Warhurst David C
Full Text Available Abstract Background Parasite resistance to the anti-malarial drug chloroquine is common in eastern Sudan. Dynamic within-host changes in the relative abundance of both sensitive and resistant Plasmodium falciparum parasites were examined in a cohort of chloroquine-treated patients presenting with uncomplicated falciparum malaria, using a novel allele-specific quantitative approach. Methods Treatment outcomes were determined for 93 patients of all ages in a per protocol cohort using a modified 14-day WHO protocol. Parasite DNA samples at days 0, 1, 2, 3, 7 and 14 following treatment were analysed using real-time quantitative PCR methods that distinguished resistant and sensitive genotypes at amino acids 72 - 76 of the pfcrt locus. Results Chloroquine treatment was not efficacious, and of 93 assessable patients, only 10 individuals (10.7%; 95% C.I. 4.34 - 17.2% enjoyed an adequate clinical and parasitological response. Resistant parasites with the haplotype CVIET at codons 72-76 of the pfcrt locus were dominant in the starting population. Chloroquine sensitive parasites with the haplotype CVMNK were detected in 19 individuals prior to treatment (20.43%; 95% C.I. 5.14 - 18.5%. In these patients, CQ treatment rapidly selected CVIET parasites, and this haplotype overwhelmingly dominated the parasite population in each individual by day 2 after treatment. Conclusions Such rapid intra-host selection of particular genotypes after the introduction of drug will cause frequent misidentification of parasite genotypes present in the starting population. This will have a potentially serious confounding effect on clinical trials which employ PCR-corrected estimates of treatment failure, as resistant parasites below the detection threshold in the pre-treatment sample can be erroneously classified as "new" infections during follow-up, over-estimating drug efficacy.
El Imam M
Full Text Available In this paper we describe the causes, patterns of presentation, and management of obstructive uropathy in Sudanese patients in a retrospective multi-center audit. All patients who presented with obstructive uropathy during 2005 were included in this study. All of the patients were subjected to serial investigations including imaging and tests of renal function. Diversion, stenting, and/or definitive surgery were performed in order to relieve the obstruction. Five hundred twenty patients were diagnosed with obstructive uropathy during this period; 345 (66% patients presented with chronic obstruction and 175 (34% with acute obstruction. Of the study patients, 210 (40% presented with significant renal impairment; 50 (23% of them required emergent dialysis. The patterns of clinical presentation of the obstructed patients included pain at the site of obstruction in 48%, lower urinary tract symptoms in 42%, urine retention in 36.5%, mass effect in 22%, and anuria in 4%. Patients in the pediatric age group constituted 4% of the total. The common causative factors of obstruction included congenital urethral valves, pelvi-ureteral junction obstruction, urolithiasis, and iatrogenic trauma, especially in the obstetric practice. Renal function was completely recovered with early management in 100% of patients with acute obstruction and was stabilized in 90% of patients with chronic obstruction. Four patients were diagnosed with end-stage renal failure; two of them were transplanted. The mortality rate in this study was less than 0.3%.
This study composes of two parts, the first one is an experiment to evaluate the level of blood glucose and lipid profile (TC, TG, LDL, HDL and VLDL) among diabetic patients and comparison of the result with non diabetic subjects and the second one is a survey to assess the standards of health care and patients knowledge. The subject were divided into two groups according to insulin requirement. Type 1 is insulin dependent diabetes mellitus and type 2 is non insulin dependent diabetes mellitus and then divided according to gender (males and female) subgroups. The study subjects selected for this study consist of one hundred Sudanese diabetic patients from Ribat University Hospital during January 2009 they had mean age (52±11.063) years,a mean height (165.82±8.573) cm and a mean weight of (70.20±11.203) kg. fifty healthy non diabetic subject were chosen as controls, their mean age (45.72±11.169) years, mean height (167.28±9.450) cm and mean weight (71.02±13.429) kg. Blood glucose and lipid profile total cholesterol (TC), triglycerides (TG), low density lipoprotein (LDL) and high density lipoprotein (HDL) were measured by enzymatic colorimetric methods in both groups, and very low density lipoprotein cholesterol were calculated for each sample. All patients were interviewed and filled out the questionnaire consisted of five parts. The result of the study found highly significant elevated level of blood glucose level among diabetic patients compared to non diabetic subjects. In addition to significant elevated level of serum lipids TC p=0.001, TG p=0.001, LDL p=0.001, and VLDL p=0.001. And decrease in HDL P=0.001 level in diabetic patient compared to non diabetic subjects. Among subgroups (type 1, type 2) diabetic patients glucose level and serum total cholesterol, triglycerides, LDL cholesterol and VLDL cholestrol were significantly higher (p<0.5) while HDL cholestrol was significantly lower when compared to non diabetic subjects. Non statistically variation
This study was done in the period between August, 1997 and October, 1998, with the aim to determine the types of SOLs in adult Sudanese patients, also clinical presentation and CT scan changes were studied. The number of patients included in this study was 118, all were seen in Khartoum city hospitals, Khartoum Teaching hospital, Elshaab Teaching Hospital and Ibn Khaldoon Hospital. Intracranial SOLs were found to be more common in males (56.8%), and were more common in the age group>30-40 years (32.2%). The commonest intracranial SOL was meningioma (28.8%), followed by glioma in (26.8%), then abscess in (10.2%), followed by tuberculoma in (8.5%), pituitary adenoma in (6.8%) and other SOLs were found to account for (19.5%).(Author)
Thyroid diseases comprise a major health problem in Sudan. Although clinical diagnosis of thyroid diseases often easy, there are many diagnostic difficulties. So, laboratory investigations are essential in certain conditions. 97 Sudanese subjects were included in this study. According to the clinical features, patients were divided into three groups, either hyper or hypothyroid, and the control group. Laboratory diagnosis of these individuals was established in the diagnostic and research laboratory centre in Khartoum teaching hospital. The thyroid hormones studied are T3, T4, FT4 (by enzyme immunoassay) and TSH (by the ultrasensitive enzyme immunoassay). Serum T3 concentration was found to be high in 66% of the hyperthyroid patients, and low in 75% of the hypothyroid patients, and normal in 66.7% of the control group. Serum T4 concentration was normal in one-third of the hyperthyroid patients, and one-fourth of the hypothyroid patients, and 90.9% of the control group. FT4 was normal in the control group, low in 95% for the hypothyroid patients, and high in 66% of the hyperthyroid patients. Signs of hyperthyroidism were associated with high hormonal levels more than symptoms do. Hyperkinesis and eye signs had a significant correlation with the hormonal levels. No significant correlation was found between symptoms and signs of hypothyroidism and hormonal levels. So, clinical evaluation of patients is very important before assessing the laboratory values, and the free T4 is more specific in the diagnosis of thyroid diseases. (Author)
Anticorpos antipeptídeos citrulinados e fator reumatoide em pacientes sudaneses com infecção por Leishmania donovani Anti-citrullinated peptide antibodies and rheumatoid factor in Sudanese patients with Leishmania donovani infection
Full Text Available OBJETIVO: Este estudo avaliou a presença de anticorpos antipeptídeos citrulinados cíclicos (anti-CCP, fator reumatoide (FR e imunocomplexos circulantes (ICC em pacientes sudaneses infectados por Leishmania donovani. PACIENTES E MÉTODOS: Os soros foram coletados de pacientes infectados por Leishmania (n = 116 e de sudaneses saudáveis (n = 93. Dezenove pacientes sudaneses com artrite reumatoide (AR e anti-CCP+ foram incluídos como controles positivos. Os níveis de ICC e anti-CCP foram medidos por ELISA. Para avaliar a reatividade citrulina-específica foi usada a placa-controle com peptídeos-controle cíclicos contendo arginina em vez de citrulina. RESULTADOS: Entre os pacientes infectados por Leishmania e os pacientes com AR e anti-CCP+, a maioria (86% era positiva para FR, enquanto a frequência de positividade para ICC foi maior entre pacientes com leishmaniose visceral (LV (LV 38%; AR e anti-CCP+ 24%. Quando foi analisada a reatividade anti-CCP, 12% dos pacientes com LV foram positivos. Os níveis de anti-CCP entre os pacientes com LV correlacionaram-se bem com os níveis de ICC encontrados (r = 0,65; P OBJECTIVE: The present study evaluated the presence of anti-cyclic citrullinated peptides antibodies (anti-CCP, rheumatoid factor (RF, and circulating immune complexes (CIC in Sudanese patients infected with the Leishmania donovani parasite. PATIENTS AND METHODS: Sera were collected from Leishmania infected patients (n = 116 and healthy Sudanese (n = 93. Nineteen Sudanese anti-CCP+ RA patients were included as positive controls. Levels of CIC and anti-CCP were measured by ELISA. Control plate with cyclic control peptides containing arginine instead of citrulline was used to evaluate citrulline specifi c reactivity. RESULTS: Among Leishmania-infected patients and anti-CCP+ RA patients, most were RF positive (86%, while the frequency of CIC positivity was higher among visceral leishmaniasis (VL patients (VL 38%; anti-CCP+ RA 24%. When
Abdelrazig M. Abdelbagi
Results: Utilization of laser dosage (energy density of 40 J/cm2 and 1.6 w/cm2 power density of the wavelength 820 nm and 30 J/cm2 energy density and power density of 0.24 w/cm2 of 780 nm wavelength, in addition to energy density of 8 J/cm2 and power density of 0.24 w/cm2 and 0.40 w/cm2 and energy density of 1.6 J/cm2 for the 675 wavelength was applied. In this study, we used the bio-stimulation effect of LLLT to enhance healing through immune modulation. However, the application of low level diode laser in the treatment of diabetic wounds can be accompanied by low energy density and short wavelength to give better results in a short time and a good diagnostic accuracy for its potentiality in the field. Conclusions: Consequently, the brown skins in Sub-Saharan region for different tissues of Sudanese diabetic patients of chronic skin ulcer can be treated with different wavelengths and energy relative to tissues softening and laser parameters of that optimum values were obtained. The assessment of skin regeneration using laser therapy expose that the quality of growth, the reasonable period of healing and decreases the risk skin infection were achieved. The process of diabetic wounds curing and de-pigmentation, potential resident of decreasing pain and an efficient adjunct to a standard wound management was obtained. [Int J Res Med Sci 2015; 3(12.000: 3720-3725
This study composes of two parts. The first one is a survey of thyroid abnormalities, and the second one is experiment to estimate the level of thyroid hormones (T4, T3, TSH) among diabetic population and the relationship between the level of glucose, thyroid hormones and lipid profile (TC, LDL, TG, HDL) and comparison of the results with non diabetic group. The survey part of the study to determine the thyroid abnormalities, hypothyroidism or hyperthyroidism clinical or subclinical. Also the study group was divided in to two groups according to insulin requirement. Type I is insulin-dependent diabetes mellitus and type II is non insulin-dependent diabetes mellitus. The study subjects selected for this study consist of one hundred Sudanese diabetic patients, they had mean age of 46.51±10.672 years, a mean height of 162.06±10.77 cm and a mean weight of 73.47±14.91 kg. Fifty healthy non-diabetic people without endocrine disease were chosen as controls. Glucose, and thyroid hormones, thyroxine and triiodothyronine (total T4 and T3) and thyroid stimulating hormone (TSH) were measured. In addition hemoglobin (Hb), total cholesterol (TC), triglyceride (TG), high-density lipoproteins (HDL) were also measured in both groups. Low-density lipoprotein (LDL) was calculated for each sample. Physical examinations such as height, weight, and history of diabetes, family history, treatment were recorded in both groups. Determination of serum hormones concentration was carried out using highly sensitive RIA technique. While determination of blood glucose, hemoglobin, and lipid profile was carried out using enzymatic colorimetric method. The results of this study showed that: 13 patients of the population screened had thyroid disease. The commonest diagnosis was sub clinical hyperthyroidism (6%), followed by sub clinical hypothyroidism (5%) and hyperthyroidism (2%). Female patients with diabetes had the highest annual risk of developing thyroid disease but all patient groups had a
Background:Recent studies indicate an independent association of apolipoprotein(a) small phenotypes with the diabetes and the onset of coronary heart disease.Apolipoprotein(a)small phenotypes when used together with Lipoprotein(a) levels make powerful markers in assessing the actual risk of developing coronary heart disease in diabetic patients. Objectives: Evaluation of clinical and diagnostic significant of Lipoprotein(a) levels and apolipoprotein(a) small phenotypes and its relation to coronary heart disease in Sudanese diabetic patients. Setting and duration of study: Diabetic patients attending hospitals and medical centers from May 2011-December 2012, in Khartoum, Sudan. Patients and Methods: This was a case control, hospital based study done on 138 Sudanese diabetic patients attending hospitals and medical centers in Khartoum. Patients were divided into 2 groups. One group had diabetic cases with coronary heart disease and the other were diabetic patients without coronary heart disease. Controls were age and gender matched. Blood samples were collected from both groups(patients and controls) and were run for apolipoproteins, lipoproteins and apolipoprotein(a) small phenotype,low-density lipoprotein,high-density lipoprotein and trigeminal ganglia. Results: The levels of Lipoprotein(a) of patients were significantly higher than controls (p<0.05). Apolipoprotein(a)small phenotype distribution showed a significant difference when compared between patients of both groups (diabetics with and without coronary heart disease) and controls (p<0.05). Both low-density lipoprotein and high-density lipoprotein cholesterol showed significant difference in both patient groups and controls (p<0.05). Total cholesterol and triglyceride levels showed no significant difference between patients and controls. Apolipoprotein(a) small phenotypes showed significant distribution in diabetic patients when compared with coronary heart disease patients (more than one low molecular weight
Ali Malik Osman
Full Text Available Background: Vitiligo is the most common pigmentary skin disorder. It is a multifactorial polygenic disease with epidermal melanocyte destruction. The cytokines profile found in vitiliginous patients was not fully elucidated. Aims: We sought to assess the autoimmune nature of vitiligo by comparing plasma levels of interleukin (IL-17, IL-23, and transforming growth factor beta (TGF-b in adult Sudanese vitiligo patients with matched control individuals. Subjects and Methods: Case-control study was conducted in Khartoum Dermatologic Teaching Hospital, in the period between July and December 2013. The cases were 42 adult Sudanese vitiligo patients matched with 43 control individuals. The cytokines were measured in the plasma by the quantitative "sandwich" ELISA. Results: Patients showed a significant lower median (25-75 th inter-quartile of TGF-β than control (0.042 [0.041-0.044] vs. 0.047 [0.042-0.049]; P ͳ 0.001. Both IL-17 and IL-23 showed no significant difference between cases and controls. IL-17 showed a significant inverse relationship when correlated with TGF-β (r = −0.24; P = 0.026 while showing direct relationship when correlated with age (r = 0.28; P = 0.009. Conclusion: The positive findings detected in this study coincide with the important immunoregulatory role of the TGF-β, and support the autoimmune nature of the disease.
Kamal Addin Mohammad Ahmad Idris
Conclusion: Doctors should give more attention to their patients' medication information specific needs, advice and motivate them to read the PIs before using their medications. [Int J Basic Clin Pharmacol 2014; 3(4.000: 718-722
In the present study, the concentrations of Co, Cr, Fe, Hg, Rb, Se, Zn in the serum of 103 adult patients with newly diagnosed of leukemia (before treatment) were studied. Samples were collected from Radiation of Isotopes Center-Khartoum (RICK) and Institute of Nuclear Medicine and Molecular Biology-Aljazeera State. Samples were freeze-dried and analyzed using Neutron Activation Analysis (NAA). Serum levels of these elements were compared with the contents found in healthy group samples. The patients were divided into 4 groups: 1- Acute Lymphoid Leukemia (ALL), 2- Acute Myeloid Leukemia (AML), 3- Chronic Lymphoid Leukemia (CLL), 4- Chronic Myeloid Leukemia (CML). The control group was formed of 40 healthy subjects, data analysis was performed using the T-tests. partial correlation was used to study a relationship between two variables. It was found that, In group I (ALL ): higher concentration of Cr, Fe, Hg, Rb, Zn, were found in the serum of patients with significant difference as compared to healthy group (p 0.05), the level of selenium was statistically lower than in the control group (p 0.05). Similar result was obtained in Co. The level of selenium was statistically lower than in the control group (p< 0.05). (Author)
Khalifa Nadia; Allen Patrick F; Abu-bakr Neamat H; Abdel-Rahman Manar E; Abdelghafar Khalda O
Abstract Background We aimed to assess the oral health status and risk factors for dental caries and periodontal disease among Sudanese adults resident in Khartoum State. To date, this information was not available to health policy planners in Sudan. Methods A descriptive population-based survey of Sudanese adults aged ≥ 16 years was conducted. After stratified sampling, 1,888 adult patients from public dental hospitals and dental health centres scattered across Khartoum State, including diff...
Abusin, K.A.; Zainab, A.N.; Abdul Karim, Noor Harun
Library anxiety is manifested in the form of negative feelings, fear, stress, distress, confusion and has debilitating effects on students’ academic performance, which makes it a serious phenomenon for investigation. This study explores library anxiety amongst Sudanese university students and identifies factors that contribute to this phenomenon. The factors were identified using the diary approach collected from 51 third year undergraduate students who were taking the research method course ...
Background The HIV epidemic poses significant challenges to the low income countries in sub Saharan Africa (SSA), affecting the attrition rate among health care workers, their level of motivation, and absenteeism from work. Little is known about how to deal with deterioration of human resources in the health care systems. This study aimed to predict the intention to provide surgical treatment to HIV infected patients among medical- and dental students in Tanzania and Sudan using an extended version of the Theory of Planned Behaviour (TPB). Methods Four hundred and seventy five medical- and dental students at the University of Dar es Salaam (mean age, 25 yr) and 642 dental students attending 6 public and private dental faculties in Khartoum (mean age 21.7 yr) completed self-administered TPB questionnaires in 2005 and 2007, respectively. Results Both Tanzanian and Sudanese students demonstrated strong intentions to provide care for people with HIV and AIDS. Stepwise linear regression revealed that the TPB accounted for 51% (43% in Tanzania and Sudan) of the variance in intention across study sites. After having controlled for country and past behaviour, the TPB in terms of attitudes, subjective norms and perceived behavioural control accounted for 34% and moral norms for an additional 2,3% of the explainable variance in intention. Across both study sites, attitudes were the strongest predictor of intention followed in descending order by subjective norms, moral norms and perceived behavioural control. Conclusion The TPB is applicable to students' care delivery intentions in the context of HIV and AIDS across the two SSA countries investigated. It is suggested that attitudes, subjective norms, moral norms and perceived behavioural control are key factors in students' willingness to treat AIDS and HIV infected patients and should be targets of interventions aimed at improving the quality of health care delivery in this context. PMID:19930555
Nasir Elwalid F
Full Text Available Abstract Background The HIV epidemic poses significant challenges to the low income countries in sub Saharan Africa (SSA, affecting the attrition rate among health care workers, their level of motivation, and absenteeism from work. Little is known about how to deal with deterioration of human resources in the health care systems. This study aimed to predict the intention to provide surgical treatment to HIV infected patients among medical- and dental students in Tanzania and Sudan using an extended version of the Theory of Planned Behaviour (TPB. Methods Four hundred and seventy five medical- and dental students at the University of Dar es Salaam (mean age, 25 yr and 642 dental students attending 6 public and private dental faculties in Khartoum (mean age 21.7 yr completed self-administered TPB questionnaires in 2005 and 2007, respectively. Results Both Tanzanian and Sudanese students demonstrated strong intentions to provide care for people with HIV and AIDS. Stepwise linear regression revealed that the TPB accounted for 51% (43% in Tanzania and Sudan of the variance in intention across study sites. After having controlled for country and past behaviour, the TPB in terms of attitudes, subjective norms and perceived behavioural control accounted for 34% and moral norms for an additional 2,3% of the explainable variance in intention. Across both study sites, attitudes were the strongest predictor of intention followed in descending order by subjective norms, moral norms and perceived behavioural control. Conclusion The TPB is applicable to students' care delivery intentions in the context of HIV and AIDS across the two SSA countries investigated. It is suggested that attitudes, subjective norms, moral norms and perceived behavioural control are key factors in students' willingness to treat AIDS and HIV infected patients and should be targets of interventions aimed at improving the quality of health care delivery in this context.
Fifty patients admitted to Khartoum Teaching Hospital and Shaab Teaching Hospital in the period from October 1994- October 1996 and diagnosed as Pott's disease of spine were included in the study. Patients below the age of 15 years were excluded. Full history and physical examination were performed in each patients. Haemoglobin concentration, Packed cell volume . (PCV) Erythrocyte Sedimentation Rate (ESR), White Blood Cell Count total and differential were done for all patients together with chest X-Ray, spinal X-Ray A. P. and lateral views. Myelogram, CT Scan, Mantoux and CSF examinations were done when needed.The main age of the study group was 41.3±17.6 years, with male to female ratio of 30-20 (3:2). Tuberculoses spondylitis affect the cervical spines in 2 cases (3.45%), the upper thoracic in 10 cases (17.24%), mid thoracic 20 times (34.48%), lower thoracic 20 cases (34>48%), lumber spines 6 cases (10.35%) and no lesion in the sacral spines. Pulmonary tuberculosis was found in 18 patients (36%) together with Pott's disease of the spine.All patients came with back pain, lower limbs weakness and the course of the disease was progressive, 35 patients (70%) were unable to walk, and the sphincters were affected in 37 patients (74%) of the cases.On medical treatment 37 patients (74%) showed progressive improvement, 5 patients (10%) remained static or deteriorated and 8 patients (16%) died. 2 of those who died had developed severe bed sores and anemia before death, 3 of them developed deep vein thrombosis (DVT) and died even though they started anticoagulant therapy, two patients developed drug induced hepatitis and died in spite of stopping the drugs, and one patient had got militry tuberculosis showed no adverse effect on outcome of treatment. Surgery done on two patients showed good outcome.(Author)
Hisham H Abdelwahab
Full Text Available Kidney transplantation remains the preferred modality of treatment for patients with end-stage renal disease. In Sudan, kidney transplantation accounted for 28% of the total provided renal replacement therapies. A cross-sectional, hospital-based study was conducted in hemodialysis (HD units in Khartoum State during the period from September 2010 to January 2011. It aimed to determine the main reasons for the currently low renal transplantation rate. Data were obtained by direct interviewing using a specifically pre-coded and pre-tested questionnaire following a pilot study. A total of 462 adult HD patients were randomly selected from the various HD units in Khartoum State; these patients accounted for 16.9% of the total HD population in Khartoum State. The mean age of the study patients was 48.5 ± 23.6 years and 312 (67.5% were males. Upon interviewing, only 316 patients (68.4% said that they had been counseled for kidney transplantation. One hundred and twenty-two patients (26.4% were on the active transplant list; of these, 50% preferred to have their kidney transplantation performed abroad, mostly due to the availability of commercial transplantation and/or a presumed better outcome. The low renal transplantation rate was due to financial constraints in 112 patients (24.2%, lack of medical fitness in 97 patients (21% and absence of a suitable kidney donor in 92 patients (20%, while 56 patients (12% were still having misperceptions regarding transplantation and preferred to continue on dialysis. To improve the kidney transplantation rate in Khartoum State, the Sudan program for organ transplantation is expected to take more initiatives to promote and improve the outcome of kidney transplants inside the country and, accordingly, regain the patients′ confidence on the health system.
A study was performed to compare adult patient doses in film screen (FS) and computed radiography (CR) diagnostic X-ray examinations in some hospitals in Sudan over a period of 1 y; during this period of time, the CR systems were introduced to replace FS systems. Radiation doses were estimated for 354 patients in five hospitals (two FS units and three CR units). Entrance surface air kerma (ESAK) was estimated from incident air kerma using patient exposure parameters and tube output. Dose calculations were performed using CALDOSE X 3.5 Monte Carlo-based software. In FS, third quartile of ESAK values for skull PA, skull LAT, chest PA, pelvis AP, lumbar spine AP and lumbar spine LAT were 1.5, 1.3, 0.3, 1.9, 2.8 and 5.9 mGy, respectively, while in CR, third quartile of ESAK values for the same examinations were 2.7, 1.7, 0.18, 1.7, 3.2 and 10.8 mGy, respectively. Comparable ESAK values were presented in FS and CR units. The results are important for future dose optimisation and setting national diagnostic reference levels. (authors)
Full Text Available Abstract Background There is a relative lack of recent information about late post kidney transplantation anaemia (PTA, especially in the developing countries; data are scarce about the prevalence and risk factors of PTA. Sudan was a leading country in Africa and Arab world in kidney transplantation. The first kidney transplantation in Sudan was in 1973. Methods This is a cross-sectional hospital analytic study enrolling all kidney transplanted recipients following in the transplant referral clinics at Ahmed Gassim, Selma and Ibn Sina Hospitals, Khartoum/Sudan, in the period from 1/8/2010 to 1/9/2010, clinical and laboratory data were obtained from 114 patients, anaemia was defined as Hb levels of Results The study showed that 39.5% of the patients were anaemic. Univariate analysis showed that late PTA is significantly associated with not using Erythropoietin (EPO in the pre-transplant period (p = Conclusion The study concluded that late PTA is common and under recognized. Risk factors for late PTA include renal dysfunction, history of rejection, longer duration of transplantation and not using EPO in the pre-transplant period. Renal dysfunction and not using EPO in the pre-transplant period are major predictors of late PTA.
Malnutrition showed a high incidence among Sudanese children under five years of age. It affects directly the endocrine system of such children. In this the thyroid gland selected as a very important endocrine organ to be studied in 49 malnourished children under five years. Other 20 well- nourished children were selected to act as a control subjects . Both study and control groups were match for age and sex. The patients were seen and assessed for the disease in different hospital in Khartoum by consultant pediatrician. Thyroid function (thyroxineT4 and Triiodothyronine) was tested with a sensitive radioimmunoassay (RIA) technique. Some other biochemical parameters (hemoglobin Hb % total protein) were also investigated for the two groups (Patients and control) to confirm malnutrition. The means of the investigated parameters of the patients were compared with those of control group. The results showed 20 % of the malnourished children was complained of sever hypothyroidism (T4<25μmol/I) and (T3<0.3μmol/I) considering the normal range (55-142μmol/I) and (0.8-3μmol/I) respectively. The difference was highly significant together. The patients group showed low level in the two parameters, which indicate malnutrition. The the thyroid function in the malnourished children was severely affected by malnutrition, and such a test is strongly recommended to be a routine investigation for malnourished children. ( Author)
In this study fertility hormones were measured for 587 infertile Sudanese female referred from gynecological clinics. The ages of these female ranges from 16-50 years divided into seven groups. Eighty seven percent of them are in the age range between 21 and 40 year which correlate with the female's fertile period and 5.6% of them under 20 years. Sensitive (IRMA) method was used for measuring the hormone concentration. The objective of this study was to found out the percentage of hormonal disorders and its relation to the age in infertile Sudanese females. The age group (21-25) was the most affected group by the Poly Cystic Ovary Syndrome (PCOS) and represented 5.1% of the total number of patients. The least group was the age group (41-45) with a percentage of 0.4. The LH and the FSH in the age group of (31-35) was found to be higher than the other groups and represented 11.4% and 7.8% from the total number of patients respectively. The least percent of high level of LH and FSH was found to be in the most fertile age group (15-20) and it was 1.7% and 1.0% from the total number of studied patient, respectively. Those who were in the age range (26-30) with hyperprolactinaemia represented 10.4% of patients, while those with age rang (46-50) with hyperprolactinaemia represented the lowest percentage (1.2%). The percentage of patients having high LH and high FSH was 44.5% and 29.1% respectively, while the hyperprolactinaemia among the infertile Sudanese female was found to 38.2%.(Author)
El-Tigani M. A. Ali
Full Text Available Vesicoureteral reflux (VUR is a common congenital renal tract anomaly in children. Reports from Sudan are scanty. We report the characteristics, presentation and outcome of primary VUR in a tertiary care hospital. The records of 30 patients (16 males; 53% followed-up between January 2004 and December 2010 were reviewed. The mean age at the time of diagnosis was 4 ± 3.9 years and 47% were <2 years of age. Renal ultrasound scan (USS failed to predict VUR in 17% of the patients. On voiding cysturethrogram (VCUG, VUR was bilateral in 57% and severe grade in 64%. Grades were not significantly associated with age, gender or site of VUR. Initial dimercaptosuccinic acid radionuclide scan showed renal damage in 61.5% of the patients. Renal damage was significantly associated with female gender and severe VUR, but not with age of onset or history of urinary tract infection (UTI. Thirteen patients (43.3% presented with acute UTI, eight (26.6% with non-specific urinary tract symptoms and nine (30% with persistently elevated serum creatinine. Urine cultures were positive in 73% of patients, and E. coli was the most common pathogen. Renal impairment at presentation was significantly associated with bilateral severe VUR and history of UTI but not age or gender. After a mean follow-up period of 1.78 years (6 months to 5 years, 70% of patients remained with normal renal function and 30% progressed to chronic kidney disease; two of them died. In conclusion, our data is different from many studies. Features of primary VUR in Sudanese children are late age of onset, equal gender affection and predominance of severe grade. Presentation is associated with a high rate of UTI, renal damage and advanced renal impairment. Measures to improve early detection and treatment of VUR may reduce the risk of kidney damage.
