Pollen spectrum in Northern Tunis,Tunisia

This study has been focused on airborne pollen concentration in Northern Tunis. Pollen has been detected by a volumetric Hirst-type spore trap. This suction sampler was placed for two hydrologic years in the area of Mornag, northeastof Tunisia (36°40N; 10°17E). Fifty-two taxa were identified with heterogeneous daily pollen concentrations and a dominance of anemophilous plants. The main pollen types detected in the atmosphere were Olea europaea (38.7 and 20.75%), Cupressus (33.57 and 55.4%), Urticaceae (9.22 and 12.24%), Poaceae (3.55 and 3.32%), Mercurialis annua (2.96 and 1.6%) and Amaranthaceae (2.49 and 1.55%). The monthly pollen spectrum indicated a seasonal periodicity of airborne pollen with the main pollen season during spring. Two pollen seasons have been observed during these hydrologic years, due to both Cupressus and Amaranthaceae airborne pollen is represented during winter or spring, and also during autumn and late summer, respectively. Other pollen types represent a long pollen season, i.e., Urticaceae, starting in autumn and following until late spring. Daily pollen concentration showed a different behavior during the flowering season between both years, observing differences related to pollen index. Correlation between daily pollen concentrations of the dominant taxa showed a positive and significant correlation between airborne pollen concentrations of spring-pollinated taxa and mean temperature, but negative with maximum temperature, humidity and rainfall. In the case of minimum temperature, a different response, positive for trees and negative for herbaceous plants, has been observed.     

Bacterial pollution of the lagoon of Tunis

The authors present in this paper a study about the bacterian pollution of the lagoon of Tunis based on 120 samples collected in 10 different stations. This study points out that the lagoon is polluted (50.8% of the samples) mostly in autumn and in winter. The pollution is exogenous, chiefly caused by the rain spreading over polluted waters of wastes and of rivers, and also by the action of the winds and of the currents on the sediments hosting microbiological parameters of faecal pollution.     

Mitochondrial ROS metabolism: 10 Years later

The role of mitochondria in oxidative stress is well recognized, but many questions are still to be answered. This article is intended to update our comprehensive review in 2005 by highlighting the progress in understanding of mitochondrial reactive oxygen species (ROS) metabolism over the past 10 years. We review the recently identified or re-appraised sources of ROS generation in mitochondria, such as p66^shc protein, succinate dehydrogenase, and recently discovered properties of the mitochondrial antioxidant system. We also reflect upon some controversies, disputes, and misconceptions that confound the field.     

Community Demand for Doctors in the next 10 Years

The demand for doctors has increased despite improved community health, because the prevalence of chronic disease has increased, and because affluence, better education, and the growth of specialization have all stimulated demand.Most authorities have recommended an increase in the supply of doctors to meet the increasing demand. Nevertheless, a supply which preserves the present ratio of doctors to population might be adequate if medical productivity were raised. Moreover, an increase of the supply stimulates further demand; perhaps demand would fall if the supply were reduced, and community health might not deteriorate as a result of this.Other social institutions besides medicine have a claim on the available pool of talent from which doctors are recruited. It is possible that medicine already receives its fair share.     

Surveillance system of maternal mortality in the Tunis region

In the framework of a national strategy of reduction of the maternal mortality rate. Tunisia has set up a follow up system of maternal deaths occurring in public facilities to analyse their causes, the levels of deficiency and to propose solutions for preventing them. This note aims at describing the system, its results, its efficiency and its limitations in the Tunis region for the years 1999 and 2000. The results show a maternal mortality rate estimated at 80 for 100,000 births in public facilities of the region: the main causes being haemorrhage (42.1%) followed by infection (13.2%). The proportion of avoidable deaths is 87%:74% possibly avoidable and 13% certainly avoidable, factors related to women behaviour have also contributed to 45% of cases. The system flows are however intricated, and related to organization: an underestimation of risk by the patient (33%), an inadequate watch during the postpartum period (25%), a late hospitalisation (22%) and not enough reanimation equipment. Nevertheless, this control system has achieved part of its objective by starting up a quality approach to obstetrical cares and by warning health professionals such as obstetricians, anaesthetists, blood banks in charge, hospital managers and other medical teams. The limitations of the system are tied to the follow up of the real implementation of recommendations stated in reports at a local as well as central levels.