25 results on '"Manel, Limam"'
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2. Availability, utilization and quality of emergency obstetric care services in Sousse, Tunisia
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Manel Limam, Faten Hachani, Mariem El Ghardallou, Mouadh Bachraoui, Manel Mellouli, Ali Mtiraoui, Hedi Khairi, Thouraya Ajmi, and Chekib Zedini
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emergency obstetric care ,maternal health ,sousse ,tunisia ,Medicine - Abstract
INTRODUCTION: Emergency obstetric care (EmOC) is a high-impact priority intervention strongly recommended for improving maternal health outcomes. The objectives of this study were to assess the availability, utilization, and quality of emergency obstetric care services in the Governorate of Sousse (Tunisia). METHODS: a cross-sectional study was conducted among public health facilities which performed deliveries in Sousse in 2017. Data were collected by consulting clinical records and registers and interviewing staff using WHO EmOC tools. Emergency obstetric care (EmOC) indicators were calculated. RESULTS: only the University maternity unit functioned as full comprehensive EmOC facility. No otherpublic facility provided all the 7 Basic EmOC signal functions 3 months prior to the survey. The unperformed signal functions were: administration of parenteral antibiotics, manual removal of placenta and assisted vaginal delivery. The number of EmOC facilities was 0.72 per 500,000 inhabitants. The met need for EmOC was 89.5%. The proportion of caesarean section was 24.2%. The direct obstetric case fatality rate was 0.159% and intrapartum and very early neonatal death rate was 0.65%. CONCLUSION: raising maternity facilities to a minimum level of basic EmOC status would be a major contributing step towards maternal mortality reduction.
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- 2021
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3. Chronic Pain following Chest Trauma: Prevalence, Associated Factors, and Psychosocial Impact
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Mohamed Kahloul, Imene Kacem, Mohamed Mehdi Sboui, Olfa El Maalel, Hana Daami, Meriam Hafsia, Manel Limam, Sana Aissa, Imene Ben Kbaier, Nejib Mrizak, Ajmi Chaouch, and Walid Naija
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Medicine (General) ,R5-920 - Abstract
Background. Chronic pain (CP) is a real public health concern. It is a common cause of poor quality of life and workplace absenteeism. It is well studied in many medical and surgical fields. However, only few data are available as regards to its occurrence in trauma patients. Purpose. To assess the prevalence, associated factors, and psychosocial impact of CP following chest trauma. Methods. This is an observational, descriptive, and analytic cross-sectional study performed in a Tunisian department of anesthesia and intensive care over a two-month period. Adult patients admitted one year ago for isolated chest trauma were enrolled. Data were collected by a phone interview. Studied variables were sociodemographic characteristics, traumatic injuries and their management, the occurrence of CP, and its psychosocial impact. CP was diagnosed by the Brief Pain Inventory (BPI) considering an evolution period of at least 3 months. Its impact was assessed by the BPI and the Posttraumatic stress disorder Checklist Scale (PCLS). Results. Fifty-four patients were included in the study. The prevalence of CP was 79.6%. The average CP intensity was 3.18 ± 1.4. It was neuropathic in 90.7%. Its main associated factors were pleural effusion (p=0.016), time to ICU admission (p=0.05), and posttraumatic stress disorders (p=0.017). After a multivaried analysis, only pleural effusion was associated with CP (p=0.01, OR = 6.9 CI 95% [1.2–37.3]). Probable or very likely PTSDs were noted, respectively, in 10 and 9 cases. Regarding the psychosocial impact of CP, the most commonly affected dimensions were general activity, work, sleep, and mood. Conclusion. CP following chest trauma is frequent and severe requiring preventive measures such as high risk patients screening, better management of acute pain, and a multidisciplinary approach for patients with diagnosed CP.
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- 2020
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4. Obstetric referrals to a tertiary care maternity: a descriptive study
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Mariem Ghardallou, Manel Limam, Abdejelil Khelifi, Ons Khairi, Hédi Khairi, Ali Mtiraoui, and Thouraya NabliAjmi
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referral system ,obstetric ,reasons ,diagnoses ,Medicine - Abstract
INTRODUCTION: An effective referral system is considered as a key to saving mothers' and children's lives. The aims of this study were to determine the frequency and the indications of obstetric referrals in a Tunisian tertiary care maternity and to assess the conformity of referral mechanisms with the National Perinatality Programme (NPP) guidelines.
