Pub Date : 2020-07-01DOI: 10.4103/2519-139x.295915
A. Ashour, Nabeia Gheryani, T. Meidan
Introduction: Histopathological examination of the placenta with clinical implications helps to make the diagnosis and deduce the cause of abortion, fetal mortality, morbidity, and pregnancy complications. Aim: This study aims to determine the frequencies and types of abnormalities of the chorionic villi in the aborted placentae.Materials and Methods: All specimens of products of conception submitted to a private histopathology laboratory in Benghazi during the period (from January 01, 2016 to December 31, 2018) were formalin-fixed, paraffin-embedded, and histopathology reviewed using hematoxylin and eosin stain under light microscopy. The data collected and statistically analyzed using SPSS version 22. Results: The study involved 92 specimens, of which 86 were abnormal and the pathological changes include partial mole (48%), hydropic changes (19%), increased vascularity (chorioangiosis) (13%), fibrosis (10%), numerous Hofbauer macrophages (8%), and abnormal premature calcification (2%). The rest of the specimens (6.5%) were normal placentae. Most of the cases of partial mole (73%) were at the age group of ≥30 years, and cases of abnormal premature calcification were at the age of >40 years. Conclusion: The histopathologic examination is an important tool for diagnosing the placental abnormalities. Most cases of abortion have abnormalities in chorionic villi; the most common abnormality is the partial mole, followed by hydropic change, then increased vascularity (chorioangiosis), fibrosis, and numerous Hofbauer macrophages. Abnormal premature calcification is the least finding. Partial mole occurs at an older age group of ≥30 years.
{"title":"Histopathologic changes in aborted placenta","authors":"A. Ashour, Nabeia Gheryani, T. Meidan","doi":"10.4103/2519-139x.295915","DOIUrl":"https://doi.org/10.4103/2519-139x.295915","url":null,"abstract":"Introduction: Histopathological examination of the placenta with clinical implications helps to make the diagnosis and deduce the cause of abortion, fetal mortality, morbidity, and pregnancy complications. Aim: This study aims to determine the frequencies and types of abnormalities of the chorionic villi in the aborted placentae.Materials and Methods: All specimens of products of conception submitted to a private histopathology laboratory in Benghazi during the period (from January 01, 2016 to December 31, 2018) were formalin-fixed, paraffin-embedded, and histopathology reviewed using hematoxylin and eosin stain under light microscopy. The data collected and statistically analyzed using SPSS version 22. Results: The study involved 92 specimens, of which 86 were abnormal and the pathological changes include partial mole (48%), hydropic changes (19%), increased vascularity (chorioangiosis) (13%), fibrosis (10%), numerous Hofbauer macrophages (8%), and abnormal premature calcification (2%). The rest of the specimens (6.5%) were normal placentae. Most of the cases of partial mole (73%) were at the age group of ≥30 years, and cases of abnormal premature calcification were at the age of >40 years. Conclusion: The histopathologic examination is an important tool for diagnosing the placental abnormalities. Most cases of abortion have abnormalities in chorionic villi; the most common abnormality is the partial mole, followed by hydropic change, then increased vascularity (chorioangiosis), fibrosis, and numerous Hofbauer macrophages. Abnormal premature calcification is the least finding. Partial mole occurs at an older age group of ≥30 years.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":"30 1","pages":"48 - 52"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85520594","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: Amblyopia is a disorder characterized by a decrease in the best-corrected visual acuity in one or both eyes with no clear structural anomalies or ocular pathology. There are three primary types of amblyopia: anisometropic, strabismic, and sensory deprivation amblyopia. Anisometropic amblyopia occurs in children having a difference in refractive error between the two eyes and occurs in the more ametropic eye. Furthermore, there is a strong association of anisometropia with strabismus. Aim: The study aimed to investigate the association between age, sex, laterality, and type of refractive error on the depth of anisometropic amblyopia. Settings and Design: This was a retrospective (observational) study. Data were analyzed using IBM SPSS 23.0 software. Materials and Methods: One hundred and nine patient's files with anisometropic amblyopia were investigated, who were followed in a pediatric eye clinic in Sohail Elatrash's eye hospital Benghazi, Libya, between January 2008 and December 2018. Results: There is no effect of the type of gender on the depth amblyopia with P = 0.57. Furthermore, there is no difference in the predominance of amblyopia between the right and left eye (P = 0.93). Age is correlated in a positive manner with the depth of amblyopia (P = 0.035). Conclusions: in our study, eye laterality and gender had no effect on the depth of anisometropic amblyopia. The age and the smallest amount of astigmatism difference between both eyes had a direct proportion on the depth of anisometropic amblyopia.
