to search for chloralose poisoning. The identified cases were classed into 5 grades by clinical features: depth of coma, characteristics of the myoclonia, and cerebral trunk reflex response. RESULTS We identified 509 cases of chloralose poisoning over the last 5 years. Seventy-five patients (14.7%) were in grade 1: drowsiness alone. Four hundred ten patients (80.8%) were in grades 2 and 3: hypertonic coma and myoclonus. The clinical course was favorable after sedation, tracheal intubation and mechanical ventilation. Twenty-three patients (4.6%) were in grades 4 and 5: hypertonic coma (Glasgow coma score = 3). Three of them died. CONCLUSION The clinical features of chloralose poisoning depend on the ingested dose. Despite the gravity of the initial clinical presentation, prognosis is excellent if symptomatic treatment is given early, even in grade 5 cases which simulate brain death.
Collapse
Affiliation(s)
- C Hamouda
- Service de Réanimation médicale et de Toxicologie clinique, Centre Antipoison, Tunis
| | | | | | | | | | | |
Collapse
|
23
|
Abstract
In the present work we describe the management of hypertrophied inferior turbinates using CO(2) laser in the UniPulse mode. The laser beam is delivered through the nasal probe delivery system, and the procedure is performed using the 0 degrees endoscope. The UniPulse mode allowed fine-tuned, char-free tissue ablation, and the nasal probes allowed delivery of laser energy to the posterior parts of the inferior turbinates. The procedure was performed on 149 patients. The one-year post-operative follow-up period revealed good functional results in 131 patients (88 per cent). The minimal nasal cross sectional area increased significantly from 0.52 cm(2) to 0.81 cm(2). The average decongestive effect, on the other hand, decreased from 0.26 cm(2) to 0.07 cm(2) indicating significant laser-induced fibrosis. The operation can be performed as an out-patient procedure with little or no morbidity.
Collapse
Affiliation(s)
- S Elwany
- Department of Otolaryngology, Saqr Hospital, Ras Al-Khaima, United Arab Emirates.
| | | |
Collapse
|
24
|
Abstract
Amniocentesis is a routine technique for prenatal diagnosis. The incidence of severe intra-amniotic infection is very low. We report a case of septic shock following an amniocentesis in a 34-year-old women. Patient admitted in intensive care unit and need mechanical ventilation and vasoactives drugs to control hemodynamic pertubation. Bacteriological data showed positive polymicrobial blood cultures to Klebsiella pneumoniae and Enterobacter. The patient gradually improved, however her renal function was still impaired and she was discharged three months after admission.
Collapse
Affiliation(s)
- N P Thabet
- Service de gynécologie obstétrique A, centre de maternité, La Rabta, Tunis, Tunisie
| | | | | | | | | | | |
Collapse
|
25
|
Thabet H, Brahmi N, Amamou M, Ben Salah N, Hédhili A. Hyperlactatemia and hyperammonemia as secondary effects of valproic acid poisoning. Am J Emerg Med 2000; 18:508. [PMID: 10919555 DOI: 10.1053/ajem.2000.3981] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
|
26
|
Hamouda C, Amamou M, Thabet H, Yacoub M, Hedhili A, Bescharnia F, Ben Salah N, Zhioua M, Abdelmoumen S, El Mekki Ben Brahim N. Plant poisonings from herbal medication admitted to a Tunisian toxicologic intensive care unit, 1983-1998. Vet Hum Toxicol 2000; 42:137-41. [PMID: 10839315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
To collect data on Tunisian herbal toxicity we analysed 56 medical records of patients admitted to the toxicological intensive care unit from 1983 to 1998 following the ingestion of plants. The sex ratio of patients was 1:2, the mean age of patients was 26y (2 to 75y) and II species of plants were involved with Atractylis gummifera (32%), Datura stramonium (25%), Ricinus communis (9%), Nerium oleander (7%) and Peganum harmala (7%) most commonly infested. Poisonings involved neurological (91%), gastrointestinal (73%) and cardiovascular systems (18%). Treatment was mainly symptomatic. The only lethal cases of liver failure involved 16 Atractylis gummifera poisonings.
