Omar Al-Mukhtar University Journals
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Clinical manifestations of gastro esophageal reflux among patients with chronic laryngitis in Benghazi, 2018
Full text linkGastroesophageal reflux disease is a chronic, complex condition that may present with atypical symptoms, including laryngitis. The aim of study to demonstrates the relationship of sings of reflux laryngitis in patients with typical manifestations of Gastroesophageal reflux disease (GERD). The present study included a total of 60 patients suffering chronic laryngitis with a range of age of 23 to 88 years in descriptive study in Benghazi Medical Center in the year 2018. History was collected and indirect laryngoscopy done for cases and data were analyzed using SPSS 23.0. Results The most common symptoms were hoarseness of voice, throat clearing, dysphagia, throat discomfort and globus sensation. No significant association of symptoms with gender of the patients. Most common laryngeal findings were hyperemia, vocal cord changes and posterior commisure hypertrophy. Significant association included only posterior commissure hypertrophy and infra-glottal edema. Conclusions and recommendations, Many didn\u27t seek medical advice and most had no diagnostic procedure. Stronger study designs using proper diagnostic technique and patient education with staff training are recommended
Antimicrobial Characteristics of Bacteria Obtained from Various Body Site Infections in Patients Located in Al-Bayda City
Full text link This retrospective study (2020–2021) in Al-Bayda, Libya, analyzed 177 bacterial isolates from various body site infections. Predominant bacteria included Staphylococci (61), Streptococci (46), and Escherichia coli (36). Most isolates were multidrug-resistant (MDR). Staphylococci were susceptible only to amikacin, meropenem, and tetracycline but resistant to 16 antibiotics. Streptococci were susceptible to doxycycline and meropenem but resistant to 17 antibiotics. E. coli showed susceptibility to doxycycline, meropenem, and tetracycline but high resistance to 16 antibiotics. Other Gram-negative bacteria (Klebsiella, Proteus, Neisseria) also exhibited high MDR rates, with Proteus resistant to 18 antibiotics. The findings highlight severe antibacterial resistance in the region,and this is limiting treatment options
Order Continuous Operators
Full text linkThe order continuous operators consider one of important topic in functional analysis and its applications, the affiliations among order continuous operators and the other classes of operators such as -order are continuous, order bounded, and singular operators, have been studied and investigated, we proved that if an order bounded operator concerning two Riesz space with Dedekind complete is continuous and ordered, then is order continuous, and this paper shows that if is space that is countable, now is not -order continuous, while is uncountable, then is necessarily -order continuous, by giving an example we showed that null ideal for the operator is band when is bounded ordered, further, it is ordered and continuous. Finally, we concluded the operator that is a positively and orderly continuous map on ordered dense with memorizing Riesz subspace of a Riesz space with its range is Dedekind complete, it has only unique ordered continuous expansion all of space
Cochlear Implant Complications in Children: Libyan Scenario and Experience
Full text linkcochlear implant (CI) is considered a safe procedure; however, complications may happen, either due to the presence of the implant itself which act as a foreign body or the presence of congenital anomalies of the ear. One hundred eighty-two children implanted by cochlear implant team in Specialty surgical center (SSC)/Benghazi-Libya between May 2012 to December 2021 were recruited in this study. Demographic data: about name, age and sex, vaccination history, audiological and radiological assessment in form of CT scan temporal bone and MRI brain, surgical procedure and any difficulties encountered during the operation, are recorded. Complications encountered were grouped as major and minor ones. one hundred eighty-two patients were studied; age range was from seventeen months to twelve years. The major complications that need hospitalization or surgical interventions were seen 3.29% whereas minor complications that do not need hospitalization but they resolve spontaneously or treated in out-patient department; accounts for 13.7%. Accidental trauma was the major risk factor that seen in both major and minor complications. Cochlear implantation in children continues to be reliable and safe in experienced hands, with a low percentage of severe complications as long as long-term medical follow up is there. Major Complications of CI in children in SSC are related to trauma and hematoma formation as a major factor
