[Audit on the quality of school vaccination in the region of Monastir [Tunisia]]

We conducted a clinical audit by observing 55 vaccinators in schools in the governorate of Monastir in 2014. We used a set of criteria by referring to the national immunization programme. The cold chain was respected in most cases. Accumulators, the collector of syringes and needles, cotton balls soaked in alcohol and emergency box were available in 85.5%, 76.4%, 98.2% and 41.8% of cases respectively. Hand washing before immunization session was performed in 29.1% of cases. Waste disposal according to the hygiene rules was done by 40 agents. Health education of students regarding the interest of vaccination was done in 67.3% of cases. Therefore, improvements in hand hygiene practice and education are recommended

Psychometric examination of an Arabic version of the state-trait anger expression inventory

Objectives: this study aimed to examine the psychometric properties of an Arabic version of the trait anger and anger expression scales of the State-Trait Anger Expression Inventory [STAXI]

Methods: this study took place between April 2005 and August 2014. Adults in Yemen [n = 334] and Tunisia [n = 200] were recruited from university campuses and a smoking cessation clinic, respectively. The STAXI was translated into Arabic using backtranslation methods. An explanatory principal component analysis was conducted to explore the factor structure of the anger expression scale, utilising parallel analyses to determine the number of retained factors

Results: good internal consistency of the trait anger scale was observed among the Yemeni [Cronbach's alpha = 0.76] and Tunisian [Cronbach's alpha = 0.86] samples. The parallel analysis suggested a three-factor solution for the anger expression scale [anger in, anger out and anger control], in accordance with the original STAXI. The internal consistency of anger in, anger out and anger control factors ranged between 0.51-0.79 in the Yemeni sample and 0.66-0.81 in the Tunisian sample. Overall, items loaded on the anger control factor included all items proposed by the original authors and this factor had higher reliability than the other two factors in both samples

Conclusion: the results of the current study provide initial support for the use of the trait anger and anger expression scales of the STAXI in Arabic-speaking countries

[Implementation of the safe surgery checklist of the World Health Organization at the University hospital of Monastir [Tunisia]]

To evaluate the impact of introduction of the WHO safe surgery checklist in the university hospital of Monastir over a period of five months. We conducted a longitudinal study [before - after] with evaluation of five result indicators which were: percentage of surgical site infections, not prescribed antibioprophylaxis, unplanned return to the operating room, postoperative length of stay and postoperatively death. We identified 185 patients during the period and 323 patients after the introduction of the WHO checklist. The proportion of surgical site infection decreased significantly from 13.5% in the reference period to 1.3% after the introduction of the checklist [p < 0.001]. The proportion of unplanned return to the operative room was 10.3% before the introduction of the checklist and deceased significantly to 1.3% at the intervention period [p = 0.003]. The proportion of not prescribed antibioprophylaxis and median post-operative length of stay deceased also significantly during the study period [p < 0.001]. The surgical checklist control contributes to the development of a safety culture in the operating room. Maintaining its use should be supported by incentives such as certification and accreditation

[Determinants of risky sex practices among consultants of a Voluntary Counseling and Testing Centre]

Thirty years after the discovery of human immunodeficiency virus [HIV], knowledge and practices must be improved. Contribute to reducing the risk of virus transmission. A study about the determinants of risky practices was conducted among the consultants of the Voluntary HIV Counseling and Testing Centre [VCTC] in Monastir University Hospital. We performed a cross sectional descriptive study with a total of 241 consultants who used the services of the VCTC during the period from January 1, 2008 to December 31, 2011. Data gathering was based on a self-administered questionnaire. Consultant's mean age was 27.4 +/- 8 years with a male predominance. Three patients out of four were single and 65% have at least secondary-level education. Knowledge about the risk of HIV infection after an unprotected sex and drug use by injection were reported by 94.3% and 76.7% of the participants respectively. Risky sex practices were adopted by 89.3% of the subjects. At least secondary school level, knowledge of risk factors of contamination and fear of the virus transmission were identified as determinants of safe sexual practices [0,004 < p < 0,032]. Improving knowledge of populations at risk for HIV is a privileged axis to lead to a reduction of infectious risk in our country