Full Text Available BACKGROUND: Visceral leishmaniasis (VL, a widely distributed systemic disease caused by infection with the Leishmania donovani complex (L. donovani and L. infantum, is almost always fatal if symptomatic and untreated. A rapid point-of-care diagnostic test for anti-Leishmania antibodies, the rK39-immunochromatographic test (rK39-ICT, has high sensitivity and specificity in South Asia but is less sensitive in East Africa. One of the underlying reasons may be continent-specific molecular diversity in the rK39 antigen within the L. donovani complex. However, a second reason may be differences in specific IgG anti-Leishmania levels in patients from different geographical regions, either due to variable antigenicity or immunological response. METHODOLOGY/PRINCIPAL FINDINGS: We determined IgG titres of Indian and Sudanese VL patients against whole cell lysates of Indian and Sudanese L. donovani strains. Indian VL patients had significantly higher IgG titres against both L. donovani strains compared to Sudanese VL patients (p<0.0001. Mean reciprocal log10 50% end-point titres (1/log10t50 were i 3.80 and 3.88 for Indian plasma and ii 2.13 and 2.09 for Sudanese plasma against Indian and Sudanese antigen respectively (p<0.0001. Overall, the Indian VL patients therefore showed a 46.8-61.7 -fold higher mean ELISA titre than the Sudanese VL patients. The higher IgG titres occurred in children (<16 years old and adults of either sex from India (mean 1/log10t50: 3.60-4.15 versus Sudan (mean 1/log10t50: 1.88-2.54. The greatest difference in IgG responses was between male Indian and Sudanese VL patients of ≥ 16 years old (mean 1/log10t50: 4.15 versus 1.99 = 144-fold (p<0.0001. CONCLUSIONS/SIGNIFICANCE: Anti-Leishmania IgG responses among VL patients in Sudan were significantly lower than in India; this may be due to chronic malnutrition with Zn(2+ deficiency, or variable antigenicity and capacity to generate IgG responses to Leishmania antigens. Such
Full Text Available Abstract Background We aimed to assess the oral health status and risk factors for dental caries and periodontal disease among Sudanese adults resident in Khartoum State. To date, this information was not available to health policy planners in Sudan. Methods A descriptive population-based survey of Sudanese adults aged ≥ 16 years was conducted. After stratified sampling, 1,888 adult patients from public dental hospitals and dental health centres scattered across Khartoum State, including different ethnic groups present in Sudan, were examined in 2009-10. Data were collected using patient interviews and clinical examinations. Dental status was recorded using the DMFT index, community periodontal index (CPI, and a validated tooth wear index. Results Caries prevalence was high, with 87.7% of teeth examined having untreated decay. Periodontal disease increased in extent and severity with age. For 25.8% of adults, tooth wear was mild; 8.7% had moderate and 1% severe toothwear. Multivariate analysis revealed that decay was less prevalent in older age groups but more prevalent in southern tribes and frequent problem based attenders; western tribes and people with dry mouths who presented with less than18 sound, untreated natural teeth (SUNT. Older age groups were more likely to present with tooth wear; increasing age and gender were associated with having periodontal pocketing ≥ 4 mm. Conclusions The prevalence of untreated caries and periodontal disease was high in this population. There appear to be some barriers to restorative dental care, with frequent use of dental extractions to treat caries and limited use of restorative dentistry. Implementation of population-based strategies tailored to the circumstances of Sudanese population is important to improve oral health status in Sudan.
Nilsson, Helena Marianne
This thesis aims to find out how Sudanese and South Sudanese refugee women experience their security and safety in Kakuma refugee camp, which is situated in north- western part of Kenya. Sudan and South Sudan has had two civil wars since its independence from the British colonialism. The civil wars in Sudan and South Sudan have mainly been concerning the differences between northern and southern Sudan, with the northern part predominantly Muslim and the southern is predominantly Christian. Th...
Full Text Available Glomerular diseases are a common cause of chronic kidney disease (CKD in many countries. The pattern of glomerular diseases has been reported in adult Sudanese patients but there has been no previous study on Sudanese children. The aim of this study is to describe the pattern of glomerular diseases in Sudanese children from a clinico-pathological perspective. We retrospectively reviewed the clinical records of 321 children seen with nephritis/nephrosis at the Pediatric Nephrology Unit, Soba University Hospital and Dr. Salma Dialysis and Kidney Transplantation Centre, Khartoum, Sudan during the period from 2002 to 2007. Biopsies were studied with light microscopy and immuno-histochemistry with electron microscopy performed abroad in selected patients (predominantly Alport′s. The mean age of the 321 study children was 8.71 years (range 2 months-16 yrs of whom, 188 were males (60.2%. The most common presentation was with the nephrotic syndrome, seen in 202 patients (62.9%. The most common glomerular disease encountered was minimal change disease, seen in 96 children (29.9%, followed by post-infectious GN in 78 (24.3% and focal and segmental glome-rulosclerosis, seen in 44 patients (13.7%. Membranoproliferative GN (MPGN was seen in 43 patients (13.4% while mesangioproliferative GN was seen in 24 (7.5%. Systemic lupus erythematosus (SLE was the most common secondary glomerular disease accounting for 16 patients (4.9%. HBsAg was positive in 10 patients and the most common associated lesion was MPGN (60%. Histopathology enabled us to change the therapy in 55.3% of the patients. Our study suggests that the pattern of GN in our cohort of patients is comparable with reports from other parts of the world with a high prevalence of post-infectious GN. Renal biopsies have an important part in planning therapy and management. Also, the importance of establishing a Sudanese renal registry including pediatric patients is stressed.
Tabi Agbor, Tabi
Tabi Agbor Tabi. Acculturation of the Sudanese in Finland. Järvenpää, Autumn 2009, 46p., 1 appendix. Diaconia University of Applied Sciences, Diak South, Järvenpää Unit, Degree Programme in Social Services. The emergence of globalisation has resulted in easy movement of people across various borders. This has also resulted in individuals or group of individuals getting in continuous first-hand contact with people of different cultures. This research looks at the impacts of this phenome...
Elkhidir, Hassab Elrasoul Hussein Mohamed
Vitamin C (ascorbic acid), which is a potent antioxidant, recently has received a great deal of attention because of its positive action on the immune response and disease resistance of animals. Brief reviews are presented on ascorbic acid metabolism in animals and its relation with stressful conditions. The original research in this thesis is concerned mainly with the identification of various factors that are related with vitamin C status in Sudanese camels (Camelus dromedarius) kept under ...
Pediatric nuclear medicine, in order to survive, must be innovative in finding ways of competing with other pediatric imaging studies for better health care. In this study a group of thirty-one patients with urinary tract infection confirmed by clinical investigation, (fever, pain, ....ect), laboratory investigation (RBC and pus cell)and urine culture, were evaluate by nuclear medicine study. The aim of the study was to compare the diagnostic value of cortical scintigraphy using Tc99m dimercaptosuccinic acid (Tc99m-DMSA), with two other routine investigations; the intravenous urographic (IVU), and ultrasonography (US), for diagnosis of renal parenchymal abnormality in children. The Tc99m-DMSA renal scan was utilized as the gold standard test for renal involvement. All patients had Tc99m-DMSA renal scan, and US, and only 22 patients had contrast IVU. The Tc99m-DMSA renal scan showed abnormality renal scanning in about 94% of patients, US abnormalities were detected in about 81% of patient, while the IVU detected defects in about 87%. Because the prevalence of upper UTI in children is high, Tc99m-DMSA renal scan is undoubtedly the available tool for pediatriacicians as a guide in giving appropriate antibiotic therapy and to prevent further renal damage. The study concludes that, the renal cortical scintigraphy with Tc99m-DMSA has been reported to be a useful children diagnostic study of acute parenchymal renal infections, moreover, is presently the method of choice to detect acute parenchymal infection. (Author)
Nasir Elwalid F; Åstrøm Anne N
Abstract Background The HIV epidemic poses significant challenges to the low income countries in sub Saharan Africa (SSA), affecting the attrition rate among health care workers, their level of motivation, and absenteeism from work. Little is known about how to deal with deterioration of human resources in the health care systems. This study aimed to predict the intention to provide surgical treatment to HIV infected patients among medical- and dental students in Tanzania and Sudan using an e...
Eassa, Nashwa; Elmardi, Maye; Adam, Buthaina; Elgadi, Mayada; Abass, Sara
At Al Neelain University, Khartoum, Sudan, enrollment of female undergraduate physics students is significantly higher than that of males (double or more). However, most of the female staff in the Physics Department at this university hold lecturer positions because few women hold the necessary higher degrees. Sudanese students who seek higher qualifications must study abroad. Lack of financial support for such study affects both genders, but this situation imposes additional challenges on female students because of cultural and religious constraints that limit women's ability to study abroad.
Abdallah, Emad Mohamed
Background: Hibiscus sabdariffa L. is a plant native to tropical Africa and intensively cultivated in Sudan. Its calyces are widely consumed with many uses in Sudanese folk medicine. Materials and Methods: The dried calyces of H. sabdariffa were subjected to soak in 80% v/v methanol to get the methanolic extract, which was tested against five Gram-negative and three Gram-positive referenced bacterial strains using disc diffusion method. Selected bioactive phytochemical compounds were also inv...
In this study fertility hormones were measured for 587 infertile Sudanese female referred from gynecological clinics. The ages of these female ranges from 16 - 50 years divided into seven groups. Eighty seven percent of them are in the age range between 21 and 40 year which correlate with the female's fertile period and 5.6% of them under 20 years. Sensitive (IRMA) method was used for measuring the hormone concentration. The objective of this study was to found out the percentage of hormonal disorders and its relation to the age in infertile Sudanese females. The age group (21 - 25) was the most affected group by the Poly-Cystic Ovary Syndrome (PCOS) and represented 5.1% of the total number of patients. The least group was the age group (41- 45) with a percentage of 0.4. The LH and the FSH in the age group of (31- 35) was found to be higher than the other groups and represented 11.4% and 7.8% from the total number of patients respectively. The least percent of high level of LH and FSH was found to be in the most fertile age group (15 - 20) and it was 1.7% and 1.0% from the total number of studied patient, respectively. Those who were in the age range (26 - 30) with hyperprolactinemia represented 10.4% of patients, while those with age range (46 - 50) with hyperprolactinemia represented the lowest percentage (1.2%). The percentage of patients having high LH and high FSH was 44.5% and 29.1% respectively , while the hyperprolactinemia among the infertile Sudanese female was found to 38.2%. (Authors)
This study was done, essentially to assess the effect of hyperthyroidism on lipid metabolism, respectively on total cholesterol in Sudanese females. Samples were collected from the referred patients to RIA lab in Sudan Atomic Energy Commission (SAEC). Ninety eight subjects were selected as study group. 48 hyperthyroid females age range (18-60) years in addition 50 euthyroid specimens were collected from females (of the same ages range) and used as control. Thyroid hormones, thyroxine (T4) and Triiodothyronine (T3), the thyroid stimulating hormone (TSH), and serum total cholestrol were measured for all subjects. Statistical analysis was done using SPSS computer program to compare the mean of cholesterol levels the control with the study group. The result showed that the significantly (P < 0.01). High levels of thyroid hormones in patients were accompanied by significantly (P< 0.01) decreased cholesterol levels. When this finding was compared in the control group serum total cholesterol levels kept the normal rang with the normal thyroid function.(Author)
Wani, Charles E.; Yousif, Ibrahim A.; Ibrahim, Muntasir E.; Musa, Hassan H.
The objective of this study was to assess the genetic relationships and diversity and to estimate the amount of gene flow among the five chicken populations from Sudan and South Sudan and commercial strain of egg line White Leghorn chickens. The chicken populations were genotyped using mtDNA D-loop as a molecular marker. PCR product of the mtDNA D-loop segment was 600 bp and 14 haplotypes were identified. The neighbor-joining phylogenetic tree indicated that the indigenous Sudanese chickens can be grouped into two clades, IV and IIIa only. Median joining networks analysis showed that haplotype LBB49 has the highest frequency. The hierarchal analysis of molecular variance (AMOVA) showed that genetic variation within the population was 88.6% and the differentiation among the population was 11.4%. When the populations was redefined into two geographical zones, rich and poor Savanna, the results were fractioned into three genetic variations: between individuals within population 95.5%, between populations within the group 0.75%, and genetic variation between groups 3.75%. The pair wise Fst showed high genetic difference between Betwil populations and the rest with Fst ranging from 0.1492 to 0.2447. We found that there is large number of gene exchanges within the Sudanese indigenous chicken (Nm = 4.622). PMID:25535590
Charles E. Wani
Full Text Available The objective of this study was to assess the genetic relationships and diversity and to estimate the amount of gene flow among the five chicken populations from Sudan and South Sudan and commercial strain of egg line White Leghorn chickens. The chicken populations were genotyped using mtDNA D-loop as a molecular marker. PCR product of the mtDNA D-loop segment was 600 bp and 14 haplotypes were identified. The neighbor-joining phylogenetic tree indicated that the indigenous Sudanese chickens can be grouped into two clades, IV and IIIa only. Median joining networks analysis showed that haplotype LBB49 has the highest frequency. The hierarchal analysis of molecular variance (AMOVA showed that genetic variation within the population was 88.6% and the differentiation among the population was 11.4%. When the populations was redefined into two geographical zones, rich and poor Savanna, the results were fractioned into three genetic variations: between individuals within population 95.5%, between populations within the group 0.75%, and genetic variation between groups 3.75%. The pair wise Fst showed high genetic difference between Betwil populations and the rest with Fst ranging from 0.1492 to 0.2447. We found that there is large number of gene exchanges within the Sudanese indigenous chicken (Nm=4.622.
This study was conducted in order to identify the menopausal statues of Sudanese women which is critically important in determining the treatment strategy for infertile patients. In this study samples were collected from two hundred Sudanese women, aged between 35 and 62. They were from different social classes and are not suffering any systemic or endocrine disease. They were not exposed to any surgical intervention by complete hysterectomy or partial removal of ovaries or thyroidectomy. Reproductive hormones were determined for these women. Immunoradiometric Assay (IRMA) was adopted for the measurement of serum prolactin, follicle stimulating hormone, and luteinizing hormone. Enzyme linked immunosorbent assay (ELISA) was used for the determination of estradiol and esterone, whereas, enzyme immunoassay (tube format) was used for the determination of serum testosterone. Average menopausal age for Sudanese women was determined in this study and found to be 43.0±4.2 which is lower than that of the neighboring countries. A new classification system was developed during this study which uses a combination of symptoms together with hormonal profile in order to identify the menopausal status of women. The three key tools of this system are FSH and LH level together with the absence of menstrual cycle during the last three months. The new classification scheme had successfully differentiated the early peri-menopausal women from pre-menopausal ones. The early peri-menopausal women according to the new classification scheme are suffering cycle irregularities and amenorrhea but with normal hormonal levels. The new classification scheme is now, clearly indicating that amenorrhea with normal hormonal levels may be an indication to the beginning of the peri-menopausal life. The big challenge faced during this study had been the sub-classification of the peri-menopausal stage as it is not a single homogeneous stage but a wide heterogenous and transitional stage extending from
Ahmed, Mahgoub Dafalla
This study examines the Sudanese EFL students' comprehension performance and measures the differences in their performance according to gender. After one semester of participation in extensive reading, 300 secondary school students from 15 schools in the state of Khartoum are randomly selected for the study. A comprehension test followed by a…
Ameer M Dafalla
Full Text Available The main objective of this study is to provide a database for renal transplantation in Sudan and to determine the HLA antigens and haplotype frequencies (HFs in the study subjects. HLA typing was performed using the complement-dependant lymphocytotoxicity test in 250 unrelated healthy individuals selected as donors in the Sudanese Renal Transplantation Program. Considerable polymorphism was observed at each locus; A2 (0.28, A30 (0.12, A3 (0.09, A24 (0.09, A1 (0.09, and A68 (0.06 were the most frequent antigens in the A locus, while B51 (0.092, B41 (0.081, B39 (0.078, B57 (0.060, B35 (0.068, B 50 (0.053 and B 52 (0.051 were the most common B locus antigens. DR13 (0.444 and DR15 (0.160 showed the highest antigen frequencies (AFs in the DR locus. In the DQ locus, DQ1 showed the highest gene frequency (0.498, while DQ2 and DQ3 AFs were (0.185 and (0.238, respectively. The most common HLA-A and -B haplotypes in positive linkage disequilibrium were A24, B38; A1, B7; and A3, B52. The common HLA-A and -B HFs in positive linkage disequilibrium in the main three tribe-stocks of the study subjects (Gaalia, Nile Nubian and Johyna were A24, B38 for Gaalia; A24, B38 and A2, B7 for Johyna; and A2, B64 and A3, B53 for Nile Nubian. These results suggest that both class I and class II polymorphisms of the study subjects depict considerable heterogeneity, which reflects recent admixture of this group with neighboring Arabs and African populations.
In this study 672 pregnant Sudanese women were involved in order to determine the reference values of human chorionic gonadotropin (HCG) and alpha feto protein (AFP). Blood samples were collected from different maternity centers in Khartoum and Omdurman maternity. Sensitive immunoradiometric assay (IRMA), method was used for measuring HCG and AFP in maternal serum. The data collected reveals that, the behavior of both AFP and HCG resemble that of the international one, where the peak concentrations of HCG are reached at 7-9 weeks of pregnancy then decrease, then staying relatively constant during the second trimester and increasing slightly towards term. The maternal serum concentration of AFP increases during pregnancy, reaching its peak during the last trimester. The concentration of AFP and HCG in maternal serum with relative couples was also compared to that of ir relative couples. Relative couples showed significant increase in maternal AFP level in the first and third trimesters (p=0.001and 0.000) respectively. The HCG concentration in both groups was not significantly different throughout the pregnancy (p>0.15). It is recommended that each laboratory establishes its own normal values. Since sudanese obstetrician depends previously on values from abroad, this study may help them to handle their patients depending on our own reference values.(Author)
In this study 672 pregnant Sudanese women were involved in order to determine the reference values of Human Chorionic Gonadotropin (HCG) and alpha feto protein (AFP). Blood samples were collected from different maternity centers in Khartoum and Omdurman maternity. Sensitive immunoradiometric assay (IRMA), method was used for measuring HCG and AFP in maternal serum. The data collected reveals that, the behavior of both AFP and HCG resemble that of the international one, where the peak concentrations of HCG are reached at 7-9 weeks of pregnancy then decrease, then staying relatively constant during the second trimester and increasing slightly towards term. The maternal serum concentration of AFP increases during pregnancy, reaching its peak during the last trimester. The concentration of AFP and HCG in maternal serum with relative couples was also compared to that of ir relative couples. Relative couples showed significant increase in maternal AFP level in the first and third trimesters (p= 0.001and 0.000) respectively. The HCG concentration in both groups was not significantly different throughout the pregnancy (p> 0.15). It is recommended that each laboratory establishes its own normal values. Since Sudanese obstetrician depends previously on values from abroad, this study may help them to handle their patients depending on our own reference values. (Authors)
Bashir Abuelnour Elbashir Hussein; Holi Ibrahim Holi Ali
This study is primarily investigating teachers’ perceptions about the application of oral corrective feedback in Sudanese EFL classrooms. It attempts to explore and rationalize the application of oral feedback in an EFL context, specifically in Sudan. For this purpose, a questionnaire was designed and distributed to (70) EFL secondary school teachers. An observation checklist was also used during class visits to further support the qualitative data. The results showed that EFL teachers have d...
A Vancouver, British Columbia, independent and its Sudanese partner have filed a development plan with the government of Sudan to produce an initial 40,000 b/d from Heglig and Unity oil fields in Sudan. Arakis Energy Corp., and the private Sudanese company State Petroleum Corp. (SPC) want to begin the first commercial hydrocarbon production in the destitute, war torn country. They are picking up where Chevron Corp. left off after years of grappling with an ambitious, costly - and ultimately futile - effort to export crude-oil from Sudan. After finding almost 300 million bbl of oil in Sudan during the early 1980s, Chevron scuttled a $2 billion project to export 50,000 b/d of Sudanese crude in 1986. It drilled 90 wells and sank more than $1 billion into the project. But it dropped the plan, citing the 1986 collapse of oil prices and concerns over security after repeated guerrilla attacks delayed work. The paper details the project
Luster, Tom; Qin, Desiree; Bates, Laura; Rana, Meenal; Lee, Jung Ah
This study explores the adaptation of unaccompanied Sudanese refugee minors resettled in the US. Seven years after resettlement, in-depth interviews were conducted with 19 Sudanese youths and 20 foster parents regarding factors that contributed to successful adaptation. The youths emphasized personal agency and staying focused on getting an…
Lazarus, Jeff; Himedan, Himedan Mohammed; Østergaard, Lise Rosendal;
This study explores the knowledge, attitudes and practices among Somali and Sudanese immigrants in Denmark with regard to HIV/AIDS and condom use.......This study explores the knowledge, attitudes and practices among Somali and Sudanese immigrants in Denmark with regard to HIV/AIDS and condom use....
Cole, David R.
Sudanese families arriving in Australia bring with them a wealth of language and cultural resources that are currently not recognised by the Australian education system. This paper challenges such a position by investigating the narratives of the Sudanese Australians from a Deleuzian perspective. A Deleuzian perspective in education promotes the…
ElMalik, Abdullahi Tambul; Nesi, Hilary
This paper compares published writing produced by British and Sudanese medical researchers. Twenty research articles were examined, 10 by British and 10 by Sudanese writers. All had been published in highly regarded international journals. As expected, all 20 articles conformed to editorial requirements and followed the conventional IMRD structure…
Tajeldin Ali, Ezzeldin Mahmoud
This is a study on the pronunciation and perception of English sounds and words by university students of English in Sudan, whose native language is Sudanese Arabic. The study aims to establish the intelligibility of Sudanese-Arabic (SA) accented English for native English (British and American) lis
Awdah M. Al-hazimi
Full Text Available Introduction and Objective: The aim of this study was to assess the cytological changes in oral epithelium that might be induced by Sudanese homemade alcoholic beverages. Material and methods: Oral Exfoliative Cytology (OEFC was applied to a case control study to assess the presence and severity of oral epithelial atypia (ET in 300 subjects (150 alcohol abuse individuals (cases; 150 non-alcohol abuse individuals (controls. All cases were using homemade alcoholic drinks, locally known as, Aragee, Marisa and others. Five patients with oral squamous cell carcinoma (OSCCs were included as internal controls. Results: ET was detected in 7 subjects and was not observed in the remaining 293. All the 7 subjects with cytological atypia were cases. Cytological atypia were identified among those using Aragee, Marisa, and Aragee & Marisa together, representing 53%, 28.6%, 18%.4, respectively. Cytological atypia was found in all the 5 control cases with OSCCs. For the cytological atypia among alcohol abuse individuals, the adjusted OR and the 95% CI were found to be 5 (4.34-5.84 and P = 0.008. Inflammatory cells infiltrates were identified among 21 (14% of the cases and only 12 (8% of the controls and the adjusted OR and the 95% CI were found to be 5 (2.51-11.21 and P = 0.009. Conclusion: In view of these findings, Sudanese homemade alcoholic beverages cause oral epithelial atypical changes, which lead to oral precancerous and cancerous lesions. OEFC is a useful procedure for detection and assessment of oral ET.
Tarig Osman Khider
Full Text Available The fibre characteristics and chemical composition of Gossypium Hirsutum, Sudanese cotton stalks were assessed for their suitability for papermaking. Soda-anthraquinone (soda-AQ, alkaline sulphite-anthraquinone (AS-AQ and ASAM (alkaline sulphite-anthraquinone- methanol cookings were carried out with different alkali charges and pulps with acceptable to good yields and mechanical properties were obtained. ASAM pulping gave the best results in yields, degree of delignification, mechanical pulp properties. AS-AQ pulping cooking with ratio (70: 30 as NaOH: Na2SO3 gave better results compared to (60: 40 ratio.
In this study was measured concentration of naturally occurring radionuclides 238U, 232Th and 40K in samples of sudanese medicinal plants. The radionuclide activity concentrations in samples analyzed ranged from 4.09 to 41.07 Bq kg-1 for 238Th and from 353.14 to 2270.21 Bq kg-1 for 40k. No trace of artificial radionuclide was determined in all the samples. The effective dose due to the presence of these radionuclides was estimated and found to be 0.524 mSv/year which is well below the permissible levels. (Author)
Ehab I. El-Amin
Full Text Available Background/objective: The anatomy of vermiform appendix displays great variations in length and position between different populations. The reports relating these variations to a specific etiological factor are few. This study aims to describe the positions and lengths of vermiform appendix among Sudanese cadavers. Methods: This descriptive study was carried out in Omdurman Teaching Hospital Morgue and Omdurman Islamic University-Sudan. Sixty Sudanese cadavers (30 male and 30 female, were dissected in the period from June 2013 to June 2014. The positions and the lengths of vermiform appendix were measured in millimeters. The data was analyzed by SPSS version 20. Results: The cadavers’ age ranged between 20 to 80 years according to their medico-legal reports. Retrocaecal position was mainly observed in 60%, pelvic in 35%, post-ileal in 3.3%, and pre-ileal in 1.7%. The lengths of the appendix was found < 69 mm in 23.3%, 70-110 mm in 60%, and > 110 mm in 16.7%, also the study showed insignificant difference between the lengths and ages (p < 0.08, and between males and females (p = 0.23. Age was the influencing factor for the positions of vermiform appendixes (p = 0.04. Conclusion: The study showed that the commonest lengths of the appendix were 70-110 mm while the common position was retrocaecal regardless to age or gender. This data should be considered in surgical removal of the inflamed appendix.