{"title":"Associations between anisometropia and depth of amblyopia in Benghazi, Libya","authors":"Sabah S Eldressi, Mariam B. Gebril","doi":"10.4103/LIUJ.LIUJ_8_20","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_8_20","url":null,"abstract":"Background: Amblyopia is a disorder characterized by a decrease in the best-corrected visual acuity in one or both eyes with no clear structural anomalies or ocular pathology. There are three primary types of amblyopia: anisometropic, strabismic, and sensory deprivation amblyopia. Anisometropic amblyopia occurs in children having a difference in refractive error between the two eyes and occurs in the more ametropic eye. Furthermore, there is a strong association of anisometropia with strabismus. Aim: The study aimed to investigate the association between age, sex, laterality, and type of refractive error on the depth of anisometropic amblyopia. Settings and Design: This was a retrospective (observational) study. Data were analyzed using IBM SPSS 23.0 software. Materials and Methods: One hundred and nine patient's files with anisometropic amblyopia were investigated, who were followed in a pediatric eye clinic in Sohail Elatrash's eye hospital Benghazi, Libya, between January 2008 and December 2018. Results: There is no effect of the type of gender on the depth amblyopia with P = 0.57. Furthermore, there is no difference in the predominance of amblyopia between the right and left eye (P = 0.93). Age is correlated in a positive manner with the depth of amblyopia (P = 0.035). Conclusions: in our study, eye laterality and gender had no effect on the depth of anisometropic amblyopia. The age and the smallest amount of astigmatism difference between both eyes had a direct proportion on the depth of anisometropic amblyopia.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":"29 1","pages":"53 - 58"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78056239","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}
There is an immense need to improve the skills of curricula delivery by training medical teachers. There arises the need to periodically train teachers through faculty development programs (FDPs). In fact, FDPs in the field of medical education have been acknowledged as an important component for the acquisition of skills for new faculty, for refinement of skills, and for better delivery of the medical curriculum. The implementation of online FDPs is a better option for improving the skills of medical teachers. These programs expose faculty to the domain of e-learning, which in itself is an important domain in medical education. However, the existing challenges in the smooth conduction of online FDPs cannot be ignored, and we have to support the staff in the smooth organization of these much-needed courses. In conclusion, online FDPs have the potential to enhance the skills and transform the effectiveness of medical teachers in their teaching–learning sessions and in their professional careers. Amidst the ongoing coronavirus disease 2019 (COVID-19) pandemic, it has become the need of the hour to conduct a series of online FDPs and empower faculty members in the domains of teaching–learning, assessment, research, curriculum planning, and evaluation.