Collapse
Affiliation(s)
- C Hamouda
- Department of Intensive Care and Clinical Toxicology, Centre d'Assistance Médical Urgente et de Réanimation, Tunis, Tunisia
| | | | | | | | | | | | | | | | | | | |
Collapse
|
27
|
Thabet H, Brahmi N, Amamou M, Ben Salah N, Hédhili A, Yacoub M. Datura stramonium poisonings in humans. Vet Hum Toxicol 1999; 41:320-1. [PMID: 10509437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
Datura stramonium is a hallucinogenic plant which causes serious poisoning. Clinical symptoms are those of atropinic intoxication with psychiatric manifestations of dryness of mouth, mydriasis, tachycardia and hallucinations. Diagnosis is essentially clinical. Treatment is symptomatic and suppurative; prognosis is usually favorable.
Collapse
Affiliation(s)
- H Thabet
- Intensive Care Unit, Centre d'assistance medicale urgente, Montfleury, Tunis, Tunisia
| | | | | | | | | | | |
Collapse
|
28
|
Thabet H, Brahmi N, Zagdoudi I, Amamou M, Hédhili A, Ben Salah N, Yacoub M. [Acute self-induced poisoning with carbamazepine]. Presse Med 1999; 28:955-8. [PMID: 10366929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/12/2023] Open
Abstract
OBJECTIVE We report the epidemiological, clinical, toxicological and therapeutic aspects of acute voluntary intoxication with carbamazepine. PATIENTS AND METHODS The study included 17 cases of acute carbamazepine intoxication in patients hospitalized in our toxicology unit. RESULTS Neurological signs predominated at admission, mainly agitation or coma associated with seizures. Mydriasis and cardiovascular signs were frequent. Blood chemistry most frequently showed hyponatremia. Mean serum carbamazepine level admission was 24 mg/l (range 4 ñ 12 mg/l). Ten patient required respiratory assistance for 28 +/- 17 hours. Symptomatic treatment and gastric lavage (+activated carbon) provided favorable outcome. CONCLUSION Acute carbamazepine intoxication is seen with increasing frequency. Severity is related to the degree and duration of the coma, respiratory depression, seizures, cardiovascular disorders, and metabolic abnormalities. Symptomatic and specific treatment with activated carbon are required.
Collapse
Affiliation(s)
- H Thabet
- Centre d'assistance médicale urgente, Montfleury Tunis, Tunisie.
| | | | | | | | | | | | | |
Collapse
|
29
|
Abstract
The anatomy of the sphenoid sinus, as it relates to endoscopic sinus surgery, was studied in 93 cadaver heads (186 sphenoid sinuses) using endoscopic dissections as well as sagittal sections. The relationship of the sphenoid sinuses to the carotid artery, optic nerve, floor of sella turcica, as well as other important structures, were verified and discussed. The recesses of the sinus as well as its ostium and accessory septa and crests were described and their clinical importance was discussed. Pertinent measurements were included wherever appropriate.
Collapse
Affiliation(s)
- S Elwany
- Department of Otolaryngology, Alexandria University, Egypt
| | | | | |
Collapse
|
30
|
Thabet H, Jouini A. Sodium 1,6-Hexanediammonium Cyclotriphosphate Dihydrate. Acta Crystallogr C 1997. [DOI: 10.1107/s0108270197005623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
31
|
|
32
|
|
33
|
Abstract
Obstruction of the nasal valve is an important cause of chronic nasal obstruction in adults. In a series of 500 patients, obstruction at the level of the nasal valve was diagnosed in 65 of them (13 per cent). The obstruction was unilateral in 57 patients (88 per cent). Forty-seven patients (72 per cent) had history of previous nasal surgery of accidental trauma. Causes of obstruction of the nasal valve included high septal deviations, a weak or deformed upper lateral cartilage, adhesions, and alar collapse. All patients underwent corrective nasal surgery and the surgical procedures were tailored according to the existing pathology. Post-operatively, the mean nasal patency score increased from 2.9 to 8.6, the mean nasal airflow increased from 579.5 to 727 cm/sec (at 150 Pa), and the mean nasal resistance decreased from 0.31 to 0.23 Pa/cm3 sec-1.