A.W. Mohamed ISSAM
Full Text Available In the past two decades many voices were raised calling for corrections, restructuring and improvements of the Sudanese educational system. Complaints focused on the weakness of university students. However, their weaknesses were traced back to the elementary, secondary and high secondary educational phases. Economic restrains, lack of facilities and meager numbers of qualified instructors were pointed out as the prime causes. However, in this paper we hypothesize that besides those reasons basic impediments were entrenched in the whole educational system. The metamorphosis the Sudanese educational system has foreseen in the early 1970s and 1990s have distorted students knowledge base. Changing the system into purely Arabic based and partially abolishing English language weakened a well-known and strong system Sudan has known for generations. The current paper analyzes those effects and review some parameters to contain them. It is concluded here that interventions by lowering the students’ pass mark rates have affected their knowledge and education capabilities. That gave them false sense of passing from an educational phase to another. However, the result is worse knowledge transferred into another educational phase and then to the university. The result is like Zeno or Achilles paradox and a worse graduate education.
Syed Arabi Idid
Full Text Available This research investigates the influence of new media agendas on traditional news media according to the theoretical framework of intermedia agenda-setting during the 2010 Sudanese presidential elections. Upon applying content analysis, cross-lagged correlation analysis, and Rozelle-Campbell Baseline analysis, the paper provides evidence of intermedia agenda-setting in Sudanese media across a number of dependent variables. Sudanese newspapers influenced the agenda of Sudanese blogs whilst blogs have an increasing impact on the agenda of the newspapers. Our content analysis found that the agendas of socio-political blogs were strongly correlated with those of the newspapers. The findings also presented evidence of intermedia agenda-setting between socio-political blogs and citizen journalism.
Tajeldin Ali, Ezzeldin Mahmoud
This is a study on the pronunciation and perception of English sounds and words by university students of English in Sudan, whose native language is Sudanese Arabic. The study aims to establish the intelligibility of Sudanese-Arabic (SA) accented English for native English (British and American) listeners and Dutch listeners who use English as a lingua franca. The intelligibility of SA-accented English is compared with that of native English. The study also investigates how well the SA studen...
Toombak is a local from of snuff widely used in Sudan. Dipping snuff is a common habit in Sudanese male subject. Many reports have related the high incidence rate of oral cancer and other types of cancer in Sudanese subjects to this habit. Trace elements such as Cu, Co, Cd, Cr, Fe, Mn, Pb, and Zn were measured using atomic absorption spectroscopy in soil on which toombak is grown, toombak leaves ready to use and nitron. The average concentration (μ/g) of these elements in soil and toombak leaves were found to be 60.8 and 18.1 (Cu), 72.2 and 50.9 (Zn), 48.4 and 19.9 (Co), 398.6 and 211.7 (Mn), 17391.9 and 6410.7 (Fe), 16.1 and 5.3 (Cr), 27.7 and 7.9 )Pb), 7.2, and 4.8 (Cd), respectively. The concentration of trace elements in ready to use were found to be 10.77 for Cu, 35.1 for Zn, 22.9 for Co, 448.7 for Mn, 6833.97 for Fe, 4.16 for Cr, 8.8 for Pb, and 5.72 for Cd. For the nitron the average of trace elements content in nitron samples were found 1.27 for Cu, 18.5 for Zn, 2.7 for Co, 76.5 for Mn 2129.2 for Fe, 2.73 for Cr, 3.74 for Pb, and 0.57 for Cd. Sudanese soils were found to be rich in trace elements (Cu,Zn, Co, Mn, Fe, Cr, Pb, and Cd) and their levels are consider to be sufficient and normal for plant up take. The levels of trace elements in the toombak were higher than those reported in the literature with respect to copper and cadmium, where lead and zinc fall within the range. Soil to plant transferers factor was determined and found to be less than unity. The correlation coefficient between concentrations of trace elements in soils, and their soil- to toombak transfer factors divided the elements into two group , first group have inverse correlation while the second group is independent of their soil concentration. The correlation factor between soil and plant show strong correlation between Cu-Zn, Pb-Zn, Co-Fe and Pb-Cd. (Author)
The function of the thyroid gland is under the control of pituitary gland through the thyroid stimulating hormone (TSH). It secretes the thyroid hormones tetra-iodo-thyronine (T4) and Tri-iodo-thyronine (T3). More secretion of thyroid hormones (hyperthyroidism) and low secretion (hypothyroidism) sometimes happen. This study was carried out to determine thyroid disorders in patients referred to radioimmunoassay (RIA) laboratory of Sudan Atomic Energy Commission (SAEC) during 2006-2010 for the thyroid function test. Disorders were detected using radioimmunoassay and Immuno radiometric assay. The total number of patients referred during these years were found to be 4700 sudanese patients, among them 4165 were females representing 88.6% compared to 535 males representing 11.4%. The total concentration of thyroid hormones thyroxine (T4), tri iodine thyronine (T3) and thyroid simulating stimulating hormones (TSH) were d terminated the prevalence of euthyroid was (66.5%), hypothyroidism was (11.8%) and of hyperthyroidism was (21.7%). These percentages did not vary significantly with sex. (Author)
Bashir Abuelnour Elbashir Hussein
Full Text Available This study is primarily investigating teachers’ perceptions about the application of oral corrective feedback in Sudanese EFL classrooms. It attempts to explore and rationalize the application of oral feedback in an EFL context, specifically in Sudan. For this purpose, a questionnaire was designed and distributed to (70 EFL secondary school teachers. An observation checklist was also used during class visits to further support the qualitative data. The results showed that EFL teachers have different views about giving oral corrective feedback. The findings also revealed that recast is the most commonly used approach, followed by elicitation and metalinguistic feedback, respectively. Clarification requests were found to be the least commonly used approach. Regarding teaching language systems, it was found that recasts is the most common approach used in teaching vocabulary and pronunciation whereas metalinguistic is highly preferred in teaching grammar. The study concluded with some relevant recommendations: First, it is the responsibility of the concerned authorities to make the school environment a better place for learning; class size and learning aids are important to help facilitate the role of the teacher in offering good quality teaching where feedback is provided for every learner. Second, educators and experts should hold regular seminars and conferences, issue magazines and periodicals on feedback and other relevant ELT topics. Moreover, teachers should be trained on how to give feedback on oral production. Finally, teachers should push students towards pair/group work because by doing so this will provide opportunities for ST-ST and T-ST feedback.Keywords: Rationalizing, oral corrective feedback, Sudanese EFL classrooms, clarification requests, metalinguistic, recast
NahidAbdel Rahim Osman; Sayadat Eltigany Mohammed
Objective: To present an updated and compiled checklist of Sudanese seaweeds as an example for the region for conservational as well as developmental purposes. Methods: The checklist was developed based on both field investigations using line transect method at 4 sites along the Red Sea coast of Sudan and review of available studies done on Sudanese seaweeds. Results: In total 114 macroalgal names were recorded and were found to be distributed in 16 orders, 34 families, and 62 genera. The Rhodophyceae macroalgae contained 8 orders, 17 families, 32 genera and 47 species. The Phaeophyceae macroalgae composed of 4 orders, 5 families, 17 genera, and 28 species. The 39 species of the Chlorophyceae macroalgae belong to 2 classes, 4 orders, 12 families, and 14 genera. The present paper proposed the addition of 11 macroalgal taxa to be included in Sudan seaweeds species list. These include 3 red seaweed species, 1 brown seaweed species and 7 green seaweed species. Conclusions: This list is not yet inclusive and it only represents the macroalgal species common to the intertidal areas of Sudan Red Sea coast. Further investigation may reveal the presence of more species. While significant levels of diversity and endemism were revealed for other groups of organisms in the Red Sea region, similar work still has to be performed for seaweeds. Considering the impact of climate change on communities’ structure and composition and the growing risk of maritime transportation through the Red Sea particularly that may originate from oil tankers as well as that may emanate from oil exploration, baseline data on seaweeds are highly required for management purposes.
Sudanese medicinal and aromatic plants (Alternanthra repens, Ambrosia maritima, Citrus paradisi, Croton zambesicus, Lepidium sativum, Morettia phillaena, Nauclea latifolia, Plectranthus barbatus, Pluchea dioscorides, and Sphaeranthus suaveolens) were analyzed for their chemical composition, mineral contents and secondary constituents. The concentration of manganese, copper, iron, nickel, lead, zinc and potassium in plant samples was performed using x-ray fluorescence spectrometry. The trace elements found in the smallest amount of the investigated plant species are lead, nickel and copper, while high concentration was detected for potassium, iron and manganese. Mn was accumulated with high level in Alternanthra repens species. Potassium was abundant in S. suaveolens and Ambrosia maritima. The values of concentration obtained for all studied elements were compared with published values of reference material, trace elements in Hay (powder) by International Atomic Energy Agency. Phyto chemical analysis of investigated plants was performed for constituents: Flavonoids, saponins, tannins, alkaloids, amino acids and sugars. The methanolic extracts of P.barbatus, C.paradisi, A.repens, N.latifolia, L. sativum and C. zambesicus are found to contain alkaloids. Results of TLC analysis were shown as Rf values for saponins, bitter principles, essential oils, flavonoids and alkaloids. Quantification of flavonoids and tannins showed that flavonoid content was highest in case of Alternanthera repens and Sphaeranthus suavertens, whereas the highest tannin content was in case of Nauclea latifolia and Sphaearanthus suavertens. The results suggest that the user of traditional Sudanese crude drugs should be warned of potential danger of heavy metal poisoning because their concentrations seem to be higher than maximum values allowed by health agencies in several countries. This study has provided some biochemical basis for the ethno medical use of extracts from different candidate plant
Gawi, Elsadig Mohamed Khalifa
This study is aiming at investigating the impact of encouragement on Sudanese learners when learning EFL. The main question of the present study is asking about the influence of encouragement on learning EFL in Sudanese setting. Population of this study are English teachers and students in Eddueim Locality's schools in Sudan. Questionnaire was…
Saadia Izzeldin Malik
Full Text Available This paper examines the experiences of some Sudanese women working in the media. The paper brings to the center of analysis voices and experiences of women reporters, presenters, head of media sections, directors, and writers through adopting autobiographic and ethnographic research methods. The main question of this paper is how the “glass ceiling” metaphor-the invisible barriers that one, read women, can see through but not easily get through is applicable to the position of women in the media institutions of Sudan? Applying qualitative research methods, the paper found that Sudanese women journalists are constantly facing and negotiating gender disparities in work place, and poor working conditions; cultural/society’s perception of women working in the media; limited margin of press freedom in the country, and confronting the Islamist perception of the government of the Sudanese “woman”.
Adelia Bovell-Benjamin; Essam Elmubarak
Cancer appears to pose a major threat to the health of the Sudanese population. It is the third leading cause of death in the Sudan after malaria and pneumonia, accounting for 5% of all deaths. In 2005, approximately 22,000 people in the Sudan died from cancer and 17,000 of these people were less than 70 years old. This study was designed to: 1) assess nutrition knowledge and selected dietary beliefs related to cancer in Sudanese residing in Khartoum; 2) identify perceived barriers to the ad...
Full Text Available Access to financial service has become a key phenomenon for economic development and poverty alleviation .Microfinance is one way of fighting poverty in Sudan, where most citizens are in need of it. However, despite the initial results showing a positive impact of microfinance on the livelihood of low-income people in Sudan, around 8 million of the Sudanese poor people are excluded from microfinance services. One potential remedy for the limited outreach of microfinance in Sudan may lie within enhancing the capacity of microfinance services providers (MFPs in the utilization of modern technology. Recent innovation in providing financial services in a convenient and efficient way is the use of mobile banking (m-banking technology in microfinance. M-banking promises to increase the efficiency and outreach of microfinance services in developing countries. This paper tries to examine the factors that influence the adoption of m-banking by microfinance sector in Sudan. In this respect, hypotheses were developed guided by Unified Theory of Acceptance and Use of Technology (UTAUT and Technology-organization-Environment (TOE models. Primary data were collected from MFPs and microfinance customers in Sudan using questionnaires and interviews. The study contributes to knowledge in terms of methods used by extending aforementioned theories through adding new variables to both models by putting both models in one study to fill the gaps in past studies; via examination of the demand (customers and supply (institutions through modifying them to include new variables related to m-banking in microfinance.
Santoro, Ninetta; Wilkinson, Jane
This article draws on an ethnographic study that consisted of in-depth case studies of eight Sudanese young people of refugee background living in rural Australia. Prompted by concern over deficit views of young refugees that pervade educational literature, we aimed to understand what facilitates their successful resettlement into Australian rural…
Major, Jae; Wilkinson, Jane; Langat, Kip; Santoro, Ninetta
This article discusses literature pertaining to the settlement of African refugees in regional and rural Australia, particularly focusing on the specific challenges and opportunities faced by Sudanese young people of refugee background in education. Drawing on a pilot study of the out-of-school resources of regionally located young Sudanese…
Hatoss, Aniko; Huijser, Henk
This paper argues that whilst equitable educational pathways are integrated into educational policy discourses in Australia, there are significant gendered barriers to educational participation among members of the Sudanese refugee groups. The specific conditions of forced migration reinforce disadvantage and further limit opportunities. Cultural…
Al Awad, Ahmed M. El Hassan; Sonuga-Barke, Edmund J. S.
Compared mothers' ratings of childhood problems of 4- to 9-year-old Sudanese children. Compared to children in extended families, children in nuclear families had more conduct, emotional, and sleep problems; exhibited poorer self-care and greater overdependence; and were less likely to be breastfed and have grandmothers involved in their care. (BC)
This article considers the status of indigenous knowledges as forms of knowledge in the multicultural context of Sudan, through exploration of Sudanese adult education teachers' perceptions of culture, language and knowledge in education. Drawing on critical and poststructural theoretical concepts, cultural discourses in education are shown to…
Ietidal E. Mohamed; El Bushra E. El Nur; Muhammad I. Choudhary; Shamsun N. Khan
Phytochemical investigations were performed in two plant species used in Sudanese traditional medicines to treat different illnesses, Diospyros mespiliformis and Croton zambesicus. The investigations revealed compounds of triterpenes (lupane series), one trihydroxyflavone and one diterpene. The compounds have been isolated and identified using various chromatographic and spectroscopic techniques. These were lupeol (1), betulinic acid (2), betulin (3) and lupenone (4) from Diospyros mespilifor...
Ahmed, Altayeb Abdalla; Osman, Samah
Fingerprints are important biometric variables that show manifold utilities in human biology, human morphology, anthropology, and genetics. Their role in forensics as a legally admissible tool of identification is well recognized and is based on their stability following full development, individualistic characteristics, easy classification of their patterns, and uniqueness. Nevertheless, fingerprint ridge density and its variability have not been previously studied in the Sudanese population. Hence, this study was conducted to analyze the topological variability in epidermal ridge density and to assess the possibility of its application in determining sex of Sudanese Arabs. The data used for this study were prints of all 10 fingers of 200 Sudanese Arab individuals (100 men and 100 women) aged between 18 and 28 years. Fingerprint ridge density was assessed for three different areas (radial, ulnar and proximal) for all 10 fingers of each subject. Significant variability was found between the areas (p < 0.01). Women showed significantly higher ridge density in the three areas for all and each fingers. Men and women showed similar patterns of densities with distal areas being denser than proximal ones. Side asymmetry was more evident in distal areas. Ridge density thresholds for discrimination of sexes were developed. Hence, fingerprints found in forensic examinations/crime scenes can be useful to determine sex of Sudanese individuals based on fingerprint ridge density; furthermore, ridge density can be considered a morphological trait for individual variation in forensic anthropology. PMID:27227288
For Asante our "battle is intense, the struggle we wage for status power is serious and we cannot communicate as equals when our economic position is that of servants" (2008, p. 49), words that resonated with the author throughout her research with Sudanese Australian young women about their educational experiences, as captured in…
Abdel Rahim Hamid Mugaddam
Full Text Available Abstract: The goals and means of language study continue in the very center of debates among specialists in language teaching/learning. Different views relating to language and its functions are reflected in two main approaches to language teaching/learning. On the one hand, language is considered to be principally instrumental, a means of communicating thought and information. One the other hand, language is viewed as an important element of human being’s thought processes, perceptions, and self-expressions; and as such, it is placed at the core of translingual and transcultural competence. This paper investigates the current situation of teaching/learning foreign languages in the Sudanese universities with special focus on the goals of teaching these languages and their role in students’ future. Goals of language teaching and students’ attitudes towards the process will be related to the job opportunities available for the students on graduation. Data for the paper have been collected using questionnaires and interviews administered to students and teachers from five language departments at Khartoum University: English, French, German, Russian, and Chinese. Questionnaires and interviews on language attitude will be administered among Four-year language majors representing the four departments. The central question the paper tries to answer is whether there is a realistic match between the goals of language teaching/learning set by policy makers and students’ interests and expectations. Results are expected to contribute to the efforts made to restructure language-in-education curriculum at university level in a way that addresses the expectations of both policy makers and students. Keywords: Foreign language teaching and learning, goals, attitude.
The natural levels of 226 Ra in plant and soil samples have been studied. The field study was mainly conducted in western Sudan (Darfur and Kurdofan) where areas of high natural background radiation have been identified and Khartoum area was taken as a control to (i) assess in natural setting the soil-to-plant concentration ratios (concentration in dry sample / concentration in dry soil) of the naturally occurring radionuclide 226 Ra, (ii) establish base-line data on Radium activity concentration levels in environmental materials and (iii) explore the area of high natural radiation background in western Sudan.Low level gamma spectrometry, employing high purity germanium detector (HPGe) of relative efficiency 12%, has been used for the determination of 226 Ra activity concentrations in plant and soil samples. The mean Radium activity concentration found in soil ranged from 14.41 Bq/Kg to 79.08 Bq/Kg, the values correspond to the reported normal background levels of 226 Ra in soils worldwide. Radium activity concentrations found in Sudanese plants were significantly higher compared to those related to plants from normal background regions and significantly lower than those reported for plants from high background regions in other countries. The mean soil/plant concentration ratios (CRs) found in this study were 0.12, 0.15, 0.17 and 0.08 for whole plants, fruits and leafy vegetables, root vegetables and grains, respectively. These ranges of CR values are comparable with overall range of CR where environmental conditions are normal. The estimated daily intakes by individuals consuming foods of local origin were 1.00, 10.4 and 7.91 Bq/Day of radium Khour Abu Habil, Arkuri and Dumpir, respectively. Since the dietary habits were different, as it was noticed, these results have been much lower in comparison with those obtained from some European countries and United States. (author), 44 refs., 18 tabs., 13 figs
In the weeks following the break-up and removal of the Sudanese protestors in Mohandiseen on 30 December 2005, the Egyptian government and the Interior Ministry, in particular, came under intense international scrutiny and criticism for the manner in which the situation was handled. Amidst the chaos regarding the actual numbers of the injured, the detained and the dead, both human rights organizations and UN officials accused the Egyptian police of using excessive force against the protestors...
BASHIR, ABDEL-HAMEED M.
The paper examines the effects of scale (total assets) on the performance of Islamic banks. The analysis is done in the context of agency and financial intermediation theories. Using data from two Sudanese banks, our empirical investigation provides limited support to the theoretical predictions. The relationships between size and profitability measures are statistically significant, indicating that Islamic banks become more profitable as they grow in size. However, the negative relationship ...
Saadia Izzeldin Malik
This paper examines the experiences of some Sudanese women working in the media. The paper brings to the center of analysis voices and experiences of women reporters, presenters, head of media sections, directors, and writers through adopting autobiographic and ethnographic research methods. The main question of this paper is how the “glass ceiling” metaphor-the invisible barriers that one, read women, can see through but not easily get through is applicable to the position of women in the me...
Prostate cancer is one of the most common malignancies worldwide, with an estimated 40,000 new case diagnosed annually. Insulin-like growth factor-1 (IGF-1) is important to the growth and function of prostate gland, but its incidence and mortality have been associated with increased circulating IGF-1 levels and this causes a high risk to the prostate gland cells in development of cancer. To fulfill these hypotheses we do a prospective study of prostate gland in Sudanese men at the Physicians Urology Health department in Khartoum State hospitals (2004-2009) to assayed circulating levels of IGF-1, PSA, E2 and testosterone among 110 known cases of prostate cancer (Ca.P), 110 benign prostate hyperplasia (BPH) and 110 matched controls subjects (CG). Using non isotopic enzyme methods of Enzyme Linked Sorbent Assay (ELISA), kits produced from Germany DRG company and sensitive micro plate reader and SPSS and ANOVAS one way statistic programme to analysis the data. So when we compare these three groups with ages, types of cancers, and the IGF-1, PSA, E2 and testosterone parameters, there was significant (p=0.04) and the associations between these hormones parameters was (p=0.01). Also when we compare the IGF-1 levels at 95% of upper quartiles of confidence interval in CG group (180ng/ml) with the IGF-1 levels at 25% of lower quartiles of confidence interval in the (Ca.P) and (BPH) group (165ng/ml) and (134ng/ml) respectively, the CG-IGF-1 group was higher than (Ca.P and BPH) groups at these percentiles, with associations between them of (p=0.05). This apparent discrepancy of the risk fallen to the normal (CG) group can be explained using the risk ratio (RR), odds ratio (OR) and confidence interval (CI) with Ca.P patients groups, (OR 2.4, 95% CI 0.71-7.9) (RR 2.3, 95% C10.7-7.1), showing that the risk fallen to the (CG) group was ten (10) times higher than the known cancer patients of the Ca.P, with significant of (p=0.05). So there were associations between high circulating
Ahmed, Altayeb Abdalla
The sex estimation from mutilated and amputated limbs or body parts is one of the most vital steps in person identification in medical-legal autopsies. Sex estimation from lower limb anthropometric measurements has demonstrated a high degree of expected accuracy in a limited range of the global population. The aims of this study were to assess the degree of the sexual dimorphism in lower limb measurements and the accuracy of utilization of these measurements for estimation of sex in a contemporary adult Sudanese population. The tibial length, bimalleolar breadth, foot length, and foot breadth of 240 right-handed Sudanese Arab subjects (120 males and 120 females) aged between 25 and 30 years were measured following international anthropometric standards. Demarking points, sexual dimorphism indices and discriminant functions were developed from 200 subjects (100 males and 100 females) who comprised the study group. All variables were sexually dimorphic. The bimalleolar breadth and foot breadth significantly contributed to sex estimation. Leg dimensions showed a higher accuracy for sex estimation than foot dimensions. Cross-validated sex classification accuracy ranged between 78% and 89.5%. The reliability of these standards was assessed in a test sample of 20 males and 20 females, and the results showed accuracy between 75% and 90%. This study provides new forensic standards for sex estimation from lower limb measurements of Sudanese adults. PMID:23642728
Ahmed, Altayeb Abdalla
Sex estimation is the first biological attribute needed for personal identification from mutilated and amputated limbs or body parts in medical-legal autopsies. Populations have different sizes and proportions that affect the anthropometric assessment of sex. Relatively few published works assess the accuracy of sex estimation from soft tissue measurements of upper limb parts, except for the hand and its components, but these studies involve a limited range of global populations. The current study aimed to assess the degree of sexual dimorphism in upper limb measurements and the accuracy of using these measurements for sex estimation in a contemporary adult Sudanese population. The upper arm length, ulnar length, wrist breadth, hand length, and hand breadth of 240 right-handed Sudanese subjects (120 males and 120 females) aged between 25 and 30 years were measured by international anthropometric standards. Demarking points, sexual dimorphism indices and discriminant functions were developed from 200 subjects (100 males and 100 females) who composed the study group. All variables were sexually dimorphic. The ulnar length, wrist breadth and hand breadth significantly contributed to sex estimation. Forearm dimensions showed a higher accuracy for sex estimation than hand dimensions. Cross-validated sex classification accuracy ranged between 78.5% and 89.5%. The reliability of these standards was assessed in a test sample of 20 males and 20 females, and the results showed accuracy between 77.5% and 90%. This study provides new forensic standards for sex estimation from upper limb measurements of Sudanese adults. PMID:24237816
Full Text Available Cynthia A Mannion, Shelley Raffin-Bouchal, Christena Jane HenshawFaculty of Nursing, University of Calgary, Calgary, Alberta, CanadaBackground: Refugees experience dietary changes as part of the daily challenges they face resettling in a new country. Sudanese women seek to care and feed their families, but face language barriers in the marketplace, limited access to familiar foods, and forced new food choices. This study aimed to understand the acceptability of a purse-sized nutrition resource, “The Market Guide”, which was developed to help recently immigrated Sudanese refugee women identify and purchase healthy foods and navigate grocery stores.Methods: Eight women participated in a focus group, four of whom were also observed during accompanied grocery store visits. Individual interviews were conducted with four health care workers at the resettlement center to gather perceptions about the suitability of The Market Guide. Focus groups and interviews were audiotaped and transcribed. Data from field notes and transcripts were analyzed using grounded theory for preliminary open codes, followed by selective and theoretical coding.Results: The Market Guide was of limited use to Sudanese women. Their response to this resource revealed the struggles of women acculturating during their first year in Calgary, Canada. We discovered the basic social process, “Navigating through a strange and complex environment: learning ways to feed your family.” Language, transportation, and an unfamiliar marketplace challenged women and prevented them from exercising their customary role of “knowing” which foods were “safe and good” for their families. The nutrition resource fell short of informing food choices and purchases, and we discovered that “learning to feed your family” is a relational process where trusted persons, family, and friends help navigate dietary acculturation.Conclusion: Emergent theory based on the basic social process may
Salwa Ismail Abdelgader Elbajory; Muddthir D. El Tingari; Mohamed Ahmed Abdalla
The aim of the work to show the morphology of the testis of Adult Sudanese duck (Anas platyrhynchos). The adult duck testes were two bean-shaped‚ large and soft‚ the left testis was usually higher in position and larger in size than the right one. The testis was active during cold weather with the mean diameter of the seminiferous tubules being 124 µm in the duck. It was less active during the hot season with the mean diameter of the seminiferous tubules being 134 µm in the duck. The non-bree...
Full Text Available This study aims to explore the extent to which conventional methods used in the majority of relevant growth studies can successfully interpret the economic performance of a highly underdeveloped African country such as Sudan. Applying an ARDL boundstesting approach to cointegration proposed by Pesaran et al. (2001, we look into the short-run as well as long-run relationships between institutional and various other key economic variables and economic growth over the period 1972-2008. The empirical results obtained suggest that, for the Sudanese economy, the quality of the institutional environment is one of the most important factors in defining economic prosperity.
Mubark Ebrahim, Ammar; Etayeb, M A; Khalid, H; Noun, Manale; Roumie, M; Michalke, B
This paper compares trace element concentrations (Ca, K, Sr, Fe, Mn, Zn, Ni, Cu, Co and Cr) in 27 Sudanese medical plants determined in parallel by PIXE and ICP-OES to get information on which technique is preferable at different matrices and element concentrations. PIXE correlates well to ICP-OES for Sr, Mn, Ca, K, Zn and Fe determinations. ICP-OES seems to be the superior technique over PIXE when measuring low concentrated elements (chromium, cobalt, nickel and copper) in the medicinal plants. PMID:24814608
This paper compares trace element concentrations (Ca, K, Sr, Fe, Mn, Zn, Ni, Cu, Co and Cr) in 27 Sudanese medical plants determined in parallel by PIXE and ICP-OES to get information on which technique is preferable at different matrices and element concentrations. PIXE correlates well to ICP-OES for Sr, Mn, Ca, K, Zn and Fe determinations. ICP-OES seems to be the superior technique over PIXE when measuring low concentrated elements (chromium, cobalt, nickel and copper) in the medicinal plants
Abdalla Hashim, Ala’a Hayder; Eldin, AL-Hadi Mohi; Hashim, Hayder Abdalla
Background: The study of the mesiodistal size, the morphology of teeth and dental arch may play an important role in clinical dentistry, as well as other sciences such as Forensic Dentistry and Anthropology. Aims: The aims of the present study were to establish tooth-size ratio in Sudanese sample with Class I normal occlusion, to compare the tooth-size ratio between the present study and Bolton's study and between genders. Materials and Methods: The sample consisted of dental casts of 60 subj...
