By. Dr. Elmahdi A. Elkhammas

Code of ethics is becoming a general guideline for accepted behavior in almost every profession; journalism, engineering, accounting and medicine to name a few. When it comes to medicine, ethics is a long standing discipline that is associated with the medical profession since Hippocrates times (450-380 BC). Hippocrates and some other physicians at that time have documented the first code of ethics and professional behavior in medical history.Tripolipost

By Dr. Ragiab Ayad

Medical ethics in Libya: where to start?

Dr. Abdulwahab Albrsha, Benghazi, Libya
ملاحظة: إن أحداث و شخصيات هذه القصة من وحي خيال الكاتب و أي تشابه بينها و بين أحداث أو شخصيات حقيقية هو
بمحض الصدفة....

كباقي خلق الله تستيقظ في الصباح الباكر مع إشراقة الشمس و كباقي خلق الله تتوضأ و تصلي و تتناول إفطارك و لكن بخلاف كل خلق الله فإنك لا تدعو الله أن يكون يومك سعيداً و أن يفتح لك فيه كل أبواب الرجاء , فكل ما تريده أن يكون يومك أقل تعاسة من سابقه.... و في رحلة توجهك نحو التعاسة الأقل تركب سيارتك متجهاً الى مقر عملك ...فأنت و بكل فخر طبيب باطنة في مستشفى 7 أكتوبر.

By Dr. Elmahdi Elkhammas
Patient's View

The National Day for the Libyan Physician


By Dr. Elmahdi Elkhammas

Dr. Ragiab Ayad


الناس في الأماكن المأهولة بالسكان وقاطني المدن يشعرون بالقلق نتيجة الهواء الذي يتنفسونه. فالتقاريرالصادرة حديثا بينت زيادة معدلات الوفيات والإصابة بالربو وكذلك نقص نمو الرئتين الطبيعي عند الاطفال بسبب تلوث الهواء الجوى. حيث توصل أحد الباحثين إلى وجود تشابه بين الجزيئات الكربونية في الخلايا الأكولة على جدران الشعيبات الهوائية والجزيئات الكربونية الموجودة في الهواء الجوى وارتباطها أيضا بنقص في وظيفة الرئتين.[/img]

By Dr. Mounir Khalil

May 12, 2007 Summary by Dr. Ragiab Ayad, Germany

Fifty five percent reduction of lung cancer risk by using of statin for more than six months as reported in the chest. Statins are commonly used cholesterol-lowering agents that are noted to suppress tumor cell growth in several in vitro and animal models, some authors wrote that to date there is no effective chemopreventive agent identified as a means to reduce the incidence of lung cancer. The association of lung cancer and the use of statins in 483,733 patients from 8 south central states from 1998 to 2004, were studied. Of total patients 34% were receiving statins and 1.5 % had a primary diagnosis of lung cancer. Statin use for more than 6 months was associated with a reduced risk for lung cancer of 55% (OR, 0.45; 95% CI, 0.42 - 0.48; P < .01). The protective effect of statins occurred in different age and racial groups, independent of the presence of smoking status, alcohol use or diabetes. Statins appear to be protective against the development of lung cancer, and further studies need to be done to define the clinical utility of statins as chemoprotective agents. The study recommended that a well-designed randomised prospective double-blinded placebo controlled clinical trials are necessary to validate the value of statins in lung cancer prevention and treatment.

Source:

Vikas Khurana, Hanmanth R. Bejjanki, Gloria Caldito, and Michael W. Owens
Statins Reduce the Risk of Lung Cancer in Humans: A Large Case-Control Study of US Veterans. Chest, May 2007; 131: 1282 - 1288.

Selected by:Dr Yassine Nouira, Tunisia



ANALYSIS OF HISTOPATHOLOGICAL FEATURES ACCORDING TO TUMORS 4 CM OR LESS IN DIAMETER.

A significantly higher number of small renal lesions are detected incidentally with the wide use of modern imaging techniques. A surveillance strategy has even been recommended for such small tumours. However, data correlating tumour diameter to histological parameters of tumor aggressiveness are scant.

By Dr. Nezar Jrebi

The medical profession has long subscribed to a body of ethical statements developed primarily for the benefit of the patient. As a member of this profession, a physician must recognize responsibility to patients first and foremost, as well as, to other health professionals, to self and to society.

By Dr. Elmahdi Elkhammas
Removing dust from our terminology

First of all please accept my apology for not seeing any other posts. The site
is really for all physicians but it is new and not many people know about it.
Things that two other things Libyan physicians are not used to are debates
and views. It is a cultural thing and it will take time for them to have the
courage to express their opinions on the web.

By Dr. Elmahdi Elkhammas

By: Dr. Elmahdi A. Elkhammas

“The health of my patient will be my first consideration”—part 2. As a doctor, once I have made that pledge, I must be aware of my behavior and interactions with my patients. I must be truthful with my patients. I cannot tell them I am trained to do their surgery when in fact I have no training regarding their disease or treatment. I must be truthful about how many cases and overall results. I must not lie to my patients. Making such pledge will not allow me to transfer funds that are allocated to patient’s care to my personal use. This is embezzlement and it is prohibited by law. As a doctor, I must not take the stethoscope from the hospital to my clinic. I must treat the blood pressure instruments, and all medical equipment as property belonging to the hospital. If you ask a Libyan, he or she would inform you that medical equipment is routinely taken from general hospitals to private offices.

By: Dr. Elmahdi Elkhammas

Ethics in medicine is a very important issue. It is not just a word that is being used in conversations. It is not a session being chaired at a conference. It is a whole behavior in the medical profession that is more strict than law it self. It is a set of concepts, rules and steps that are vital to the delivery of appropriate medical care for the individuals, society and each other.

By Dr. Elmahdi Elkhammas
Libyan Physicians