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- 2019
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5. Effectiveness of a Training Intervention about Healthcare Waste Management on the Knowledge and Practical Skills of Healthcare Professionals in a Teaching Hospital of Southern Tunisia
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Maroua Trigui, H. Maamri, Jamel Damak, N. Ketata, Manel Limam, Mariem Ben Hmida, Habib Feki, Houda Ben Ayed, Maissa Ben Jmaa, and Sourour Yaich
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InformationSystems_GENERAL ,Nursing ,Health professionals ,business.industry ,Training intervention ,Intervention (counseling) ,Health care ,Medicine ,General Medicine ,Training program ,business ,Teaching hospital - Abstract
This quasi-experimental study aimed to assess the impact of a training program on knowledge and practical skills of healthcare professionals(HCPs) regarding healthcare waste(HCW) management in a Teaching Hospital in Southern Tunisia.The total mean knowledge score(KS) and practice score(PS) increased significantly on post training test as opposed to pre-training test with mean changes of 17.9 ± 10.1 and 26.9 ± 2.1, respectively.The mean PS did not significantly change from the first to the final follow-up measurement(p = 0.25).Three predictor factors were found to be independently associated with change in KS:age(β=-0.16;p = 0.006),sanitary staff(β = 0.116;p = 0.038) and administrative staff(β = 0.122;p = 0.032).Training program could therefore be an effective intervention for improving knowledge and practices among HCPs.
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- 2021
6. Quality of life in Tunisian colorectal cancer patients: a cross-sectional study
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Imtinene Belaid, Chaimaa Ben Moussa, Rihab Melliti, Manel Limam, Tarek Ben Ahmed, Faten Ezzaari, Mohamed Amine Elghali, Amal Bouazzi, Mohamed Ben Mabrouk, Rym Bourigua, Nouha Ammar, Makrem Hochlaf, Leila Ben Fatma, Imene Chabchoub, and Slim Ben Ahmed
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Cancer Research ,Oncology ,General Medicine - Abstract
Quality of life (QOL) of colorectal cancer (CRC) patients has been little studied in Tunisia. The aim of this work was to evaluate the QOL of CRC patients and to identify factors that may influence it.A cross-sectional, study spread was made over a period of 6 months on patients with CRC treated in the department of Medical Oncology of Farhat Hached University Hospital of Sousse. The EORTC questionnaires translated and validated in Arabic (QLQ-C30 and QLQ-CR29) were used.142 patients diagnosed with colon or rectal cancer were enrolled. The overall QOL score was 58.5 ± 29.1. The emotional and sexual functional dimensions were the most affected, especially in women and patients under 50 years of age. QOL scores were higher in patients who were in complete remission (71.4 ± 24.7) and in good general condition (63.7 ± 26.6) physical activity may have a significant influence on all functional dimensions of QOL (p 0.001). Fatigue was significantly (p 0.001) more present when there was a sedentary lifestyleradiotherapy, palliative chemotherapy (1st and 2nd line) and targeted therapy.Evaluating quality of life of patients with colorectal cancer in Tunisia is necessary especially those under 50 years old and in women. Laparoscopic surgery with restoration of intestinal continuity, less toxic palliative chemotherapy protocols, more accessibility to new radiotherapy technics will improve QOL of CRC patients. Physical activity and nutrition support are also essential in promoting QOL of these patients.
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- 2022
7. Les urgences gynéco-obstétricales au service de gynécologie obstétrique de Sousse: étude épidémiologique et devenir des consultantes
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Imen Bannour, Manel Limam, Ghada Rjiba, Rania Bannour, and Thouraya Ajmi
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General Medicine - Published
- 2022
8. Evaluation de la sécurité du circuit des médicaments anticancéreux dans un hôpital régional en Tunisie
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Jihéne Sahli, Meriam El Ghardallou, Iheb Bougmiza, Besma Henchiri, Manel Limam, Rim Mejdoub, Ali Mtiraoui, and Thouraya Ajmi
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risk management ,anticancer drugs ,patient safety ,Medicine - Abstract
INTRODUCTION: parmi les événements indésirables, ceux liés au circuit des médicaments occupent une place importante et risquent de causer un préjudice grave aux patients. Dans ce contexte, nous avons mené cette étude dans l'optique de décrire et d'évaluer le circuit des médicaments anticancéreux dans un hôpital régional tunisien. METODS: il s'agit d'une étude évaluative du risque lié aux médicaments anticancéreux, type '' visite de risque '' menée sur une période de 15 jours au cours de l'année 2014 au service de cancérologie de l'hôpital régional de Gafsa (Tunisie). Cette méthode d'évaluation est inspirée de celle conduite par le projet '' SECURIMED développé par le Comité de Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine (CCECQA), en France. RESULTS: dans notre étude, l'observation du circuit des médicaments anticancéreux a révélé certaines insuffisances. On a noté que la répartition des missions des différents acteurs est sujette parfois à des glissements de tâches. Un manque important ainsi que une inadéquation aux normes au niveau des équipements nécessaires pour la préparation et la protection des professionnels manipulant ces médicaments ont été également décelés. CONCLUSION: la sécurisation du circuit des médicaments devrait être une priorité inscrite dans l'ensemble des démarches nationales et partagée par tous les intervenants et ce dans l'optique d'atteindre un objectif prémium : la qualité de la prise en charge globale et la sécurité des patients.
