Journal of Medical Sciences <section class="section"> <div class="page-section-content"> <div class="page-section"> <div class="ok-row"> <div class="ok-xsd-12 ok-md-12"> <div class="page-section"> <div class="page-section"> <p>A scientific journal published by the University of Sabha twice a year. It is concerned with publishing original scientific research and studies in the field of human sciences, which have not been previously published or presented at a scientific conference. Scientific research is accepted in Arabic, English, French, and African languages. The paper will be published on the current issue. Once the evaluation process is completed, the evaluation process will be conducted in strict confidentiality by two arbitrators. The scientific papers published by the journal do not necessarily reflect the opinion of the journal. The date of the first publication in 1994 AD.</p> </div> </div> </div> </div> </div> </div> </section> en-US (Prof . Dr . Ibrahim Abu Shanaf) (Mohamed Erhayem) Thu, 20 Dec 2018 00:00:00 -0600 OJS 60 Prevalence of Malaria infection in Fezzan region (south of Libya) <p>This study was carried out to determine the prevalence of malaria infection in Fezzan region (south of Libya). Two hundred and twenty blood samples were collected from 220 patients suspected for malaria infection. All samples were collected from both out-patients and&nbsp; in-patients hospitalized in different wards at Sebha Medical Center in south of Libya (these patients were from different places in south Libya, Sebha, Murzug, Gaat and Um-alaranib) males and females. Results revealed that out of the 220 blood samples collected 43 samples were positive, 35 patients were from Sebha city, 4 patients were from Gaat, 2&nbsp; patients were from Um-alaranib and 2 were from Murzug (41 Libyans, 1 Sudanese and 1 from Niger), (39 were <em>Plasmodium falciparum</em> and 4 were <em>P. vivax</em>). Thirty-three (76.74 %) patients were males and 10 (23.26%) were females.</p> Nassr M. Hamid, Alsadig M. Abdalla, Ali Z. Aldlouli , Ali A. AlMaki, Abraheem M. Mansour , Abdulnabi A. Masoud, Khadija M. Ahmad Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 Assessment of Knowledge and Awareness towards Radiation among Medical Staff <p>Radiation is widely used in the diagnosis and treatment of many diseases, but limited usage of radiation for medical purposes is important. When the human body is exposed to radiation doses over 1 Sievert, gastrointestinal, neurological and hematological disorders in the acute stage appear. Exposure to low doses of radiation over a long period of time may result in genetic effects such as cataract, cancer, shortage in lifespan, or transmitting of genetic disorders to future generations. Employees in these practices should be protected from radiation effectively and be provided with safety devices. The level of awareness concerning radiation protection influences the staff behavior. If they do not have, enough information related to radiation safety, their action will not be safe and will result in adverse effects. This questionnaire was designed and introduced to medical staff in Brack Hospital at Al-shatti region to evaluate their knowledge levels about ionizing radiation and their awareness about radiation safety. The statistical comparison between the groups was analyzed using the Statistical Package for the Social Sciences (SPSS) program. The results showed that they lack of knowledge and practices toward radiation safety related to radiological imaging and training programs are recommended.</p> Abdelkader Salama Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 Radicular Cysts <p>Radicular cyst is the most common inflammatory jaw cystic lesion that occurs in necrotic pulp of a nonvital tooth. This account for more than 50% of all odontogenic cysts.</p> <p>Radicular cyst are generally asymptomatic and diagnosed during routine radiologic investigations. Enucleating the cyst with or without endodontic therapy of the affected tooth is recommended as the primary treatment when lesion is small size.