Abstract The incidence of spinal cord injuries is the lowest of all major trauma, with devastating impact on the individual affected. The immediate treatment, though it remains mainly supportive, in many situations will determine the outcome and the cost of health care. Standards of care are unfortunately still lacking, this is mainly due to the existing controversies and lack of effective treatment of the injured cord. The author discusses here some of the controversial points based on literature review and personal observation. arabic 14 English 75
Nabil A. Alageli(10-2021)

Aim– This paper aims to review the existing literature relevant to the subject of ISO/IEC 17025 within Arabic countries and Libyan Research Centres Laboratories (LRCL), especially to the Critical Success Factors (CSFs) that effect the implementation of ISO/IEC 17025 standards. Therefore, a review of the literature revealed a major gap in studies in this area of quality standards for testing and calibration laboratories. Methodology– The aspects listed were based on a review of the literature. This paper summaries the key findings result within LRCL using SWOT and Template analysis to analyse the data collected from existing literature and LRCL data. Findings –The findings revealed that despite some organisations have faced challenges undertaking ISO/IEC 17025 implementations, many others have enjoyed the benefits that the systems have brought to the organisations. Outcomes of the research are important for Arabic and Libyan organisations implementing ISO/IEC 17025 systems and for consulting companies assisting with ISO/IEC 17025 implementation. The distribution of the current study results will lead to knowledge transfer and help organisations, among Arabic and developing countries including Libya, in the process of achieving standardisation. Originality, Value – The novelty of this research paper stems from the realisation of critical factors determining a successful implementation of ISO/IEC 17025 within research centers and Laboratories in Arabic countries and LRCL. The originality and value of this research paper is to fill the gap in knowledge in this area, which is explicit to the Arabic countries and Libya in particular. In addition, it contributes to the literature and professional practice by offering new insights into the CSFs for the implementation of ISO/IEC 17025 in Arabic countries and LRCL.
Anwar Salih Ali Al-mijrab, Maged Elmabruk Elgharib, Mohamed A. Al-Griw(5-2019)

ABSTRACT Studying burden of maternal diabetes mellitus on preterm babies is an important step to improve outcomes of these babies. The study was designed to compare morbidity and mortality in preterm babies (28-36 wks) born to `mothers with and without diabetes mellitus (DM). An analytical cross-sectional study was conducted at Al Jala Maternity Hospital, Neonatal Intensive Care Unit (NICU) department; all preterm babies with gestational age (GA) (28-36 wks) were enrolled in the study, from January 1st 2016 to December 31st 2016. The study sample was divided to two groups according to maternal health; preterm infant of diabetic mother (IDM) and preterm non-IDM. The information retrieved and analyzed were; sex, gestational age, birth weight, mode of delivery (MOD), Apgar score at 1st and 5th minute, hypoglycemia, respiratory illness, hyperbilirubinemia, sepsis, major congenital anomalies , length of stay (LOS), and neonatal death. Collected data coded and SPSS software was used for analysis. A total of 378 preterm babies were enrolled in the study period divided into: preterm IDM group 79(20.9%) babies and preterm non-IDM group 299(79.1%) babies. The preterm IDM group had significant high frequency of large for gestational age (LGA) and unexpectedly significantly low frequency in respiratory diseases (P= 0.047), perinatal asphyxia (P=0.021) and neonatal mortality (P=0.007); and no statistical significant difference in rate of hyperbilirubinemia (P= 0.145), congenital anomalies (P= 0.187) and sepsis (P= 0.468). Preterm babies born to diabetic mothers do not appear to be at an excess risk of mortality or early morbidity, except for birth weight for which diabetic mothers need more antenatal care. arabic 29 English 150
Najwa Fituri(10-2018)