M. Abdulbaki, M. Ijaiya, A. Fadeyi, O. Adesiyun, A. Adeniran, O. Aliyu, A. Jimoh
Objective: The study objective was to determine the role and applicability of the culture-based approach to Group B Streptococcus(GBS) screening and the effect on pregnancy outcome.Materials and Methods: This is a prospective cross-sectional study involving 166 consenting antenatal clinic attendees at 35–37 weeks' gestation using purposive sampling. All participants had vaginal and rectal swabs collected and cultured with the availability of culture results at the time of presentation in labor. All GBS-colonized mothers received intrapartum prophylaxis with parenteral antibiotics based on antibiotic sensitivity from the onset of labor or the rupture of membrane until delivery. Statistical analysis was conducted using SPSS software version 21.0, while P < 0.05 was considered statistically significant. Results: The GBS maternal prevalence was 7.8%, and culture-positive women had both vaginal and rectal colonization. Marital status (P = 0.002), multiple sexual partners (P =0.001), previous sexually transmitted infections (P = 0.013), and low socioeconomic status (P = 0.012) were significantly associated with GBS colonization. GBS isolates were 100% sensitive to ampicillin, all participants had a minimum of two doses of intrapartum prophylaxis with parenteral ampicillin, there was no maternal morbidity, and the vertical transmission of GBS was 0%. Conclusions: The culture-based approach and the culture-based maternal intrapartum prophylaxis prevented both maternal and neonatal complications from GBS. Establishing regional- and national-level preventive protocols will be a central strategy for the prevention.
{"title":"Evolving a national preventive protocol for vertical transmission of group B streptococcus in a low-resource country: The culture-based approach","authors":"M. Abdulbaki, M. Ijaiya, A. Fadeyi, O. Adesiyun, A. Adeniran, O. Aliyu, A. Jimoh","doi":"10.4103/LIUJ.LIUJ_17_19","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_17_19","url":null,"abstract":"Objective: The study objective was to determine the role and applicability of the culture-based approach to Group B Streptococcus(GBS) screening and the effect on pregnancy outcome.Materials and Methods: This is a prospective cross-sectional study involving 166 consenting antenatal clinic attendees at 35–37 weeks' gestation using purposive sampling. All participants had vaginal and rectal swabs collected and cultured with the availability of culture results at the time of presentation in labor. All GBS-colonized mothers received intrapartum prophylaxis with parenteral antibiotics based on antibiotic sensitivity from the onset of labor or the rupture of membrane until delivery. Statistical analysis was conducted using SPSS software version 21.0, while P < 0.05 was considered statistically significant. Results: The GBS maternal prevalence was 7.8%, and culture-positive women had both vaginal and rectal colonization. Marital status (P = 0.002), multiple sexual partners (P =0.001), previous sexually transmitted infections (P = 0.013), and low socioeconomic status (P = 0.012) were significantly associated with GBS colonization. GBS isolates were 100% sensitive to ampicillin, all participants had a minimum of two doses of intrapartum prophylaxis with parenteral ampicillin, there was no maternal morbidity, and the vertical transmission of GBS was 0%. Conclusions: The culture-based approach and the culture-based maternal intrapartum prophylaxis prevented both maternal and neonatal complications from GBS. Establishing regional- and national-level preventive protocols will be a central strategy for the prevention.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89386089","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: E-Health is one of the recent major developments in health-care provision. Today's health professional students are considered digitally oriented, and this may endow them with the necessary capabilities to implement E-Health on graduation. Aim: This study aimed to assess students' views, use, confidence, and need for training on E-Health. Participants: Fourth-, 5th- and internship-year students of the medical and dental schools at the Libyan International Medical University constituted the study population. Methodology: This is a cross-sectional study conducted using an online administered survey. Prior to implementation, the questionnaire was reviewed by experts and then piloted on a group of research-targeted students. Likert scale was used for most questions and few were in the form of short answers. Descriptive statistics were reported using SPSS software version 23.0. Results: One hundred and two students responded, and all responders were included for most select-response questions. The male-to-female ratio was 2:3, with a mean age of 24 ± 1.8 years. Medical students accounted for 52% of the participants. An average of 45% reported proficiency in written and spoken English. Only 12% have taken IT-related courses. Their view on E-Health was moderately positive with a mean of 3.5 ± 0.34 of 3.1 ± 1.029. In spite of this, 43% ± 3.9% had negative views on E-Health. Nearly 58% of the participants used digital tools and software with a mean score of 2.43 ± 0.6. Most students reported using social media, especially Facebook (mean 4.95 ± 1.7). The students reported a confidence level of information and communication technology (ICT) use of 3.4 ± 1.2. They also described their confidence in learning a new technology with a value of 3 ± 0.3. Almost 32.9% of the participants expressed an overall need for training on ICT tools. Conclusion: The overall preparedness of this group for ICT is moderate and needs improvement. This could be achieved through introducing changes in the taught curriculum.
