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October 2016: Anaesthesia, Critical Care & Pain Medicine
Ya-Qiang Wang, Yao-Tang Li, Rui-Wu Wang
By incorporating the effects of inbreeding depression (ID) on both juveniles and adults survivorship, we developed a new theoretical model for hermaphroditic perennial plants. Our model showed that the effect of the selfing rate on the evolutionarily stable strategy (ESS) reproductive allocation depends on three parameters: (1) the self-fertilized juvenile relative survivorship (SFJRS), (2) the self-fertilized adult relative survivorship (SFARS) and (3) the growth rate of self-fertilized adult, where the SFJRS is the survivorship of self-fertilized juveniles divided by the survivorship of outcrossed juveniles, and likewise for the SFARS...
September 29, 2016: Scientific Reports
David Schnell, Elie Azoulay, Dominique Benoit, Benjamin Clouzeau, Pierre Demaret, Stéphane Ducassou, Pierre Frange, Matthieu Lafaurie, Matthieu Legrand, Anne-Pascale Meert, Djamel Mokart, Jérôme Naudin, Frédéric Pene, Antoine Rabbat, Emmanuel Raffoux, Patricia Ribaud, Jean-Christophe Richard, François Vincent, Jean-Ralph Zahar, Michael Darmon
Neutropenia is defined by either an absolute or functional defect (acute myeloid leukemia or myelodysplastic syndrome) of polymorphonuclear neutrophils and is associated with high risk of specific complications that may require intensive care unit (ICU) admission. Specificities in the management of critically ill neutropenic patients prompted the establishment of guidelines dedicated to intensivists. These recommendations were drawn up by a panel of experts brought together by the French Intensive Care Society in collaboration with the French Group for Pediatric Intensive Care Emergencies, the French Society of Anesthesia and Intensive Care, the French Society of Hematology, the French Society for Hospital Hygiene, and the French Infectious Diseases Society...
December 2016: Annals of Intensive Care
Rasha Dabash, Tara Shochet, Selma Hajri, Héla Chelli, Anne-Emmanuele Hassairi, Douha Haleb, Hayet Labassi, Ezzedine Sfar, Fatma Temimi, Leah Koenig, Beverly Winikoff
BACKGROUND: This study was conducted to assess the efficacy and acceptability of using a multi-level pregnancy test (MLPT) combined with telephone follow-up for medical abortion in Tunisia, where the majority of providers are midwives. METHODS: Four hundred and four women with gestational age ≤ 70 days' LMP seeking medical abortion at six study sites were enrolled in this open-label trial. Participants administered a baseline MLPT at the clinic prior to mifepristone administration and were asked to take a second MLPT at home and to call in its results before returning the day of their scheduled follow-up visit 10-14 days later...
2016: BMC Women's Health
Hana Fenina, Dalenda Chelli, Mohamed Kacem Ben Fradj, Moncef Feki, Ezzeddine Sfar, Naziha Kaabachi
BACKGROUND: Vitamin D deficiency seems to be common in pregnant women and would be associated with an increased risk of maternal and fetal poor outcomes. This study aimed to determine the prevalence and the main risk factors for vitamin D deficiency in pregnant women living in a sun-rich environment. METHODS: A total of 255 pregnant women living in Tunis City (latitude, 36 degrees N) were randomly selected at 12 - 18 weeks of gestation. Plasma 25-hydroxyvitamin D (25-OHD) was assessed by chemiluminescence immunoassay method...
2016: Clinical Laboratory
Frédéric Aubrun, Emilie Chrétien, Laurent Letrilliart, Marine Ginoux, Manon Belhassen, Michel Lanteri-Minet, Eric Van Ganse, Hélène Beloeil
About a year after dextropropoxyphene (DXP) withdrawal from the French market, we conducted a survey among members of the French Society of Anesthesia & Intensive Care Medicine (Sfar) and of the French Society of the Study and Treatment of Pain (SFETD) to identify the indications for which this WHO level II analgesic had been prescribed, the prescriber's feedback following withdrawal, and the substitutive analgesics prescribed. DXP had been prescribed by more than 75% of the 430 anaesthesiologists and 230 pain specialists interviewed, mainly for acute and chronic non-cancer pain of moderate intensity...
