Prevalence and risk factors of low back pain among undergraduate students of a sports and physical education institute in Tunisia

Introduction: For obvious reasons, athletes are at greater risk of sustaining a lumber (lower) spine injury due to physical activity. To our knowledge, no previous studies have examined the prevalence of low back pain (LBP) in a Tunisian sports and physical education institute.Aim: To assess the prevalence of LBP in different sports among students studying in a sports and physical education institute in Tunisia, to determine the causes of the injuries, and to propose solutions.Methods: A total of 3,379 boys and 2,579 girls were studied. A retrospective cross-sectional survey was conducted on a group of students aged 18.524.5 years at the Higher Institute of Sport and Physical Education of Sfax to estimate the prevalence of LBP and its relation to the type of sports. Data on age, weight, height, smoking, and the sport in which the student was injured in the low back were collected from the institute health service records from 2005 until 2013.Results: LBP was reported by 879 of the 5,958 study participants (14.8%). The prevalence of LBP was significantly higher (pB0.001) in females (17.6%) than in males (12.5%). LBP prevalence did not differ by body mass index or smoking habit (p0.05). The sports associated with the higher rates of LBP were gymnastics, judo, handball, and volleyball, followed by basketball and athletics.Conclusion: LBP is frequent among undergraduate students of a sports and physical education institute in Tunisia. It is strongly associated with fatigue after the long periods of training in different sports. Gymnastics, judo, handball, and volleyball were identified as high-risk sports for causing LBP.Keywords: low back pain; sports students; sports training; risk factor

Efecto del extracto de cáscara de granada tunecina sobre la estabilidad oxidativa del aceite de maíz en condiciones de calentamiento

The effect of pomegranate peel extract (PPE) on the oxidative stability of corn oil during heating was studied. Oxidation was followed by determining peroxide value (PV), p-anisidine value (p-AV), free fatty acid value (FFA), conjugated dienes (CD), conjugated trienes hydroperoxides (CT) and the calculated total oxidation value (TOTOX). Polyphenol (TPC) and ortho-diphenol (TOPC) contents as well as the antioxidant activity of each oil sample were evaluated before and after heating. PPE showed a significant inhibitory effect on lipid oxidation. Heating samples for 8 hours supplemented by PPE to a level of 1000 ppm resulted in the highest significant decreases in investigated indices compared to the control and BHT values. It was concluded that the antioxidant activity of PPE delayed oxidation and can be used in the food industry to prevent and reduce lipid deterioration in oil.Se estudió el efecto del extracto de cáscara de granada (ECG) sobre la estabilidad oxidativa del aceite de maíz durante condiciones de calentamiento. La oxidación se siguió mediante la determinación del índice de peróxido (IP), el índice de p-anisidina (p-AV), el índice de acidez (IA), los dienos conjugados (DC), los hidroperóxidos de trienos conjugados (TC) y el valor calculado de la oxidación total (TOTOX). Se evaluó el contenido de polifenoles totales (PT) y de orto-difenoles (o-DF), así como la actividad antioxidante de cada muestra de aceite, antes y después del calentamiento. El ECG mostró un efecto inhibidor significativo sobre la oxidación de lípidos. El calentamiento de las muestras, durante 8 horas suplementadas con ECG a un nivel de 1000 ppm, dio como resultado una significativa disminución de los índices investigados en relación con los valores de control y con BHT. Se concluyó que la actividad antioxidante de los ECG retrasó la oxidación y que se puede utilizar en la industria alimentaria para prevenir y reducir el deterioro de los lípidos del aceite