Prevalence of Congenital Heart Disease Among Preterm Newborns Between 28 and 35 Weeks Admitted at Al Bayda Medical Center, Libya (2021)
Full text linkCongenital heart diseases (CHDs) are defined as structural abnormalities of the heart. CHD can be simple (isolated lesions) or complex (multiple lesions). Premature infant (newborn delivered before 37 weeks of geospatial age). This study was carried out to determine the prevalence of CHD among very preterm to moderate premature newborns and to investigate associated risk and mortality. A prospective cohort study was designed with concurrent timing of data collection and was carried out in the Department of the Neonatal Intensive Care Unit (NICU) at Al Bayda Medical Center (2021), Gestational age was calculated as postnatal assessment by the Dubowitz/Ballard method. Echocardiography was done to identify the presence and types of congenital heart defects. Out of 60 admitted preterm infants, 43 were found to have congenital heart disease. The prevalence rate was (71.67%) of admissions. Out of the total defects, Echocardiographic findings showed that atrial septal defect (ASD) was the most common structural defect no=30 (69.77%), (Patent ductus arteriosus) PDA no=12 (27.91%), and ventricular septal defect (VSD) no=10 (23.26%). Of the studied premature infants, 9 patients died during the study period. The case fatality rate (CFR) was (15%). Death rates were higher for premature neonates with CHD 7 (16.3%) than those with normal hearts, which were 2 (11.8%), but the observed difference was statistically not significant. Congenital heart anomalies are not significantly associated with birth weight and gender or maternal age, consanguinity, maternal socioeconomic state, and maternal illness. Conclusion: CHD was found to be high among preterm. The most common heart defect was ASD, followed by PDA and VSD
Breastfeeding Practices During Neonatal Period in Benghazi
Full text linkالرضاعة الطبيعية هي الطريقة الأكثر أمانا وصحة لتغذية الرضع، وينصح بشدة بالرضاعة الطبيعية الحصرية لأول 6 أشهر من حياة الرضع. أجريت هذه الدراسة لتقييم ممارسة تغذية الرضع ومحددات الأمهات لتغذية الرضع خلال الشهر الأول من الحياة. تم اختيار الأمهات وفقا لعمر الرضيع الذي لا يتجاوز 4 أسابيع، وذلك من خلال مسح مقطعي في المستشفى في مستشفى بنغازي للأطفال. جمعت عينة من 306 من الأمهات، والنتائج المقلقة هي أن حوالي 1/3 (31.8٪) من الأمهات: إما لا يرضعن أطفالهن، أو يمارسن الفطام المبكر غير المناسب (الخلط) بالإضافة إلى ذلك، فإن دور قناة التثقيف الجديرة بالثقة حول الرضاعة الطبيعية محدود للغاية إن لم يكن موجودا، مثل الرعاية الصحية للأم، والطفل، ومقدمي الرعاية الصحية هي مصدر المعرفة ل 2.38 ٪ فقط. وترتبط الولادة الجراحية بتأخير ملحوظ في بدء الرضاعة الطبيعية (مربع بيرسون تشي = 13.2 ، P = 0.001) ، وترتبط الأمهات الأكبر سنا من الفئة العمرية باحتمال أكبر للولادة العملية، وبالتالي فهي وسيط غير مباشر لبدء الرضاعة الطبيعية المتأخرة. وتعكس هذه النتائج ضعف معرفة الأمهات ومواقفهن بشأن الرضاعة الطبيعية التي أدت في النهاية إلى سوء الممارسة، وانخفاض معدل الرضاعة الطبيعية الخالصة، ومحدودية وعي مقدمي الرعاية الصحية بأهمية البدء المبكر في الرضاعة الطبيعية لتشجيع الأمهات، وتوجيههن لإرضاع أطفالهن رضاعة طبيعية مباشرة بعد الولادة.Breastfeeding is the safest and healthiest infant feeding method; exclusive breastfeeding for the first 6 months of infant life is strongly advised. This study was conducted to assess infant feeding practice and maternal determinants of infant feeding during the first month of life. In a hospital-based cross-sectional survey at the neonatal unit and OPD of Benghazi Pediatric Hospital, mothers were selected by reason of infant age not exceeding 4 weeks. A sample of 306 mothers was collected, and the alarming results are that about (31.8%) of the mothers are either not breastfeeding