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: 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
items: Role of Physiotherapy in the Treatment of Short Achilles Tendon and Diagnosis by Radiology
items: Efficacy And Safety of Glimpride in Type 2 Diabetes Patients in Eastern Libya
items: Sage Plant as a Natural Treatment for Polycystic Ovary Syndrome
items: Mathematical Analysis of Birth Rate of Cancer Model
items: Population Genetics of the Meat Ant (Iridomyrmex purpureus)
items: Estimation the Awareness of Diabetic Retinopathy among the Diabetic Patients Attending the Diabetes and Endocrinology Center at Tobruk City
items: Outcomes of Patients after Small Bowel Resection due to Superior Mesenteric Artery Occlusion
items: A Comparative Study on Calcium Level among Diabetic and Non-Diabetic Children in Tripoli
items: Bacterial Infections of the Central Nervous System in Pediatric Intensive Care Unit: A Case Series
items: Knowledge and Practice of Injection Safety among Staff in Medical Tobruk Center and Blood Bank in Tobruk City

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

Role of Physiotherapy in the Treatment of Short Achilles Tendon and Diagnosis by Radiology
type: item
description: This study aims are to investigate the causes, symptoms, and treatment methods for Achilles tendon shortening and its impact on children, specifically. And diagnosed by radiology. The Achilles tendon, also known as the calcaneal tendon, is the largest and strongest tendon in the human body. It is located at the back of the lower leg and connects the calf muscles (gastrocnemius and soleus) to the heel bone (calcaneus). The Achilles tendon plays a crucial role in allowing the foot to flex and point, enabling activities such as walking, running, and jumping. In this study, the data were collected from Orthopedic Department at Tobruk Medical Center and Ml-Malak from Physical therapy clinic in Tobruk, Libya. 14 patients were recorded throughout the year of 2023. But only 6 cases were followed up with physical therapy. The cases were diagnosed by clinical examination and radiography. One finding implied that the shortening of the tendon may be due unknown causes, or as result cerebral palsy or brain atrophy. he rate of males was greater than the number of females. The percentage of male children was 69% and female children were 31%. Physical therapy plays an important role in treatment. Further studies are needed to confirm this finding.
subject: Articles
  topic: section
subject: Achilles
  topic: keywords
subject: Tendon Short
  topic: keywords
subject: Tobruk Medical Center
  topic: keywords
subject: Physiotherapy
  topic: keywords
subject: Rehabilitation
  topic: keywords
subject: Radiology
  topic: keywords
creator: Sana I. Souliman
creator: Abeer I. Suliman
creator: Mona A Salih
creator: Afaf A. Salemn
creator: Eman Y Abdelsalem
creator: Hana I Suliman
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-12-30
publication date: 2024-12-30
starting page: 161
ending page: 168
doi: 10.58987/nepxqk17

Efficacy And Safety of Glimpride in Type 2 Diabetes Patients in Eastern Libya
type: item
description: Glimepiride is a drug used in the treatment of type 2 diabetes and can be combined with metformin, another anti-hyperglycemic agent, for patients with difficulty controlling their blood sugar levels. Study Timeframe: This study was conducted during 2023–2024. The study consisted of two parts, the first of which includes the theoretical computer framework, which dealt with the advanced study of some information related to the subject of the study, and the second is the procedural aspect or computer construction, in which the study group used a study form to fill in the data, and then it was statistically analyzed and its results were commented on. The spatial boundaries were represented in the outpatient clinics of the National Center for Diabetes and Endocrinology, eastern Libya (Al-marj – Benghazi – Al-Abyar). The sample consisted of 150 patients with type 2 diabetes (56 males – 94 females), aged between 32–90 years, selected based on initial hemoglobin and fasting plasma glucose measurements. Most received Glimepiride in combination with Metformin. The study concluded that Glimepiride is safe with no observed side effects and improved blood sugar control in patients, as well as hemoglobin and fasting plasma glucose levels.
subject: Articles
  topic: section
subject: Glimepiride
  topic: keywords
subject: Type 2 diabetes
  topic: keywords
subject: T2DM Treatment
  topic: keywords
subject: Diabetes Treatment
  topic: keywords
creator: Amal M Mohammed
creator: Bushra Saleh Mohammed
creator: Hibahtallah Saeid Saed
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-12-30
publication date: 2024-12-30
starting page: 150
ending page: 160
doi: 10.58987/1zte5k85