{"title":"Health professional students' preparedness for E-Health","authors":"A. Al-Tawaty, Ehab A. Elfallah","doi":"10.4103/LIUJ.LIUJ_25_19","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_25_19","url":null,"abstract":"Background: E-Health is one of the recent major developments in health-care provision. Today's health professional students are considered digitally oriented, and this may endow them with the necessary capabilities to implement E-Health on graduation. \u0000Aim: This study aimed to assess students' views, use, confidence, and need for training on E-Health. Participants: Fourth-, 5th- and internship-year students of the medical and dental schools at the Libyan International Medical University constituted the study population. Methodology: This is a cross-sectional study conducted using an online administered survey. Prior to implementation, the questionnaire was reviewed by experts and then piloted on a group of research-targeted students. Likert scale was used for most questions and few were in the form of short answers. Descriptive statistics were reported using SPSS software version 23.0. Results: One hundred and two students responded, and all responders were included for most select-response questions. The male-to-female ratio was 2:3, with a mean age of 24 ± 1.8 years. Medical students accounted for 52% of the participants. An average of 45% reported proficiency in written and spoken English. Only 12% have taken IT-related courses. Their view on E-Health was moderately positive with a mean of 3.5 ± 0.34 of 3.1 ± 1.029. In spite of this, 43% ± 3.9% had negative views on E-Health. Nearly 58% of the participants used digital tools and software with a mean score of 2.43 ± 0.6. Most students reported using social media, especially Facebook (mean 4.95 ± 1.7). The students reported a confidence level of information and communication technology (ICT) use of 3.4 ± 1.2. They also described their confidence in learning a new technology with a value of 3 ± 0.3. Almost 32.9% of the participants expressed an overall need for training on ICT tools. Conclusion: The overall preparedness of this group for ICT is moderate and needs improvement. This could be achieved through introducing changes in the taught curriculum.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79752110","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: The distribution of ABO and rhesus (Rh) blood groups has been reported to be different in several world populations. There have been few studies about blood groups among Libyan population. Aims: The study aims to determine the distribution and frequency of ABO and Rh blood groups among Libyan population in Bani Waleed city. Subjects and Methods: The study group had included 344 participants of both genders aged between 15 and 80 years. Blood samples were collected for ABO and Rh blood group analysis from September to December 2018. Results: The percentage of male participants was 55.8% and 48.2% were female. The highest percentage (30.2%) were among the age group of 23–32 years. O blood group was the most common (43.6%), followed by A (31.7%), B (17.7%), and finally, AB blood group (7.0%). The percentage of Rh positive (Rh+) was 72.2% and of Rh negative (Rh−) was 23.8%. Moreover, the prevalence of ABO with Rh+ was 33.4%, 27.6%, 11.3%, and 4.7% for O+, A+, B+, and AB+, respectively. The prevalence of ABO with Rh− was 9.9%, 6.11%, 4.1%, and 2.6% for O−, B−, A−, and AB−, respectively. Conclusion: The distribution of ABO blood group in the present study is ordered of O > A> B > AB with majority of Rh+ and higher frequencies of Rh−. The findings of this study will contribute in health services and use them as database to know detailed information of blood types such as for blood bank and blood transfusion and also to be used in population studies.
