Abstract Introduction: The World Health Organization (WHO) Health Systems Framework (HSF) with its 6 building blocks is a widely accepted tool for accurate evaluation of health systems. However, its role in the developing world has not been widely assessed yet. Methods: Six Questionnaires with 5-point Likert-scale were designed and distributed to all the attendees of Libya Health 500 (LH500) Conference, and collected just before the group discussion of Libyan health system’s session. Results: There were high levels of agreement of the respondents to the questionnaires items about the 6 building blocks. The application of evidencebased medicine and equal provision of health service to all, received the highest levels of agreement. Most of the attendees agreed that health services should be paid by the health insurance system, as it has many advantages, including the peace of mind for the public. The fairness and efficiency of the workforce and the establishment of regulatory mechanisms to address the needs of the health workforce had a high level of agreement. Moreover, a functioning health technology requires an effective supply and distribution system of technology elements. The participants agreed that health information technology is important to improve healthcare services and to prevent financial and administrative corruptions. Conclusion: It is feasible to adapt the WHO-HSF to identify the needs and ways to enhance health systems in the developing world. The Libyan healthcare providers were fully aware and committed to the need for the applicability of the WHOHSF to the National Health Service in Libya. arabic 18 English 100
Nabil A Alagili(7-2016)

Objectives: Tobacco use in all its forms represents a very well-known preventable risk factor for cardiovascular diseases (CVD). Alteration of plasma lipids levels is one of the mechanisms by which it causes CVD. In addition, there are controversial reports linking tobacco use with diabetes. This case-control study is aiming to investigate the interrelationship between tobacco use and BMI, lipid profile, and plasma glucose in Libyans residing in Tripoli region. Methods: The study was conducted on 200 healthy male subjects, including, 50 non-smokers aged 40.98±8.07, 50 cigarette smokers aged 41.32±7.39, 50 water-pipe users aged 42.04±7.39, and 50 snuff inhalers aged 39.36±7.00. BMI was estimated as (kg/m 2), lipid profile and fasting plasma glucose were estimated in triplicate by enzymatic colorimetric method and expressed as (mg/dL). Results: Our results showed that BMI is significantly higher in tobacco users than non-smokers (P 0.0001). Total cholesterol and triacylglycerols are significantly higher in tobacco users (P 0.0001). HDL is significantly higher in non-smokers (P 0.0001). LDL not affected by tobacco use (P 0.32). Fasting plasma glucose significantly higher in tobacco users (P 0.0001). Conclusions: In conclusion, tobacco use affects the BMI, lipid profile, and glucose which are components of the metabolic syndrome in the Libyan males population. arabic 31 English 133
H Alemam, Abdulla Bashein, (1-2015)

Opinion Cough in kids less than 6yrs old whether being with sputum i.e. wet or without i.e. dry and parental asking about any medicine stopping this symptom certainly if being dry i.e. irritating and disturbing sleep. So most studies being done on this subject proved the following: a) It is not wise to suppress cough because it is natural defense mechanism to expel infected mucus i.e. sputum out of the body and clearing the airways to improve oxygenation so never to prescribe antitussive i.e. cough suppressant. b) sputum mucolytic agents and there are many agents their purpose to liquify it and get it watery to be easy expectorated again studies proved that the best muculytic agent is Good Hydration so no need to use except where there is a mucus retention in the lungs like case of brocheictasis. c) WHO recommendation made about 6 yrs back was never to prescribe any cough medicine whether antitussive or mucolytic to kids less than 6 yrs old. Myself and since about 10 years I had not prescribed any cough suppressant to children despite of age but if kids older than 6 years old I do prescribe mucolytic agent made certainly for kids like amydramine syrup which contains antihistamine diphenhydramine and without restrictions. In kids less than 6yrs old again I do prescribe mucolytic made for kids like soolan or Amydramine pediatric syrup in trial to hit 2 birds which are sedating and antihistamine effects and satisfying anxious parents and it does work almost in all cases arabic 6 English 32
Hisham Mukhtar Alhaashimi Alrabty(5-2017)