Khalij-Libya Journal of Dental and Medical Research

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EISSN : 2708-888X
Total articles ≅ 18
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Eman Elmahjoubi, Mufida Yamane
Khalij-Libya Journal of Dental and Medical Research pp 58-70; doi:10.47705/kjdmr.215109

Abstract:
Background. The safe use of medicines largely relies on consumers reading the labeling and packaging carefully and accurately, and being able to comprehend and act on the information presented. We aimed to conduct local study on consumers’ perceptions, attitudes and use of written drug information. Methods. A survey included 200 adults of the public in 13 community pharmacies and one main hospital (the University Hospital) in Tripoli city of Libya, using a structured interview technique. Results. The results showed that 73% of participants read drug labels with variation from always (39.72 %) to rarely (10.95%). About 42.46% of pharmacy customers read the Patients Package Inserts (PPIs) routinely, however; 53.42% of them faced difficulties in understanding the labelling. Foreign languages and small font sizes of written information were the most barriers to participants` comprehensibility (44.69 %, 34%) respectively. The findings indicated that 59 % of the respondents were used to obtain information from pharmacists. Despite the relatively high rate of reading to drug labels among pharmacy customers; more than half of them were unable to interpret information correctly. Conclusion. The study demonstrated the need for the implementation of educational and awareness programs for patients by pharmacists to improve the health literacy of medication labels. Steps must be taken to ensure that medicines in Libyan market are supplied with bilingual and non-technical language labels.
Mariam Gebril, Bahjah Esehiyb, Suliman Masoud
Khalij-Libya Journal of Dental and Medical Research pp 53-57; doi:10.47705/kjdmr.215108

Abstract:
Background. COVID-19 is a new pandemic that spread over the world in 2020, for which most countries imposed rigorous lockdown to reduce its upsurge and thus its socioeconomics’ sever effects. Global measures include isolation, social distancing, lockdown any nonemergency facilities, local and international travelling restrictions. But these rules are implacable in case of trauma in general and more with ocular trauma, which represents a serious public health problem and leading cause of visual impairment. The aim of this study was to evaluate the impact of COVID -19 lock down on number of ocular traumas acquiring surgery. Methods. A retrospective study in Aljala trauma hospital in the period from 18 March to 18 April 2020 on patients who underwent surgical intervention for non-war eye trauma. Results. A total number of patients seen in emergency department were 350 patients in 2020 with four patients needed hospital admission and surgical intervention making a 1.14% of total number. While number of patients seen at the same time in 2019 were 965 patients and three patients needed surgical intervention (0.31%). There was no statistical difference in the amount of patient acquiring surgical intervention in the two periods with the P value of >0.05 Conclusion. Although total emergency eye visits decreased during the covid-19 lockdown period, similar incidence of surgery needed ocular trauma persisted.
Mansora Hamad, Salwa Ahmeida, Samar Hamed, Jamila Issawi
Khalij-Libya Journal of Dental and Medical Research pp 43-52; doi:10.47705/kjdmr.215107

Abstract:
Background and objectives. Salivary gland tumors (SGT) are relatively uncommon. It pose considerable challenging in diagnosis because their histopathological features and behavior diversity. There are several epidemiological studies describe their incidence and frequency. The current study aims to investigate the diverse histological types and distribution clinical characters. Methods. A retrospective study was carried out in oral diagnosis, oral medicine, oral pathology and radiology department of faculty of dentistry at Benghazi university from 2000 to 2019. Information gathered contained the year of diagnosis, age, gender, site, symptoms and histopathological diagnosis. The data collected was analyzed with SPSS. Result. Of the total 60 salivary gland tumors, 25 (41.7%) was benign tumors in which the pleomorphic adenoma was the most common type (n=24, 96%), and malignant tumors account (n=35, 38.3%) with mucoepidermoid carcinoma is the most frequent (n=41, 40%). Female to male ratio was 1.3:1 with average age of 40.5 (range 11-94). About 91.1% of salivary gland tumors were diagnosed in minor salivary gland where most of cases occurred in palate by 8.9%. Major salivary glands were affected by 8.9% mostly in parotid gland (7.2%). Most of cases were diagnosed as painless swelling. Conclusion: Malignant salivary gland tumors more common the benign type with the palate is the principle anatomical location. Pleomorphic adenoma was the most common pathological finding with predominance of female over male.
Naeima Houssein
Khalij-Libya Journal of Dental and Medical Research pp 30-42; doi:10.47705/kjdmr.215106