背景:据报道，ABO血型和Rh血型的分布在世界上一些人群中是不同的。很少有关于利比亚人口血型的研究。目的:本研究旨在确定Bani Waleed市利比亚人口中ABO和Rh血型的分布和频率。研究对象和方法:研究组包括344名年龄在15至80岁之间的男女参与者。2018年9 - 12月采集血样进行ABO和Rh血型分析。结果:男性占55.8%，女性占48.2%。其中以23-32岁年龄组占比最高(30.2%)。O型血最多(43.6%)，其次是A型(31.7%)、B型(17.7%)，最后是AB型(7.0%)。Rh阳性(Rh+)占72.2%，Rh阴性(Rh−)占23.8%。Rh+的ABO患病率O+、A+、B+和AB+分别为33.4%、27.6%、11.3%和4.7%。Rh−ABO患病率O−、B−、A−和AB−分别为9.9%、6.11%、4.1%和2.6%。结论:本研究ABO血型的分布顺序为O > A> B > AB, Rh+居多，Rh−的频率较高。这项研究的结果将有助于保健服务，并将其用作数据库，以了解血库和输血等血型的详细信息，并用于人口研究。
{"title":"A cross sectional preliminary study on the prevalence of ABO and rhesus blood groups in Bani Waleed City, Libya","authors":"Samira. D. Ameigaal, A. Ageel","doi":"10.4103/LIUJ.LIUJ_18_19","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_18_19","url":null,"abstract":"Background: The distribution of ABO and rhesus (Rh) blood groups has been reported to be different in several world populations. There have been few studies about blood groups among Libyan population. Aims: The study aims to determine the distribution and frequency of ABO and Rh blood groups among Libyan population in Bani Waleed city. Subjects and Methods: The study group had included 344 participants of both genders aged between 15 and 80 years. Blood samples were collected for ABO and Rh blood group analysis from September to December 2018. Results: The percentage of male participants was 55.8% and 48.2% were female. The highest percentage (30.2%) were among the age group of 23–32 years. O blood group was the most common (43.6%), followed by A (31.7%), B (17.7%), and finally, AB blood group (7.0%). The percentage of Rh positive (Rh+) was 72.2% and of Rh negative (Rh−) was 23.8%. Moreover, the prevalence of ABO with Rh+ was 33.4%, 27.6%, 11.3%, and 4.7% for O+, A+, B+, and AB+, respectively. The prevalence of ABO with Rh− was 9.9%, 6.11%, 4.1%, and 2.6% for O−, B−, A−, and AB−, respectively. Conclusion: The distribution of ABO blood group in the present study is ordered of O > A> B > AB with majority of Rh+ and higher frequencies of Rh−. The findings of this study will contribute in health services and use them as database to know detailed information of blood types such as for blood bank and blood transfusion and also to be used in population studies.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88152067","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":"Bridging the gap to meet the global targets of water, sanitation, and hygiene services: World health organization","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/LIUJ.LIUJ_19_19","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_19_19","url":null,"abstract":"","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74805386","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: Circumcision is a commonly practiced surgical procedure particularly in Islamic countries. As any other surgical procedure, it is attended by some complications of either early (e.g., bleeding) or late (e.g., meatal stenosis [MS]). Objectives: This study was designed to study the different clinical pictures, age at presentation, and management and outcome of postcircumcision MS. Patients and Methods: This is a retrospective study involving 86 children diagnosed with symptomatic MS and underwent meatotomy during the period from January 2010 to December 2018 at Hawari Center for Urology and Otolaryngology, Benghazi. The medical records of the patients reviewed included age at presentation, different clinical pictures, management, and outcomes. All patients were circumcised during the neonatal or infancy period. Results: Patients' age ranged between 3 and 13 years with a mean age of 5.14 years. More than three-quarters of the patients (84.8%) were between 3 and 8 years of age. Forty-six patients (53.4%) presented with pain (burning) during micturition; 17 patients (19.7%) with thin casting stream; 13 patients (15.11%) with thin dorsally deviated stream; five patients (5.8%) with sudden urge to micturiate; 3 (3.40%) patients with frequency of micturition; and only two patients (2.3%) with prolonged voiding time. All our patients operated by meatotomy as a day case procedure under general anesthesia, and there were no recurrences of MS symptoms in any case during the follow-up period. Conclusion: MS is a frequent late complication of neonatal circumcision; it should be excluded by careful meatal examination in any child who is circumcised particularly at the neonatal or nappy period and presented with abnormal micturition or even lower abdominal pain.
