How Did Awareness, Emotion, and Motivation Shape Behavior Toward COVID-19 in Tunisians?

This study was conducted to assess the psychological distress in the general population of Tunisia during the pandemic of COVID-19 and examines how awareness of the disease, emotional experience, and motivation shaped the behavior toward this outbreak. The study covers 1492 Tunisian participants. Gender effects and age limits were studied in relation with the seriousness of the disease and lockdown impacts. The data were analyzed and interpreted using the chi-square test, ANOVA, path analysis (PA), and confirmatory factor analysis (CFA). We found a significant effect of gender and age on the awareness of the pandemic dangerousness, the attitude, and the commitment to respect the preventive measures. Women are significantly more aware and committed than men to respect preventive health measures. The 35-45 age group showed more awareness and dedication than the other age groups, while the 20-35 age group showed the most less promise. PA and CFA results showed how awareness, emotion, and motivation shaped behavior toward COVID-19. This study provides practical and relevant information on behavior change during a pandemic crisis, which can orient communication campaigns and help policymakers.

[Pregnancy in patients on chronic haemodialysis: about 25 cases which occurred in the south of Tunisia]. / La grossesse en hémodialyse chronique: à propos de 25 cas survenus dans le Sud Tunisien.

INTRODUCTION: the occurrence of pregnancy in patients on chronic haemodialysis is rare. However, given the evolution in dialysis technique, improvement in fertility is possible. The purpose of our study was to report our experience concerning the occurrence of pregnancy in patients on dialysis and to identify factors involved in its success. METHODS: we conducted a retrospective study on 25 spontaneous pregnancies occurred in 19 patients treated with periodical hemodialysis in different hemodialysis centers in the south of Tunisia over a period of 34 years. RESULTS: maternal age at the onset of pregnancy was, on average, 35.6 years [23-44 years] with an average seniority in hemodialysis of 4.22 years [1-17 years]. Seven patients (37%) had residual diuresis (>500 ml/24h). The prescribed weekly number of hours of dialysis was ≥16 hours per week in 7 cases and ≥20 hours in 4 cases. Success of pregnancy (new-born surviving at least 28 days) was estimated at 56%. The median gestational age was 34 weeks of amenorrhea [28-38 WA]. The average neonatal weight was equal to 1970g [1500g-2300g]. Analytical study showed a significant correlation between the increase in the hours of dialysis per week and the success of pregnancy (R=0.59; p=0.002). CONCLUSION: it was noted that with adequate support and in particular, increasing the number of sessions of dialysis, materno-fetal complications can be minimized and the balance risk-benefit can turn the chance for a woman on dyalisis to become pregnant.