Sage Plant as a Natural Treatment for Polycystic Ovary Syndrome
type: item
description: The study sought to explore the potential therapeutic benefits of sage (Salvia officinalis) in managing polycystic ovarian syndrome (PCOS) through an extensive review of existing literature. The research focused on studies related to the bioactive compounds of sage and their proven effects on hormones, insulin resistance, antioxidant, and anti-inflammatory properties. Results indicated that sage might help regulate androgen and insulin levels, improving tissue sensitivity to these hormones, which may contribute to enhancing follicle development and ovulation in women with PCOS. The findings also suggest that sage could play a significant role in improving metabolic and reproductive health by reducing insulin resistance and promoting the secretion of female hormones, thus supporting overall ovarian function. However, further clinical research is needed to confirm these results and determine the optimal therapeutic doses.
subject: Review Article
  topic: section
subject: Sage
  topic: keywords
subject: Polycystic Ovary Syndrome
  topic: keywords
subject: Insulin Resistance
  topic: keywords
subject: Hormones
  topic: keywords
subject: Ovulation
  topic: keywords
subject: Herbal Treatment
  topic: keywords
creator: Fadwa Abdelkader Almiar
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-12-30
publication date: 2024-12-30
starting page: 141
ending page: 149
doi: 10.58987/qgdp9d63

Mathematical Analysis of Birth Rate of Cancer Model
type: item
description: A model comprising four nonlinear differential equations describes the untreated spread of cancer from a primary to a secondary site. It takes into consideration the competition possibly delayed between healthy and malignant cells for resources at both sites. Within a proportionate range, different normal cell birth rates are taken into consideration. In this study, the equilibrium points of the model are computed numerically, and their stability was evaluated. By simulating cell behavior over time, the Runge-Kutta approach examines how changes in the birth rate affect the model. In our model. The study examined the effects of changing the birth rate on cell dynamics by comparing results from graphs with equilibrium points. To do the calculations, MATLAB 2014a was utilized.
subject: Articles
  topic: section
subject: Cancer Model
  topic: keywords
subject: Birth Rate
  topic: keywords
subject: Runge-Kutta
  topic: keywords
subject: Mathematical Analysis
  topic: keywords
creator: Tarig Elmabrouk
creator: Ansaf Faleh Alfkhakhari
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-12-30
publication date: 2024-12-30
starting page: 132
ending page: 140
doi: 10.58987/28crhk81

Population Genetics of the Meat Ant (Iridomyrmex purpureus)
type: item
description: The meat ant (Iridomyrmex purpureus) is a native species of ant in Australia, exhibiting extensive distribution across the eastern and southern regions of the nation. Population genetic methodologies evaluate the genetic makeup of biological populations and the variability in genetic components that arise due to the influence of diverse factors, including the mechanisms of natural selection. Researchers in the field of population genetics strive to achieve their aims by developing abstract mathematical models that describe gene frequency dynamics, endeavoring to draw inferences from these models concerning the likely patterns of genetic variation observed in real populations, and juxtaposing the findings with empirical data. Due to climate change, ectotherms, particularly insects in temperate zones, face significant thermal stress. Population genetics of meat ants residing in a temperate ecological zone. Assessing critical thermal limits elucidates the effects of rising temperatures on organisms. The meat ant served as a model organism for a comprehensive study of thermal tolerance. The critical thermal maximum is influenced by the ramping rate in thermos limit respirometry assays. Findings indicate that thermal responses in meat ants generally do not differ among populations, with the exception of western inland populations, and climatic factors and elevation showed no significant impact on thermal tolerance across these populations. Because of studying genetic systems among insect populations offers insights into genetic diversity, relatedness, and breeding strategies. In this article, I summarize population genetics of meat ant (I. purpureus).
subject: Review Article
  topic: section
subject: Australian Ants
  topic: keywords
subject: Population Genetics
  topic: keywords
subject: Causes of Population Genetics
  topic: keywords
subject: The Meat Ant (Iridomyrmex purpureus)
  topic: keywords
creator: Mahboba Aldareh
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-12-30
publication date: 2024-12-30
starting page: 113
ending page: 131
doi: 10.58987/rv90vw88