Collapse
Affiliation(s)
- S Elwany
- Department of Otolaryngology, Alexandria Medical School, Egypt
| | | |
Collapse
|
34
|
Chelly H, Amamou M, Ben Lakhal S, Ben Salah N, Thabet H, Yakoub M. [Complications of endotracheal intubation and tracheotomy. Retrospective study of 797 cases]. Tunis Med 1994; 72:687-92. [PMID: 7624976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Affiliation(s)
- H Chelly
- Centre d'assistance Médicale Urgente, Tunis, Chebbi
| | | | | | | | | | | |
Collapse
|
35
|
Bouhaja B, Somrani N, Thabet H, Zhioua M, Yacoub M. Adult respiratory distress syndrome complicating a systemic capillary leak syndrome. Intensive Care Med 1994; 20:307-8. [PMID: 8046129 DOI: 10.1007/bf01708975] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
|
36
|
Bouhaja B, Thabet H, Somrani N, Zhioua M, Hedhili A, Yacoub M. Le syndrome intermédiaire des intoxications aiguës par insecticides organophosphorés : Une entité clinique bien individualisée. ACTA ACUST UNITED AC 1994. [DOI: 10.1016/s1164-6756(05)80311-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
37
|
Bouhaja B, Thabet H, Slim L, Aissa F, Amamou M, Yacoub M. [Mixte community-acquired Legionella pneumophila and Staphylococcus aureus pneumonia]. Presse Med 1993; 22:1280. [PMID: 8259357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
|
38
|
|
39
|
Schneider F, Lutun P, Runge I, Launoy A, Hasselmann M, Tempé JD, Sipria A, Talvik R, Mancebo J, Domingo P, Coll P, Net A, Ibarz M, Sancho J, Sitges-Serra A, Woittiez AJJ, Kaan J, Goldhoorn P, Almirall J, Mesalles E, Klanturg J, Armengol S, Agudo A, González CA, Tomasa A, Santré C, Leroy O, Beuscart C, Guéry B, Georges H, Beaucaire G, Salord F, Grando J, Verges M, Desgaches C, Chacornac R, Maravi E, García-Jalón J, Sánchez-Nicolay I, Saenz JJ, Maynar J, Fonseca F, Jiménez I, Eami V, Mencherini S, Barzaghi N, Marone P, Gallini GS, Olivei M, Eraschi A, Nouira S, Elatrous S, Abroug F, Jaafoura M, Bouchoucha S, Thabet H, Rauss A, Brun-Buisson C, Sproat L, Inglis TJJ, Elkharrat D, Mauboussin P, Bodossian P, Porché M, Pénicaud M, Le Corre A, Caulin C, Leleu G, Le Junter J, Villiers S, Garrouste MT, Rabbat A, Schremmer B, Le Gall JR, Morinet F, Schlemmer B, Ribeiro C, Moreira J, Costa D, Costa M, Pina E, Salgado MJ, Gasanovic-Popovic D, Ratkovic R, Bura-Nikolic G, Stosic M, Kaludjerovic M, Grujicic D, Santré C, Simon M, Konrad F, Wagner R, Kilian J, Georgieff M, Zhongmin H, Huping Z, Sarmiento X, Tonig R, Hosallos E, Torres A, Soler H, Mills J, Tomasal A, León MA, Ayuso A, Díaz R, Robusté J, Soria G, Torres C, Nolla M, Jimenez MJ, Lizasoein M, Suarez T, Sanchez-Izquierdo JA, Martinez A, Arribas P, Bermejo S, Alted E, Santré C, Fourrier F, Gregorakos L, Katsanos C, Malessios V, Nicolopoulos J, Tsokou J, Nicolaou C, Kountouri M, Velasco P, Moreno JA, Torrabadella P, Castellà E, Gómez MC, Condom JM, Esquirol X, Domingo C, Pérez-Piteira J, Tomás R, Reingardiené D, Ambrazevićiené N. Infections I. Intensive Care Med 1992. [DOI: 10.1007/bf03216354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
40
|
Talaat M, Talaat AM, Kelada I, Angelo A, Elwany S, Thabet H. Histologic and histochemical study of effects of anabolic steroids on the female larynx. Ann Otol Rhinol Laryngol 1987; 96:468-71. [PMID: 3619294 DOI: 10.1177/000348948709600423] [Citation(s) in RCA: 28] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
The larynges of 30 unmated, mature female albino mice were examined histologically and histochemically after injecting them with 19-nandrolone phenylpropionate. Permanent irreversible changes, in the form of parakeratosis and squamous metaplasia of the epithelium, and hypertrophy of the muscle fibers, were observed together with persistence of increased alkaline phosphatase enzyme intensity in the endothelium of capillaries and increased activity of nonspecific esterase in the muscles. Similar changes may be responsible for the alteration in the human female's voice after prolonged treatment with anabolic steroids.
Collapse
|