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Pediatric cholelithiasis (PC) is relatively rare when compared to adult cholelithiasis. This study is aimed to describe the clinical characteristics of pediatric cholelithiasis treated at Hasan Sadikin General Hospital (HSGH), Bandung, Indonesia.This is a descriptive study of children aged 0-18 years who were diagnosed with and treated for cholelithiasis at the HSGH over 4-5 years. Variables collected during this study were sex, age, chief complaint, previous medical history, diagnostic test, definitive management, and clinical outcomes.There were 12 cases of pediatric cholelithiasis during the study period, including those of 5 boys (41.7%) and 7 girls (58.3%). The mean and median age of the patients was 10.75 years and 12 years, respectively. The most prevalent complaint of the patients was abdominal pain (75%), followed by jaundice (16.6%) and abdominal distension (8.4%). Thalassemia was the most frequently associated disorder among the patients (25%). Ultrasonography was diagnostic imaging used on 66.6% of patients. Fifty-eight percent of patients have performed the surgery. The most frequently used surgical technique to manage the patients included laparoscopic cholecystectomy (33.3%), followed by laparotomic cholecystectomy (16.7%).PC is an uncommon disorder, but easier to diagnose reasonably with the development of imaging study. Minimally invasive procedures using laparoscopic cholecystectomy were the most frequently performed surgical treatment in this study.

Wireless security system is widely used and favored by many industries, leading to mass growth of this technology. Prior to that, many advancement has been made throughout the decades. One of the popular wireless security systems is the Radio Frequency Identification System or RFID. RFID is favored over other systems due to myriads of its application in current systems like ATM cards, national ID card, toll system, parking lot system, and even mobile phones. This paper proposes an improved design of an RFID security system utilizing a Wi-Fi capable microcontroller (ESP-8266/ESP-12E). Combining the RFID system with an IoT system shall provide user with maximum control and monitor over the system. In this system, a RFID module (MCRF522) and an ESP-12E are used to identify a RFID card UID, in which a relay will turn on if the card is authorized, and the otherwise if not. The information will then be transmitted over the internet to a database, in which the information will be accessible via an app created specifically for the system for flexible configuration by the host user.

Golden rabbitfish (Siganus guttatus) is an important species to people in Wakatobi islands that are surrounded by the Banda Sea and the Flores Sea. They catch the fish for local consumptions and trade processed fish to other areas. This study aims to determine estimates of the fish's growth, mortality, and exploitation rates. The study was conducted from January to November 2016 in Wakatobi. Analysis was carried out the FISAT II package. The fish length ranged from 8.0 to 49.0 cm with an average of 26.19 cm. The growth pattern of male fish was positive allometric while for female fish was allometric negative. The sex ratio was inbalanced. The estimate of length at first capture (Lc) was 27.65 cm (FL) while the estimate of length at first maturity (Lm) was 30.49 cm (FL). The natural mortality (M) was 1.51/year while the fishing mortality was 1.28/year and the exploitation rate was 0.46/year. The SPR was 0.49, indicating the exploitation rate of Siganus guttatus in the studied areas is still at the optimum condition.

BackgroundThe Keele start back Tool (SBT) is a 9-item self-reported questionnaire validated to identify individuals with non-specific low back pain (LBP) who have prognostic factors for persistent disabling pain. Thus, it is a useful component of stratified care, where patients’ prognostic subgroups are matched with appropriate treatment.ObjectivesThe aim of our study was to report the prevalence of SBT-calculated risk for back pain disability in Tunisian military patients.MethodsIt was a cross sectional study. The SBT questionnaire was administered to patients > 18 years presenting with common low back pain in outpatient Military teaching hospital in Tunis, Tunisia (from January to Mars 2021). The normality of data distribution was checked by the Kolmogorov-Smirnov test. Quantitative variables were presented as mean ± standard deviation (SD) or median (interquartile range), as appropriate. The categorical variables were expressed as percentages.ResultsOut of 114 participants; the mean age at diagnosis was 79 +/- 12 years old, sex ratio was equal to 1, the median of symptom duration was 22 (6-36) months, 83 (72.8%) were employed, 54 (47.4%) were on active military duty.Comorbidities reported in our patients were distributed as followed: 52 (45.6%) cases of overweight, 21 (18.4%) cases of obesity, 17 (14.9%) had hypertension, 13 (11.4%) suffered from type 2 diabetes, 10 (8.8%) had dyslipidemia, 6 (5.3%) cases of hypothyroidism and 3 (2.6%) cases of auto-immune diseases.Seventy (61.4%) participants reported anxious thoughts, 75 (65.8%) patients expressed avoidance beliefs, 59 (51.8%) patients mentioned catastrophizing thoughts and 50 (43.9%) were dealing with low mood. Mean SBT psychological score was at 2.68 +/-1.5.Patients reported a mean SBT score of 5.31+/-2.1 with the following risk stratification: 27 (23.7%) scored low-risk, 47 (41.2%) medium risk, and 40 (35.1%) high-risk.ConclusionThis is the first study to report the prevalence of SBT-designated risk subgroups among Tunisian population. Medium or high-risk scores for back pain disability were more prevalent the surveyed sample. Also, rates of low mood and anxious thoughts indicate a need for future research to explore psychosocial factors in non-specific low back pain.Disclosure of InterestsNone declared