Perry, Kristen H.; Moses, Annie M.
This ethnographic study explored the ways in which media, particularly television, connected with English language and literacy practices among Sudanese refugees in Michigan. Three families with young children participated in this study. Data collection included participant observation, interviews, and collection of artifacts over 18 months, with…
Ali, Ghada O M; Abdal Gader, Yahya S; Abuzedi, Elfatih S; Attalla, Bakhieta A I
Sickle cell anaemia (SCA) is one of the commonest chronic hemolytic anaemias in the Sudan; it is a disease with high mortality and morbidity. This study was conducted aiming to observe the clinical pattern of cardiac abnormalities in children with sickle cell anaemia, and to assess the relationship between the cardiac abnormalities and the severity of the disease. The study was conducted in sickle cell disease clinic at Khartoum Children Emergency Hospital. The study group consisted of 289 patients with sickle cell anaemia, age range from 6 months to 18 years. Data were collected using a questionnaire which include full history, clinical examination findings, chest x-rays, and Electro-cardiography. Tachycardia, systolic murmurs, and cardiomegaly were detected in 28%, 61%, and 54% of patients with SCA respectively. Left ventricular dilatation was observed in 51% of the study group, while right ventricular dilatation was observed in 22% of the patients. Left and right atrial dilatations were observed in 16% and 6% of the patients respectively. Contractility, ejection fraction (EF) were found almost always normal in all study subjects. Chamber dilatations were not associated with any abnormality in Left ventricular functions. Hemglobin (Hb) levels correlated negatively with cardiomegaly. Left Ventricular End Diastolic Dimension (LVEDD) correlates negatively with Hb levels and positively with the severity index. Only four patients (1%) had abnormal valves. In conclusion, cardiac abnormalities in patients with SCA correlate with the age of the patients and the severity of the disease. PMID:27493331
Toombak is a local form of snuff widely used in Sudan. Dipping snuff is a common habit in Sudanese male subject. Many reports have related at the high incidence rate of oral cancer and other types of cancer in Sudanese subjects to this habit. trace elements such as Cu, Co, Cd, Cr, Fe, Mn, Pb, and Zn were measured using atomic absorption spectrometry in soil on which toombak is grown and toombak eaves. The average concentration (μg/g) of these elements in soil and toombak leaves were found to be 60.8 and 18.1 (Cu), 72.2 and 50.9 (Zn), 48.4 and 19.9 (Co), 398.6 and 211.7 (Mn), 17391.9 and 6410.7 (Fe), 16.1 and 5.3 (Cr), 27.7 and 7.9 (Pb), 7.2 and 4.8 (Cd), respectively. Soil to plant transfer factor was determined and found to be less than unity. The correlation coefficient between concentrations of trace elements in soils, and their soil-to-toombak transfer factors divided the elements into two groups, first group have inverse correlation while the second group is independent of their soil concentration. (Author)
Toombak is a local from of snuff widely used in Sudan. Dipping snuff is a common habit in Sudanese male subject. Many reports have related the high incidence rate of oral cancer and other types of cancer in Sudanese subjects to this habit. Trace elements such as Cu, Co, Cd, Cr, Fe, Mn, Pb, and Zn were measured using atomic absorption spectrometry in soil on which Toombak is grown and Toombak leaves. The average concentration (mug/g)of these elements in soil and Toombak leaves were found to be 60.8 and 18.1 (Cu), 72.2 and 50.9(Zn(, 48.4 and 19.9 (Co), 398.6 and 211.7 (Mn), 17391.9 and 6410.7 (Fe), 16.1 and 5.3 (Cr), 27.7 and 7.9 (Pb), 7.2 and 4.8 (cd),respectively. Soil to plant transfer factor was determined and found to be less than unity. The correlation coefficient between concentrations of trace elements in soils, and their soil-to-Toombak transfer factors divided the elements into two groups, first group have inverse correlation while the second group is independent of their soil concentration
Afra; Khiralla; Ietidal; Mohamed; Justinne; Thomas; Beno?t; Mignard; Rosella; Spina; Sakina; Yagi; Dominique; Laurain-Mattar
Objective: To evaluate the total phenolic content and total antioxidant capacity of ethyl acetate extracts of 21 endophytic fungi isolated from five Sudanese medicinal plants: Calotropis procera, Catharanthus roseus, Euphorbia prostrate, Vernonia amygdalina and Trigonella foenumgraecum. Methods: Crude extracts of endophytic fungi and their host plants were tested by classical Folin-Ciocalteu colorimetric method to determine the total phenolic content, also total antioxidant capacity was estimated using 1,1-diphenyl-2-picrylhydrazyl free radical scavenging in vitro method. Results: Among the endophytes, endophytic fungus Aspergillus sp. from Trigonella foenum-graecum seeds demonstrated the highest both total phenolic content in term of gallic acid equivalent(GAE) [(89.9±7.1 mg GAE/g)] and antioxidant activity for 1,1-diphenyl-2-picrylhydrazyl radical scavenging assay [IC50:(18.0±0.1 μg/m L)]. A high positive linear correlation(R2=0.999 1) was found between total antioxidant capacity and total phenolic content of endophytic fungi isolated from Vernonia amygdalina. Conclusions: The present study revealed that some endophytic fungi from the five Sudanese medicinal plants could be a potential source of novel natural antioxidant compounds.
Mohamed, Rania M A; Fageer, Aisha S M; Eltayeb, Mohamed M; Mohamed Ahmed, Isam A
The aim of the present work was to investigate the chemical composition, mineral extractability, and antioxidant capacity of six date palm varieties grown in Sudan. The results showed that Sudanese date varieties contained significantly different (P < 0.05) amounts of moisture, ash, fiber, oil, and carbohydrates, but have almost similar amounts of protein. Moreover, results revealed that date varieties contained significantly varied (P < 0.05) amounts of total polyphenols and total flavonoids, which ranged between 35.82 and 99.34 mg gallic acid equivalent/100 g and 1.74–3.39 mg catechin equivalent/100 g, respectively. The antioxidant activities of the studied date varieties were as follows: ferric-reducing antioxidant power (FRAP) was within the range of 2.82–27.5 mmol/100 g, chelation of Fe2+ ion ranged from 54.31% to 94.98%, and scavenging of H2O2 ranged from 38.48% to 49.13%. There were many correlations (positive, negative, and weak) between antioxidant and mineral extractability of Sudanese date fruits. PMID:25473506
Essential trace elements content of a Sudanese meal of cooked Karkadi plant leaves (Hibiscus Sp)was determined and found to be several folds higher than the average trace element content of Sudanese food as determined in twenty nine daily consumed mixed diets. Therefore, this plant can act as a promising natural supplement in cases of deficiency provided it is grown in a trace element rich soil. (Author)
This is a prospective descriptive study to find out the associated risk factors and the outcome in cases of polyhydramnios. It was carried out in the period from 1/4/2001 to 1/6/2002 in Soba University hospital. Objectives: To detect the associated risk factors, the role of ultrasound in the antenatal diagnosis and fetal out in cases of polyhydramnios. Setting: Soba University Hospital. Subject: 100 patients of confirmed polyhydramnios who had been followed in the fetomaternal unit in Soba University Hospital from 1/4/2001 to 1/6/2002. Results: Polyhydramnios increased with advanced age, (42%) of the patients were grandmultiparae. Twenty percent of them had bad obstetrical history. Most of the patients(78%) were diagnosed after the gestational age of 28 weeks. Seventy nine percent o the patients had mild polyhydramnios, (15%) had moderate polyhydramnios and (6%) of the cases polyhydramnios were severe. Thirty nine percent of the patients had associated risk factors in the current pregnancy. these risk factors were as follows:- diabetes in (16%), Rhesus iso- immunization complicated with hydrops fetalis in (4%), congenital malformation in (15%) and 4% ha multiple pregnancy. Sixty five percent of the cases had no complication and did not need any treatment, those with complications were managed by different methods such as control of diabetes, Amnioreduction and Indomethacin therapy. Thirty eight percent of the patients delivered preterm, (44%) delivered by caesarean section, most of them were emergency caesarean section. Twenty five percent of the neoborns more than 4 Kg. Fifteen percent of them had apparent congenital malformation, 43% of the them needed different types of special management. Perinatal mortality was found to be (19.2%). (Author)
In this study 711 Sudanese female have been analyzed for thyroid function. Thyroid related hormones were measured thyroxine (T4), triiodothyronine (T3) and thyroid stimulating hormone (TSH). The study had been held during one complete year. The female subjects were referred to Sudan Atomic Energy Commission radioimmunoassay laboratory from different hospitals in Khartoum state. The age of females varied from less than one year up to 70 years. The age was divided into 10 years interval in order to study the dominants thyroid disorder in each interval. Statistical package for social science (SPSS) program was used in the study as data analysis tool, the clear observation from this study was the high incidence of disorders among the age between 20 up to 40 years. (Author)
Of the approximately 13,750 humanitarian refugees who have fled from war and other human rights abuses to resettle in Australia every year, the majority are families arriving with adolescent children. This study used a qualitative methodology to explore Sudanese refugee women's narratives around parenting teenagers in the resettlement environment. The data from 17 in-depth interviews was analysed using thematic analysis. Four main themes captured the women's main concerns: the transition from parenting in an interdependent society as part of a network of family and community relations to parenting alone in the resettlement context; mothers' fears and experiences of losing their children, both literally and symbolically; loss of parental authority; and finally, the ways in which mothers adapted to the post-migration setting and found new ways of parenting. PMID:24803540
Hussein, G; Miyashiro, H; Nakamura, N; Hattori, M; Kakiuchi, N; Shimotohno, K
One hundred fifty-two methanol and water extracts of different parts of 71 plants commonly used in Sudanese traditional medicine were screened for their inhibitory effects on hepatitis C virus (HCV) protease (PR) using in vitro assay methods. Thirty-four extracts showed significant inhibitory activity (>/=60% inhibition at 100 microg/mL). Of these, eight extracts, methanol extracts of Acacia nilotica, Boswellia carterii, Embelia schimperi, Quercus infectoria, Trachyspermum ammi and water extracts of Piper cubeba, Q. infectoria and Syzygium aromaticum, were the most active (>/=90% inhibition at 100 microg/mL). From the E. schimperi extract, two benzoquinones, embelin (I) and 5-O-methylembelin (II), were isolated and found as potent HCV-PR inhibitors with IC(50) values of 21 and 46 microM, respectively. Inhibitory activities of derivatives of I against HCV-PR as well as their effects on other serine proteases were also investigated. PMID:11054840
Activity concentrations of Pu isotopes in surface marine sediments collected from the Sudanese coast of the Red Sea is presented. The following concentration ranges were determined: 238Pu, 4.7-28.6 mBq/kg; 239+240Pu, 53-343 mBq/kg dry weight. The average activity ratios of 238Pu/239+240Pu (0.075 ± 0.045 mBqk/kg) and 239+240Pu/137Cs (0.026 ± 0.025 mBq/kg) are appropriately comparable to the literature values that are characteristic of the global fallout from the atmospheric nuclear weapon tests. However, 239/240Pu/137Cs ratio in sediments collected from the biologically rich fringing reef is an order of magnitude higher compared to other sampling locations. (author)
Ahmed, Altayeb Abdalla; Omer, Nosyba
The external ear and its prints have multifaceted roles in medico-legal practice, e.g., identification and facial reconstruction. Furthermore, its norms are essential in the diagnosis of congenital anomalies and the design of hearing aids. Body part dimensions vary in different ethnic groups, so the most accurate statistical estimations of biological attributes are developed using population-specific standards. Sudan lacks comprehensive data about ear norms; moreover, there is a universal rarity in assessing the possibility of sex estimation from ear dimensions using robust statistical techniques. Therefore, this study attempts to establish data for normal adult Sudanese Arabs, assessing the existence of asymmetry and developing a population-specific equation for sex estimation. The study sample comprised 200 healthy Sudanese Arab volunteers (100 males and 100 females) in the age range of 18-30years. The physiognomic ear length and width, lobule length and width, and conchal length and width measurements were obtained by direct anthropometry, using a digital sliding caliper. Moreover, indices and asymmetry were assessed. Data were analyzed using basic descriptive statistics and discriminant function analyses employing jackknife validations of classification results. All linear dimensions used were sexually dimorphic except lobular lengths. Some of the variables and indices show asymmetry. Ear dimensions showed cross-validated sex classification accuracy ranging between 60.5% and 72%. Hence, the ear measurements cannot be used as an effective tool in the estimation of sex. However, in the absence of other more reliable means, it still can be considered a supportive trait in sex estimation. Further, asymmetry should be considered in identification from the ear measurements. PMID:25813757
Khalifa, Dina Sami; Glavin, Kari; Bjertness, Espen; Lien, Lars
Objectives Maternal mental health is a neglected issue in Sudanese healthcare. The aim of this study was to explore the factors associated with postnatal depression (PND) at 3 months postpartum in a sample of Sudanese women in Khartoum state. Setting Recruitment was from two major public antenatal care (ANC) clinics in two maternity teaching hospitals in Khartoum state. The study participants were recruited during their pregnancy and were followed up and screened for PND at 3 months postpartum using the Edinburgh Postnatal Depression Scale (EPDS). Participants A sample of 300 pregnant Sudanese women in their second or third trimester was included in the study. The inclusion criteria were Sudanese nationality, pregnancy in the second or third trimester and satisfactory contact information. Outcome measures PND was assessed using the EPDS at a cut-off score of ≥12. Maternal and sociodemographic factors of interest were illustrated in a directed acyclic graph (DAG) to identify which variables to adjust for in multivariate analyses and to show their type of effect on PND. A forward logistic regression model was built to assess the factors that are independently associated with PND. Results History of violence increased the odds of PND sevenfold, OR=7.4 (95% CI 1.9 to 27.6). Older age of mothers decreased the odds of PND by almost 20%, OR=0.82 (95% CI 0.73 to 0.92). Exclusive breast feeding and regular prenatal vitamins during pregnancy are associated with an 80% decrease in odds of PND, OR=0.2 (95% CI 0.06 to 0.70) and 0.17 (95% CI 0.06 to 0.5), respectively. Conclusions Factors associated with PND in this study are comparable to factors from other developing countries, although findings should be judged with caution owing to the high number of women who refused recruitment into the study. PMID:26966055
Full Text Available Abstract Background The risk of Plasmodium falciparum infection is variable over space and time and this variability is related to environmental variability. Environmental factors affect the biological cycle of both vector and parasite. Despite this strong relationship, environmental effects have rarely been included in malaria transmission models. Remote sensing data on environment were incorporated into a temporal model of the transmission, to forecast the evolution of malaria epidemiology, in a locality of Sudanese savannah area. Methods A dynamic cohort was constituted in June 1996 and followed up until June 2001 in the locality of Bancoumana, Mali. The 15-day composite vegetation index (NDVI, issued from satellite imagery series (NOAA from July 1981 to December 2006, was used as remote sensing data. The statistical relationship between NDVI and incidence of P. falciparum infection was assessed by ARIMA analysis. ROC analysis provided an NDVI value for the prediction of an increase in incidence of parasitaemia. Malaria transmission was modelled using an SIRS-type model, adapted to Bancoumana's data. Environmental factors influenced vector mortality and aggressiveness, as well as length of the gonotrophic cycle. NDVI observations from 1981 to 2001 were used for the simulation of the extrinsic variable of a hidden Markov chain model. Observations from 2002 to 2006 served as external validation. Results The seasonal pattern of P. falciparum incidence was significantly explained by NDVI, with a delay of 15 days (p = 0.001. An NDVI threshold of 0.361 (p = 0.007 provided a Diagnostic Odd Ratio (DOR of 2.64 (CI95% [1.26;5.52]. The deterministic transmission model, with stochastic environmental factor, predicted an endemo-epidemic pattern of malaria infection. The incidences of parasitaemia were adequately modelled, using the observed NDVI as well as the NDVI simulations. Transmission pattern have been modelled and observed values were adequately
To detect the effect of some maternal risk factors such as age, parity, previous heavy babies and family history of diabetes, in glucose tolerance impairment and to stand on the state of insulin resistance which occurs in pregnancy and the possible role of cortisol, human placental lactogen and prolactin in augmentation of this state of insulin resistance as well as to show the effect of glucose tolerance deterioration on lipid metabolism, a study was carried out on Sudanese pregnant women. The study included thirty gestational diabetes mellitus (GDM) pregnant women, thirty impaired glucose tolerance (IGT) and thirty women with normal glucose tolerance as a control group. The GDM, IGT and the control group were screened from about 2000 Sudanese pregnant women in the different gestational weeks. The GDM and IGT women were all discovered in the third trimester of pregnancy, they found to be significantly older than the control group. The IGT group was found to have a first degree family history of diabetes incidence significantly more than that of the control group while the GDM group has significantly much higher results when compared with the normal control group. The incidence of previous heavy babies was significantly higher in the IGT group when compared with the control while that of GDM was significantly much higher. The GDM group was found to have significantly higher mean levels of fasting blood plasma glucose sugar than that of the IGT and the control groups. It was found that the serum cholestrol mean level and the serum triglycerides mean level of the IGT and that of the GDM were significantly higher than that of the control group. Also, there were no significant differences among serum fasting insulin mean levels of the three studied groups. Results of serum anti-insulin antibodies of the three studied groups were significantly different. Results of serum cortisol of the control group in the first, second and third trimesters revealed that cortisol
Salwa Ismail Abdelgader Elbajory
Full Text Available The aim of the work to show the morphology of the testis of Adult Sudanese duck (Anas platyrhynchos. The adult duck testes were two bean-shaped‚ large and soft‚ the left testis was usually higher in position and larger in size than the right one. The testis was active during cold weather with the mean diameter of the seminiferous tubules being 124 µm in the duck. It was less active during the hot season with the mean diameter of the seminiferous tubules being 134 µm in the duck. The non-breeding season seemed to be characterized by a decline in the spermatogenic activity only and not by complete spermatogenesis. The mean volume of left testis in the adult duck was 9.12 cm’. They exceeded those of the right testes by 8%; the relative volume of the components remained essentially the same in both testes. The seminiferous tubules formed 90% of the volume of the testes in duck.
Khiralla, Afra; Mohamed, Ietidal E; Tzanova, Tzvetomira; Schohn, Hervé; Slezack-Deschaumes, Sophie; Hehn, Alain; André, Philippe; Carre, Gaëlle; Spina, Rosella; Lobstein, Annelise; Yagi, Sakina; Laurain-Mattar, Dominique
In this study, we isolated 15 endophytic fungi from five Sudanese medicinal plants. Each fungal endophytic strain was identified by sequencing of internal transcribed spacer (ITS) regions of rDNA. Ethyl acetate extracts were prepared from each endophyte cultivated in vitro and tested for their respective antibacterial activities and antiproliferative activities against human cancer cells. Antibacterial screening was carried out against two bacterial strains: Gram-negative Escherichia coli and Gram-positive methicillin-resistant Staphylococcus aureus, by the broth dilution method. Cell viability was evaluated by the MTT procedure after exposure of MCF7 breast cancer cells and HT29 or HCT116 human colon adenocarcinoma cells to each endophytic extract. Of interest, Byssochlamys spectabilis isolated from Euphorbia prostata showed cytotoxicity (IC50 = 1.51 ± 0.2 μg mL(-1)) against MCF7 cells, but had a low effect against HT29 or HCT116 cells (IC50 > 20 μg mL(-1)). Cladosporium cladosporioides 2, isolated from Vernonia amygdalina leaves, showed antiproliferative activities against MCF7 cells (IC50 = 10.5 ± 1.5 μg mL(-1)) only. On the other hand, B. spectabilis and Alternaria sp. extract had antibacterial activities against the S. aureus strain. The findings of this work revealed that endophytic fungi associated with medicinal plants from Sudan could be considered as an attractive source of new therapeutic compounds. PMID:27190291
Ietidal E. Mohamed
Full Text Available Phytochemical investigations were performed in two plant species used in Sudanese traditional medicines to treat different illnesses, Diospyros mespiliformis and Croton zambesicus. The investigations revealed compounds of triterpenes (lupane series, one trihydroxyflavone and one diterpene. The compounds have been isolated and identified using various chromatographic and spectroscopic techniques. These were lupeol (1, betulinic acid (2, betulin (3 and lupenone (4 from Diospyros mespiliformis. Compounds 1, 2, 3 in addition to diterpene ent -kaurane-3β, 16β, 17-triol (5 and vitexin (6 were re-isolated from Croton zambesicus. However,compound 5 and 6 were isolated for the first time from this source.The pure isolated compounds and semi-synthesized acetates 1Ac, 2Ac and 3Ac, which were prepared from compounds 1, 2 and 3 respectively, were subjected to two bioassays: α- glucosidase enzyme inhibition assay and antioxidant activity. Compounds, 1, 1Ac, 3 and 4 showed a marked α-glucosidase inhibitory potential, while compound 6 exhibited strong antioxidant activity.
Yasmeen Y. A. Elyas
Full Text Available Forty isolates of lactic acid bacteria (LAB were isolated from different types of fermented foods consumed in Sudan. Phenotypic tests revealed that all isolates were homofermentative LAB. Twenty-four isolates produced inhibitory substances primarily active against Staphylococcus aureus ATCC 2818 and Escherichia coli ATCC 29522. The inhibitory activity of 88% of enterococci and 58% of lactobacilli was recorded from meat isolates, whereas all activity of pediococcal isolates came from fermented milk isolates. The cell-free cultures of 18 isolates exhibiting inhibitory activity was chosen for further investigation such as sensitivity to proteolytic enzyme (pepsin, effect of heat treatment (60°C for 60min, 100°C for 20min and 121°C for 15min and effect of pH ( pH 2.0, pH 6.5, and pH 9.0. The inhibitory activity was eliminated upon treatment with pepsin. The bacteriocin-like substances lost their activity after heating at all temperatures used and at alkaline pH (9.0, whereas they were active at acidic pH (2.0. The antimicrobial activity of bacteriocin-like substances produced by the isolated LAB could prevent spoilage and/or pathogenic microorganism in Sudanese fermented food. Further study should be related with species identification of the producer strains and with the purification and characterization of these becteriocin-like substances in order to explore them in food industry.
Full Text Available Innovations in Information technology have changed the way financial transactions are done in banking industry globally. Online banking uses today’s computer technology to give user the ability to manage their finances more quickly and efficiently, from anywhere around the world, and with just a click of the mouse. Banks perceive online banking as a powerful ‘value-added’ tool to attract and retain new customers while helping to eliminate costly paper handling and teller interactions. Online banking has managed to provide customers the convenience, efficiency, effe ctiveness, and most importantly, the speed needed in today’s dynamic world. As more banks around the world are offering online banking to its customers, it is becoming a rather popular trend. Online banking is an asset both to the bank and the customer. However, countries like Sudan are yet to join the frenzy of this new innovation in an effective manner. This paper will investigate what are the challenges faced by Sudanese banks in implementing online banking.
In this study crude oil samples were collected from four fields, Higlieg, Alnar, Toma south, and Unity at Elmuglad basin. A total of 20 samples were analyzed for Na, Ca, Mn, Fe, Co, Ni, Zn, Cd, and Pb, using atomic absorption spectrophotometer (Aas). For these samples some physical parameters were determined using standard techniques employed by the American Society for Testing and Materials (Astm). The range of concentration for Na, Mg, Ca, Mn, Fe, Co, Ni, Cu, Zn, Cd, and Pb are 0.33-22.20, 0.0-3.29, 0.56-7.70, 0.13-0.74, 1.70-6.33, 0.43-1.21, 1.02-9.80, 0.16-7.05, 0.12-4.88, 0.09-0.58, 0.15-0.82. μg/g, respectively. The results were subjected to statistical analysis such multivariate regression and principal component analysis. These statistical techniques revealed that the element found in the crude oil can be considered as contributed by two sources the biological precursor of oil and surrounding rocks. Comparison of the data obtained in this work with the data reported in the literature showed that the trace elements contents of Sudanese crude oil in most cases has the lowest concentration of harmful element especially Ni, and Fe.(Author)
Khalifa, Nadia; Allen, Patrick F; Abu-bakr, Neamat H; Abdel-Rahman, Manar E
A study was conducted to determine the degree of tooth loss, factors influencing tooth loss, and the extent of prosthodontic rehabilitation in Sudanese adults (≥ 16 years old) attending outpatient clinics in Khartoum State. Pearson and multivariate analyses were used to examine the relationships between tooth loss and specific characteristics determined through interviews and clinical examinations. The mean number of missing teeth was 3.6 (SD, 4.9) and the prevalence of edentulism was 0.1%. The prevalence of tooth loss (missing at least one tooth) was 78%; 66.9% of tooth loss was due to caries, and 11.2% was attributable to other reasons. Prosthetic replacement of missing teeth was evident in 3%, whereas a need for prosthetic replacement was evident in 57%. Having rate of dental consultation. Tooth loss due to other reasons was associated with age, tribe, education, periodontal pocketing, tobacco use, tooth wear, and prosthetic status. The results of the present study indicated that the major cause of tooth loss was dental caries, thus emphasizing the importance of a public prevention-based healthcare program. Replacement of missing teeth was uncommon in the study subjects, which may reflect lack of access to this type of oral healthcare. PMID:23221155
The aim of this study was to provide elemental concentrations in medicinal plants and mainly to compare the two different determination methods (INAA and ICP-OES after wet digestion) elemental analysis of 14 Sudanese medicinal plants was carried out using INAA and ICP-OES techniques. The selection of reported elements was done according to intersection of elements determined by both techniques. This intersecting element list contained Ca, K, Fe, Mn, Mg, Sr, Zn, Cu, Co, and Cr. INAA correlated well with ICP-OES measurements of the same plants as long as concentrations were sufficiently above LoQ. Correlation coefficients (R2) in this case is close to 1. Generally, INAA results tended to be higher compared to ICP-OES. The performance and possible source of errors of both techniques was discussed also with respect to measurements of certified reference materials. INAA provided the advantage of having both, faster and non destructive sample preparation than ICP-OES. Therefore, INAA may be technique of choice for Ca, K, Zn, and Mg elements specifically when samples are needed for further investigations. Regarding the low concentrations e.g for Cr, Ni or Cu, ICP-OES is the superior technique over INAA due to the sufficiently low limits of determination and thus gaining more detectable results at low concentrations. (author)
Satti, S.; Zaitchik, B.; Siddiqui, S.
The effects of development and the uncertainty of a changing climate in eastern Africa pose myriad challenges for water managers along the Blue Nile. Sudan's large irrigation potential, hydroelectric dams, and prime location within the basin mean that Sudan's water management decisions will have great social, economic and political implications for the region. At the same time, Sudan's water use options are constrained by tradeoffs between upstream irrigation developments and downstream hydropower facilities as well as by the country's commitments under existing or future transboundary water sharing agreements. Here, we present a model that can be applied to evaluate optimal allocation of surface water resources to irrigation and hydropower in the Sudanese portion of the Blue Nile. Hydrologic inputs are combined with agronomic and economic inputs to formulate an optimization model within the General Algebraic Modeling System (GAMS). A sensitivity analysis is performed by testing model response to a range of economic conditions and to changes in the volume and timing of hydrologic flows. Results indicate that changing hydroclimate inputs have the capacity to greatly influence the productivity of Sudan's water resource infrastructure. Results also show that the economically optimal volume of water consumption, and thus the importance of existing treaty constraints, is sensitive to the perceived value of agriculture relative to electricity as well as to changing hydrological conditions.
Satti, S.; Zaitchik, B.; Siddiqui, S.
