The interaction between periodontology and restorative dentistry play an important role in many aspects including location of restorative margins, crown contours and response of all gingival tissues to restorative preparations. Most of the clinicians are aware of this interrelationship but the dilemma remains concerning specific concepts such as biologic width, its maintenance and applications of crown lengthening in cases of biologic width violation.

Neonate’s temporal triangular alopecia, transient neonatal hair loss (TNHL) or neonatal occipital alopecia (NOA) is observed in the occipital of infants at the second to third months after birth in a band–like shape or oval alopecia patch. We present two infants with hypotrichosis over the occipital region and fronto-temporo-parietal region in triangular form bilaterally, based on the clinical hypotrichosis distribution pattern and trichoscopic features, with the exclusion of other alopecias. The diagnosis of occipito-linear and triangular fronto-temporo-parietal marginal alopecia was made accordingly. We also discussed the two different lesions in the presented case as a combined form of neonatal occipital alopecia.

The recent spread of COVID-19 infection and its associated disease has gripped the entire international community and caused widespread public health concerns. Despite global efforts to contain the disease spread, the outbreak is still on a rise because of the community spread pattern of this infection. Responsible behavior of dentists, aimed at stopping the spread of the virus from dental offices showed that only emergency procedures were to be performed, in cases of toothache, trauma and odontogenic infections that might put organs or systems at risk. At the same time, with the cessation of all types of treatments, there was an immediate cessation of teaching processes in all university settings for dental medicine, since the data from World Health Organization strongly suggested death rates among doctors and students in close contact with infected persons. Guidelines for minimizing risk of COVID-19 transmission in dental clinics have been fabricated together with responsible behavior in dental medicine; will result with a staged inclusion of teachers, students, researchers and clinicians in everyday work. While we are expecting an efficient vaccine, the only way to counter the virus are epidemiological measures and responsible behavior of every individual, in order to stop the spread of COVID-19 virus.

The interaction between periodontology and restorative dentistry play an important role in many aspects including location of restorative margins, crown contours and response of all gingival tissues to restorative preparations. Most of the clinicians are aware of this interrelationship but the dilemma remains concerning specific concepts such as biologic width, its maintenance and applications of crown lengthening in cases of biologic width violation.

Objectives: This study was designed to investigate the concentration of calcium level in blood of breast, artificial and mixed feeding babies. Methods: The total number of babies covered were 269 babies of different ages, however, the babies were divided into four groups, including group (I) consists of 98 male and female babies aged between (1 day -6 months), group (II) consists of 53 male and female babies aged between (7 m -12 m), group (III) consists of 59 male and female babies aged between (13 m -18 m), and group (IV) consists of 59 male and female babies aged between (19 m -2 m). Results: The mean concentration of serum blood calcium in breast feeding (9.25 mg/dL) was significantly lower (P < 0.05) than artificial feeding (9.79 mg/ dL) and mixed feeding (9.88 mg/dL). Meanwhile, the mean concentration of serum blood calcium level (8.93 mg/ dL) in babies aged between (13 m-18m) was significantly lower (p<0.05) than other aged groups. However, the effect of the babies’ gender o the concentration of calcium indicated that the serum calcium levels did not show any significant difference among males and females’ babies. Conclusion: The relationship between age type of feeding and the gender show a correlation among the factors studied, therefore, it can be concluded that the babies fed on mixed milk got a benefit regarding the levels of these minerals as their serum levels are higher than the serum levels of babies fed on breast and artificial milk.

Background and objectives. Depression is a common disease with substantial morbidity and mortality, it is often undiagnosed and under-treated. Physicians have a relatively high prevalence of depressive symptoms, and their emotional disturbances are often complicated by substance abuse. This study aimed to determine the frequency of depression and its severity among doctors dealt with trauma cases in Abo Saleem trauma hospital, and to find out the relation between age, medical specialty of interest, different level of seniority on junior doctors and night work shift duties per month, and the depression rate and its severity. Method: The study was a cross-sectional study involves 44 junior doctors’ dealing with trauma cases. they were working at different departments in Abo Saleem trauma hospital asked to answer a standard questionnaire in 1st of July 2010. The data was plotted in software programs “SSPS version 17. Results: The rate of depressed doctors was 68.18 %. The rates of mild, moderate and severe depression were 29.55 %, 27.27 % & 11.36 % respectively. Conclusion: In our study, there was correlation between PROMID-MD and BDI for screening of depression. In addition, there was statistically significant relation between depressions but not in its severity in both medical specialty of interest among physicians and seniority levels on junior doctors. In contrast, there was no statistically significant relation between age, marital status, experience, job specialty and night work shift duties per month; and depression rate and its severity. This finding underlines the importance of better support and more flexible arrangements at the workplaces, in order to ameliorate their emotionally disturbing working conditions.