BackgroundHip involvement occurs in about one-third of patients with spondyloarthritis (SA) [1]. It can be responsible for significant disability and functional impairment.ObjectivesThis study aimed to assess the associated factors with hip involvement in SA.MethodsWe conducted a cross-sectional study, including 165 patients with SA diagnosed according to Assessment of SpondyloArthritis international Society (ASAS) criteria over a period from 2017 to 2021. Demographic, clinical, biological and radiographic data were collected. We compared following parameters assessed at the time of diagnosis of coxitis: Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Ankylosing Spondylitis Disease Activity Score (ASDAS-CRP), modified Stoke Ankylosing Spondylitis Spine Score (mSASSS), Bath Ankylosing Spondylitis Radiology Index (BASRI), erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).We used logistic regression analysis to identify factors associated with hip involvement in SA.ResultsA total of 165 Patients were enrolled (121 men and 44 women), the mean age was 46.13 ± 13.07 years. The mean age of disease onset was 35.01 ± 12.55 years. The average diagnostic delay was 37.54 ± 50.51 months. The average disease duration was 10.91 ± 6.94 years.Eighty seven percent of patients had axial spondyloarthritis, 72% had extra-articular manifestations.Mean ESR and CRP values were 37.49 ± 28.1 mm and 30.14 ± 43.55 mg/L, respectively. Mean BASDAI and ASDAS-CRP values were 4 ± 1.8 and 3.09 ± 1.13, respectively.Hip involvement was noted in 60 patients (36.4%). It was bilateral in 75% of cases (n=45). A total number of affected hips was 105.Following parameters were significantly higher in patients with hip involvement: age over 40 years old (73.3 vs 56.3%, p=0.030), symptoms duration over 10 years (60% vs 40.2%, p=0.015), elevated CRP (87.9% vs 73.7%, p=0.036), radiographic sacroiliitis (95% vs 82.7%, p=0.023), frequency of pulmonary involvement (25.0% vs 11.4%, p:0.023), frequency of osteoporosis (20.0% vs 8.6%, p:0.034), BASMI (3.71 vs 1.65, pA multivariable logistic regression model showed that age over 40 years (OR=2.688 [1.020 - 7.083], p=0.045), radiographic sacroiliitis (OR=5.656 [1.007 - 31.769], p=0.049), and very high disease activity (ASDAS-CRP≥3.5) (OR=5.328 [1.774 - 16.002], p=0.003) were independently associated with hip involvement in SA.ConclusionOur study showed that age, symptoms duration, radiographic sacroiliitis, extra-articular manifestations, axial structural damage, elevated CRP, and very high disease activity were associated with hip involvement. These finding suggest that the control of disease activity and inflammation may prevent the onset of hip involvement. There are controversial findings regarding the association between HLA B27 gene and hip involvement [2].References[1]Vander Cruyssen B, Vastesaeger N, Collantes-Estévez E. Hip disease in ankylosing spondylitis. Curr Opin Rheumatol. 2013 Jul;25(4):448-54.[2]Chen HA, Chen CH, Liao HT, Lin YJ, Chen PC, Chen WS, Chou CT. Factors associated with radiographic spinal involvement and hip involvement in ankylosing spondylitis. Semin Arthritis Rheum. 2011 Jun;40(6):552-8.Disclosure of InterestsNone declared

