Indoor radon measurements were carried out in 30 elementary schools in Tunis, the capital city of Tunisia, during the winter months of December 2008 to early March 2009. Two classrooms, one each from ground floor and first floor were chosen from each school making a total of 60 classrooms. In some of the classrooms, two detectors (open and closed) were used to measure the concentrations of radon as well as radon and its progeny to allow the calculations of the equilibrium factors. Nuclear track detectors type LR-115 (Kodalpha) were used for the measurements. The results show that the radon concentration levels are low in the range of 6–169 Bq m-3 with a mean value of 26.9 Bq m-3. The annual effective dose was found to vary between 0.025–0.715 mSv y-1 for teachers while the range for pupils was from 0.019–0.525 mSv y-1. These values are within the ICPR recommended values. Les mesures du radon ont été effectuées dans 30 écoles primaires dans le grand Tunis, durant la période (décembre 2008-mars 2009). Deux salles de classe ont été choisies dans chaque école, une au rez de chaussée et l’autre au premier étage, soit un total de 60 salles de classe. La mesure des concentrations de radon ainsi que ses descendants et l’estimation des facteurs d’équilibre ont été effectués à l’aide de deux détecteurs solides de traces nucléaires de type RC-115 (ouvert et fermé). Les résultats montrent que les niveaux de concentration en radon sont faibles de l’ordre de 6 à 169 Bq m-3 avec une valeur moyenne de 26,9 Bq m-3. La dose efficace annuelle estimée, varie entre 0,025 et 0,715 mSv an-1 pour les enseignants et entre 0,019 et 0,525 mSv an-1 pour les élèves. Ces valeurs sont dans la gamme des valeurs recommandées par la CIPR.

Indoor radon concentrations were measured in four well-known spas of Tunisia using nuclear track detectors. The radon concentrations in these spas were found to be in the range of 19 - 870 Bq.m-3. The equilibrium factor F between radon and its progeny was found to vary in the range of 0.2 - 0.5, depending upon the ventilation rates within the buildings of the spas. Using the exposure-dose conversion factor, the effective doses to patients and workers were estimated and the dose was found to vary in the range 3.7 × 10-3 - 12.5 × 10-3 mSv.y-1 and 0.45 - 1.5 mSv.y-1 for patients and workers, respectively. These values are well inside the limit recommended for the annual dose limit of 20 mSv.y-1 for an occupational worker. The radium content in the groundwater of all four spas was measured and the results showed no correlation between the 226Ra concentration in water and radon concentration in indoor air of the investigated spas.

The (222)Rn concentration in air was measured in a thermal water spa used as a hydrotherapy centre in Tunisia. The associated health risk for employees and patients due to the inhalation of (222)Rn and its progeny was estimated. A protection scheme for the employees of the spas has been designed. Results show that the (222)Rn concentration varies in the range 33-589 Bq m(-3). The (222)Rn concentrations measured in the present study show lower values in comparison to those reported for thermal spas in other countries. The (222)Rn concentration in different rooms of the spa depends mainly on the ventilation rate. A model based on a dosimetric approach was adopted to estimate the radon risk considering the (222)Rn concentration, the time spent in the spa, and the radioactive equilibrium factor F. The annual effective dose was found to vary between 0.2 and 1.7 mSv for workers while the range for patients was from 2.8 x 10(-4) to 1.1 x 10(-4) mSv. These values are within the ICRP recommended values.

Vertigo is a common sign related to a problem with the brain or vestibular system. Detection of ocular nystagmus can be a support indicator to distinguish different vestibular disorders. In order to get reliable and accurate real time measurements from nystagmus response, video-oculography (VOG) plays an important role in the daily clinical examination. However, vestibular diseases present a large diversity in their characteristics that leads to many complications for usual analysis. In this paper, we propose a novel automated approach to achieve both selection and classification of nystagmus parameters using four tests and a pupil tracking procedure in order to give reliable evaluation and standardized indicators of frequent vestibular dysfunction that will assist clinicians in their diagnoses. Indeed, traditional tests (head impulse, caloric, kinetic and saccadic tests) are applied to obtain clinical parameters that highlight the type of vertigo (peripheral or central vertigo). Then, a pupil tracking method is used to extract temporal and frequency nystagmus features in caloric and kinetic sequences. Finally, all extracted features from the tests are reduced according to their high characterization degree by linear discriminant analysis, and classified into three vestibular disorders and normal cases using sparse representation. The proposed methodology is tested on a database containing 90 vertiginous subjects affected by vestibular Neuritis, Meniere's disease and Migraines. The presented technique highly reduces labor-intensive workloads of clinicians by producing the discriminant features for each vestibular disease which will significantly speed up the vertigo diagnosis and provides possibility for fully computerized vestibular disorder evaluation.

Assessing myocardial strain remains challenging, particularly in the pediatric population, due to the smaller heart sizes, higher heart rates, and variability in strain parameters compared to adult populations. This study aimed to investigate the utility of myocardial strain measurements using cardiac magnetic resonance-feature tracking (CMR-FT) for early diagnosis of Duchenne muscular dystrophy (DMD) in pediatric patients. Twenty-eight DMD patients and 20 healthy controls were involved in this study. Global circumferential, longitudinal, and radial strain (GCS, GLS, and GRS) were measured for the left ventricle (LV) using CMR-FT. Segmental strain values only of the inferolateral and anterolateral LV segments in DMD patients without late gadolinium enhancement (LGE) and DMD patients with LGE were compared to the healthy controls. Strain measurements using CMR-FT in DMD patients were considerably lower than those of healthy controls, with all p-values lower than 0.001. DMD patients without LGE showed decreased inferolateral and anterolateral segmental values only relative to healthy controls. The same behavior was maintained for the LV geometry. Multivariable linear regression demonstrated that the end-systole (ES) wall thicknesses and thickening were associated with decreased GCS and GLS. CMR-FT is crucial in detecting cardiac abnormalities in patients with DMD. It represents an innovative imaging biomarker that can detect initial myocardial alterations in DMD cardiomyopathy without relying on gadolinium.