Abstract: Sitagliptin is a drug used in treatment of type 2 diabetes mellitus. Incretin hormones, including glucagonlike peptide-1 analogue and dipeptidyl peptidase-4 inhibitor have recently been found to regulate glucose metabolism. Thus, the aim of this study was to evaluate the effect of sitagliptin on glycemic control and it is associated side effects in Libyan patients with type 2 diabetes, who had inadequate response to existing anti-diabetic drugs. Hundred patients with a known history of type 2 diabetes were recruited in this study during the period of 2019 and 2020. Sitagliptin (100 mg daily) was added on to the pre-existing therapy for type 2 diabetes and the main outcome measures were a change from the base line in glycated hemoglobin and fasting plasma sugar as well as the incidence of symptomatic hypoglycemia. All patients were engaged from outpatient clinic of National Diabetes and Endocrinology Center at Tripoli, Libya. The findings show that the actions of dipeptidyl peptidase-4 inhibitors improve glycaemic control in the patients, and glycated hemoglobin as well as fasting plasma sugar. Thus, sitagliptin is a profound drug for a comprehensive treatment of patients with type 2 diabetes with a low incidence of hypoglycemia.

Abstract: The most effective treatment for severe acne is isotretinoin. However, it carries major side effects as teratogenicity, dryness, lipid profile disturbance and constipation. Although it is commonly prescribed with and without prescription in Libya, little date are available regarding patients understanding and awareness of isotretinoin. Aims: This study was conducted to explore the awareness of acne patients about the use of isotretinoin. It aims to measure how much acne patients know about the side effects of the drug especially the teratogenic effects, how to deal with them and how the drug influence their daily activities. Plus, to identify how patients get their information about the drug and whether they consult professional or ordinary people. Methods: A verified and validated questionnaire addressed to acne patients (n = 50, Sept. - Dec., 2019) who were under and over 20 years of age in Tripoli city was used in this study. Results: Data shows that acne patients do not have enough information about the drug. They take their information from other patients and do not usually consult doctors or pharmacists. The only side effects that the patients complained from are dryness. In addition, they are not aware that this drug can cause teratogenic effect. Conclusion: A good understanding and awareness the Libyan patients about isotretinoin help in increasing compliance and minimize adverse effects. 

A floristic survey of Sedrores Al-Qawasim mountains in Gharyan district - Libya was conducted in two consecutive growing seasons from 01/04/2018 to 01/6/2019. In this study area, a total number of 320 plant species belonging to 214 genera were collected representing 44 families, of which 39 families and 276 species belonging to dicotyledons, and 5 families and 44 species are belonging to monocotyledons. The results showed the dominance of the family Asteraceae with 60 species, followed by the family Fabaceae with 32 species, then the family Poaceae with 29 species. The results showed the dominance of the (Euphorbia genus) with 7 species, followed by Helianthenum, Plantago and Erodium with 6 species each. Moreover, life-form spectrum analysis showed the predominance of therophytes with 210, followed by Hemicryptophytes with 59 species, while chorotype spectrum analysis showed the dominance of Mediterranian species with 151 species, followed by Mediterrean/Iranu-Turanean with 72 species. 

The present study endeavors to explore the dynamic causal relationship between economic growth and financial development in Kuwait, covering the time span between 1991 and 2017. Based on the objective of presenting robust results in relation to the research focus, a combination of time and frequency-domain methodologies has been applied. Using the Toda–Yamamoto and the Fourier Toda–Yamamoto time-domain techniques, no causal direction is found through the former test, while the causality flowing from financial development to economic growth is demonstrated by the latter. Nevertheless, the spectral causality test developed by Breitung and Candelon [(2006). “Testing for short- and long-run causality: A frequency-domain approach.” Journal of Econometrics 132 (2): 363–378. https://doi.org/10.1016/j.jeconom.2005.02.004] gives a more thorough overview of the dynamic causal relationships because it allows the temporary and permanent movements in the linkages between variables to be differentiated. The findings show proof of a bidirectional causality between financial development and economic growth. Our findings highlight the emphasis on covering the frequency causality to provide greater insight into the interrelationship between the variables under consideration.

Abstract

Cohesion is one of the most important characteristics of good translation. Having a good translation is not achieved unless this factor is carefully observed. We may find students who have good mastery of spelling, grammatical rules and the skill of speaking but have noticeable weaknesses of using cohesive devices when they translate literary prose texts from Arabic into English. This study tries to examine the use of cohesive devices by University students when they translate literary prose text from Arabic into English. Texts used as a tool or instrument of data collection were given to some students to translate. The participants, in their translations, depended on certain devices ignoring the others. The subjects disregarded completely some categories of cohesive devices, such as the class of possessive pronouns, comparative reference, ellipsis, and substitution. Students sometimes misused the items, such as what happened with ‘the’. Many students were unable to vary the language (expressions) they used to express their ideas. Students sometimes succeeded in achieving cohesiveness but sometimes failed. A number of students did not end the sentences they wrote and started new ones.

Abstract

The research was conducted to investigate the problems and difficulties that ESL students and teachers have faced while they are teaching and learning pronunciation skills. It has been explained some pronunciation goals and factors that affect pronunciation learning. Also, it has been given some ideas for focusing on specific pronunciation features. In addition, some plans for effective learning experiences have been mentioned.  

As businesses are spreading to different locations they require a strong 

and secure way of communication between the different offices. There 

are different services which require nonstop flow of traffic. The 

multimedia applications with voice and video needs more priority than 

other applications, as it is sensitive to delay. The MPLS (Multiprotocol 

Label Switching) based VPN (Virtual Private Network) can provide QoS 

(Quality of Service) features. This paper investigate on how DiffServ 

QoS Model parameters over MPLS VPNs environment can help the 

enterprise network customers to maintain the quality for their multimedia 

application usage in their network. To test our approach, a MPLS VPN 

Traffic Engineering approach was configured on two distinct enterprise 

businesses and MPLS VPN networking with and without DiffServ QoS 

parameters for voice, email and data were implemen