Impact of illness on mothers of children with cystic fibrosis in Tunisia: A qualitative interview study: Impact of cystic fibrosis on Tunisian mothers

BACKGROUND

Caring for a child with cystic fibrosis (CF) is challenging and stressful and even more so in a country with limited resources. Our aim was to study the impact of CF on the daily life of mothers with children who have CF in Tunisia, emphasizing the difficulties encountered.

METHODS

Overall, 20 participants were interviewed about their experiences of being caregivers and mothers of children with CF, including their knowledge about the condition, their attitude toward it, the impact of CF on their daily lives, the main difficulties they had faced, and their concerns and wishes about CF management.

RESULTS

The median age of the interviewees was 39 years. None of the mothers had known about CF before; 14 of them had difficulty accepting it at first, with suicidal thoughts in one case. Six hid the illness from the close family for fear of negative prejudices. Three mothers decided to stop having children despite availability of prenatal screening. CF also influenced the mothers' social activities (n = 13) and interfered with their jobs (n = 5). It was responsible for additional expenses in all cases. Chest physiotherapy represented a daily source of coping for all participants. Hospitalization related to Pseudomonas aeruginosa infection was considered stressful and constraining by 12 mothers. The mothers' main concern was the child's life expectancy (n = 7). Their main wish was to administer a curative treatment (n = 17).

CONCLUSION

CF was found to have deeply affected the mothers' psychosocial life stressing the need for the involvement of qualified psychologists and social workers together with the medical staff.

Crystal structure of 25,27-dibenzyloxy-26-benzoyloxy-28-hydroxycalix[ 4]arene, C49H40O5

C49H40O5, triclinic, P1̅ (no. 2), a = 10.8865(2) Å, b = 18.2743(3) Å, c = 18.3545(3) Å, α = 85.166(1)°, β = 86.233(1)°, γ = 84.268(1)°, V = 3614.3 Å3, Z = 4, Rgt(F) = 0.054, wRref(F2) = 0.148, T = 120 K.

Hydrocarbons in surface sediments from the Sfax coastal zone, (Tunisia) Mediterranean Sea

The Semi-enclosed Mediterranean Sea records various signals of high anthropic pressures from surrounding countries and the industrialized European countries. This is particularly true for oil pollution. Although accounting for 1% of the world's ocean surface, it receives about 25% of the petroleum inputs to the ocean. To achieve a global budget we need to collect information from different parts of the Mediterranean. Particularly, we focus in this paper on the Southern Mediterranean, where data are presently very scarce. In this context, the University of Sfax has undertaken an estimation of hydrocarbon pollution along the coasts of Sfax and Gabès Gulf. Non-aromatic hydrocarbons were analysed in 8 surface sediments by FT/IR and GC/MS. Non-aromatic hydrocarbon concentrations vary in the range 310-1406 microg g(-1) sediments dry weight, which is high, compared to other Mediterranean sites. GC/MS data indicate a large group of unresolved compounds suggesting a petroleum contamination, confirmed by the identification of hopanes with predominant C29 and C30alpha,beta compounds and steranes with predominance of C27 over C28) and C29 compounds.

Hydrocarbon contamination of coastal sediments from the Sfax area (Tunisia), Mediterranean Sea

The coastal area off the city of Sfax (730,000 inhabitants), well-known for fisheries and industrial activities, receives high inputs of organic matter mostly anthropogenic. Eighteen stations were selected in the vicinity of the direct discharge of industrial sewage effluents in the sea in order to study the spatial distribution of the organic contamination. Surface sediments sampled in the shallow shelf were analysed for hydrocarbons by Fourier transform infrared spectroscopy, gas chromatography and gas chromatography/mass spectrometry. Total hydrocarbon distributions revealed high contamination as compared to other coastal Mediterranean sites, with an average concentration of 1865 ppm/dry weight sediment. Gas chromatographic distribution patterns, values of unresolved mixture/n-alkane ratio and distributions of steranes and hopanes confirmed a petroleum contamination of the Arabian light crude oil type. Biogenic compounds were also identified with a series of short-chain carbon-numbered n-alkenes in the carbon range 16-24.