The effects of development and the uncertainty of a changing climate in East Africa pose myriad challenges for water managers along the Blue Nile. Sudan's large irrigation potential, hydroelectric dams, and prime location within the basin mean that Sudan's water management decisions will have great social, economic and political implications within the region. At the same time, Sudan's water use options are constrained by tradeoffs between upstream irrigation developments and downstream hydropower facilities as well as by the country's commitments under existing or future transboundary water sharing agreements. Here, we present a model that can be applied to evaluate optimal allocation of surface water resources to irrigation and hydropower in the Sudanese portion of the Blue Nile. Hydrologic inputs are combined with agronomic and economic inputs to formulate an optimization model within the General Algebraic Modeling System (GAMS). A sensitivity analysis is performed by testing model response to a range of economic conditions and to changes in the volume and timing of hydrologic flows. Results indicate that changing hydroclimate inputs have the capacity to greatly influence the productivity of Sudan's water resources infrastructure. Results also show that the economically optimal volume of water consumption, and thus the importance of existing treaty constraints, is sensitive to the perceived value of agriculture relative to electricity as well as to changing hydrological conditions.
Andresen, K; Gasim, S; Elhassan, A M;
We have evaluated the sensitivity of the polymerase chain reaction (PCR) as a diagnostic tool for Leishmania donovani using blood, bone marrow and lymph node samples from Sudanese patients with a confirmed infection. Forty patients were diagnosed by microscopic examination of bone marrow or lymph...
Abdelgadir, Warda; Nielsen, Dennis Sandris; Hamad, Siddig; Jakobsen, Mogens
Samples of the traditional Sudanese fermented camel's milk product Gariss representing 9 different regions in Sudan were microbiologically characterized using an integrated approach including phenotypic and genotypic methods. Lactic acid bacteria [log(CFU/g) = 7.76-8.66] and yeasts [log(CFU/g) = 6...
This study was conducted during the period from 15/01/04 to 24/04/04 at Sudan Fertility Care Association Center. Sixty nine Sudanese females using combined oral contraceptives were chosen for this study and twenty females not using contraceptives were used as controls. All individuals were within the same age group. Thyroid hormones; thyroxine (T4), triiodothyronine (T3), free thyroxine (FT4) and free triiodothyronine (FT3) were measured. In addition thyroid stimulating hormone (TSH) was also measured in both groups. The study groups were divided according to the period of using combined oral contraceptives into four groups group 1 (1-5) months, group 2 (7-16) months and group 3 (18-60) months and the control group of the non users. Determination of hormones concentrations were carried out using a highly sensitive specific radioimmunoassay (RIA) technique. The concentrations of serum T4 in group 3 was significantly higher (P4 in group 1 and 2 were found to be lower than in the control and the difference was not significant. Mean serum concentration of triiodothyronine in the study group 1, 2 and 3 were not significantly higher than the control group. Mean serum concentration of free triiodothyronine in the study groups 1, 2 and 3 were not significantly higher than the control group. Mean serum concentration of free thyroxine in the study group 1, 2 and 3 were not significantly higher than the control group. Mean serum concentration of TSH in groups 1, 2 and 3 were significantly (P<0.05) lower than in the control group.(Author)
Extracts of 111 Sudanese medicinal plants were subjected to preliminary antibacterial screening against four standard organisms (Bacillus subtilis, Stapylococcus aureus, Escherichia coli and pseudomonas aeruginasa). Out of the 573 extracts screened, 433 (70%) exhibited inhibitory activity against one ore more of the four tested bacteria. Most of the bioactive extracts (61%) showed inhibitory effects against the four organisms, while 11% were active against three, 20% against two and 8% against one organism. Based on the potent antibacterial activity and availability, eighteen plant species were selected and further extracted and subjected to antimicrobial investigation. About 38% of each of the methanolic and chloroformic extracts studied showed marked inhibitory effects against the tested organisms, where as the aqueous extracts exhibited less bioactivity (24%). None of these aqueous and methanolic extracts showed inhibitory against the two standard fungi tested (Aspergillus niger and candida albicans), while 97% of the chloroformic extracts exerted inhibitory effects against A. niger and 94% against C.albicans. On the basis of its prominent antimicrobial profiles against both bacteria and fungi tested, vernonia amygdalina was chosen as an appropriate candidate to pursue in depth phytochemical studies. the chloroformic extract which exhibited the most significant antimicrobial activity was subjected to bioactivity-directed fractionation. The bioactive fractions yielded two sesquiter-pene lactones, identified on the basis of their spectroscopical data (UV, IR, 1 H, NMR and mass spectroscopy) as vernodalin and vernolepin. Vernolepin has not been previously reported in this taxon, and it is the first time to publish the 13 C NMR of this compound. The present study established evidence of the potent antimicrobial activity of these two sesquiterpene lactones. The possible biogenetic pathway and structure/ activity relationships were discussed. (Author)
Satti, S.; Zaitchik, B. F.; Siddiqui, S.; Badr, H. S.; Shukla, S.; Peters-Lidard, C. D.
The unpredictable nature of precipitation within the East African (EA) region makes it one of the most vulnerable, food insecure regions in the world. There is a vital need for forecasts to inform decision makers, both local and regional, and to help formulate the region's climate change adaptation strategies. Here, we present a suite of different seasonal forecast models, both statistical and dynamical, for the EA region. Objective regionalization is performed for EA on the basis of interannual variability in precipitation in both observations and models. This regionalization is applied as the basis for calculating a number of standard skill scores to evaluate each model's forecast accuracy. A dynamically linked Land Surface Model (LSM) is then applied to determine forecasted flows, which drive the Sudanese Hydroeconomic Optimization Model (SHOM). SHOM combines hydrologic, agronomic and economic inputs to determine the optimal decisions that maximize economic benefits along the Sudanese Blue Nile. This modeling sequence is designed to derive the potential added value of information of each forecasting model to agriculture and hydropower management. A rank of each model's forecasting skill score along with its added value of information is analyzed in order compare the performance of each forecast. This research aims to improve understanding of how characteristics of accuracy, lead time, and uncertainty of seasonal forecasts influence their utility to water resources decision makers who utilize them.
The concentration of heavy trace elements chromium, manganese, nickel, copper, zinc, cadmium, and lead was measured in three main groups of alage, green, brown and red from the Sudanese coastal water of the Red Sea at seven main locations. The analyses were performed using atomic absorption spectrophotometry and x-ray fluorescence. Based on the overall average concentration (ppm), manganese was the most abundant element, (range 22.64-144.77) followed by chromium (rang 8.40-14.51), zinc (range 5.82-14.23), nickel (range 4.27-6.48) copper (range 2.83-7.75) lead range (1.29-1.80) and cadmium (rang 0.05-0.15). On comparing samples results at all locations, the results showed that Sawakin locations (1) and (2) algae have a highest content of trace elements. The concentration of trace elements in marine algae at, Sawakin (1), Klanieb and Sawakin (2) shows the higher uptake of lead giving the average of 1.69, 1.70, and 1.80, respectively compared with other locations, where the lowest concentration of manganese is observed at Sawakin (1) (38.19 ppm) and Sawakin (2) (41.04 ppm) with relative excess of lead concentration (1.69 and 1.80 ppm). Data obtained in this study were treated using classical descriptive statistics to explain the measuring central tendency. Correlation coefficient was also used to examine the relationship of different elements. Upon comparing the elemental concentration of the Red Sea alage with published literature, marine algae collected from the study area showed relative agreement with data reported but Sawakin harbor can be considered as slightly contaminated area by heavy metals. The study showed that the red algae has higher uptake of trace elements studied than brown and green algae with some variations of metal concentrations in some species which were apparently related to the specific accumulation capacity of each particular species. These species suggest their suitability for utilization as biomonitor for heavy metals in the Red Sea coastal
The objectives of this study were to determine the levels of the major and mineral nutrients, specially of trace elements, in some food items commonly consumed in Sudan, to assess the nutritional and energy values in these items and to compare the results of this work with local and international data.To achieve these objectives, food samples analyzed were collected from different localities in Sudan, and the samples were prepared for analysis using dry ashing and wet digestion. Moisture was determined using oven and freeze dryer. Proteins were determined by kjeldahl method. Fats were determined using ether extraction. Ash contents were determined using muffle furnace. Atomic absorption spectroscopy (AAS), X-ray flourescence spectroscopy (XRF), flame photometry and colorimetry techniques were employed for determination of elemental contents. The levels of food energy, moisture, carbohydrates, proteins, fats, crude fibre and ash contents were determined in legumes, cereals, oil seeds, flour and cereals products , vegetables, fruits, milk and milk products, and oil and fats. The elemental contents (Br, Ca, Co, Cu, Fe, Mg, Mn, P, Pb, Na, Rb, Sr and Zn). The Sudanese food items analyzed were found to contain considerable ranges of nutrients as follows: Food energy was found to be in its higest value (930 calg) in oil seeds and in the lowest range in vegetables (14.9-139 cal/g dry matter). Proteins contents were the the -ighest in oil seeds (17.4-27.7 g/100g of dry matter) and devoid in oils and fats. FAts contents were in the highest value (100% of dry matter) in oils and fats and in the lowest in vegetables (0.01-0.6 g/100g). Carbohydrates were in the highest range in cereals (73-79 g/100g of dry matter) and devoid in oils and fats. For the elemental contents the most significant elements have the following average: CA, CU and Fe were higher in fruits (4709, 21 and 633 ppm, respectively) and the lower in oils and fats (25, 2 and 11 ppm, respectively). Pb and Mn were
The activity concentration of fallout radionuclides viz. 238Pu, 239+240Pu, 241Am, 137Cs and 90Sr has been measured in some species of multicellular marine algae, coral fishes and shellfish, and surface sediments collected from the fringing reef at different locations along the Sudanese coast of the Red Sea. The measurements were carried out using alpha-particle spectrometry, high-resolution gamma spectrometry and gas-flow proportional counter. In the sediments analyzed, the activity concentration averaged 2.65 ± 1.3 (238Pu), 47.96 ± 26.3 (239+240Pu), 19.1 ± 6.5 (241Am), 273 ± 157 (137Cs) and 140.8 ± 73.9 (90Sr) mBq/kg dry weight. Activity concentration ratios were 0.066 ± 0.041 (238Pu: 239+240Pu), 0.22 ± 0.04 (239+240Pu:137Cs), and 0.43 ± 0.1 (241Am:239+240Pu). These values are typical of those reported in the literature from the regions unaffected directly by nuclear accidents or nuclear reprocessing plant discharges and can thus be attributed to global fallout. Average activity concentrations (mBq/gk Dry weight) in marine algae from different locations were found to be 20.1 ± 14.1, 21.6 ± 13.3 and 8.5 ± 3.8 (239+240Pu), 6.2 ± 4.0, 11.7 ± 6.1 and 5.1 ± 3.5 (241Am) and 688 ± 242, 868 ± 713 and 116 ± 14.8 (137Cs) for brown, red and green algae, respectively. These results were found to be consistently decrease towards the south from Portsudan harbour and comparable to global fallout values. High levels of 137Cs were observed in brown algae (Cystoseria species) and red algae (Lauranthia species). This possibly suggests their suitability to be used as bioindicators since algae are known to be effective bioindicators for monitoring the anthropogenic radioactivity in the marine environment. Plutonium isotopes were measured in some species of coral fishes and shellfish samples from the fringing reefs area at Port Sudan. Activity concentrations of both 238Pu, 239+240Pu in fish are close to detection limits, while shellfish show values an order of
The activity concentration of fallout radionuclides v.z.,238Pu ,239+240Pu, 241Am,137Cs and 90Sr has been measured in some species of multicellular marine algae, coral fishes and shellfish, and surface sediments collected from the fringing reef at different locations along the Sudanese coast of the Red Sea. The measurements were carried out using alpha-particle spectrometry, high-resolution gamma spectrometry and gas-flow proportional counter. In the sediments analyzed, the activity concentration averaged 2.65±1.3 (238Pu), 47.96 ± 26.3 (239+240Pu), 19.1± 6.5 (241Am), 273 ± 157 (137Cs) and 140.8±73.9 (90Sr) mBq/kg dry weight. Activity concentration ratios were 0.066±0.041 (238Pu: 239+240Pu), 0.22±0.04 (239+240Pu:137Cs), and 0.43±0.1 (241Am:239+240Pu). These values are typical of those reported in the literature from the regions unaffected directly by nuclear accidents or nuclear reprocessing plant discharges and can thus be attributed to global fallout. Average activity concentrations (mBq/gk Dry weight) in marine algae from different locations were found to be 20.1±14.1, 21.6±13.3 and 8.5±3.8 (239+240Pu), 6.2±4.0, 11.7±6.1 and 5.1±3.5 (241Am) and 688±242, 868±713 and 116±14.8 (137Cs) for brown, red and green algae, respectively. These results were found to be consistently decrease towards the south from Portsudan harbour and comparable to global fallout values. High levels of 137Cs were observed in brown algae (Cystoseria species) and red algae (Lauranthia species). This possibly suggests their suitability to be used as bioindicators since algae are known to be effective bioindicators for monitoring the anthropogenic radioactivity in the marine environment. Plutonium isotopes were measured in some species of coral fishes and shellfish samples from the fringing reefs area at Port Sudan. Activity concentrations of both 238Pu ,239+240Pu in fish are close to detection limits, while shellfish show values an order of magnitude higher relative to coral
Yousef, Mohamed; ALIOMER, MOHAMMED A.
This study aimed to determine the reference prostate specific antigen (PSA) range for different types prostatic disease patients in Sudanese men,A total of 50 patients, age ranged from 46-96 years with various types of prostatic disorders were enrolled into this study. The analyses included patients referred to RIA lab at RICK ,a biopsy was taken in those to exclude prostate cancer. The collected data included: PSA amount, diagnosis, habits, Age, residence and Races (tribe). The collected dat...
Forty-four Sudanese Nubian goats were divided into four groups. Each group was offered a ration containing energy (E) and protein (P) at levels that were either high (H) or low (L). The groups were designated as HEHP, LELP, HELP and LEHP. The animals were synchronized using an intra-vaginal slow release progesterone device for 14 days, followed by injection of PMSG at withdrawal. Animals that were detected in heat by visual observation were mated by bucks. The reproductive parameters were investigated throughout pregnancy, kidding and up to 5 months post partum. Samples of milk and blood (for serum and plasma) were collected at weekly intervals and progesterone was measured by radioimmunoassay. The HEHP group showed the best reproductive performance with 63.6% conception rate (CR), 85.7% maintenance of pregnancy and 100% kid survival rate. This group had the shortest interval to post-partum progesterone elevation, indicating early resumption of ovarian cyclicity. The LELP group also had high CR (63.6%), but had the shortest gestation period, high percentage of embryonic and foetal losses, low birth weight of kids and 100% kid mortality rate. This group had the longest interval to post-partum progesterone elevation (83-159 days). The CR in the HELP group (60%) was comparable to that of the LEHP group (54.5 %). Both these groups had intermediate levels of embryonic losses and kid mortality. Monitoring the progesterone profiles of individual does together with recording of clinical observations enabled an accurate diagnosis of conception, the course of pregnancy and the time of initiation of post-partum ovarian activity. It is concluded that nutritional status influences the maintenance of pregnancy, kidding rate, weight of kids at birth and kid survival in Sudanese dairy Nubian goats. (author)
The activity concentration of fallout radionuclides v.z., 238Pu, 239+240Pu, 241Am, 137Cs and 90Sr has been measured in some species of multicellular marine algae, sea grass, coral fishes and shellfish, and surface sediments collected from the fringing reef at different locations along the Sudanese coast of the red sea.The measurements were carried out using alpha particle spectrometry, high resolution gamma spectrometry, gas flow proportional counter and liquid scintillation. In the sediments analyzed, the activity concentration averaged 2.65±1.3 (238Pu), 47.96±26.3 (239+240Pu), 19.1±6.5 (241Am), 273±157 (137Cs) and 140.8±73.9 (90 Sr) mBq/kg dry weight. Average activity concentrations(mBq/Kg dry weight) in marine algae from different locations were found to be 20.1±14.1, 21.6±13.3 and 8.5±3.8 (239+240Pu), 6.2±4.0, 11.7±6.1 and 5.1±3.5 (241Am) and 688±242, 868±713 and 116±14.8(137Cs) for brown, red and green algae, respectively. High levels of 137Cs observed in brown and red algae seem to confirm that algae are responsive to the soluble phase of constituents in the ambient medium more than the elements associated to particulate matter. From the results obtained in this study, brown algae (cystoseria species) and red algae (lauranthia species) suggested their suitability to be used as a bio indicators. Activity concentrations of both 238Pu, 239+240Pu in fish are close to detection limits, while shellfish show values an order of magnitude higher relative to coral fish species. The lowest concentration for 239+240Pu was met in the molluscs species tridacnica (2.4) and the highest value was met in the coral species favites. Committed effective dose (CED) from 137 Cs and 210Po due to consumption of coral reef fishes was assessed from their respective activity concentration values measured in aforementioned 31 species of coral fishes using dose conversion factors (DRCFs). On the average, CED (μSv/y) values were found to be 0.012 (carnivores), 0.01(omnivores
The aim of the present study is to identify and characterize the antimalrial agents from traitional Sudanese medicinal plants. 49 plants parts representing 26 species from 15 families were extracted and screened for their in vitro antimalrial activity using P. falciparum strain 3D7 which is chloroquine sensitive and Dd2 strain which is chloroquine resistant and pyrimethamine sensitive.The plant species investigated exhibited diverse botanical families. They includes Annonaceae, Aristolochiaceae, Asteraceae, Balantiaceae, Caesalpiniceae, Celasteraceae, Cucurbitaceae, Fabaceae, Graminae, Meliaceae, Myrtaceae, Polygonaceae, Rubiaceae, Rutaceae, and simaroubaceae. The evaluation of these plants for their antimalarial activity and their effect on lymphocyte proliferation was carried out. 57 extracts were tested on the chloroquine sensitive strain (3D7). Where 34 extracts (59%) exhibited significant activity against 3D7 with IC50 values ≤ 50 μ g/ml. While 21 extracts (57%) showed antimalrial activities with IC50 values ≤ 50 μ g/ml on Dd2. 13 extracts (22%) and ten extracts (18%) only showed an activity with IC50 values ≤ 5 μ g/ml on 3 D7 and Dd2, respectively. The activities of some plant extracts, which affected 3D7 strain, were measured using the radiolabelled (3H) hypoxanthine method and microscopical count. 15 plant extracts (48%) from 32 showed IC50 values ≤ 50 μ g/ml against 3D7 strain using the radiolabelled hypoxanthine methods and only 5 extracts (16%) showed IC50 values ≤ 5 μ g/ml against 3D7. Most of the extracts screened had a low effect on lymphocyte proliferation (IC50 values >100 μ g/ml), where as Sonochous cornatus, Balanites aegyptiaca, Tamarindus indica, Acacia nilotica, Annona squamosa, Eucalyptus globulus and Cassia tora enhanced lymphocyte proliferation. liquid-liquid partition of methanolic preparation of Acacia nilotica seeds and husk showed that the ethylacetate phase possessed the highest activity against both 3D7 and Dd2 strains
Nakash, Ora; Nagar, Maayan; Shoshani, Anat; Lurie, Ido
Past research has documented the role acculturation plays in the process of adjustment to new cultures among migrants. Yet little attention has been paid thus far to the role of acculturation in the context of forced migration. In this study we examined the association between acculturation patterns and mental health symptoms among a convenience sample of Eritrean and Sudanese asylum seekers (n = 118) who accessed health services at the Physicians for Human Rights Open-Clinic in Israel. Participants completed measures on sociodemographic information as well as detention history, mental health symptoms, exposure to traumatic events, and acculturation pattern, in their native language upon accessing services. Consistent with our predictions, findings showed that acculturation predicted depressive symptoms among asylum seekers beyond the effect of history of detention and reports of experiences of traumatic events. Assimilated compared with integrated asylum seekers reported higher depressive symptoms. Findings draw attention to the paradox of assimilation, and the mental health risks it poses among those wishing to integrate into the new culture at the expanse of their original culture. Asylum seekers may be particularly vulnerable to the risks of assimilation in the restrictive policies that characterize many industrial countries in recent years. PMID:25090150
Altayeb Abdalla Ahmed
Full Text Available The presence of an isolated limb or limb parts from different individuals presents a major challenge for medicolegal investigators in establishing identification in cases of wars, mass disasters, and criminal assaults because different populations have different sizes and proportions. The measurement of lower limb dimensions showed a high success rate in establishing individual identity in terms of sex and stature in various populations. However, there is a paucity of data concerning the correlation within the lower limb parts. This study aims to assess the existence of relationships within lower limb parts and to develop regression formulae to reconstruct limb parts from one another. The tibial length, bimalleolar breadth, foot length, and foot breadth of 376 right-handed Sudanese adults were measured. The results showed that all variables were significantly larger in males than in females. A significant positive correlation (P<0.001 was found within the lower limb parts. Sex-specific linear equations and multiple regression equations were developed to reconstruct the lower limb parts in the presence of single dimension or multiple dimensions from the same limb. The use of multiple regression equations provided a better reconstruction than simple regression equations. These results are significant in forensics and orthopedic reconstructive surgery.
Wala Salah Elden Babekir
Full Text Available This study was carried out to evaluate survival of Bifidobacterium infantis 20088 in fermented beverage formulated from selected traditional Sudanese fruits Gudaim and dom. The viable counts of the strain and physiochemical changes during refrigeration were determined. 10% beverages (w/v were prepared from dom and gudaim powder. 2.5% (w/w skim milk was supplemented to each formulation to provide the required nutrient for bacteria growth during the fermentation. After sterilization and cooling, the mixture was inoculated with a 10% culture of B. infants 20088 followed by incubation for 36 h at 37°C. Reconstituted skim milk was used as control. Fermented beverages were held at refrigeration (4°C for a period of 2 weeks. During the refrigeration storage of the fermented beverages there was significant reduction in Bifidobacterium infantis of all fermented beverages. Nevertheless, the strain was maintained high; fulfill the number required to presence in probiotic foods, which was at least 6 log CFU/ml fermented product. There was no significantly difference in TSS and pH as compared to their initial at the beginning of fermentation except in pH of fermented gudaim. Therefore gudaim and dom are suitable carrier to deliver Bifidobacterium infantis 20088 to consumer.
Mohamed O. E. Altahir
Full Text Available The aim of this study was to assess the effect of heat treatment and salt concentrations (0, 5, and 10% on the free amino acids (FAA composition of Sudanese braided cheese (BC ripened for up to 3 months at 5±2°C. Heat and salt concentration significantly affected the FAA of braided cheese. The free amino acids concentrations of BC ripened in 0%, 5%, and 10% salted whey (SW were significantly fluctuated. Under ripening conditions tested (salt level + time, braided cheese made from pasteurized milk (BCPM had consistently lower values of FAA than braided cheese made from raw milk (BCRM. In fresh cheese, the major FAA in BCRM were Glu (36.12 nmol/ml, Leu (26.77nmol/ml and Lys (14.51 nmol/ml while the major ones in BCPM were Lys (2.94 nmol/ml and Ala (2.45 nmol/ml. BCPM stored in 10% SW had shorter quality life compared to that stored in 5% salted whey.
A pilot study with small sample size was done to see the prevalence of hypothyroidism in hyperprolactinaemic infertile patients compared to normal prolactin infertile patients. This pilot study was promising and consequently a comprehensive study was designed to verify the results of the pilot study. This study composes of two part. The first part is for the determination of the prevalence of hypothyroidism among hyperprolactinaemic patients. The second part is to study the effect of hypothyroidism treatment using levo-thyroxine for hyperprolactinaemic correction which has a positive impact on infertility problem. The study subjects consist of 173 patients out of them 88 hyperprolactinaemic patients their age (15-48) years and 85 normal prolactin patients with the same age were used as controls. 5 ml of venous blood were collected from each patient. Determination of serum hormones concentration was carried out using highly sensitive specific RIA technique. Prolactin (PRL) was measured to confirm the selection criteria for the two groups. Thyroid hormones thyroxine (T4), triiodothyronine (T3) and thyroid stimulating hormone (TSH) were also measured. Moreover, follicle stimulating hormones (FSH), luteinizing hormone (LH) were measured, in order to know if there is any fertility disorder apart form hyperprolactinaemic. 13.6% of hyperprolactinaemic patients were found to be hypothyroid, interestingly no case was reported to have hypothyroidism in the control group. After administration of levo-thyroxine for three months to patients who showed clear association between the hypothyroidism and hyperprolactinaemia there was a significant correction for thyroid hormones (T4, T3) and thyroid stimulating hormone (TSH) and prolactin. The results were as follows, remarkable elevation in T4 and T3 with p= 0.001 and p= 0.001 respectively. And apparent reduction in both PRL and TSH with p=0.002 and p=0.006 respectively. Some treated patients have showed very good progress on their
Sudanese systems are low-pressure thermal s ystems which originate from the Red Sea and their low-pressure isoheights are detectable around south of the Red Sea, Sudan and Ethiopia. These systems when combined with Mediterranean troughs in cold seasons, and absorbing more humidity from the Red Sea, reach the south west of Iran and result in heavy rainfalls in western, southwestern and southern parts of Iran. In all these synoptic-dynamic systems, low-pressure isobars or low isoheights are considerable. 11 severe torrents which happened in southwest of Iran (1998-2008) are selected and using Japanese ReAnalysis data (JRA25), anomalies of dynamic and thermodynamic indices 2 days prior to the start of heavy rainfalls and during rainy days have been analyzed. The selected indices in this research are relative vorticity, convergence and divergence, vorticity advection, specific humidity and moisture advection. Pressure levels of 500 and 700 were analyzed to detect the location of troughs, vorticity and vertical wind velocity. Also level of 1000 hPa was investigated to determine the atmospheric convergence in near surface levels. It should be mentioned that to determine the advection of moisture, vertical profile of moisture advection (1000-250 hPa levels) was analyzed. According to the results of this research and analyzing 6-hourly recorded rainfall amounts, it is understood that in the reference events, before the start of the torrent, geopotential height values in the under-studied region decrease and at the time of maximum rainfalls, the geopotential height reaches to its lowest values and by the end of the torrent, the values start increasing; whereas parameters related to convergence and vertical movements, such as relative vorticity, moisture advection, convergence of moisture and specific humidity amounts correspond to the same trend of rainfall from the beginning to the end.
