Derna Universiry Journal of Medical Sciences
type: channel
description: Derna University Journal of Medical Sciences (DUJMS) is an international, peer-reviewed, open-access journal published by the University of Derna. It is dedicated to disseminating high-quality original research, reviews, and clinical studies across all medical, pharmaceutical, and health science disciplines. The journal is free to publish and does not charge any Article Processing Charges (APCs).
publisher: UNIVERSITY OF DERNA
language: en
publication name: Derna Universiry Journal of Medical Sciences
issn: 3005-2351
copyright: Authors who publish with this journal agree to the following terms: 1. Retention of Rights: Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). 2. User Rights: This license allows others to remix, tweak, and build upon the work non-commercially, and although their new works must also acknowledge the original author and be non-commercial, they do not have to license their derivative works on the same terms. 3. Restrictions: The material cannot be used for commercial purposes without prior written permission from the author or the journal. 4. Additional Agreements: Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository), with an acknowledgement of its initial publication in this journal.
items: Assessing Recurrence of H. pylori Infection in Treated Patients
items: Four-Year Trends of Uropathogen Prevalence and Antimicrobial Resistance in Eastern Libya
items: Floristic, survey and Identification of Marine Algae in the Coastal Zone at Sidi Khalifa Coast, Benghazi - Libya
items: Global Research Trends in Medical Imaging for Breast Cancer: A Bibliometric Analysis (2000–2025)
items: Impact of Energy Drinks Consumption on Renal Functions in Female Mice
items: Assessment of Drinking Water Quality in Derna, Ain Mara, and Al-Quba (Al- Jabal Al- Akhdar Basin) following Storm Daniel
items: Assessment of Radiation Dose and Diagnostic Accuracy of Contrast-Enhanced CT Urography for Urinary Tract Imaging
items: Correlations of Serum Zinc with NLR, Lymphocyte Count and CRP in Tripoli, Libya: A Retrospective Analysis
items: Assessment of CKD-MBD Parameters for Hemodialysis Patients at Al Wahda Hospital in Derna, Libya
items: Prevalence of Helicobacter Pylori Infection in Adult Patients with Dyspepsia at the Gastrointestinal and Hepatology Clinic in Tobruk Medical Center, Tobruk, Libya
items: The Role of Urodynamic Study in Evaluating Children with Refractory Nocturnal Enuresis
items: The Inhibitory Effect of Water and Alcoholic Extracts of Seed of Peganum Harmala on the Isolation of Bacterial E. coli and Staphylococcus aureus
items: Vitamin D Deficiency as a Risk Factor for Hypothyroidism: A Revised Evidence-Based Review
items: Role of Serum C-Reactive Protein and White Blood Cells in the Diagnosis of the Patients with Suspected Appendicitis: A Prospective Cohort Study
items: The Diagnostic Value of C-Reactive Protein Titer in Suspected Acute Appendicitis
items: Propofol versus Sevoflurane for Postoperative Pain following Open Cholecystectomy: A Randomised Controlled Trial
items: Psychological Stress Triggered by Storm Daniel as a Catalyst for Vitiligo Activity : A post -Disaster Clinical Assessment
items: Prevalence and Indications of Cesarean Section at Tobruk Medical Center: A Cross-Sectional Study at Tobruk, Libya
items: Comorbidities Associated with Hospitalized Heart Failure in Libya
items: Study the Role of Glycemic Index Values of Some Foods in the Type 2 Diabetes Mellitus Control
items: Effect of Antenatal Corticosteroids on Neonatal Outcomes in Term Planned Caesarean Deliveries: A Clinical Trial at Benghazi Medical Center
items: Role of Physiotherapy in Improving the Quality of Life of Dialysis Patients: Assessment of Functional Outcomes and Laboratory Biomarkers
items: Effect of Nanotube Fillers on Impact Strength and Fracture Toughness Forces of PMMA Denture Base Material
items: Incidence of Diabetic Nephropathy among Patients in Kidney Department in Al-Wahda Hospital, Derna
items: A Study on the Prevalence of Thyroid Disorders Associated with Age and Sex in Derna, Libya
items: Ultrasound in the Detection of Chronic Liver Disease
items: Carbohydrate Counting versus Fixed Insulin Doses in Children and adolescents with Type 1 DM
items: Diagnostic Radiology Challenges and Barriers During Daniel Storm in Derna, Libya
items: Examination of the Effects of Weight's Insulin Resistance on the People in Derna, Libya
items: Comparison between Traditional and PCR Methods for Identifying Fusarium oxysporum f. sp. Melonis, the Causal Agent of Watermelon Citrullus lanatus Wilt

Assessing Recurrence of H. pylori Infection in Treated Patients
type: item
description: Helicobacter pylori infection is a globally prevalent bacterial infection linked to various gastrointestinal diseases, the recurrence of H pylori after eradication remains a critical challenge due to factors such as treatment failure, inadequate follow up and exposure to persistent factors. The aim of the study is to evaluate the recurrence rate following H. pylori eradication therapy and evaluate the most risk factors that are associated with H. pylori infection among previous treated patients.. Methods: Data was collected via structured self-reporting in the form of an online questionnaire. The participants must have been previously diagnosed and treated for H. pylori infection at the time of the survey and must have been at least 18 years of age. For access to the sample for the study, evidence of diagnosis and treatment at least six months in advance of the survey was required. According to the data, the female represents the majority of participients 83%. By 47 of individuals 89% had a previous H. pylori infection, 42% had a current infection, and 36% of these cases were recurrent. 92% reported adherence to medical instructions regarding dose and duration of H. pylori treatment protocol.. Importantly, 81% of infected family members did not receive proper treatment. In addition, 58% had dental or gum disease. There is a high recurrence of H. pylori infection, this study highlights the need for improved diagnostic followup, patient education, screening household contacts, improving oral health and optimizing management strategies.
subject: Articles
  topic: section
subject: H. pylori
  topic: keywords
subject: Recurrence
  topic: keywords
subject: Eradication
  topic: keywords
subject: Reinfection
  topic: keywords
creator: Nasem Mustafa
creator: Aziza Bobrieg
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-30
publication date: 2026-06-30
starting page: 80
ending page: 89
doi: 10.58987/599ssy23

Four-Year Trends of Uropathogen Prevalence and Antimicrobial Resistance in Eastern Libya
type: item
description: Urinary tract infections (UTIs) are among the most common bacterial infections, and increasing antimicrobial resistance (AMR) has become a major challenge to effective treatment. This study evaluated the prevalence of Uropathogen and their antimicrobial susceptibility patterns at Tobruk Medical Centre, Libya, over a four-year period. A retrospective analysis was conducted on 6,032 urine samples collected between January 2021 and December 2024. Bacterial isolates were identified using standard microbiological methods, and antimicrobial susceptibility testing was performed by the Kirby–Bauer disk diffusion method according to CLSI guidelines. Of the 6,032 samples, 1,264 (20.95%) yielded significant bacterial growth. Gram-negative bacteria predominated (81.8%), with Escherichia coli (49.36%) as the most common isolate, followed by Klebsiella spp. (16.85%) and Staphylococcus aureus (14.79%). Nitrofurantoin demonstrated the highest overall activity against most Uropathogen, whereas resistance to several commonly prescribed antibiotics increased during the study period, indicating an emerging multidrug-resistant trend. Uropathogen isolated at Tobruk Medical Centre showed substantial antimicrobial resistance, highlighting the need for routine culture-based susceptibility testing, continuous local AMR surveillance, and strengthened antibiotic stewardship to optimize empirical treatment strategies.
subject: Articles
  topic: section
subject: Urinary Tract Infections (UTIs)
  topic: keywords
subject: Antimicrobial Resistance
  topic: keywords
subject: Uropathogen
  topic: keywords
subject: Bacterial Isolates
  topic: keywords
subject: Libya
  topic: keywords
creator: Osamah Miftah Ahmed
creator: Miftah Larbid
creator: Mahboba Aldareh
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-30
publication date: 2026-06-30
starting page: 68
ending page: 79
doi: 10.58987/h2xb3f03