{"title":"Presentation and management of postcircumcision meatal stenosis at Hawari Center, Benghazi, Libya: A clinical review of 86 cases","authors":"Muftah Elkhafifi","doi":"10.4103/LIUJ.LIUJ_24_19","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_24_19","url":null,"abstract":"Background: Circumcision is a commonly practiced surgical procedure particularly in Islamic countries. As any other surgical procedure, it is attended by some complications of either early (e.g., bleeding) or late (e.g., meatal stenosis [MS]). Objectives: This study was designed to study the different clinical pictures, age at presentation, and management and outcome of postcircumcision MS. Patients and Methods: This is a retrospective study involving 86 children diagnosed with symptomatic MS and underwent meatotomy during the period from January 2010 to December 2018 at Hawari Center for Urology and Otolaryngology, Benghazi. The medical records of the patients reviewed included age at presentation, different clinical pictures, management, and outcomes. All patients were circumcised during the neonatal or infancy period. Results: Patients' age ranged between 3 and 13 years with a mean age of 5.14 years. More than three-quarters of the patients (84.8%) were between 3 and 8 years of age. Forty-six patients (53.4%) presented with pain (burning) during micturition; 17 patients (19.7%) with thin casting stream; 13 patients (15.11%) with thin dorsally deviated stream; five patients (5.8%) with sudden urge to micturiate; 3 (3.40%) patients with frequency of micturition; and only two patients (2.3%) with prolonged voiding time. All our patients operated by meatotomy as a day case procedure under general anesthesia, and there were no recurrences of MS symptoms in any case during the follow-up period. Conclusion: MS is a frequent late complication of neonatal circumcision; it should be excluded by careful meatal examination in any child who is circumcised particularly at the neonatal or nappy period and presented with abnormal micturition or even lower abdominal pain.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90197510","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}
In 2007, Libyan International Medical University (LIMU) was established as the first private medical university in Libya with a clear mission to develop medical education to get competent graduates to satisfy community needs. Since then, Pharmacy Practice as well as Pharmacotherapeutics was encompassed in the LIMU Faculty of Pharmacy curriculum, and hence, the offered degree was the Bachelor of Pharmacy in a step that can be considered as one of the early initiatives toward the development of pharmacy education in Libya.