This work was conducted to evaluate the tannin content and its effect on ruminant's digestibility in 26 Sudanese sorghum varieties. Samples were brought from Agricultural Research Corporation, Wad Medani (ARC), hand cleaned and preserved in dark in plastic containers. Tannins content was measured by using vanillin-HCl method (Price et al, 1979) and in vitro digestibility was conducted to evaluate the dry meter digestibility and organic matter digestibility according to (Tilley and Terry, 1963). Results have shown that condensed tannins (vanillin-HCl) ranged between 0.39 g/kg and 23.08 g/kg, Tabat recorded the lowest value when Wad akar red recorded the highest value. An in vitro dry matter digestibility (INVDMD) and organic matter digestibility (OMD) trial were performed. There was a negative correlation (P<0.05) between organic matter and condensed tannins especially those contained high level of condensed tannins. The organic matter digestibility ranged between 680.11 g/kg in arfa gadamak commercial to 828.85 g/kg in dar baladi. The results have shown that the addition of polyethylene glycol (PEG) to in vitro incubated samples increased the gas produced in wad akar red in 24 hours by 29% compared to the control sample without (PEG). Higher significant correlation (P<0.001) between the clorox bleaching test and condensed tannins (vanillin-HCl) in samples was found. It is concluded that condensed tannins in sorghum are beneficial to ruminant when they are introduced in complete diets to avoid the inhibitory effects of condensed tannins in sorghum. Adding (PEG) to the ruminant diets which contain high levels of condensed tannins improved digestibility subsequently animal performance.(Author)
The objective of this study were to determine the levels of the mineral nutrients, especially of trace elements, in some food items commonly consumed in Sudan and to compare the results of this work with local and international data. To achieve these objectives, food samples analyzed were collected from different localities in Sudan, and the samples were prepared for analysis by using dry ashing and wet digestion. Atomic absorption spectroscopy (AAS), x-ray fluorescence spectroscopy (XRF), flame photometry and colorimetry were used for the determination of the concentrations of elements in the samples, samples were ashed using muffle furnace at temperature 550 C. The quality of the data was verified by the analysis of standard reference materials TDD-ID and Hay-9. The levels of the elemental contents (Br, Ca, Co, Cu, Fe, Mg, Mn, P, Pb, Na, Rb, Sr, and Zn) were determined in legumes, cereals, oil seeds, flour and cereals products, vegetables, fruits, milk and milk products, egg, meats and fish, and oils and fats. The Sudanese food items analyzed were found to contain considerable ranges of nutrients as follows. Concentration levels for some of these elements Ca, Cu and Fe show values which were higher in fruits(4709, 21, and 633 ppm, respectively), and lower in vegetables (4094, 13, and 255 ppm, respectively). Pb and Mn were higher in vegetables (2 and 32 ppm, respectively) and lower in fruits (1 and 18 ppm) respectively). Na and Zn were higher in vegetables (3149 and 26 ppm, respectively) and lower fruits (269 and 13 ppm, respectively). The values obtained agree, in general, with data available from other countries. Variations were observed among certain varieties of food.(Author)
The objectives of this study were to determine the levels of the mineral nutrients, especially of trace elements, in some food items commonly consumed in sudan and to compare the results of this work with local and inter nation data. to achieve these objectives.Food samples were collected from different localities in sudan, and the samples were prepared for analysis using dry ashing and wet digestion. Atomic absorption spectroscopy (Aas), X-ray florescence spectroscopy (XRF), flame photometry and colorimetry were used for the determination of the concentrations of elements in the samples. Samples were ashed using muffle furnace at temperature 55 degree C. The quality of the data was verified by the analysis of standard reference materials TDD-Id and hay-9. The levels of the elemental contents (Br,Ca,Co,Cu,Fe,Mg,Mn,P,Pb,Na,Rb,Sr, and Zn) were determined in legumes, cereals, oil seeds, flour and cereal products, vegetables, fruits, milk and milk products, egg, meats and fish, and oils and fats. The sudanese food items analyzed were found to contain considerable ranges of nutrients as follows:-concentration levels for some of these elements Ca, Cu and Fe show values which were higher in fruits (4709,21, and 633 ppm, respectively), and lower in oils and fat s (25, 2, and 11 ppm, respectively). Pb and Mn were higher in flour and cereals products (4 and 34 ppm, respectively) and lower in fruits (1 ppm) and meats and fish (1 ppm and 4 ppm, respectively ). Na and Zn were higher in flour and cereals products and legumes (4970 and 39 ppm, respectively). The values obtained agree, in general, with data available from other countries. Variations were observed among certain varieties of food. (Author)
Gader, Asha A; Abed Elrahium D Haggaz; Ishag Adam
Asha A Gader1, Abed Elrahium D Haggaz2, Ishag Adam11Faculty of Medicine, University of Khartoum, Sudan; 2Department of Obstetrics and Gynecology, Faculty of Medicine University of Elfasher, SudanBackground: Deep venous thrombosis (DVT) and venous hromboembolism (VTE) is a major health problem with high mortality worldwide. Patients at risk must be identified and given appropriate prophylaxis in order to decrease the mortality.Objective: To investigate the prevalence of DVT in pregna...
Asha A Gader1, Abed Elrahium D Haggaz2, Ishag Adam11Faculty of Medicine, University of Khartoum, Sudan; 2Department of Obstetrics and Gynecology, Faculty of Medicine University of Elfasher, SudanBackground: Deep venous thrombosis (DVT) and venous hromboembolism (VTE) is a major health problem with high mortality worldwide. Patients at risk must be identified and given appropriate prophylaxis in order to decrease the mortality.Objective: To investigate the prevalence of DVT in pregna...
In this study, surface sediments from port Sudan and Sawakin harbors and the fringing reefs area, located the Sudanese coast of the Red Sea, were analyzed for some heavy metals and radionuclides. The sampling was performed to provide good spatial coverage taking into account man's activity in Port Sudan harbor and the fringing reefs sea. A total of 31 bulk sediments samples were fractionated to five fractions using dry sieving method. A total of of 155 sub-samples (fractions) were digested by wet digestions and analyzed for Mn, Fe, Ni, Cu, Zn, and Pb content using flame atomic absorption spectrometry. For radioactivity measurement, a total of 26 bulk sediment samples were treated and analyzed for natural and anthropogenic radionuclides 226Ra, 228Ra, 228K, 137Cs) using direct gamma-ray spectrometry. Quality assurance of the data was achieved through the analysis of certified reference materials. The range of concentration for Mn, Fe, Ni, Zn, and Pb are 53.3-819 μg/g, 1.4-51 mg/g, 8-131μg/g, 9.5-113 μg/g, 18.4-142 μg/g, and 4.0-26.6 μg/g respectively. The ranges of radioactivity concentration of 226Ra, 228Ra, and 40K are 2.5-25.1 Bq/kg, 2.1-13.1 Bq/kg, respectively, while most of the measurements for 137Cs were below detection limits and the highest value is 8.3 Bq/kg. With respect to heavy metals for some samples the metal content increasing with decreasing particle-size, this results obtained by statistical multi-variant analysis methods. factor analysis indicates that: the silt/clay fraction (≥63 μm) the is dominant source for the emission form anthropogeic activities. the results from cluster analysis showed that the samples fell into two clusters based on minerological composition variations. Dominant elements in sediments recorded significant positive correlation with both trace elements and natural radionuclides. From the comparative study it appeared that: the fringing reefs area and few locations in Port Sudan and Sawakin harbors can be considered as
Full Text Available Abstract Background Knowledge of the distribution of human papillomavirus (HPV genotypes among women with cervical lesion and in invasive cervical cancer is crucial to guide the introduction of prophylactic vaccines. There is no published data concerning HPV and cervical abnormalities in Sudan. This study aimed to define the prevalence of HPV and its subtypes in the cervical smears of women presenting with gynecological complains at Omdurman Military Hospital, Sudan. During the period between March 2003 and April 2004, 135 cervical smears collected from these women, were screened using cytological techniques, and analysed by PCR for (beta-globin and HPV DNA using gel electrophoresis and ELISA. Results Of these 135 smears, there were 94 (69.3% negative, 22 (16.3% positive for inflammation, 12(8.9 mild dyskaryosis, 5 (3.7 moderate dyskaryosis and 2 (1.8 severe dyskaryosis. There were 60.7% ß. globin positive samples for HPV indicating DNA integrity. HPV DNA was identified in three samples (2.2% by gel electrophoresis and. was positive in four samples (2.9% as single and multiple infections by PCR-ELISA. The high risk HPV types 16 and 58 were identified in one sample as a mixed infection. The low risk HPV types 40 and 42 were also found as a mixed infection in another patient. HPV types 58 and 42 were identified in the other two patients. Conclusion HPV type distribution in Sudan appears to differ from that in other countries. The HPV genotypes identified were not associated with cancer.
Mikal, Jude P; Woodfield, Braden
Post-migration stressors represent significant obstacle to refugee adjustment, and continued exposure to post-migration stressors can negatively affect mental and physical health. Communities of support maintained over the Internet may provide a sense of constancy and reliability that may insulate against the negative effects of stress. We conducted five focus group interviews with Iraqi and Sudanese refugees to understand how refugees use the Internet to access support in their daily lives. Four trends were observed: (a) Internet use was related to culture of origin, (b) refugees were reluctant to explore online, (c) children served as brokers of online knowledge, and (d) limited Internet access is associated with increased time and financial obligations. This study aims to contribute to theory on Internet-mediated social support and to refugee health by creating smoother pathways to self-sufficiency and allowing refugees to exhibit agency in constructing and maintaining online networks of support. PMID:26290542
A randomized controlled study was carried out in Khartoum North during the year 1994-1995 at Ahmed Gasim children teaching hospital, khatmia, and shabia health centres to evaluate acceptability, safety and efficiency of three formulated baobab home oral rehydration solutions in children with diarrhoeal diseases. 113 children 6-60 months of age were enrolled in the study with mild or no dehydration and without associated diseases. Three baobab solutions were administered beside the control WHO/oral rehydration solution (ORS). 32 were allocated to solution A (baobab pulp extract+home sugar), 35 patients to solution B (baobab pulp extract+domestic salt+sugar), 25 to solution C (baobab pulp extract+WHO/ORS) and 21 to the control solution (WHO/ORS). The solutions were administered for three successive days to the children with diarrhoea. A questionnaire was filled for each child including attitudes and practices of mother regarding diarrhoeal diseases, socioeconomic status of parents, history of the patient health and past nutritional intake during the present diarrhoea. The clinical data were studied. The study showed that the solutions were acceptable, effective and safer than the control. The three solutions A, B and C were good as therapeutic solutions and exceeded that of the WHO/ORS. Clinical data demonstrated that after 24 hours of management of the diarrhoeal diseases with baobab solutions, the recovery rate was 60% for solution A group, 20% for solution B group and 28% for solution C where as the recovery rate for solution D was 5%. By the second 24 hours of management the cumulative recovery rate was 100% for A, 77% for B, 84% for C and 24% for D. None was considered a treatment failure or developed dehydration and all the patients were satisfactorily treated with marked effect on children with diarrhoea , specially bloody diarrhoea. The molar concentration of K in the baobab solution was 21 mmol/litre very close to the molar concentration of K in the WHO
Full Text Available Abstract Background In Sudan, chloroquine (CQ remains the most frequently used drug for falciparum malaria for more than 40 years. The change to artemisinin-based combination therapy (ACT was initiated in 2004 using the co-blister of artesunate + sulfadoxine/pyrimethamine (AS+SP and artemether + lumefantrine (ART+LUM, as first- and second-line, respectively. This article describes the evidence-base, the process for policy change and it reflects the experience of one year implementation. Relevant published and unpublished documents were reviewed. Data and information obtained were compiled into a structured format. Case description Sudan has used evidence to update its malaria treatment to ACTs. The country moved without interim period and proceeded with country-wide implementation instead of a phased introduction of the new policy. The involvement of care providers and key stakeholders in a form of a technical advisory committee is considered the key issue in the process. Development and distribution of guidelines, training of care providers, communication to the public and provision of drugs were given great consideration. To ensure presence of high quality drugs, a system for post-marketing drugs surveillance was established. Currently, ACTs are chargeable and chiefly available in urban areas. With the input from the Global Fund to fight AIDs, Tuberculosis and Malaria, AS+SP is now available free of charge in 10 states. Conclusion Implementation of the new policy is affected by the limited availability of the drugs, their high cost and limited pre-qualified manufacturers. Substantial funding needs to be mobilized by all partners to increase patients' access for this life-saving intervention.
Full Text Available Seven oils, obtained from seven Sudanese oil bearing sources that are Albizia lebbek Oil (ALO, Cassia obtusifolia Oil (COO, Cassia occidentalis Oil (CCO, Abutilon pannosum Oil (APO, Mitracarpus villous Oil (MVO, Ipomea indica Oil (IIO and Sesamum alatum Oil (SAO, were investigated. The seeds were collected in Sudan from Ghibaish, North Kordofan state. In addition to the oil content, the fatty acid was determined by capillary gas chromatography and the tocopherols were evaluated by highperformance liquid chromatography. The oil content of the seven seeds amounted to 12.8, 7.0, 3.2, 7.1, 11.5, 8.8, and 21.3%, respectively.The oils contained 16.4, 20.0, 14.3, 16.8, 19.4, 19.9 and 10.9 % palmitic acid and 21.0, 24.4, 22.1, 10.9, 27.7, 34.0, 45.1 % oleic acid, and 43.8, 38.2, 45.0, 63.9, 34.6, 33.5, 36.3 % linoleic acid and traces of linolenic acid, respectively.The tocopherol content of these oils amounted to 85.6, 48.2, 32.7, 163.5, 52.5, 30.9, and 26.4 mg/100 g oil, respectively. Alpha-tocopherol was the predominant tocopherol in the oil of Albizia lebbek, Cassia obtusifolia, Cassia occidentalis, and Abutilon pannosum, while gamma-tocopherol was the predominant tocopherol in the oil of Mitracarpus villous, Ipomea indica and Sesamum alatum.Se analizan siete aceites procedentes de plantas y semillas de Sudán: Albizia lebbek Oil (ALO, Cassia obtusifolia Oil (COO, Cassia occidentalis Oil (CCO, Abutilon pannosum Oil (APO, Mitracarpus villous Oil (MVO, Ipomea indica Oil (IIO y Sesamum alatum Oil (SAO. Las semillas se recolectaron en el estado de Ghibaish, North Kordofan. Además del contenido en aceite (12.8, 7.0, 3.2, 7.1, 11.5, 8.8, y 21.3 %, respectivamente, se determinaron los ácidos grasos mediante cromatografía de gases y los tocoferoles mediante HPLC. Los aceites contenían, respectivamente, 16.4, 20.0, 14.3, 16.8, 19.4, 19.9 y 10.9 % de ácido palmitito, 21.0, 24.4, 22.1, 10.9, 27.7, 34.0, 45.1 % de ácido oleico, 43.8, 38.2, 45.0, 63.9, 34
Full Text Available This article examines debates about national identity in the media landscape of post-referendum and post-independence South Sudan. Having never existed as a sovereign state and with its citizens being a minority group in Sudan, collective action among South Sudanese has historically been shaped in response to external pressures: in particular, the aggressive nation-building pursued by successive Khartoum governments that sought to Arabize and Islamize the South. Today, in the absence of a clear-cut enemy, it is a major challenge for South Sudan to devise a common identity that unites the putative nation beyond competing loyalties to ethnicity, tribe and family. Analysing opinion pieces from South Sudanese online media and placing them in the context of contemporary African nationalism, this article gives an initial overview of the issues that dominate the public debate on national identity: fear of tribalism and regionalism, commemoration of the liberation struggle, language politics, and the role of Christianity.Dieser Artikel widmet sich den Debatten, die in südsudanesischen Medien von der Nachreferendumszeit bis einige Monate nach der Unabhängigkeit über die nationale Identität geführt wurden. Der Südsudan hatte nie als souveräner Staat existiert und innerhalb des Sudan hatten die Südsudanesen eine Minderheit gebildet. In der Geschichte war gemeinschaftliches Handeln der Südsudanesen in erster Linie als Reaktion auf Druck von außen in Erscheinung getreten, insbesondere im Zusammenhang mit Arabisierungs- und Islamisierungsbestrebungen von Regierungen in Khartum. Heute fehlt ein eindeutiges Feindbild. Daher ist der Entwurf einer gemeinsamen Identität, die das Land über konkurrierende Loyalitäten zu Stamm, Ethnie oder Familie hinweg zu einen vermag, eine große Herausforderung für den Südsudan. Auf der Grundlage von Meinungsäußerungen in südsudanesischen Online-Zeitungen, die er zum „neuen“ afrikanischen
This work was examined whether intradermal immunization of healthy adult Sudanese volunteers with killed leishmania major (KLM) promastigotes plus BCG would induce antigen-specific T cell responses. Only healthy Sudanese volunteers with negative reactivity to leishmania skin test and with ≤20 mm induration of reactivity to purified protein derivative (PPD) were included in the trial. Group (A) (n=3): received a single dose (0.1ml) at a concentration of 10 mg protein of a whole cell component of KLM promastigotes/ml BCG, group (B) (n=12): received as a single dose of viable attenuated BCG alone (0.1 ml) at a concentration of 1 mg protein/ml diluent, group (C) (n=11): received the vaccine diluent only (Placebo) (o.1 ml). Study subjects were tested for their immunological and clinical responses before intervention, . Following vaccination 65% of group (A) subjects converted in their reactivity to leishmanin skin testing,non of the BCG vaccinated subjects converted in leishmanin skin test and only one subject of group (C) became leishmanin positive. Levels of Interferon-gamma (IFN-γ), interleukin-5 (IL-5) and interleukin-10 (IL-10) were measured by a double sandwich enzyme-linked immunosorbent assay (ELISA). A vaccine was considered as a positive responder in terms of cytokine production when the level of the produced cytokine was equal to the 80th percentile of the levels produced by the volunteers in the placebo group. 92% of the group vaccinated with KLM=BCG had circulating T cells. No significant of IL-5 or Il-10 was reported in any of the volunteers in the three group. Levels of antileishmania specific IgG were measured by ELISA in optical densities. Volunteers with mean antibody titre above the cut-off point (mean=3X standard deviation) were considered to have positive scores. Accordingly after vaccination 7.69% one volunteers in group (A) had a positive antibody response corresponding to 0% in the other two groups. No serious side effects were reported
Alam, S. A.
Understanding the carbon (C) sequestration potential of drylands requires knowledge of the stocks of C in soils and biomass and on the factors affecting them. The overall aim of the study was to determine and evaluate the variation in the C stocks and water balance of Acacia savannah woodlands across the dryland (arid and semi-arid) region (10-16 deg N; 21-36 deg E) of the former Sudan (now mainly in the Republic of the Sudan) and how they are related to climatic factors and may be affected by climate change. The role played by small but numerous brick making industries on woodland deforestation in the region and greenhouse gas production was also investigated. The study region is often referred to as the gum belt because it is the world's major source of gum Arabic, which is harvested from Acacia trees. The soils in the centre and west of the region are mainly Arenosols (sandy soils) and those in the eastern part are mainly Vertisols (clay soils). The soils are C poor and often in a degraded state. This dissertation consists of a summary section and four articles (Study I, II, III and IV). Study I focuses on fuelwood consumption by the brick making industries (BMIs) and associated deforestation and greenhouse gas (GHG) emissions. In Study II the C densities (g C m-2) of the woodland tree biomass and soil (1 m) for 39 map sheets covering the study region were determined from national forest inventory data and global soil databases and the dependence on mean annual precipitation (MAP) and mean annual temperature (MAT) determined. The water balance of savannah woodlands for the same 39 map sheets was modelled in Study III and the variation in water balance components across the region evaluated. The potential impacts of climate change on woodland biomass C density and water-use (actual evapotranspiration, AET) was analysed for eight of the map sheets in Study IV. Sudanese BMIs consume a considerable amount of fuelwood that mainly comes from unsustainably managed
This study was conducted during the period from february 2004 to July 2004; with the objective of measuring the levels of estrogen (E2), carcinoembryonic antigen (CEA) and cancer antigen of breast (CA-15.3) so as to facilitate the early diagnosis of breast cancer and determine the involvement of these parameters as risk factors for breast cancer. Ninety blood samples were collected from Sudanese females, divided into two groups; control group and patient groups. The patients group was sixty Sudanese females visiting the Radio Isotope Center, Khartoum (RICK) and they were confirmed as breast cancer patient by histopathology. The levels of the above mentioned parameters were determined by using radioimmunoassay technique. The results showed that, no significant (p=0.05) difference between the levels of the estrogen in patients compared to the control, on the other hand there was non significant (p>0.05) elevation in CEA levels in the patients with breast cancer compared to the control. The level of CA15.3 was significantly (p<0.0001) higher in the breast cancer patients compared to the control.(Author)
Yamuna Rajoo; Romano Ngui; Rohela Mahmud; Ng Rong Xiang; Sharifah FS Omar; G Kumar; Yvonne AL Lim; Arine Fadzlun Ahmad; Amirah Amir; Zurainee Mohamed Nor
We report a case of a patient with Schistosoma mansoni infection who presented with liver cirrhosis and splenomegaly. She was diagnosed by a serological test and Kato-Katz thick smear stool examination. The patient was a 52-year-old woman from Sudan who came to Malaysia for a week to visit her sons. The patient lives in the middle of Rabak region, Sudan, a highly endemic area for schistosomiasis where her daily routine includes rearing of cows and farming. The site of toilet and sources of drinking water are canals and wells; both infested with snails. Patient had a long history of exposure and coming into contact with water from these canals and wells.
Seo, Bo-Ra; Lee, Sook-Jeong; Cho, Kyung Sook; Yoon, Young Hee; Koh, Jae-Young
Arrested autophagy may contribute to the pathogenesis of Alzheimer's disease. Because we found that chloroquine (CQ) causes arrested autophagy but clioquinol (ClioQ), a zinc ionophore, activates autophagic flux, in the present study, we examined whether ClioQ can overcome arrested autophagy induced by CQ or mutant presenilin-1 (mPS1). CQ induced vacuole formation and cell death in adult retinal pigment epithelial (ARPE-19) cells, but co-treatment with ClioQ attenuated CQ-associated toxicity in a zinc-dependent manner. Increases in lysosome dilation and blockage of autophagic flux by CQ were also markedly attenuated by ClioQ treatment. Interestingly, CQ increased lysosomal pH in amyloid precursor protein (APP)/mPS1-expressing Chinese hamster ovary 7WΔE9 (CHO-7WΔE9) cell line, and ClioQ partially re-acidified lysosomes. Furthermore, accumulation of amyloid-β (Aβ) oligomers in CHO-7WΔE9 cells was markedly attenuated by ClioQ. Moreover, intracellular accumulation of exogenously applied fluorescein isothiocyanate-conjugated Aβ(1-42) was also increased by CQ but was returned to control levels by ClioQ. These results suggest that modulation of lysosomal functions by manipulating lysosomal zinc levels may be a useful strategy for clearing intracellular Aβ oligomers. PMID:26453000
In this study 587 Sudanese woman were studied those women were referred to gynecological clinics a infertile cases. Hormonal investigations were done for them, prolactin, (PRL). Female stimulating hormones (FSH) luotulizing hormones (LH) level were analyzed at Sudan Atomic Energy Commission (SAEC), (RIA ) lab, with the radioimmunoassay (RIA) method. The objective of this study was to find the relation between age versus hyperprolicinemia and (PCOS) polycystic ovary syndrome. Statistical analysis was done with the (SPSS) computer program. The result was 39.2% of the total patient 587 were high prolactin level hyper prolactin >370 mu/I which 10% of them were in the age between 25-30 years old. Age between 30-35 years old was found to be high frequency complain high FSH levels (>8 mu/ I) 29.1% of the patients. Found to be of high LH/FSH. Ratio which clear indication of polycystic ovary syndrome. (PCOS). (Author)
Full Text Available Seven polymorphic sites in the beta-globin gene cluster were analyzed on a sample of 96 chromosomes of Venezuelan sickle cell patients from the State of Aragua. The Benin haplotype was predominant with a frequency of 0.479, followed by the Bantu haplotype (0.406; a minority of cases with other haplotypes was also identified: atypical Bantu A2 (0.042, Senegal (0.031, atypical Bantu A7 (0.021 and Saudi Arabia/Indian (0.021 haplotypes; however, the Cameroon haplotype was not identified in this study. Our results are in agreement with the historical records that establish Sudanese and Bantu origins for the African slaves brought into Venezuela.
Anass M. Abbas
Full Text Available The use of Toombak has been reported to play a major role in the etiology of oral cancer in Sudan. The cellular proliferative activity on the oral epithelium of 210 Toombak dippers was assessed by applying the micronuclei frequency, mean argyrophilic nucleolar organizer region (AgNOR counts, Papanicolaou method, and 1% crystal violet stain. Participants were divided into 3 groups: 200 were apparently healthy individuals, 100 were Toombak users (cases, 100 were non-tobacco users (control and 10 were patients with oral squamous cell carcinomas. Cytological atypia was identified among 4 (4%. Toombak users and was not found among the control group (P<0.04. The micronuclei frequencies were higher in Toombak users (1.026 than in the control group (0.356 (P<0.0001. The mean AgNOR counts in Toombak users (2.423 were higher than control group (1.303 (P<0.0001. Neither Toombak users nor control group showed mitotic figures in 1% crystal violet method. The results of this research showed that Toombak dipping is a high risk factor for increase in the cellular proliferation in the oral mucosa. The cytological proliferative marker methods used are useful for screening Toombak users.
Full Text Available Markers of hepatitis A and B virus were tested in 88 adult Sudanese subjects in Khartoum, Sudan. The subjects consisted of 25 control hospitalized patients, 21 volunteer blood donors, 23 patients with hepatosplenic schistosomiasis, 13 patients with liver cirrhosis and 6 patients with hepatocellular carcinoma (HCC. Antibody to hepatitis A virus was detected in 96% of the total. Hepatitis B surface antigen (HBsAg was positive in 4, 24, 22, 31, and 67% of the subject groups, respectively. Antibody against hepatitis B core antigen (HBcAb of undiluted serum was positive in 60, 57, 65, 77 and 83%, and there was no difference in incidence among the groups. It was positive in 200X diluted serum in 4, 24, 17, 23 and 60%. HBsAg and HBcAb (200X were detected more often in HCC patients than in the control subjects (p less than 0.01. Hepatitis B virus is an important factor in the etiology of HCC in the Sudan.
Full Text Available The Government of Southern Sudan’s Go to School Initiative,supported by UNICEF, which seeks to get 1.6 millionchildren back in school by the end of 2007, incorporateskey elements of the INEE Minimum Standards for Educationin Emergencies, Chronic Crises and Early Reconstruction.
Full Text Available Land policy issues are not fully addressed in the Comprehensive Peace Agreement. As IDPs return home, and lay claim to land and water use rights, disputes could threaten stability in south Sudan, the Three Areas, Darfur and eastern Sudan.
Abdalbasit Mariod; Bertrand Matthäus; Karl Eichner; Hussein, Ismail H.
Background. The total amount and content of phenolic and fl avonoid compounds using the Folin-Ciocalteu and Aluminum chloride methods of the methanolic extracts of Sclerocarya birrea oil (SCO), Melon bug oil (MBO), and Sorghum bug oil (SBO) were studied. Material and methods. Dry samples of Sclerocarya birrea, Aspongopus vidiuatus and Agonoscelis pubescens were used in this study. The oil was extracted using n-hexane following AOCS method. The phenolic compounds were extracted following a...