</p> Abdulsalam E. Ibrahim, Naima F . Elbreki, Marwah M. Ighiyis Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 Prevalence and Pattern of Congenital Heart Disease in South Libya <p><strong>Aim</strong>: This research was performed to study the prevalence of Congenital Heart Disease (CHD) in south Libya.. Data on the prevalence of CHD were collected and analyzed from the major hospital in South Libya from 2015 to 2016. Congenital heart disease is the most common congenital problem in children. Presentation can vary from asymptomatic, accidental finding to severe cardiac decomposition and death. Early recognition has great implications on prognosis. This study was carried out to identify the specific types of CHD, sex and age distribution and the most common pattern of presentation among hospitalized patient. The study also aims at studying age, gender distribution and frequency of congenital heart disease in children referred to echocardiography in Sebha Medical Center.</p> <p><strong>Methods:</strong> This is a prospective descriptive study of most patients (inpatient and outpatient) with clinical finding i.e. cyanosis, systolic murmur, family history of CHD, congenital malformation and recurrent chest infection. From September 2015 to September 2016. Infants of diabetic mothers are referred for echocardiography. Patients from day one of life until 14 years are included in the study.</p> <p><strong>Results: </strong>Out of the 1600 total cases, 425 (26.5%) were diagnosed with congenital heart disease. There was a male preponderance. There were 219 males and 206 females with a M:Fratio of 1:0.9 The mean age of all the patients with CHD was days. Of the total cases, 116 (26.8%) had patent ductus arteriosus (PDA), 63 (14.8%) had atrial septal defect (ASD), 63 (14.8%) had PR, 56 (13.2%) had ventricular septal defect (VSD), 43 (10.1%) had Mixed CHD, 18 (4.2%) had TR, 15 (3.5%) had IVSH, 13 (3.1%) had Pulmonary stenosis, 11 (2.6%) had tetralogy of fallot (TOF), and 10 (2.4%) had transposition of great arteries (TGA), 8 (1.9%) had aortic stenosis, 4 (0.9%) had AVCD, 1 (0,2%)&nbsp; each was diagnosed to have Truncus arterioses, Coarctation of aorta, Dextrocardia and Aortic regurgitation. &nbsp;</p> <p><strong>Conclusion:</strong> The majority of patients with CHD defects had non-cyanotic CHD. TGA is the most common cyanotic lesion and PDA non-cyanotic lesion. In order to avoid complications, early detection of congenital heart disease is of utmost importance for proper treatment. 2D-echo with Doppler examination forms the gold standard for diagnosis<em>.</em></p> Abraheem M. Mansour Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 Bilateral tubal ectopic pregnancy … Unusual Ectopic will become Less Unusual <p>Bilateral tubal ectopic pregnancy is very rare and usually occurs following ovulation stimulation, with an estimated incidence of 1/2000000 during pregnancy and 1/725-1/1580 ectopic pregnancy. Totally more than 200 cases of bilateral tubal ectopic pregnancies have been reported in the literature. We report 34-year-old primigravida with spontaneous bilateral unruptured tubal ectopic pregnancy. The diagnosis of ectopic pregnancy has been made on clinical suspicion and ultrasonography. The diagnosis of bilateral tubal ectopic pregnancy has been made during surgery and confirmed on histopathological examination. Bilateral tubal ectopic pregnancy is rarely diagnosed preoperative, so both tubes at the time of surgery should be closely examined in order to prevent maternal mortality and morbidity.</p> Rehab Husain basher, Mohamed Soliman Hussien Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 Cerebral Malaria complicated with multiorgan failure: A Case Report with Review of literature <p>Libya is free from local malaria transmission and has been reported as one of malaria free countries. The last local reported case in Libya, according to literature, was 1973. In this paper, we present a case of a 25-year-old Libyan male Patient who came to Sebha Medical Center on 14-09-2017. He complained from high-grade fever, rigors, sweating and fatigue for one week, he had showed a history of travel to an endemic area for malaria (Niger). The laboratory investigations were positive for Plasmodium falciparum Malaria. The course of the disease was complicated with multiorgan Failure.The following is a review of literature for malaria associated with complications.