ABSTRACT We reviewed 48 consecutive patients with type II (32) and type III (16), odontoid peg fractures. The clinical & radiological outcomes were assessed over an average period of follow up of 6.8 years. Union rate was determined and we discussed several factors that may affect it. Patients were treated conservatively with initial bed rest with or without cervical skeletal traction followed by bracing for an average of 9 weeks. Results: Bony union was established in 25 of 32 (78%) type II fractures. Of 7 cases with no bony union 4 were stable probably with fibrous union. 3 remained unstable. In 13 of 16 (83%) type III fractures bony union was established. 2 of the 3 with no bony union were considered stable. Osseous non-union was higher in patients with displacement of >5mm, but there is no correlation between union and age, gender or angulation of the fracture in both types. Conclusion: non-surgical management of odontoid fractures remain a viable option in the management of these fractures arabic 9 English 60
Nabil A. Alageli(1-2017)

In Libya, little is known about HIV-related hospitalizations and in-hospital mortality. This was a retrospective analysis of HIV-related hospitalizations at Tripoli Medical Centre in 2013. Of 227 cases analysed, 82.4% were males who were significantly older (40.0 versus 36.5 years), reported injection drug use (58.3% versus 0%) and were hepatitis C virus co-infected (65.8% versus 0%) compared with females. Severe immunosuppression was prevalent (median CD4 count = 42 cell/μL). Candidiasis was the most common diagnosis (26.0%); Pneumocystis pneumonia was the most common respiratory disease (8.8%), while cerebral toxoplasmosis was diagnosed in 8.4% of patients. Current HAART use was independently associated with low risk of in-hospital mortality (OR 0.33), while central nervous system symptoms (OR 4.12), sepsis (OR 6.98) and low total lymphocyte counts (OR 3.60) were associated with increased risk. In this study, late presentation with severe immunosuppression was common, and was associated with significant in-hospital mortality. 24
Nader S Shalaka(10-2015)

Background and objectives: Allergic rhinitis is common association to asthma according to worldwide studies which showed that control of allergic rhinitis improves in turn asthma symptoms so we have conducted this study looking for the percent of allergic rhinitis in Libyan asthmatic children who were attending regular follow up in asthma clinic of Tripoli children hospital over period of one year (2008). Methods: This study was conducted by asking children’s parents using questionnaire composed of directly answered questions (yes or no) if their children got attacks of rhinorrhea, nasal itching and sneezing around certain times of the year (spring and autumn). Results: Conclusively we found that the incidence of allergic rhinitis in asthmatic Libyan children was 36.6%. Conclusion: allergic rhinitis is common with asthma, and it needs to be put in consideration in any asthma patient and treated accordingly. Cite this article: Elzigallai O, Alrabty H. Study of the Association between Allergic Rhinitis arabic 12 English 82
Hisham Alrabty, Ola Mahmoud Alzigallei(3-2020)