Le Hezbollah au miroir de ses médias

A travers une première restitution historique des métamorphoses de l'appareil médiatique du Hezbollah libanais ce chapitre explore les représentations et les symboles qu'il déploie ainsi que les mécanismes de légitimation qu'il met en oeuvre

Tunisie : quelle transition démocratique ?

This chapter analyzes the social and historical importance of the Tunisian « medical coup d'état » of November 7, 1987, and tries to explain why the subsequent social calm did not lead to a lasting institutional arrangement favoring the development of a pluralist public space with some degree of independence from the political regime.Ce chapitre se propose d'appréhender la signification socio-historique du « coup d'Etat médical » du 7 novembre 1987 en Tunisie en tentant de comprendre pourquoi le relatif apaisement social enclenché à cette date n'a pas engendré un arrangement institutionnel durable permettant de favoriser l'émergence d'un espace public pluraliste, un tant soit peu autonome du régime politique

La Syrie et le Hezbollah : partenaires sous contrainte ?

In spite of the swings in the policies of the Damascus' government between alliance and confrontation with various actors on the Lebanese political scene, three distinct moments appear in the relations between Syria and the Lebanese Hezbollah. This article aims at showing the successive political issues that have shaped the latter from the founding of the Party of God in 1985 to the present day.En dépit des retournements qui marquent la politique d'alliance ou d'affrontement de Damas avec les différents acteurs du champ politique libanais, trois moments distincts apparaissent dans la relation entre la Syrie et le Hezbollah libanais. Cet article se propose d'en pointer les enjeux politiques successifs qui ont façonné cette dernière depuis l'apparition en 1985 du parti de Dieu et ce jusqu'à nos jours

Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis.

Objective: High blood pressure is the leading risk factor for cardiovascular disease. The hypertension care cascade (HCC) is increasingly being used to evaluate the effectiveness of interventions. This systematic review aims to examine HCC in low-income settings. Methods: The search strategy included articles published between January 2010 and April 2023. We excluded studies with incomplete HCC, on fragile patients or aged <18 years, reviews. We used the MOOSE guideline. Five researchers retrieved data on the survey year, country, population, HCC and diagnostic methods for hypertension. We used JBI Critical Appraisal Tools for quality assessment. Results: Ninety-five articles were analyzed. Average hypertension prevalence was 33% (95% CI: 31%-34%), lower in LICs than in LMICs (25% vs. 34%). The overall mean awareness of hypertension was 48% (95% CI: 45%-51%), its treatment was 35% (95% IC: 32%-38%) and its control 16% (95% CI: 14%-18%). In almost all steps, percentages were lower in LICs and in Sub-Saharan Africa. Conclusion: Trends in HCC vary between countries, with poorer performance in LICs. This review highlights the need for interventions tailored to low-income settings in order to improve hypertension care

Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis

Objective: High blood pressure is the leading risk factor for cardiovascular disease. The hypertension care cascade (HCC) is increasingly being used to evaluate the effectiveness of interventions. This systematic review aims to examine HCC in low-income settings.Methods: The search strategy included articles published between January 2010 and April 2023. We excluded studies with incomplete HCC, on fragile patients or aged &lt;18 years, reviews. We used the MOOSE guideline. Five researchers retrieved data on the survey year, country, population, HCC and diagnostic methods for hypertension. We used JBI Critical Appraisal Tools for quality assessment.Results: Ninety-five articles were analyzed. Average hypertension prevalence was 33% (95% CI: 31%–34%), lower in LICs than in LMICs (25% vs. 34%). The overall mean awareness of hypertension was 48% (95% CI: 45%–51%), its treatment was 35% (95% IC: 32%–38%) and its control 16% (95% CI: 14%–18%). In almost all steps, percentages were lower in LICs and in Sub-Saharan Africa.Conclusion: Trends in HCC vary between countries, with poorer performance in LICs. This review highlights the need for interventions tailored to low-income settings in order to improve hypertension care

Une colite à CMV révélant un lupus érythémateux systémique

Le cytomégalovirus (CMV) est responsable d’infections souvent asymptomatiques chez les immunocompétents mais également d’infections graves chez les immunodéprimés notamment chez les patients lupiques. La réactivation du CMV au cours du lupus est une complication fréquente mais rarement inaugurale. Nous rapportons l’observation d’un patient ayant présenté une colite à CMV révélatrice d’un lupus érythémateux systémique. Le diagnostic a été retenu sur les données sérologiques, de la biopsie colique et la bonne évolution après un traitement par ganciclovir

A Rare Cause of Lobular Panniculitis: Munchausen's Syndrome

We describe a case of a 40-year-old woman who presented with ecchymoses of the right leg and who was found to have lobular panniculitis in biopsy due to Munchausen's Syndrome

A Systematic Review of Clinical Practice Guidelines for Caries Prevention following the AGREE II Checklist.