BackgroundThe incidence of low back pain (LBP) was 40.5 per 1,000 person-years in active military population and thus was comparable to the general population. Other than pain and disability, chronicity of LBP has a significant impact on work through the high rates of resulting sick leave. The Start Back Tool (SBT) questionnaire is a well-known tool used to detect patients with prognostic factors for persistent and disabling back pain. The risk of chronicity in individuals on active military duty suffering from acute back pain is yet to be explored.ObjectivesThe aim of our study was to assess the risk of chronicity in active Tunisian military population compared to non-military controls using the SBT questionnaire.MethodsCross sectional study in which we enrolled adult patients suffering from acute back pain, who consulted the outpatient department of rheumatology in the military hospital of Tunis from January 2021 to Mars 2021. All patients had a standardized clinical examination. They completed the SBT questionnaire in the validated Arabic language version. Patients were stratified in two groups, active military group (AMG) and non-military group (NMG). Categorical variables were compared with the χ2 -test. Comparisons of the differences of continuous variables were performed by Student’s T-test.ResultsWe included 54 patients in the active military group and 60 patients in the non-military group, epidemiologic characteristics were distributed respectively as followed: mean age was at 43+/-8 versus 53+/-13 years old (pActive military group patients had significantly higher proportions of high risk SBT scores than non-military patients 50% versus 22% (2.27 risk ratio 95% CI 1.47 to 3.08; p=0.002), with total mean of scores significantly higher in the active military group 5.81 (95% CI 5.33 to 6.29) versus 4.85 (95% CI 4.43 to 5.27), p=0.014.Active military group patients scored significantly higher on the psychological SBT sub-score with a mean of 3.02 (95% CI 2.8 to 3.24) versus 2.38 (95% CI 2.07 to 2.7) p=0.032, they were more susceptible to express low mood 53% versus 35% (1.51 risk ratio 95%CI 1.13 to 1.89; p=0.044).There was no significant difference in expressed anxiety 69% versus 55% (p=0.139), catastrophizing thoughts 57% versus 47% (p=0.252) and avoidance beliefs 72% versus 60% (p=0.170) though all of these parameters were more prevalent in the active military group.ConclusionThough NMG patients had more classic low back pain risk factors such as age and obesity, this did not prevent the AMG to show higher trends toward chronicity via SBT scores. This is to our knowledge the first study to assess the high risk of persistent disabling back pain using the SBT in a Tunisian military population. The implementation of risk stratification for patients with low back pain in routine military health may improve physical function and time off work, sickness certification rates and reductions in healthcare costs compared to usual non-stratified care.Disclosure of InterestsNone declared

BackgroundThe deleterious effect of smoking is frequently studied in inflammatory diseases such as spondyloarthritis (SA) [1].ObjectivesThe objective of our study was to identify the consequences of smoking during AS.MethodsWe conducted a cross sectional study including patients followed for spondyloarthritis meeting the ASAS 2009 criteria. For each patient we collected the following parameters: age, age at onset of the disease, duration of progression, disease activity using BASDAI and ASDAS-CRP scores and structural damage using BASRI and mSASSS scores. We also measured sedimentation rate (ESR) and C-reactive protein (CRP).Statistical analysis was performed using SPSS software.ResultsWe included 140 patients. Seventy-three percent were male (n=102). The mean age was 43 ± 12.9 years. The age of onset of the disease was 34.28 ± 12 years. The mean disease duration was 110 ± 107.8 months.Sixty patients were smokers (43%) at an average of 20.75 ± 16.09 pack-years.Mean ESR and CRP were 36.49 ± 27.22 mm and 29 ± 44.27 mg/L, respectively.The mean BASDAI and ASDAS-CRP were 3.68 ± 1.86 and 2.99 ± 0.98, respectively.The mean BASRI and mSASSS were 4.12 ± 3 and 10.26 ± 15.41, respectively.Smokers had significantly higher BASRI and mSASSS scores (BASRI: 5.02 ± 3.32 vs 3.47 ± 2.6; p=0.005 and mSASSS: 14.07 ± 17.56 vs 7.02 ± 12 .62; p=0.03).In addition, the number of packets year was correlated to mSASSS (r=0.399; p=0.01).On the other hand, we did not find any association between smoking and the following parameters: ESR, CRP, BASDAI or ASDAS-CRP.ConclusionAs reported in other studies, ours’ showed that structural damage was correlated with the number of pack-years [2]. Smoking was associated with this structural damage in SA regardless the inflammatory biomarkers and the disease activity. This suggests that control of structural damage in SA requires smoking cessation.References[1]Zhao SS, Goodson NJ, Robertson S, Gaffney K. Smoking in spondyloarthritis: unravelling the complexities. Rheumatology. 1 juill 2020;59(7):1472‑81.[2]Wendling D, Prati C. Spondyloarthritis and smoking: towards a new insight into the disease. Expert Rev Clin Immunol. juin 2013;9(6):511‑6.Disclosure of InterestsNone declared

