Database : AIM Search on : Libyan Journal of Medicine [Journal] References found : 80 [refine] Displaying: 1 .. 20   in format [Detailed]

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Record No. 11601 Record ID 011601 Publication type Journal Article Title Evaluation of Renal Volume by Ultrasonography in Patients with Essential Hypertension in Ile-Ife, South Western Nigeria Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Egberongbe, Adedeji A.; Adetiloye, Victor A.; Adeyinka, Abiodun O.; Afolabi, Olusegun T.; Akintomide, Anthony O.; Ayoola, Olugbenga O. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2010 Volume and n° (5) Pages 1-7 incl Suppl., fig., tab. Language English Descriptor Hypertension; Hypertension, Renal; Ultrasonography; Adult Descriptor-Geographic Nigeria-Ife-Ife; Abstract Background and aims: To determine renal volume in adult patients with essential hypertension and correlate it with age, sex, body mass index (BMI), body surface area (BSA) and duration of hypertension. Patients and methods: A total of 150 patients (75 males, 75 females) with essential hypertension and normal renal status were evaluated sonographically in this prospective study. Fifty healthy individuals (25 males, 25 females) without hypertension were also evaluated as control. Renal volume was then calculated from the kidney's length, width and anterio-posterior diameter using the formula L x W x AP x 0.523. Results: The range of renal volume obtained was 51.65-205.02 cm3, with a mean of 114.06±929.78 cm3 for the left kidney and 47.37-177.50 cm3 with a mean of 106.14±25.42 cm3 for the right kidney. The mean volumes of the right and left kidneys in males (112.98±25.56 cm3 and 123.11±32.49 cm3, respectively), were significantly higher than in females (99.31±23.07 cm3 and 105.01±23.77 cm3, respectively). Renal volume correlated significantly with BSA and BMI, but decreased with age. The renal volume showed no correlation with duration of hypertension. Conclusion: Renal volume is higher in the left than the right kidney in hypertensive patients of both sexes and female hypertensive patients have smaller kidney size compared to males. The study also shows that volume of both kidneys decreases with age and positive correlation between renal volume, BSA and BMI. However, there is no correlation between renal size and duration of hypertension.

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Record No. 11600 Record ID 011600 Publication type Journal Article Title Perceived Oral Health Status and Treatment Needs of Dental Auxiliaries Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Azodo, Clement C.; Ehizele, Adebola O.; Umoh, Agnes; Ojehanon, Patrick I.; Akhionbare, Osagie; Okechukwu, Robinson; Igbinosa, Lawrence Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2010 Volume and n° (5) Pages 1-5 incl Suppl., fig., tab. Language English Descriptor Oral Health; Dental Auxiliaries; Therapeutics Descriptor-Geographic Nigeria Abstract Objective: To determine the perceived oral health status and treatment needs of Nigerian dental therapists in training and dental technology students. Methods: A descriptive cross-sectional study of students from Federal School of Dental Therapy and Technology Enugu, Nigeria was conducted using self-administered questionnaire to obtain information on demography, self-reported oral health status, knowledge of impact of oral health on daily life activity, dental attendance and perceived dental need. Results: The perception of oral health status and treatment need of the two groups of dental auxiliaries was the same. Fewer respondents (27.3) rated their oral health as excellent, while 50.4rated their oral health as good. Majority (95.5) agreed that oral health is a part of general health and 94.6agreed that oral health has a role in daily life. Out of 81.4that had previous dental treatment, scaling and polishing accounted for 66.1. Presently, 48.8think they need dental treatment ranging from scaling and polishing (33.9), tooth restoration (10.3), to extraction (1.2). Conclusion: This survey revealed that most of the students are aware that oral health is a component of general health and that it has an impact on an individual's daily life. More than half of the students perceived their oral health as good, but only a few knew that there is a need for a preventive approach to oral health as evident by the percentage that perceived scaling and polishing as a treatment need.

