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At least 433 records · Page 24Linked to original sources

[The giant infant (birth weight equal to or greater than 5,000 g) in obstetrical records of the Az Zawiyah/Libya Central Hospital].

291 giant babies with a birth weight over 5000 g (= 0.58 per cent) were registered among 49,976 newborns, delivered in the Central Hospital of Az Zawiyah (Libya) within 9 years. Some etiological factors have been made responsible for the origin of this intrauterine macrosomy. High multiparity combined with high age of the mothers are of evident importance. A second equivalent factor is the habit of nourishment with vegetable in this region. Diabetes mellitus and hypertensive disorders in pregnancy are not so much frequent causal factors of giant babies than in middle of europe, where the total frequency is considerably lower. The stillbirthrate of 12.7 per cent is significant increased compared to a control group, but in the same level of comparable studies.

Adult↗

[Myiases of economic importance].

A simplified list of the principal Diptera capable of causing myiasis is followed by a brief presentation of the biology, lesions inflicted, and methods of treatment and control of the myiases of economic importance. Cochliomyiasis caused by Cochliomyia hominivorax is of greatest interest, in view of the damage and losses caused by this disease. A brief account of the outbreak of infestation in Libya illustrates the danger of this parasite. Other important traumatic myiases are described: that due to Chrysomya bezziana, which causes an African myiasis similar to cochliomyiasis, and those due to Lucilia cuprina and related species. Hypodermyiasis (warble fly infestation) and oestrosis (nasal bot fly infestation in sheep) still cause major economic losses in domestic animals, justifying their inclusion in control campaigns. The same applies to stomach bot flies of the family Gasterophilidae. The account of each myiasis includes notes on parasiticides which have been found to be effective. Given the rapidity with which a parasite can now be transported from one continent to another, it is important for Veterinary Services to be well-informed and vigilant.

Animals↗

[Clinical and serologic study of Czecho-Slovak citizens working in developing countries from the aspect of risk of infection with Coxiella burnetii].

In the years 1984-1988 we observed, besides the routine examinations of history, clinical state, and laboratory tests, also the presence of antibodies to Coxiella burnetii antigens by means of microagglutination reaction (MAR). The examinations were performed in our citizens returning to Czecho-Slovakia from a long termed business stay in the developing countries. Antibodies to C. burnetii antigen 2 have been detected entirely in 91 serum samples, out of which 48 cases following their stay in Libya, 42 cases following their stay in Iraq, and 1 in Syria. Diagnostically significant antibody titres (64) were detected in 44 serum samples, in which the serological positivity was proved by complement fixation test (CFT) examination. Clinical symptoms in the history, responding to the acute form of "Q" fever, occurred in 44 serologically positive cases, 37 of which developed high antibody titres, which is considered to be a significantly high incidence. The results imply the necessity to become more concerned by the incidence of "Q" fever, its diagnostics and therapy, eventually prevention in our citizens working in a more exacting climate of some developing countries. (Tab. 1, Ref. 15.).

Antibodies, Viral↗

Appendiceal mass: interval appendicectomy should not be the rule.

Appendicitis is the most common acute abdominal condition in Libya. Delay can result in the presentation of a patient with generalised peritonitis or an appendiceal mass. Clinical diagnosis of an appendix mass was made in 30 patients over three years at the Central Hospital: three required emergency appendicectomy within 48 hours of diagnosis, and another two had an elective appendicectomy for recurrent right iliac fossa pain two and three months after presentation, respectively. The remaining 83%, who were followed up for six months to three years (mean 15.5 months), did not require surgical intervention. An appendiceal mass should no longer be regarded as an indication for interval appendicectomy.

Adolescent↗

Giant juvenile papillomatosis of the breast: report of two cases.

Two cases of giant juvenile papillomatosis of the breast, a rare disease occurring in adolescent girls, are reported from Libya. Both cases had been initially misdiagnosed as phylloides tumour of the breast due to the large size of the tumours. Juvenille papillomatosis should be included in the differential diagnosis of a large breast mass, particularly in young girls.

Adolescent↗

Non-iatrogenic perforation of the stomach by a chest tube in a patient with traumatic diaphragmatic hernia.

A 40-year-old Libyan male was admitted to the intensive therapy unit of Zliten Central Hospital, Libya after a road traffic accident in which he had been the driver. On physical examination he was irritable, dyspnoeic, cyanotic, had contusions and abrasions on his chest and abdomen (mainly on the left side), a lacerated wound on the forehead, a large haematoma over the left thigh and tenderness over the left side of the chest and abdomen.

Accidents, Traffic↗