Université de Sfax

In several studies comparing the tow types of pancreato-digestive anastomosis: pancreatogastrostomy (PG) and pancreatojejunostomy (PJ), authors concluded that PG exposed to more postpancreatectomy hemorrhage (PPH) especially early, digestive and moderate hemorrhage classified as type A according to the classification of the ISGPS.
In this way we try to test the ability of the enteral administration through the nasogastric tube of Etamsylate for 48 hours after Whipple to reduce the rate of digestive PPH and mortality.

Background: The scarcity of resources for spinal cord injury (SCI) rehabilitation constitutes a significant obstacle, particularly in war-torn regions experiencing a rise in such injuries. Implementing a home-based rehabilitative program (HBRP) tailored to patients' environmental, social, and financial contexts is crucial in mitigating this challenge. The authors investigated the effects of a 24-month HBRP on anthropometric measurements, muscular strength, sensory and motor function, and independence in participants transitioning from bed to walking following SCI.
Methods: Serial case study in a quasi-experimental design, the conducting was at the participants' homes. The participants were four patients with SCI (experimental group) and another two patients with SCI (control group). The interventions were a 24-month HBRP comprising strength, flexibility, and balance training, the outcome measures involved anthropometric measurements, muscle strength using a digital handheld dynamometer, muscle thickness, and cross-sectional area measured using magnetic resonance imaging, measured five walking tests, and the American Spinal Injury Association scale (ASIA) score for assess the sensory and motor score, and the Spinal Cord Independence Measure (SCIM).

Many city-dwelling elderly people can be greatly affected after a minor change in their living or health conditions. Mild Cognitive Impairment (MCI), early dementia and frailty are among the most common risks with deep consequences on elderly's and caregivers' quality of life. Through the new wave of Information and Communication Technologies (ICT), Internet of Things (IoT) and smart city system, it is now possible to help individuals capture and make use of their personal data in a way that will help them maintain their independence for longer. The City for all Ages project will create an innovative service based on:
* ICT-enhanced early detection of risk related to frailty
* ICT-enhanced interventions that can help the elderly population to improve their daily life and also promote positive behaviour change
Through real-life pilot sites in Singapore in collaboration with TOUCH Senior Activity Centre (SAC) and the Housing Development Board (HDB), this project explores how data on individual behaviours captured through indoor and outdoor sensors could be used for the observation and detection of the following parameters:
* Activity of Daily Living (ADL): nutrition, hygiene, sleep activity
* Mobility: physical activity, going-out frequency and length
* Cognition: forgetfulness, early signs of mental decline
* Socialization: senior activity centre visits, activities attended, other places of interests visits
This 2-year project comprises of 3 phrases involving 10 healthy elderly living in HDB home in phases 1 and 2 and 100 elderly in phase 3. Our focus is to use sensing technologies installed in the elderly's home to monitor and detect their activities of daily living. Sensor data that is collected will then be analyzed to identify relevant behaviours of individuals, and to detect behavioral changes that can be correlated with risks of MCI/frailty. The appropriate ICT based interventions (e.g. data visualization and alerts to caregivers) will then be applied to mitigate these risks. Additionally, psychosocial data related to the elderly's quality of life, social activity participation and activities of daily living will also be collected via interviews and activity logs to evaluate the outcomes of our technology intervention.