{"title":"The first PharmD program in Libya","authors":"S. Bukhatwa, M. Elfakhri","doi":"10.4103/LIUJ.LIUJ_10_19","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_10_19","url":null,"abstract":"In 2007, Libyan International Medical University (LIMU) was established as the first private medical university in Libya with a clear mission to develop medical education to get competent graduates to satisfy community needs. Since then, Pharmacy Practice as well as Pharmacotherapeutics was encompassed in the LIMU Faculty of Pharmacy curriculum, and hence, the offered degree was the Bachelor of Pharmacy in a step that can be considered as one of the early initiatives toward the development of pharmacy education in Libya.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80212355","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}
Introduction: Diabetic macular edema (DME) is the most common cause of decreased vision in diabetic retinopathy (DR) and its detection needs equipment and skills. Optical coherence tomography (OCT) is an objective technique that can measure retinal morphologic characteristic which help improving diagnosis and treatment. Aims: This study was conducted to evaluate the role of OCT macula in the screening for DME in patients with diabetes by comparing it to clinical funduscopy in addition to assessing the relationship between central macular thickness (CMT) as measured by OCT macula and the visual acuity of patient. Settings and Design: A retrospective study was done at Sidi Hussein Health center/Benghazi in the period between 2014 and 2017. Subjects and Methods: The data of 393 (786 eyes) patients with diabetes (type II) were reviewed. Cases characteristics records were extracted in addition to fundus examination records (done by noncontact +90-diopter lens). The records of OCT (CMT) were evaluated for agreement with the subjective fundus examination and in relation to other measures. Data were presented as frequencies and the statistical analyses were performed using Statistical Package for the Social Science (Windows version 17.0; SPSS Inc., USA). Results: Around 537 eyes (82%) of eyes with mild DME as diagnosed by OCT were having no DR when examined subjectively. With OCT, it was found that 555 eyes (85%) with mild DME were having good visual acuity (logarithm of the minimum angle of resolution 0.3 and less). About 10 eyes (71%) having severe DME were having duration of diabetes of 10–20 years. Conclusions: OCT is a noninvasive method that can objectively detect and quantify early DME before it affects the vision of patients and it is strongly recommended that this should be the technique of choice for detecting and screening of DME in Libyan patients.
糖尿病性黄斑水肿(DME)是糖尿病性视网膜病变(DR)中视力下降最常见的原因，其检测需要设备和技术。光学相干断层扫描(OCT)是一种能够测量视网膜形态学特征的客观技术，有助于提高诊断和治疗水平。目的:本研究通过与临床眼底检查的比较，评估OCT黄斑在糖尿病患者DME筛查中的作用，同时评估OCT黄斑测量的中央黄斑厚度(CMT)与患者视力的关系。环境和设计:2014年至2017年期间在班加西Sidi Hussein健康中心进行了一项回顾性研究。对象与方法:对393例(786只眼)II型糖尿病患者资料进行回顾性分析。除眼底检查记录(非接触+90屈光度晶状体)外，提取病例特征记录。评估OCT (CMT)记录与主观眼底检查的一致性以及与其他措施的关系。数据以频率表示，统计分析使用statistical Package for the Social Science (Windows version 17.0;SPSS Inc.， USA)。结果:经OCT诊断为轻度DME的眼中，约537眼(82%)主观上无DR。经OCT检查，轻度DME患者555只眼(85%)视力良好(最小角度分辨率0.3及以下的对数)。重度DME患者约10只眼(71%)糖尿病持续时间为10 ~ 20年。结论:OCT是一种无创的方法，可以在DME影响患者视力之前客观地检测和量化早期DME，强烈建议将其作为利比亚患者检测和筛查DME的首选技术。