Abstract:
Background: The current pandemic puts a substantial pressure on the health-care system worldwide. Healthcare workers especially those in frontline of patients’ care are at increased risk of being infected. The aim of this study is to assess infection prevention and control knowledge and practice toward COVID- 19 among health care workers. Methods: A cross-sectional study was conducted from July to September of 2020 at Benghazi Medical Centre in Benghazi, Libya. Self-administered questionnaire was distributed to 400 health care workers. Results: Of those surveyed, the majority of participants were females; (40 .6%) in frontline, the overall percentage of correct answers was (64.8%). Knowledge was gained mainly from news media by (27.8%) of participants, while official government websites were used by nearly 21% of participants. The percentage of total good practice score was (76.28%). The knowledge scores were significantly associated with differences by gender, occupation, and level of education (p
Fatma Ziuo
Khalij-Libya Journal of Dental and Medical Research pp 17-21; doi:10.47705/kjdmr.215104

Abstract:
Objective: The study aimed to assess the infant and child feeding practices and some aspects of knowledge and attitudes of mothers attending immunization clinics at maternal and child health care clinics (MCH) in Benghazi about breastfeeding and weaning. Methods: A cross-sectional descriptive study undertaken at child clinics in Benghazi, Libya 2007 -2008. Eleven clinics were chosen by use of simple random sampling. A total of 577 mothers were interviewed. Results: 89.0% of mothers were breastfed their baby and 11.0 % were used bottle fed at birth, 44.3% initiate breastfeeding at 1sth half an hour after birth, only 25.2% exclusively breastfed (EBF) their babies for the first 4-6 months, and 38.0 % of mothers continue breast feeding up to 24 months. More than eighty percent of women thought that breastfeeding is important. Conclusion: Although the study revealed that majority of mothers practiced breastfeeding at birth, and they had good knowledge and satisfactory attitude toward breastfeeding, but the study reported that more than half of mothers-initiated breast feeding late and poor practice of exclusively breastfed for 4-6 months. Training program for doctors and nurses and implantation of baby friendly hospitals initiatives.
Hisham Alrabty, Munera Addala
Khalij-Libya Journal of Dental and Medical Research pp 11-16; doi:10.47705/kjdmr.215103

Abstract:
Background: Atopic dermatitis (AD) is a common, chronic, relapsing, itchy, skin condition occurring in patients with a personal or family history of atopy, and there is clinical association among different allergic disease in a way that treating one of them will improve the other. Many studies worldwide showed presence of AD in asthmatic children with different prevalence among countries and showed clinical improvement in asthma control on treatment of atopic dermatitis. Therefore, this study was conducted to assess the prevalence of atopic dermatitis among Libyan asthmatic children. Methods: This is an observational cohort study on asthmatic Libyan children who were treated and followed up at Tripoli children hospital in Tripoli, Libya. It carried out on 300 children suffering from asthma admitted from pediatric outpatient department as well as from emergency department and asthma clinic over a period of 24 months; from December 2017 to December 2019. The parents were asked to complete a questionnaire to collect the needed information after their consent being taken. To assure the accuracy and consistency of the methodology (sampling procedure, measurements, and a collection of the data), a standardized protocol was prepared. Data were entered in SPSS statistical package and consequently were analyzed and presented as descriptive statistics. Results: The prevalence of atopic dermatitis among asthmatic Libyan children was 16.7% in our study. The results showed significant relationship between address and prevalence of atopic dermatitis. Conclusion. Further studies are required to address the ethnicity, environmental factors, skin type and others attributed to this problem and we recommend all pediatricians to look for AD in asthmatic children and treat it accordingly.
Hamida El Magrahi, Abir Ben Ashur, Asma Elkammoshi, Malak Elgani, Wafe Zriba
Khalij-Libya Journal of Dental and Medical Research pp 6-10; doi:10.47705/kjdmr.215102

Abstract:
Background: The majority of students today are more fascinated by new technology. The most trending digital appliance among students is headphones. The use of earphones has become more and more popular among students this can easily be a vector of possible pathogens that can give rise to serious disease. Objective: This study was conducted to determine the bacterial contamination on earphones and external ear of students and to assess the awareness amongst the students of the importance of cleaning earphones. Methods: The study was performed at University of Tripoli from June to September 2020. A total of 50 swabs were collected from student’s ear canal and earphone. The samples were cultured according to the standard microbiological procedures. Isolates were identified by conventional identification methods. The questionnaire was submitted to all participants to collect information on the extent of usage of earphones. Results: The results showed that the most isolated organisms were gram-positive bacteria which were found in 48(96%) ear canal, and 46(92%) earphones of the students.; Gram-negative was detected in 2(4%) and 4(8%) of the ear canal, and earphone, respectively. Staphylococcus aureus, Staphylococcus epidermidis was the most frequently identified microorganisms. Conclusion: This study showed that earphones are potential carriers for the spread of many pathogens. Frequent and constant use of earphones increases the bacterial growth in the ear and sharing of earphones that may be able to produce serious disease. It is advised to maintain earphones clean and not to share.
, Aya Abogrein, Maram Alssoghaiar, Mawada Akroush, Mawada Alsagheer
Khalij-Libya Journal of Dental and Medical Research pp 1-5; doi:10.47705/kjdmr.210101