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Record No. 11599 Record ID 011599 Publication type Journal Article Title Patient Satisfaction with Quality of Primary Health Care in Benghazi, Libya Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Salam, Asharaf Abdul; Abdulla Alshekteria, Amina; Hana Abd Alhadi, Mariam Ahmed,; Mohammed, Anees; Ahmed, Mariam Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2010 Volume and n° (5) Pages 1-6 incl Supplements Language English Descriptor Personal Satisfaction; Primary Health Care; Quality of Health Care; Healthy People Programs Descriptor-Geographic Libya-Benghazi; Abstract Introduction: The Libyan National Health System (LNHS) is debated for the paradox of its performance versus impact. It has poor performance, but the national health statistics are good and competitive. There are concerted efforts to manage health care services and to regain the lost trust. A primary health care (PHC) system that focuses on preventive and promotive care is the core focus of LNHS efforts. Objectives: To assess patient satisfaction with quality of PHC assessed in terms of (a) customer profile, (b) patient satisfaction, and (c) health care-seeking behavior. Methodology: A sample of nine health centers and seven polyclinics from various locations in Benghazi, Libya were selected for gathering information by structured face-to-face interviews. A total of 310 beneficiaries were interviewed by using an Arabic translation of the Charleston Psychiatric Outpatient Satisfaction Scale. Results: The beneficiaries appear to be quite satisfied with the quality of services. Geographical zone, marital status of beneficiary, and type of facility are satisfaction-related factors. There are preferences for facilities located within the City Centre over those located elsewhere. There is also an interaction effect of the geographical zone and the type of facility in creating differences in satisfaction. Conclusions: A customer-friendly facility concept that emphasizes reception, physician interaction, and cordiality shall add value. Polyclinics require more attention as does the Al Slawy area. A few utility services might also be considered. Electronic Access :  Full Text-1

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Record No. 11598 Record ID 011598 Publication type Journal Article Title Prevalence of Intestinal Parasitic Infections among HIV Patients in Benin City, Nigeria Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Akinbo, Frederick Olusegun; Okaka, Christopher E.; Omoregie, Richard Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2010 Volume and n° (5) Pages 1-6 incl Supplements Language English Descriptor Intestinal Diseases, Parasitic; CD4 Lymphocyte Count; HIV Infections; Demography Descriptor-Geographic Nigeria-Benin City; Abstract This study was carried out to determine the presence of intestinal parasites and their correlation with CD4+ T-cell counts and demographics among human immunodeficiency virus (HIV)-positive patients in Benin City, Nigeria. Stool specimens from 2,000 HIV-positive patients and 500 controls (HIV-negative individuals) were examined for ova, cysts, or parasites, using standard procedures. In addition, patient's blood samples were analyzed for CD4 counts by flow cytometry. An overall prevalence rate of 15.3was observed among HIVpositive patients while 6.2was noted among non-HIV subjects. HIV status was a significant (P0.0001) risk factor for acquiring intestinal parasitic infections. Male gender, CD4 count 200 cell/ml, and diarrhea were significantly associated with an increased prevalence of intestinal parasitic infections among HIVpositive patients. The level of education, occupation, and source of water among HIV patients significantly (P0.0001) affected the prevalence of intestinal parasitic infections. Ascaris lumbricoides was the most predominant parasite in both HIV-positive patients and controls. A CD4 count 200 cells/ml was significantly associated with only Isospora belli and Cryptosporidium infections. The presence of pathogenic intestinal parasites such as A. lumbricoides, hookworm, Giardia intestinalis, Entamoeba histolytica, Trichuris trichiura, and Taenia species among HIV-infected persons should not be neglected. Cryptosporidium species and I. belli were the opportunistic parasites observed in this study. Routine screening for intestinal parasites in HIV-positive patients is advocated.