June 16, 2016: Anaesthesia, Critical Care & Pain Medicine
Carole Ichai, Christophe Vinsonneau, Bertrand Souweine, Fabien Armando, Emmanuel Canet, Christophe Clec'h, Jean-Michel Constantin, Michaël Darmon, Jacques Duranteau, Théophille Gaillot, Arnaud Garnier, Laurent Jacob, Olivier Joannes-Boyau, Laurent Juillard, Didier Journois, Alexandre Lautrette, Laurent Muller, Matthieu Legrand, Nicolas Lerolle, Thomas Rimmelé, Eric Rondeau, Fabienne Tamion, Yannick Walrave, Lionel Velly
No abstract text is available yet for this article.
April 2016: Anaesthesia, Critical Care & Pain Medicine
Carole Ichai, Christophe Vinsonneau, Bertrand Souweine, Fabien Armando, Emmanuel Canet, Christophe Clec'h, Jean-Michel Constantin, Michaël Darmon, Jacques Duranteau, Théophille Gaillot, Arnaud Garnier, Laurent Jacob, Olivier Joannes-Boyau, Laurent Juillard, Didier Journois, Alexandre Lautrette, Laurent Muller, Matthieu Legrand, Nicolas Lerolle, Thomas Rimmelé, Eric Rondeau, Fabienne Tamion, Yannick Walrave, Lionel Velly
Acute kidney injury (AKI) is a syndrome that has progressed a great deal over the last 20 years. The decrease in urine output and the increase in classical renal biomarkers, such as blood urea nitrogen and serum creatinine, have largely been used as surrogate markers for decreased glomerular filtration rate (GFR), which defines AKI. However, using such markers of GFR as criteria for diagnosing AKI has several limits including the difficult diagnosis of non-organic AKI, also called "functional renal insufficiency" or "pre-renal insufficiency"...
December 2016: Annals of Intensive Care
Elif Ersoy Callioglu, A Sami Bercin, Hayati Kale, Togay Muderris, Sule Demirci, Arzu Tuzuner, M Hakan Korkmaz
OBJECTIVE: The aim of the present study was to investigate the effect of allergic rhinitis on the success of the operation in chronic otitis surgery by using score for allergic rhinitis (SFAR). MATERIALS AND METHODS: In the present study; 121 patients, who underwent type 1 tympanoplasty were examined retrospectively. SFAR of all patients were recorded. The graft success rates of 26 patients with allergic rhinitis (AR) and 95 patients with no allergic rhinitis group (NAR) were compared...
2016: Acta Medica (Hradec Králové)
I Habibi, F Kort, I Sfar, A Chebil, R Bouraoui, T Ben Abdallah, Y Gorgi, L El Matri
Purpose. The aim of this pharmacogenetic study was to evaluate the impact of high-risk alleles in factor H, factor C3 and vascular endothelial growth factor (VEGF) on the response to intravitreal bevacizumab in patients with neovascular age-related macular degeneration (AMD) in a Tunisian population. Methods. Ninety patients with active neovascular AMD treated with intravitreal bevacizumab injections were enrolled in the study. Treatment response was evaluated by comparing BCVA at baseline and at 12 months...
April 2016: Klinische Monatsblätter Für Augenheilkunde
Hatem S Badran, Ahmed Hussein, Mohamad Salah, Wassim T Lotfi
OBJECTIVES: To evaluate the diagnostic yield of skin prick test (SPT) and serum total immunoglobulin E (IgE) antibodies level in patients with allergic rhinitis (AR) and the role of nasal provocation test (NPT) for the determination of local allergic rhinitis (LAR) in patients with nonallergic rhinitis (NAR). METHODOLOGY: This multi-center study included 1230 patients with clinical manifestations for ≥2 years. Patients were classified according to the Allergic Rhinitis and Its Impact on Asthma (ARIA) and scored according to the quantitative Score for Allergic Rhinitis (SFAR)...