their babies or practicing inappropriate early weaning (mixing). Moreover, inadequate milk production (25%) was reported as the most common cause of these practices. In addition, the role of the trustworthy education channel about breastfeeding is minimal, if not there, such as mother and child health care. Also, providers are the source of knowledge for only 2.38%. Operative delivery is associated with a marked delay in breastfeeding initiation (Pearson Chi-square =13.2, P=0.001), and older age group mothers are associated with a greater probability of operative delivery, hence it is an in-direct mediator of delayed breastfeeding initiation. These results reflect poor maternal knowledge and attitude about breastfeeding that ultimately resulted in poor practice and low rate of exclusive breastfeeding, in addition to the limited awareness of healthcare providers about the importance of early initiation of breastfeeding to encourage the mothers and guide them to breastfeed their babies immediately after birth
The Legal System for The Promotion of University Faculty Members in Libya: A Critical Analytical Look
Full text linkهذه دراسة تحليلية نقدية للنظام القانوني لترقية أعضاء هيئة التدريس في الجامعات الليبية، تنظر للنصوص وللواقع العملي في الوقت نفسه، من خلال عرض الأسس العامة لنظام ترقيتهم، وفق خطة بحثية قامت على مطالب ثلاثة، عرض في أولها لماهية ترقية أعضاء هيئة التدريس الجامعي وخصائصها، وخصص الثاني للنظر في المعالجة الإجرائية لطلب الترقية، وثالثها لشروط ومتطلبات التقدم للترقية ومعالجتها، وقد خلص البحث إلى وجوب إعادة النظر في كل النظام القانوني لترقية أعضاء هيئة التدريس الجامعي، وإصدار لائحة خاصة تنظم شئونهم الوظيفية، مع اتباع نظام التقديم الإلكتروني عند طلب الترقية، وإعادة النظر في تركيبة لجنة شئون أعضاء هيئة التدريس، وتشجيع النشر في مجلات الجامعة، واتباع نظام النقاط في تقييم البحوث، مع تطبيق إجراءات رادعة ضد من ترفض ترقيته لأسباب علمية، وتهيئة بيئة بحثية مناسبة بالجامعات الليبية.This is a critical analytical study of the legal system for the promotion of faculty members in Libyan universities. It examines both the texts and the practical reality, by presenting the general foundations of their promotion system, according to a research plan based on three chapters. The first presents the nature and characteristics of the promotion of university faculty members. The second is devoted to examining the procedural processing of promotion requests. The third addresses the conditions and requirements for applying for promotion and processing them. The research concludes that the entire legal system for the promotion of university faculty members must be reviewed. It must also adopt an electronic submission system when requesting promotion. It must also reconsider the composition of the Faculty Affairs Committee, encourage publication in university journals, adopt a points system in evaluating research, and create a suitable research environment in Libyan universities.
Abdominal Wall Endometriosis (AWE): A New Surgical Challenge (Case Report)
Full text linkيتم تعريف الانتباذ البطاني الرحمي على أنه ظهور أنسجة الرحم الوظيفية التي تستجيب للمحفزات الهرمونية في الأنسجة بخلاف تجويف الرحم. عادة تجويف الحوض هو المكان الذي يوجد فيه الانتباذ البطاني الرحمي. من حين لآخر توجد أيضا تدخلات خارجية في جدار البطن الأمامي والعظام والقلب والغدد الكظرية والعينين والقلب. مشاركة جدار البطن هو أكثر مظاهر الانتباذ البطاني الرحمي نموذجية. يبدو أن الأورام البطانية الرحمية في جدار البطن، والندوب الجراحية القديمة مرتبطة ارتباطا وثيقا. يجب الحفاظ على مؤشر مرتفع للشك في ورم بطانة الرحم عند المريضات اللواتي يعانين من كتلة جدار بطن مؤلمة دوريا، خاصة في وجود جراحة أمراض النساء السابقة. قد يكون التشخيص التفاضلي أكثر صعوبة عندما توجد أورام بطانة الرحم في جدار البطن بعيدا عن الندبة، ويفترض أنه أكثر تواترا بعد شق بافانينستيل القطعي. يمكن أن يساعد التصوير بالرنين المغناطيسي في التمييز بين العديد من هذه الآفات، ويجب الحصول على التأكيد النسيجي أثناء الجراحة عن طريق القسم المجمد لتمكين استئصال الأورام إذا لزم الأمر.Endometriosis is defined as the appearance of functional uterine tissue that responds to hormonal stimuli in tissues other than the uterine cavity. Typically, the pelvic cavity is where endometriosis is found. The anterior abdominal wall, bone, adrenal glands, eyes, and heart are all occasionally involved in extrapelvic cases. The most typical symptom of extrapelvic endometriosis is