{"title":"Effect of diabetes on central macular thickness quantitatively measured using optical coherence tomography at Sidi-Hussein Health Center, Benghazi, Libya","authors":"Mervat A. Omear, S. Bukhatwa, Fatma Benkhaial","doi":"10.4103/LIUJ.LIUJ_22_19","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_22_19","url":null,"abstract":"Introduction: Diabetic macular edema (DME) is the most common cause of decreased vision in diabetic retinopathy (DR) and its detection needs equipment and skills. Optical coherence tomography (OCT) is an objective technique that can measure retinal morphologic characteristic which help improving diagnosis and treatment. Aims: This study was conducted to evaluate the role of OCT macula in the screening for DME in patients with diabetes by comparing it to clinical funduscopy in addition to assessing the relationship between central macular thickness (CMT) as measured by OCT macula and the visual acuity of patient. Settings and Design: A retrospective study was done at Sidi Hussein Health center/Benghazi in the period between 2014 and 2017. Subjects and Methods: The data of 393 (786 eyes) patients with diabetes (type II) were reviewed. Cases characteristics records were extracted in addition to fundus examination records (done by noncontact +90-diopter lens). The records of OCT (CMT) were evaluated for agreement with the subjective fundus examination and in relation to other measures. Data were presented as frequencies and the statistical analyses were performed using Statistical Package for the Social Science (Windows version 17.0; SPSS Inc., USA). Results: Around 537 eyes (82%) of eyes with mild DME as diagnosed by OCT were having no DR when examined subjectively. With OCT, it was found that 555 eyes (85%) with mild DME were having good visual acuity (logarithm of the minimum angle of resolution 0.3 and less). About 10 eyes (71%) having severe DME were having duration of diabetes of 10–20 years. Conclusions: OCT is a noninvasive method that can objectively detect and quantify early DME before it affects the vision of patients and it is strongly recommended that this should be the technique of choice for detecting and screening of DME in Libyan patients.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73877260","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}
V. Shaahu, W. Adebimpe, M. Asuzu, D. Belabo, O. Popoola, O. Uchendu
Context: Health related quality of life (HRQL) indices could provide information about the effects of disease progression and the effectiveness of medical interventions that cannot be obtained using objective clinical measures. Aim: The aim of this study is to assess HRQL of patients on highly active antiretroviral therapy (HAART) at the Federal Medical Center, Makurdi in North Central Nigeria. Settings and Design: The study was a cross-sectional survey among people living with HIV/AIDs (PLWHAs) on HAART. Methods: The 546 PLWHAs on HAART were selected using systematic sampling technique. A modification of the 36-Item Short-Form Health Survey Version 2 questionnaire was used to assess respondents' HRQL in eight dimensions: Physical functioning (PF), role-physical (RP), role-emotional (RE), social functioning (SF), bodily pain (BP), vitality (VT), mental health (MH), and general health (GH). Data generated after measuring and scoring HRQL using standard methods were analyzed using the SPSS 17. Results: Good HRQL ratings included: PF (98.9%), RE (98.7%), SF (98.2%), VT (96.9%), RP (96.5%), MH (96.3%), BP (94.1%), and GH (93.4%). Predictors of good HRQL were as follows: Age <40 years (odds ratio [OR] = 4.26, confidence interval [CI] = 1.49–12.11) and being currently employed (OR = 3.20, CI = 1.08–9.49) (RP); and having a caregiver (OR = 4.94, CI = 1.33–18.27). Predictors of less likelihood of good HRQL were: Enjoying social support (OR = 0.12, CI = 0.03–0.55) (RP; MH); being without spouse/partner (OR = 0.43, CI = 0.21–0.91) (GH). Conclusions: HAART improves HRQL of HIV patients. Clinicians need to be responsive to factors related to disclosure, having a caregiver, and social support as a means of improving HRQL.