Abstract:
Background: Population-based data in Libya on prevalence of cerebral palsy are limited. This study aimed to assess trends in cerebral palsy among infancy or premature attending pediatric hospitals in Tripoli city, Libya. Methods: In this population-based study, a cross-sectional method was used to screen for cerebral palsy at the department of pediatrics in both Tripoli University Hospital, and Tripoli Pediatric Hospital during the period from march to December 2019. Specialist physicians confirmed the diagnosis, obtained family history, and determined the subtype and main causes. Results: Out of 200 suspected patients, 64 of them were diagnosed with cerebral palsy. Incidence rate was 32%. Male children (n=33, 51.6%) were more affected than female (n=31, 48.4%). Regarding the mode of delivery, 34(53.1%) of patients were delivered normally by vaginal delivery, while 30(46.9%) of cases delivered by caesarian section. There were 9(14.1%) of cases preterm birth, whereas, most of the cases were full term 55(85.9%). Birth asphyxia was reported in 34 (53.1%) of cases. A total of 17(26.6%) of cases had genetic cause, 8(12.5%) of cases had history of neonatal infection (e.g. meningitis, congenital toxoplasmosis, pneumonia, sepsis, encephalitis), and 5(7.8%) of cases had other disorders including hyperthermia and asphyxia at late age. Conclusion: Given enhancements in neonatal survival, evidence of stability of cerebral palsy prevalence is encouraging. The persistence of higher cerebral palsy prevalence among children in Libya over time warrants further investigation.
Khaled Benelhaj, Fathia Lazrag
Khalij-Libya Journal of Dental and Medical Research, Volume 4, pp 1-6; doi:10.47705/kjdmr.204201

Abstract:
Objectives: This study was designed to investigate the concentration of calcium level in blood of breast, artificial and mixed feeding babies. Methods: The total number of babies covered were 269 babies of different ages, however, the babies were divided into four groups, including group (I) consists of 98 male and female babies aged between (1 day -6 months), group (II) consists of 53 male and female babies aged between (7 m -12 m), group (III) consists of 59 male and female babies aged between (13 m -18 m), and group (IV) consists of 59 male and female babies aged between (19 m -2 m). Results: The mean concentration of serum blood calcium in breast feeding (9.25 mg/dL) was significantly lower (P < 0.05) than artificial feeding (9.79 mg/ dL) and mixed feeding (9.88 mg/dL). Meanwhile, the mean concentration of serum blood calcium level (8.93 mg/ dL) in babies aged between (13 m-18m) was significantly lower (p
Hesham Ben Masaud
Khalij-Libya Journal of Dental and Medical Research, Volume 4, pp 7-14; doi:10.47705/kjdmr.204202

Abstract:
Background and objectives. Depression is a common disease with substantial morbidity and mortality, it is often undiagnosed and under-treated. Physicians have a relatively high prevalence of depressive symptoms, and their emotional disturbances are often complicated by substance abuse. This study aimed to determine the frequency of depression and its severity among doctors dealt with trauma cases in Abo Saleem trauma hospital, and to find out the relation between age, medical specialty of interest, different level of seniority on junior doctors and night work shift duties per month, and the depression rate and its severity. Method: The study was a cross-sectional study involves 44 junior doctors’ dealing with trauma cases. they were working at different departments in Abo Saleem trauma hospital asked to answer a standard questionnaire in 1st of July 2010. The data was plotted in software programs “SSPS version 17. Results: The rate of depressed doctors was 68.18 %. The rates of mild, moderate and severe depression were 29.55 %, 27.27 % & 11.36 % respectively. Conclusion: In our study, there was correlation between PROMID-MD and BDI for screening of depression. In addition, there was statistically significant relation between depressions but not in its severity in both medical specialty of interest among physicians and seniority levels on junior doctors. In contrast, there was no statistically significant relation between age, marital status, experience, job specialty and night work shift duties per month; and depression rate and its severity. This finding underlines the importance of better support and more flexible arrangements at the workplaces, in order to ameliorate their emotionally disturbing working conditions.
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