A. Razok, Rubab F. Malik, Afra M. Elhassan, Abdel-Naser Elzouki, M. Zahid
{"title":"Medical quiz: Ophthalmology pearl","authors":"A. Razok, Rubab F. Malik, Afra M. Elhassan, Abdel-Naser Elzouki, M. Zahid","doi":"10.4103/LJMS.LJMS_59_20","DOIUrl":"https://doi.org/10.4103/LJMS.LJMS_59_20","url":null,"abstract":"","PeriodicalId":18055,"journal":{"name":"Libyan Journal of Medical Sciences","volume":"25 7","pages":"148 - 149"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91486827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
COVID 19 pandemic in 6-8 months has left many countries in a devastating state , it has caused mortality and disabilities with different mechanism in the body which have been continuously evolving since the origin of the SARS COV2 virus causing great social, psychological and financial burden on the countries around the world. As we all know it's a viral infection with been different theories suggesting different action of SARS COV2, which have been evolved in last few months and still its ongoing to understand the exact nature of its virulence with its involvement of different mechanism of actions in different population which not only makes difficult in clinical prediction , prognosis but also its utmost challenging in the management and treatment of COVID 19 infection. In our review article we mainly emphasize over the recent updates involved in different action of SARS COV2 infection on different organs of human body, its virulence variation in selected populations, clinical predictors. We also briefly discuss about the latest modality of management for SARS COV2 infection along with treatment regimens and updates on vaccination.
{"title":"COVID-19: The latest news and views","authors":"K. Farooqui, Samman Rose, Abdelnasser AwadElzouki","doi":"10.4103/LJMS.LJMS_78_20","DOIUrl":"https://doi.org/10.4103/LJMS.LJMS_78_20","url":null,"abstract":"COVID 19 pandemic in 6-8 months has left many countries in a devastating state , it has caused mortality and disabilities with different mechanism in the body which have been continuously evolving since the origin of the SARS COV2 virus causing great social, psychological and financial burden on the countries around the world. As we all know it's a viral infection with been different theories suggesting different action of SARS COV2, which have been evolved in last few months and still its ongoing to understand the exact nature of its virulence with its involvement of different mechanism of actions in different population which not only makes difficult in clinical prediction , prognosis but also its utmost challenging in the management and treatment of COVID 19 infection. In our review article we mainly emphasize over the recent updates involved in different action of SARS COV2 infection on different organs of human body, its virulence variation in selected populations, clinical predictors. We also briefly discuss about the latest modality of management for SARS COV2 infection along with treatment regimens and updates on vaccination.","PeriodicalId":18055,"journal":{"name":"Libyan Journal of Medical Sciences","volume":"16 1","pages":"99 - 105"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74316120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Elmehdawi, R. Jaweesh, Agela A. Elbadri, Mohamad Zue, Fadwa Elsoor, A. Elhaddad, Fathia S Belkasem
The 1st confirmed Covid-19 case in Libya was reported from Tripoli on March 25, 2020. However, as of May 21, 2020, Libya has 69 confirmed cases, which is a very small number of cases in comparison to the rest of the world. This report describes the 1st cluster of confirmed Covid-19 cases in Benghazi, Libya, which was discovered during the 7th and 8th of April 2020. The clinical, biological, and radiological characterestics of a cluster of four cases (primary case and three secondary cases) were described in this report. Among the four confirmed cases, two were asymptomatic, one symptomatic and one presymptomatic. The transmission rate in this cluster was three, and the secondary attack rate among the household contacts was 37.5%. None of the four cases was severe and all of them recovered without complications. this preliminary experience is in concordance with the reports from the other parts of the world.