Background and aims. Autologus with punch minigrafting has been suggested as an alternative surgical method for treating stable vitiligo in refractory patients to induce regimentation. The current study was conducted to evaluate the long-term results of surgical punch minigrafting in patients with resistant vitiligo vulgaris, segmental and focal vitiligo. Methods: Case series prospective exploratory study design was performed in Tripoli central hospital (TCH) and private clinic among patient with confirmed vitiligo vulgaris, segmental and focal vitiligo, during the period from 2009 -2019. Data were presented as descriptive statistics using SPSS version 22. Chi-square test was used to test the significance of data with the level of 0.05 considered as significant level. Results: A total of 28 patients presented with vitiligo, of them 26 (92.9%) were females and 2 (7.1%) were males, with age ranging from 11-46 years old. The re-pigmentation of vitiligo was (53.6%) vulgaris, (28.6%) segmental, and (17.9%) focal vitiligo, with stable disease that did not have any new lesions at least 12 months with the disease ranging from one year (7.2%) and up to 30 years. The main instruments used with these cases were; skin punch size between 2mm (28.6%), 2.5mm (32.1%), and 4 to 6mm (10.7 %). The donor sites where selected to match the recipient sites either behind ear 39.3%, thighs 43%, while 3.6% were not previously affected by the disease. Conclusion. It has been suggested that mini grafting is a proper treatment option for treating patients with stable vitiligo, by using a small size punch, that is less than 2mm.

Coronavirus infections have emerged as epidemic and pandemic threats throughout the world. Severe acute respiratory syndrome coronavirus (SARS-CoV-2) has spread across 203 countries and territories in all 5 major continents. World Health Organization (WHO) declared this as a public health emergency of international concern on January 30, 2020. Subsequently, on February 11, 2020, a new name was given to this disease i.e. COVID-19 by an expert group from WHO. As of 3:37 pm CEST, 14 August 2020, there have been 20,730,456 confirmed cases of COVID-19, including 751,154 deaths, reported to WHO. It possibly originated from a small animal market in Wuhan, China. A cluster of patients was admitted with unusual pneumonia not responding to treatment in various hospitals. Epidemiological, genomic analysis and correlation with other coronaviruses led to the isolation of new coronavirus, closely resembling the bat coronaviruses, from such patients in Wuhan. They were identified as the SARS-CoV-2. This virus infection presents an influenza-like illness in the affected people. Fever, cough, respiratory distress with fatigue, diarrhea, nausea, and vomiting are common symptoms seen in adults. The transmissibility of SARS-CoV-1 was less as compared to SARS-CoV-2 infection, and it was well controlled with good public health efforts. The present COVID-19 epidemic is still in the acceleration phase of 3 and 4 in various countries. Without any effective antiviral agents available at present, the need of the hour is early case detection, isolation of cases, use of good preventive care measures by the household contacts and in the hospital setup. Here, we have placed the symptoms and treatment schemes for the COVID-19 from the practice of different research organizations of the World including WHO.

Background and aims: Human immunodeficiency virus infect cell of immune system, destroying or impairing their function. Infection with virus result in progressive deterioration of the immune system, leading to immune deficiency. This study aims to assess the knowledge level of perceptions who were working with HIV patient who were attending the hemodialysis unit in Airport Road Polyclinic 2018. Methods: In this study descriptive cross-sectional survey was done in hemodialysis unit in Airport Road Polyclinic, conducted in the period from first of December 2018 to 12th December 2018. The study included 70 health workers in Airport Road Polyclinic and agreed to answer the questioner. The questioner includes socio-demographic data general knowledge, mode of transmission and prevention of HIV. Results: Out of 70 participants, 23 were males and 47 were females, general knowledge about the disease was considered to be good (73%) in the same time less than half of participants (43%) had good score regarding the mode of HIV transmission, and (65%) of participants had good score level about the prevention of HIV. Health institute was found to be the most important source of knowledge among participants in this day, followed by read material, then TV, and lastly religious institutes. Conclusion: Structured education in the form of school curricula, health talks / seminars, in service training, and continuous education should be targeted at the medical staff. The role of television channels should be emphasized in distributing accurate, active and effective massage to the population, especially the younger age groups about sexually transmitted diseases. These massages should match social norms and religious values.

Whatever the technique used for root canal instrumentation; a layer of debris termed “smear layer” is formed. This is a layer composed of an organic and inorganic substance and it harbors bacteria and their by-products. Removing the smear layer enhances the cleaning and disinfecting of root canal walls and grant maximum adaptation of root canal filling materials. Nonetheless, the existence of smear layer can seal the dentinal tubules and decrease the probability of dentinal tubule’s invasion by bacteria and their toxins, this issue is still controversial. Smear layer removal approaches including chemical, ultrasonics, and laser have been widely studied. However, none of them is entirely efficient along the length of all canals or is universally recognized. If the decision was to remove smear layer, irrigating root canals with EDTA followed by NaOCl will fulfill the objective. It is still debatable whether the removal of smear layer will decrease the apical leakage or not. Additional research is required to determine the consequence of removing or preserving the smear layer.