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- 2016
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9. [Gyneco-obstetrical emergencies at the obstetrics and gynecology department of Sousse: epidemiological study and becoming of the consultants]
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Imen, Bannour, Manel, Limam, Ghada, Rjiba, Rania, Bannour, and Thouraya, Ajmi
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Consultants ,Pregnancy ,Gynecology ,Humans ,Female ,Emergencies ,Pelvic Pain ,Retrospective Studies - Abstract
the objective of this work was to establish the clinical profile of patients consulting in gyneco-obstetrical emergencies and identify the reasons for consultation and the becoming of the consultants.a one-center retrospective descriptive observational study was performed including patients who consulted between January 1a total of 2007 patients were included in our study among 15,553 gynecological emergency room consultants during 2018. We found that the largest number of consultants was recorded at the start of the week and between 7 am and 7 pm. The most frequently obstetric reasons observed for consultation were pelvic pain (39.6%), bleeding (23.8%) and vomiting (8.7%). The most frequently gynecological reasons for consultation were pelvic pain (54.2%), then metrorrhagia (18.8%) and mastodynia (7.1%). Of the study participants, 66.82% received an ultrasound, 23% received a beta HCG test. The majority of emergency room consultants were referred to their home.the majority of patients visiting the emergency room do not have any emergency-related pathologies.
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- 2021
10. Delays in the Surgical Pathway in Breast cancer Patients in Tunisia: A Descriptive Prospective Study
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Meriam, Kahlaoui, primary, Manel, Limam, additional, Jihene, Sahli, additional, Hédi, Khairi, additional, Ali, Mtiraoui, additional, and Thouraya, Ajmi, additional
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- 2021
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11. Evaluation de la tenue du partogramme dans une maternité universitaire
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Manel Limam, Chekib Zedini, Meriem El Ghardallou, Menel Mellouli, Iheb Bougmiza, Jihéne Sahli, Hédi Khairi, Ali Mtiraoui, and Thouraya Nabli Ajmi
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partogramm ,évaluation ,audit clinique ,obstétrique ,Medicine - Abstract
INTRODUCTION: la mortalité maternelle est un problème majeur de santé mondiale. Une grande proportion de ces décès serait évitable par des soins adéquats, une aide à l'accouchement, la disponibilité des soins d'urgence et l'utilisation des outils d'aide à la décision tels que le partogramme. L'objectif était d'évaluer l'écart entre ce qui est censé être fait et ce qui est fait réellement pour les différents paramètres situés dans le partogramme au sein d'une maternité de 3ème niveau et élaborer des recommandations pour la mise en place d'un plan d'action. METHODES: il s'agit d'une étude descriptive rétrospective par audit clinique, effectuée sur un échantillon de 400 dossiers obstétricaux des parturientes ayant accouchées dans la maternité du CHU Farhat Hached durant l'année 2011. Le référentiel utilisé est celui réalisé par l'Agence Nationale d'Accréditation et d'Evaluation en Santé en l'an 2000, concernant la qualité de la tenue du partogramme. RESULTATS: la majorité des critères d'évaluation portant sur la présentation du partogramme était conforme. Deux critères concernant la variété de la présentation et le rythme cardiaque f�tal étaient non conformes parmi ceux portant sur la surveillance du f�tus. Plusieurs critères en rapport avec la surveillance de la mère étaient non conformes. Aucun des critères portant sur les traitements administrés et les marqueurs d'évènements n'est conforme. Les critères portant sur la naissance et la surveillance immédiate qui étaient non conformes sont : le début des efforts expulsifs, le mode d'accouchement, l'état du périnée, la délivrance et la révision utérine. CONCLUSION: la véritable démarche de l'audit clinique se doit d'aller au-delà du recueil et de l'analyse des données, le but final étant l'amélioration des pratiques.