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Record No. 11015 Record ID 011015 Publication type Journal Article Title Childhood Inflammatory Bowel Disease in Libya: Epidemiological and Clinical Features Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Ahmaida, A. I.; Al-Shaikhi, S. A. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2009 Volume and n° 4(2) Pages 70-74, tab. Language English Descriptor Inflammatory Bowel Diseases-epidemiology; Inflammatory Bowel Diseases-diagnosis; Colitis, Ulcerative Crohn Disease Descriptor-Geographic Libya Abstract Background & Aims: Inflammatory bowel disease is thought to be rare in Libya. The aim is to determine the prevalence of juvenile onset inflammatory bowel disease in Libya. Setting: Al-Fateh childrens' hospital, Benghazi, Libya. Methods: This is a retrospective study of all cases diagnosed over 10 years (1997-2006) with either ulcerative colitis, Crohn's disease or indeterminate colitis. Inclusion criteria were age 15 years at time of presentation who were resident in the eastern part of the country and who diagnosed with inflammatory bowel disease. Clinical features were outlined using a proforma. Results: Sixteen cases were diagnosed with inflammatory bowel disease, of whom 11 were males (M:F ratio of 1.5:1). The prevalence and incidence rates in the year 2006 were 3.6 and 0.9 per 100,000 children, respectively. The incidence rate increased from 0.2 in 2002 to 0.9 in 2006 (Z score of 39.87, p), abdominal pain, anorexia and weight loss in 9 (56.2), anemia in 7 (43.75) and vomiting in 6 (37). Ileopancolitis was found in 3 patients whereas 6 patients had ileocecal disease. Conclusions: Childhood inflammatory bowel disease in this population is not so rare and it is increasing. The clinical pattern is similar to that reported by others. Electronic Access :  Full Text-1

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Record No. 11014 Record ID 011014 Publication type Journal Article Title Incisional Hernia in Women: Predisposing Factors and Management Where Mesh is not Readily Available Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Agbakwuru, E. A.; Olabanji, J. K.; Alatise, O. I.; Okwerekwu, R. O.; Esimai, O. A. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2009 Volume and n° 4(2) Pages 66-69 Language English Descriptor Hernia-surgery; Risk Factors Women Descriptor-Local Incisional hernia Descriptor-Geographic Nigeria Abstract Background:Aim: Incisional hernia is still relatively common in our practice. The aim of the study was to identify risk factors associated with incisional hernia in our region. The setting is the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria during a period when prosthetic mesh was not readily available. Patients and Methods: All the women who presented with incisional hernia between 1996 and 2005 were prospectively studied using a standard form to obtain information on pre-hernia (index) operations and possible predisposing factors. They all had open surgical repair and were followed up for 18-60 months. Results: Forty-four women were treated during study period. The index surgeries leading to the hernias were emergency caesarian section 26/44 (59.1), emergency exploratory laparotomy 6/44 (13.6), and elective surgeries 12/44 (27.3). Major associated risk factors were the use of wrong suture materials for fascia repair, midline incisions, wound sepsis, and overweight. Conclusion: For elective surgeries, reduction of weight should be encouraged when appropriate, and transverse incisions are preferred. Absorbable sutures, especially chromic catgut, should be avoided in fascia closure. Antibiotics should be used for complicated obstetric cases. Electronic Access :  Full Text-1

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Record No. 11013 Record ID 011013 Publication type Journal Article Title Dream Recall Frequency among Patients in a Psychiatric Outpatient Clinic in Ile-Ife, Nigeria Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Mume, C. O. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2009 Volume and n° 4(3) Pages 114-116, tab. Language English Descriptor Dreams; Mental Disorders; Psychotropic Drugs; Outpatients; Child Descriptor-Geographic Nigeria-Ile-Ife; Abstract Aim: The aim of this study was to find out if the frequency of dream recall among neuropsychiatric patients on psychotropic drugs was significantly different from that of healthy individuals. Methods: The study was done on 53 neuropsychiatric patients with different diagnoses who were on medication and 144 healthy individuals. The number of participants in each group who recalled their dreams and those who did not were compared and analyzed statistically for any significant difference. Results: Thirty-five out of the 53 neuropsychiatric patients and 133 out of the 144 healthy individuals were able to recall their dreams. A significantly (p 0.001) higher proportion of the healthy individuals compared to neuropsychiatric patients on medications were able to recall their dreams. Conclusions: This study has shown that neuropsychiatric patients on medications may have reduced dream episodes or that their ability to remember their dreams may be impaired. A combination of both factors is not unlikely. Thus, the patients have reduced dream recall frequency (DRF) compared to healthy subjects. There might also be individuals who do not dream. Electronic Access :  Full Text-1

