ABSTRACT
Smoking is one of the most serious threats to public health worldwide. Health srtuctures are the cornerstone of each program against smoking, or some studies have shown a prevalence of smoking as high in hospitals than in the general population. To assess the prevalence of smoking, smoking behavior and attitudes of health professionals towards smoking within the A Mami Ariana Hospital This is a cross-sectional survey conducted among 700 health professionals [doctors, nurses, workers, technicians and administrative staff] in the first quarter of 2010, based on a detailed questionnaire containing 15 closed-end items. The average age was 37 years and the sex ratio 0,5. Response rate to questionnaire was 81,4% and overall smoking prevalence 24,8%, five times higher in men [52,5% vs 9,8% p< 0,001]. Smoking was greater among workers, night health professionals employees and employees of technical services, administration and intensive care services and only 13% among doctors. 50% of the surveyed have already tried at least once to quit, twice as many women than men. Former smokers accounted for 5,5% of all health professionals. Although our hospital has been declared non-smoking area since 2009, 75% of professionals continue to smoke at the scene of their work. Strengthening of existing measures against smoking as smoking bans in the hospital, and improving training of health professionals on the dangers of smoking and ways of weaning are needed now
ABSTRACT
Hemoptysis is an alarming symptom. The etiology of hemoptysis varies among different series according to time of publications, geographic location and diagnosis tests employed but also according to the age of patients. To describe the etiologies of hemoptysis in eldery. We retrospectively reviewed of hemoptysis in eldery. We retrospectively reviewed the records of all patients admitted to three respiratory departments [B, I and C] in Abderrahmen Mami hospital between January 2003 and December 2007. Of the 360 patients hospitalized for hemoptysis, 248 were aged 18-64 years and 112 were aged more than 65 years. At the term of our study, bronchiectasis [21% versus 11,6%, p<0,03] and hydatid cyst [6% versus 0%, p>0,007] were the most common causes of hemoptysis in people less than 65, while tuberculosis sequel [20,5% versus 5,4%, p>0,01] and pulmonary oedema [16,9% versus 0,4%, p<0,001] were significantly more frequent in the eldery. There was no difference between the two groups concerning lung cancer [25% in patients less than 65 years versus 16,9% in eldery, p=NS], infections [10,5% in patients less than 65 years versus 12,5% in eldery, p=NS] and pulmonary tuberculosis [14,1% in patients less than 65 years versus 4,5% in eldery, p=NS]. Elderly patients are more likely than younger patients to have tuberculosis sequel and pulmonary oedema as an etiology of their hemoptysis, while bronchiectasis and hydatid cyst were more common in patients less than 65 years. The results of our study will allow us to better prioritize the investigations necessary to etiological diagnosis