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- 2015
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12. La médecine générale perçue par les étudiants de la faculté de médecine de Sousse (Tunisie)
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Chekib Zedini, Manel Limam, Mariem El Ghardallou, Menel Mallouli, Tarek Mestiri, Iheb Bougmiza, Thouraya Ajmi, and Ali Mtiraoui
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médecine générale ,enseignement médical ,choix de spécialité ,Medicine - Abstract
INTRODUCTION: Les étudiants en début du cursus suivent la même formation hospitalo-universitaire, cependant, ils sont peu nombreux à choisir délibérément la médecine générale comme discipline d'exercice médical. notre objectifest de préciser auprès des étudiants en médecine, les facteurs qui déterminent le choix de la médecine générale comme carrière et leur vision de cette discipline. METHODES: Etude descriptive transversale menée auprès d'un échantillon d'étudiants inscrits à la faculté de médecine de Sousse (Tunisie) pour l'année universitaire 2012-2013. Le recueil des données a été pratiqué par l'intermédiaire d'un questionnaire conçu pour les fins de ce travail. La saisie et l'analyse des données ont été effectuées par le logiciel SPSS 18.0. RESULTATS: Notre étude a porté sur 388 étudiants dont 69,5% étaient du genre féminin. L'âge moyen était de 22,1 2,8 ans. Cent étudiants (25,8%) avaient un parent cadre de santé sans que cela n'ait une influence sur le choix de carrière. A l'entrée à la faculté, seulement 7,1% (n=27) voulaient faire de la médecine générale leur carrière. Le changement de choix vers la médecine générale est statistiquement différent à l'entrée et à la sortie de la faculté chez les internes finissants. CONCLUSION: Afin d'attirer davantage les étudiants vers la médecine générale, il serait judicieux d'adopter des changements majeurs touchant l'enseignement théorique et pratique et de modifier les conditions de travail en fonction des attentes des générations futures.
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- 2014
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13. Impact on Survival of Nuclear Atypia in Epithelioid Malignant Mesothelioma
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Manel Limam, Mona Mlika, Aida Benzarti, and Faouzi El Mezni
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Mesothelioma ,Pulmonary and Respiratory Medicine ,Pathology ,medicine.medical_specialty ,Lung Neoplasms ,Necrosis ,Biphasic Mesothelioma ,malignant mesothelioma ,prognosis ,epithelioid mesothelioma ,Stroma ,medicine ,Humans ,Nuclear atypia ,Stage (cooking) ,neoplasms ,business.industry ,Epithelioid Cells ,Mesothelioma, Malignant ,Middle Aged ,Prognosis ,medicine.disease ,Sarcomatoid Mesothelioma ,respiratory tract diseases ,Desmoplasia ,Survival Rate ,Female ,Neoplasm Grading ,medicine.symptom ,business - Abstract
Introduction: Malignant pleural mesothelioma is a rare tumour with a bad prognosis. The only consensual prognostic factors are represented by the stage and the histologic type. Concerning the histologic type, epithelioid mesothelioma is known to have better prognosis in comparison with the sarcomatoid and biphasic types. Epithelioid mesotheliomas have been reported to be a heterogeneous prognostic group. Our aim was to assess the impact on the survival of different characteristics of epithelioid mesothelioma, including nuclear atypia, mitotic count, MIB-1 index, inflammatory host response, stromal desmoplasia, necrosis, vascular emboli and invasion depth. Material and methods: We performed a study of survival of 30 malignant pleural mesotheliomas according to the different parameters studied. Results: The study included 26 women and 4 men. The mean age of the patients was 61 years. The microscopic exam concluded to an epithelioid mesothelioma in 17 cases, sarcomatoid mesothelioma in 4 cases and biphasic mesothelioma in 9 cases. The 17 cases of epithelioid mesothelioma developed severe nuclear atypia in 6 cases and mild nuclear atypia in 11 cases. The mitotic count and the MIB-1 score were respectively inferior to 5 mitoses/50 HPF and inferior to 10% in 11 cases and were superior to 5 mitoses/50 HPF and superior to 10% in 6 cases. No vascular emboli were recorded. Tumour necrosis was reported in 1 case. The inflammatory host response was severe in 4 cases and mild in 13 cases. The tumoral stroma was desmoplastic in 4 cases. The invasion depth was superior to 0.5 mm in 16 cases. The median overall survival amounted to 180 days. Nuclear atypia was the only feature that had impact on survival in the group of epithelioid mesothelioma. Conclusions: Our results highlight the correlation of nuclear atypia with survival.