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Record No. 11012 Record ID 011012 Publication type Journal Article Title Effects of Gender and Seasonal Variation on the Prevalence of Bacterial Septicemia among Young Children in Benin City, Nigeria Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Omoregie, R.; Egbe, C. A.; Ogefere, H. O.; Igbarumah, I.; Omijie, R. E. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2009 Volume and n° 4(3) Pages 107-109, tab. Language English Descriptor Sepsis-epidemiology; Seasons Child Descriptor-Geographic Nigeria-Benin City; Abstract Aim: To determine the effects of gender and seasonal variations on the prevalence of bacterial septicaemia among children 5 years and younger, and to identify the bacterial agents responsible for septicaemia and their antibiotic susceptibility profiles. Methods: Blood was collected from 1,724 children (967 males and 757 females) aged 1 day to 5 years with clinical signs and symptoms of septicaemia. This study was carried out from 1 January to 31 December 2007 at the University of Benin Teaching Hospital, Benin City, Nigeria. The blood samples were processed to diagnose bacterial septicaemia. Bacterial isolates were identified and susceptibility test was performed using standard techniques. Results: An overall prevalence of 22.10of confirmed bacterial septicaemia was observed in this study. Generally, gender and seasonal variations did not significantly affect the prevalence of bacterial septicaemia, though females (50.57) during the dry season had significantly (p 0.001) higher prevalence than their male counterparts (19.91). Staphylococcus aureus was the predominant bacterial isolate causing septicaemia in both seasons, while Citrobacter freundii was the least frequent. Pseudomonas aeruginosa was not recovered during the dry season. Most isolates were susceptible to gentamicin and cefuroxime, but only 1.44of Staphylococcus aureus strains were susceptible to ceftriaxone. Conclusion: Bacterial septicaemia was observed in 22.1of children 5 years and younger with clinical signs and symptoms of septicaemia. Seasonal variation did not affect the prevalence. Effect of gender was only noticed in the dry season, where females had a higher prevalence than males. Gentamicin and cefuroxime were the most active antibacterial agents. Rational use of antibiotics is advocated. Electronic Access :  Full Text-1

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Record No. 11011 Record ID 011011 Publication type Journal Article Title Reasons for Unwillingness of Libyans to Donate Organs after Death Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Alashek, W. A.; Ehtuish, E. F.; Elhabashi, A.; Emberish, W.; Mishra, A. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2009 Volume and n° 4(3) Pages 110-113 Language English Descriptor Organ Transplantation; Tissue and Organ Procurement; Religion; Public Opinion Descriptor-Geographic Libya-Tripoli; Abstract Introduction: Organ transplantation in Libya depends exclusively on donations from live relatives. This limitation increases mortality and prolongs the patients' suffering and waiting time. Objectives: The aims of this study were to explore willingness to donate organs after death and to identify the reasons for refusal. Methods: A population-based cross-sectional study was conducted from April to July 2008 on a cluster sample of 1652 persons (58males and 42females). The questionnaire included demographic information and mainly enquired about willingness to donate organs after death and the reasons for refusal when applicable. Results: About one-third (29.7) of participants were in favor of donating their organs after death, 60.1refused and 10.2were undecided. Willingness was significantly associated with being male, younger age, having a college or graduate degree, and being single (P 0.05 for all). Lack of adequate knowledge about the importance of deceased organ donation and uncertainty about its religious implications were the most predominant reasons for refusal (43.8and 39.5, respectively). Other reasons included ethical concerns about retrieving organs from dead bodies (37.9), preference for being buried intact (28), and uneasiness about the idea of cadaver manipulation (33). Conclusion: There were a considerable resistance to deceased organ donation, especially among females, those of older age, married people, and those with a low education level. The barriers to cadaveric donations were lack of adequate knowledge, unease about body manipulation, and concerns about religious implications. Public educational campaigns should be coordinated with religious leadership Electronic Access :  Full Text-1