BackgroundPhysipathological mechanisms of spondyloarthritis (SA) are very complex. The role of the interleukin (IL)- 8, which is an angiogenic chemokine, has been suggested [1].ObjectivesWe aimed to evaluate the discriminative value of interleukin 8 in SA.MethodsWe conducted a cross-sectional study during two years (2019-2020) including 144 subjects divided into two groups: a group G1 that included 72 patients followed for spondyloarthritis meeting the Assessement of SpondyloArthritis international Society (ASAS) criteria and a group (G2) including 72 healthy controls. The two groups were matched by age and sex.IL-8 was measured for each participant using chemiluminescence.We performed a ROC analysis and computed the air under the curve (AUC) at IL-8 to assess the ability of this chemokine to diagnose SA and to distinguish between SA patients from healthy controls. Statistical analysis was performed using SPSS.ResultsWe included 57 men and 15 females in each group. The mean age was 44.84 ± 13.42 years. In G1, the mean disease duration was 10.25 ±7.7 years. Axial and peripheral involvements were found in 85% of cases (n=65) and 50% of cases, respectively.The mean BASDAI and ASDAS-CRP were 3.21 ± 1.87 and 2.92 ±1.55, respectively.IL-8 was able to distinguish SA patients from healthy controls with a cutoff of 4.5 pg/mL. The AUC was good at 0.855 (pFigure 1.AUC at IL-8 between SA patients and healthy controls 0.855 (pConclusionSeveral studies have found that IL-8 was significantly higher in SA patients comparing to controls [2,3]. Our study showed that IL-8 could distinguish SA patients from controls with a cutoff of 4.5 pg/mL. This suggests that IL-8 could play a role in the pathophysiology of SA.References[1]König A, Krenn V, Gillitzer R, Glöckner J, Janssen E, Gohlke F, et al. Inflammatory infiltrate and interleukin-8 expression in the synovium of psoriatic arthritis--an immunohistochemical and mRNA analysis. Rheumatol Int. 1997;17(4):159‑68.[2]Limón-Camacho L, Vargas-Rojas MI, Vázquez-Mellado J, Casasola-Vargas J, Moctezuma JF, Burgos-Vargas R, et al. In vivo peripheral blood proinflammatory T cells in patients with ankylosing spondylitis. J Rheumatol. avr 2012;39(4):830‑5.[3]Sonel B, Tutkak H, Düzgün N. Serum levels of IL-1beta, TNF-alpha, IL-8, and acute phase proteins in seronegative spondyloarthropathies. Joint Bone Spine. 1 oct 2002;69(5):463‑7.Disclosure of InterestsNone declared

Resume A travers une etude retrospective portant sur 70 cas de tumeurs benignes des parties molles de la main pris en charge au service d’orthopedie traumatologie de l’hopital militaire de Tunis sur une periode de 12 ans allant de janvier 2005 a decembre 2016, nous avons compare nos resultats a ceux de la litterature pour essayer de degager des notions epidemiologiques pertinentes pour la pratique medicale quotidienne vu que les donnees epidemiologiques concernant les tumeurs benignes des parties molles de la main restent peu nombreuses et parfois discordantes. Les auteurs rapportent une serie de 70 militaires actifs, jeune adultes, en majorite feminine, avec une tumefaction au niveau de la main comme motif de consultation le plus courant. Le medius et l’index sont les doigts les plus touches a frequences egales. L’examen complementaire cle est l’echographie des parties molles. Tous les patients ont ete traites par une biopsie exerese chirurgicale complete de leur tumeur suivie d’une etude histologique de la piece operatoire. Trois cas de recidive ont ete notes. A travers cette etude, on attire l’attention sur la frequence importante des tumeurs des parties molles de la main dans une population particuliere (agents militaires tunisiens). Par ailleurs, cette etude nous a permis de confirmer les donnees de la litterature concernant la dominance de la localisation digitale. En contre-partie, cette etude rapporte que la tumeur a cellules geantes est le type histologique le plus frequent dans la population etudiee.