Elkhidir, Hassab Elrasoul Hussein Mohamed
Vitamin C (ascorbic acid), which is a potent antioxidant, recently has received a great deal of attention because of its positive action on the immune response and disease resistance of animals. Brief reviews are presented on ascorbic acid metabolism in animals and its relation with stressful condit
The use of CT in medical diagnosis delivers radiation dose to patients that are higher than those from other radiological procedures. Lake of optimized protocols could be an additional source of increased dose. The aim of this study was to measure radiation doses in CT examination of the adults in three Sudanese hospitals. Details were obtained from approximately 160 CT examination carried out in 3 hospitals (3 CT scanners). Effective dose was calculated for each examination using CT dose indices. exposure related parameters and CT D1- to- effective dose conversion factors. CT air kerma index (CT D1) and dose length products (DLP) determined were below the established international reference dose levels. The mean effective doses in this study for the head, chest, and abdomen are 0.82, 3.7 and 5.4 mGy respectively. These values were observed that the effective dose per examination was lower in Sudan than in other countries. The report of a CT survey done in these centers indicates that the mean DLP values for adult patients were ranged from 272-460 mGy cm (head) 195-995 mGy cm (chest), 270-459 mGy cm (abdomen). There are a number of observed parameters that greatly need optimization, such as minimize the scan length, without missing any vital anatomical regions, modulation of exposure parameters (kV, mA, exposure time, and slice thickness) based on patient size and age. Another possible method is through use of contrast media only to optimize diagnostic yield. The last possible method is the use of radio protective materials for protection however, in order to achieve the above optimization strategies: there is great demand to educate CT personnel on the effects of scan parameter settings on radiation dose to patients and image quality required for accurate diagnosis. (Author)
Al Qahtani S
Full Text Available Saad Al Qahtani Intensive Care Department, Critical Care Response Team, King Abdulaziz Medical City (KAMC, National Guard Health Affairs; King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, Kingdom of Saudi Arabia Abstract: Thrombotic thrombocytopenic purpura (TTP is a rare, life-threatening disorder. This paper describes the case of a 39-year-old Sudanese male who presented to the emergency room with fever, jaundice, decreased level of consciousness, and worsening kidney function for 7 days, a high lactate dehydrogenase level (1947, severe thrombocytopenia (platelets 8, and numerous schistocytes in the peripheral blood smear. The patient was admitted with a diagnosis of TTP for plasma exchange. Fourteen days later, his creatinine kinase (CK level rose to >50,000 IU; rhabdomyolysis was suggested. Continuous venovenous hemodialysis (CVVHD was started. The patient's CK level remained high, despite CVVHD, until the 6th day, after which this parameter gradually started to decrease. This report highlights a resistant case of TTP that presented with concomitant severe rhabdomyolysis, which demanded aggressive, continuous intervention. Keywords: TTP, CVVHD, continuous venovenous hemodialysis
Following an intensive public health eradication program, the focus of schistosomiasis mansoni at Salalah in Southern Oman (the only focus of schistosomiasis in Oman), appeared to have been eradicated in 1994. Since the vector snails for schistosomiasis mansoni (and also for S. haematobium) were widely endemic in fresh water springs at Salalah, and reintroduction of introduction (or introduction in case of S.haematobium), was possible, we undertook a prospective study in 1995 for schistosomiasis in our patients at the Sultan Qaboos University Hospital (SQUH) and to obtain evidence of visits by these patients to Salalah. From May 1995 to May 2000, Omani and expatriate patients presenting at SQUH were evaluated for possible schistosomiasis (residence in an endemic region, suggestive clinical features) by a search for ova in stool, urine, or in tissue biopsies, or when ova were absent, by serodiagnosis. A retrospective survey of schistosomiasis patients diagnosed in SQUH from 1990 to April 1995 was also performed. Ministry of Health (MOH) data on reports of schistosomiasis (a notifiable disease) in Oman from 1991 to 2000 were obtained. Thirty patients with schistosomiasis were identified, 10 retrospectively and 20 in prospective study. Patients were aged 9 to 60 years, and 25 of them (10 Omanis, 14 Egyptians, 1 Sudanese) contracted the infection in Africa, while 5 Omanis became infected in Salalah (3 in 99). Twelve patients had schistosomiasis mansoni, 6 had schistosomiasis. Haematobia, and in the rest, infection by both parasites was confirmed or possible. The most common presentation (23%) was hepatosplenic schistosomiasis with portal hypertension. No patient admitted to contaminating fresh water with excreta in Salalah. MOH data revealed 3 to 14 cases of schistosomiasis were reported annually between 1991 and 2000, and that all schistosomiasis cases reported from 1994 1998 originated from Africa. Schistosomiasis remains an important health problem in Oman. Many
The aim of this case-control study was to investigate the relationship between selected trace elements and skin diseases, namely eczema. Fifty five patients affected by the most frequent eczema types were recruited at the onset of disease at the hospital of dermatology in Khartoum together with thirty healthy controls. Fe, Zn, Cu, and Ni were measured in hair samples obtained from both patients and control group using Atomic Absorption Spectrometry (AAS). Data analysis was performed using the T-test. Partial correlation was used to study the relationship between the elemental concentration. Certified reference material (IAEA-85) Hair Powder) produced by the International Atomic Energy Agency (IAEA) was used as a quality control to check the accuracy and precision of the analytical technique, good agreement was achieved for all elements under investigation. Significant variations (p<0.05) in the concentrations of Fe, Zn, Cu, and Ni in the hair of the patients compared to the control group, and this difference was a decrease of iron, zinc and copper, therefore, should be given to the patient doses of these elements, while there was an increase in the nickel. So it is not included in the treatment. These interesting associations between the levels the of trace elements could be used as an indication for the disease as well as to monitor the treatment. Comparisons of the results obtained in the present study with those conducted for other population in the literature showed very close agreement. The levels of the elements under investigation are comparable with the data obtained from the literature for other populations with exception of Fe which was found to be very high in Sudanese population. (Author)
Birkelund, Regner; Søndergaard Larsen, Lene
occasionally, the opposite was experienced too. Less typically, the patients experienced interaction with fellow patients as a burden and referred to it in negative terms. Conclusions: Patients’ interaction resembled care as well as self-care. Patient–patient interaction was an important part of the social...... subcategories representing significance of patients’ interaction with fellow patients. Results: The qualitative analysis resulted in two main categories: (i) Caring for fellow patients and (ii) Sharing illness information with fellow patients. Each of the main categories was elucidated through several...... subcategories. Our findings clearly showed that interpersonal interaction with fellow patients was of utmost importance when it came to care and support and when they needed information about their illness. Typically, the interpersonal interaction was experienced as giving and referred to in positive terms, but...
Suliman Nada M
Full Text Available Abstract Background There are only few studies considering the impact of oral mucosal lesions (OML on the oral quality of life of patients with different dermatological conditions. This study aimed to assess the relationship between oral health-related quality of life (OHRQoL and OML and reported oral symptoms, perceived general and oral health condition and caries experience in adult skin diseased patients attending an outpatient dermatologic clinic in Sudan. Methods A cross-sectional survey was carried out with 544 diagnosed skin diseased patients (mean age 37.1 years, 50 % females, during the period October 2008 to January 2009. The patients were orally examined and OML and caries experience was recorded. The patients were interviewed using the Sudanese Arabic version of the OIDP. OHRQoL was evaluated by socio-demographic and clinical correlates according to number of types of OML diagnosed (no OML, one type of OML, > one type of OML and number and types of oral symptoms. Results An oral impact (OIDP > 0 was reported by 190 patients (35.6 % (mean OIDP total score 11.6, sd = 6.7. The prevalence of any oral impact was 30.5 %, 36.7 % and 44.1 %, in patients with no OML, one type of OML and more than one type of OML, respectively. Number of types of OML and number and types of oral symptoms were consistently associated with the OIDP scores. Patients who reported bad oral health, patients with ≥ 1 dental attendance, patients with > 1 type of OML, and patients with ≥ 1 type of oral symptoms were more likely than their counterparts in the opposite groups to report any OIDP. The odds ratios (OR were respectively; 2.9 (95 % CI 1.9-4.5, 2.3 (95 % CI 1.5-3.5, 1.8 (95 % CI 1.1-3.2 and 6.7 (95 % CI 2.6-17.5. Vesiculobullous and ulcerative lesions of OML disease groups associated statistically significantly with OIDP. Conclusion OIDP was more frequently affected among skin diseased patients with than without OML
Full Text Available Patient satisfaction is an important and commonly used indicator for measuring the quality in health care. Patient satisfaction affects clinical outcomes, patient retention, and medical malpractice claims. It affects the timely, efficient, and patient-centered delivery of quality health care. Patient satisfaction is thus a proxy but a very effective indicator to measure the success of doctors and hospitals. This article discusses as to how to ensure patient satisfaction in dermatological practice.
Ardo, J; Olsson, L.
Do altered land management practices offer possibilities to sequester carbon in the soil and thereby mitigate increasing atmospheric CO2 as well as improve local soil fertility? This study investigates the impact of fallow periods on soil organic carbon in semiarid subsistence agroecosystems on sandy and poor soils in Kordofan, Sudan. The area is characterized by low-input cultivation of millet and sorghum in combination with livestock grazing. Recently, cultivation intensity has increased an...
Ahmed Elawad Elfaki
Full Text Available The aim of this study was to detect the safety of two foods (Shawerma and ice cream usually sold in streets of Khartoum State. They were collected from different sources (Albait Alssory-Khartoum North, College of Agricultural Studies - Sudan University of Science and Technology, Omdurman maket, Almazallt, Freeway Factory and household. Total Bacterial Count (TBC (cfu/g in Shawerma was found to be 5.3×103, 8.4×103 and 5.3×104 in Albait Alssory, Collage and Omdurman market, respectively. Coliforms count (cfu/g was found to be nil, 1.7×10 and 2.6×10 in Albait Alssory, College and Omdurman market, respectively. The samples of College were found to be highly contaminated by TBC and moulds and yeasts compared to other two sources. On the other hand Omdurman samples were found to be highly contaminated with coliforms.With regard to pathogenic bacteria they were highly contaminating Shawerma of Omdurman Market, while Shawerma of Albait Alssory was of the least contamination by the pathogenic bacteria. TBC of ice cream was 5.9×104, 3.6×103 and 5.9×104 in factory, Almazallat and household, respectively. Moulds and yeasts were not detected in Almazallat and household ice cream, while they were 4.3×102 in the factory. However, Almazallat and Factory ice cream were free of E. coli, Salmonella and Staph.aureus. Household was free of E. coli but with Salmonela and Staph. aureus .The Pb l (ppb in Shawerma of Albait Alssory was 24.84 and 2.90 in College and not detected in Omdurman market. The Pb in ice cream was 5.10, 8.32 and.0.26 in Almazallat , factory and household, respectively. The Al (ppm in Shawerma of Albait Alssory, College, and Omdurman market was 1.37, <0.30 and 1.75, respectively. The Al was 3.5, <0.30 and <0.30 in Almazallat, factory and household, respectively. The peroxide value (% in Shawerma was not detected in Albait Alssory and College but10.0 in Omdorman market samples, while it was 4.0 in ice cream samples. Interactions between authorities and consumers are needed to avoid harms possibility from street foods.
Ahmed Elawad Elfaki; Sally Ali Abdalla Elhakim
The aim of this study was to detect the safety of two foods (Shawerma and ice cream ) usually sold in streets of Khartoum State. They were collected from different sources (Albait Alssory-Khartoum North, College of Agricultural Studies - Sudan University of Science and Technology, Omdurman maket, Almazallt, Freeway Factory and household). Total Bacterial Count (TBC) (cfu/g) in Shawerma was found to be 5.3×103, 8.4×103 and 5.3×104 in Albait Alssory, Collage and Omdurman market, respectively. C...
In this study two thyroid related hormones of 200 neonates were investigated, in order to study the prevalence of congenital hypothyroidism in Khartoum state. Radiochemical iodinated anti-thyroid stimulating hormone (TSH) monoclonal antibody and and thyroxine labeled antigen were used as a radiotracer. Radiochemical chlora min T method of radioiodination, which based on chlomin T as strong oxidizing agent and sodium metabisulphite as strong reducing agent was used to prepare the iodine 125 labeled radio tracer of TSH and T4 hormones. There for two radiotracer were used in sensitive and specific radioimmunoassay (RIA) for T4 and TSH. Cord blood was used at the moment of delivery to obtain serum samples for the investigations. The mean of most neonates was normal in T4 (117 nmol/1) and the TSH (1.8 mu/1), while the normal levels ranging from (50-150 nmol/ 1) and (0.4-4 mu/1) respectively. There was strong correlation between T4 and TSH, p>0.01. Two neonates showed high TSH level and low T4 level. In this study the prevalence of congenital hypothyroidism was found to be 1% which correlates with the international incidence. (Author)
Chigora, Kudzaishe Marecha and Percyslage
The International Criminal Court (ICC) was created to facilitate the prosecution of perpetrators of international humanitarian law something not within the jurisdiction of the International Court of Justice. As an international court, it was not restricted by head of state or diplomatic immunity. In March 2005, the United Nations Security Council under Chapter VII of the UN Charter adopted resolution 1593 which referred the situation in Darfur, Sudan to the International Criminal Court...
Full Text Available Eighteen plant species, three ingredients, and six diets were studied for their degradation characteristics, using gas production techniques. The palatable grasses were selected during the rainy season from the range land of Kordofan, Sudan. The ingredients were Roselle seeds, Sorghum grain and Groundnut cake. The samples were incubated for 4, 8, 12, 24, 48, 72 and 96 h, using rumen inoculum of three of the sheep used for the nylon bag. The results showed a large variation between the different plant species in the gas volume. The potential gas volume reflected the presence of anti-nutritional factors. Gas production from the ingredients indicated that sorghum grain recorded the highest gas production volume. The gas production at different time intervals showed increased degradability in the grasses, diets and the ingredients. Eragrostis tremula could be used as reference forage in evaluating the organic matter digestibility and energy density of grasses and Farsefia longisiliqua as a reference for crude protein.
Abdel Rahim Hamid Mugaddam
Abstract: The goals and means of language study continue in the very center of debates among specialists in language teaching/learning. Different views relating to language and its functions are reflected in two main approaches to language teaching/learning. On the one hand, language is considered to be principally instrumental, a means of communicating thought and information. One the other hand, language is viewed as an important element of human being’s thought processes, perceptions, and ...
M O Mekki
Full Text Available Male erectile dysfunction (ED is an important issue worldwide occurring in 5-69% of men in community-based studies. It is more common in patients with chronic kidney disease (CKD and those on peritoneal as well as hemodialysis (HD, occurring in more than 80% of patients. In Sudan, there is no pre-vious report on ED among patients with CKD. A cross-sectional study was done to determine the prevalence of ED and its associated risk factors among Sudanese CKD patients on HD and those who underwent renal transplant. This was conducted in Khartoum, Sudan from October 2005 to July 2006 including all married men who were on maintenance HD for more than three months and all married men who had received renal transplantation at least three months earlier. Single, divorced/separated men, those whose wives were living away, those who were bed-bound and those with cognitive impairment were also excluded. After obtaining consent for participation, demographic and clinical data were collected by using anonymous questionnaires and the Arabic version of International Index of Erectile Function (IIEF; the Egyptian version. Patients who did not participate in full and proper manner were considered as "non-responders." A total of 146 patients, 106 HD patients, and 40 renal transplant recipients completed the IIEF questionnaire. Non-responders constituted 43.7% and 54.5% of HD and transplant recipient patients, respectively. Blood samples were taken after completion of the IIEF questionnaire to determine the required investigations. ED prevalence was high among our study patients, 83% among the HD patients and 67.5% among the renal transplant recipients. Univariate analysis showed that there was a trend, although non-significant, of older age being associated with ED in both groups. Similar association was seen in those who were under-dialyzed in the HD group and DM in the transplant recipient group. Previous history of ED was significantly associated with current
Fatima A Hamad
Full Text Available The aim of this study is to assess the risk factors for prostate cancer among Sudanese patients treated in National Cancer Institute (NCI, Gezira University, Wadmedani, Sudan. The study was performed on 268 prostate cancer patients, age ranging between 45-98 years. Similar number of 268 persons (age and sex matched was used as control group .The study period was from May-2006 to December-2009. Data was collected from patients using a questionnaire which was filled in order to obtain information regarding: age, residence, tribe, education levels, occupation, marital status, stage of disease, family history and habits .The body mass index (BMI was determined by anthropometrics measurements ( weight& height. Prostate cancer is the commonest cancer among male patients treated in the NCI. The mean age of patients was 72.2±9.25. Most of patients (73.9% were over 66-years. Family history is positive in 18(6.7% of the patients. Rural inhabitants were 79.8% of all cases. The disease is equally distributed among different tribes. The illiteracy among cases is 39.1%. The commonest occupation was farming (60.1%. Majority (90.7% of the patients were married. Most cases (85.4% presented with stage ІІІ and ІV. 73% of the patients had one or more of unhealthy habits (smoking, snuff and alcohol. the BMI was high in 6.9% of the patients. Risk factors for prostate cancer in the study area, which may appear to have a high significant effect, were: the age, education level, occupation, unhealthy habits and the BMI. ABSTRAK: Tujuan kajian ini dijalankan ialah untuk menilai faktor-faktor risiko untuk kanser prostat di kalangan pesakit-pesakit yang dirawat di Institut Kanser Kebangsaan (NCI, Universiti Gezira, Wadmedani, Sudan. Kajian dijalankan pada 268 pesakit kanser prostat, berumur di antara 45-98 tahun. Jumlah bilangan pesakit yang sama iaitu seramai 268 orang (sama umur dan jantina telah digunakan sebagai kumpulan kawalan.Tempoh kajian ialah pada Mei 2006
Ludvigsen, Mette Spliid
Background: The hypothesis for the study is that the informal relationships amongst patients during hospitalisation have more influence on wellbeing, understanding of own illnesses and recovery than we until now have recognised in nursing. Aim: The purpose is to describe patients' experiences of ...
What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice? The CPD article discussed the importance of effective planning when discharging patients from acute care hospitals. It emphasised the benefit of early assessment and planning, and outlined the essential principles that should be followed when discharging a patient. PMID:27332612
Lindeman, C A
The 120 studies included in this review were grouped in relation to five categories of variables basic to a theory of instruction in patient education. Findings in the studies related to the characteristics of the patient as learner support the following variables as significant for a theory of instruction: demographic characteristics including age, race, duration and type of illness, educational level, and family preparedness. Selected psychological variables are significant as they interact with teaching approaches. Given only two studies in which the characteristics of the nurse as teacher were the main variables, no inferences for a theory of instruction could be drawn. However, the findings from those studies combined with results from studies in which characteristics of the nurse were secondary variables support the importance of this category of variables. The educational preparation, motivation, values, and job description of the nurse implementing patient teaching appear to be significant variables for a theory of instruction. Investigators explored a wide range of teaching strategies in the studies of patient teaching. The setting for teaching, group and individual teaching, and a variety of instructional strategies all prove promising at the operational level. The instructional strategies were too diverse to allow analysis at a level of abstraction beyond the operational. Findings in this review also support characteristics of the health care setting as an important category of variables for a theory of instruction. The organizational structure, a quality assurance framework, and valuing patient teaching appear to be significant variables. Patient education research provides a rich data source for future developments in theory, practice, and research. The effectiveness of patient education as a nursing intervention is clearly established. Furthermore, positive learning outcomes are associated with a broad range of teaching strategies, content areas, and
Full Text Available Background . Complementary and alternative medicine (CAM practices for cancer have become popular among oncology patients. An increasing interest in alternative medicine can be explained by the inefficiency of conventional treatment, dissatisfaction with treating patients like objects, and the will to use all available treatment methods. Objectives . The authors assessed how often patients use CAM methods, and which of them are most popular. Material and methods . The study was conducted in Military Hospital no. 109 and the Independent Public Clinical Hospital no. 1 in Szczecin among 100 chemotherapy patients. This survey-based study was performed using an original questionnaire. Results. Most respondents (68% did not use alternative methods to fight the disease. The most popular treatment methods were: herbal medicine (50%, alternative medicine preparations (38% and diet (25%, and the least common: hypnosis (3% and aromatherapy (3%. Analyzed sociodemographic factors had no effects on a choice of a CAM method. Patients obtained information about CAM methods mainly from the Internet (40%, medical staff (37% and literature (31%. Conclusions . 1. Using CAM by patients receiving chemotherapy for neoplasms is quite a common phenomenon. 2. CAM were more often chosen by women. Neither the duration of the disease nor sociodemographic data had effects on making the decision to use CAM methods. 3. The most popular CAM were: herbal medicine, alternative medicine preparations, and diet. 4. Cancer patients should receive special support from nurses and doctors as well as other members of the therapeutic team. Oncology patients should never be left on their own so that they were forced to seek help and support in therapies unconfirmed by scientific investigation.
accounting for the views of consumers and of holding providers accountable for their care. These movements are shown to entail the staging and stabilizing of “knowing patients” in both senses of the term: these are patients that are equipped and empowered as consumers with knowledge about quality and their...
... do anything to deserve this. Find ways to increase relaxation. Patients often report that their tinnitus is less burdensome when they are relaxed. Find the activities and behaviors that best help you relax: exercise, yoga, meditation, soothing music, anything that helps you ...
... A Patient’s Perspective Live Living With Kidney Cancer Cancer Nutrition Information (AICR) Emotional Well-Being Patient Empowerment Support ... want to help themselves. Vitamin supplements and good nutrition have a role to play in cancer care. However, large doses of some supplements may ...
Valeras, Aimee Burke
This short story focuses on refugee patients. Family members talk about the horrific struggles of civil war, refugee camps, and promises of US resettlement. Their harsh reception into a brutal world includes unemployment, food scarcity, and isolation. (PsycINFO Database Record PMID:27270253
Lau, Sofie Rosenlund; Christensen, Søren Troels; Andreasen T., Jesper
To investigate patients' preferences for patient-centered communication (PCC) in the encounter with healthcare professionals in an outpatient department in rural Sierra Leone.......To investigate patients' preferences for patient-centered communication (PCC) in the encounter with healthcare professionals in an outpatient department in rural Sierra Leone....
Lucio-Villegas Menéndez, M Eulalia; González, Laura López; Gutiérrez Pérez, M Isabel; Lluch, Natalia Aresté; Morató Agustí, M Luisa; Cachafeiro, Santiago Pérez
In wound care, knowing what to do is as important as knowing what not to do. The first step is to evaluate the severity of the lesion and to know whether it is necessary to attend a health center or not. If the wound is simple, the recommended course of action is cleansing with serum or water after washing one's hands, followed by wound disinfection with the most appropriate antiseptic. Antiseptics not should be used for wound cleansing (physiological serum or tap water should be used) or for wound healing with granulation tissue. Equally, antiseptics should not be used in the ear or near the eyes; if there is accidental application, the eye should be washed in abundant water. Povidone iodine should not be used in pregnant women, nor should iodine preparations be used in neonates, in patients with thyroid alterations or in those allergic to iodine. Currently, merbromine/mercurochrome is not used because of its mercury content. Before an antiseptic is applied, all inorganic residues (foreign bodies) and dead tissue should be removed; detritus, slough, purulent exudate, scabs… This will aid healing and the action of antiseptics, since they become inactive in the presence of organic material. PMID:24998084
Conclusions: In HBV/HIV co-infected Sudanese patients, the ratio of genotype A to non-A was higher than that in mono-infected patients. The genotype E intra-group divergence in HBV/HIV co-infected individuals was significantly higher than that in HBV mono-infected patients.
Oseeva А.О.; Soboleva L.A.; Bulkina N.V.; Shuldyakov A.A.
The article presents the study of formation mechanisms and periodontitis course in patients with subclinical stage of HIV-infection. The examination of 45 patients has enabled the division of patients into three basic groups: patients with periodontitis and HIV-infection; patients with periodontitis; and HIV patients without periodontitis. It has been determined that the patients with periodontitis and subclinical HIV-infection have developed local inflammatory reaction with infection, activa...
Jensen, A T; Gasim, S; Ismail, A;
Native kinetoplastid membrane protein-11 (KMP-11), purified from crude extracts of Leishmania donovani parasites, activates T cells from individuals who have recovered from visceral leishmaniasis. In this work we used three 38-mer peptides spanning the amino acid sequence of the L. donovani KMP-11......-11 peptides was detected in plasma from Sudanese patients suffering from Leishmania major infections and in plasma from Sudanese and Danish patients infected with Plasmodium falciparum. In lymphoproliferative assays, 10 of 17 PBMC isolates from donors previously infected with L. donovani showed...
Itri, Jason N
Patient-centered care (ie, care organized around the patient) is a model in which health care providers partner with patients and families to identify and satisfy patients' needs and preferences. In this model, providers respect patients' values and preferences, address their emotional and social needs, and involve them and their families in decision making. Radiologists have traditionally been characterized as "doctor-to-doctor" consultants who are distanced from patients and work within a culture that does not value patient centeredness. As medicine becomes more patient driven and the trajectory of health care is toward increasing patient self-reliance, radiologists must change the perception that they are merely consultants and become more active participants in patient care by embracing greater patient interaction. The traditional business model for radiology practices, which devalues interaction between patients and radiologists, must be transformed into a patient-centered model in which radiologists are reintegrated into direct patient care and imaging processes are reorganized around patients' needs and preferences. Expanding radiology's core assets to include direct patient care may be the most effective deterrent to the threat of commoditization. As the assault on the growth of Medicare spending continues, with medical imaging as a highly visible target, radiologists must adapt to the changing landscape by focusing on their most important consumer: the patient. This may yield substantial benefits in the form of improved quality and patient safety, reduced costs, higher-value care, improved patient outcomes, and greater patient and provider satisfaction. PMID:26466190
Maghsoudi, Hemmat; Aghamohammadzadeh, Naser; Khalili, Nasim
CONTEXT AND AIMS: Diabetic burn patients comprise a significant population in burn centers. The purpose of this study was to determine the demographic characteristics of diabetic burn patients. MATERIALS AND METHODS: Prospective data were collected on 94 diabetic burn patients between March 20, 2000 and March 20, 2006. Of 3062 burns patients, 94 (3.1%) had diabetes; these patients were compared with 2968 nondiabetic patients with burns. Statistical analysis was performed using the statistical...
Houston, Robert E.
Over 25 years ago, Kubler-Ross identified anger as a predictable part of the dying process. When the dying patient becomes angry in the clinical setting, all types of communication become strained. Physicians can help the angry dying patient through this difficult time by using 10 rules of engagement. When physicians engage and empathize with these patients, they improve the patient's response to pain and they reduce patient suffering. When physicians educate patients on their normal response...
Pii, Kathrine Hoffmann
Intro: This paper discusses a central professional dilemma in patient-centred education: on one hand the concern for ensuring patients autonomy and right to make their own decisions regarding their treatment and, on the other hand, a concern for getting patients to make the “right” decisions that...... will improve their health condition. The patient-centred approach (and related concepts: patient participation, involvement, and empowerment) is being promoted both in healthcare politics and by healthcare professionals as a way to achieve more active self-managing and self-caring patients. Patient......-centredness is thus promoted as a way to organize health more effectively (in terms of cost and treatment outcomes) and as a way to ensure patients’ autonomy and fundamental right to make their own decisions regarding their treatment. Critical voices within social and nursing theory have however argued that the...
Department of Veterans Affairs — The Patient Assessment File (PAF) database compiles the results of the Patient Assessment Instrument (PAI) questionnaire filled out for intermediate care Veterans...
Full Text Available Physician-patient relationship is unique in some aspects and not-so-unique in other aspects when compared to other human interactions. Until-unless for the sake of health promotional activities, this relationship is almost always conceived in the times of human sufferings and consequently culminated when those sufferings have subsided as well as sought out happiness has ensued/been achieved. However, not all physician-patient relationships follow the normal course and/or meet the natural ends. These abnormal relationships are not inconsequential in terms of numbers and/or their effects (short-term and long term on both patients and physicians. Every country has its own baggage in the wake of why, how and what about these abnormal ends to physician-patient relationships; however, the most common causes are the patients’ inability to pay their medical bills, the conflicting goals of physicians and their patients in regards to patients’ sufferings’ management and finally the behavioral issues (patients’ and/or physicians’ interfering these relationships. Irrespective of any cause, the physicians should never forget that the patient can always discharge their physicians and discontinue their relationship with their physicians without any reason (until unless the physicians deem those patients either incapable/non-consentable to do so and/or potential threat to their own personal safety or other people’s safety. Contrarily, physicians can also discharge patients from their care but cannot abandon these patients (1-3 which mean that physicians have to ensure their discharged patients either are referred to or have sought another physician within appropriate time frame post-relationship-discontinuation. Each country has their own medico-legal liabilities that vary in terms of penalties imposed; however, irrespective of the feared legal concerns, the physicians should not forget that ethical essence of medicine is the art of healing that
Bredland, T; Duesund, R
This article reviews the concept of day surgery and shows how the treatment can be organized pre-, per- and post-operatively. It can be established in a hospital-integrated unit, a unit separate from the hospital, but connected with it, or a satellite ambulatory facility. Because the patient spends only a short time in hospital it is necessary to have structured preparations before admission, for the benefit of both patient and staff. It should be easy to identify patients suitable for day surgery from the waiting lists, and preparations should be directed at treatment by day surgery right from the start. Rules must be worked out for selecting patients, as well as guidelines for information to patients. It is also necessary to plan the operation programme, and to agree how nurses and doctors should take care of the patient during the different steps of treatment. PMID:8658453
Campbell, Catherine; Scott, Kerry; Skovdal, Morten;
, physical cleanliness, honesty, gratitude and lifestyle adaptations (taking pills correctly andcoming to the clinic when told). As healthcare workers may decide to punish patients who do not live up the‘good patient persona’, many patients seek to perform within the confines of the ‘good patient persona’ to...