Carcinome adenoide kystique sous-glottique

Introduction: Laryngeal adenoid cystic carcinoma (ACC) is unusual. It accounts for 0.25% of all malignant tumors in the larynx, and only about 120 cases have been reported in the literature until now.Purpose: We report a case of subglottic ACC and examine the clinical, diagnostic, histological and therapeutic features and the outcome of this tumor in this location.Case report: A 75-year-old man, presented with a laryngeal dyspnea. The computed tomography of the larynx showed a posterior subglottic tumor. The panendoscopy revealed a large nonulcerated submucosal tumor in the posterior wall of the subglottic area. Biopsies made the diagnosis of laryngeal ACC. The patient had total laryngectomy with total thyroidectomyand bilateral lateral neck dissection. Histological examination didn't find neck metastases. The surgery was followed by a postoperative radiotherapy. There were no local recurrence or distant metastases during one year and half of follow-up.Conclusions: ACC shows a very slow growth pattern. Its diagnosis is often delayed and its treatment is based on surgery and postoperative radiotherapy. This tumor is characterized by the occurrence of local recurrence and distant metastases often several years after treatment of the primary tumor.Keywords: adenoid cystic carcinoma, subglottic, surgery, postoperative radiotherapy, survival

Adénome pléomorphe de l’espace parapharyngé

Les tumeurs de l’espace parapharyngé sont rares, elles représentent 0,5% de l’ensemble des tumeurs de la tête et du cou. elles sont bénignes dans 70 à 80 % des cas selon les séries. elles ont pour origine les glandes salivaires dans 40 à 50% des cas, dominés par les adénomes pléomorphes. Nous rapportons un cas d’adénome pléomorphe de l’espace parapharyngé chez une femme âgée de 38 ans. La patiente a été opérée par voie trans-orale avec exérèse complète de la tumeur. L’examen anatomopathologique définitif a conclu à un adénome pléomorphe. Les suites opératoires étaient simples. on n’a pas noté de récidive après un recul de 2 ans.Mots clés : tumeur para pharyngé, glandes salivaires, adénome pléomorphe

Carcinome parathyroidien

Parathyroid cancer is uncommon and its etiology is largely unknown. It is difficult to diagnose. The preoperative syndrome is unusually severe primary hyperparathyroidism. Intraoperatively, many characteristics of the tumor may be highly suggestive. Confirmation requires pathological analysis of the operative specimens and the diagnosis is strengthened in the presence of associated Shantz and Castelman criteria. Specific immunohistochemical techniques have been shown to be contributive. The diagnosis can be further supported by the clinical course of local recurrence or metastatic spread.Treatment of this tumor is primarly surgical. In some cases, postoperative radiotherapy may improve locoregional control of the tumor. The disease control can be monitored by regula assay of serum calcium and the parathormone. We report a case of parathyroid carcinoma, with special emphasis on the diagnostic modalities of this tumor, its treatmentand its prognosis.Keywords: Hypercalcemia, Primary Hyperparathyroidism, Parathyroid carcinoma, Surgery

Fistule carotido-caverneuse post-traumatique

Introduction : La fistule carotido-caverneuse (FCC) est une complication rare, mais grave des traumatismes craniofaciaux pouvant engager le pronostic fonctionnel oculaire et le pronostic vital. elle réalise une communication anormale entre le système artériel carotidien et le sinus caverneux.Buts : Rapporter un cas de FCC directe post-traumatique et étudier les aspects cliniques, diagnostiques et thérapeutiques de cette pathologie.Observation : Nous rapportons un cas de FCC apparue dans les suites d’un traumatisme craniofacial et survenue chez un homme de 25 ans ayant été victime d’un accident de la voie publique. Le diagnostic a été suspecté devant l’apparition, au 19ème jour d’hospitalisation, d’une exophtalmie unilatérale gauche pulsatile associée à un important chémosis et à une pupille aréflectique. Une artériographie cérébrale pratiquée 9 jours après la constatation de l’exophtalmie a objectivé une large FCC gauche. Une embolisation au moyen de deux ballonnets intravasculaires largables et de l’injection de colle biologique a été réalisée au même temps sans incidents permettant d’obtenir l’occlusion complète de la fistule. L’évolution a été marquée par la régression de l’exophtalmie et du chémosis et par l’amélioration partielle de l’acuité visuelle.Conclusion : Le traitement des FCC est urgent et est principalement basé sur la neuroradiologie interventionnelle. en effet, l’angiographie cérébrale constitue l’examen clé et possède un double intérêt diagnostique et thérapeutique.Mots clés : fistule carotido-caverneuse, traumatisme craniofacial, artériographie cérébrale, embolisation

Ultrasound-assisted green solvent extraction of high-added value compounds from microalgae Nannochloropsis spp.