Floristic, survey and Identification of Marine Algae in the Coastal Zone at Sidi Khalifa Coast, Benghazi - Libya
type: item
description: This study was for three months ( May, June and July), research offers a comprehensive taxonomic evaluation and comparative ecological examination of marinealgal species along the shoreline of Sidi Khalifa, northeast of Benghazi, Libya, including an extensive examinationanalysis of historical and modern regional literature. Algal and crystalline inorganic matriceswere collected from two hydrodynamically influenced settings: Station 1 (Open Wave-ExposedLittoral Rocks) and Station 2 (Enclosed, Low-Energy Lagoon Pool that is Semi-Isolated). Employing elevatedIn resolution light microscopy, a 17-panel digital system was examined to elucidate filamentous structures.cellular branching structures, diversity of pennate diatoms, and dynamics of secondary crystals. The open oceansector displayed a strong, varied biological profile led by resilient chlorophytes (Cladophora spp.),expanding leaf-like structures (Ulva lactuca), and slowly-growing brown algae (Cystoseira spp.), along withabundant siliceous pennate diatom communities (Navicula spp.). In contrast, the limited basin exhibited indicationsof significant ecological strain, leading to widespread filament breakdown, plasmolysis, and substantialthe formation of acicular, dendritic, and prismatic crystals influenced by hyper-salinity and cultural factorseutrophization. Comparison of these findings with previous Libyan studies suggests that the proliferation of Ulva and Cladophora, together with the decline of brown algae, serves as a reliable bioindicator of localized ecological degradation along the southern Mediterranean coast.)for localized ecological decline along the southern Mediterranean shore.
subject: Articles
  topic: section
subject: Marine Algae
  topic: keywords
subject: Foristic;
  topic: keywords
subject: Survey
  topic: keywords
subject: Identification
  topic: keywords
creator: Heba Said Nagem
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-30
publication date: 2026-06-30
starting page: 60
ending page: 67
doi: 10.58987/3npx2x23

Global Research Trends in Medical Imaging for Breast Cancer: A Bibliometric Analysis (2000–2025)
type: item
description: Background: Breast cancer remains the most common malignancy among women globally, making early detection and accurate diagnosis vital for enhancing patient outcomes. Advances in breast imaging modalities have played a pivotal role in improving diagnostic accuracy over the few decades. This study aims to summarize published literature in PubMed between 2000 and 2025 on breast cancer detection and diagnosis using various imaging modalities. A comprehensive PubMed search strategy was conducted using MeSH terms and keywords associated with breast neoplasms and breast imaging modalities (mammography, ultrasound, MRI, virtual breast tomosynthesis, assessment-stronger mammography, molecular breast imaging, and thermography). The seek became restricted to check articles posted between 2000 and 2025, yielding a total of 4,107 studies. Mammography remains the cornerstone of breast most cancers screening applications, with ultrasound and breast MRI serving as complementary gear, especially in dense breast tissue and excessive-danger populations. In recent years, rising modalities which include digital breast tomosynthesis, assessment-superior mammography, and molecular breast imaging have won increasing interest for his or her capability to enhance sensitivity and specificity. Moreover, the integration of synthetic intelligence into breast imaging is highlighted across the literature as a promising method to enhance diagnostic performance and decrease fake-high-quality fees. The body of evidence suggests significant advancements in breast imaging technologies over the past 25 years. The future detection of the most breast cancers imaging lies in combining conventional modalities with innovative techniques and AI-driven evaluation to optimize early detection and personalized care.
subject: Review Article
  topic: section
subject: Global Research Trends
  topic: keywords
subject: Medical Imaging for Breast Cancer
  topic: keywords
subject: A Bibliometric Analysis.
  topic: keywords
creator: Abeer I. Suliman
creator: Sana I. Souliman
creator: Afaf A. Salemn
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-30
publication date: 2026-06-30
starting page: 50
ending page: 59
doi: 10.58987/rarcm986

Impact of Energy Drinks Consumption on Renal Functions in Female Mice
type: item
description: This study investigated the effects of energy drink consumption on kidney function in female mice. Fifteen mice were divided into three groups, with five animals in each group. The control group received a normal diet and water, while the second and third groups were administered 1.2 ml and 2.4 ml of an energy drink, respectively, in addition to their regular diet. Renal function was assessed by measuring selected biochemical parameters, and behavioral changes were monitored throughout the experimental period. The findings revealed significant increases in renal function biomarkers in both treated groups compared with the control group. In addition, mice exposed to energy drinks exhibited reduced daily activity and altered social behavior. These effects were more pronounced at the higher dose level.
subject: Articles
  topic: section
subject: Drink Energy
  topic: keywords
subject: Renal Function
  topic: keywords
subject: Female Mice
  topic: keywords
subject: Behavior
  topic: keywords
creator: Ameerah Emran Asmaeil
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-30
publication date: 2026-06-30
starting page: 45
ending page: 49
doi: 10.58987/4v87c983

Assessment of Drinking Water Quality in Derna, Ain Mara, and Al-Quba (Al- Jabal Al- Akhdar Basin) following Storm Daniel
type: item
description: The city of Derna and the surrounding areas located within the Al- Jabal Al- Akhdar basin, one of the most important water basins in Libya, experienced a severe environmental disaster as a result of Storm Daniel, which struck the region in September 2023. This event led to devastating floods and the collapse of infrastructure, including water supply and sewage networks, raising concerns about the potential contamination of drinking water sources with chemical and microbiological pollutants. This study focuses on evaluating the quality of drinking water in three areas within the Al- Jabal Al- Akhdar basin: Derna, Ain Mara, and Al-Quba. Fieldwork was conducted during different periods following the disaster (from November 2024 to April 2025) to assess the extent to which water quality was affected by environmental factors resulting from the floods. The analyses included physical parameters (such as temperature and turbidity), chemical parameters (such as nitrates and chlorine), and microbiological parameters (such as coliform bacteria). The results were compared with the Libyan Standard Specification No. 82 of 2013, as well as the World Health Organization (WHO) guidelines of 2011. The results showed that all samples complied with the Libyan standards, with no indications of serious or persistent contamination. This suggests that the ecosystem of Al-Jabal Al-Akhdar has the capacity to absorb environmental shocks, as well as the effectiveness of the efforts made by the relevant authorities to contain the negative impacts of natural disasters. The study concluded with several recommendations, including the need for continuous periodic monitoring of water quality, expanding the geographical scope of assessment, and developing an environmental water emergency plan for future disasters.
subject: Articles
  topic: section
subject: Water Quality
  topic: keywords
subject: Storm Daniel
  topic: keywords
subject: Flood Contamination
  topic: keywords
subject: Al- Jabal Al- Akhdar
  topic: keywords
subject: Environmental Resilience
  topic: keywords
creator: Younis. A. i Al-Hendawi
creator: Sohila A Mousa
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-30
publication date: 2026-06-30
starting page: 33
ending page: 44
doi: 10.58987/0nnxgw65