{"title":"Clinical, biochemical, and radiological characteristics of the first cluster of Covid-19 cases in Benghazi, Libya: Case series","authors":"R. Elmehdawi, R. Jaweesh, Agela A. Elbadri, Mohamad Zue, Fadwa Elsoor, A. Elhaddad, Fathia S Belkasem","doi":"10.4103/LJMS.LJMS_73_20","DOIUrl":"https://doi.org/10.4103/LJMS.LJMS_73_20","url":null,"abstract":"The 1st confirmed Covid-19 case in Libya was reported from Tripoli on March 25, 2020. However, as of May 21, 2020, Libya has 69 confirmed cases, which is a very small number of cases in comparison to the rest of the world. This report describes the 1st cluster of confirmed Covid-19 cases in Benghazi, Libya, which was discovered during the 7th and 8th of April 2020. The clinical, biological, and radiological characterestics of a cluster of four cases (primary case and three secondary cases) were described in this report. Among the four confirmed cases, two were asymptomatic, one symptomatic and one presymptomatic. The transmission rate in this cluster was three, and the secondary attack rate among the household contacts was 37.5%. None of the four cases was severe and all of them recovered without complications. this preliminary experience is in concordance with the reports from the other parts of the world.","PeriodicalId":18055,"journal":{"name":"Libyan Journal of Medical Sciences","volume":"26 1","pages":"143 - 147"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73913952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Epilepsy is a common neurological disorder with the first onset of seizure represents a common cause of emergency department visit. Objectives: The objective of this study is to provide the data as well as to assess our local clinical practice parameters regarding the management of patients with first-onset seizure. Patients and Methods: A retrospective study was carried out using the medical records at 7th October hospital, included all patients admitted to the hospital with first seizure during the time period from “January 2013 to January 2014.” Results: Out of 145 patients presented with seizures, 52 (36%) patients presented with first seizure and admitted to the general medical ward and were managed by internist. The mean age of the study population was 45 ± 24 years, 26 (50%) patients were male. Thirteen (25%) patients had unprovoked seizure and 39 had provoked seizure with stroke being the most common cause. Brain scan and electroencephalogram were ordered in 28 (54%) and 16 (31%), respectively. Anti-epileptic drugs were prescribed to 32/52 (62%) patients, including all poststroke seizure patients and seven patients with unprovoked first seizure. Conclusion: We provided data regarding patients presenting with first seizure and insight into local practice regarding care of this group of patients. To our knowledge, such data were not reported before from our area. The findings were partly in agreement with evidence-based practice, though justification was still needed. The larger and more constructed study is warranted as “First Fit Presentation” is one of the common presentations in the emergency department.
{"title":"Management of first seizure: An inductive reading to the local clinical parameters among libyan doctors","authors":"Ashraf Rajab, A. Bennour, S. Lawgaly","doi":"10.4103/LJMS.LJMS_27_20","DOIUrl":"https://doi.org/10.4103/LJMS.LJMS_27_20","url":null,"abstract":"Background: Epilepsy is a common neurological disorder with the first onset of seizure represents a common cause of emergency department visit. Objectives: The objective of this study is to provide the data as well as to assess our local clinical practice parameters regarding the management of patients with first-onset seizure. Patients and Methods: A retrospective study was carried out using the medical records at 7th October hospital, included all patients admitted to the hospital with first seizure during the time period from “January 2013 to January 2014.” Results: Out of 145 patients presented with seizures, 52 (36%) patients presented with first seizure and admitted to the general medical ward and were managed by internist. The mean age of the study population was 45 ± 24 years, 26 (50%) patients were male. Thirteen (25%) patients had unprovoked seizure and 39 had provoked seizure with stroke being the most common cause. Brain scan and electroencephalogram were ordered in 28 (54%) and 16 (31%), respectively. Anti-epileptic drugs were prescribed to 32/52 (62%) patients, including all poststroke seizure patients and seven patients with unprovoked first seizure. Conclusion: We provided data regarding patients presenting with first seizure and insight into local practice regarding care of this group of patients. To our knowledge, such data were not reported before from our area. The findings were partly in agreement with evidence-based practice, though justification was still needed. The larger and more constructed study is warranted as “First Fit Presentation” is one of the common presentations in the emergency department.","PeriodicalId":18055,"journal":{"name":"Libyan Journal of Medical Sciences","volume":"2 1","pages":"125 - 128"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80145084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nada B. Hweissa, F. Shawesh, Shahed Krema, A. Mansour
Background/Aim: The coronavirus disease 2019 (COVID-19) pandemic, also referred to as the coronavirus (CoV) pandemic, is an ongoing outbreak of COVID-19. It is caused by severe acute respiratory syndrome CoV 2. Health-care workers (HCWs) are at amplified risk of infection of CoV due to the nature of their work. This study aims to evaluate the knowledge, attitude, and practice toward (COVID-19) among Libyan HCWs. Materials and Methods: A cross-sectional survey was carried out from the 5th until the 15th of April 2020; data were collected through an online questionnaire. The study sample was not restricted to specific cities; any Libyan HCW could join. The 318 participants were Libyan residents from the various cities who had completed the online questionnaire. Results: The majority of participants were from the capital Tripoli (34.9%), Zawia (32.4%), and Benghazi (9.1%). More modest rates of responding HCWs were divided among 27 other Libyan cities. Of the participants, 79.9% were positive they have sufficient information about COVID-19, and 69.8% were following updates regarding the outbreak. Their main sources of information were health-care providers (33.3%), social media (30.2%), and journal articles (29.2%). Conclusion: Most of the Libyan HCWs had good knowledge for virus, and the knowledge scores were significantly associated with the age difference. In addition, they had a positive attitude for COVID-19. The findings will assist authorities to establish the essential educational programs to provide advanced learning by providing necessary recommendations and deliver the best practice to control the pandemic. Essentially, these procedures will ensure their health and safety.
