Résumé
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
Résumé
Post-operative foreign bodies are rare and inlocalized in the abdomen for the majority of cases. 80% of these foreign bodies were textiloma. Report a new case of post operative body localized in the pleukral cavity. A 6 years old boy, prevresly treated on age 11 months for persisitant arterial channel, was admitted with diagnosis of non systematized operety in middle fueld of cefts lung. Tumor with a posserior shadow one evaluated to scan alloy its longitudinal axis secondary by condensation of lung tissue, this among evolued in textiloma. CT scan showed a condensation of lung tissue hyperdense tumor in its center. Pleuval membrane because thick the foreign body was removed significally and a pleural decortication was performed post operative course was uneventful. Pleural textiloma, is rare but it still severe complications with its life listening wish an medico legal consequences
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Chylothorax is an uncommon condition. It's characterized by the presence of chyle in the pleura. The most common causes are malignancy and trauma. When an underlying cause is excluded, the chylothorax is called idiopathic. We report a case of a 68 aged woman, admitted for abundant chylothorax. Thoraco-abdominal computed tomography. magnetic reso-nance imaging of the chest and thoracotomy showed no lesion of the lymphatic duct. Fibrothorax has developed after pleurodesis. Stable clinical and radiological condition was noticed during 3 years. We discuss the difficulty in the exclu-sion of a malignancy and the necessity of the follow up for these patients
Résumé
Hydatic pulmonary embolism complication of a cardiac hydatic cyst:a case report Hydatic cardiac cyst is a rare condition and represents only 0.5 to 2% oF all visceral localisations of the hydatid disease. We reported a 28 year old patient with a multiple hydatic pulmonary embolism caused by the rupture of a hydatic cyst of the interventricular septum. The diagnosis was established by transthoracic echocardio-graphy and CT Scan. Surgery was performed without delay and the outcome was good after a five month follow-up This case illustrates the diagnostic value of the non invasive imaging means in hydatic cyst of the heart and underlines the importance of surgery realized before complications occur