Objectives: This study was designed to investigate the concentration of calcium level in blood of breast, artificial and mixed feeding babies. Methods: The total number of babies covered were 269 babies of different ages, however, the babies were divided into four groups, including group (I) consists of 98 male and female babies aged between (1 day -6 months), group (II) consists of 53 male and female babies aged between (7 m -12 m), group (III) consists of 59 male and female babies aged between (13 m -18 m), and group (IV) consists of 59 male and female babies aged between (19 m -2 m). Results: The mean concentration of serum blood calcium in breast feeding (9.25 mg/dL) was significantly lower (P < 0.05) than artificial feeding (9.79 mg/ dL) and mixed feeding (9.88 mg/dL). Meanwhile, the mean concentration of serum blood calcium level (8.93 mg/ dL) in babies aged between (13 m-18m) was significantly lower (p<0.05) than other aged groups. However, the effect of the babies’ gender o the concentration of calcium indicated that the serum calcium levels did not show any significant difference among males and females’ babies. Conclusion: The relationship between age type of feeding and the gender show a correlation among the factors studied, therefore, it can be concluded that the babies fed on mixed milk got a benefit regarding the levels of these minerals as their serum levels are higher than the serum levels of babies fed on breast and artificial milk.

Background and objectives. Depression is a common disease with substantial morbidity and mortality, it is often undiagnosed and under-treated. Physicians have a relatively high prevalence of depressive symptoms, and their emotional disturbances are often complicated by substance abuse. This study aimed to determine the frequency of depression and its severity among doctors dealt with trauma cases in Abo Saleem trauma hospital, and to find out the relation between age, medical specialty of interest, different level of seniority on junior doctors and night work shift duties per month, and the depression rate and its severity. Method: The study was a cross-sectional study involves 44 junior doctors’ dealing with trauma cases. they were working at different departments in Abo Saleem trauma hospital asked to answer a standard questionnaire in 1st of July 2010. The data was plotted in software programs “SSPS version 17. Results: The rate of depressed doctors was 68.18 %. The rates of mild, moderate and severe depression were 29.55 %, 27.27 % & 11.36 % respectively. Conclusion: In our study, there was correlation between PROMID-MD and BDI for screening of depression. In addition, there was statistically significant relation between depressions but not in its severity in both medical specialty of interest among physicians and seniority levels on junior doctors. In contrast, there was no statistically significant relation between age, marital status, experience, job specialty and night work shift duties per month; and depression rate and its severity. This finding underlines the importance of better support and more flexible arrangements at the workplaces, in order to ameliorate their emotionally disturbing working conditions.

Background and aims. Autologus with punch minigrafting has been suggested as an alternative surgical method for treating stable vitiligo in refractory patients to induce regimentation. The current study was conducted to evaluate the long-term results of surgical punch minigrafting in patients with resistant vitiligo vulgaris, segmental and focal vitiligo. Methods: Case series prospective exploratory study design was performed in Tripoli central hospital (TCH) and private clinic among patient with confirmed vitiligo vulgaris, segmental and focal vitiligo, during the period from 2009 -2019. Data were presented as descriptive statistics using SPSS version 22. Chi-square test was used to test the significance of data with the level of 0.05 considered as significant level. Results: A total of 28 patients presented with vitiligo, of them 26 (92.9%) were females and 2 (7.1%) were males, with age ranging from 11-46 years old. The re-pigmentation of vitiligo was (53.6%) vulgaris, (28.6%) segmental, and (17.9%) focal vitiligo, with stable disease that did not have any new lesions at least 12 months with the disease ranging from one year (7.2%) and up to 30 years. The main instruments used with these cases were; skin punch size between 2mm (28.6%), 2.5mm (32.1%), and 4 to 6mm (10.7 %). The donor sites where selected to match the recipient sites either behind ear 39.3%, thighs 43%, while 3.6% were not previously affected by the disease. Conclusion. It has been suggested that mini grafting is a proper treatment option for treating patients with stable vitiligo, by using a small size punch, that is less than 2mm.

Coronavirus infections have emerged as epidemic and pandemic threats throughout the world. Severe acute respiratory syndrome coronavirus (SARS-CoV-2) has spread across 203 countries and territories in all 5 major continents. World Health Organization (WHO) declared this as a public health emergency of international concern on January 30, 2020. Subsequently, on February 11, 2020, a new name was given to this disease i.e. COVID-19 by an expert group from WHO. As of 3:37 pm CEST, 14 August 2020, there have been 20,730,456 confirmed cases of COVID-19, including 751,154 deaths, reported to WHO. It possibly originated from a small animal market in Wuhan, China. A cluster of patients was admitted with unusual pneumonia not responding to treatment in various hospitals. Epidemiological, genomic analysis and correlation with other coronaviruses led to the isolation of new coronavirus, closely resembling the bat coronaviruses, from such patients in Wuhan. They were identified as the SARS-CoV-2. This virus infection presents an influenza-like illness in the affected people. Fever, cough, respiratory distress with fatigue, diarrhea, nausea, and vomiting are common symptoms seen in adults. The transmissibility of SARS-CoV-1 was less as compared to SARS-CoV-2 infection, and it was well controlled with good public health efforts. The present COVID-19 epidemic is still in the acceleration phase of 3 and 4 in various countries. Without any effective antiviral agents available at present, the need of the hour is early case detection, isolation of cases, use of good preventive care measures by the household contacts and in the hospital setup. Here, we have placed the symptoms and treatment schemes for the COVID-19 from the practice of different research organizations of the World including WHO.