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- 2019
14. Response to clopidogrel and of the cytochrome CYP2C19 gene polymorphism
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Rim, Charfi, Khadija, Mzoughi, Miriam, Boughalleb, Henda, Hosni, Soumaya, Kouidhi, Imen, Sfar, Nadia, Hammami, Ihsen, Zaïri, Manel, Limam, Chekib, Zedini, A, Mrabet, Anis, Klouz, Yousr, Gorgi, Maher, Kharrat, Hédi, Baccar, and Sameh, Trabelsi
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Adult ,Aged, 80 and over ,Male ,Heterozygote ,Polymorphism, Genetic ,Tunisia ,Drug-Related Side Effects and Adverse Reactions ,Genotype ,Genotyping Techniques ,Hemorrhage ,Coronary Artery Disease ,Middle Aged ,Clopidogrel ,Pharmacogenomic Testing ,Cytochrome P-450 CYP2C19 ,Gene Frequency ,Cardiovascular Diseases ,Humans ,Female ,Genetic Predisposition to Disease ,Longitudinal Studies ,Aged - Abstract
Clopidogrel (clopi) is a prodrug widely prescribed in the management of coronary artery disease and requires the intervention of hepatic cytochrome P450 2C19 (CYP2C19) for its activation. However, there is interindividual variability in response to clopi despite the use of recommended doses. Thus, the studies have highlighted the effect of the CYP2C19 gene polymorphism or Cyp2C19 gene on the response to clopi and particularly Cyp2C19 * 2 which may be associated with an increased risk of major cardiovascular events or MACE.To evaluate the effect of Cyp2C19 * 2 polymorphism on MACE occurrence and hemorrhagic complications in patients treated with clopi.We carried out a descriptive longitudinal study including 71 patients placed under clopi for a minimum duration of one month. Genotyping of the Cyp2C19 allele was performed by conventional polymerase chain reaction (PCR). After a follow-up period of 495 ± 183 days, we performed a statistical analysis to evaluate the association between the Cyp2C19 * 2 polymorphism and the occurrence of MACE or hemorrhagic complications.Among our patients, 51% had an angioplasty, 42% medical treatment and 7% a coronary artery bypass surgery. In our study population, 52% were heterozygous (HTZ), 28% homozygous (HMZ) healthy * 1 / * 1 and 20% HMZ had the loss of function allele * 2 / * 2. The allelic frequency of Cyp2C19 * 2 was 46%. Follow-up mean duration was of 495 ± 183 days. During this period, the prevalence of MACE was 11% and that of hemorrhagic complications was 13%. In our study, we did not observe a significant association between the occurrence of MACE or hemorrhagic complications with the genotype carrying the Cyp2C19 * 2 allele.Among patients treated with clopi, wearing a Cyp2C19 * 2 function loss allele didn't seem to be associated with a significantly higher risk of MACE, nor a significantly lower risk of hemorragic complications. This suggests the necessity of larger studies.
- Published
- 2018
15. Smoking and associated factors among school teenagers in the city of Sousse (Smoking and school teenagers)
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Manel, Limam, Maryem, Marzouki, Mariem, El Ghardallou, Jihène, Sahli, Thouraya, Ajmi, and Chekib, Zedini
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Male ,Schools ,Tunisia ,Adolescent ,Smoking ,Urbanization ,Age Factors ,Young Adult ,Cross-Sectional Studies ,Adolescent Behavior ,Risk Factors ,Surveys and Questionnaires ,Prevalence ,Humans ,Female ,Child ,Students - Abstract
Tobacco use among teenagers in an increasing concern for the international community, especially with the fact that early experimentation is now identified as a risk factor for durable consumption and addiction.To study Tobacco use and its determinants amongteenagers in the city of Sousse.A descriptive cross-sectionalstudy was carried out among a sample of teenagers enrolled in the city of Sousse (Tunisia) in 2016-2017. A two-stage sampling was conducted for the selection of adolescents. Data were collected using a self-administered questionnaire in Arabic language.The sample consisted of 330 students. The prevalence of smoking was 9.7%(95% CI6,7% ;13%), with a male predominance (14.4% vs 6.3%). The mean age of onset of tobacco was 14.65 ± 1.38 years. 44.8% of parents ignore their children's smoking. The mean dependence score was 4.77 ± 3.6 (HONC test). Factors significantly associated with smoking were gender, age, educational level, repeating school years, relationship with parents and teachers, presence of smokers in the environment, knowledge about the health risks of tobacco.Sensitizationactions should be strengthened within schools, starting even in primary schools, in collaboration with teachers, family and health professionals. In addition, more effective and rigorous enforcement of legislation is essential.
- Published
- 2018
16. [Safety culture in Tunisian primary health care: A multicenter study]
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Manel, Mallouli, Wiem, Aouicha, Mohamed Ayoub, Tlili, Manel, Limam, Thouraya, Ajmi, Ali, Mtiraoui, and Chekib, Zedini
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Adult ,Male ,Safety Management ,Cross-Sectional Studies ,Tunisia ,Primary Health Care ,Surveys and Questionnaires ,Humans ,Female ,Patient Safety ,Organizational Culture - Abstract
To assess safety culture in primary healthcare centres and to explore its associated factors.This multicentre cross-sectional descriptive study was conducted in the 30 primary healthcare centres in central Tunisia and used the validated French version of the Hospital Survey on Patient Safety Culture questionnaire' (HSOPSC).A total of 214 professionals participated, corresponding to a response rate of 85%. The ?Teamwork within centres? dimension had the highest score (71.5%). However, two safety dimensions had very low scores: ?Frequency of event reporting?, ?Non-punitive response to errors? with percentages of 31.4% and 35.4%, respectively. Among the associated factors, the ?Frequency of reported events? dimension was significantly higher among professionals involved in risk management committees (p = 0.01).This study demonstrates that the level of safety culture needs to be improved in primary healthcare centres in Tunisia and also highlights the need to implement a quality management system in primary healthcare centres.
