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Toilet compost (TC) and human urine are among natural fertilizers, which raise interest due to their double advantages to combine sanitation and nutrient recovery. However, combination of urine and TC is not so spread probably because the best ratio (urine/TC) is still an issue and urine effect on soil chemical properties remains poorly documented. This study aims to determine the best ratio of urine and TC in okra cultivation, by targeting higher fertilization effect combined with lower impact on soil chemical properties. Based on Nitrogen requirement of okra, seven treatments were compared: (T0) no fertilizer, (T1) chemical fertilizer (NPK: 14-23-14), (T2) 100% urine, (T3) 100% TC, (T4) ratio of 75% urine + 25% TC, (T5) 50% urine + 50% TC and (T6) 25% urine + 75% TC. Results indicated that T4 (75% urine + 25% TC) gave the highest plant height and yield. In contrast, T2 (100% urine) gave the lowest results among all treatments, indicating toxicity effects on plant growth and associated final yield. Such toxicity is confirmed by soil chemical properties at T2 with soil acidification and significant increase in soil salinity. In contrast, application of urine together with TC mitigates soil acidification and salinity, highlighting the efficiency of urine and TC combination on soil chemical properties. However, further investigation is necessary to refine better urine/TC ratio for okra production. [ABSTRACT FROM AUTHOR]

In Africa, 45% of the land is located in regions where rainfed agriculture is weakened by recurrent droughts. In Burkina Faso, soil degradation can be limited by the Zaï technique, which is a very labour-intensive traditional, manual technique (300 h/ha). By mechanizing the operation it only takes 40 h/ha. Today, several hundred farms and craftsmen in around twenty villages in northern Burkina Faso are benefiting from the improved technique. A cactus (Opuntia ficus-indica Mill), which originates from Mexico, was accidentally introduced less than 20 years ago in the arid province of Tigray in northern Ethiopia. Within a very short time, ways of growing, using and processing the different products derived from Opuntia have been technically developed, leading to better human and animal nutrition, and income during lean periods (July-September). At the outset, this progress was initiated by local agricultural research, but it was rapidly boosted by multi-stakeholder collaboration, notably involving users of the techniques, particularly farmers themselves. These two cases were presented at the AIDA conference (Agricultural Innovation in Dryland Africa) (http://inco-aida.cirad.fr ) held in Accra (Ghana), 22-24 January 2007, which enabled the first inventory of agricultural improvement case studies in Sahelian Africa. The main lesson learnt from the conference, illustrated by these two case studies, was that under conditions of considerable spatial and temporal variability in environmental and human factors, agricultural innovation is a dynamic, complex and interactive process and a complete break from the linear technology transfer approaches mostly taken in the last 40 years. Today, the methods and approaches whereby this complexity can be integrated are at the heart of the debate, so that technological improvements can be appropriated by the stakeholders, their impact increased, and their durability ensured in contexts with very little economic and climatic room for manoeuvre. [ABSTRACT FROM AUTHOR]

Behçet's disease (BD) is a chronic auto inflammatory disorder of unknown aetiology. Recently, the dysregulation of interleukin-21 receptor (IL-21R) has been incriminated in different autoimmune and auto-inflammatory diseases, such as systemic lupus erythematous, rheumatoid arthritis, and type 1 diabetes. Herein, we aimed to investigate the association of two Il-21R gene polymorphisms with BD. IL-21R rs2214537 and IL-21R rs2285452 genotypings were investigated in a cohort of 110 adult patients with BD and 116 age and gender unmatched healthy controls. Genotyping was performed by mutagenically separated polymerase chain reaction with newly designed primers. IL-21R rs2285452 genotypes and alleles distribution were statistically different between patients with BD and controls. GA and AA genotypes carrying the minor A allele were more frequent in patients with BD than in healthy controls (37.3% and 11.8% vs. 23.3% and 3.4%, respectively). The minor A allele was associated with an increased BD risk (odds ratios = 2.42, 95% confidence interval = 1.214.87, p = .005). IL-21R rs2214537 GG genotype was found to be associated with susceptibility to BD in the recessive model (GG vs. CC + CG; p = .046, OR =  1.91, 95% CI =  1.003.650. IL-21R rs2285452 and IL-21R rs2214537 were not in linkage disequilibrium (D' = 0.42). The AG haplotype was more frequently observed in patients with BD than in controls (0.247 vs. 0.056, p =  .0001). This study for the first time reports the association of IL-21R rs2285452 and IL-21R rs2214537 with BD. Functional studies are required to elucidate the exact role of these genetic variants., (© 2023 John Wiley & Sons Ltd.)