Assessment of Radiation Dose and Diagnostic Accuracy of Contrast-Enhanced CT Urography for Urinary Tract Imaging
type: item
description: Computed Tomography Urography (CTU) is a cornerstone imagingmodality in the evaluation of urinary tract pathology, providing high-resolution cross- sectional visualization of the kidneys, ureters, andurinary bladder. Despite its strong diagnostic performance, CTU isassociated with relatively high radiation exposure, making doseoptimization a key priority in modern radiological practice under the ALARA principle. This study aimed to evaluate radiation dose levelsand assess the diagnostic performance of contrast- enhanced CTurography in a real clinical setting. A descriptive analytical study wasconducted at Tobruk Medical Center and Al- Afia Outpatient Clinic on30 patients between November 2025 and March 2026. Radiation dosemetrics, including CTDIvol and Dose Length Product (DLP), wereobtained, and the effective dose (ED) was calculated. The analysisrevealed that the mean CTDIvol was 12.33 ± 2.33 mGy, while the meanDLP was 1930.50 ± 874.52 mGy.cm, resulting in an average effectivedose of 28.95 ± 13.11 mSv. The study population demonstrated a broadrange of pathologies, including calculi, -tumors, and congenitalanomalies, with CTU achieving a high diagnostic accuracy of 93.3%. The study concluded that the recorded radiation doses were optimizedand aligned with international diagnostic reference levels, achieving asuccessful balance between diagnostic yield and patient safety.
subject: Articles
  topic: section
subject: CT Urography
  topic: keywords
subject: Contrast-Enhanced CT
  topic: keywords
subject: Radiation Dose
  topic: keywords
subject: Diagnostic Accuracy
  topic: keywords
subject: Urinary Tract Imaging
  topic: keywords
creator: Huda. M. Ibrahim
creator: Nagwa.R. Bochwa
creator: Eman.Y. Abelsameh
creator: Mona. E. Othman
creator: Hawaa .M. Gasem
creator: Wfa .A.A. Nweh
creator: Marim.H. JapAllah
creator: Naema.A. Abdalsalam
creator: Hend.R. Sliman
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-30
publication date: 2026-06-30
starting page: 21
ending page: 32
doi: 10.58987/p7cwby17

Correlations of Serum Zinc with NLR, Lymphocyte Count and CRP in Tripoli, Libya: A Retrospective Analysis
type: item
description: Zinc is an essential micronutrient vital for immune function. Its deficiency can lead to immune dysregulation, but data from North African populations are scarce. This research aimed to investigate the correlation between serum zinc concentrations and primary immuno-inflammatory markers, including C-reactive protein (CRP), absolute lymphocyte count, and the Neutrophil-to-Lymphocyte Ratio (NLR), in an adult population in Tripoli, Libya. A retrospective cross-sectional analysis was performed utilizing data from 112 adult participants at Tripoli Medical Center. Serum zinc levels, complete blood count with differential, and C-reactive protein levels were documented. The NLR is determined according to the ratio of the absolute neutrophil count to the absolute lymphocyte count. The relationships among the variables were examined using Pearson’s correlation analysis, while group differences according to zinc status were evaluated through an independent samples t-test. Participants had an average age of 32.3±13.8 years. The analysis indicated a substantial negative association between serum zinc concentration and NLR (r = -0.485, p < 0.001). Conversely, serum zinc concentration demonstrated a considerable affirmative association with the absolute lymphocyte count (r = 0.398, p = 0.002). When stratified by zinc status, the zinc-deficient group (< 70 µg/dL) exhibited a significantly higher mean NLR (3.9 vs. 2.4, p < 0.001) and a decreased mean lymphocyte count (1.6 vs. 2.3 x10³/µL, p = 0.004) compared to the zinc-sufficient group. Lower serum zinc levels are strongly associated with an elevated NLR and reduced lymphocyte counts, indicating a pro-inflammatory and immune-compromised state. These results highlight how crucial it is to maintain sufficient zinc levels for immunological homeostasis. Screening for zinc deficiency may be clinically relevant in the administration of inflammatory disorders in the Libyan population.
subject: Articles
  topic: section
subject: Zn deficiency
  topic: keywords
subject: NLR
  topic: keywords
subject: CRP
  topic: keywords
subject: Hematology
  topic: keywords
subject: Inflammatory
  topic: keywords
subject: Libya
  topic: keywords
creator: Marwa Khaled Ahmed Eljaafari
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-30
publication date: 2026-06-30
starting page: 12
ending page: 20
doi: 10.58987/j961cf76

Assessment of CKD-MBD Parameters for Hemodialysis Patients at Al Wahda Hospital in Derna, Libya
type: item
description: The World Health Organization and research centers have cautioned about the extraordinary expansion and growth of chronic renal failure. The fact that there are few, inconsistent, and hazardous studies on chronic renal failure in Libya is noteworthy for patients with renal failure in recent years. The study indicated to illness and how quickly it spreads. Data comprised a follow-up of 60 cases of both sexes and compared them to a group of healthy individuals. Estimates of calcium (ca+2) levels, phosphate (po4) levels, levels of vitamin D, and levels of parathyroid hormone (PTH) were measured. The findings revealed that the levels of vitamin D and calcium varied significantly, however parathyroid hormone and phosphate levels did not.
subject: Articles
  topic: section
subject: Calcium
  topic: keywords
subject: Phosphate
  topic: keywords
subject: Vitamin D
  topic: keywords
subject: Parathyroid Hormone
  topic: keywords
subject: Derna
  topic: keywords
creator: Arwa. M. Bofares
creator: Ala. A. Mohammed
creator: Aya. M. Emraji
creator: Azza. A. Basher
creator: Nahla. R. Ehmaden
creator: Najah. M. Alsaid
creator: Nosaiba. A. Omer
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-30
publication date: 2026-06-30
starting page: 6
ending page: 11
doi: 10.58987/cnzp9g94

Prevalence of Helicobacter Pylori Infection in Adult Patients with Dyspepsia at the Gastrointestinal and Hepatology Clinic in Tobruk Medical Center, Tobruk, Libya
type: item
description: Dyspepsia is a highly prevalent gastrointestinal condition characterized by persistent or recurrent epigastric discomfort or pain. It represents a significant clinical burden worldwide and is frequently encountered in both primary care and specialized gastroenterology settings. The underlying pathophysiology of dyspepsia is complex and multifactorial, involving disturbances in gastric motility, visceral hypersensitivity, psychosocial factors, and infectious causes. Among these, infection with Helicobacter pylori has been widely recognized as an important contributor, particularly in developing countries where its prevalence remains high. This cross-sectional study aimed to determine the prevalence of Helicobacter pylori infection among adult patients presenting with symptoms of dyspepsia at the Gastrointestinal and Hepatology Clinic in Tobruk Medical Center, Tobruk, Libya. The study population consisted of adult patients aged 18 years and above who presented with clinical features suggestive of dyspepsia over the study period. A total of 205 patients were recruited, including 100 males and 105 females. Relevant demographic and clinical data were collected, and all participants were evaluated for Helicobacter pylori infection using appropriate diagnostic methods. Out of the 205 patients included in the study, 164 were found to be positive for Helicobacter pylori, yielding a prevalence rate of 80%. The findings of this study demonstrate a high prevalence of Helicobacter pylori infection among adult patients with dyspepsia in this setting, highlighting the need for routine diagnostic evaluation and targeted eradication therapy to improve patient outcomes.
subject: Articles
  topic: section
subject: Dyspepsia
  topic: keywords
subject: Helicopacter Pylori
  topic: keywords
subject: Tobruk Medical Center
  topic: keywords
subject: Libya
  topic: keywords
creator: Abdullah.A.A. Altayil
creator: Huda.A.M. Aqmati
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by-nc/4.0
date: 2026-06-30
publication date: 2026-06-30
starting page: 1
ending page: 5
doi: 10.58987/w8dzk089

