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  Citation statistics : Table of Contents
   2018| January-February  | Volume 10 | Issue 1  
    Online since January 22, 2018

 
 
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ORIGINAL ARTICLES
Rate, Timing, and Severity of hypoglycemia in adolescents with Type 1 diabetes during ramadan fasting: A study with freestyle libre flash glucose monitoring system
Bachar Afandi, Walid Kaplan, Lina Majd, Sana Roubi
January-February 2018, 10(1):9-11
DOI:10.4103/ijmbs.ijmbs_73_17  
Objectives: The objective of this study is to assess the frequency, timing, and severity of hypoglycemia in adolescents with type 1 diabetes mellitus (T1DM) during fasting the month of Ramadan. Patients and Methods: Twenty-five adolescents with T1DM who fasted Ramadan were monitored using the FreeStyle Libre® flash glucose monitoring (FGM) system. Percentage and total duration of hypoglycemia were extracted from the FGM downloads, and the differences were compared between different times of the day and night according to the eating pattern in Ramadan. Results: Mean age was 16 ± 3 years and mean glycated hemoglobin was 8.6 ± 1.2%, mean glucose level was 200 ± 84 mg/dl (11.1 ± 4.7 mmol/L), and the overall time spent in hypoglycemia was 5.7% ±3.0%. The average daily time spent in hypoglycemia was 1.39 h per patient. The incidence of hypoglycemia was 0% from 19:00 to 23:00 pm and 69% from 11:00 to 19:00. Analysis of hypoglycemia revealed that 65% were between 61 and 70 mg/dl and 8% lower than 50 mg/dl. Conclusions: Hypoglycemia is typically encountered during the hours preceding Iftar time indicating an over-effect of basal insulin. Basal insulin reduction is necessary to minimize the risk of hypoglycemia
  10 3,077 316
CASE REPORTS
Symptomatic neurocutaneous melanosis with unusual benign course: A case report and review
Baker Mustafa Ayyash, Waseem Mahmoud Fathalla
January-February 2018, 10(1):28-31
DOI:10.4103/ijmbs.ijmbs_53_17  
Neurocutaneous melanosis (NCM) is a rare, congenital, noninherited neurocutaneous syndrome characterized by the presence of “multiple or large congenital nevi” with central nervous system melanocytic deposits. Majority of cases are asymptomatic. Symptomatic cases present with hydrocephalus and signs and symptoms of increased intracranial pressure. The latter is associated with poor prognosis. We herein report an asymptomatic patient with giant congenital melanocytic nevi. He had a screening magnetic resonance imaging study at the age of 2 months that showed T1 hyperintensities in the region of amygdala of both temporal lobes. He was asymptomatic until the age of 4 years when he presented with seizure activity. A diagnosis of NCM was made. He was discharged on emergency antiepileptic medication. On regular follow-up, he remained seizure free for 1 year after the first episode of seizure. Unlike other cases reported in literature, this, to the best of our knowledge, is the first report of nonprogressive symptomatic NCM.
  1 2,701 258
EDITORIAL
Ibnosina journal of medicine and biomedical sciences 2018 and beyond
Salem A Beshyah, Elmahdi A Elkhammas
January-February 2018, 10(1):1-2
DOI:10.4103/ijmbs.ijmbs_84_17  
  1 2,068 222
CASE REPORTS
Retrocaval ureter-classic imaging appearance
Mohd Ilyas, Inayat Ellahi, Fahad Shafi, Suhail Rafiq, Naseer Choh
January-February 2018, 10(1):25-27
DOI:10.4103/ijmbs.ijmbs_54_17  
The appearance of (reverse “J” or “fishhook”) of the classic type of retrocaval ureter on intravenous urogram and computed tomographic urography are presented in this report. It is an uncommon cause of urinary tract obstruction and every clinician, radiologist, and the surgeon must be familiar with its imaging appearances.
  - 1,835 114
ORIGINAL ARTICLES
Prevalence of abnormal glucose regulation in libyan patients presenting for elective coronary angiography
Hawa Juma El-Shareif, Khaled Alwaleed
January-February 2018, 10(1):12-17
DOI:10.4103/ijmbs.ijmbs_24_17  
Background: Patients with coronary artery disease (CAD) frequently have multiple risk factors. Diabetes and impaired glucose tolerance (IGT) have been associated with cardiovascular events and cardiovascular disease mortality. Aim of the study: This study aims to determine the prevalence of abnormal glucose regulation (AGR) among Libyan patients, presenting for elective coronary angiography. Methods: All patients referred for a diagnostic coronary angiogram at the Catheterization Laboratory of National Heart Centre, Tajora, Tripoli, over a period of 1 year from April 2007 to March 2008, were included after consent. Patients with a history of diabetes were excluded from the study. Diagnostic coronary angiogram was performed for all included patients as well as a standard oral glucose tolerance test (OGTT) with 75 GM glucose. Results: Ninety-nine patients were included in our study, with a mean age of 54.6 ± 11.2 years. 49 (49.5%) of the enrolled patients showed either impaired or diabetic fasting or 2-h OGTT results. 22 (22.2%) patients were diabetic based on fasting blood glucose or 2-h OGGT result, and 21 (21.2%) have IGT. Of the 15 (15.2%) patients with impaired fasting glucose, 7 (46.7%) patient showed diabetic glucose tolerance, and 2 (13.3%) patients have IGT. Among patients with AGR, coronary angiogram showed significant CAD in 36 (73.5%), compared to 28 (56%) of patients with normal fasting and 2-h OGTT results. Conclusion: Abnormal glucose regulation was high among Libyan patients presented for elective angiography. OGTT should be part of the evaluation in this high-risk population.