{"title":"Organizing online faculty development programs to strengthen medical education in India: Need of the hour","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/liuj.liuj_44_20","DOIUrl":"https://doi.org/10.4103/liuj.liuj_44_20","url":null,"abstract":"There is an immense need to improve the skills of curricula delivery by training medical teachers. There arises the need to periodically train teachers through faculty development programs (FDPs). In fact, FDPs in the field of medical education have been acknowledged as an important component for the acquisition of skills for new faculty, for refinement of skills, and for better delivery of the medical curriculum. The implementation of online FDPs is a better option for improving the skills of medical teachers. These programs expose faculty to the domain of e-learning, which in itself is an important domain in medical education. However, the existing challenges in the smooth conduction of online FDPs cannot be ignored, and we have to support the staff in the smooth organization of these much-needed courses. In conclusion, online FDPs have the potential to enhance the skills and transform the effectiveness of medical teachers in their teaching–learning sessions and in their professional careers. Amidst the ongoing coronavirus disease 2019 (COVID-19) pandemic, it has become the need of the hour to conduct a series of online FDPs and empower faculty members in the domains of teaching–learning, assessment, research, curriculum planning, and evaluation.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":"19 1","pages":"66 - 69"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88034595","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 in Sub-Saharan Africa: Addressing possible sociocultural factors that can prolong the pandemic","authors":"O. Ogundele","doi":"10.4103/LIUJ.LIUJ_35_20","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_35_20","url":null,"abstract":"","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":"23 1","pages":"65 - 65"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89934176","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}
The Corona Virus Disease-2019 (COVID-19) pandemic has influenced the lives of millions of people across the world and forced all the public health authorities to divert their attention towards the disease. The refugees and migrants have been recognized as vulnerable population groups and it is a must that in general, we should try to meet the needs of these population groups in this ongoing pandemic. Considering the practical concerns pertaining to the difficulty in accessing health care or residing in overcrowded settings or poor water supply, it makes them extremely vulnerable to COVID-19 infection, as all these factors play an important role in enhancing the transmission of the disease. The need of the hour is to prevent the possibility of stigma and discrimination and ensure that reliable and timely information is passed to them through trustworthy resources. Further, all steps should be taken to inform them about the need to maintain social distancing, use of personal protective equipment and strict adherence to the infection prevention and control recommendations. In conclusion, in the battle against the COVID-19 pandemic, the refugees and migrants deserve equal priority and attention like that of the general population. However, considering their vulnerability to acquire the infection due to varying environmental and social attributes, it becomes crucial to facilitate early detection and isolation of the cases and thereby interrupt the chain of transmission and thus reduce the overall caseload.
{"title":"Corona virus disease 2019 pandemic: Addressing the needs of refugees and migrants in the european region","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/LIUJ.LIUJ_9_20","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_9_20","url":null,"abstract":"The Corona Virus Disease-2019 (COVID-19) pandemic has influenced the lives of millions of people across the world and forced all the public health authorities to divert their attention towards the disease. The refugees and migrants have been recognized as vulnerable population groups and it is a must that in general, we should try to meet the needs of these population groups in this ongoing pandemic. Considering the practical concerns pertaining to the difficulty in accessing health care or residing in overcrowded settings or poor water supply, it makes them extremely vulnerable to COVID-19 infection, as all these factors play an important role in enhancing the transmission of the disease. The need of the hour is to prevent the possibility of stigma and discrimination and ensure that reliable and timely information is passed to them through trustworthy resources. Further, all steps should be taken to inform them about the need to maintain social distancing, use of personal protective equipment and strict adherence to the infection prevention and control recommendations. In conclusion, in the battle against the COVID-19 pandemic, the refugees and migrants deserve equal priority and attention like that of the general population. However, considering their vulnerability to acquire the infection due to varying environmental and social attributes, it becomes crucial to facilitate early detection and isolation of the cases and thereby interrupt the chain of transmission and thus reduce the overall caseload.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":"6 1","pages":"24 - 26"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82927727","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}
S. olowookere, A. Ajayi, A. Idowu, A. Ajayi, B. Afolabi
Background: Access to combination antiretroviral therapy (ART) enables HIV-positive women to live longer in good health. Some of these women are sexually active having unintended pregnancies and unsafe abortions because of not using contraceptives. Objective: This study assessed pattern of contraceptive use by HIV-positive women of reproductive age group attending an HIV treatment center at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Nigeria. Materials and Methods: A descriptive cross-sectional study of 400 HIV-positive women that completed an interviewer-administered semi-structured questionnaire on awareness and use of contraceptives. Data collected were analyzed with SPSS version 17. Results: Majority, 217 (54.3%), had been pregnant since enrollment with 120 (55.3%) having an induced abortion. Majority, 378 (94.5%), were aware of contraception with health workers as the source of awareness being 204 (54%). Although 313 (82.8%) desire to use a contraceptive, 281 (74.3%) currently used a contraceptive with male condom, 130 (34.4%), being the most common type used. Selected factors significantly associated with contraceptive use included age 35 years and above (odds ratio [OR] =2.58, 95% confidence interval [CI] = 1.18–5.63, P = 0.018), higher education (OR = 4.48, 95% CI = 2.80–7.16, P = 0.0001), being unmarried (OR = 4.34, 95% CI = 2.74–6.88, P = 0.0001), skilled worker (OR = 4.64, 95% CI = 2.76–7.81, P = 0.0001), higher income (OR = 2.15, 95% CI = 1.20–3.82, P = 0.01), and increasing duration on highly active ART 6–12 months (OR = 8.88, 95% CI = 4.50–17.50, P = 0.0001) and >12 months (OR = 4.37, 95% CI = 2.27–8.43, P = 0.0001). Conclusions: Some sexually active HIV-positive women were not using contraceptives. It is necessary to increase contraceptive awareness and use among this vulnerable population.
