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Chebbi W.,University Hospital Taher Sfar | Jerbi S.,University Hospital Taher Sfar | Klii R.,University Hospital Fattouma Bourguiba | Alaya W.,University Hospital Taher Sfar | And 3 more authors.
Internal Medicine | Year: 2014

Diabetic muscle infarction (DMI) is a rare complication of long-standing poorly controlled diabetes mellitus. We herein describe the case of a 56-year-old man with a 10-year history of poorly controlled type 2 diabetes mellitus with multiple microvascular and macrovascular complications who presented with the sudden onset of left thigh pain and swelling. MRI suggested muscle infarction. A muscle biopsy demonstrated coagulation necrosis in the skeletal muscle with inflammation and infarction in the walls of small blood vessels. Physicians should consider DMI in the differential diagnosis of patients with diabetes who present with painful, swollen muscles without systemic signs of infection. © 2014 The Japanese Society of Internal Medicine Source

Bhiri S.,University of Sousse | Maatoug J.,University of Sousse | Zammit N.,University of Sousse | Msakni Z.,University of Sousse | And 4 more authors.
Journal of Occupational and Environmental Medicine | Year: 2015

To assess the effectiveness of a 3-year workplace-based intervention program on the control of the main noncommunicable disease risk factors (poor nutrition, physical inactivity, and tobacco use) among the employees of Sousse, Tunisia. Methods: We conducted a quasi-experimental study (pre-and postassessments with intervention and control groups) in six companies of the governorate of Sousse in Tunisia. The intervention program consisted of health education programs (eg, workshops, films and open sensitization days). We also scheduled free physical activity sessions and free smoking cessation consultations. Results: Our intervention program showed meaningful improvement among the employees toward dietary and physical activity behaviors but not for tobacco use. Conclusions: Workplace is a crucial setting for health promotion, and future programs should consider a multisectoral approach to control the main noncommunicable disease risk factors. © 2015 American College of Occupational and Environmental Medicine. Source

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