Libyan journal of medical research最新文献

{"title":"The role of physiotherapy in the treatment of chronic muscle pain: a review","authors":"Abdelbary Saleh Alkharbash, Sedik A Abokdeer","doi":"10.54361/ljmr.17-05","DOIUrl":"https://doi.org/10.54361/ljmr.17-05","url":null,"abstract":"Chronic muscle pain is a common and often debilitating condition that affects a large proportion of the population. It can be caused by a variety of factors, including injury, overuse, or underlying medical conditions, and can significantly impact a person's quality of life. The pathophysiology is complex and its understanding evolving, and clinical management is difficult, with heterogeneous intervention employed. While physiotherapy has emerged as a promising treatment option due to its non-invasive nature and potential to improve function and reduce pain. However, there is a need for further research to better understand the role of physiotherapy in treating chronic muscle pain and to provide evidence-based recommendations for its use in clinical practice. This paper aims to review the current literature on the role of physiotherapy in the treatment of chronic muscle pain and to provide an evidence-based summary of its effectiveness, optimal type and duration, and factors that may influence its effectiveness. The findings of this Research can be used to inform clinical practice and improve the management of chronic muscle pain. there is also some evidence for the use of intervention such as cognitive-behavioural therapy (CBT) approaches. Evidence for other interventions is more equivocal. In conclusion, identification of subsets of chronic muscle pain patients may be an important factor in selection an appropriate intervention approaches","PeriodicalId":473874,"journal":{"name":"Libyan journal of medical research","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136370303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 infection in Libyan chronic hemodialysis patients: Prevalence, risk factors, severity and predictors of mortality","authors":"Badreddin Shaibani, Sabah M. Albarasi, Rodaba A. Bitrou, Jamal W. Gebreel, Hajir S. Ahmed, Najat S. Jormi, Farida M. Lahresh, Marwa M. ALagouri, Marwa M. ALagouri","doi":"10.54361/ljmr.17-02","DOIUrl":"https://doi.org/10.54361/ljmr.17-02","url":null,"abstract":"Background: Chronic kidney disease (CKD) is associated with the increased risk of both outpatient and inpatient pneumonia. This association is independent of comorbid diabetes, cardio-vascular disease (CVD), asthma, and chronic obstructive airway disease. Dialysis patients are considered at risk groups for SARS-CoV-2 infection; Short-term mortality in patients on chronic hemodialysis who were hospitalized with COVID-19 was high. Outcomes in those requiring intensive care unit (ICU) and mechanical ventilation management were poor. Aim: This study mainly aimed to identify the prevalence, risk factors, severity and predictors of mortality in Libyan hemodialysis patients infected with COVID- 19. Methods: In this retrospective cohort study, data of CKD patients on maintenance hemodialysis diagnosed with COVID-19 infection from two large dialysis centers in Libya were collected and analyzed using SPSS version 22 for .demographic, clinical and laboratory profiles. Results: The data of 810 patients from two hemodialysis centers in Libya showed infection rate was 10.2 %, and the overall mortality was 26.5% (39/83) 47% of patients needed admission to ICU for supportive mechanical ventilation (SPO2 ranged from 76-92%). The biochemical and laboratory data showed a decreased mean absolute lymphocyte counts. A high neutrophil-lymphocyte ratio (NLR), and a mild decrease in platelet counts. C-reactive protein (CRP), fibrinogen, ferritin, and D-dimer were also high at admission. (22/83, 26.5%) of total patients, and (17/39) 43.6% of ICU patients died in less than 28 days after COVID-19 diagnosis. Conclusions: In CKD patients on maintenance hemodialysis diagnosed with COVID-19 infection; severity of disease at presentation, need for invasive supportive mechanical ventilation, older age, raised serum glutamic oxaloacetic transaminase, and lower level of albumin may have been valuable predictors of mortality and poor outcomes.","PeriodicalId":473874,"journal":{"name":"Libyan journal of medical research","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136369462","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":"Primary Biliary Cirrhosis Scenario of Libyan Patients in Tripoli University Hospital","authors":"Samira Alkuni Omar, Wael Ab A Diekna, Malak Mohamed Allafi, Firouz Torjman","doi":"10.54361/ljmr.17-04","DOIUrl":"https://doi.org/10.54361/ljmr.17-04","url":null,"abstract":"Background and aims. Primary biliary cirrhosis (PBC) is an autoimmune, slowly progressive, cholestatic, liver disease characterized by a triad of chronic cholestasis, circulating anti-mitochondrial antibodies (AMA), and characteristic liver biopsy. A variant, called PBC-autoimmune hepatitis (AIH) overlap, is characterized by the above findings of PBC together with findings of elevated ALT, elevated Ig G, and ASMA. PBC is hypothesized to be related to environmental exposure in genetically vulnerable individuals. It typically occurs in middle-aged females. The aim of the current study is to describe the clinical and biochemical profile of adult Libyan Primary