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  1. Article ; Online: Management of Kounis syndrome: two case reports.

    Omri, Majdi / Kraiem, Hajer / Mejri, Olfa / Naija, Mounir / Chebili, Naoufel

    Journal of medical case reports

    2017  Volume 11, Issue 1, Page(s) 145

    Abstract: Background: Kounis syndrome corresponds to the occurrence of myocardial injury following an allergic insult. This syndrome is infrequent, and is not well known. In consequence, it is usually misdiagnosed leading to inappropriate treatment. The current ... ...

    Abstract Background: Kounis syndrome corresponds to the occurrence of myocardial injury following an allergic insult. This syndrome is infrequent, and is not well known. In consequence, it is usually misdiagnosed leading to inappropriate treatment. The current literature is limited to case studies and there are no international recommendations concerning this topic.
    Case presentation: We discussed, through two case reports, the clinical presentation and the management of a 60-year-old North African man and a 45-year-old North African man presenting with chest pain suggesting acute coronary syndrome following anaphylactic reaction. Triggering factors were a drug in the first case and herbal dermal exposure in the second. A clinical examination and electrocardiogram revealed anaphylactic reaction associated with myocardial infarction. Appropriate management of these two life-threatening conditions allowed an improvement in our patients' condition and their transfer to specialized units.
    Conclusions: Although Kounis syndrome is a rare phenomenon, physicians should be aware of its physiopathological mechanisms in order to treat it appropriately. The difficulty lies in the fact that the treatment of either of the two associated entities may worsen the other injury.
    MeSH term(s) Amoxicillin/administration & dosage ; Amoxicillin/adverse effects ; Anaphylaxis/chemically induced ; Anaphylaxis/physiopathology ; Anti-Inflammatory Agents/administration & dosage ; Anti-Inflammatory Agents/adverse effects ; Anticoagulants/administration & dosage ; Anticoagulants/adverse effects ; Aspirin/therapeutic use ; Chest Pain/chemically induced ; Chest Pain/physiopathology ; Clopidogrel ; Dexamethasone/administration & dosage ; Dexamethasone/adverse effects ; Electrocardiography ; Guidelines as Topic ; Humans ; Kounis Syndrome/diagnosis ; Kounis Syndrome/drug therapy ; Kounis Syndrome/physiopathology ; Male ; Middle Aged ; Platelet Aggregation Inhibitors/therapeutic use ; Ticlopidine/analogs & derivatives ; Ticlopidine/therapeutic use ; Treatment Outcome
    Chemical Substances Anti-Inflammatory Agents ; Anticoagulants ; Platelet Aggregation Inhibitors ; Dexamethasone (7S5I7G3JQL) ; Amoxicillin (804826J2HU) ; Clopidogrel (A74586SNO7) ; Ticlopidine (OM90ZUW7M1) ; Aspirin (R16CO5Y76E)
    Language English
    Publishing date 2017-05-23
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2269805-X
    ISSN 1752-1947 ; 1752-1947
    ISSN (online) 1752-1947
    ISSN 1752-1947
    DOI 10.1186/s13256-017-1310-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Management of Kounis syndrome

    Majdi Omri / Hajer Kraiem / Olfa Mejri / Mounir Naija / Naoufel Chebili

    Journal of Medical Case Reports, Vol 11, Iss 1, Pp 1-

    two case reports

    2017  Volume 6

    Abstract: Abstract Background Kounis syndrome corresponds to the occurrence of myocardial injury following an allergic insult. This syndrome is infrequent, and is not well known. In consequence, it is usually misdiagnosed leading to inappropriate treatment. The ... ...

    Abstract Abstract Background Kounis syndrome corresponds to the occurrence of myocardial injury following an allergic insult. This syndrome is infrequent, and is not well known. In consequence, it is usually misdiagnosed leading to inappropriate treatment. The current literature is limited to case studies and there are no international recommendations concerning this topic. Case presentation We discussed, through two case reports, the clinical presentation and the management of a 60-year-old North African man and a 45-year-old North African man presenting with chest pain suggesting acute coronary syndrome following anaphylactic reaction. Triggering factors were a drug in the first case and herbal dermal exposure in the second. A clinical examination and electrocardiogram revealed anaphylactic reaction associated with myocardial infarction. Appropriate management of these two life-threatening conditions allowed an improvement in our patients’ condition and their transfer to specialized units. Conclusions Although Kounis syndrome is a rare phenomenon, physicians should be aware of its physiopathological mechanisms in order to treat it appropriately. The difficulty lies in the fact that the treatment of either of the two associated entities may worsen the other injury.
    Keywords Kounis syndrome ; Acute coronary syndrome ; Anaphylaxis ; Management ; Case report ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2017-05-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Work-related stress assessment in an emergency department in French Guiana.

    Pujo, Jean Marc / Kraiem, Hajer / Daniel, Pierre / Omri, Majdi / Fremery, Alexis / Rémi, Mutricy / Madani, Galleze / Tsafehy, Mosa / Resiere, Dabor / Hommel, Didier / Kallel, Hatem

    British journal of nursing (Mark Allen Publishing)

    2021  Volume 30, Issue 9, Page(s) 540–546

    Abstract: Background: In emergency departments (EDs), the staff continually face stressful situations requiring staff to adopt various coping strategies.: Aims: The study aimed to assess work-related stress in ED during the COVID-19 outbreak.: Method: The ... ...