</p> Abdulnabi A. Masoud, Khadiga Aboalsaad, Mutwakil G. Ahmed, Nusiaba A. Salem Abdalla Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 Case report: Heterotaxy syndrome with polysplenia <p>Heterotaxy syndrome is a rare complex syndrome characterized by cardiac and extra cardiac congenital malformations. The syndrome is divided into two main groups; right isomerism (Ivemark syndrome, asplenia) and left isomerism (polysplenia syndrome). We report a polysplenia syndrome with agenesis of head and uncinate process of the pancreas in a 30-year-old woman who was admitted to our clinic with complaints of loin pain and dysuria.&nbsp;</p> Salem Abdullah Asselhab, Emhmed Mohamed Saaid Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 The Study of Antimicrobial Activity of Plant Extracts on H. Pylori bacteria <p>Increasing resistance of H. pylori to common antibiotics is becoming an issue, and finding new treatment is crucial. Therefore, the current study was conducted to investigate the antimicrobial effect of extracts of six traditional medicine plants:&nbsp; {Amla (Emblica officinalis), Terminalia chebula Retz<strong>.,</strong> Irvingia gabonensis<strong>, </strong>Egusi (Citrullus colocynthis), Gentum africanum, Wase} on H. pylori Viability and toxicity. Results revealed that plant extracts have high inhibitory effect against H. pylori, which can be used as basis to treat H. Pylori infections. All the plant extracts (aqueous and the ethanolic extracts) revealed significantly high antimicrobial activity against H. pylori strains Tx30a and 60190. The inhibitory effects of plant extracts on the growth of Tx30a were significantly high with P value &lt;0.0001 when compared with the controls. The most effective extract was the aqueous extract of Himej seeds. The multi comparison of Himej extract effects on H. pylori Tx30a with Egusi, Wase, and OKasi leaves extract showed P value&lt;0.0001. The lowest effect on H. pylori Tx30a growth was shown by Okasi and Wase leaves extract. The antimicrobial effects of all plant extracts on H. pylori 60190 were also significantly high compared&nbsp; with the controls (ethanol 100%, ethanol 70% and water) with p value &lt;0.0001. The highest inhibitory effect on H. pylori 60190 was displayed by the aqueous extract of Himej seeds with p value &lt;0.001 when compared with ethanolic extract of Amla and P value &lt;0.0001 when its effect was compared with the control. Among the ethanolic extracts, the Amla fruit extract was the most effective against H. pylori 60190 with p value &lt;0.0001 when compared with the control. The lowest antimicrobial activity against H. pylori 60190 was displayed by the ethanolic extracts of Egusi and Wase leaves with P value &lt;0.001 followed by the ethanolic extract of Okasi leaves.&nbsp;</p> Mabrouka Abuzeid, Jody Winter, and Alsadig Mohammed Abdalla Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 Case Report (10-2015) Delayed Presentation of Sigmoid Volvulus <p>Sigmoid volvulus (SV) is an unusual condition in Libya, responsible for about 3-5% of all intestinal obstructions. SV is generally described as an illness in elderly patients, persons with psychiatric disorders, or persons living in nursing homes or mental institutions, multiple co-morbidities and an elongated mesosigmoid. The condition can be treated conservatively, but in the presence of fever, high WBC count, perforation, ischaemia and peritonitis, surgery is the best option. This report describes a case of a very large gangrenous sigmoid volvulus in a healthy 65-year-old male. A review of the diagnosis and management is subsequently described. Early identification and management are crucial in treating sigmoid volvulus before the appearance of gangrene, thereby avoiding further complications and associated mortality.</p> Khaled Ekrim, Yousif Faraj, Fatma Belgasem, Aisha Gamjy Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 Case Report Urinary Schistosomiais in Sebha, Libya <p>A 13 years old Libyan male Child was admitted to the Pediatric Department, Sebha medical Center in September 2017. The patient lives in Sebha- AL-Menshia, he presented with <em>haematuria</em>, loin pain and fever. An Ultrasound examination was normal. Examination of urine of patient showed 2 to 3 eggs of <em>S. haematobium</em> per low-power (10X) field with pus cells. The cause of <em>haematurie</em> in this patient is due to eroding of blood vessels of urinary bladder by the terminal spine of eggs of parasite. The patient has never been abroad.