Introduction: salivary gland tumors mainly occur in the parotid gland. These tumors are rare but are characterized by histological heterogeneity, thus posing diagnostic challenges. Magnetic resonance imaging (MRI) is currently the most reliable imaging test for the evaluation of these tumors. The purpose of this study was to highlight the diagnostic value of MRI and its role in parotid gland tumor histopathology., Methods: we conducted a retrospective descriptive and analytical study of 50 patients with parotid gland tumor, operated and treated in the ear, nose and throat (ENT) Department and in the Department of cervicofacial surgery at the Tahar Sfar University Hospital of Mahdia between 2001 and 2019. All patients underwent preoperative MRI of the parotid gland., Results: out of 50 patients included in the study, 36 (72%) had benign tumor and 14 (28%) malignant tumor. The sensitivity of MRI for the diagnosis of malignant tumor was 92.8% with a specificity of 97.2%, a negative predictive value of 93% and a positive predictive value of 97%. With respect to benign tumor characterization, MRI suggested the diagnosis of Warthin tumor in all cases (13 cases) and of pleomorphic adenoma in 22 out of 23 cases. There were two diagnostic errors: MRI suggested the diagnosis of pleomorphic adenoma instead of adenoid cystic carcinoma in one case and of malignant tumor instead of pleomorphic adenoma due to diffusion restriction., Conclusion: MRI is highly efficient in the assessment of parotid tumor histology and, especially, after the advent of new functional sequences. However, only histological examination allows to confirm with certainty the diagnosis., Competing Interests: Les auteurs ne déclarent aucun conflit d'intérêts., (Copyright: Mohamed Masmoudi et al.)

Introduction: Necrotising otitis externa (NOE) is a rare infection of the ear canal with frequent bone erosion. This study's objective is to describe the different features of NOE as well as its management in an ear-nose-throat department. We also tried to identify the particularities of the fungal infection., Patients and Methods: It is an observational cohort that included all the patients hospitalised for the management of NOE. The study was carried out in the ear-nose-throat Department of Mahdia University Hospital in Tunisia between January 2006 and december 2019., Results: A total of 40 patients were included. The mean age was 65 ± 12.9 years and the sex ratio was 0.9. Ninety percent of the patients included were diabetics. The most common signs found were oedema of the external canal (97.5%) and auricular discharge (92.5%). The main pathogen isolated was Pseudomonas aeruginosa (61.7%). Fungi were isolated in 9 cases (26.47%). Computed tomography was performed for 32 patients (80%). Bone erosion was seen in 26 cases (81.3%). The main complications were cerebral venous thrombosis, retropharyngeal abscess and cerebral empyema. Thirty one patients received only antibiotics, 2 received only antifungal treatment, and 7 received both antibiotics and antifungal treatment. All patients had a favorable outcome. Univariate analysis showed a higher median erythrocyte sedimentation rate was associated with fungal infections. No other differences were noted., Conclusion: Our management protocol seems to be efficient since all patients had initial favorable outcome. A higher median erythrocyte sedimentation rate was associated with fungal infections., Competing Interests: The authors have no conflicts of interest relevant to this manuscript to disclose., (© 2020 PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd.)

Objective: Measure the overall and specific satisfaction rates of patients hospitalized in surgical services in Sahloul University Hospital in Sousse during the year 2018., Methods: The study population was recruited by a quota sample of hospitalized patients in the surgical departments of Sahloul University Hospital in Sousse. Data collection was done via a patient satisfaction questionnaire, administered to outgoing patients. The questionnaire was composed of 33 items exploring technical, administrative, logistical and relational dimensions. Overall patient satisfaction, called "reactivity", was defined by a concomitant positive response to the three questions exploring satisfaction, recommendation and loyalty., Results: A total of 735 patients hospitalized in six surgical departments were included (general surgery, orthopedics, maxillofacial surgery, urology, neurosurgery and cardiovascular surgery). The rates of "satisfaction", "recommendation" and "loyalty" of the patients were 71%, 70% and 69% respectively, equivalent to an "overall positive reactivity" of 62%, 95% CI [58,5%-65.5%], particularly low in the orthopedic department (43%). The logistics dimension was the least appreciated by patients, including room's condition, with almost 23% overall and 17% in the orthopedic department., Conclusion: The responsiveness of patients hospitalized in the surgical services of Sahloul University Hospital was low, particularly for items related to the hotel services in the hospital. Furthermore, plans to improve the quality of care and support the performance of public hospitals should pay close attention to the logistical dimension of patients' hospital stays.