{"title":"Knowledge, attitude and practice (KAP) for preventing the coronavirus (COVID19) pandemic among libyan health care workers","authors":"Nada B. Hweissa, F. Shawesh, Shahed Krema, A. Mansour","doi":"10.4103/LJMS.LJMS_54_20","DOIUrl":"https://doi.org/10.4103/LJMS.LJMS_54_20","url":null,"abstract":"Background/Aim: The coronavirus disease 2019 (COVID-19) pandemic, also referred to as the coronavirus (CoV) pandemic, is an ongoing outbreak of COVID-19. It is caused by severe acute respiratory syndrome CoV 2. Health-care workers (HCWs) are at amplified risk of infection of CoV due to the nature of their work. This study aims to evaluate the knowledge, attitude, and practice toward (COVID-19) among Libyan HCWs. Materials and Methods: A cross-sectional survey was carried out from the 5th until the 15th of April 2020; data were collected through an online questionnaire. The study sample was not restricted to specific cities; any Libyan HCW could join. The 318 participants were Libyan residents from the various cities who had completed the online questionnaire. Results: The majority of participants were from the capital Tripoli (34.9%), Zawia (32.4%), and Benghazi (9.1%). More modest rates of responding HCWs were divided among 27 other Libyan cities. Of the participants, 79.9% were positive they have sufficient information about COVID-19, and 69.8% were following updates regarding the outbreak. Their main sources of information were health-care providers (33.3%), social media (30.2%), and journal articles (29.2%). Conclusion: Most of the Libyan HCWs had good knowledge for virus, and the knowledge scores were significantly associated with the age difference. In addition, they had a positive attitude for COVID-19. The findings will assist authorities to establish the essential educational programs to provide advanced learning by providing necessary recommendations and deliver the best practice to control the pandemic. Essentially, these procedures will ensure their health and safety.","PeriodicalId":18055,"journal":{"name":"Libyan Journal of Medical Sciences","volume":"27 1","pages":"109 - 114"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72845055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19 pandemic and its impact on education in Libya","authors":"A. Atia, A. Ganoun","doi":"10.4103/LJMS.LJMS_42_20","DOIUrl":"https://doi.org/10.4103/LJMS.LJMS_42_20","url":null,"abstract":"","PeriodicalId":18055,"journal":{"name":"Libyan Journal of Medical Sciences","volume":"21 1","pages":"97 - 98"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80754548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Eljilani, A. Shebani, A. Bishr, Hamza Abdul Jalil, Tarek Dalyoum, Halema Abudalla, Reema Abualroos, Hamed Alhodiri, H. Alemam, E. Gusbi, I. Alhudiri
Background/Aim: Breast cancer is the most common cancer in Libyan women. Studies of breast cancer risk assessment in Libyan women are not available, and it is important to detect people at high risk for preventive and screening measures. The aim of this study is to estimate the 5-year and lifetime risk of breast cancer in Libyan women using the Gail model. Subjects and Methods: This cross-sectional study was conducted on 918 Libyan women ≥35 years. The Gail model was used to calculate the 5-year and lifetime risks of developing breast cancer. Risk factors such as age at menarche and first live birth, number of previous breast biopsies, family history, and ethnicity were considered in the model. Results: The mean age of women was 46.9 ± 8.7 years. The mean 5-year and lifetime risks were 1.0 ± 0.6 and 10.7 ± 4.8, respectively. A significant correlation was found between 5-year and lifetime risk and age at menarche, family history, previous breast biopsy, and ethnicity (P < 0.05). Conclusion: The risk estimates obtained from the Gail model could be improved if the risk factors involved are corrected for the Libyan population by conducting cohort studies with long follow-up to calculate the relative risks caused by each factor. In particular, the risk of different ethnic groups should be estimated and a modified model developed for Libyan women.
