[Knowledge of breastfeeding among mothers before maternity discharge]. / Niveau de connaissance des mères vis-à-vis de l'allaitement maternel à la sortie de la maternité.

OBJECTIVES: The aim of our study was to assess the knowledge of parturients about breastfeeding and to analyze the factors influencing this level of knowledge. METHODS: It was a prospective, descriptive and analytical, cross-sectional study carried out over a period of six months including 500 parturients who gave birth at the maternity unit of the National Center for Maternity and Neonatalogy of Tunis during the period from July to December 2020. Sociodemographic, obstetrical and breastfeeding related data were collected through individual interviews carried out before leaving the postpartum service using a questionnaire written in Tunisian dialectal Arabic. RESULTS: The average age of the mothers was 31.5 years. Housewives accounted for 73.3 % of cases. Forty-four percent of the women surveyed were first-time mothers. The main source of information was relatives (74.8 %). The prevalence of breastfeeding was 93.8 %. Knowledge about breasfeeding was insufficient in 76.4 % of cases. The level of knowledge was insufficient in particular regarding signs of effective breastfeeding, signs of awakening of the newborn, lactogenesis, and diet of breastfeeding women. Unemployment of the parturient age over 30 and primiparity negatively influenced the knowledge of parturients. CONCLUSION: The level of knowledge of parturients was heterogeneous but generally insufficient. Health education programs on MA targeting subjects most at risk of insufficient knowledge should be put in place in order to improve the knowledge base and hopefully improve the breastfeeding rates.

Association of high-sensitivity C-reactive protein with susceptibility to Schizophrenia in Tunisian population.

The pathogenic mechanisms underlying Schizophrenia (SZ), one of the most frequent mental disorders, are complex and poorly understood. Several evidences suggest that inflammatory processes may underpin some of its neurobiological correlates. The aim of this study was: (i) to analyze the potential association between circulating levels of the C-reactive protein (CRP), a crucial inflammatory marker, and Schizophrenia in Tunisian patients and healthy controls (HC) cohorts; (ii) to investigate the genetic diversity of three CRP variants (rs1417938, rs1130864 and rs1205) and; (iii) to analyze a potential relationship between expression and genetic data and clinical and socio demographical characteristics. CRP polymorphisms were exanimated for 155 patients and 203 HC by taqMan5'-nuclease. High-sensitivity CRP (hs-CRP) serum level was measured in 128 clinically stable out-patient SZ patients and 63 HC subjects via an automated biochemical analyzer. We found that hs-CRP levels were significantly higher in SZ patients as compared to HC. No significant differences were found when the proportions of CRP variants were compared in patients and HC. Further analysis according to clinical and socio demographical characteristics revealed a positive association with age and hypertension. Our data on an original Tunisian sample confirm the previous finding in others population groups.

Synthesized and characterization of organobentonites for anionic dye removal: application to real textile effluent.

Clays have been considered as potential alternative adsorbents due to their high adsorptive property, abundance and non-toxic compounds. Adsorption of cationic dyes by natural clays has been studied and appreciable results have been reported, but few researchers have been interested in anionic dyes. Anionic dyes are widely used by the textile industries, yet they are toxic, non-biodegradable and hardly adsorbable on natural clay; modified clay (e.g. organoclay) has emerged as an alternative adsorbent. In this study, organobentonites were prepared with hexadecyltrimethylammonium bromide at three cation exchange capacity levels and used as adsorbents for the removal of, reactive blue II - an anionic dye used in Tunisian textile industry to dye jeans. Obtained organobentonite-labelled Hi-bent (I = 1, 2 and 3) was characterized by several techniques in order to study the effect of a surfactant on texture and structure of the initial clay. H3-bent and purified bentonite (Na-bent) were then tested as adsorbents. The amount of dye removal by H3-bent (98%) was found to be around five times higher than that of Na-bent (19%). Adsorption process was well described by Freundlich, Dubinin-Radushkevic and Elovich isotherms model. Kinetic data were fitted by both pseudo-second-order and pseudo-first-order models. The use of Na-bent, as adsorbent, for real textile effluent treatment was tested, and significant results related to two other clay minerals were obtained.