A much better knowledge of this infection ended up being essential to start particular therapy. Early management would result in much better prognosis. Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a proliferation of plasmacytoid cellular precursors. It is a rare and difficult-to-diagnose hematological malignancy with a poor result. We report three instances of BPDCN diagnosed in clients native immune response of various nationalities (Tunisian, Algerian and Libyan) and varying centuries (eight, 65 and 74 yrs old). Cutaneous involvement had been present in all three situations. Cytology ended up being inconclusive in the first case, in favor of acute lymphoblastic leukemia (ALL) and intense myeloblastic leukemia (AML) in the 2nd and 3rd case respectively. The analysis ended up being retained by movement cytometry, highlighting the Cluster of Differentiation (CD) 4 + CD56 + phenotype of this blast population. These observations illustrate diagnosis challenges, the significance of biological/clinical confrontation if you wish not to misdiagnose this entity. Flow cytometry is an essential diagnostic tool.These findings illustrate diagnosis difficulties, the importance of biological/clinical confrontation to be able not to ever misdiagnose this entity. Flow cytometry is a vital diagnostic tool. Lung ultrasound (LUS) is suggested because of the British Thoracic Society as a regular of treatment before doing pleural procedures since 2010. Certainly, the choice for the puncture website based just on actual examination and chest x-ray can cause complications. The purpose of this research was to compare the accuracy of pleural puncture web sites using LUS in place of clinical examination. An evaluative potential study including 43 clients hospitalized into the pneumology department in the Military Hospital of Tunis ended up being carried out between January and November 2021.Pleural puncture sites had been suggested by two groups involving ‘senior’ and ‘junior’ physicians, categorized based on their knowledge and grades, in line with the clinical examination additionally the chest x-ray results. The precision of the proposed sites was then validated by an ultrasound-qualified “expert” utilizing LUS. The mean age was 60 ± 17 many years. LUS revealed the existence of pleural effusion in 88% associated with cases (n=38). Differential analysis had been thereforeizing the risk of problems no matter what the operator’s level of medical experience.LUS substantially gets better the accuracy of pleural puncture web sites, therefore minimizing the possibility of problems whatever the operator’s level of clinical knowledge. This relative pilot study ended up being performed over a two-year duration (2018-2019) in Algiers (Algeria). The study included two groups of RA non-smoker patients 26 ACPA+ and 33 ACPA-.RA was identified according to the ACR/EULAR 2010 RA category requirements. Spirometry and plethysmography were performed. Listed here definitions were applied Obstructive Ventilatory Impairment (OVI) FEV1/FVC z-score < -1.645; Restrictive Ventilatory Impairment (RVI) Total Lung Capacity (TLC) z-score< -1.645; Mixed Ventilatory Impairment (MVI) FEV1/FVC z-score < -1.645 and TLC z-score < -1.645; lung- hyperinflation residual volume z-score > +1.645; Nonspecific Ventilatory Impairment (NSVI) FEV1z-score < -1.645, FVC z-score < -1.645, FEV1 /FVC z-score ≥ -1.645, and TLC z-score ≥ -1.645. It is a descriptive cross-sectional research including all clients hospitalized at Ibn Al Jazzar University Hospital in Kairouan during a period of 90 days, from January 1 to March 31, 2018. The review ended up being carried out see more using a questionnaire consists of 27 items to explore seven particular proportions of satisfaction. A complete legal and forensic medicine of 640 customers had been within the research. The overall pleasure rate was 41.7%. The dimensions of globality and medical center stay were minimal valued by hospitalized patients with respective pleasure rates of 14.4% and 18.3%. Access to care was the most appreciated area with a satisfaction price of 58.9%. the cheapest pleasure rates, among the list of items examined at the Kairouan University Hospital in 2018 had been «the places of visits» (9%), «the quality for the catering» (20%), « tranquillity” (23%), and “attentiveness of staff to patient requirements” (23%). At Ibn Al Jazzar University medical center of Kairouan, patient satisfaction had been reasonable concerning the quality of the solutions provided, especially for places linked to the circumstances of stay and the globality of treatment. Intervention actions based on these shortcomings should really be undertaken.At Ibn Al Jazzar University hospital of Kairouan, patient satisfaction had been reasonable regarding the quality regarding the solutions supplied, especially for places regarding the circumstances of stay and the globality of attention. Intervention steps based on these shortcomings should always be undertaken. To approximate the prevalence of lower digestion symptoms according into the Rome III requirements among diabetic patients of type 2, and second to recognize the aspects associated with the digestion symptoms among these topics. A cross-sectional study had been done among recruited diabetes mellitus type 2 clients from standard wellness centers at Sousse and Monastir (Tunisia). Diagnosis of digestion signs had been considering Rome III requirements. We studied the impact of socio-demographic qualities, life style, diabetes mellitus qualities, somatization, emotional state (HAD scale) and well being (SF-12 scale) in the prevalence of digestive symptoms.