Postoperative Outcomes Associated With Procedural Sedation Conducted by Physician and Nonphysician Anesthesia Providers: Findings From the Prospective, Observational African Surgical Outcomes Study.

Background: There is an unmet need for essential surgical services in Africa. Limited anesthesia services are a contributing factor. Nonphysician anesthesia providers are utilized to assist with providing anesthesia and procedural sedation to make essential surgeries available.

Oral-Ocular Synkinesis in a 21-Year Old Female Head Trauma Patient Following Facial Nerve Decompression Surgery.

Facial synkinesis can happen as a negative event following the recovery of facial nerve paralysis. In this case report, five months after right facial nerve decompression surgery following right sided head trauma, a 21-year-old female patient developed oral-ocular synkinesis. During her attempt to voluntarily smile, she experienced uncontrolled winking of her right eye.

Epidemiological and clinical presentations of hospitalized COVID-19 patients in Libya: An initial report from Africa.

Background: The first case of the novel coronavirus disease 2019 (COVID-19) in Libya was diagnosed in March 2020. We aimed to determine the epidemiological, clinical, and laboratory characteristics of COVID-19 in Libya.

Method: In this retrospective descriptive study, we analyzed the demographics, initial clinical presentation, history, comorbidities, laboratory findings, complications, and outcomes of hospitalized patients with COVID-19 at several centers in the Western part of Libya between March 24, 2020, and December 3, 2020.

Impact of the COVID-19 pandemic on hospitalizations for acute coronary syndromes: a multinational study.

Background: COVID-19 has challenged the health system organization requiring a fast reorganization of diagnostic/therapeutic pathways for patients affected by time-dependent diseases such as acute coronary syndromes (ACS).

Aim: To describe ACS hospitalizations, management, and complication rate before and after the COVID-19 pandemic was declared.

Design: Ecological retrospective study.

Association of venous thromboembolism and myocardial infarction with Factor V Leiden and Factor II gene mutations among Libyan patients.

Factor V Leiden G1691A (FVL) and Factor II prothrombin G20210A (PGM) mutations are the leading causes of thrombophilia. In this study, we have investigated the prevalence of the FVL G1691A and PGM G20210A single nucleotide polymorphisms (SNPs) among Libyan deep vein thrombosis (DVT) and myocardial infarction (MI) patients. SNP genotyping was performed using high-resolution melt analysis (HRM) and DNA sequencing.

Association between Patients' Knowledge and Adherence to Anticoagulants, and Its Effect on Coagulation Control.

Background: Warfarin requires strict monitoring by measuring prothrombin time (PT), international normalized ratio (INR), and time in therapeutic range (TTR). Several factors can lead to poor PT/INR control including vitamin K status, medication adherence, knowledge, and quality of life. The present study aims to assess patient adherence to warfarin treatment and its correlation with INR control.

May Measurement Month 2018: an analysis of blood pressure screening in Libya.

Elevated blood pressure (BP) is an important public health concern and leads to several adverse cardiovascular outcomes. In the stepwise survey done in Libya by the Libyan Cardiac Society and National Centre for Disease Control in 2009, the percentage of hypertension was 40.6%.

Prevalence of anxiety and depressive symptoms among emergency physicians in Libya after civil war: a cross-sectional study.

Objectives: We aimed to identify the prevalence of depression and anxiety among physicians working in the emergency departments of nine tertiary care centres in Libya.

Design: This was a cross-sectional study.

Setting: Nine main tertiary centres in Libya PARTICIPANTS: Emergency department doctors were surveyed between December 2018 and February 2019.

Hearing testing in autistic spectrum disorder: is it unnecessary in low and middle-income countries?

Background: In low and middle-income countries where the health care is in a weakened state, spending money on unaffordable and probably unnecessary investigations might be substituted by a reliable, simple and more informative tool that can deal with the problem.

Aims: To examine current medical practice of measuring auditory brainstem response for all children with autistic spectrum disorder, and assess the value of this test in these children and its applicability in low and middle-income countries such as Libya.

Methods: We reviewed the medical records of all children with autistic spectrum disorder who presented to neurodevelopment clinics of Al-Khadra Teaching Hospital, Tripoli, Libya between January 2010 and December 2014.