    Abstract Background: In emergency departments (EDs), the staff continually face stressful situations requiring staff to adopt various coping strategies.
    Aims: The study aimed to assess work-related stress in ED during the COVID-19 outbreak.
    Method: The study was a monocentric investigation based on a questionnaire survey that elicits general information and uses the Karasek model to analyse the data.
    Findings: A total of 117 forms were collected for analysis. The score for decision latitude (or autonomy and skills at work) was 70 (IQR: 64-74) and the score for psychological demand was 25 (IQR: 23-27). The score for social support by the management team was 11 (IQR: 9-12) and the score for social support by colleagues 12 (IQR: 10-12). Of the total number of respondents, job strain was assessed as affecting 24.8%.
    Conclusion: The study shows high levels of stress among the ED workforce. The findings indicate that it is imperative to develop simple management tools that are capable of measuring the internal causes of stress in order to develop an adapted wellness programme in ED.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/nursing ; Disease Outbreaks ; Emergency Service, Hospital ; French Guiana/epidemiology ; Humans ; Nursing Staff, Hospital/psychology ; Occupational Stress/epidemiology ; Surveys and Questionnaires
    Language English
    Publishing date 2021-05-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1119191-0
    ISSN 0966-0461
    ISSN 0966-0461
    DOI 10.12968/bjon.2021.30.9.540
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  4. Article: Missed injuries in pre-hospital trauma patients.

    Omri, Majdi / Bouaouina, Halim / Kraiem, Hajer / Chebili, Naoufel / Methamem, Mehdi / Jaouadi, Mohamed Aymen / Naija, Mounir / Naija, Walid / Karoui, Mohamed Nejib

    La Tunisie medicale

    2018  Volume 95, Issue 5, Page(s) 336–340

    Abstract: Background: During primary survey of trauma patients, missed injuries and delayed diagnosis can be a potential source of morbidity and mortality.: Objective: To assess type and frequency of missed injuries in prehospital care in trauma patients and ... ...

    Abstract Background: During primary survey of trauma patients, missed injuries and delayed diagnosis can be a potential source of morbidity and mortality.
    Objective: To assess type and frequency of missed injuries in prehospital care in trauma patients and to analyze their contributing factors and implications.
    Methods:   It is a descriptive and analytic prospective study. It was performed over six months which had included 200 trauma patients. The initial assessment made by the out-of hospital team of Sousse was compared to the second survey made in the emergency room and intensive care unit after the radiological assessment.
    Results: Sixty seven (67) missed injuries were discovered in 51 patients, so 25.5% missed injuries incidence. These injuries were avoidable in 35.82% of cases. Twenty (20) injuries (29.85%) had clinically significant outcomes. Injuries are missed in the abdomen in 62.5% of cases, in the pelvis in 61.11% of cases, in the chest in 41.66% of cases, in the spine in 38.06 % of cases and in 20% of cases in the limbs. Multiple contributing factors were assigned, the most important were: the hemodynamic instability (Systolic blood pressure less than 90 mmHg), the tachycardia and the low RTS. Altered level of consciousness (GCS of twelve or lower), multiple and violence of the trauma were observed but not retained as predictive factors of missing injuries.
    Conclusion:   Our study showed higher rates of severe missed injuries mainly in abdomen and pelvis. Circulatory instability and low RTS were assigned as significant factors predicting of this obviousness. Various solutions are proposed to prevent missed during the first assessment in prehospital care.
    MeSH term(s) Adult ; Ambulances ; Delayed Diagnosis/adverse effects ; Delayed Diagnosis/statistics & numerical data ; Diagnostic Errors/adverse effects ; Diagnostic Errors/mortality ; Diagnostic Errors/statistics & numerical data ; Emergency Medical Services/methods ; Emergency Medical Services/standards ; Emergency Medical Services/statistics & numerical data ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Incidence ; Male ; Retrospective Studies ; Time Factors ; Trauma Severity Indices ; Triage/standards ; Tunisia/epidemiology ; Wounds and Injuries/diagnosis ; Wounds and Injuries/epidemiology ; Wounds and Injuries/mortality
    Language English
    Publishing date 2018-03-06
    Publishing country Tunisia
    Document type Journal Article
    ZDB-ID 128627-4
    ISSN 0041-4131
    ISSN 0041-4131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 223: Show issues Location:
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  5. Article: The burnout in the emergency department : prevalence and risk factors.

    Rejeb, Jihene / Chaieb, Ibtissem / Gammas, Sawssen / Sandid, Hajer / Chebili, Naoufe / Omri, Majdi / Boukef, Riadh / Karoui, Mohamed Nejib

    La Tunisie m ; édicale

    2014  Volume 92, Issue 7, Page(s) 519

    Language English
    Publishing date 2014-07
    Publishing country Tunisia
    Document type Journal Article
    ZDB-ID 128627-4
    ISSN 0041-4131
    ISSN 0041-4131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 223: Show issues Location:
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  6. Article: Importance of protein s100b serum dosage in the management of mild head injuries.

    Chebili, Naoufil / Omri, Majdi / Sandid, Samar / Bouhlel, Nadia / Methemem, Mehdi / Karoui, Mohamed Najib / Neffeti, Souhir

    La Tunisie m ; édicale

    2014  Volume 92, Issue 7, Page(s) 519

    Language English
    Publishing date 2014-07
    Publishing country Tunisia
    Document type Journal Article
    ZDB-ID 128627-4
    ISSN 0041-4131
    ISSN 0041-4131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 223: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
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