背景:与健康相关的生活质量(HRQL)指数可以提供疾病进展的影响和医疗干预的有效性的信息，这些信息无法通过客观的临床测量获得。目的:本研究的目的是评估尼日利亚中北部马库尔迪联邦医疗中心接受高效抗逆转录病毒治疗(HAART)患者的HRQL。背景和设计:本研究是对艾滋病毒/艾滋病感染者(PLWHAs)进行HAART治疗的横断面调查。方法:采用系统抽样的方法，对546例HAART的plwha进行筛选。采用第2版36项简短健康调查问卷，从身体功能(PF)、角色-身体(RP)、角色-情感(RE)、社会功能(SF)、身体疼痛(BP)、活力(VT)、心理健康(MH)和一般健康(GH)八个维度评估被调查者的HRQL。采用标准方法对HRQL进行测量和评分后产生的数据使用SPSS 17进行分析。结果:好HRQL评级包括:PF(98.9%)(98.7%),科幻小说(98.2%)、VT(96.9%)、RP(96.5%)、MH(96.3%)、英国石油公司(94.1%)、和GH(93.4%)。良好HRQL的预测因子如下:年龄<40岁(比值比[OR] = 4.26，可信区间[CI] = 1.49 ~ 12.11)，在职(OR = 3.20, CI = 1.08 ~ 9.49) (RP);并有照顾者(OR = 4.94, CI = 1.33-18.27)。良好HRQL可能性较低的预测因子为:享受社会支持(OR = 0.12, CI = 0.03-0.55) (RP;MH);无配偶/伴侣(OR = 0.43, CI = 0.21-0.91) (GH)。结论:HAART治疗可改善HIV患者的HRQL。临床医生需要对与信息披露、拥有护理人员和社会支持相关的因素做出反应，以此作为改善HRQL的手段。
{"title":"Health-related quality of life of patients on antiretroviral therapy at the Federal Medical Center, Makurdi, Nigeria","authors":"V. Shaahu, W. Adebimpe, M. Asuzu, D. Belabo, O. Popoola, O. Uchendu","doi":"10.4103/LIUJ.LIUJ_26_19","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_26_19","url":null,"abstract":"Context: Health related quality of life (HRQL) indices could provide information about the effects of disease progression and the effectiveness of medical interventions that cannot be obtained using objective clinical measures. Aim: The aim of this study is to assess HRQL of patients on highly active antiretroviral therapy (HAART) at the Federal Medical Center, Makurdi in North Central Nigeria. Settings and Design: The study was a cross-sectional survey among people living with HIV/AIDs (PLWHAs) on HAART. Methods: The 546 PLWHAs on HAART were selected using systematic sampling technique. A modification of the 36-Item Short-Form Health Survey Version 2 questionnaire was used to assess respondents' HRQL in eight dimensions: Physical functioning (PF), role-physical (RP), role-emotional (RE), social functioning (SF), bodily pain (BP), vitality (VT), mental health (MH), and general health (GH). Data generated after measuring and scoring HRQL using standard methods were analyzed using the SPSS 17. Results: Good HRQL ratings included: PF (98.9%), RE (98.7%), SF (98.2%), VT (96.9%), RP (96.5%), MH (96.3%), BP (94.1%), and GH (93.4%). Predictors of good HRQL were as follows: Age <40 years (odds ratio [OR] = 4.26, confidence interval [CI] = 1.49–12.11) and being currently employed (OR = 3.20, CI = 1.08–9.49) (RP); and having a caregiver (OR = 4.94, CI = 1.33–18.27). Predictors of less likelihood of good HRQL were: Enjoying social support (OR = 0.12, CI = 0.03–0.55) (RP; MH); being without spouse/partner (OR = 0.43, CI = 0.21–0.91) (GH). Conclusions: HAART improves HRQL of HIV patients. Clinicians need to be responsive to factors related to disclosure, having a caregiver, and social support as a means of improving HRQL.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75258306","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}
Aims: The aims of the present study were to evaluate the level of Libyan patients' expectations of and satisfaction with fixed prostheses (crowns, veneers, fixed partial denture, and dental implants). A further aim was to explore the level of patient's awareness and application of oral hygiene care pertaining to the fixed prosthesis. Materials and Methods: This was a cross-sectional survey. Self-reported questionnaires were administered to 320 patients wearing fixed prosthesis. The questions explored patient's subjective perception of and satisfaction with treatment outcome concerning esthetics, phonation, and masticatory function. In addition to questions related to their applied oral hygiene measures. Descriptive statistics and Spearman rank correlation coefficient tests were undertaken between the examined variables. P value was set at P < 0.05. Results: The majority (80.9%) of the patients were satisfied with their prosthesis; 78.4% were fulfilled with their chewing function; 85.3% were pleased with the esthetics; and 39.4% were satisfied by their speech. The fixed prosthesis met the expectations or partial expectations of 82.8% of the participants. Only 9.3% of the sample did not follow proper oral health care. There were moderate but significant correlation between the level of patients' expectations with and satisfaction from their prostheses (r = 0.387, P < 0.0001). Furthermore, the weak correlation between patient satisfaction and their application of oral hygiene measures was significant (r = 0.130, P = 0.020). Conclusions: Several factors (masticatory function, esthetic, and patient expectations) were correlated with the overall patients' satisfaction with their prosthesis. Dentist should continue to emphasize on the significance of maintaining good oral hygiene practice to improve patient satisfaction with their prostheses.