背景:获得抗逆转录病毒联合治疗(ART)可使艾滋病毒阳性妇女健康地活得更长。其中一些性活跃的妇女由于不使用避孕药具而意外怀孕和不安全堕胎。目的:本研究评估在尼日利亚奥索博拉多克阿金托拉科技大学教学医院艾滋病毒治疗中心的艾滋病毒阳性育龄妇女使用避孕药具的模式。材料和方法:对400名艾滋病毒阳性妇女进行描述性横断面研究，这些妇女完成了一份由访谈者管理的关于避孕药具的认识和使用的半结构化问卷。收集的数据用SPSS version 17进行分析。结果:入组以来怀孕217例(54.3%)，人工流产120例(55.3%)。大多数，378人(94.5%)知道避孕，卫生工作者是204人(54%)知道避孕的来源。虽然313人(82.8%)希望使用避孕措施，但281人(74.3%)目前使用的是男用避孕套，其中130人(34.4%)是最常用的避孕措施。选择避孕使用显著相关的因素包括35岁及以上(比值比(或)= 2.58,95%可信区间[CI] = 1.18 - -5.63, P = 0.018),高等教育(或= 4.48,95% CI = 2.80 - -7.16, P = 0.0001),是未婚(或= 4.34,95% CI = 2.74 - -6.88, P = 0.0001),熟练工人(或= 4.64,95% CI = 2.76 - -7.81, P = 0.0001),高收入(或= 2.15,95% CI = 1.20 - -3.82, P = 0.01),并增加高度活跃的艺术持续时间6 - 12个月(或= 8.88,95% CI = 4.50-17.50, P = 0.0001)和bb0 12个月(OR = 4.37, 95% CI = 2.27-8.43, P = 0.0001)。结论:部分性活跃的hiv阳性妇女未采取避孕措施。有必要提高这一弱势群体的避孕意识和使用。
{"title":"Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, Nigeria","authors":"S. olowookere, A. Ajayi, A. Idowu, A. Ajayi, B. Afolabi","doi":"10.4103/LIUJ.LIUJ_21_19","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_21_19","url":null,"abstract":"Background: Access to combination antiretroviral therapy (ART) enables HIV-positive women to live longer in good health. Some of these women are sexually active having unintended pregnancies and unsafe abortions because of not using contraceptives. Objective: This study assessed pattern of contraceptive use by HIV-positive women of reproductive age group attending an HIV treatment center at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Nigeria. Materials and Methods: A descriptive cross-sectional study of 400 HIV-positive women that completed an interviewer-administered semi-structured questionnaire on awareness and use of contraceptives. Data collected were analyzed with SPSS version 17. Results: Majority, 217 (54.3%), had been pregnant since enrollment with 120 (55.3%) having an induced abortion. Majority, 378 (94.5%), were aware of contraception with health workers as the source of awareness being 204 (54%). Although 313 (82.8%) desire to use a contraceptive, 281 (74.3%) currently used a contraceptive with male condom, 130 (34.4%), being the most common type used. Selected factors significantly associated with contraceptive use included age 35 years and above (odds ratio [OR] =2.58, 95% confidence interval [CI] = 1.18–5.63, P = 0.018), higher education (OR = 4.48, 95% CI = 2.80–7.16, P = 0.0001), being unmarried (OR = 4.34, 95% CI = 2.74–6.88, P = 0.0001), skilled worker (OR = 4.64, 95% CI = 2.76–7.81, P = 0.0001), higher income (OR = 2.15, 95% CI = 1.20–3.82, P = 0.01), and increasing duration on highly active ART 6–12 months (OR = 8.88, 95% CI = 4.50–17.50, P = 0.0001) and >12 months (OR = 4.37, 95% CI = 2.27–8.43, P = 0.0001). Conclusions: Some sexually active HIV-positive women were not using contraceptives. It is necessary to increase contraceptive awareness and use among this vulnerable population.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":"139 1","pages":"8 - 14"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76429938","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}
A. Talabi, O. Sowande, A. Tanimola, C. Adumah, O. Adejuyigbe
Background: In pediatric inguinal hernia, the most feared complication is incarceration, which can lead to catastrophic consequences if not resolved expeditiously. Aims: This study assessed the usefulness of manual reduction of complicated inguinal hernia in children. Settings and Design: This study was designed to study the age at presentation, gestation age at birth, duration of symptoms, success rate of manual reduction of incarcerated inguinal hernia, subsequent treatment, operative findings, and outcome of strangulated cases in pediatric patients. Materials and Methods: This is a retrospective study involving 56 children under 15 years of age with a diagnosis of complicated inguinal hernia managed between January 2009 and December 2018 at a tertiary care hospital in Nigeria. Demographic characteristics, clinical presentations, management, and outcome were retrieved. Data were analyzed using SPSS software version 22 (IBM Corp., NY, USA). The