Objective: The objective of this study is to compare the clinical presentation and the cancer staging of nasopharyngeal carcinoma (NPC) between pediatric and adult populations to highlight the main characteristics of this disease within the two subgroups., Materiel and Methods: It is a retrospective study including all patients with a primary diagnosis of NPC over a period of 19 years. The pediatric group included patients aged less then 16 years old., Results: A total of 80 patients were included. The pediatric population represented 22.5% of the cases. No difference in gender distribution was found (p˃.05). The most common presenting symptom was neck mass in children (77.8% vs. 48.4%, p = .02), and nasal obstruction in adult patients (64.5% vs. 16.7%, p < .01). The median time between the presenting symptom's onset and the diagnosis was 5 months. The diagnosis of NPC was delayed in pediatric patients compared to adults (<0.05). We noted a predominance of patients with stages III and IV (32.5% and 40%, respectively) with no difference between the two subgroups (p˃.05)., Conclusion: Our study showed some differences in NPC clinical features between pediatric patients and adults. Neck mass was the most common symptom in children. The initial presentation is sometimes misleading. NPC was mainly diagnosed in advanced locoregional stages in both pediatric and adult patients. Efforts toward early diagnosis are of great importance., (Copyright © 2020 Elsevier B.V. All rights reserved.)

During the period from 2014 to 2017, a retrospective study on pesticide poisoning in domestic animals and livestock was compiled and then analyzed. A total of 71 pesticide analyses have been submitted to the Pharmacy and Toxicology Laboratory of the School of Veterinary Medicine of Sidi Thabet in Tunisia. All the cases were first referred either through the clinical and/or pathological departments of the Veterinary School, the private and/or governmental veterinarians or directly by the pet owners. Among the total number of the suspected samples, 21 (29.6%) cases were found positive for various kinds of pesticides. Carbamate insecticides were the most frequently implicated pesticide (52.4% of the total positive cases), followed by organophosphate insecticides (19%), then rodenticides-anticoagulants and rodenticides non-anticoagulants (14.3% each). Therefore, carbamates and organophosphates are the most implicated group of pesticides in intoxications (71.4%). Among the 21 positive cases were 11 dogs, 4 cats, 3 poultry, 2 ruminants, and 1 case of bee poisoning. Partition chromatography (HPLC) has been used to characterize the incriminated pesticides. The aim of this survey was to determine incidence and characteristics of pesticide poisoning in domestic and farm animals in Tunisia. The reported results are useful for epidemiological cartography and medical management of intoxicated animals., (Copyright © 2019 Lahmar, Berny, Mahjoub and Ben Youssef.)

In clinical practice and the literature, malignant melanoma usually appears in typical sites where melanocytes can be found: skin, eyes meninges and anal region. Malignant melanomas of the esophagus-gastrointestinal (EGI) tract are usually metastatic. Primary and diffuse EGI tract melanoma is rare and only a few descriptions of this presentation have been found in the literature. The prognosis of EGI tract melanoma is frightening because of late diagnosis and high malignancy potential. Treatment is based essentially on surgery. The objective of the present study is to specify the clinical and therapeutic aspects of primary digestive melanoma.

Melanoma of the female genital tract is a rare location (less than 2% of melanomas all sites combined). These cancers have a very poor prognosis, due to the delay in diagnosis. Vulvar location is about 1% of melanomas then the vaginal location, uterine and ovarian. There is no consensus to date regarding their care, due to the rarity of the lesions. Their treatment must however be based on the current data concerning gynaecological cancers as well as standard management of cutaneous melanoma. The treatment is often based on conservative surgery, because radical resection does not improve survival. For the vulva and vagina, reconstructive surgery is possible. Treatment is sometimes supplemented by chemotherapy or radiotherapy, which could improve local control. The interest in the use of targeted therapy in these locations is not well known because of their rarity, but the study of genes c-Kit and BRAF provides new prospects for treatment. The objective of this review is to describe and report the current state of knowledge about gynaecologic melanomas.