The flood which occurred due to the rainfall intensity in Bengkulu City of Indonesia could inundate the downstream area of MuaraBangkahulu River, especially TanjungAgung Sub-District. In 2019, a huge flood had occurred in Bengkulu City and triggered the environmental effect to riverbank in TanjungAgung. This environmental effect is a massive slope failure on downstream riverbank in TanjungAgung. This study is therefore conducted to analyze the slope stability in the area during the normal and the critical conditions. A slope stability analysis using finite element method is performed. First, the maximum discharge of MuaraBangkahulu River is estimated. Furthermore, slope stability analyses are conducted by considering the normal condition and the increase of river water level due to the maximum discharge (the critical condition). Mapping of factor of safety for riverbank slope and soil deformation is conducted. The results showed that slope along downstream riverbank of MuaraBangkahulu could undergo slope failure under both normal and critical condition. The results also showed that the factor of safety decreases due to the increase of river water level. The results of this study could be used by local government to consider slope countermeasure in the study area

Export quality yellowfin tuna (Thunnus albacares) from the handline fishery in the Banda Sea (Ambon and Seram) is vital in supporting coastal communities. To ensure its sustainability, information on their biological parameters is essential, especially for harvest strategy purposes. A combination of port sampling and fisheries surveys were conducted from January to October 2016 to monitor the catch, effort, size (length and weight), and maturity level of yellowfin tuna. An equal catch proportion of yellowfin and bigeye tuna was found during surveys in Masohi, Seram Island. In contrast, two-thirds of the catch landed in Ambon was dominated by yellowfin tuna. The catch rate varied between 25.5-71.9 kg/day. Length of samples distributed between 65-152 cm FL (mode=104 cm FL), whereas estimated live weight ranged from 6.12-148.92 kg. Both females (W=0.000001*FL3.7190) and males (W=0.000001*FL3.7438) possessed allometric growth. The proportion of males was twice that of females (1: 0.5), where most (47%) of samples were found to be mature. The estimated total mortality (Z) is 1.04/year, with the natural mortality (M) and fishing mortality (F) is around 0.55/year and 0.49/year, respectively. The stock condition allegedly reaching its optimum level tagged by the length at first caught (Lc) was slightly higher in comparasion to length at first maturity (Lm50 ) and utilization rate (E) below 0.55/year.

Background:Cystic echinococcosis (CE) is a zoonosis caused by the larve of Echinococcus granulosus. Cysts can develop in any part of the body, although the liver and lungs are most frequently involved. Bone echinococcosis is one of the rarest forms of the disease, accounting for 0.5 to 4.0% of all echinococcosis. Spinal cysts are disabling causing destruction similar to malignant bone lesions, with high risk of neurological deficit.Objectives:To increase awareness of this disease, the clinical data of eight patients with spinal CE were analyzed retrospectively.Methods:Clinical data of eight patients with spinal CE were analyzed retrospectively, collected over ten years on the department of orthopedics in the Military hospital of Tunis.Results:The mean age of the patients was 49 years. The median disease duration was five years. All patients presented with back pain and paresthesia without neurological deficit. Radicular pain was reported by two patients. The diagnosis of spinal CE was made after the diagnosis of visceral CE in two patients. Former X rays showed nonspecific abnormalities and patients were treated initially by symptomatic treatments based on paracetamol and nonsteroidal antiinflammatory drugs without any improvement. All of the patients needed Magnetic resonance imaging (MRI) to explore chronic back pain with paresthesia, revealing spinal CE. The typical MRI appearance is a multilocular cyst. Six patients had cervical and thoracic spinal cysts, one patient had a lumbar spinal cyst and one patient had cervical, thoracic and lumbar cysts. Further examinations with Computed tomography scans (CTscans) were needed before surgery for better examination bone destruction. All patients underwent surgery. Cysts were removed with spinal fixation. All the patients showed relapses and needed at least three surgical interventions.Conclusion:Bone echinococcosis is rare and often misdiagnosed. Radiographic and CT images lack disease-specific characteristics whereas MRI images offers a greater chance of direct diagnosis. Treatment of spinal hydatid disease is entirely surgical with high risk of relapses.Disclosure of Interests:None declared

