Imene Molla has completed her PhD at the age of 25 years from faculty of Medecine, Sfax university. She is a student in pediatrics since 2016.
Childhood purulent meningitis remains frequent, causing significant infant morbidity and mortality. The urgency of the diagnosis and the early treatment will determine the short and long term prognosis. This is a retrospective study of all cases of purulent meningitis in children collected from January 2005 to December 2018. Twenty-five cases of purulent meningitis (PM) were collected. The hospital incidence of PM was 1.78 cases / year. The sex ratio was 1.27 with a male predominance of 56%. The average age of our patients was 56.16 months. Fever was present in 92% of cases, headache in 52% of cases, vomiting in 72% of cases, abdominal pain in 16% of cases, lethargy in 40% of cases, confusion in 24% of cases, convulsions in 16% of cases, arthralgia in 20% of cases and photophobia in 16% of cases. Culture of the CSF showed Haemophilus influenzae type b in 3 cases and Pneumoniae Streptococcus in one case. Brain scan was performed in 20 patients and was found to be pathologic in 7 of them (28%). Cerebral MRI was done in 3 cases (12%) and was found to be pathological in all cases. First-line antibiotic therapy was based on Cefotaxime vancomycin in 20 cases (80%). Dexamethasone was prescribed in 14 cases. The outcome was favorable in the short term in 80% of cases. Long-term complications included right axial proptosis with arachnoidocele complicating orbit collection in one case and bilateral demyelizing optic neuropathy in another case.
Muna said Alshekaili has completed her MD in 2005 from Arabian Gulf University ,finished residency prgram 2012. Finished fellowship in child and adolescent in 2014. Appointed as head of child and adolescent psychiatry department at almassarh hospital in 2017.
Child sexual abuse is one of the most painful event that can happen to a child and too difficult to talk about its details . in our country Sultanate of Oman (located in the middle east ) child law published in 2014 . Public prosecution reported 117 cases in 2016 ,this number gradually increased as they reported 198 cases in 2017, 284 cases in 2018 and until today they reported 329 cases. Many cases reported at first to the social worker at school, teachers, psychologist where they need to ask the child in proper way to avoid story contamination. Most of the cases ,the child is the only witness and no physical or forensic evidence of the alleged abuse , so mainly the whole cases depending on child story. The age range of sexually abused children 3-17 years and there is a huge differences in their mental, psychological and physical abilities where we have to put it in consideration while interviewing the abused children . one of the main ways to help those children is to avoid misleading claims and to provide justice for both sides (the child and the abuser ). Its very important to understand the legal and psychological background while interviewing the sexually abused child for the first time . Objectives : • Highlights the main psychological and legal aspects and techniques used during the first interview . • Highlight on the main ways that should be avoided as it might contaminate the story of the child • Help professionals from different backgrounds (medical, legal, educational, rehabilitation )to understand those areas and start practicing it The trainers (consultant child and adolescent psychiatrist and prosecutor general assistant ) will train the audience by role play and many other methods .