The objective is to investigate the effect of some diet elements modification on iron
deficiency anemia (IDA) patients. A total of 213 patients (68.1% females and 31.9% males) aged (15-
50 years) were used in this study. They were examined clinically and blood samples taken and sent for
complete blood count (CBC) and iron profile plus renal, liver function tests and stool for routine
examination, after they filled a prepared questionnaire for their diet habit and type of nutrients in their
main meals. All enrolled persons were fulfilled the criteria of IDA based on hemoglobin (Hb) levels,
MCV, MCHC and iron profile (TIBC, S. iron and S. ferritin). Patients had IDA due to chronic blood
loss or other chronic diseases were excluded. Hb less than 7 gm/dL reported in 22.5% of patients (11
male, 37 female), Hb between 7-10 gm/dL reported in 77.5% of patients (57 male, 108 female). The
highest prevalence of IDA found between 22-39 years of age. Hb mean was 7.9 ± 0.08 before diet
modification. After diet modification, the mean Hb was 12.9 ± 0.06 (p < 0.0001). Hb changes had the
same pattern with the statistical significant (p < 0.0001) in both sexes. MCV increased significantly
after diet modification (68.4 ± 0.3 to 82 ± 0.2, with p ≤ 0.0001). TIBC decreased significantly from
(549.6 ± 0.4 to 296 ± 0.2) (p < 0.0001). Total serum iron increased from 27.3 ± 0.4 to 95.4 ± 2.1 (p <
0.0001). Serum ferritin increased significantly from 5.1 ± 2.4 to 8.7 ± 0.7 (p < 0.001). Knowing food
nutrients contents of meals is important while they have a significant effect on IDA prevention and
treatment. Therefore, reducing or completely avoiding those nutrients will reduce IDA risk and cut
health care costs. Legalizations and educational programs must be done to population and food-health
careers to prevent IDA due to malnutrition.
Keywords: Iron deficiency, anemia, diet, Libya, phytate, hemoglobin
Mobile phones are used worldwide by health care workers (HCWs) in
hospitals during working time without restrictions, regardless of their
unknown microbial load. This study was conducted in order to determine
the bacterial contamination level of the mobile phones used by health care
workers (HCWs) at Sabratha Teaching Hospital and National Cancer
Institute, Sabratha, Libya. A total of 100 volunteers from HCWs (35Doctors,
15Nurses, 15Lab technician and 35 Students) were included in this study.
The results revealed that 74% of the mobile phones and hands of HCWs
were microbial contaminated. The Lab technician and Technology student’s
phones and hands had the highest microbial load contamination (87%, 80%
respectively). Staphylococcus spp, Klebsiella pneumonia, Pseudomonas
aeruginosa and Escherichia coli were the predominant contaminated
bacteria. Candida albican was also isolated from contaminated phones of
HCWs during this study. Candida albican is one of the common hospital
infection microorganism which serves as a vehicle for the spread of
nosocomial pathogens in hospitals. Our study concluded that these
contaminated phones can play a potential role in the spread of hospital
infection bacteria in the community, since the same phones are used inside
and outside of hospitals. To prevent the potential spread of infections
through mobile phones, training of the health care personnel about strict
infection control practices, hand hygiene, environmental disinfection and
routine decontamination of mobile phones with alcohol should be
advocated to prevent the spread of infection in the hospital settings.
Key words: Mobile phone, HealthCare Workers, Hospital, Bacteria.
Type 1 diabetes mellitus (DM) is an autoimmune disease that is characterized by inhibited insulin
production as a result of T cell-mediated destruction of the pancreatic β cells in the islets of
Langerhans. Although DM can be treated with islet transplantation which includes whole organ
transplantation, transplantation of isolated islets and regeneration therapy, a shortage of donors
limits this transplantation of islets cells. The present study will investigate for reversal of type I
diabetes. The mesenchymal stem cells from the umbilical cord will differentiate efficiently into
transplanted insulin – producing – cells in the liver that can be used to replace lost β – cells of islets of
Langerhans through portal venous transplantation through cannulation of portal vein. The way will
use for reversal of type 1 diabetes mellitus in drug induced diabetic rats.
The objective of the study is to determine the risk of erosion and extrusion after using type I polypropylene
mesh (Allograft) as an overlap graft for repair of vaginal wall prolapse with and without bridge repair.
Erosion and extrusion are usually easily treatable but sometimes may be troublesome to manage. Bridge
repair is a vaginal flap putted over mesh below site of incision to enforce it. 80 patients with vaginal wall
prolepses operated over 20 months (September 2013 – May 2015) using Type I mesh in four Libyan hospitals
and clinics , 35% (28 p) with anterior mesh repair for cystocele, 30% (24 p) with posterior mesh repair for
reconcile and 35% (28 p) with cystorectocele. In 40% of the patients, repair of defect is associated with other
vaginal operations. Half of the patients (40 p) had bridge repair along with mesh in repair of the defect.
Extrusion of the mesh occurred in 9 patients (11%), all of them are mesh repair without bridge enforcement,
three patients with anterior mesh repair and six patients with posterior mesh repair. No erosion seen in all
80 patients. Bridge enforcement along with mesh in repair of genital prolepses can reduce the risk of
extrusion almost to 0%.
KEYWORDS
Erosion, Anterior mesh repair (AMR), Posterior mesh repair (PMR), Bridge repair (BR), Anterior bridge
repair (ABR), Posterior bridge repair (PBR).