- Published
- 2018
17. Bullying Among Tunisian Middle School Students: the Prevalence, Psychosocial Associated Factors and Perceived Involvement of Parents, Teachers and Classmates
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Jihene, Sahli, Menel, Mellouli, Meriam, El Ghardallou, Manel, Limam, Mouna, Gallas, Asma, Ammar, Ali, Mtiraoui, Thouraya Nebli, Ajmi, and Chekib, Zedini
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Male ,Parents ,Tunisia ,Adolescent ,Bullying ,Faculty ,Peer Group ,Aggression ,Cross-Sectional Studies ,Prevalence ,Humans ,Female ,Child ,Students - Abstract
Bullying is a serious public health concern remarkably common among youth. Involvement in bullying can lead to deleterious effect on the emotional well-being of pupils. The aim of this study was to assess the prevalence of bullying, its psychosocial associated factors and the perceived involvement of parents, teachers, and classmates to counteract this behavior.A cross-sectional study.We conducted this study in 2015 among a representative multistage sample of 1584 students enrolled in middle schools in the Region of Sousse using the revised Olweus Bully/Victim Questionnaire. It assesses the prevalence of bullying and covers qualitative details of bullying including psychosocial factors and perceived efforts of others to counteract bullying.11.7% of respondents were classified as pure victims, 7.8% as pure bullies, 3.2% as bully-victims and 75.5% as bystanders. Compared to other groups, the bully-victims were less likely to report a feeling of empathy and liking school. They were more likely to be afraid of being bullied, aggressive and to have fewer friends in the class. Only 30.3% of the victims indicated that they told someone about being bullied. The majority of the middle school students perceived that classmates (54.1%) and teachers (39.5%) did nothing to counteract bullying.Information about bullying is critical and must be gathered before effective intervention is planned. Parents, teachers and students should learn effective ways to handle the bullying problem since the most effective programs are comprehensive targeting students, schools, families and the community.
- Published
- 2017
18. Prevalence and Predictors of Internet Addiction among College Students in Sousse, Tunisia
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Menel, Mellouli, Nawel, Zammit, Manel, Limam, Meriam, Elghardallou, Ali, Mtiraoui, Thouraya, Ajmi, and Chekib, Zedini
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Adult ,Male ,Parents ,Internet ,Tunisia ,Universities ,Illicit Drugs ,Substance-Related Disorders ,Smoking ,Age Factors ,Behavior, Addictive ,Young Adult ,Cross-Sectional Studies ,Risk Factors ,Surveys and Questionnaires ,Prevalence ,Educational Status ,Humans ,Female ,Students - Abstract
Internet represents a revolution in the world of technology and communication all over the world including Tunisia. However, this technology has also introduced problematic use, especially among students. The current study aimed to determine the prevalence of Internet addiction among college students and its predictors in the region of Sousse, Tunisia.A cross-sectional study.The current study was conducted in the colleges of Sousse, Tunisia in 2012-2013. A self-administrated questionnaire was used to collect data from 556 students in 5 randomly selected colleges from the region. Collected data concerned socio-demographic characteristics, substances use and internet addiction using the Young Internet Addiction Test.The response rate was 96%. The mean age of participants was 21.8±2.2 yr. Females represented 51.8% of them. Poor control of internet use was found among 280 (54.0%; CI95%: 49.7, 58.3%) participants. Low education levels among parents, the young age, lifetime tobacco use and lifetime illicit drugs use were significantly associated with poor control of internet use among students (P0.001). While, the most influential factor on internet use among them was under-graduation with an adjusted odds ratio of 2.4 (CI95%: 1.7, 3.6).Poor control of internet use is highly prevalent among the college students of Sousse especially those under graduate. A national intervention program is required to reduce this problem among youth. A national study among both in-school and out-of-school adolescents and young people would identify at-risk groups and determine the most efficient time to intervene and prevent internet addiction.