The Role of Urodynamic Study in Evaluating Children with Refractory Nocturnal Enuresis
type: item
description: Nocturnal enuresis or bedwetting is the most common type of urinary incontinence in children. It has significant psychological effects on both the child and the family. The Aim of study was to evaluate the role of UDS in evaluation of refractory Nocturnal Enuresis in children. This Prospective Study was carried out in Urology Department, Tobruk University that included 30 Patients, 18boys and 12 girls. The patient ages was ranged from 10–18 years old with mean age (SD) of 11.91± 1.95 years. All patients were treated with mono pharmacotherapy (desmopressin). The duration of treatment before urodynamic studies (UDS) at last six months. Bladder sensation was intact in 41.7%, increased in 50.0% and decreased in 8.3% of patients. The value of a single test PVR was ranged from 20-150 ml. 21 of patients were no post voiding volume (87.5%) and 3 cases had post voiding volume (12.5 %). The filling cystometry was normal in 6 patients (25%) and abnormal in 18 patients (75%). Bladder sensation intact in 10 patients (41.7%) and decrease in 2 patients (8.3%) and increase in 12 patients (50%) with p-value (< 0.05). It is recommended to perform urodynamic studies in the form of uroflowmetry and cystometry for those with refractory nocturnal enuresis who failed ADHC ( desmopression ) for at last 6 months as initial monotherapy. Also a combination therapy of anticholinergics with desmopressin could be applied as treatment for those with refractory monosymptomatic nocturnal enuresis.
subject: Articles
  topic: section
subject: Nocturnal Enuresis
  topic: keywords
subject: Urodynamic Studies
  topic: keywords
subject: Detrusor Overactivity
  topic: keywords
creator: Hamdalla Husayn Abdul-Hafith
creator: Khayrullah Salih Abdulhafit
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-27
publication date: 2025-12-27
starting page: 150
ending page: 158
doi: 10.58987/ydk1v547

The Inhibitory Effect of Water and Alcoholic Extracts of Seed of Peganum Harmala on the Isolation of Bacterial E. coli and Staphylococcus aureus
type: item
description: This experiment was conducted to evaluate the inhibitory effects of aqueous and alcoholic seed extracts of Peganum harmala. The antimicrobial activity of both extracts was tested against Staphylococcus aureus (Gram-positive) and Escherichia coli (Gram-negative). Four concentrations were used: 2, 4, 6, and 9 mg/ml for both extracts. The results showed that the alcoholic seed extract of Peganum harmala exhibited stronger antimicrobial activity, with inhibition zones of 11 mm against S. aureus and 10 mm against E. coli. In contrast, the aqueous extract produced smaller inhibition zones: 4 mm against S. aureus and 2 mm against E. coli, indicating lower antimicrobial activity compared to the alcoholic extract.
subject: Articles
  topic: section
subject: Peganum harmal
  topic: keywords
subject: Staphylococcus aureus
  topic: keywords
subject: E.coli
  topic: keywords
subject: Inhibitory Effect
  topic: keywords
creator: Maryam Alsalheen Alsalheen
creator: Thurya Saleh Faraj
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-27
publication date: 2025-12-27
starting page: 143
ending page: 149
doi: 10.58987/g4pvrg16

Vitamin D Deficiency as a Risk Factor for Hypothyroidism: A Revised Evidence-Based Review
type: item
description: Hypothyroidism is a common endocrine disease characterized by insufficient synthesis of thyroid hormones, which has become a serious health problem worldwide. At the same time, deficiency of vitamin D, an endemic nutritional deficiency is increasingly being associated with a variety of AIDs and endocrinopathies. The aim of this review is to summarize the current literature in relation to vitamin D deficiency and hypothyroidism, with specific emphasis on immunologic mechanisms and clinical significance. A review of the newer literature (2020-25) was performed, including observational studies, meta-analyses and interventional trials. The findings indicate a notable correlation between decreased serum vitamin D levels and an elevated risk of hypothyroidism., especially autoimmune hypothyroidism like Hashimoto's thyroiditis. Mechanistically, vitamin D exerts immunomodulatory impacts by regulating the balance between T-helper cells, enhancing regulatory T cell activity while inhibiting pro-inflammatory cytokine production, thereby influencing thyroid autoimmunity. Large-scale population studies, comprising the National Health and Nutrition Examination Survey (NHANES), have documented adjusted odds ratios of 1.6 to 1.7 for hypothyroidism in vitamin D deficiency individuals. Meta-analyses support these findings, indicating significantly reduce serum vitamin D levels in hypothyroidism and Hashimoto's thyroiditis patients relative to healthy controls. Vitamin D supplementation has demonstrated potential in lowering thyroid autoantibody levels and enhancing thyroid function in certain studies, the clinical benefits remain heterogeneous and appear to be most effective in euthyroid individuals with baseline vitamin D deficiency. This review concludes that vitamin D deficiency is a significant risk factor for hypothyroidism and highlights the potential of vitamin D supplementation as an adjunctive therapy, especially in population with a high prevalence of both conditions, for i…
subject: Review Article
  topic: section
subject: Vitamin D Deficiency
  topic: keywords
subject: Hypothyroidism
  topic: keywords
subject: Immunomodulation
  topic: keywords
subject: Vitamin D Supplementation.
  topic: keywords
creator: Marwa khaled Ahmed Eljaafari
creator: Hajer Mohamed Hammam
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-27
publication date: 2025-12-27
starting page: 123
ending page: 142
doi: 10.58987/yxcczw56

Role of Serum C-Reactive Protein and White Blood Cells in the Diagnosis of the Patients with Suspected Appendicitis: A Prospective Cohort Study
type: item
description: Uses of some laboratory investigations in the diagnosis of patients with suspected acute appendicitis have been widely used. However, white blood cell count (WBCC) and C-reactive protein (CRP) were routine requested in patients with suspected appendicitis. This work of prospective study aimed to assess the useful of WBCC and CRP value in diagnosis of patient with suspected appendicitis. A prospective cohort study were performed. WBCC and CRP were measured prospectively in patients presenting with lower right abdominal pain at the surgery department of Alwahda hospital in Derna city. The results were correlated with each patient’s outcome. It shown that uses of WBCC and CRP tests in combination had sensitivity ( 65%) ; specificity (75%) ; PV (+) 92.8% and PV (-) 30%. Also CRP had the highest degree of diagnostic accuracy than WBCC {sensitivity, 81.2%; specificity, 68.7%; PV (+), 92.8%; PV (-), 42.3% & sensitivity, 72.5%; specificity, 50%; PV (+), 87.8%; PV (-), 26.6%}, respectively. Despite of that the result may have an important clinical and economic implication. The diagnosis of appendicitis should be mainly depended on clinical examination finding and include others helpful investigations such as Ultrasound and CT scan.
subject: Articles
  topic: section
subject: White Blood Cell Count
  topic: keywords
subject: C-Reactive Protein
  topic: keywords
subject: Appendicitis
  topic: keywords
creator: Hussien.M.A. Alfakakre
creator: Suhayb Hamdi Shaheen
creator: Ahmed M.Naseb Elgabsi
creator: Yosef S. Mohamed Estaita
creator: Ashraf. S. Elzer
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-27
publication date: 2025-12-27
starting page: 114
ending page: 122
doi: 10.58987/2nm2v515