Estimation the Awareness of Diabetic Retinopathy among the Diabetic Patients Attending the Diabetes and Endocrinology Center at Tobruk City
type: item
description: The present study is to assess the diabetic retinopathy (DR) knowledge among diabetic patients and the need to do a routine screening and checkup at the diabetes and endocrinology center at Tobruk city. This is a cross-sectional study of diabetic patients who had a routine visit to the diabetes and endocrinology center at Tobruk city were administered a questionnaire that was used in previously published studies to assess the DR knowledge. The results: A100 patients enrolled; were males 38 and 62 were females. The patients in the study were convinced that diabetes could have an impact on their eyes (N=100, 100.0%), maintaining proper blood sugar levels can contribute to preserving their eyesight (N=100, 100.0%), and that diabetes has the potential to cause blindness (N=98, 98.0%). Although regarding to the questions assessing patient’s awareness of DR and annual eye examinations the majority of subjects (N=97, 97.0 %) answered yes. The minority of the patients get their eyes a routine screening and checkup (N=23, 23.0%). When questioned about the obstacles that hinder them from undergoing eye screening, the findings revealed; lack of knowledge about diabetic retinopathy (N=22, 22.0%), cost/ insurance (N=2, 2.0%), fear of discovery (N=2, 2.0%), two or more of the factors mentioned above (N=43,43.0%), other (N=8, 8.0%). This study revealed a concerning discrepancy: while most understood diabetic retinopathy (DR) and its risks, a striking minority underwent annual eye exams. This highlights the urgent need to translate DR awareness into preventative action through patient education, and integrating eye exams into routine diabetes management.
subject: Articles
  topic: section
subject: Diabetic Retinopathy
  topic: keywords
subject: Awareness
  topic: keywords
subject: Eye Exams
  topic: keywords
creator: Asma Abdalatti Yousif
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-12-30
publication date: 2024-12-30
starting page: 103
ending page: 112
doi: 10.58987/4xw34k88

Outcomes of Patients after Small Bowel Resection due to Superior Mesenteric Artery Occlusion
type: item
description: Small bowel resection is associated with major and minor complications. Short bowel syndrome (SBS) is a common consequence of small-bowel resection that is associated with severe malabsorption, malnutrition, imbalance of water electrolytes, and metabolic disorder. The aim of this study is to evaluate post operative complication after small bowel resection as a result of superior mesentric artery occlusion. A retrospective trial on 25 patients with mall bowel resection due to of superior mesentric artery occlusion aged 18 - 70 years old was performed. All patients were subjected to clinical examination (HR, BP), laboratory investigations (CBC, liver function, renal function, albumin and bilirubin, INR, PT, PTT, and electrolyte levels) and radiological assessment according to urgency to surgical intervention. Regarding operation outcomes of the studied patients, 14(56%) patients had diarrhea, 24(96%) patients had pain, 4 (16%) patients had sepsis, 9 (36%) patients suffered weight loss, 7(28%) patients had hypokalemia, 6(24%) patients had hypoproteinaemia, 3 (12%) patients had wound infection, and 6 (24%) patients died. Small bowel resection is associated with minor and major complications so resection should be restricted of obvious gangrenous bowel. although Midgut resection due to complete superior mesentric artery occlusion results in intestinal failure reaction is still justifiable.
subject: Articles
  topic: section
subject: Small Bowel Resection
  topic: keywords
subject: Superior Mesenteric Artery Occlusion
  topic: keywords
subject: Short Bowel Syndrome
  topic: keywords
subject: Diarrhea
  topic: keywords
creator: Mohamed M. F Bellael
creator: Hlal Moftah Sasi
creator: Mohamed Murajia Ali Qassim
creator: Moath Kalefa Ben Taher
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-06-30
publication date: 2024-06-30
starting page: 95
ending page: 102
doi: 10.58987/0k9j1z47

A Comparative Study on Calcium Level among Diabetic and Non-Diabetic Children in Tripoli
type: item
description: This paper is to investigate the prevalence of hypocalcaemia in comparative two groups of diabetic & non-diabetic children. A cross-sectional study was performed on 100 diabetic and non-diabetic children (6-18 years old), who admitted to diabetes and endocrinology in Salah al-din clinic & Alsafwa hospital in Tripoli City, Libya. A standard interviewed-based questionnaire was used, the questionnaire comprises from two sections. Section I includes personal information such as (age, sex), while section II contains some questions such as (are you diabetic or not? taking medications, laboratory investigations such as (serum calcium, HbAC1) and anthropometric measurements such as (weight, height and BMI). Data were entered and analyzed using the Statistical Package for Social Sciences (SPSS version 24). The prevalence rates of hypocalcaemia among diabetic and non-diabetic children, overall and by relevant variables, were obtained and assessed for statistical significance using the chi square test. The mean (SD) concentrations of serum calcium level by different levels of relevant variables were derived and assessed for statistical significance using the independent t-test as appropriate. Relating to analysis, there was a high significant difference between diabetic and non- diabetic Libyan children in serum calcium (n=50, M= 9.3182 ±, Std = 78425) (P value = 0.000 < 0.05). According to data analysis of serum calcium for all subjects, low value was 4.4 and high value were 10.9 (M= 6.66256 ±, Std = 3.16707 ng/ml), HbA1C the low value was (3.80) and the high value (14.7) (M= 7.4730 ±, Std = - 2.91772) and the low value for BMI was 11.7 kg/m2 and high value was 27.7 kg/m2 (M= 19.3109 ± Std = 3.33293). For blood investigation of serum glucose (HbA1C), there was a strong correlation between HbA1C level and age. The higher level of HbA1C at age was from 10-14 years for diabetic children. The overall prevalence of hypocalcaemia in diabetic patients was significantly higher than n…
subject: Articles
  topic: section
subject: Calcium Level
  topic: keywords
subject: Diabetic Non-Diabetic Children
  topic: keywords
subject: Hypocalcaemia
  topic: keywords
subject: Tripoli
  topic: keywords
creator: Ambarka Eid.H Kreim
creator: Amal Rajab Agila
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-06-30
publication date: 2024-06-30
starting page: 88
ending page: 94
doi: 10.58987/v8vd3h02