Biliary Cirrhotic patients. Method. This was a case series study conducted by reviewing the medical records of the 50 patients diagnosed as PBC and followed in gastro-enterology clinic in Tripoli university hospital during the study period. A relevant data obtained from the records in a preformed case sheet. Result. The total number of the diagnosed Primary Biliary Cirrhotic patients were 50 patients. All of them were females. Patient age during the study were from 35 to 65 years, about 90% of patients were symptomatic like gastrointestinal symptoms (jaundice in 100%, abdominal distention in 24%, and encephalopathy in 5 patients 10%), while, non- gastrointestinal symptoms like fatigue and weakness in 35 patients70%, skin disorders(pruritis) were diagnosed in 18 patients 36%), dyslipidemia in 15 patients 30%, and osteopenia in 7 patients 14%. Serological tests (AMA) was positive in ail patients and (ASMA) in 20% of patients, biochemical profile showed that Alkaline phosphatase was raised in all patients, while, 10 patients had raised AST and ALT 20%. Conclusion: middle-aged female patient with jaundice, fatigue and elevated alkaline phosphatase should be routinely undergoing serological testing (AMA) to check for primary biliary cirrhosis which should subsequently be verified by liver biopsy.","PeriodicalId":473874,"journal":{"name":"Libyan journal of medical research","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136369469","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":"Development and validation of a questionnaire on the knowledge, attitude and practice (KAP) regarding tuberculosis among nurses working in tuberculosis centers in Libya","authors":"Muftah Elbahloul, Khadija Amer, Sana Alghennai","doi":"10.54361/ljmr.17-11","DOIUrl":"https://doi.org/10.54361/ljmr.17-11","url":null,"abstract":"Background and aim: A high level of awareness on tuberculosis (TB) is crucial for the success of the prevention and treatment among the high risk populations. Having a good knowledge, positive attitude and excellent level of practice towards tuberculosis may increase the acceptance of the control measures and decreasing the risk of contracting the disease. Aim of this study was to develop and validate a questionnaire about knowledge, attitude and practice (KAP) among the nurses working in TB centres in Libya. Methodology: A Cross-sectional study was conducted among 384 randomly selected nurses working in tuberculosis centers in Libya. This study used a self-administrated questionnaire that takes approximately 15 minutes to complete and was generally well received by the respondent’s. The validation involved content validity and internal consistency for reliability. Results: A total of 384 nurses in tuberculosis centers comprising of 84 (21.9%) were male nurses and 300 (78.1%) were female nurse. The ICC was in the range of 0.63–0.961, P<0.001, while for the attitude component items it was in the range of 0.682–8.99, p<0.001 and for the practice component items it ranged from 0.659–0.981, p<0.001.Cronbach’s alpha coefficient, used to assess internal consistency for knowledge, attitude and practice was.0.702, 0.776 and 0.752; respectively. Conclusions: The questionnaire on TB knowledge, attitude, and practice was valid and reliable with good items that enable its use for assessing TB –KAP survey among the TB nurses.","PeriodicalId":473874,"journal":{"name":"Libyan journal of medical research","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136369550","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":"Academic Achievement of Undergraduate Nursing Students in The Faculty of Nursing Before And During Corona Pandemic","authors":"Mabrouka Ali Jelpan","doi":"10.54361/ljmr.17-17","DOIUrl":"https://doi.org/10.54361/ljmr.17-17","url":null,"abstract":"Background: Universities were abruptly obliged to move to e-learning as a result of the Corona pandemic, and the University of Tripoli's College of Nursing was one among such institutions. From there, the research came to show the reality of using e-learning in the College of Nursing at the University of Tripoli, Libya. Under these circumstances. Purpose: The purpose of this study is to compare the academic achievement of second semester nursing students in the faculty of nursing before and during the Corona pandemic. Method: Using the quantitative comparative research design with all population sampling, a total of 148 nursing students were utilized as the sample. 88 of which were allotted before Corona pandemic while samples of 60 during the Corona pandemic. Data were collected from the college study and exams office, which were the final grade of the selected course in the second semester of the academic year 2019-2020 and the first semester of the academic year 2020-2021. The collected data were statistically analyzed using SPSS version 24, with t-test used to compare the effect of e-learning on student achievement in Fundamentals of Nursing 2 course (NU113) during the Corona pandemic to that of face-to-face learning prior to the Corona pandemic. Results: The results revealed that the average academic achievement scores for students before the Corona pandemic with face-to-face education was 56.76 and that the average academic achievement scores for students during the Corona pandemic with e-learning was 56.23. Significance levels were set at α≤ 0.05 was