The Diagnostic Value of C-Reactive Protein Titer in Suspected Acute Appendicitis
type: item
description: Acute appendicitis is one of the most common causes of acute abdominal pain requiring surgical intervention. Despite its frequency, diagnosing appendicitis remains challenging, especially in atypical presentations or in early stages of the disease. Misdiagnosis can lead to unnecessary surgeries or delayed treatment with serious complications. While clinical examination and imaging are key components in diagnosis, laboratory biomarkers such as C-reactive protein titer (CRP T) have emerged as valuable supportive tools. Aim of this study is to assess accuracy of C-reactive protein titer in acute appendicitis. The prospective study will be conducted on patient have symptoms and sign of acute appendicitis with high CRP titer presenting to general surgery of alwahda hospital. This study are in strong agreement with the data collected through the prospective observational method. The data were gathered from 24 patients presenting with clinical features suggestive of acute appendicitis, that included demographic details, symptoms, CRP titers, and final through operative findings or follow-up evaluation. The consistency observed between elevated CRP levels (≥ 2.5 mg/dL) and confirmed cases of acute appendicitis (18 out of 18) validates the reliability and integrity of the data collection process. Additionally, the identification of 3 false negatives (CRP < 2.5 mg/dL but diagnosis confirmed) highlights the sensitivity of the dataset to variations, reinforcing the importance of comprehensive clinical assessment. This prospective observational study suggests that CRP titer, in conjunction with clinical features (especially abdominal pain, fever, leukocytosis), While not definitive alone.
subject: Articles
  topic: section
subject: Acute Appendicitis
  topic: keywords
subject: CRP Titer
  topic: keywords
subject: Diagnostic Criteria
  topic: keywords
subject: Derna Hospital
  topic: keywords
creator: Fattoum Hamd Naseb Dardak
creator: Almonther Ismail Alhawary
creator: Khalid Eltashani
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-27
publication date: 2025-12-27
starting page: 108
ending page: 113
doi: 10.58987/grhq8y73

Propofol versus Sevoflurane for Postoperative Pain following Open Cholecystectomy: A Randomised Controlled Trial
type: item
description: Postoperative pain (POP) remains a common challenge following open cholecystectomy (OC). In Libya, survey data report that more than 50% of patients experience significant pain within 24 hours, highlighting a critical need for improved analgesic strategies. As a key factor hindering recovery, effective pain management is essential. This randomized controlled trial evaluated whether propofol-based total intravenous anaesthesia (TIVA) reduces early POP compared to standard inhalational techniques in this population. A prospective, double-blind, randomised controlled trial enrolled 80 patients undergoing OC. POP intensity was quantified by applying the numerical rating scale (NRS) at 2-, 6-, 12-, and 24-hour intervals following surgery. Statistical analyses were conducted with SPSS version 26. Between-group comparisons using independent t-tests and one-way ANOVA indicated that participants receiving propofol-based TIVA exhibited significantly reduced pain scores at 2, 6, and 12 hours postoperatively relative to the sevoflurane-based inhalational anaesthesia (IA) group (p < 0.05). However, no statistically significant intergroup difference was observed at the 24-hour assessment (p > 0.05). This pattern suggests that the analgesic advantage of propofol TIVA is predominantly evident during the immediate postoperative period. At 24 hours postoperatively, propofol TIVA did not confer superior analgesic efficacy compared with sevoflurane IA in patients undergoing OC. Consequently, these results do not endorse propofol TIVA as the preferred anaesthetic strategy for attenuating POP in this surgical context.
subject: Articles
  topic: section
subject: Propofol
  topic: keywords
subject: Sevoflurane
  topic: keywords
subject: Open Cholecystectomy
  topic: keywords
subject: Postoperative Pain
  topic: keywords
subject: Libya
  topic: keywords
creator: Salim M. Makhlouf
creator: Hamza M. Alhussadi
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-27
publication date: 2025-12-27
starting page: 97
ending page: 107
doi: 10.58987/7frfxp57

Psychological Stress Triggered by Storm Daniel as a Catalyst for Vitiligo Activity : A post -Disaster Clinical Assessment
type: item
description: Vitiligo is a chronic autoimmune disorder in which psychological stress is recognized as an important trigger for disease activity. In September 2023, Storm Daniel caused catastrophic flooding in Derna, Libya, resulting in severe psychological trauma among survivors. This study aimed to assess the impact of disaster-related psychological stress on vitiligo activity among affected patients. A cross-sectional survey-based study was conducted in Derna involving patients with a confirmed diagnosis of vitiligo who experienced the storm. Data regarding disease characteristics, distribution patterns, and self-reported changes in disease activity following the disaster were collected and analyzed. A total of 49 patients participated, of whom 66.7% reported disease progression after the storm. Non-segmental generalized vitiligo showed a significantly higher rate of progression compared to localized and segmental forms (p = 0.003). These findings suggest that severe psychological stress following natural disasters may contribute to increased vitiligo activity, particularly in immunologically active non-segmental forms. Psychological support and close dermatological follow-up should be considered essential components of post-disaster healthcare for patients with vitiligo.
subject: Articles
  topic: section
subject: Vitiligo
  topic: keywords
subject: Psychological Stress
  topic: keywords
subject: Natural Disaster
  topic: keywords
subject: Non-Segmental Vitiligo
  topic: keywords
subject: Storm Daniel
  topic: keywords
creator: Amina Farag Ardawi Elmsalatei
creator: Bushra Abdulgadir Salih Emnaisy
creator: Khadija Faraj Fathy Bojazia
creator: Wala Khamis Ashour Shennib
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-27
publication date: 2025-12-27
starting page: 91
ending page: 96
doi: 10.58987/1ynm5y89