Background:Low back pain is an extremely common patient complaint. Most cases resolve quickly after the acute episode. However, a significant number of patients develop chronic low back pain; a persistent disabling condition. Patients suffer from unremitting pain and often become functionally impaired.Objectives:The aim of this study is to describe the characteristics of chronic LBP, physical examination abnormalities, treatment strategies and the impact of LBP on the professional life of the patients.Methods:It was a an analytical cross-sectional study including 50 patients with at least three months of LBP, in the department of rheumatology and orthopedics at the Military Hospital of Tunis between January 1st and March 31, 2020. All patients had a standardized investigation and clinical assessment.Results:The study included 80% of active military serving members and 20% of administrative officers. The mean age of the patients was 41.9 ± 8.4 years and the sex ratio was 4.5. Four patients were suffering from diabetes; two patients were suffering from high blood pressure. All the patients were suffering from chronic LBP lasting for an average of 66.4 months. LBP was associated with radicular pain in 78% of the cases. It was a unilateral radicular pain in 72% of the cases and bilateral in 28% of the cases. The main triggering factors were: carrying heavy loads in 98% of the cases, standing or sitting for long periods in 90% and 76% of the cases, tremors in 74% of the cases. Neuropathic pain was found in 26% of patients. Physical examination showed paravertebral muscle tenderness in 66% of the cases and slack abdominal muscles in 56% of the cases. Assessement of range of flexion of the lumbar spine showed: fingertip to floor test was 18 ±12.2 cm [054cm], schober test was +3.8±1.2cm [16cm]. The extension of lumbar spine was painful in 80% of the cases. A trigger point was found in 28% of the cases. Lasegue sign was positive in 18% of the cases. Leri’s test was positive in 8% of the cases. Required treatments during the last episode of LBP were: Paracetamol (62%), nonsteroidal antiinflammatory drugs (26%), tramadol (4%), myorelaxant (4%) and pregabalin (2%). Half of the patients needed functional rehabilitation. Forty percent of the patients reported improvement; 46% of them reported improvement then recurrence of the pain, 8% of them reported no improvement and 4% reported worsening of the symptoms. Thirty six percent of the patients needed an average of 21 days of leave and 35% of them needed exemption from work for LBP problems. One patient needed an outplacement from his original work and one patient needed an early retirement.Conclusion:Chronic low back pain can cause significant functional disability, and commonly becomes frustrating for both patients and physicians to cope with and treat. There is still no consensus on the best way to manage chronic low back pain, and clinical guidelines are scarce. A combination of pharmacological agents and non-pharmacological methods is the most appropriate therapeutic regimen.Disclosure of Interests:None declared

Background:Common low back pain (LBP) is a common health problem affecting 50 to 80% of working age adults. It is one of the common and costly health problems in Tunisia. Actually, the role of the immune response and inflammatory cytokines in the pathogenesis of chronic pain has been of growing interest.Objectives:The aim of this study was to assess whether pro and anti-inflammatory cytokines could be detected in serum in patients with LBP compared with healthy subjects and whether they could be related to pain severity and to clinical findings.Methods:It was a an analytical cross-sectional study including 50 patients with at least three months of LBP, in the department of rheumatology, orthopedics and immunology at the Military Hospital of Tunis between January 1st and March 31, 2020. All patients had a standardized clinical assessment.Levels of serum cytokines IL-6, IL-8, IL-1β and TNF- α, were measured using the chimiluminescence technique. Serum concentration of IL-10 was assayed by the enzyme-linked immunosorbent assay technique (ELISA). The normal levels of cytokines were determined in 50 healthy controls.Results:The mean age of the patients was 41.9 ± 8.4 years and the sex ratio was 4.5. LBP duration was 66.4 months. The mean lumbar visual analog scale (VAS) was 4.5 ± 1.9, and the root VAS was 2.6 ± 2.5. Neuropathic pain was found in 26% of patients. The average BMI was 27 ± 3.7 kg/m2. Only serum level of IL-8 was significantly higher in subjects with LBP compared to healthy controls (p Conclusion:Interleukin-8 is a biomarker of common low back pain and correlate with anxiety and functional disability. These results suggest that IL-8 may be a therapeutic target to reduce chronic back pain and reduce the social and profession impact.Disclosure of Interests:None declared

Background:Common low back pain (LBP) is a common health problem affecting 50 to 80% of working age adults resulting in significant personal, social and occupational impairment. Chronic pain has a negative impact on quality of life and psychological well-being.Objectives:The aim of this study was to examine the relationship between anxiety, depression and pain intensity in patients with low back pain in a population made of military agents.Methods:It was an analytical cross-sectional study including 50 patients with at least three months of LBP, in the department of rheumatology and orthopedics at the Military Hospital of Tunis between January 1st and March 31, 2020. All patients had a standardized clinical assessment. Patients completed the «hospital anxiety and depression scale» (HADS) and the «Fibromyalgia Rapid Screening Tool» (FIRST) to evaluate psychological impact of chronic LBP. Pain intensity was assessed using a visual analog scale (VAS).Results:The mean age of the patients was 41.9 ± 8.4 years and the sex ratio was 4.5. LBP duration was 66.4 months. The mean lumbar visual analog scale (VAS) was 4.5 ± 1.9, and the root VAS was 2.6 ± 2.5. Neuropathic pain was found in 26% of patients. Abnormal level of anxiety and depression were found in 58% and 62% of the patients respectively. Out of them 20% and 26% were borderline abnormal for anxiety and depression respectively, while 38% (16.4%) and 36% were certainly abnormal for anxiety and depression respectively. Twelve percent of the patients had fibromyalgia syndrome associated with LBP as they had a FIRST score ≥5. Positive correlations were found between lumbar VAS and HAD anxiety/depression scores (r = 0.35; pConclusion:The results of this study showed that anxiety, depression and fibromyalgia syndrome are not only frequent with patient suffering from chronic LBP but they are also correlated to the pain intensity. As a consequence, assessment of and intervention in anxiety, depression symptoms and fibromyalgia syndrome is crucial in the provision of pain-relief nursing treatment in patients with low back pain.Disclosure of Interests:None declared