considered as statistically significant for all analyses of comparison between student scores before and during the Corona pandemic. The results showed that there is no statistically significant difference in academic achievement between students who studied e-learning and face-to-face education, with (p=0.868 &gt; α). Ho is accepted, which means that the transition to e-learning rather than face-to-face education had no negative impact on academic achievement, it was found that nursing students academic achievement is not negatively affected by the Corona pandemic. Conclusion: In this way, e-learning can be harnessed and developed to advance the nursing education agenda. Further study is recommended to assess the impact of e-learning on students’ academic achievement on other courses.","PeriodicalId":473874,"journal":{"name":"Libyan journal of medical research","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136369688","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":"Anesthesia and pain management drugs used in Libyan hospitals and clinics","authors":"Ghadah Rajab Alneli","doi":"10.54361/ljmr.17-14","DOIUrl":"https://doi.org/10.54361/ljmr.17-14","url":null,"abstract":"Background: Pain management can pose multiple challenges in the acute care setting for hospitalists and front-line prescribers. The drugs used for the relief of pain in the surgical can divided into potent and mild analgesics. Objectives: Identifying the most important analgesics used in some Libyan hospitals and health centers. Method: This study is a documentary survey and a description of the reality of the use of some narcotic drugs in Libyan hospitals. It has been conducted in seven Libyan cities (zwarah, al-jmail, Sabratha, al-zawia, Tripoli, misratah and benghazi) during the period of (2. 10. 2022 to 10. 12. 2022). The participants have been divided into two main groups (Patients and specialists group) in a total number of 115 participants (Male and Females). Results: all the participants from the 1st group (Patients group) confirmed that they have taken one of the pain management drugs as one of the treatment plan prescribed by the physicians. The statistical analysis revealed that the most common drug of the pain management was paracetamol (58%) followed by Tramadul (30%) and finally Voltarine (12%). Discussion and conclusion: Pain and its treatment are major public health issues that we face as a society today. Patients with chronic pain present a special challenge. When they have pre-existing pain and undergo an operative procedure, it becomes important to differentiate pre-existing chronic pain from new acute postoperative pain.","PeriodicalId":473874,"journal":{"name":"Libyan journal of medical research","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136370109","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":"Physiotherapists’ views regarding accessibility of Parkinson disease patients to physiotherapy centers","authors":"Ayiman Abdulqadir, Khawla Krayem, Wesam Kheer, Mohammed El Eomi, Heba Sweed","doi":"10.54361/ljmr.17-22","DOIUrl":"https://doi.org/10.54361/ljmr.17-22","url":null,"abstract":"Introduction: Parkinson’s disease (PD) is a progressive neurodegenerative disease mainly characterized by motor defects such as tremor and postural instability. The number of patients with Parkinson’s disease (PD) is increasing in all aging societies. This population requires immediate physiotherapy management to maintain and improve their quality of life. The aim of study to explore physiotherapists’ views about the barriers facing Parkinson’s patients on access in centres of physiotherapy in Al-Zawia city, Libya. Method: An exploratory qualitative study is design to explain physiotherapists’ views. Twenty physiotherapists from seven physiotherapy centres were approached individually and invited to participate. Participants were interviewed and asked about their experiences with Parkinson's patients. Result and discussion there are barriers in the communication with elderly Parkinson's patients and also, the doctors with physiotherapists, lack of access (referral) and poor awareness of doctors about physical therapy role as one of the barriers, the economic part of barriers that limit patient’s access to the center because as expensive private facilities, and long-term treatment plans with slow improvement lead to a lack of patient's access to the center, on other hand patient fell bored from ong treatment, beside the patients mood that effected in patients treatment such as anxiety and depression, while the anxiety is the most mood disorder . All of these factors and others led to frequent missing sessions and limiting patients’ access to physiotherapy centres. Conclusions: The study found that there were gaps in communication between patients, physiotherapists, and physicians. And there lack of patient access in the physiotherapy centres because of poor referral and awareness/knowledge about the benefits of physiotherapy programs for patients with PD. Another issue the study found there was the high cost of the therapy sessions and long-term program compared with the low level of improvement that made patients discontinue their treatment.","PeriodicalId":473874,"journal":{"name":"Libyan journal of medical research","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136370155","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":"Distribution