Prevalence and Indications of Cesarean Section at Tobruk Medical Center: A Cross-Sectional Study at Tobruk, Libya
type: item
description: Knowing the reason for the increase in cesarean births, their complications, and possible outcome. This study aims are to assess the rate and causes of cesarean section births at Tobruk Medical Center in Libya, in light of the increasing rates globally and locally, the results aim to provide data that will contribute to improving medical practices and developing effective strategies to promote maternal and newborn health. Retrospective cross-sectional study was conducted on 701 women who underwent caesarean sections at Tobruk Medical Center, Libya, between October 2024 and June 2025, after obtaining ethical approval. Data were collected from obstetric records and included maternal demographics, delivery type, indications for caesarean section, and outcomes. All women with complete records were included, excluding vaginal deliveries and abortions below the threshold for survival. The study included 701 women with a mean age of 32 years. Emergency cesarean sections accounted for 64.5% of cases, and 91% of newborns were alive. The most common indication for cesarean delivery was a previous cesarean section (36.7%) ،followed by fetal distress (12.8%) and maternal morbidity (12.7%). At Tobruk Medical Center, 22.6% of births were cesarean, mostly emergency cases. Previous cesarean, fetal distress, and maternal complications were the main causes. Improved obstetric practices and monitoring may reduce unnecessary emergencies.
subject: Articles
  topic: section
subject: Cesarean Section
  topic: keywords
subject: Emergency Cesarean
  topic: keywords
subject: Maternal Outcomes
  topic: keywords
subject: Fetal Distress
  topic: keywords
subject: Obstetric Factors
  topic: keywords
subject: Maternal Complications
  topic: keywords
subject: Previous Cesarean Delivery
  topic: keywords
subject: Intrapartum Monitoring
  topic: keywords
creator: Mabruka Sohail
creator: Shahd Sakran
creator: Yareen Fathi
creator: Sarah Elmabri
creator: Asma Eshail
creator: Alaa Nasif
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-27
publication date: 2025-12-27
starting page: 80
ending page: 90
doi: 10.58987/arm8en43

Comorbidities Associated with Hospitalized Heart Failure in Libya
type: item
description: Education about different comorbidities among heart failure patients is crucial for optimizing care and outcomes. This work is aimed to correlate age and sex to comorbidities of patients diagnosed with heart failure and to estimate the relation between commonest comorbidities to other comorbidities. A cross-sectional study was performed from 1st April 2024 to 1st October 2024. Data were collected data from Cardiology Department at Tripoli University Hospital (TUH). 40 patients were admitted and diagnosed with many health difficulties including heart failure, arterial hypertension, diabetes, hypothyroidism, Ischemic heart disease (IHD), atrial fibrillation, chronic obstructive airway disease (COPD), bronchial Asthma, cerebrovascular accident (CVA), anemia, chronic kidney disease (CKD), valvular heart disease (VHD), obstructive sleep apnea (OSA). Data showed that the most common comorbidity (>90%), was a primary risk factor for HF development (especially HFpEF). Chronic Kidney Disease (CKD) considered as a powerful independent predictor of mortality and readmission and represented about 40-50% of hospitalized HF patients. While, diabetes mellitus (DM) represented 30-45% of hospitalized HF patients. This might accelerate atherosclerosis, promote myocardial dysfunction (diabetic cardiomyopathy), complicates fluid/electrolyte management, and increase infection risk. Also, SGLT2 inhibitors had revolutionized the care for HF patients with diabetes mellitus. Moreover, 30-50% of hospitalized HF patients were diagnosed with anemia which contributed to reduced oxygen delivery, worsening symptoms (fatigue, dyspnea), and associated with increased mortality and readmissions. A strong healthy management is required to enhance health of patients with heart failure.
subject: Articles
  topic: section
subject: Heart Failure
  topic: keywords
subject: Cardiovascular
  topic: keywords
subject: Comorbidity
  topic: keywords
subject: Tripoli University Hospital
  topic: keywords
creator: Badrea Faraj Saad Balaied
creator: Esraa Faraj Abd Aljalil Alshalwy
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-06-30
publication date: 2025-06-30
starting page: 73
ending page: 79
doi: 10.58987/9a61wz69

Study the Role of Glycemic Index Values of Some Foods in the Type 2 Diabetes Mellitus Control
type: item
description: The glycemic index (GI) classifies carbohydrates based on how they affect blood sugar levels. Foods with a high GI cause rapid spikes in blood glucose, while those with a medium or low GI lead to more gradual increases. This study explored how foods with different GI levels influence blood sugar control, metabolic health, and overall well-being in both healthy individuals and those with diabetes. In healthy individuals, consuming high-GI foods resulted in temporary spikes in blood glucose followed by sharp drops, which may trigger increased hunger and fluctuations in energy levels—rising from (204 ± 19.88)mg/dl to (320 ± 19.89)mg/dl after consuming high-GI foods. In contrast, medium and low-GI foods helped maintain more stable blood sugar levels, improving satiety and potentially lowering the risk of metabolic disorders. For people with diabetes, high and medium-GI foods like bananas and white bread can worsen post-meal blood sugar spikes, making it harder to manage glucose levels and increasing the risk of long-term complications, such as cardiovascular disease. Low-GI foods, such as whole grain bread, when consumed in controlled amounts, proved to be a safer option. They supported more gradual changes in blood glucose—from (200 ± 12.74) to (220 ± 10.0)—and enhanced insulin sensitivity. The study underscores the importance of tailored dietary strategies, recommending a focus on medium and low-GI foods to maintain stable blood sugar levels. It highlights the value of considering individual health needs, dietary habits, and glycemic targets in planning effective nutrition for both healthy and diabetic populations.
subject: Articles
  topic: section
subject: Type 2 Diabetes
  topic: keywords
subject: Glycemic Index
  topic: keywords
subject: Carbohydrates Metabolism
  topic: keywords
subject: Food Control
  topic: keywords
creator: Sara. M. Elgazwi
creator: Saja .S. Algazawany
creator: Ebtehaj .A. Mohamed
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-06-30
publication date: 2025-06-30
starting page: 65
ending page: 72
doi: 10.58987/1de70q05

Effect of Antenatal Corticosteroids on Neonatal Outcomes in Term Planned Caesarean Deliveries: A Clinical Trial at Benghazi Medical Center
type: item
description: Respiratory distress syndrome is one of primary causes of early newborn morbidity and death, considerably contributing to the substantial costs associated with neonatal intensive care. Antenatal corticosteroids given at or near term can help reduce the risk of respiratory complications in newborns by accelerating lung maturation and promoting the clearance of alveolar fluid. This study is aimed to evaluate the effectiveness of the corticosteroid therapy prior to elective cesarean section at term in mitigating the respiratory morbidity in the neonates. The total participant are 400 pregnant women were admitted for elective C\S meeting with inclusion criteria, in each group 200 case group (IM Dexamethasone given) and 200 control group (not given Dexamethasone). The average age was 34.10 years (± 6.97). The minimum age was 20 years, while the highest age was 48 years. The mean Apgar scores at 1 minute were statistically substantially elevated in the case group relative to the control group. The occurrence of transitory tachypnea was considerably less in the group administered intramuscular dexamethasone compared to the control group. Maternal age, gravida, parity, and gestational age does not appear to have difference among both group. Intramuscular injection of dexamethasone before elective caesarean section at term pregnancy can reduce neonatal transient tachypic attack, and intramuscular injection of dexamethasone before elective caesarean section at term pregnancy has positive effect on neonatal Apgar score at 1 minute.
subject: Articles
  topic: section
subject: Antenatal Corticosteroids
  topic: keywords
subject: Elective Caesarean Deliveries
  topic: keywords
subject: Respiratory Distress Syndrome
  topic: keywords
creator: Najat El-Maadani
creator: Eman Elelwani
creator: Samia Buhajar
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-06-30
publication date: 2025-06-30
starting page: 57
ending page: 64
doi: 10.58987/ngmvma27