abdominal wall involvement. There appears to be a strong correlation between pre-existing surgical scars and the presence of endometriomas within the abdominal wall. In cases when female patients exhibit a cyclically painful abdominal wall mass, it is crucial to maintain a heightened level of suspicion for endometrioma, particularly if there is a history of prior gynecologic surgery. The differential diagnosis may provide greater challenges when abdominal wall endometriomas are situated at a distance from the scar, as is commonly observed following Pfannenstiel\u27s laparotomic incision. Many of these lesions can be distinguished by MRI, and intraoperative frozen section histological confirmation should be obtained to enable an oncological resection if necessary
Non-Compliance of Patients with Antibiotic Prescriptions
Full text linkيعد عدم الالتزام بتعليمات العلاج بالمضادات الحيوية أمرًا خطيرًا يؤثر في الشفاء التام، مما يؤدي إلى زيادة تكاليف العلاج وزيادة عدد الميكروبات المقاومة. هدفت هذه الدراسة إلى تقييم مدى الالتزام بالعلاج بالمضادات الحيوية والعوامل المرتبطة به لدى المرضى بعد زيارتهم الصيدليات المجتمعية. أجريت دراسة بمراقبة المرضى الذين زاروا الصيدليات المجتمعية في ليبيا. تم الإبلاغ عن عدة أسباب لعدم الامتثال ولكن أهمها أنه ليس من الضروري الاستمرار في تناول الأدوية الموصوفة بمجرد الشعور بالتحسن(27.3%)، كما أدى تعدد الأدوية (19.6%) والخوف من الآثار الضارة للأدوية(18.7%) ومدة العلاج بالمضادات الحيوية(15%) إلى زيادة احتمال عدم الامتثال. التركيز على استراتيجيات وصف مناسبة لزيادة الوعي العام والمعرفة والسلوك لضمان الاستخدام المناسب لمضادات الميكروبات وتقليل مشكلة عدم الامتثال.Non-compliance with antibiotic treatment instructions is dangerous in complete cure, increasing treatment costs and increasing the number of resistant microbes. This study aimed to assess adherence to antibiotic treatment and its associated factors in patients after visiting Libyan community pharmacies. A cross-sectional study was conducted on patients who visited community pharmacies in Libya. Several reasons for non-compliance have been reported but the main ones were it is not necessary to continue taking prescribed medications once feeling better (27.3%), polypharmacy (19.6%), fear of medication adverse effects (18.7%) and the duration of antibiotic treatment also increased the risk of non-compliance (15%). Appropriate prescribing strategies to increase the public awareness, knowledge, and attitude to ensure appropriate antimicrobial use and minimize the problem of non-compliance
Integrating Intercultural Awareness and Competence into the English Syllabus: A Curricular Program for Omar Al-Mukhtar University Students
Full text linkتهدف هذه الدراسة إلى تطوير منهج ومواد تعليمية باللغة الإنجليزية لطلبة الجامعة بإستخدام نموذج تعلم اللغة من خلال الثقافات (IcLL) لتعزيز الوعي والكفاءة التواصلية بين الثقافات (ICC) لدى الطلاب. بناء على ذلك، تسعى هذه الدراسة لإستكشاف مستوى الكفاءة والوعي الثقافي لدى الطلاب قبل وبعد دمج الكفاءة التواصلية بين الثقافات في منهج مقرر المحادثة المصمم لطلبة اللغة الإنجليزية. وقد تم الحصول على البيانات الكمية بإستخدام استبيانات ماقبل ومابعد تطبيق الكفاءة التواصلية بين الثقافات (ICC)، بينما تم جمع البيانات النوعية عن طريق مقابلات جماعية تتناول مواقف وتصورات الطلبة تجاه التعلم حول ثقافتهم وثقافات أخرى في عصر العولمة. وأشارت نتائج هذه الدراسة إلى تغييرات ملحوظة في مستوى كفاءة الطلبة التواصلية بعد تطبيق البرنامج الدراسي التوعوي الثقافي This research study is aimed at developing an English curriculum and materials for university students based on the Intercultural Language Learning model (IcLL) to enhance students\u27 cultural awareness and Intercultural Communicative Competence (ICC). This study, therefore, aims to discover the level of students\u27 intercultural competence and awareness before and after integrating ICC into the curriculum of an English-speaking course designed for English department students. The quantitative data was collected from pre- and post-ICC questionnaires, while the qualitative data was obtained from students\u27 focus-group interviews which address students\u27 attitudes and perceptions of learning about their own culture and diverse cultures in this increasingly globalized world. The findings of this study showed significant changes in students\u27 levels of ICC after the implementation of the intercultural curricular program.