The aim of this work was to investigate ultrasound (US)-assisted green solvent extraction of valuable compounds from the microalgae Nannochloropsis spp. Individual green solvents (water, ethanol (EtOH), dimethyl sulfoxide (DMSO)) and binary mixture of solvents (water-DMSO and water-EtOH) were used for the extraction procedures. Maximum total phenolic compounds yield (Yp 0.33) was obtained after US pre-treatment (W = 400 W, 15 min), being almost 5-folds higher compared to that found for the untreated samples and aqueous extraction (Yp 0.06). The highest yield of total chlorophylls (Yc 0.043) was obtained after US (W = 400 W, 7.5 min), being more than 9-folds higher than those obtained for the untreated samples and aqueous extraction (Yc 0.004). The recovery efficiency decreased as DMSO > EtOH > H2O. The optimal conditions to recover phenolic compounds and chlorophylls from microalgae were obtained after US pre-treatment (400 W, 5 min), binary mixtures of solvents (water-DMSO and water-EtOH) at 25–30%, and microalgae concentration of 10%

Teratome mature de la parotide : a propos d’une observation

Le tératome de la parotide est une malformation tumorale vestigiale rare contenant des dérivés plus ou moins différenciés, des trois feuillets embryonnaires. A la lumière d’une nouvelle observation et des données de la littérature, on se propose de mettre l’accent sur les aspects cliniques, histologiques et thérapeutiques de cette affection exceptionnelle dans cette localisation.Mots-clés : tératome, glande parotide, chirurgie, matureTeratoma of the parotid is a rare remnant malformation tumor containing undifferenciated derivatives of three germ layers. Through a new observation and literature review, authors proposed to focus on the clinical, histological and treatment of this lesion in this exceptionallocation.Key-words : teratoma, parotid gland, sugery, matur

Le carcinome indifférencié des glandes salivaires

Le carcinome indifferencie primitif des glandes salivaires est rare. Son association avec le virus Epstein Barr, initialement decrite chez les esquimaux, est retrouvee dans la majorite des cas publies. Nous rapportons un nouveau cas tunisien survenu chez un homme age de 64 ans, revele par une tumefaction de la glande parotide gauche. Microscopiquement se discutait le caractere primitif ou secondaire de la tumeur, etaye par les examens complementaires. Le patient etait traite par une parotidectomie suivie d’un curage ganglionnaire et d’une radiotherapie. L’evolution etait favorable apres un an de recul.  Mots clès : Glande salivaire- Carcinome indifferencie- Virus Epstein Bar

Adenome pleomorphe a localisation extra-parotidienne

Objectives : Pleormorphic adenoma is a benign tumor of salivary gland. It mainly occurs in the parotid gland. The submandibular and minor salivary glands are rarely sites of occurrence. We describe the features of pleomorphic adenoma occurring at these sites.Material and methods: Between 2000 and 2009, 15 cases of pleomorphic adenoma occurring externly to the parotid have been collected.Results: Tumors were seen in the submandibular gland in 40 % of cases, in the hard palate in 33 % of cases, in the upper lip in 20 % of cases and in the parapharyngeal space in 7 % of cases. The mean age of patients was 48 years. The majority of cases were female. All patients were operated. We didn't report recurrence or malignants tumors after one year follow-up.Conclusion: After the parotid gland, the most common site of a pleomorphic adenoma is the submandibular gland followedby minor salivary gland of palate and lips. Each localisation has his clinical and therapeutic particularities.Key words : pleomorphic adenoma, submandibular gland, minor salivary glan