Implementing a 20% biodiesel blend in diesel fuel (B20) has been launched since January 1th, 2016, and it was increased to 30% (B30) on January 1th, 2020, implemented in all sectors, including power generators. Gas turbines utilized as power generators designed to use natural gas or diesel fuel as fuel. Therefore, a study to use biodiesel blend as fuel in gas turbines was required. A comparative study was conducted to analyze the fuel requirements of General Electric’s (GE) Heavy Duty (HD) Gas Turbine specification compared to either of SNI 7182: 2015 and EN 14214 specifications. An assessment was conducted on samples of two biodiesel quality levels called biodiesel and distilled biodiesel to meet the GE HD Gas Turbine’s requirements. This study indicates that the biodiesel quality standards, both SNI 7182: 2015 and EN 14214, are insufficient to meet the gas turbine fuel specifications of the GE HD gas turbine. It is required a more specific quality standard dedicated to gas turbines. On the other hand, among the two samples, distilled biodiesel fulfills the fuel requirements of GE HD gas turbines and might be utilized as fuel for this type of gas turbine. According to the result of this study, a test run of 100% biodiesel (B100) as gas turbine fuel can be proposed to be implemented immediately.

Through a retrospective study of 70 cases of benign soft tissue tumors in the orthopedic traumatology department of the military hospital of Tunis over a 12-year period from January 2005 to December 2016, we have compared our findings to those of the literature in an attempt to identify epidemiological notions relevant to daily medical practice as epidemiological data on benign tumors of the soft parts of the hand remain few and sometimes discordant. The authors report a series of 70 active, young adults, mostly female, with a swelling at the level of the hand as the most common reason for consultation. The middle finger and index finger were the most affected fingers at equal frequencies. The key supplementary examination was the ultrasound of the soft parts. All patients were treated with a complete surgical biopsy of their tumor followed by a histological study of the surgical specimen. Three cases of recidivism were noted. Through this study, the frequency of tumors of the soft parts of the hand in a particular population (Tunisian military agents) is emphasized. Moreover, this study allowed us to confirm the data of the literature concerning the dominance of the digital localization. On the other hand, this study reports that the giant cell tumor is the most common histological type in the study population.

This research uses a contrast stretching method to improve the detected object image. This process is needed because of the lack of lighting in the room so it is difficult to identify properly. This research develops an image object change detection system to detect the movement of objects contained in a room through a Closed Circuit Television (CCTV) camera which is conducted simulations using a webcam camera using a template matching method with normalized cross-correlation techniques. The results of detecting changes in image objects are then made to compare between the reference image and image before there is an object change with the image after the object changes. System testing is carried out at a certain time, namely 07.00-17.00 WIB. The level of accuracy to identify the detection of changes in image objects using the template matching method with normalized cross-correlation technique is 85% for the category of no change in min (0.01025) and max (0.02088) and changes in min (0.01640) and max (-0.00513).