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Record No. 11010 Record ID 011010 Publication type Journal Article Title The Acute Inflammatory Response in Trauma / Hemorrhage and Traumatic Brain Injury: Current State and Emerging Prospects Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Namas, R.; Ghuma, A.; Hermus, L.; Zamora, R.; Okonkwo, D. O.; Billiar, T. R.; Vodovotz Y Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2009 Volume and n° 4(3) Pages 97-103 Language English Descriptor Wounds and Injuries; Shock, Hemorrhagic; Systems Biology Descriptor-Geographic Libya Abstract Traumatic injury/hemorrhagic shock (T/HS) elicits an acute inflammatory response that may result in death. Inflammation describes a coordinated series of molecular, cellular, tissue, organ, and systemic responses that drive the pathology of various diseases including T/HS and traumatic brain injury (TBI). Inflammation is a finely tuned, dynamic, highly-regulated process that is not inherently detrimental, but rather required for immune surveillance, optimal post-injury tissue repair, and regeneration. The inflammatory response is driven by cytokines and chemokines and is partially propagated by damaged tissue-derived products (Damage-associated Molecular Patterns; DAMP's). DAMPs perpetuate inflammation through the release of pro-inflammatory cytokines, but may also inhibit anti-inflammatory cytokines. Various animal models of T/HS in mice, rats, pigs, dogs, and non-human primates have been utilized in an attempt to move from bench to bedside. Novel approaches, including those from the field of systems biology, may yield therapeutic breakthroughs in T/HS and TBI in the near future. Key words: Trauma, Hemorrhagic Shock, Taumatic Brain Injury, Inflammation, Systems Biology Electronic Access :  Full Text-1

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Record No. 11009 Record ID 011009 Publication type Journal Article Title Maternal Perspectives of Prenatal Sonogram in a North-Eastern Population in Nigeria Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Ugwu, A. C.; Osungbade, E. O.; Erondu, F. O. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2009 Volume and n° 4(4) Pages 140-142 Language English Descriptor Ultrasonography, Prenatal; Pregnant Women; Maternal Welfare Descriptor-Geographic Nigeria Abstract Limited information exists on maternal perspectives of prenatal sonogram in north-eastern Nigeria. This study was aimed at documenting the views and expectations of pregnant women concerning prenatal sonogram as well as their level of awareness of its purpose, limitations and safety in a predominantly Moslem society. A survey was carried out on a convenience sample of 150 patients referred from ante-natal clinics for prenatal sonogram, by administering semi-structured questionnaires. The results show that 61.3of the women had prenatal sonogram, with little or no information about the purpose, capabilities and limitations of the procedure. 24.7had neither formal western nor Islamic educational background that may have influenced their perceptions. Most of the women (81.3) were sponsored by either government or their husbands, 72.7perceived sonogram to be affordable and 63.4viewed sonographic results as reliable. The perceived main reasons for having a prenatal sonogram were to determine the expected date of delivery and foetal well-being, and to obtain reassurance of maternal health. Sex determination and number of foetuses were the least considered reasons. The study indicates that providing pregnant women with adequate information and sensitising them to the purpose and limitations of sonograms is necessary to guarantee its rational utilisation. Improving patient care, enhancing the skill of sonographers and providing more facilities would improve the services and patients' perspectives of prenatal sonography. Electronic Access :  Full Text-1

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Record No. 11008 Record ID 011008 Publication type Journal Article Title Investigating the Importance of Haemoglobin Measurement for Selection of Blood Donors in Libya Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Abud, A. I.; Bashein, A. M.; Msalati, A. A. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2009 Volume and n° 4(4) Pages 137-139, fig., tab. Language English Descriptor Hemoglobins; Blood Donors; Anemia Descriptor-Geographic Libya Abstract Abstract; In Libya, haemoglobin estimation is not used routinely to assess the fitness of blood donors. We examined the importance of including this parameter in donor selection. Venous blood samples were collected from the bleed line at the end of the donation process from 1339 healthy adult male blood donors, aged 18-60 years, in Al-Jala Women Hospital in Tripoli, Libya. Haemoglobin concentration was measured using an automated haematology analyzer. The main donor age categories were 21-30 and 31-40 years (49.5and 37, respectively). Blood donation was mainly a replacement donation. The mean ±2SD range for haemoglobin was 10.8-17.0 g/dl. 27.2of the donors had haemoglobin concentration of less than 13 g/dl, 16.9of them had less than 12.5 g/dl and 1.9had less than 10.8.5 g/dl. Our results suggest that it is important to include haemoglobin estimation as a routine procedure in selection of blood donors Electronic Access :  Full Text-1