</p> Abraheem M. Mansour , Nasser M. Hamid Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 Small Bowel Intussusceptions by Ultrasound <p>The purpose of this study was to evaluate the typical ultra-sonographic findings of transient Small Bowel Intussusceptions (SBI)) in paediatrics. 6 transient SBI (male: female =4:2, age: 7–120 months (mean 38.months)) patients diagnosed on ultrasonography were retrospectively evaluated. The findings of location, diameter, thickness of outer rim, and inclusion of mesenteric lymph nodes within intussusceptions were compared. In the transient SBI, the head of intussusceptions was located in the right lower quadrant (RLQ) in 3 (50%), the right upper quadrant (RUQ) in 1 (16,1%) and the periumbilical area in 2 (33,4%) cases. The anteroposterior (AP) diameter ranged from 0.9–2.5 cm (mean 1.38 cm), and thickness of outer rim ranged from 0.10–0.34 cm (mean 0.26 cm). No mesenteric lymph nodes were contained within the intussuscipiens. In conclusion, the transient SBI occurs predominantly in the RLQ or periumbilical region has a smaller AP diameter, a thinner outer rim, and dose not contain mesenteric lymph nodes.</p> <p>Intussusception is a common abdominal emergency that requires prompt diagnosis and adequate management.<sup>1</sup> The wider use of ultrasonography and its improved resolution and better appreciation, transient small bowel intussusception (SBI) is frequently visualized on practical daily ultrasound. In recent literature,<sup>2–5</sup> careful ultrasonographic examination and/or interpretation of CT scans have disclosed many SBIs that were reduced spontaneously without any intervention. Conservative observation was warranted in these patients by Doi et al.<sup>5</sup> &nbsp;The purpose of this article is to evaluate the typical ultrasonographic findings of transient small bowel intussusceptions (SBI).</p> Emhmed Saaid, Emraga Abohamod Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 Granular cell tumor in the inguinal canal: A case report and literature review <p>Granular cell tumors (GCT) are rare soft tissue neoplasms that may be asymptomatic or may be presented as a slow growing nodule. The diagnosis is established on the basis of cytological and histopathological characteristics of the disease. We present a case of granular cell tumor in the right inguinal region misdiagnosed as inguinal hernia.</p> <p><strong>Case report</strong>:</p> <p>A 49-year-old female presented with a tender firm swelling in the right inguinal, 3x3 cm, firm in consistency that was present for three years. The swelling was reducible and the cough impulse was positive. Laboratory investigations were normal. Blood analysis showed: WBC: 7000/ul, Hb 11.5 g/dl, PLT 245 k/l, ESR 12 mm Ist hour uea 14 mg/dl, Cre .9 mg/dl, FBS 89 mg/dl, &nbsp;and urinalysis was normal. A clinical diagnosis of inguinal hernia and hydrocele of canal of Nuck was performed. Ultrasound examination suggested an inguinal hernia. At surgery, a cystic mass, suspected to be hydrocele of Knucke, was resected and sent for histopathology (Fig 1-4). Histopathogy revealed sections with thick fibrous cystic walls, lined by one cell layer of simple mesothelial epithelium with foci of squamous metaplasia without evidence of atypia.&nbsp; The underlying stroma showed dense fibrohistiocytic reaction, along with many multinucleated foreign body giant cells. Unremarkable fragment of striated muscle was observed. There was no evidence of malignancy. The diagnosis was of a hernia sac associated with nodular histiocytic mesothelial hyperplasia.</p> Salem Abdullah Asselhab Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600 Spontanous Rupture of Urinary Bladder without Uterine Rupture <p>Objective: Spontaneous bladder injury is very uncommon with incidence of about 1:126000. We report a case of intraperitoneal urinary bladder rupture with intact uterus, which diagnosed intraoperative of G2P1 with history of CS. The rent was repaired in layers, catheterization and antibiotic prophylaxis offered for 14 days. Cystogram was done before the removal of catheter.</p> Rehab Husain basher, Mohmed Soliman Hussien Copyright (c) 0 Thu, 20 Dec 2018 00:00:00 -0600