- Published
- 2017
19. [Prevalence and associated factors of alcohol consumption among students of the Sousse region of Tunisia]
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Chekib, Zedini, Jihène, Sahli, Mariem, El Ghardallou, Manel, Mellouli, Manel, Limam, Saoussen, Bouhlel, Ali, Mtiraoui, and Thouraya, Nabli Ajmi
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Adult ,Male ,Young Adult ,Cross-Sectional Studies ,Tunisia ,Alcohol Drinking ,Prevalence ,Humans ,Female ,Alcohol Drinking in College - Abstract
Aim: This study was designed to assess the prevalence of alcohol consumption and factors associated with alcohol consumption among students of the Sousse region of Tunisia. Methods: This was a cross-sectional study conducted among 556 students of Sousse universities during the 2012-2013 academic year, using an anonymous self-report questionnaire. Data capture and statistical analysis were performed with SPSS software 18.0. Results: Our study population was composed of 268 males (48.2%) with a mean age of 21.8 ± 2.1 years. Eighty-four students (15.1%) had consumed alcohol at least once. On multivariate analysis, male gender (OR = 6.94; 95%CI = [2.32-20.72]), smoking (OR = 13.21; 95%CI = [6.20-27.78]), drug use (OR = 32.22; 95%CI = [6.73-154.26]) and parental alcohol consumption (OR = 4.31; 95%CI = [1.70-10.91]) were the factors significantly associated with alcohol consumption among students. Conclusion: This study was designed to determine the characteristics of alcohol consumption among Tunisian students. Alcohol consumption levels were comparable to those reported in the general population and were significantly related to smoking and drug use. The next step of this study will consist of developing strategies to prevent risk behaviours in the student population.
- Published
- 2017
20. [Determinants of paramedical staff motivation in a Tunisian hospital]
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Chekib, Zedini, Asma, Ben Cheikh, Manel, Limam, Yemma, Henrichi, Manel, Mellouli, Mariem, El Ghardallou, Ali, Mtiraoui, and Thouraya, Ajmi
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Adult ,Male ,Motivation ,Tunisia ,Hospitals, Public ,Allied Health Personnel ,Middle Aged ,Job Satisfaction ,Hospitals, University ,Cross-Sectional Studies ,Workforce ,Humans ,Female ,Quality of Health Care - Abstract
The results of this study will help guide public hospital human resource managers in the choice of measures designed to increase the motivation of their employees in order to ensure staff satisfaction as well as quality health care services./ce:para.
- Published
- 2017
21. Prevalence of overweight in schools in the rural region of Hazoua (Tozeur)
- Author
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Chekib, Zedini, Manel, Limam, Meriem, El Ghardallou, Manel, Mellouli, Karim, Sahouda, Iheb, Bougmiza, Ali, Mtiraoui, and Thouraya, Ajmi
- Abstract
Background Overweight in schools is a worrisome public health problem because they increase medium and long term risks of morbidity and mortality especially with an increased risk of persistence of obesity in adulthood. Aim To estimate the prevalence of overweight among school children and to identify its associated risk factors. Methods this is a descriptive cross-sectional study conducted among school students aged less than 18 years in the area of "Hazoua" (Tozeur). The references of BMI used for overweight and obesity are those of IOTF. The French BMI references are used to establish the prevalence of underweight. Data entry and analysis was performed using SPSS 20. Results Our sample included 445 students. The average BMI was 18.73±3.4 kg/m2. The prevalence of Underweight was 9.7%, while overweight and obesity have been reported among 6.7% of students. Overweight was significantly associated to gender and the practice of sport outside school. Conclusion Obesity in schools in the community of Hazoua is now lower than that reported in other studies. In contrast, we detected a problem of underweight, which deserves as much attention. Intervention programs should be established and whose objectives are to improve students' skills in terms of eating behavior and physical activity, these actions require collaboration at all levels.
- Published
- 2016
22. [Safety evaluation of anticancer drugs circuit in a regional hospital in Tunisia]
- Author
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Jihène, Sahli, Meriam, El Ghardallou, Iheb, Bougmiza, Besma, Henchiri, Manel, Limam, Rim, Mejdoub, Ali, Mtiraoui, and Thouraya, Ajmi
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Male ,anticancer drugs ,Tunisia ,Risk management ,Drug Compounding ,Occupational Exposure ,Research ,patient safety ,Humans ,Antineoplastic Agents ,Female ,Equipment Design ,Hospitals - Abstract
Introduction Parmi les événements indésirables, ceux liés au circuit des médicaments occupent une place importante et risquent de causer un préjudice grave aux patients. Dans ce contexte, nous avons mené cette étude dans l'optique de décrire et d’évaluer le circuit des médicaments anticancéreux dans un hôpital régional tunisien. Méthodes Il s'agit d'une étude évaluative du risque lié aux médicaments anticancéreux, type « visite de risque » menée sur une période de 15 jours au cours de l'année 2014 au service de cancérologie de l'hôpital régional de Gafsa (Tunisie). Cette méthode d’évaluation est inspirée de celle conduite par le projet « SECURIMED » développé par le Comité de Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine (CCECQA), en France. Résultats Dans notre étude, l'observation du circuit des médicaments anticancéreux a révélé certaines insuffisances. On a noté que la répartition des missions des différents acteurs est sujette parfois à des glissements de tâches. Un manque important ainsi que une inadéquation aux normes au niveau des équipements nécessaires pour la préparation et la protection des professionnels manipulant ces médicaments ont été également décelés. Conclusion La sécurisation du circuit des médicaments devrait être une priorité inscrite dans l'ensemble des démarches nationales et partagée par tous les intervenants et ce dans l'optique d'atteindre un objectif prémium: la qualité de la prise en charge globale et la sécurité des patients.