August 2016: Annals of Otology, Rhinology, and Laryngology
Amel Benammar Elgaaied, Donato Cascio, Salvatore Bruno, Maria Cristina Ciaccio, Marco Cipolla, Alessandro Fauci, Rossella Morgante, Vincenzo Taormina, Yousr Gorgi, Raja Marrakchi Triki, Melika Ben Ahmed, Hechmi Louzir, Sadok Yalaoui, Sfar Imene, Yassine Issaoui, Ahmed Abidi, Myriam Ammar, Walid Bedhiafi, Oussama Ben Fraj, Rym Bouhaha, Khouloud Hamdi, Koudhi Soumaya, Bilel Neili, Gati Asma, Mariano Lucchese, Maria Catanzaro, Vincenza Barbara, Ignazio Brusca, Maria Fregapane, Gaetano Amato, Giuseppe Friscia, Trai Neila, Souayeh Turkia, Haouami Youssra, Raja Rekik, Hayet Bouokez, Maria Vasile Simone, Francesco Fauci, Giuseppe Raso
Antinuclear antibodies (ANAs) are significant biomarkers in the diagnosis of autoimmune diseases in humans, done by mean of Indirect ImmunoFluorescence (IIF) method, and performed by analyzing patterns and fluorescence intensity. This paper introduces the AIDA Project (autoimmunity: diagnosis assisted by computer) developed in the framework of an Italy-Tunisia cross-border cooperation and its preliminary results. A database of interpreted IIF images is being collected through the exchange of images and double reporting and a Gold Standard database, containing around 1000 double reported images, has been settled...
2016: BioMed Research International
Xavier Millán, Lorenzo Azzalini, Razi Khan, Daniel Cournoyer, Jean-François Dorval, Reda Ibrahim, Raoul Bonan, Anita W Asgar
BACKGROUND: Vascular complications (VC) are a serious and frequent complication of transfemoral transcatheter aortic valve implantation (TAVI) and result in increased morbidity and mortality. It has been suggested that newly developed vascular sheaths may increase the ability to perform transfemoral TAVI in patients with normal and access-limiting peripheral artery disease (PAD) and reduce vascular complications. AIMS: We sought to assess the safety and efficacy of the 19 French (F) SoloPath balloon-expandable transfemoral vascular access system in patients who underwent transfemoral TAVI at our center between 2011 and 2014...
March 31, 2016: Catheterization and Cardiovascular Interventions
Benoît Plaud, Jean-Yves Lefrant
No abstract text is available yet for this article.
February 2016: Anaesthesia, Critical Care & Pain Medicine
I Ksira, K Ounaissa, W Grira, H Sfar, A Ben Brahim, A Abid
OBJECTIFS: Les objectifs de notre étude étaient de déterminer la fréquence de l'HTA chez les patients diabétiques de type 2, de décrire le profil clinique de ces patients, de préciser les modalités thérapeutiques et de déterminer le rôle de l'HTA dans l'aggravation des complications chroniques du diabète. L'HTA est fréquemment associée au diabète, majorant ainsi le risque cardiovasculaire des patients diabétiques. MéTHODES: Étude rétrospective descriptive incluant 100 patients diabétiques de type 2 suivis à l'hôpital de jour de l'Institut National de Nutrition durant le premier trimestre de l'année 2015...
December 2015: Annales de Cardiologie et D'angéiologie
W Grira, A Ben Brahim, K Ounaissa, I Ksira, H Sfar, A Abid
OBJECTIFS: L'association entre l'hypertension artérielle (HTA) gravidique et le diabète gestationnel (DG) est fortement évoquée. L'objectif de notre étude est d'évaluer le profil tensionnel au cours de DG. MéTHODES: Étude rétrospective sur 3 mois (entre décembre 2014 et février 2015) ayant inclus 100 patientes adressées à notre service pour DG. Le diagnostic de DG a été retenu sur les critères de l'OMS ou l'ADA 2015. Le diagnostic d'HTA gravidique a été posé sur une tension artérielle systolique (TAS) supérieure ou égale à 14 cmHg et ou une tension artérielle diastolique (TAD) supérieure ou égale à 9 cmHg...