Role of Physiotherapy in Improving the Quality of Life of Dialysis Patients: Assessment of Functional Outcomes and Laboratory Biomarkers
type: item
description: The present study was conducted to determine the effect of the Exercise on the renal dialysis patient and their life. Sixty dialysis patients participated in this study; their age ranged from 30 to 60 years. All subjects participated in the study received the treatment program three times per week and were evaluated before and after eight weeks of the treatment program. The results obtained revealed significant differences of all measured variables; blood analysis, six minutes walking distance test, modified borg scale, short form 36 quality of life questionnaire (SF-36). A statistically significant difference was also found in improvements in physical function. Incorporating aerobic, resistance, and flexibility exercises into routine hemodialysis care is vital for reducing physical deconditioning, enhancing overall health outcomes, and improving performance in activities of daily life. Further studies are requirements to confirm this finding.
subject: Articles
  topic: section
subject: Dialysis Patient
  topic: keywords
subject: Physiotherapy
  topic: keywords
subject: Tobruk
  topic: keywords
subject: Libya
  topic: keywords
creator: Asma Rajab
creator: Hanan Ayad
creator: Mahmmud Bohiba
creator: Sana I. Souliman
creator: Afaf A. Salemn
creator: Ebtihaj Adel
creator: Taqwa A. Rasol
creator: AL Batul A. Mohamed
creator: Esraa Atia
creator: Eman Ahmida
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-06-30
publication date: 2025-06-30
starting page: 49
ending page: 56
doi: 10.58987/dn5h5326

Effect of Nanotube Fillers on Impact Strength and Fracture Toughness Forces of PMMA Denture Base Material
type: item
description: The main goal of this research was to create nanocomposites of poly methyl methacrylate (PMMA) with improved mechanical strength. The study aimed to explore how different amounts of hybrid nano-fillers (4.25 wt% HNTs and 0.75 wt% MWCNTs) ranging from 1% to 6% affected the impact strength (IS) and fracture toughness (KIC) properties of these materials. Additionally, the research involved examining the surface characteristics of the PMMA nanocomposites using Field Emission Scanning Electron Microscopy, after treating the hybrid nanofillers with a silane coupling agent. The results showed a significant increase in both impact strength and fracture toughness as the loading of hybrid nanofillers increased. Particularly noteworthy was the substantial improvement in IS and KICvalues when the nanofillers reached a loading of 5 wt%, measuring 10.25 KJ/m2 and 2.58 MPa·m1/2, respectively. In comparison, the pure PMMA matrix had significantly lower values of 5.27 KJ/m2 for IS and 1.60 MPa·m1/2 for KIC. Consequently, the addition of hybrid nanofillers (HNTs/MWCNTs) into the PMMA matrix greatly enhanced the PMMA denture base material, indicating its potential for improving the longevity of dental composites.
subject: Articles
  topic: section
subject: PMMA
  topic: keywords
subject: Nanotubes Fillers
  topic: keywords
subject: Impact Strength
  topic: keywords
subject: Fracture Toughness
  topic: keywords
creator: Ahmed O. Alhareb
creator: Issam. M. Aldwimia
creator: Hazizan. Md. Akil
creator: Zuratul. Ain. Abdul Hamid
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-06-30
publication date: 2025-06-30
starting page: 35
ending page: 48
doi: 10.58987/sa79bw79

Incidence of Diabetic Nephropathy among Patients in Kidney Department in Al-Wahda Hospital, Derna
type: item
description: This study aims are to find out the effect of diabetes and diabetic nephropathy on kidneys, and to identify age and gender of susceptible cases to these diseases. The study were performed in kidney and internal medicine departments in Al-Wahda Hospital in Derna, Libya. Approximately, 100 cases suffering from diabetes and diabetic nephropathy with varying ages were recorded. The results showed that females were more susceptible to developing diabetes, while males were more susceptible to developing diabetic nephropathy. The age group of most susceptible to developing diabetes and diabetic nephropathy was between 51-70 year. where data is found 31 cases were with diabetes nephropathy and 9 patients were diagnosed only with diabetes in this age group . This indicates that diabetes has an impact on kidney disease if the affected person does not practice a healthy lifestyle and does not receive regular follow-up of the disease.
subject: Articles
  topic: section
subject: Diabetes
  topic: keywords
subject: Diabetic Nephropathy
  topic: keywords
subject: Kidney
  topic: keywords
subject: Derna
  topic: keywords
creator: Ameerah Emran Asmaeil
creator: Ebrika Ramadan Esrafil
creator: Aya Nori Akroosh
creator: Retaj Ben Saod
creator: Abdel Moamen Eldresy
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-06-30
publication date: 2025-06-30
starting page: 29
ending page: 34
doi: 10.58987/qk4b8179

A Study on the Prevalence of Thyroid Disorders Associated with Age and Sex in Derna, Libya
type: item
description: This study aims to determine the prevalence of thyroid dysfunction and its association with age and sex in the population of Derna City. In this retrospective cross-sectional study, we screened 5191 suspicious cases of thyroid diseases within two years from January 1, 2021, to December 31, 2022, retrieving the data about thyroid function test (TFT) including serum concentrations of TSH, Triiodothyronine (T3), Thyroxine (T4), from the computers of nine clinical laboratories of Derna City. The prevalence of thyroid dysfunction was determined in terms of number and percentage. Comparisons of the prevalence of thyroid abnormalities in subjects of different age groups and genders were determined in cross-tabulation. We concluded that thyroid diseases affect women more than men and increase with age. Also, the most prevalent type was hypothyroidism especially subclinical.
subject: Articles
  topic: section
subject: Prevalence
  topic: keywords
subject: Thyroid Disorders
  topic: keywords
subject: Age
  topic: keywords
subject: Sex
  topic: keywords
subject: Derna City
  topic: keywords
creator: Najya Bouthahab
creator: Thekra Almziny
creator: Rana Alsharif
creator: Fadwa Alnaas
creator: Mawada Bou Jazyah
creator: Halema Budahab
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-06-30
publication date: 2025-06-30
starting page: 21
ending page: 28
doi: 10.58987/grarwy38

Ultrasound in the Detection of Chronic Liver Disease
type: item
description: Ultrasound imaging is a widely used, noninvasive diagnostic tool for liver diseases, offering real-time visualization of liver tissue structure and abnormalities. However, accurately characterizing liver conditions based on ultrasound images remains challenging due to variations in image quality and interpretation. This study proposes a system for analyzing and categorizing normal, fatty and heterogeneous liver conditions using textural analysis of ultrasound images, optimizing the selection of regions of interest (ROI) to improve diagnostic accuracy. The study aimed to determine the prevalence of liver diseases diagnosed via ultrasound between 2017 and 2024, categorizing cases based on age and sex. Data were collected from the Tobruk Liver Disease Center and included 59 patients diagnosed with liver disease: 26 males (44.07%) and 33 females (55.93%). The study focused on four primary liver diseases: fatty liver, cirrhosis, hepatitis C virus (HCV), and liver cancer. Cases not diagnosed via ultrasound were excluded. Diagnosis was performed using high-resolution ultrasound devices to assess liver tissue characteristics, size, the extent of steatosis or fibrosis, and the presence of abnormal masses. However, this study did not incorporate advanced imaging techniques such as Doppler ultrasound, histogram analysis, B-mode (Brightness Mode), M-mode (Motion Mode), elastography or harmonic imaging, which could have enhanced measurement precision. The results revealed that cirrhosis was the most prevalent condition (61.02%), followed by fatty liver (18.64%), viral hepatitis (5.08%), liver cancer (6.78%) and hepatomegaly (15.25%). Additional associated conditions included kidney stones (5.08%), splenomegaly (23.73%) and gallstones (6.78%). Notably, six cases (10.17%) were classified as normal. The most affected age group was between 50 and 70 years, though cases were also observed in children aged 1–10 years. The study highlights a significant increase in liver disease cases …
subject: Articles
  topic: section
subject: Ultrasound; Chronic Liver Disease
  topic: keywords
subject: Cirrhosis
  topic: keywords
subject: Diagnostic Accuracy
  topic: keywords
creator: Huda M. Ibrahim
creator: Nagwa. R. Bochwal
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-06-30
publication date: 2025-06-30
starting page: 10
ending page: 20
doi: 10.58987/rmmgg229