of Pathogenic Bacterial Causing Urinary Tract Infection and their Sensitivity and Resistant to Antibiotics","authors":"Fathi Abdullah Shakurfow, Abdel-kareem Bashir Abdallah, Asma Ownallah Elgaed, Najia Khalid Altarhouni, Fatma Abd-Elsalam Alfaqih, Osama Mohamed Shakurfo","doi":"10.54361/ljmr.17-15","DOIUrl":"https://doi.org/10.54361/ljmr.17-15","url":null,"abstract":"Background, Urinary tract infection is one of the common infections in the Libya community. Distribution and susceptibility of causing pathogens change rendering to period and place. UTI are difficult infections, because UTI sick of children, men and pregnant women. The aims of this study are determine the relationship between UTI and gender and age by determine the prevalence of UTI in children, men and women, and observe the more common pathogenic bacteria in UTI. Also, to determine the antimicrobial susceptibility of pathogenic bacteria. Study area, The data of the present article had taken from the recorders of medical laboratory of urine cultures and sensitivity of Zawia's hospital, Zawia city in Libya. Study target, UTI patient's children, women and men. This study detected that bacteria were sensitive to some antibiotics and resist to the others; all types of important pathogenic bacteria were sensitive to both antibiotics Cip and AR. In addition to last antibiotics E. coli, K. pneumonia, P. aeruginosa and S. marcescens were also sensitive to CTX, Amc, SXT, Ipm, and Gm. In opposite to theses pathogenic bacteria, some pathogenic bacteria appearance resistant to some antibiotics as fallow; K. pneumonia, K. oxytoca, E. cloacae, S. marcescens and C. koseri appearance resistant to Amp.","PeriodicalId":473874,"journal":{"name":"Libyan journal of medical research","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136370156","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":"Dose Profiles Distribution of 6 MV Linear Accelerator Using Monte Carlo Code System for Optimum Treatment planning in Radiotherapy Department","authors":"M. I. A. Koshlaf, K. L. Adullatif","doi":"10.54361/ljmr.17-13","DOIUrl":"https://doi.org/10.54361/ljmr.17-13","url":null,"abstract":"Monte Carlo (MC) radiotherapy treatment planning has become practical in medical physics, particularly with the rapid development of computer technology. Requires detailed knowledge of linear medical accelerators (Linacs) beam radiation. In the present work the basic dosimetric properties of the 6-MV photon beam and the Varian Clinic 600CLinac were examined. The dosimetric features of interest are, the absorbed dose from the central axis, beam profiles, photon blockers, electron and positron, mean energy, spectral distribution, and isodose curves. Varian Clinic 600C Linac is simulated using the OMEGA BEAMnrc MC code system. Detailed spectra of phase space profiles of a photon beam with a field of view of 10 cm × 10 cm were modeled, simulated and finally analyzed using BEAMdp. The central axis depth dose curves, dose profiles and isodose curves for photon beams in the aqueous phantom were also recorded and analyzed using the DOSXYZnrc, STATDOSE and DOSXYZ_SHOW code. This study demonstrates that MC can generate phase space data files that can be used to generate accurate MC dose distributions for photon beams produced using a high-powered clinical linear accelerator in a water phantom or in patients for radiotherapy.","PeriodicalId":473874,"journal":{"name":"Libyan journal of medical research","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136370302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A morphological Study of Anatomical Variations of Frontal Sinus in Adult Libyan People Using CT Scan","authors":"Asil. A . Almasheety, Mustafa A Karwad, Murshed H. Haidar","doi":"10.54361/ljmr.17-18","DOIUrl":"https://doi.org/10.54361/ljmr.17-18","url":null,"abstract":"Background: The structure of the frontal sinus varies greatly, and these differences influence the onset and progression of clinical diseases. Frontal sinus morphology is unique to each individual and may be used to properly identify people. Aim: The aim of this study is to evaluate the morphometric anatomical variations of the frontal sinus in adult Libyan people using a CT scan in relation to gender. Method and result: 147 patients (78 females and 69 males) were included in this study. Patients were divided into three groups regarding their frontal sinus pneumatization extent on the orbital roof: group 1 pneumatization (small), group 2 pneumatization (medium), and group 3 pneumatization (large). We found that the most common frontal sinus type is medium-sized (37.75 %), followed by the small (24.8%) and large (22.8%) types, respectively. There was no significant difference between the right and left sides in terms of frontal sinus type (P-value = 0,311). We recorded aplasia in 17.7% of all patients, which included (bilateral in 9.5%, left unilateral in 2% and right unilateral in 6.1%). In conclusion, we classified frontal sinuses using the categorization established by Stokovic et al. and showed that pneumatization patterns differ even between two opposite sides of the same individual.","PeriodicalId":473874,"journal":{"name":"Libyan journal of medical research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136370543","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}