Abstract... Carpal tunnel syndrome, the most common peripheral entrapment neuropathy, is caused by compression of median nerve at the wrist. Treatment options include the use of NSAIDs, local steroid injections, night splints, as well as physical therapy and surgical release. The aim of this study was to assess the outcome of surgical decompression via mini-palm incision. A Prospective case series evaluating the outcome of mini-palm inci-sion surgical decompression of carpal tunnel syndrome in Misrata Central Hospital dur-ing the year 2015. 51 cases (out of 55 cases operated during the study period) were in-cluded in the study, as they committed to follow-up or respond to our calls at two weeks and at three months. The other four cases were excluded, as they neither attend-ed nor responded to our calls at three months. The outcome of treatment was evaluated in terms of wound healing problems, in addition to other possible complications. Patient satisfaction at three months was noted. Complications occurred in three cases; one case showed a minimal improvement of symptoms at two weeks and at six weeks, and was re-operated and incomplete decompression was found. Two cases had developed super-ficial wound infection that was treated with oral antibiotics and healed with no conse-quences. 48 cases (94.12%) had no clinically evident complications.
At three months postoperatively, 49 patients (96.08%) indicated that they were happy and satisfied with their surgery results. The patients (3.92%) said that they are fairly sat-isfied. Open surgical decompression through mini-palm incision is an easy, effective and safe method of treatment as evidenced by the obtained excellent outcomes.
Abstract... The young children have very strong ciliary muscle tone, that need cycloplegic agents to paralyze it, which done by instilling of cycloplegic eye drop. As eye drop usage in young is challenge. The frequent use cycloplegic drugs and the duration needed for cy-cloplegia to tack place, both bring the child to get bored. The aim of this study is to make cycloplegic refraction procedure shorter with less apply of eye drop. The study conducted as cross-sectional study on 40 Libyan children, between 3- 4 years old with dark iris, where two regimens (cyclopentolate 1% as a regimen 1 and cyclopentolate 1% with tropicamide 1% as regimen 2) was applied on each eye of same person at same time (to minimize bases due to change in machine or surrounding factors). The refraction is measured after application of those regiment three time, with 10 minutes interval. The refraction was measured by autorefractometer ± retinoscope when needed, the changes in spherical equivalent was used to determine maximum cycloplegia of each regimen at certain point of time. The result showed that there is mild difference between 30 and 40 minutes in regimen 1 (42.5%: 40% subsequently), in compare to regimen 2, maximum cycloplegia occurred at 30 minutes (50% of cases). The frequency of maximum dilata-tion at 50 minutes was 17.5% in regimen 1 and 12.5 % in regimen 2. This indicate that maximum cycloplegia occurred at 30 minutes in regimen 2. We concluded the effective-ness of regimen 2 in fasting onset of maximum cycloplegia only after twice eye drop, which saving time and effort without effect on cycloplegic outcome.
Abstract... Considerable attention must be paid to the anatomy course as an important fundamental base for medical undergraduate students. Continuous evaluation of the teaching out-comes can positively affect the education process. Comparative study has been pro-posed to achieve the continues assessment for recognizing the superior method in anat-omy information retention and recall during the anatomy practical classes. Prosected plastinated method was used in relation to other modern and classical anatomy teaching methods, in the same time recording the level of satisfaction and efficiency of the supe-rior method by the student's opinions. 240 students were distributed as two equal groups according to the topic to be taught (A & B): (muscles of the upper limb for group A, posterior abdominal wall for group B), Each topic was explained by the same teacher for both groups. Further, both groups were sub divided into six subgroups (A1, A2, A3) & (B1, B2, B3), 40 students for each, according to the method using plastinated cadav-ers, plastic models, atlas images, respectively. This was followed by ten minutes arrowed unlabelled diagram quiz, and questionnaire covering the satisfaction and efficiency for the superior method according to the scores. Quantitative data from the questionnaires and the quizzes scores were analyzed using descriptive statistics for comparisons of an-swers and results between groups and One Way ANOVA test to evaluate the difference and variability of the methods used. In a good rate of satisfaction response, the higher scores for the subgroups (A1 & B1) who were subjected to plastinated cadavers. The students gained the excellent marks, were 42.5% for group A1, 27.5% A2, 15% A3. while B1, B2 and B3 were 62.5%, 32.5% and 27% respectively. The present study con-siders the prosected plastinated cadavers to be a superior teaching method. While ca-daveric as a classical method, achieves a considerable amount of satisfaction and effi-ciency, other tools such as plastic models and images on data show, can be considered as a supportive rather than a replacement teaching method.
Abstract... Recombinant growth hormone (rhGH) is used for the treatment of growth hormone de-ficiency (GHD). Children with growth hormone deficiency characterized by short stat-ure. The aim of this study was to assess the efficacy of rhGH as a therapeutic interven-tion for treatment of children with GHD in Misurata following a year of therapy. Medi-cal records of 174 GHD children attended the department of pediatric endocrinology in the Misrata Specialized Center for Diabetes and Endocrine. From June 2012 to January 2022 were retrospectively evaluated. Among them 50 patients met the inclusion criteria of receiving the rhGH treatment for a year. The relevant anthropometric data at baseline and follow-up were recorded. A retrospective study that included 50 GHD children treated with rhGH was performed. Patients were divided into two groups according to treatment response: poor responders with average mean increase of height by < 3 cm/year and good responders with increase of height by ≥ 3 cm/year. Patients with idi-opathic GHD constitute almost two-thirds of the pathogenesis of GHD (70 %). Forty-six patients (92%) showed good response (Δ height >3 cm after one year of therapy). The response to treatment were; 93% in the age group 3-5 years old, and 83% in the age group 10-12 years. The mean difference in the growth rate was ∆HV = 5.163 cm/year after one year of rhGH therapy. Our study demonstrated that the use of rhGH for one year has an promising effect on increasing the height of patients diagnosed with GHD. We highly recommend the early use of rhGH in with GHD.
Abstract... This review examines the complexities of twinning beyond the traditional monozygotic and dizygotic categories, encompassing a range of less conventional types. Through an examination of studies spanning the last three decades, this paper provides a compre-hensive synthesis of the non-medical literature concerning the genetic and developmen-tal diversity of twinning. It highlights the unique genetic interrelations and developmen-tal pathways characteristic of rarer forms, such as superfecundation, superfetation, and chimerism. These insights advance the understanding of genetic individuality and offer implications for genetic counselling and the broader field of reproductive sciences. The research employs a descriptive approach to synthesize findings from a broad survey of the literature, crafting a narrative that reveals the intricate genetic and developmental intricacies of twinning. This paper, targeting both academic and wider audiences, under-scores the importance of recognizing the diversity within twinning phenomena and its significance in understanding human development and genetics.
Abstract... The potential use of use Smart phones in ophthalmology is constantly evolving. This ar-ticle describes the various tools available on Smart phones, for examining the ophthalmic patients. Additionally, it discusses how Smart phones can be used for ophthalmic pho-tography and image management. The usefulness of the applications such as the Eye Handbook for the ophthalmologists, students, patients, physicians and researchers, cur-rently available on Smart phones is also explored.