Bacterial Infections of the Central Nervous System in Pediatric Intensive Care Unit: A Case Series
type: item
description: Bacterial infections of the central nervous system (CNS) are considered serious infections and medical emergencies in children, requiring immediate treatment and diagnosis by clinical diagnosis and laboratory and radiological investigation. Acute bacterial meningitis, subdural empyema, intracerebral abscess, and ventriculitis are the most common central nervous system (CNS) bacterial infections admitted to the pediatric intensive care unit, with a 30% mortality rate and neurological disabilities impacting one-third of survivors. In this case series, we reveal two pediatric patients admitted to the intensive care unit at Benghazi Hospital. The first case is a 10-year-old girl with uncorrected cyanotic congenital cardiac disease, and she presented with a history of fever, headache, and left-side hemiparesis. A computerized tomography scan of the brain (CT) revealed a large brain abscess that was treated with intravenous antibiotics and brain abscess drainage by a neurosurgeon. The second patient, a 9-year-old girl admitted with a history of fever, headache, photophobia, and meningeal signs, had been diagnosed with pyogenic meningitis by cerebrospinal examination (CSF) complicated by epidural empyema. Both patients' signs and symptoms improved significantly, and both were discharged from the hospital with no neurological deficit. The purpose of presenting this case is to emphasize the importance of early diagnosis and treatment of intracranial infections to prevent major consequences resulting in childhood mortality and morbidity. Healthcare professionals have to maintain a high index of suspicion for the diagnosis of such serious infections in children, as well as the importance of a multidisciplinary team in the diagnosis and management of such patients.
subject: Case Report
  topic: section
subject: Congenital Heart Disease
  topic: keywords
subject: Brain Abscess
  topic: keywords
subject: Subdural Empyema
  topic: keywords
creator: Alia Alhsoni
creator: Shereen Alougly
creator: Mariam M Madany
creator: Aisha Alaroah
creator: Mohamed Alshalwi
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-06-30
publication date: 2024-06-30
starting page: 82
ending page: 87
doi: 10.58987/w6m8c148

Knowledge and Practice of Injection Safety among Staff in Medical Tobruk Center and Blood Bank in Tobruk City
type: item
description: Unsafe injection practices put patients and healthcare providers at risk of infectious and non-infectious adverse events, sound knowledge and skillful practices of work staff are vital to breaks the chain of blood borne diseases transmission caused by unsafe injection practices. Objectives: To assess the knowledge and practices amongst work staff regarding injection safety in Tobruk medical center and blood bank, Tobruk city , Libya. Methods: A cross-sectional study was carried out amongst 72 work staff in Tobruk medical center and blood bank, during the period of December 2023to january2024. A pre-designed questionnaire which assessed knowledge and practices regarding injection safety tool was used to collect data. In this study A good amount of information was obtained a total 72 0f workers The present study concluded that there was findings of the study revealed that knowledge and practice of injection safety among work staff in TMC and blood bank , was good. Implying that the work staffs are willing to adhere to safety practices, However the percentage of those with fair and poor knowledge calls for concern.
subject: Articles
  topic: section
subject: Work Staff
  topic: keywords
subject: Injection
  topic: keywords
subject: Safety
  topic: keywords
subject: Knowledge
  topic: keywords
subject: Practices
  topic: keywords
subject: Tobruk
  topic: keywords
creator: Monera H Abdulhafith
creator: Amani S Yousif
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-06-30
publication date: 2024-06-30
starting page: 72
ending page: 81
doi: 10.58987/ckdech66