results were presented as frequencies and percentages. Categorical variables were analyzed using Chi-square test. P < 0.05 was deemed statistically significant. Results: The age of patients ranged between 8 days and 14 years, with a median of 2 months; 79% were infants. Males outnumbered females by a ratio of 27:1, and the rate of incarceration was 5.0%. Majority (89.3%) had no previous hospital visits. Those who had successful manual reduction was 80%. Time of presentation was a statistically significant factor for successful reduction, P < 0.05. One patient experienced en masse reduction, and there was no mortality. Conclusion: Majority of those with incarcerated inguinal hernias were infants, and manual reduction was associated with early presentation.
{"title":"Incarcerated and strangulated inguinal hernias in children: A 10-year retrospective analysis","authors":"A. Talabi, O. Sowande, A. Tanimola, C. Adumah, O. Adejuyigbe","doi":"10.4103/LIUJ.LIUJ_10_20","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_10_20","url":null,"abstract":"Background: In pediatric inguinal hernia, the most feared complication is incarceration, which can lead to catastrophic consequences if not resolved expeditiously. Aims: This study assessed the usefulness of manual reduction of complicated inguinal hernia in children. Settings and Design: This study was designed to study the age at presentation, gestation age at birth, duration of symptoms, success rate of manual reduction of incarcerated inguinal hernia, subsequent treatment, operative findings, and outcome of strangulated cases in pediatric patients. Materials and Methods: This is a retrospective study involving 56 children under 15 years of age with a diagnosis of complicated inguinal hernia managed between January 2009 and December 2018 at a tertiary care hospital in Nigeria. Demographic characteristics, clinical presentations, management, and outcome were retrieved. Data were analyzed using SPSS software version 22 (IBM Corp., NY, USA). The results were presented as frequencies and percentages. Categorical variables were analyzed using Chi-square test. P < 0.05 was deemed statistically significant. Results: The age of patients ranged between 8 days and 14 years, with a median of 2 months; 79% were infants. Males outnumbered females by a ratio of 27:1, and the rate of incarceration was 5.0%. Majority (89.3%) had no previous hospital visits. Those who had successful manual reduction was 80%. Time of presentation was a statistically significant factor for successful reduction, P < 0.05. One patient experienced en masse reduction, and there was no mortality. Conclusion: Majority of those with incarcerated inguinal hernias were infants, and manual reduction was associated with early presentation.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":"45 1","pages":"3 - 7"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73776511","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}
Problem-based learning (PBL) is a few decades-old innovative educational strategy that is spreading throughout the academic world. The Libyan International Medical University decided to adopt this strategy and to change from its traditional system shortly after its establishment in the year 2007. This case study aimed to outline the reasons for considering the change, the obstacles, and the strategies adopted throughout the university to effect the change at the student, faculty, curriculum, physical environment, and organization levels and also to compare this experience with that of other universities. significant implementation of PBL was accomplished using a combination of three types of change strategies: rational, normative re-educative, and coercive. It was also shown that this experience of implementation of PBL is quite similar to that of other universities and colleges. It was concluded from this case study that a combination of change strategies was productive in bringing up the change, and that the strategies adopted as well as the obstacles faced are similar to those reported by other universities.