December 2015: Annales de Cardiologie et D'angéiologie
K Ounaissa, I Ksira, M Ben Romdhane, S Boumefteh, H Sfar, W Grira, A Ben Brahim, A Abid, H Jamoussi
OBJECTIFS: L'obésité infantile est un problème de santé publique. Elle constitue un véritable tremplin aux complications métaboliques et cardiovasculaires, dont l'hypertension artérielle. Les objectifs de notre étude étaient de décrire le profil tensionnel d'une population d'enfants et d'adolescents obèses et d'étudier les relations entre le profil tensionnel de ces jeunes, et d'une part les paramètres anthropométriques, et d'autre part l'alimentation spontanée. MéTHODES: Il s'agit d'une étude transversale rétrospective ayant concerné 39 enfants et adolescents obèses recrutés à l'Unité de Recherche sur l'Obésité Humaine à l'Institut National de Nutrition et de Technologie Alimentaire de Tunis...
December 2015: Annales de Cardiologie et D'angéiologie
H Sfar, K Ouneissa, W Grira, I Ksira, A Ben Brahim, R Jaafoura, A M Abid
OBJECTIFS: étudier le mode de vie et les facteurs favorisant la pré-hypertension artérielle chez l'adulte. MéTHODES: Notre étude est prospective et transversale portant sur 150 adultes âgés de 20 à 60 ans en activité professionnelle. Nous avons recueilli les données concernant les caractéristiques personnelles des sujets, la consommation de tabac, et nous avons mesuré les paramétres anthropométriques. La tension artérielle est mesurée par un brassard large type sphygmomanomètre par la méthode auscultatoire, selon les recommandations européennes et suisses...
December 2015: Annales de Cardiologie et D'angéiologie
H Ben Hamouda, S Ghanmi, H Soua, M T Sfar
Imperforate hymen is the most frequent congenital malformation of the female genital tract and usually remains asymptomatic until puberty. The diagnosis of this malformation is rarely made at birth and surgical treatment is often by hymenotomy. However, spontaneous rupture of the imperforate hymen is possible but is very rare. We report two cases of imperforate hymen revealed by mucocolpos at birth. Ultrasound examination does not objectify hydrocolpos or hydrometrocolpos. Spontaneous rupture of the imperforate hymen was observed respectively in the 4th and 7th day of life with a satisfactory result at 1 month of age...
March 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Loïc Sentilhes, Christophe Vayssière, Catherine Deneux-Tharaux, Antoine Guy Aya, Françoise Bayoumeu, Marie-Pierre Bonnet, Rachid Djoudi, Patricia Dolley, Michel Dreyfus, Chantal Ducroux-Schouwey, Corinne Dupont, Anne François, Denis Gallot, Jean-Baptiste Haumonté, Cyril Huissoud, Gilles Kayem, Hawa Keita, Bruno Langer, Alexandre Mignon, Olivier Morel, Olivier Parant, Jean-Pierre Pelage, Emmanuelle Phan, Mathias Rossignol, Véronique Tessier, Frédéric J Mercier, François Goffinet
Postpartum haemorrhage (PPH) is defined as blood loss ≥500mL after delivery and severe PPH as blood loss ≥1000mL, regardless of the route of delivery (professional consensus). The preventive administration of uterotonic agents just after delivery is effective in reducing the incidence of PPH and its systematic use is recommended, regardless of the route of delivery (Grade A). Oxytocin is the first-line prophylactic drug, regardless of the route of delivery (Grade A); a slowly dose of 5 or 10 IU can be administered (Grade A) either IV or IM (professional consensus)...
March 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
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