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Record No. 11007 Record ID 011007 Publication type Journal Article Title Fasting of Ramadan in Peoples with Diabetes in Benghazi, Libya: an Exploratory Study Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Elmehdawi, R. R.; Mukhtad, N. A.; Allaghi, N. I.; Elmajberi, S. J. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2010 Volume and n° 5(suppl.) Pages 1-5, fig., tab. Language English Descriptor Fasting; Diabetes Mellitus; Hypoglycemia; Hyperglycemia Descriptor-Local Ramadan Descriptor-Geographic Libya-Benghazi; Abstract Background: The epidemiology of diabetes and Ramadan fasting was reported from many Muslim countries, but not from Libya. Methodology: We interviewed 493 consecutive diabetic patients at Benghazi Diabetes and Endocrine Center for the potential complications of fasting during Ramadan. Results: We found 70of diabetic patients completed the 30 days of Ramadan fasting. Hypo- and hyperglycemia was the most commonly reported complications especially during the first two weeks of Ramadan month. Conclusion: It seems majority of diabetic patients in Libya manage to fast during Ramadan month. Patient education and early planned adjustment of diabetic medication is needed to decrease the frequency of diabetic complication during Ramadan month. Electronic Access :  Full Text-1

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Record No. 11006 Record ID 011006 Publication type Journal Article Title Excessive Daytime Sleepiness among Depressed Patients Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Mume, C. O. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2010 Volume and n° 5(suppl.) Pages 1-4, tab. Language English Descriptor Disorders of Excessive Somnolence-epidemiology; Disorders of Excessive Somnolence-etiology; Patients Descriptor-Geographic Libya Abstract Background: Excessive daytime sleepiness (EDS) has been reported among depressed patients in many populations. Many depressed patients seek medical attention partly to deal with EDS, but this sleep disorder is often overlooked in clinical practice. Objectives: The objectives of this study were to determine the prevalence of EDS among depressed patients and determine its relationship with the severity of depression. Methods: Sixty-seven patients diagnosed with depressive episode took part in the study. The severity of depression was rated using the 17-item Hamilton Depression Rating Scale (HDRS). EDS was evaluated using the Epworth Sleepiness Scale (ESS). Results: The mean ESS score was 9.2 (SD=2.8). EDS, defined as an ESS score]10, was present in 44.8of the depressed patients. The mean score on the HDRS was 14.8 (SD=3.6), representing the mild-moderate depression range. ESS scores correlated highly and positively (r=0.69, p=0.000) with scores on the HDRS. Conclusion: In the light of the high prevalence of EDS among depressed patients and its undesirable consequences, it is suggested that daytime sleepiness be evaluated in depressed patients. Electronic Access :  Full Text-1

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Record No. 11005 Record ID 011005 Publication type Journal Article Title Prevalence of Sleepwalking in an Adult Population Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Mume, C. O. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2009 Volume and n° 5(suppl.) Pages 1-4, tab. Language English Descriptor Somnambulism-epidemiology; Parasomnias Adult Descriptor-Geographic Libya Abstract Background: Sleepwalking consists of a series of behavioral activities that occur during sleep. These activities may be simple, complex or aggressive in nature. They include motor activities, confusion, and amnesia for the events. Sleepwalking is a disorder of arousal from non-rapid eye movement (NREM) sleep. In children, episodes of sleepwalking are rarely violent; in adults, however, sleepwalking might include violence, which could endanger the patient or others and might precipitate legal issues. There is inadequate information on the prevalence and demographic correlates of sleepwalking in Nigeria. Objectives: One objective of this study was to determine the lifetime prevalence rate of sleepwalking in an adult population in Ile-Ife, in Southwestern Nigeria. Another objective was to determine the age and sex distribution of sleepwalking among those who have experienced it at least once in their lifetime. Materials and Methods: A random sample of 228 healthy individuals aged 18-60 years was obtained and the members were asked to fill out a survey form about lifetime prevalence rate of sleepwalking. Results: The overall lifetime prevalence rate of sleepwalking was 7(16 of 228 participants). It was 10.4in males and 3.5in females, but the difference was not statistically significant (p=0.07). Conclusion: This study has shown that sleepwalking is common in the population. In view of the psychological effects of sleepwalking and the potential physical and legal problems associated with it, adequate efforts should be made for early detection and prompt management of the condition. Electronic Access :  Full Text-1