{"title":"University-wide implementation of problem-based learning","authors":"Adel Ahmaida Altawaty, Mohammed Ambarek","doi":"10.4103/LIUJ.LIUJ_13_20","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_13_20","url":null,"abstract":"Problem-based learning (PBL) is a few decades-old innovative educational strategy that is spreading throughout the academic world. The Libyan International Medical University decided to adopt this strategy and to change from its traditional system shortly after its establishment in the year 2007. This case study aimed to outline the reasons for considering the change, the obstacles, and the strategies adopted throughout the university to effect the change at the student, faculty, curriculum, physical environment, and organization levels and also to compare this experience with that of other universities. significant implementation of PBL was accomplished using a combination of three types of change strategies: rational, normative re-educative, and coercive. It was also shown that this experience of implementation of PBL is quite similar to that of other universities and colleges. It was concluded from this case study that a combination of change strategies was productive in bringing up the change, and that the strategies adopted as well as the obstacles faced are similar to those reported by other universities.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":"47 1","pages":"19 - 23"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91299408","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}
Objective: Anterior crossbite presents when one or more of the upper incisors occlude lingual to lower incisors. Several techniques were used to correct anterior crossbite. The aim of this article was to present the treatment of anterior crossbite under skeletal Class I relationship using multilooped archwire. Methods: A 24-year-old female has a complaint of anterior crossbite. She has concave profile, all her teeth present except the maxillary canines, 4 mm reverse overjet, 4 mm crowding in the lower anterior and 25% overbite. The treatment was started in the lower arch by the extraction of the lower first premolars. Different arch sequences of nickel–titanium alloys, followed by different sequences of stainless steel archwires were used. Results: The correction of crossbite was achieved successfully within 18 months. Normal overjet and overbite and orthognathic profile were accomplished. Conclusion: The treatment of anterior crossbite was achieved using retraction multilooping arch to achieve normal overjet and overbite.
{"title":"Treatment of anterior dental crossbite in adult Libyan patient","authors":"Fatma Elsheikhi","doi":"10.4103/LIUJ.LIUJ_1_20","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_1_20","url":null,"abstract":"Objective: Anterior crossbite presents when one or more of the upper incisors occlude lingual to lower incisors. Several techniques were used to correct anterior crossbite. The aim of this article was to present the treatment of anterior crossbite under skeletal Class I relationship using multilooped archwire. Methods: A 24-year-old female has a complaint of anterior crossbite. She has concave profile, all her teeth present except the maxillary canines, 4 mm reverse overjet, 4 mm crowding in the lower anterior and 25% overbite. The treatment was started in the lower arch by the extraction of the lower first premolars. Different arch sequences of nickel–titanium alloys, followed by different sequences of stainless steel archwires were used. Results: The correction of crossbite was achieved successfully within 18 months. Normal overjet and overbite and orthognathic profile were accomplished. Conclusion: The treatment of anterior crossbite was achieved using retraction multilooping arch to achieve normal overjet and overbite.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":"67 1","pages":"15 - 18"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86164107","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":"Chloroquine, hydroxychloroquine, and COVID-19, the Libyan prospective","authors":"A. S. Elhwuegi","doi":"10.4103/LIUJ.LIUJ_11_20","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_11_20","url":null,"abstract":"","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":"38 1","pages":"1 - 2"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90854762","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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