La neuropathie mediane distale du syndrome du canal carpien est la lesion la plus connue affectant le nerf median. Le fibrolipome intraneural est une phacomatose benigne et peu commune caracterisee par une infiltration de l’epineurium et du perineurium par du tissu fibreux. La localisation elective est la partie distale du nerf median. Il s’agit d’une jeune fille de six ans presentant une tumefaction douloureuse du poignet qui s’etend jusqu’a la region palmaire de la main droite. Cette masse evolue depuis la naissance et a progressivement augmente de taille. Les examens radiologiques et en particulier l’IRM ont permis d’evoquer le diagnostic. L’etude anatomopathologique l’a confirme. La technique chirurgicale choisie consistait en une liberation du canal carpien associee a une exoneurolyse du nerf. L’evolution postoperatoire etait sans incident. L’amelioration fonctionnelle etait precoce avec une perte de paresthesie et de douleur. Les tumeurs nerveuses peripheriques representent moins de 5 % de toutes les tumeurs de la main. La presentation clinique est celle d’une tumefaction asymptomatique, de consistance lipomateuse, siegeant dans la region ante-brachio-palmaire d’augmentation de volume tres lente. Cette tumeur se caracterise par son inextirpabilite ce qui la differencie du lipome vrai intra-neural. Actuellement la technique la plus commune et la plus logique reste l’epineurectomie avec une biopsie, surtout lorsque la tumeur passe sous le ligament annulaire anterieure du carpe. C’est le cas de notre patiente. Le fibrolipome est une tumeur neurogene d’origine adipeuse. Le diagnostic doit etre pose chez tout patient presentant une tumefaction ante-brachio-palmaire evoluant depuis longtemps. Nous soulignons l’importance d’une surveillance etendue en raison du risque de recurrence.

Mangrove forests are one of the coastal wetland ecosystems and productive that functions as a buffer of life. However, in the last few decades, mangrove forests continue to be degraded or lost due to various human activities, especially the conversion of mangroves into ponds. Mangrove restoration on abandoned pond land has been carried out in recent years in eastern coast of North Sumatra. This study aimed to determine the diversity and structure of mangrove vegetation resulting from restoration on ex-pond lands on the eastern coast of North Sumatra. A total of 30 sample plots, each measuring 10m x 10 m, have been built at each age of stands from 5 years-old to 9 years-old and secondary forests. All trees with diameter (DBH) ≥ 2 cm in the sample plot were identified, measured DBH and height. The restored mangroves on the eastern coast of North Sumatra have high regeneration although the diversity was lower than secondary mangroves. A number of mangrove tree species were found growing in restored mangrove even though they were not planted. Therefore, the mangrove restorations have good impact on mangrove conservation. Some efforts to maintain mangrove forests from restoration and secondary forests need to be considered in order to avoid various disturbances.

Mangrove forests are wetland resources in coastal areas that important role in supporting of life. However, in recent decades, many mangrove forests have been degraded or lost, mainly due to the conversion of mangroves into ponds. Mangrove restoration activities on ex-pond lands have begun in recent years on the eastern coast of North Sumatra. This study aimed to measure the recovery of mangrove species through restoration activities on ex-pond lands and to know the composition of the restored mangrove forests at the eastern coast of North Sumatra. A total of 30 sample plots, each plot size of 10m by 10m, have been established at each age of mangrove stands (5-9 years) and secondary forests. All trees with the diameter (DBH) ≥ 2 cm in the sample plot were identified and measured the DBH. Overall, there were 14 mangrove species in all sample plots, equivalent to 42.42% of all true mangrove plants found in Indonesia. This result indicated that mangrove restoration has succeeded in restoring mangrove species diversity. Therefore, the mangrove restoration on ex-pond land needs to be promoted in an effort to restore various mangrove functions for community and coastal resources resilience.

Mount Gede Pangrango National Park (TNGGP) is an area of conservation administrator of natural resources and ecosystem located in Bogor, Cianjur, and Sukabumi District, West Java. One of its functions is the development and utilization of environmental service and natural tourism. Commodification of Mount Gede Pangrango was conducted by the government with the intention of increasing country’s income as well as maintaining natural preservation. Concomitant rise of technology and media, especially after the presence of ‘5 cm’ film and social-media activism, mountaineering activity has transformed into a popular activity resulting in a new meaning. Its implication is the emergence of new commodification conducted by several actors behind TNGGP with a capital accumulation motive in the end being to stabilize the new meaning of mountaineering activity. Those actors are private (agencies of mountaineering tourism, volunteer/ranger, product brand), local society, and government – that keep on negotiating and contesting in order to commodify the meaning of mountain and mountaineering activity. Then, what are new commodification forms conducted by those actors? How TNGGP is interpreted by those actors? And what are the kind of negotiation and contestation among them? Those questions will be answered in this article. The hypothesis is that each actor utilized power and access belonging to them in order to accumulate capital, both by commodifying TNGGP and the meaning of mountaineering activity by various ways. Each actor interprets TNGGP differently that has complex connection among them, but they rely on each other, and are profitable at once. This article is conducted by analysis qualitative descriptive method. Data are obtained through interview and engaged observation, including literature study and documentation of portal media. Keywords: Mount Gede Pangrango National Park, commodification, actor, negotiation, contestation