As regards methodology, we conducted a sampling at 3 degrees. The first draw regarding the thirty days Flexible biosensor , the second regarding the days, the third is organized style of health documents with a step of sounding of 2. We collected information about patient’s socio-demographic qualities, the contact patterns, medical examination of the info, presumptions and diagnostics treatments. We used chi2 test to compare the circulation between SMR and NSMR in the Threshold of 5 per cent. The failure of tries to giving up smoking was the cause of stagnation even increasing prevalence of cigarette smoking in Tunisia. The aim of our study would be to explain the last stop efforts among smokers, their education of motivation to a higher stop and analyze the associated elements. Nine hundred fourteen cigarette smokers had took part in our research. More than 2/3 of those (70 %) had one or more stop effort, which lasted longer than six months for 81 customers (9%) and the final attempt dated for more than 6 months for 486 smokers (53%). These past attempts were unaccompanied and non-medicalized in 97 per cent of instances. 2/3 of smokers (67%) had a very strong need to stop smoking, and 41% had a rather powerful self-confidence to achieve their attempts. In accordance with multivariate analysis, the clear presence of past stop tries to stop was statistically pertaining to the importance of quitting smoking (OR=2.20,95% CI [1.23 - 3.96]). Selfconfidence to successfully stop ended up being statistically related to the duration of smoking cigarettes (OR=1.03 , 95% CI [1.01 - 1.06] ) , the powerful reliance (OR=0.53 ;95% CI [ 0.29 - 0.97 ]) , and having at the least one smoking member of the household (OR = 0.36 , 95% CI [0.15 - 0.86]). Colonoscopy is a strong device find more for avoidance and very early analysis of colorectal cancer tumors. Nonetheless, the potency of colonoscopy is based on the grade of the procedure, that is considered by a number of crucial high quality indicators. One of them, cecal intubation and adenoma recognition price tend to be historically more widely used indicators of quality of colonoscopy. The purpose of our research would be to examine these two indicators of high quality of colonoscopy in a Tunisian endoscopy center. We carried out a retrospective research from January 2009 to March 2013. Information had been collected from colonoscopies reports. Demographic data, sign associated with process, and endoscopic analysis had been gathered. The standard of bowel preparation had been subjectively classified at the time of the evaluation by each endoscopist as good, fair, or poor. Treatment related quality signs considered for analysis had been cecal intubation rate (CIR) and polyp detection rate. During the period of the analysis, 859 colonoscopies had been performed without sehich we ought to work to boost overall performance. Hepatocellular carcinoma is initial liver tumefaction worldwide. Consequently, it is a question of debate whether surgical treatment or percutaneous treatment ought to be favored to treat patients with little hepatocellular carcinoma. The purpose of our research was to compare the lasting outcome as well as the success between operatively and percutaneously addressed small hepatocellular carcinomas. A retrospective research ended up being done within the department of hepatology during a time period of 2009-2012. The study included all clients holding little hepatocellular carcinoma that have been divided in group 1 including patients who underwent surgical procedure, and group 2 including patients which underwent percutaneous therapy. Among the list of 63 patients who have been identified for hepatocellular carcinoma, 28 transported a tiny hepatocellular carcinoma with a mean age 63 many years and sex-ratio of 0.64. Etiology of cirrhosis was viral in 96% cases. Surgical treatment (hepatic resection) ended up being done in 54% instances while percutaneous treatment was recommended for 46per cent radiofrequency ablation in 69% and alcohol shot in 31%. No major complications both for medical and percutaneous treatment occurred in our study. The corresponding half a year and 1- year overall success rates when it comes to surgical resection team as well as the percutaneous treatment group were 100%, 100%, 20%, and 52%, correspondingly (p=0,04). The illness free survival weren’t substantially various. The problems associated with hydatid cyst associated with the liver are ruled by infection and rupture. The compression of adjacent organs (mainly the substandard vena cava, the portal vein and also the bile ducts) can be seen, if the cyst is located in the dome, when you look at the hilum or inside the hepatic parenchyma. Upper digestive Non-medical use of prescription drugs stenosis by compression associated with duodenum by the hydatid cyst is an outstanding complication. A 63 year-old client had, for just two months, top digestion stenosis associated with a feeling of body weight into the correct hypochondrium. Digestive endoscopy demonstrated an extrinsic compression regarding the second part of the duodenum. Biopsies had been unfavorable.