Carbohydrate Counting versus Fixed Insulin Doses in Children and adolescents with Type 1 DM
type: item
description: Diabetes mellitus incidence raising globally. Diet control is one of important aspects in children with type 1 diabetes. We aimed to compare glucose control in type 1 diabetic children and adolescents using the fixed insulin meal doses with those who counted carbohydrates precisely. So we do a across sectional study on diabetic children and adolescents with type I diabetes mellitus visiting Tobruk Diabetic Center in three months period , Data collected by author through questionnaire including demographic data of children, who using carbohydrate counting versus fixed daily prandial doses and last glycosated hemoglobin and any complications happened. So we divide the patients into two groups :carbohydrate counting and fixed insulin dose groups and compare blood sugar control in both groups. We found no any different in blood sugar control and glycosated hemoglobin in children and adolescent using either carbohydrate counting nor fixed daily insulin doses with poor glycemic control in most studied diabetic patients. Also gender not affecting on glycemic control and no correlation between the disease chronicity, complications and previous hospital admission and carbohydrate counting usage.
subject: Articles
  topic: section
subject: Type I Diabetes Mellitus
  topic: keywords
subject: Carbohydrate Counting
  topic: keywords
subject: Insulin
  topic: keywords
subject: Children
  topic: keywords
subject: Nutrition
  topic: keywords
creator: Nasren Gamal Saleh Alfraik
creator: Khadeejah M. A. Al-Khurum
creator: Hana Saied Abdulali
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
date: 2025-06-30
publication date: 2025-06-30
starting page: 1
ending page: 9
doi: 10.58987/g2n9t830

Diagnostic Radiology Challenges and Barriers During Daniel Storm in Derna, Libya
type: item
description: In September (2023) during flooding in Derna by Storm Daniel's, health system failure to get the demands of the disaster and hospitals possess cutting. The main purpose of this study is to explore the challenges and barriers faced radiology department. The questionnaires were distributed online, and a sample of 40 participants was obtained. SPSS was used to analyze the data and exploratory factor analysis (EFA) and Descriptive Statistical Analysis (Mean, Std. Deviation) were used to explore the challenges and barriers faced radiology department in Derna–Libya. The results showed that the most challenges faced the radiology department during the Storm Daniel disaster hindered their ability to effectively respond to the increased demand for imaging services during the disaster. Likewise, this study in Derna – Libya may provide a more in-depth understanding of what is needed for Libyan radiology departments, when crisis or disasters possibly arise. And, thus, permit the improvement of strategies to face any crisis or disasters. Future researchers can extend the understanding of this study in other crisis and more samples of radiology department, and its practices in response to issue storm Daniel.
subject: Articles
  topic: section
subject: Storm Daniel's
  topic: keywords
subject: Radiology Department
  topic: keywords
subject: Derna–Libya
  topic: keywords
subject: Challenges
  topic: keywords
subject: Barriers
  topic: keywords
creator: Zynab F. Z. Elwafe
creator: Mohammed J. G. Elshihany
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-12-30
publication date: 2024-12-30
starting page: 189
ending page: 204
doi: 10.58987/dpd5m856

Examination of the Effects of Weight's Insulin Resistance on the People in Derna, Libya
type: item
description: This study aimed to identify the best single marker of insulin resistance using the gold standard method, focusing on its relationship with body weight. Conducted over three months (March to May, 2024). It included 159 participants (68.6% females, 31.4% males) who responded to paper and electronic questionnaires distributed among healthcare professionals and the public. The findings revealed that BMI was the strongest predictor of insulin resistance in adipose tissue, particularly in females, where 23% of obese women (BMI ≥29 kg/m²) exhibited insulin resistance. Among males, 62% of those with a BMI ≥30 kg/m² were affected. Waist circumference (WC) was also significantly linked to insulin resistance, with an 84% association in females (WC ≥96.55 cm) and a 50% association in males (WC ≥108 cm). These results highlight a high prevalence of insulin resistance in the city, with women being more affected than men. This study underscores the importance of BMI and WC as markers of insulin resistance, providing valuable insights into local health trends.
subject: Articles
  topic: section
subject: Insulin
  topic: keywords
subject: Resistance
  topic: keywords
subject: Body
  topic: keywords
subject: Miss
  topic: keywords
subject: Index
  topic: keywords
subject: Waist
  topic: keywords
subject: Circumference
  topic: keywords
creator: Nuhay k Alkeelani
creator: Yousef.M. AL-Kelany
creator: Osama. M. EL-Barasi
creator: Mona R Al-Ghaith
creator: Qadriyah S Al-Mayar
creator: Rawan S Bleid
creator: Salama A Binsaud
creator: Wissam M Al- Tarhoun
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-12-30
publication date: 2024-12-30
starting page: 180
ending page: 188
doi: 10.58987/hyz4zx48

Comparison between Traditional and PCR Methods for Identifying Fusarium oxysporum f. sp. Melonis, the Causal Agent of Watermelon Citrullus lanatus Wilt
type: item
description: Fungal diseases have become a major threat to field crops, particularly watermelons, due to the escalating prevalence of Fusarium oxysporum. This soil-borne pathogen has been identified as a primary cause of significant yield losses in watermelon cultivation across various regions of eastern Libya, including Tobruk, Al Marj, and Tukrah. The study aimed to investigate the prevalence of F. oxysporum f. sp. melonis, the causal agent of Fusarium wilt in watermelons, and to establish a reliable and efficient diagnostic protocol.Visual symptoms such as leaf chlorosis, wilting, and root rot were observed in watermelon plants across the study sites. Fungal isolates were obtained from symptomatic tissues and subjected to morphological, microscopic, and molecular analyses. Morphological and microscopic characterization provided preliminary evidence of Fusarium infection; however, molecular identification using polymerase chain reaction (PCR) with specific primers confirmed the presence of F. oxysporum f. sp. melonis with a high degree of accuracy (99%).The study highlights the utility of PCR-based diagnostics in the rapid and accurate detection of F. oxysporum f. sp. melonis in watermelons. This molecular approach offers significant advantages over traditional methods in terms of sensitivity, specificity, and time efficiency. The findings underscore the importance of implementing integrated disease management strategies, including the use of resistant cultivars, crop rotation, and appropriate cultural practices, to mitigate the impact of Fusarium wilt on watermelon production in eastern Libya.
subject: Articles
  topic: section
subject: Fusarium oxysporum f. sp. Melonis
  topic: keywords
subject: Watermelon Wilt
  topic: keywords
subject: Citrullus lanatus
  topic: keywords
subject: Traditional Methods /PCR Technology
  topic: keywords
subject: Identification
  topic: keywords
creator: Mansour.S.M. Bartooh
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-12-30
publication date: 2024-12-30
starting page: 169
ending page: 179
doi: 10.58987/2nc87z65