目的:本研究的目的是评估利比亚患者对固定义齿(冠、贴面、固定局部义齿和种植牙)的期望和满意度。进一步的目的是探讨患者对固定义齿口腔卫生保健的认识和应用水平。材料与方法:本研究为横断面调查。对320例佩戴固定假体的患者进行自我报告问卷调查。这些问题探讨了患者对治疗结果的主观感知和满意度，包括美学、发音和咀嚼功能。除了与他们应用的口腔卫生措施有关的问题。在被测变量之间进行描述性统计和Spearman秩相关系数检验。P值设为P < 0.05。结果:绝大多数患者(80.9%)对修复体满意;78.4%达到咀嚼功能;85.3%的人对审美满意;39.4%的人对自己的演讲表示满意。固定假体满足82.8%参与者的预期或部分预期。只有9.3%的样本没有遵循适当的口腔卫生保健。患者对义肢的期望值与满意度之间存在中度但显著的相关性(r = 0.387, P < 0.0001)。此外，患者满意度与口腔卫生措施的应用之间存在显著的弱相关(r = 0.130, P = 0.020)。结论:几个因素(咀嚼功能、审美和患者期望)与患者对假体的总体满意度相关。牙医应继续强调保持良好口腔卫生习惯的重要性，以提高患者对其修复体的满意度。
{"title":"Patients' satisfaction, expectation, care, and maintenance of fixed prosthesis","authors":"Nada Kashbur, I. Bugaighis","doi":"10.4103/LIUJ.LIUJ_42_18","DOIUrl":"https://doi.org/10.4103/LIUJ.LIUJ_42_18","url":null,"abstract":"Aims: The aims of the present study were to evaluate the level of Libyan patients' expectations of and satisfaction with fixed prostheses (crowns, veneers, fixed partial denture, and dental implants). A further aim was to explore the level of patient's awareness and application of oral hygiene care pertaining to the fixed prosthesis. Materials and Methods: This was a cross-sectional survey. Self-reported questionnaires were administered to 320 patients wearing fixed prosthesis. The questions explored patient's subjective perception of and satisfaction with treatment outcome concerning esthetics, phonation, and masticatory function. In addition to questions related to their applied oral hygiene measures. Descriptive statistics and Spearman rank correlation coefficient tests were undertaken between the examined variables. P value was set at P < 0.05. Results: The majority (80.9%) of the patients were satisfied with their prosthesis; 78.4% were fulfilled with their chewing function; 85.3% were pleased with the esthetics; and 39.4% were satisfied by their speech. The fixed prosthesis met the expectations or partial expectations of 82.8% of the participants. Only 9.3% of the sample did not follow proper oral health care. There were moderate but significant correlation between the level of patients' expectations with and satisfaction from their prostheses (r = 0.387, P < 0.0001). Furthermore, the weak correlation between patient satisfaction and their application of oral hygiene measures was significant (r = 0.130, P = 0.020). Conclusions: Several factors (masticatory function, esthetic, and patient expectations) were correlated with the overall patients' satisfaction with their prosthesis. Dentist should continue to emphasize on the significance of maintaining good oral hygiene practice to improve patient satisfaction with their prostheses.","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83417002","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":"Deepest condolences","authors":"Salem Elhwuegi Abdalla","doi":"10.4103/liuj.liuj_9_19","DOIUrl":"https://doi.org/10.4103/liuj.liuj_9_19","url":null,"abstract":"","PeriodicalId":18106,"journal":{"name":"Libyan International Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78157957","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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