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Record No. 11004 Record ID 011004 Publication type Journal Article Title Quantitative Analysis of Gallstones in Libyan Patients Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Jaraari, A. M.; Jagannadharao, J. P.; Patil, T. N.; Abdul, H.; Awamy, H. A.; El Saeity, S. O.; Abdel Kafi, E. B.; El-Hemri, M. N.; Tayesh, M. F. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2010 Volume and n° 5(suppl.) Pages 1-6, tab. Language English Descriptor Gallstones-etiology; Gallstones-chemistry; Cholesterol Descriptor-Geographic Libya Abstract Gallstone disease is one of the major surgical problems in the Libyan population; it is probably related to diet, especially excessive consumption of meat. The study was conducted to determine the composition of gallstones and their possible etiology in a Libyan population. The chemical composition of gallstones from 41 patients (six males and 35 females) was analyzed. The stones were classified into cholesterol, pigment, and mixed stones (MS). Cholesterol stones (CS) showed a significantly higher cholesterol content than pigment stones (PS) (p=0.0085) though not significantly higher than MS. Their phospholipid content and inorganic phosphates were higher than in the other types of stones and oxalate content was significantly elevated in comparison with MS (p=0.0471). In MS, the cholesterol, bile acids, and bilirubin were intermediate between cholesterol and PS, whereas triglycerides were significantly more than PS (p=0.0004). Bilirubin (0.0001) and bile acids (p=0.0009) were significantly higher than CS (p=0.0001). However, they contained the lowest amounts of sodium, potassium, magnesium, and oxalate. In PS, bilirubin (p=0.0001) was significantly higher than both groups. Bile acid content was significantly higher than CS (p=0.0001) but not significantly more than MS. They showed the highest values of calcium, sodium, potassium, magnesium, and chlorides compared to the other types of stones. High levels of cholesterol in stones and dyslipidemia associated with mixed as well as cholesterol gallstones suggest an etiological association and efforts to reduce dietary fat among the Libyan population may lead to decreased cholesterol and mixed gallstones. Electronic Access :  Full Text-1

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Record No. 11003 Record ID 011003 Publication type Journal Article Title Job satisfaction amongst Nigerian ophthalmologists: an exploratory study Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Omolase, C. O.; Seidu, M. A.; Omolase, B. O.; Agborubere, D. E. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Date of publication 2009 Volume and n° 5(suppl.) Pages 1-4 Language English Descriptor Ophthalmology; Job Satisfaction Descriptor-Geographic Nigeria Abstract Aim: This study aimed to assess job satisfaction amongst Nigerian Ophthalmologists. Methods: The study was conducted during the annual congress of the Ophthalmological Society of Nigeria in September 2008. One hundred and ten ophthalmologists were selected by simple random sampling and asked to complete a structured questionnaire. Results: The response rate was 73. The resulting sample comprised of 48 consultants (60), four diplomates (5), and 28 residents (35). Most respondents 62 (78.5) were satisfied with their job as ophthalmologists and 17 (21.5) were not satisfied. Only 12 (15.4) were satisfied with their remuneration and 42 (53.2) were satisfied with their skill. Most respondents (75.6) expressed readiness to pursue a career in ophthalmology if they were to make a choice again. Conclusion: Most respondents were satisfied with their job but only minorities were satisfied with their remuneration. Therefore, there is a need to address the issue of enhancement of remuneration for ophthalmologists in Nigeria. Electronic Access :  Full Text-1

