Necessity of informing the patient: An analytical study

تتناول هذه الدراسة ماهية وطبيعة الالتزام بتبصير المريض باعتباره واجباً قانونيا على الطبيب بمناسبة عقد العلاج الطبي. وتهدف الدراسة إلى تحديد المركز القانوني لكل من الطبيب والمريض باعتبارهما الطرفين الأساسيين في عقد العلاج الطبي. وتستعرض الدراسة ماهية الالتزام بالتبصير من حيث طبيعته، ونطاقه، وأشكاله وتطبيقاته. وتستند الدراسة، لتحقيق الهدف الذي تسعى إليه، إلى نصوص التشريع، وآراء الفقهاء، وأحكام القضاء.The present study focuses on the essence and nature of a doctor's commitment to inform the patient. Its aim is to determine clearly the legal status of the doctor and the patient as the two principal parties in the medical treatment contract. It examines the above mentioned commitment in terms of nature, scope, form and application. The study, to achieve its aim, refers, in general context, to a number of relevant laws, opinions of great scholars, and certain judicial verdict

Effect of Deficit Irrigation and Root-Zone Drying Irrigation Technique under Different Nitrogen Rates on Water Use Efficiency for Potato (Solanum Tuberosum L.) in Semi-arid Conditions (I)

An investigation was carried out at the Technical Center of Potato and Artichoke CTPTA in the region of Saida, located in the lower valley of Medjerda river during the season of 2017. The objective was to evaluate the effects of deficit irrigation (DI) and the root-zone drying irrigation technique (PRD) under different nitrogen rates on total dry matter production (TDM), water consumption (WC) and water use efficiency of potato (Solanum Tuberosum L. VS. Spunta). Three water treatments (T1 = FI = 100% ETC, T2 = DI = 75% ETC and T3 = PRD50) and three nitrogen rates (F1 = N150: 150 kg N ha-1, F2 = N75: 75kg N ha-1, F3 = N0: 0kg N ha-1) were applied since the tuber initiation (55 days after planting) to maturity (100 days after planting). The results showed that the water regime affected negatively the total dry matter accumulation. A decline of 7 and 18.6% was registered in the two treatments T2 and T3 compared to the control T1. The WC decreased during water restriction respectively by 16; 33 and 29% for the T2 and T3 (PRD50 left) and T3 (PRD50 right) compared to T1. For the three nitrogen treatments (F1, F2 and F3) the water restriction has increased the WUE. The best values was recorded in the treatment T2 and then in the treatment T3 from where this increase compared to T1 was equal to (22.6% and 12.9%), (24.1% and 12, 4%) and (21.9% and 15.3%) respectively

Impact of Deficit Irrigation (DI) and Root-Zone Drying Irrigation Technique (PRD) under Different Nitrogen Rates on Radiation Use Efficiency for Potato (Solanum Tuberosum L.) in Semi-arid Conditions (II)

The study was carried out at the Technical Center of Potato and Artichoke CTPTA located in the lower valley of Medjerda river of Tunisia during the season of 2017. The purpose was to estimate the impact of deficit irrigation (DI) and the root-zone drying irrigation technique (PRD) under different nitrogen rates on photo synthetically active radiation absorbed and radiation use efficiency for Potato (Solanum Tuberosum L. VS. Spunta). Three water treatments (T1= 100% ETC, T2 = DI = 75% ETC and T3 = PRD50) and three nitrogen rates (F1 = N150: 150 kg N ha-1, F2 = N75: 75kg N ha-1, F3 = N0: 0kg N ha-1) were applied since the tuber initiation (55 days after planting) to maturity (100 days after planting). The deficit irrigation T2 has no effect on PARabs. Besides, the PRD50 has led to a reduction in PARabs. This decrease compare to T1 was equal to (8.9; 9.9 and 7.9%) respectively for the three treatments (F1; F2 and F3). The nitrogen deficit affects negatively the PARabs. An improvement of 13.2%, 11.2% and 12.2% of the F1 compared to the F3, respectively for the three water treatments (T1, T2 and T3). The T2 has no effect on RUE TDM. Conversely, the PRD50 has led to a reduction in RUE TDM. This decline referee against T1 was equal to (12.7; 17.4 and 21.5%) respectively for the three treatments (F1; F2 and F3). For RUEGY statistical analysis showed significant (P < 0.05) difference between the three irrigation treatments (T0, T1 and T2) for the three nitrogen treatments (F1; F2 and F3). The T2 and the PRD50 has led to a reduction in RUE GY. This decrease judge against T1 respectively for the two treatments (F2 and F3) was equal to (14.9 and 21.5%) and (19.6 and 31.2%)

Latitude gradient influences the age of onset of rheumatoid arthritis : a worldwide survey

The age of onset of rheumatoid arthritis (RA) is an important outcome predictor. Northern countries report an age of RA onset of around 50 years, but apparently, variability exists across different geographical regions. The objective of the present study is to assess whether the age of onset of RA varies across latitudes worldwide. In a proof-of-concept cross-sectional worldwide survey, rheumatologists from preselected cities interviewed 20 consecutive RA patients regarding the date of RA onset (RAO, when the patient first noted a swollen joint). Other studied variables included location of each city, rheumatologist settings, latitudes (10A degrees increments, south to north), longitudes (three regions), intracountry consistency, and countries' Inequality-adjusted Human Development Index (IHDI). Data from 2481 patients (82% females) were obtained from 126 rheumatologists in 77 cities of 41 countries. Worldwide mean age of RAO was 44 +/- 14 years (95% CI 44-45). In 28% of patients, RA began before age 36 years and before age 46 years in 50% of patients. RAO was 8 years earlier around the Tropic of Cancer when compared with northern latitudes (p <0.001, 95% CI 3.5-13). Multivariate analysis showed that females, western cities, and latitudes around the Tropic of Cancer are associated with younger age of RAO (R (2) 0.045, p <0.001). A positive correlation was found between the age of RAO and IHDI (r = 0.7, p <0.01, R (2) 0.5). RA often begins at an early age and onset varies across latitudes worldwide. We postulate that countries' developmental status and their geographical and geomagnetic location influence the age of RAO.Peer reviewe