{"title":"Assessment of breast cancer risk in Libyan women using the gail model","authors":"M. Eljilani, A. Shebani, A. Bishr, Hamza Abdul Jalil, Tarek Dalyoum, Halema Abudalla, Reema Abualroos, Hamed Alhodiri, H. Alemam, E. Gusbi, I. Alhudiri","doi":"10.4103/LJMS.LJMS_26_20","DOIUrl":"https://doi.org/10.4103/LJMS.LJMS_26_20","url":null,"abstract":"Background/Aim: Breast cancer is the most common cancer in Libyan women. Studies of breast cancer risk assessment in Libyan women are not available, and it is important to detect people at high risk for preventive and screening measures. The aim of this study is to estimate the 5-year and lifetime risk of breast cancer in Libyan women using the Gail model. Subjects and Methods: This cross-sectional study was conducted on 918 Libyan women ≥35 years. The Gail model was used to calculate the 5-year and lifetime risks of developing breast cancer. Risk factors such as age at menarche and first live birth, number of previous breast biopsies, family history, and ethnicity were considered in the model. Results: The mean age of women was 46.9 ± 8.7 years. The mean 5-year and lifetime risks were 1.0 ± 0.6 and 10.7 ± 4.8, respectively. A significant correlation was found between 5-year and lifetime risk and age at menarche, family history, previous breast biopsy, and ethnicity (P < 0.05). Conclusion: The risk estimates obtained from the Gail model could be improved if the risk factors involved are corrected for the Libyan population by conducting cohort studies with long follow-up to calculate the relative risks caused by each factor. In particular, the risk of different ethnic groups should be estimated and a modified model developed for Libyan women.","PeriodicalId":18055,"journal":{"name":"Libyan Journal of Medical Sciences","volume":"33 1","pages":"115 - 119"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81094688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Phool Iqbal, T. Paul, A. Khan, Safna Farsana Akkam Veettil, R. Abdul Rahman, -Mohd Abu Khattab, Muna S. Al. Maslamani
{"title":"Qatar's center of communicable disease control (CDC) first triage experience and management strategy during novel coronavirus 2019 (COVID 19) pandemic","authors":"Phool Iqbal, T. Paul, A. Khan, Safna Farsana Akkam Veettil, R. Abdul Rahman, -Mohd Abu Khattab, Muna S. Al. Maslamani","doi":"10.4103/LJMS.LJMS_44_20","DOIUrl":"https://doi.org/10.4103/LJMS.LJMS_44_20","url":null,"abstract":"","PeriodicalId":18055,"journal":{"name":"Libyan Journal of Medical Sciences","volume":"9 1","pages":"152 - 154"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80842708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
At present, no African country is spared of COVID-19 infection, with existing weak health systems, significant limitations are unsurprisingly encountered in response capacity to the pandemic. Health systems are stretched, leaving health-care workforce vulnerable to infections, yet not protected and motivated, but left to pay the highest price for the decades of neglect of public and occupational health services in many African countries. Healthy frontline health-care workers are pivotal to the success and sustenance of the prevention and control of the COVID-19 pandemic, hence the need to urgently protect them. African governments need to take responsibility to prevent work-related COVID-19 infections among health-care workers. Beyond the current pandemic, African governments should elevate the right to health topmost in their policies and programs to improve people's lives, including health-care workforce.
{"title":"Work-related COVID-19 infection prevention among health-care workers in Sub-Saharan Africa: Challenges and prospects","authors":"O. Ogundele, A. Omotoso","doi":"10.4103/LJMS.LJMS_62_20","DOIUrl":"https://doi.org/10.4103/LJMS.LJMS_62_20","url":null,"abstract":"At present, no African country is spared of COVID-19 infection, with existing weak health systems, significant limitations are unsurprisingly encountered in response capacity to the pandemic. Health systems are stretched, leaving health-care workforce vulnerable to infections, yet not protected and motivated, but left to pay the highest price for the decades of neglect of public and occupational health services in many African countries. Healthy frontline health-care workers are pivotal to the success and sustenance of the prevention and control of the COVID-19 pandemic, hence the need to urgently protect them. African governments need to take responsibility to prevent work-related COVID-19 infections among health-care workers. Beyond the current pandemic, African governments should elevate the right to health topmost in their policies and programs to improve people's lives, including health-care workforce.","PeriodicalId":18055,"journal":{"name":"Libyan Journal of Medical Sciences","volume":"81 1","pages":"106 - 108"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74703855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A descriptive study of inflammatory bowel disease in eastern regions of Libya: A based survey of benghaziæs hospitals","authors":"M. Al-Mendalawi","doi":"10.4103/LJMS.LJMS_55_20","DOIUrl":"https://doi.org/10.4103/LJMS.LJMS_55_20","url":null,"abstract":"","PeriodicalId":18055,"journal":{"name":"Libyan Journal of Medical Sciences","volume":"9 1","pages":"155 - 155"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87244328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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