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Record No. 11002 Record ID 011002 Publication type Journal Article Title Evaluation of Renal Volume by Ultrasonography in Patients with Essential Hypertension in Ile-Ife, South Western Nigeria Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Egberongbe, A. A.; Adetiloye, V. A.; Adeyinka, A. O.; Afolabi, O. T.; Akintomide, A. O.; Ayoola, O. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2010 Volume and n° 5(suppl.) Pages 1-7, fig., tab. Language English Descriptor Hypertension; Ultrasonography; Organ Size Descriptor-Geographic Nigeria-Ile-Ife; Abstract Background and aims: To determine renal volume in adult patients with essential hypertension and correlate it with age, sex, body mass index (BMI), body surface area (BSA) and duration of hypertension. Patients and methods: A total of 150 patients (75 males, 75 females) with essential hypertension and normal renal status were evaluated sonographically in this prospective study. Fifty healthy individuals (25 males, 25 females) without hypertension were also evaluated as control. Renal volume was then calculated from the kidney's length, width and anterio-posterior diameter using the formula L x W x AP x 0.523. Results: The range of renal volume obtained was 51.65-205.02 cm3, with a mean of 114.06±929.78 cm3 for the left kidney and 47.37-177.50 cm3 with a mean of 106.14±25.42 cm3 for the right kidney. The mean volumes of the right and left kidneys in males (112.98±25.56 cm3 and 123.11±32.49 cm3, respectively), were significantly higher than in females (99.31±23.07 cm3 and 105.01±23.77 cm3, respectively). Renal volume correlated significantly with BSA and BMI, but decreased with age. The renal volume showed no correlation with duration of hypertension. Conclusion: Renal volume is higher in the left than the right kidney in hypertensive patients of both sexes and female hypertensive patients have smaller kidney size compared to males. The study also shows that volume of both kidneys decreases with age and positive correlation between renal volume, BSA and BMI. However, there is no correlation between renal size and duration of hypertension. Electronic Access :  Full Text-1

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Record No. 11001 Record ID 011001 Publication type Journal Article Title Perceived oral Health Status and Treatment Needs of Dental Auxiliaries Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Azodo, C. C.; Ehizele, A. O.; Umoh, A.; Ojehanon, P. I.; Akhionbare, O.; Okechukwu, R.; Igbinosa, L. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2010 Volume and n° 5(suppl.) Pages 1-5, fig., tab. Language English Descriptor Oral Health; Health Status; Dental Auxiliaries Descriptor-Geographic Nigeria-Enugu; Abstract Objective: To determine the perceived oral health status and treatment needs of Nigerian dental therapists in training and dental technology students. Methods: A descriptive cross-sectional study of students from Federal School of Dental Therapy and Technology Enugu, Nigeria was conducted using self-administered questionnaire to obtain information on demography, self-reported oral health status, knowledge of impact of oral health on daily life activity, dental attendance and perceived dental need. Results: The perception of oral health status and treatment need of the two groups of dental auxiliaries was the same. Fewer respondents (27.3) rated their oral health as excellent, while 50.4rated their oral health as good. Majority (95.5) agreed that oral health is a part of general health and 94.6agreed that oral health has a role in daily life. Out of 81.4that had previous dental treatment, scaling and polishing accounted for 66.1. Presently, 48.8think they need dental treatment ranging from scaling and polishing (33.9), tooth restoration (10.3), to extraction (1.2). Conclusion: This survey revealed that most of the students are aware that oral health is a component of general health and that it has an impact on an individual's daily life. More than half of the students perceived their oral health as good, but only a few knew that there is a need for a preventive approach to oral health as evident by the percentage that perceived scaling and polishing as a treatment need. Electronic Access :  Full Text-1

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Record No. 11000 Record ID 011000 Publication type Journal Article Title Decompressive Craniectomy Following Brain Injury: Factors Important to Patient Outcome Source of Record WHO Regional Office for Africa, Library, Brazzaville, Congo Author(s) Eghwrudjakpor, P. O.; Allison, A. B. Journal Title Libyan Journal of Medicine ISSN 1819-6357 Place of Publication Tripoli Publisher Ibnosina Medical Association Date of publication 2009 Volume and n° 5(supplement) Pages 1-6 Language English Descriptor Decompressive Craniectomy; Brain Injuries; Patient Descriptor-Geographic Nigeria-Port Harcourt; Abstract Background: Decompressive craniectomy (DC) is often performed as an empirical lifesaving measure to protect the injured brain from the damaging effects of propagating oedema and intracranial hypertension. However, there are no clearly defined indications or specified guidelines for patient selection for the procedure. Aims: To evaluate outcome determinants and factors important in patient selection for the procedure. Methods: We reviewed the literature on DC, including single case reports and reported case series, to identify factors affecting outcome following the procedure, as well as its pitfalls and associated complications. Results: Glasgow coma score of 8 and above, age less than 50 years and early intervention were found to be among the most significant determinants of prognosis. Conclusion: Improving patient selection for DC may be expected to further improve the outcome following the procedure in severely brain-injured patients. Electronic Access :  Full Text-1

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