  - 1,900 157
Frequent announced pharmacology quizzes have no impact on academic performance: An exploratory study
Ahmed Atia, Abulsalam Ashour, Ahmed Abired
January-February 2018, 10(1):18-20
DOI:10.4103/ijmbs.ijmbs_44_17  
Context: The impact of frequent announced quizzes on the students' level of understanding and learning has had inconsistent results. Objectives: This study aimed to investigate the possible benefits of frequent announced quizzes in pharmacology on the performance of a representative sample of Libyan pharmacy students. Subjects and Methods: Eleven pharmacy students were studied during the “pharmacokinetics and pharmacodynamics” course. The initial six sessions were delivered using the conventional lectures with interactive questions and answers. In the following six sessions, at the beginning of each session, students were informed that they will have a quiz at the end of each session. At the end of the semester, the corresponding total scores of quizzes in the two periods were compared. Results: The mean final scores of the pharmacokinetics lesson were not significantly different from that of the pharmacodynamics (75.8 ± 11.1 vs. 68.6 ± 17.5 on the scale of 100, respectively, P = 0.13). There was no significant difference in the mean score of the six quizzes compared with the mean final term score of pharmacokinetics. Conclusions: Frequent announced quizzes were not beneficial on enhancing the students' performance and learning.
  - 2,324 187
Evaluation of nutrition knowledge of professional football players
Isam Denna, Ali Elmabsout, Ashmisa Eltuhami, Shehab Alagory, Tahani Alfirjani, Fatima Barakat, Saif-Aleslam Almajouk, Mustafa Y. G Younis
January-February 2018, 10(1):21-24
DOI:10.4103/ijmbs.ijmbs_34_17  
Background: Adequate knowledge of nutrition is believed to influence the performance of endurance athletes. Objectives: To assess the level of nutrition knowledge among football players in Benghazi. Subjects and Methods: Following ethical approval, a cross-sectional study was conducted involving 101 football (soccer) players (25 ± 5 years of age) from seven clubs of the first and second divisions. The height (cm) and weight (kg) were recorded for each player. A questionnaire composed of three sections was filled out by each participant. It included questions concerning personal data, general nutrition, and specific knowledge concerning the appropriate foods to consume before, during, and after exercise. Results: The mean body mass index was 24 ± 2 kg/m2. Fifty-seven percent of the participants were below the university level of formal education. Furthermore, 75% reported that they never received any formal education related specifically to nutrition. In addition, 70% had no knowledge of the concept of the food pyramid, and only 18% of the players communicated with dieticians either during season or off-season. Only 22% answered correctly the questions about which foods are appropriate to consume before and after exercise. Noticeably, 81% of the participants did not correctly identify the contents of the nutrient to be consumed during exercise. Conclusions: The study revealed an alarming lack of nutrition knowledge among professional football players in Benghazi. The results highlight the need to establish specific programs for nutrition education for the players to enhance their knowledge in this critical area and positively influence their dietary habits and ultimately improve their physical performance. It is also important to emphasize the role of qualified dieticians in athletic clubs.
  - 4,349 398
REVIEW ARTICLE
The dietary fat–heart disease hypothesis: An ongoing debate
Nasr Anaizi
January-February 2018, 10(1):3-8
DOI:10.4103/ijmbs.ijmbs_71_17  
The belief that the consumption of saturated fat as the primary source of daily energy needs is detrimental to heart health has held a firm grip on public consciousness for decades. It was initially based entirely on tenuous observational (correlation) studies but was later bolstered by a vast array of evidence and more direct observations from long-term randomized controlled trials and dietary intervention studies. Further support also came from the elucidation of the pathophysiology and molecular mechanisms involved in atherogenesis. However, in recent years, the association between dietary saturated fat and heart disease has come under attack based mainly on meta-analyses and large multinational studies most of which relying on questionnaires and diet recall. More recent publications have elevated the debate to a new level, leading some experts to question the evidence behind commonly accepted dietary recommendations, attracting media attention, and generating heated debates. Here, the most relevant studies will be reviewed defining the salient issues and where the proponents and opponents of the hypothesis stand.
  - 5,448 547