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- 2015
23. Illicit substance use among Tunisian college students: prevalence and risk factors
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Chekib, Zedini, primary, Zammit, Nawel, additional, Manel, Limam, additional, Menel, Mellouli, additional, Elghardallou, Meriam, additional, Jihen, Sahli, additional, Ali, Mtiraoui, additional, and Thouraya, Ajmi, additional
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- 2017
- Full Text
- View/download PDF
24. Illicit substance use among Tunisian college students: prevalence and risk factors.
- Author
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Chekib, Zedini, Zammit, Nawel, Manel, Limam, Menel, Mellouli, Elghardallou, Meriam, Jihen, Sahli, Ali, Mtiraoui, and Thouraya, Ajmi
- Abstract
Background Illicit substance use among college students represents one of the most complicated social problems. Studying its predictors could help deal with this problem more efficiently. Aims To determine the prevalence of life time illicit substance use and its predictors among Tunisian college students. Methods A cross-sectional study was conducted in five colleges in the region of Sousse, Tunisia in the 2012-2013 school year. A sample of 556 college students responded to an anonymous self-administrated questionnaire. Collected data concerned socio-demographic characteristics and substances use. Results The mean age of students was 21.8 ± 2.2 years. Females represented 51.8% of participants. Among respondents: 31 (5.6%) had used illicit substance at least once. Cannabis was the main substance used by 26 (4.7%) students. The average age of the illicit substance use initiation was 19 (±2.5) years while it was almost 17 (±3) years for both tobacco and alcohol use initiations. Proportions of male students and academic failure were significantly more important among illicit substance users than among non users. While the most influential factors on illicit substance use were: alcohol use, tobacco use and low socioeconomic level. Conclusion This study highlights the strong association between the other risk behaviors and illicit drug use. Future interventions should focus on the whole risk behaviors simultaneously at late adolescence with regard to the environmental context. [ABSTRACT FROM AUTHOR]
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- 2018
- Full Text
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25. [General medicine perceived by the students of the Faculty of Medicine of Sousse (Tunisia)]
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Chekib, Zedini, Manel, Limam, Mariem, El Ghardallou, Menel, Mallouli, Tarek, Mestiri, Iheb, Bougmiza, Thouraya, Ajmi, and Ali, Mtiraoui
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Adult ,Male ,choix de spécialité ,Students, Medical ,Tunisia ,Adolescent ,Career Choice ,Education, Medical ,Research ,medical training ,General Practice ,General medicine ,specialty choice ,Young Adult ,Cross-Sectional Studies ,Surveys and Questionnaires ,Médecine générale ,Humans ,Female ,Curriculum ,enseignement médical - Abstract
Introduction Les étudiants en début du cursus suivent la même formation hospitalo-universitaire, cependant, ils sont peu nombreux à choisir délibérément la médecine générale comme discipline d'exercice médical. Notre objectif est de préciser auprès des étudiants en médecine, les facteurs qui déterminent le choix de la médecine générale comme carrière et leur vision de cette discipline. Méthodes Etude descriptive transversale menée auprès d'un échantillon d’étudiants inscrits à la faculté de médecine de Sousse (Tunisie) pour l'année universitaire 2012-2013. Le recueil des données a été pratiqué par l'intermédiaire d'un questionnaire conçu pour les fins de ce travail. La saisie et l'analyse des données ont été effectuées par le logiciel SPSS 18.0. Résultats Notre étude a porté sur 388 étudiants dont 69,5% étaient du genre féminin. L’âge moyen était de 22,1 ± 2,8 ans. Cent étudiants (25,8%) avaient un parent cadre de santé sans que cela n'ait une influence sur le choix de carrière. A l'entrée à la faculté, seulement 7,1% (n = 27) voulaient faire de la médecine générale leur carrière. Le changement de choix vers la médecine générale est statistiquement différent à l'entrée et à la sortie de la faculté chez les internes finissants. Conclusion Afin d'attirer davantage les étudiants vers la médecine générale, il serait judicieux d'adopter des changements majeurs touchant l'enseignement théorique et pratique et de modifier les conditions de travail en fonction des attentes des générations futures.
- Published
- 2014
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