Untreated oral diseases are detrimental to overall well-being and quality of life and are in close relationship with social and economic consequences. The presence of strong evidence for caries primary and secondary prevention is a compulsory tool for the development of clinical practice guidelines (CPGs). This paper was aimed to assess systematically the importance of clinical practice guidelines in caries prevention management considering both the adult and pediatric populations and evaluate them using the Appraisal of Guidelines for Research and Evaluation (AGREE II) Checklist. Records were extracted from EMBASE, SCOPUS, PubMed/Medline and seven other relevant guideline databases between 6 January and 14 February 2023. Two reviewers independently conducted the appraisal using the web-based platform My AGREE PLUS. Twenty-one guidelines/papers met the inclusion criteria and were reviewed. Eight CPGs included both primary and secondary prevention interventions, whereas thirteen presented a single preventive model. Overall, 12 guidelines were published in the USA. The mean AGREE II scores ranged from 35.4% to 84.3%. Of the total twenty-one included guidelines, twelve were classified as "Recommended", ranging from 56.3% to 84.3%, the others were described as "Recommended with modification", ranging from 35.4% to 68.9%. From the AGREE II analysis carried out, the CPGs included in this survey adopted a punctual methodological rigor but lacked applicative power. The present survey showed that the public, as the primary beneficiary, played a limited role in the development of the twenty-one CPGs. Hence, methodological improvement can better support high-quality CPG development in the future

Oral Health Survey in Burundi; Evaluation of the Caries Experience in Schoolchildren Using the DMFT Index.

Background and objectives: There are no data on oral health in the population of Burundi. This study aimed to describe the oral health status of schoolchildren in Burundi using the dmft/DMFT index for the first time. Materials and methods: The study was designed as a cross-sectional population-based epidemiological survey. The survey was designed according to the WHO methodology for oral health surveys. Oral examinations were conducted in school rooms using a dental mirror, probe, and headlight. The following characteristics of primary dentition status were recorded: decayed (d/D), missing (m/M), and filled (f/F) teeth, and the dmft/DMFT (d + m + f t/D + M + F T) index was calculated for each subject. Quantitative and qualitative variables were represented by measures of position and variability. One-way ANOVA was used to assess differences between parametric variables. Logistic regression was performed for total caries experience and gender, age groups, living area, and geographical provinces. Results: A total of 1902 children were examined, 1007 (52.94%) six-year-olds and 895 (47.06%) in the older group. The dmft/DMFT and subgroups were statistically significantly different in terms of age groups, living areas, and geographical regions (dmft/DMFT d-subgroup and D-subgroup p < 0.01), but only for DMFT for sex. The ORs estimated by logistic regression by total caries experience showed a protective effect for 12 year old subjects and those living in southern provinces, an OR of 0.52 (95%CI 0.43-0.64) and an OR of 0.26 (95%CI 0.21-0.32), respectively. Conclusions: Dental caries in African countries, including Burundi, remains a major problem affecting the general health and wellbeing of the population. Tackling untreated caries requires a multifaceted approach, including strengthening oral health infrastructure, promoting oral health education, providing affordable dental services, and encouraging healthier eating habits

Creatividad y construcción arquitectónica de vanguardia : estudio sobre proceso de invención y modelo didáctico de aplicación para el desarrollo creativo en la enseñanza [sic] aprendizaje en la introducción al diseño arquitectónico

En esta tesis, se profundiza en los estudios sobre el fenómeno de la creatividad aplicada en diferentes ámbitos de estudio, de la época de finales del siglo XIX principios del XX. La hipótesis planteada en este trabajo se centra en la posibilidad de dar a conocer el proceso del pensamiento creativo a los profesores-arquitectos, para que éstos puedan innovar y valorar el material adecuado en el desarrollo de la actividad creativa, y emplearlo con los alumnos de los dos primeros semestres de la carrera de ingeniero arquitecto, en el Instituto Politécnico Nacional (IPN) de México. El estudio se enfoca a realizar una exhaustiva revisión bibliográfica de las teorías de la creatividad, los entornos de aprendizaje, el arte moderno y la arquitectura, determinando algunas características y desarrollos especulativos, para luego cotejarlos con el análisis de dos obras arquitectónicas de gran envergadura. Se consultaron los programas de estudio de dos asignaturas de la etapa formativa de la carrera de ingeniero arquitecto, relacionadas con el diseño arquitectónico y el Nuevo Modelo Educativo del IPN.MadridBellas Artes, Sección de Tesis Doctorales y Publicaciones Académicas; El Greco 2, Ciudad Universitaria; 28040 Madrid; +34913943626; [email protected] de la Univerisdad Complutense. Servicio de Tesis Doctorales y Publicaciones Académicas; Noviciado, 3; 28015 Madrid; Tel. +34913946641; Fax +34913946599; [email protected]