Pors, Anja Svejgaard
target groups for which information can be standardized. In the latter approach (market orientation), the patient is also a resource for organizational development. Overall, the strategy presents an information-pursuing patient figure that makes it possible to streamline the organization's care...... in Copenhagen, Denmark. Based on situational analysis of internal documents, the paper gives an empirical account of the work of strategic documents and explores how the documents organize patient communication through displacements of the patient. This paper shows that the hospital’s patient...... communication is not only about disease treatment, but also about ‘information treatment’ for the purpose of increasing patient satisfaction at the hospital. The goal of patient satisfaction addresses both a care-oriented approach to the patient and also deploys market perceptions of patients as homogeneous...
Pors, Anja Svejgaard
as an affective care recipient, as a citizen with rights and as an individual need-oriented user on the one hand. On the other hand, the goal of patient satisfaction also deploys market perceptions of patients as homogeneous target groups to which information can be standardised. In the latter......The analysis is based on an empirical study of a hospital’s communication strategy entitled: 'The Perspective of the Patient'. The paper asks how the strategy organizes communication work as situated displacements of the patient. Based on methodological elements from situational analysis (Clarke...... 2005) the analysis examines how the hospital’s patient communication is not just about disease treatment, but rather about information treatment of the patient in order to attain a high level of patient satisfaction. The goal of patient satisfaction addresses care-oriented understandings of the patient...
Pors, Anja Svejgaard
a care-oriented approach to the patient and also deploys market perceptions of patients as homogeneous target groups to which information can be standardized. In the latter approach (market orientation), the patient is also a resource for organizational development. Overall, the strategy presents an......This analysis is based on an empirical study of a Danish hospital‟s communication programme entitled: 'The Perspective of the Patient'. The paper explores how strategic documents of the programme organize the communication work through situated displacements of the patient. Based on methodological...... elements from situational analysis (Clarke 2005) the analysis examines how the hospital‟s patient communication is not only about disease treatment, but rather about information treatment of the patient in order to attain a high level of patient satisfaction. The goal of patient satisfaction addresses both...
... contact us TEXT SIZE IMF Multiple Myeloma Patient Handbook 2016 One of the most daunting aspects of ... with each of these steps. The IMF’s Patient Handbook is meant to furnish you with the tools ...
... Professional Learning Series Webcasts CPPS Review Course E-Learning Patient Safety Curriculum CPPS Review Course Patient Blood Management Reducing Diagnostic Error Health Info Technology Publications Ask Me 3 For ...
Ludvigsen, Mette Spliid
Patient life in hospital.A qualitative study of informal relationships between hospitalised patients Introduction Within a patientology framework, this PhD dissertation is about an empirical study on patient life that provides insight into the nature of informal relationships between patients in...... hospitals today. Purpose The purpose was to explore how informal relationships between patients affect their hospital experiences in the hospital. The assumption is that, on the one hand, the impacts on patients' suffering affect the way they act and experience encounters with fellow patients for good or....... Methods The study is designed within a phenomenological-hermeneutical philosophic frame of reference and is based on ethnographic fieldwork among hospitalised patients in a Danish university hospital. Data for the study were collected through participant observations over a period of 18 months. Nine males...
Sestoft, Bodil; Larsen, Birgit; Erlandsen, Mogens;
INTRODUCTION: The aim of this study was to answer the questions: Which kind of positioning injuries occurred in anaesthetized orthopaedic patients undergoing spine surgery who were prone-positioned for more than two hours? What was the incidence of positioning injuries? Which patients were at...... particular risk of developing positioning-related injuries? MATERIAL AND METHODS: Follow-up study comprising 299 patients. A patient record followed the patient from the day of surgery until discharge. Selected pre-disposing factors related to positioning injuries as well as positioning-related injuries were...... registered. One year after surgery, localisation, duration and treatment of positioning-related injuries were registered. A total of 299 patients were included. Among these, 60 patients died within the first year, and 52 could not be reached. The remaining 187 patients were interviewed by telephone one year...
... of these new biomarkers can indepen- dently pred ict that a patient with SMM has an 80% ... stop or adjust doses on your own. Patient education sheets on preventing blood clots and thromboembolic events, ...
Henriksen, Ann-Helen; Ringsted, Charlotte
Prior research on the use of patients as teachers has focused on testing the effectiveness of this practice and exploring its benefits for students. However, very little is known about the added value of patient teaching and how it relates to patient-centred learning. The aim of this study was to...
Moore, Angelo D; Hamilton, Jill B; Krusel, Jessica L; Moore, LeeAntoinette G; Pierre-Louis, Bosny J
National Committee for Quality Assurance recommends patient-centered medical homes incorporate input from patient populations; however, many health care organizations do not. This qualitative study used two open-ended questions from 148 active duty Army Soldiers and their family members to illicit recommendations for primary care providers and clinic leadership that would improve their health care experiences. Content analysis and descriptive statistics were used to analyze responses. Participant responses were related to four major themes: Access to Care, Interpersonal Interaction, Satisfaction of Care, and Quality of Care. Participants were overall satisfied with their care; however, spending less time waiting for appointments and to see the provider or specialist were the most frequently requested improvements related to Access to Care. For Interpersonal Interaction, 82% of the responses recommended that providers be more attentive listeners, courteous, patient, caring, and respectful. Decreasing wait times and improving interpersonal skills would improve health care experiences and patient satisfaction. PMID:27046182
Curtis, Ffion; Hurlin, Claire; Tomlinson, Sarah; Thatcher, Rhys; Rice, Sam
Aims and Objectives: To assess the feasibility of conducting a randomised control trial to evaluate the effectiveness of a patient delivered education programme for Type 2 diabetes in a Welsh population and to explore a range of factors that could inform future delivery of such a programme. Design: A randomised case control study was deployed. 60 newly diagnosed Type 2 diabetes patients were recruited (40 into a treatment arm and 20 into a control arm). Participants were randomly allocated...
Full Text Available The article presents the study of formation mechanisms and periodontitis course in patients with subclinical stage of HIV-infection. The examination of 45 patients has enabled the division of patients into three basic groups: patients with periodontitis and HIV-infection; patients with periodontitis; and HIV patients without periodontitis. It has been determined that the patients with periodontitis and subclinical HIV-infection have developed local inflammatory reaction with infection, activation of anti-inflammatory cytokines in parodontal recess fluid. It has been proved that the causative factor of frequent and durable relapses in parodontal pathology with clinical HIV-infection was the development of pathologic process with endotoxicosis syndrome and imbalance of lipid peroxidation and antioxidant system
Valet, S.; Motelica-Heino, M.; Ozier-Lafontaine, H.
The soil apparent density is strongly dependent on their physico-chemical properties. It can be negatively impacted by human activities such as soil work or animal pasture or natural salinity influenced by irrigation.. In contrast it can be improved for different depths by agricultural practices. A « condensation peak » defined as an increase in the apparent density was found for the heterogeneous soils of Niger for several profiles of 5 soil classes and for a very shallow depth (10 cm maximum) with a very variable extreme depth (from 35 to 150 cm) associated with extreme density values (from 1.45 to 2). The depth of this peak, for soils neither saline nor vertic, varies inversely with the proportion of soil fine elements (silts+clays). However it corresponds to an average value of useful water (AWC) of 100mm (CV=24.4%). In sodic and alkaline soils this peak can be observed at shallow depths (from 53 to 61cm with a CV from 15 to 40%), thus for much lower AWC values (from 74 to 87cm with a CV from 26 to 47%). It can be found either below or above an impermeable horizon of a maximal density of 2.. This peak is likely to be associated with a multi-annual alternance of humectation-dessication at this depth. Its occurrence is based on an interplay of intrinsic physical and hydric soil properties but also on extrisnic parameters sch as the pluviometry, the location at the scale of the watershed and the micromodelling.
Valet, S.; Motelica-Heino, Mikael; Ozier-Lafontaine, Harry
The soil apparent density is strongly dependent on their physico-chemical properties. It can be negatively impacted by human activities such as soil work or animal pasture or natural salinity influenced by irrigation.. In contrast it can be improved for different depths by agricultural practices. A " condensation peak " defined as an increase in the apparent density was found for the heterogeneous soils of Niger for several profiles of 5 soil classes and for a very shallow depth (10 cm maximu...
Espié, Emmanuelle; Ouss, Lisa; Gaboulaud, Valérie; Candilis, Drina; Ahmed, Khalid; Cohuet, Sandra; Baubet, Thierry; Grais, Rebecca F.; Moro, Marie-Rose
Providing abandoned children the necessary medical and psychological care as possible after their institutionalization may minimize developmental delays. We describe psychomotor development in infants admitted to an orphanage in Khartoum, Sudan, assessed at admission and over an 18-month follow-up. Psychological state and psychomotor quotients were determined using a simplified Neonatal Behavior Assessment Scale (NBAS), the Brunet-Lezine and Alarm distress baby (ADBB) scale. From May-Septembe...
Karsany Mubarak S
Full Text Available Abstract Background The epidemiology of viral hepatitis during pregnancy is essential for health planners and programme managers. While much data exist concerning viral hepatitis during pregnancy in many African countries, no proper published data are available in Sudan. Aim The study aimed to investigate the sero-prevalance and the possible risk factors for hepatitis B virus (HBV and hepatitis C virus (HCV among antenatal care attendants in central Sudan. Methods During 3 months from March–June 2006, sera were collected from pregnant women at Umdurman Maternity Hospital in Sudan, and they were tested for markers of hepatitis B virus (HBVsAg and HCV. Results HBVsAg was detected in 41 (5.6% out 728 women, Anti-HCV was detected in 3 (0.6% out of 423 women, all of them were not aware of their condition. Age, parity, gestational age, residence, history of blood transfusion, dental manipulations, tattooing and circumcision did not contribute significantly to increased HBVsAg sero-positivity. Conclusion Thus 5.6% of pregnant women were positive for HBVsAg irrespective of their age, parity and socio-demographic characteristics. There was low prevalence of Anti-HCV.
The study revealed a well-built first line innate immunity system in Bufo Spp., the skin extracts illustrated a very active antibiotic attitude which inhibited the growth of human pathogenic bacteria species, Escherichia coli (ATCC 19615), staphylococcus aureus(ATCC29213) and streptococcus pyogenes (ATCC25922). Heat treatment of secretion supported the fact that the antibacterial components possess an enzymatic attitude. Gel filtration chromatography accompanied with sensitivity tests against S.aureus showed the existence of four groups responsible for antibacterial activity in the parotoid glands secretions.(Author)
Ahmed, I S; Eltom, A R; Karrar, Z A; Gibril, A R
A survey of knowledge, attitudes and practices of mothers in the rural communities of two villages in Sudan regarding diarrhoeal diseases in children was conducted using a focus group research technique. Seven groups of literate mothers (87 mothers) and 13 groups of illiterate mothers (152 mothers) interviewed comprised 85% of mothers with children under 5 years of age in that community. The study showed that mothers can define and describe diarrhoea, however awareness about the aetiology and the importance of germs in its causation was low. The majority of mothers attributed diarrhoea to teething, milk of pregnant women, hot food and salty water. Less than 40% of mothers identify symptoms and signs of "dehydration" and the need for consultation. Only 10% could relate danger signs to severe dehydration. The ORS use rate was very low (2.1-4.3%). Although awareness about ORS was high (100%), only 25% prepared and used it correctly. However, home made fluids including rice water, custard, pap and tabaladi juice were used by 45% of the mothers. 45% of illiterate mothers stop breast feeding and food during diarrhoea compared to 30% of literate mothers. Harmful practices used in caring for children with diarrhoea included: fumigation (50%), cauterization and removal of teeth buds (45% illiterate mothers, 10% literate), withholding of breast feeding and indiscriminate use of drugs and herbs in 30%. PMID:7859655
Aimun A.E. Ahmed
Full Text Available Problem statement: The aim of this study is to investigate the pharmacological effects of the Methanolic-extract (AH2 of El-Hazha and its sub-fractions. Approach: These investigations were carried out on in vitro isolated uterus preparations from Non-Pregnant (NP and Late-Pregnant rats (LP. In parallel displacement radio-ligand binding assay was performed for â-Adrenergic Receptors (â-ADR. Results: Showed that the herb and its different fractions produced dose-dependent relaxant effect (pConclusion: We validate the fractionation effect on its relaxant activity and found partial role for â-ADR on mediating this activity. Future study was recommended to isolate and investigate its active components to enhance this activity or to discover a new novel natural therapeutic agent(s.
Abdelrahman Esam G
Full Text Available Abstract Background Iron deficiency anemia (IDA is a major health problem during pregnancy and it has adverse effects on the mother and the newborn. Red cell distribution width (RDW, which is a quantitative measure for red cell size variation (anisocytosis, is a predictor of IDA. Little is known regarding RDW and IDA during pregnancy. Methods A cross sectional study was conducted at the antenatal clinic of Khartoum Hospital, Sudan, to determine the performance of RDW in the diagnosis of IDA using serum ferritin as a gold standard. Results Among 194 pregnant women with a gestational period of 21.4 ± 6.5 weeks, 57 (29.4% had IDA according to serum ferritin levels (14.5. The sensitivity, specificity, positive predictive value, and negative predictive value of RDW where serum ferritin was the gold standard were 43.8% (95% CI: 31.4–57.0%, 73.7% (95% CI: 65.8–80.5%, 41.0% (95% CI: 29.2–53.6%, and 76.0% (95% CI: 68.1–82.6%, respectively. Conclusions In this study, we found that RDW has a poor performance in diagnosing IDA among pregnant women compared with serum ferritin as the gold standard. Virtual slides The virtual slides for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1721072967826303
... to the United States and the United Nations are authorized, provided that: (1) The goods or services... of Sudan to the United States and the United Nations. (b) The importation of goods or services into... the diplomatic missions of the Government of Sudan to the United States and the United Nations...
Kaddam, Lamis; Elnimeiri, Mustafa Khidir Mustafa
The physiology course in our department consists of lectures, laboratory sessions, and tutorials, all of which are teacher centered, as well as student-led seminars. The overall aim of this project was to investigate student perceptions of the value of varying academic activities on their learning of physiology. A faculty-based descriptive study was conducted at the Faculty of Medicine and Health Sciences of Alneelain University (Khartoum, Sudan). Questionnaires (150 total) were distributed to students from the Schools of Medicine, Dentistry, and Physiotherapy; 127 questionnaires were completed and returned. The results showed that 108 students (85%) believed that their absence from different academic activities could affect their performance. Students perceived lectures as the most valuable academic activity (90.7%), whereas seminars presented by students were perceived as the least important activity (18.5%). There was a significant correlation between lectures attendance and their performance in examinations (P = 0.008). Ninety percent of the students thought that teacher involvement in tutorials was essential and that lectures were useful to understand certain topics. These results showed that in our course, students perceived teacher involvement as a key component of the educational process. PMID:23209010
Satti, M.Z.; Lind, Peter; Vennervald, B.J.; Sulaiman, S.M.; Daffalla, A.A.; Ghalib, H.W.
used to detect specific IgE and IgG subclasses in response to whole worm antigen (WWH) and soluble egg antigen (SEA) before and 3 months after praziquantel treatment in the groups of canal cleaners and before and 1 year after treatment in normally exposed adults. When intensity of infection was...
Full Text Available Ecological pressures on chromium have now forced the leather industry to look for possible alternatives. A vegetable- aluminum combination tannage has been studied, with special attention being given to intended final product. Aluminum is mineral tanning agents that are widely used to stabilize collagens in the leather industry. In this study, the crosslinking of vegetable and aluminum, with collagens, have been explored. This kind of chrome free tannage give us leathers with shrinkage temperature around 125oC, elongation at break 65.6%, tensile strength 38 N/mm2, and tear strength 98 N/mm. The chemical properties of the combination tanned leathers are found to be quite normal. Among the combination system evaluated, a vegetable pretannage followed by retannage with basic aluminum sulphate was found to produce stronger leather with the durable characteristics. In contrast, pre-tanning with aluminum possibly tightens the collagen fiber network, preventing high molecular weight vegetable tannins from interacting with collagen fibres. Optimal results were obtained when 10% (w/w vegetable tannins (garad and 2% Aluminum sulphate was used.
Rayis, Duria A
Abstract Background The increasing prevalence of obesity in young women is a major public health concern. Few data are available concerning the epidemiology of malnutrition especially obesity among pregnant women in the developing countries. A cross sectional study was conducted at Khartoum hospital during February-April 2008, to investigate prevalence of underweight, obesity, and to identify contemporary socio-demographic predictors for obesity among term pregnant women in Khartoum Hospital, Sudan. After taking an informed consent, a structured questionnaire was administered to each woman to gather information on educational level, age and parity. Maternal weight and height were measured and expressed as body mass index (BMI - weight (kg)\\/height (m) 2). Findings Out of 1690 term pregnant women, 628 (37.1%) were primigravidae, 926 (54.8%) had ≥ secondary educational level (minimum of 8 years) and 1445 (85.5%) were housewives. The mean (SD) of the age and parity were 27.2 (6.3) years and 2.0 (2.1) respectively. Out of these 1690 women, 94(5.5%) were underweight (BMI of ≤ 19.9 Kg\\/m2), 603 (35.6%) were overweight (BMI of 25 - 29.9 Kg\\/m2) and 328 (19.4%) were obese (BMI of ≥ 30 Kg\\/m2). In multivariate analyses, obesity was positively associated with age (OR = 1.2, 95% CI = 1.0-1.1; P< 0.001), and with women\\'s education (OR = 1.8, 95% CI = 1.2-2.7; P = 0.001). Obesity was positively associated with parity in univariate analyses only (OR = 1.1, 95% CI = 1.0-1.2; P = 0.02) Conclusion The high prevalence of obesity in these pregnant women represents a competing public health problem in Sudan. More research is needed.
Full Text Available It is generally assumed that self-assessment plays a profound role in autonomous language learning and, accordingly, leads to learner independency. It encourages learners to prospect their own language learning processes and provides them with feedback of their learning progress. Self-assessment also raises the awareness of learners’ individual needs among both students and teachers alike and will therefore contribute to the development of the whole learning process.
Ishag Adil; Altmayer Claus; Witruk Evelin
It is generally assumed that self-assessment plays a profound role in autonomous language learning and, accordingly, leads to learner independency. It encourages learners to prospect their own language learning processes and provides them with feedback of their learning progress. Self-assessment also raises the awareness of learners’ individual needs among both students and teachers alike and will therefore contribute to the development of the whole learning process.
The chemical and physicochemical characteristics of gum exudate samples harvested from mature trees of Acacia senegal at two specific locations in Nigeria have been investigated together with gum samples harvested from Acacia senegal and Acacia seyal originating from Sudan. The monosaccharide sugar ...
Eighty five normal pregnant women were included in the study at the start of the second trimester. Two blood samples were taken during the second trimester and two blood samples during the third trimester. The height of all subjects was measured. The weights of the subjects were under iron-supplementation throughout the gestation period. Sixty four normal non-parentage women were included in the study to serve as controls. Iron status was assessed for the groups with following parameters, haemoglobin (Hb), packed corpuscular volume (PCV), red blood cells count, peripheral blood film, mean corpuscular volume (MCV), mean cell haemoglobin (MCH), Mean haemoglobin concentration (MCH C), serum iron (Si), total iron binding capacity (T IBC), serum transferrin saturation (Ts) and serum ferritin (Sf). No significant difference was observed in the mean haemoglobin concentrations but the PCV of the non-pregnant women was higher than that of the pregnant women at different stages of gestation (p<0.05). MCV, MCH and MCH C values of the non-pregnant women were lower than those of the of the pregnant at different stages of gestation (p<0.05). Serum iron and transferrin saturation of the non-pregnant women were higher than those of the pregnant women, this difference was statistically significant at weeks (16-18) and (22-24) (p<0.05). Serum ferritin of the non-pregnant women was higher than that of the pregnant women and decreased continuously during the pregnancy, but this decrease was not statistically significant. Iron deficiency anaemia was observed in both pregnant and non-pregnant women. The best parameter that could be used as a marker for iron deficiency is serum ferritin. Iron supplementation s corrected for haemoglobin but not for iron status, but more studies were needed to cover this issue using different parameters.(Author)
... With Respect to Iran'') (62 FR 44531, August 21, 1997), generally preclude OFAC from authorizing...-277, 112 Stat. 2681; Pub. L. 111- 8, 123 Stat. 524; E.O. 9193, 7 FR 5205, 3 CFR, 1938-1943 Comp., p. 1174; E.O. 9989, 13 FR 4891, 3 CFR, 1943-1948 Comp., p. 748; Proc. 3447, 27 FR 1085, 3 CFR,...
In this study serum samples have been collected from 100 volunteers in order to measure serum thyroxine (T4) and serum triiodothyronine (T3). The volunteers were selected carefully in the bases of the thyroid history as they should not complain of any thyroid disorders, no history of thyroid problems. They were males and females covering the range of 10-60 years old. Blood samples were collected, separated and the serum samples were kept frozen in (-20 degree C). Analysis of serum (T4 and T3) were carried out using sensitive radioimmunoassay (RIA) methods. The reagents were locally produced. The results were analysed by statistical package for social sciences (SPSS) computer program, which specially used for the determination of normal ranges and other medical statistics purposes
Ahmed O Almobarak
Conclusions: Epithelial cell abnormalities are significantly higher in women with infertility as compared with fertile women. Importantly, inflammatory smears were reported two times more than in the controls. We recommend pap smear as a routine practice for all women assessed for infertility problems. Further studies are necessary to evaluate the incidence of human papilloma virus infections in infertile women with abnormal cervical cytology.
el-Nagerabi, S A; Elshafie, A E
Thirteen seed samples of lentil (Lens esculenta) were incubated on agar plate and moist filter papers (Moist Chambers) at 28 +/- 2 degrees C for determination of the incidence of seed-borne fungi. Aflatoxins content of the seeds was measured using the bright greenish- yellow fluorescence test (BGYF) and thin-layer chromatography (TLC). Sixty-nine species and seven varieties, which belong to 24 genera of fungi, were isolated from this crop. Of these fungi, 51 species and two varieties are considered new for this crop, whereas seven genera and 13 species are new to the mycoflora of the Sudan. The genus Aspergillus (13 species and 6 varieties) which comprising 44% of the total colony count was the most prevalent genus followed by Rhizopus (2 species, 19%), Penicillium (6 species) and Fusarium (8 species) (12%), Chaetomium (3 species) and Cladosporium (5 species) (6%), where the 18 genera (1-4 species) showed very low level of incidence (19%). Of the possible pathogens of lentil plants, F. oxysporum the main cause of vascular wilt was recovered from seeds of this crop. Thin layer chromatographic analysis of chloroform extracts of 13 seed samples showed that only one samples was naturally contaminated with aflatoxins B1, B2, G1 and G2 (14.3 micrograms/kg). PMID:11307599
Measurements of 239+240Pu and 238Pu were carried out on marine biota as well as on sediments from the fringing reefs area extending towards north and south (Flamingo Bay) of Port Sudan harbour. The analyses were performed using radiochemical separation and alpha spectrometry. The range of the activity concentrations in marine sediments, in mBq kg-1 dry weight, was found to be from 5.10 to 82.00 for 239+240Pu and from 0.89 to 8.63 for 238Pu. Corresponding activity concentrations of 239+240Pu and 238Pu in sediments from the harbours at Port Sudan and Sawakin were 53-301 and 8.29-28.6 (Port Sudan) and 163-343 and 4.7 (Sawakin), respectively. The higher values for plutonium in marine algae suggest their suitability as an indicator species for monitoring purposes. The results obtained are generally lower than those found by other studies and show that the Red Sea environment is mildly affected by plutonium contamination. Activity ratios of plutonium isotopes confirm that the existence of plutonium in the Red Sea is mainly due to atmospheric global fallout. (authors)
The activity concentration of fallout radionuclides v.z., 238Pu, 239+240Pu, 241Am and 137Cs has been measured in some species of multicellular marine algae, sea grass and surface sediments collected from the fringing reef area adjacent to to port Sudan harbour. The measurements were carried using alpha-particle spectrometry and a high resolution gamma spectrometry. In the sediments analyzed, the activity concentration averaged 2.65 (238Pu), 47.96 (239+240Pu), 19.1 (241Am ), and 272.6 (137Cs) MBq/kg dry weight. Activity concentration ratios fall within the range of 0.03-0.15 (238Pu:239+240Pu), 0.09-0.39 (239+240Pu:137Cs ), and 0.29-0.65 (241Am:239+240Pu). These values are typical of those reported in the literature from the regions not affected directly by nuclear accidents or nuclear reprocessing plant discharges and can thus be attributed to global fallout. Marine algae shoed high levels of 137Cs ; 774 mBq/kg (brown algae), 771 (red algae) and 369 (green algae), which seem to confirm that algae are responsive to the soluble phase of constituents in the ambient medium more that the elements associated to particle matter. (Author)
The activity concentration of fallout radionuclides v.z.,238Pu, 239+240Pu, 241Am and 137Cs has been measured in some species of multicellular marine algae, sea grass and surface sediments collected from the fringing reef area adjacent to PortSudan harbour. The measurements were carried out using alpha-particle spectrometry and a high-resolution gamma spectrometry. In the sediments analyzed, the activity concentration averaged 2.65 (238Pu),47,96(239+240Pu), 19.1 (241Am), and 272.6 (137Cs) mBq/KXg dry weight. Activity concentration ratios fall within the range of 0.03-0.15 (238Pu: 239+240Pu), 0.09-0.39 (239+240Pu: 137Cs), and 0.29-0.65 (241Am:239+240Pu). These values are typical of those reported in the literature from the regions not affected directly by nuclear accidents or nuclear reprocessing plant discharges and can thus be attributed to global fallout. Marine algae showed high levels of 137Cs: 774 mBq/KXg (brown algae), 771 (red algae) and 369 (green algae), which seem to confirm that algae are responsive to the soluble phase of constituents in the ambient medium more than the elements associated to particulate matter
It is considered that, in the Sahelo-Soudanese zone, the stable isotopic composition of water in the phreatic acquifers is representative of the original mean rainfall which has contributed to groundwater recharge. Statistical treatment of data on isotopic composition of rainfall and groundwater has evidence a Est-West gradient of -0.084 deg./00 100 km-1. This suggests a supply of water vapor through the zonal flows (Est African Jet, Tropical Easterly Jet and Easterly Waves) and an increasing contribution of the Indian Ocean evaporation source in regard to that the Guinean Monsoon. The relatively low value of the isotopic gradient also indicates the importance of the continental water recycling through evapotranspiration. A model based on the conservation of isotopic masses is presented, taking into account this recycling processes. The remaining vapor fraction is calculated on the Est-West transect between Djibouti and Dakar in relation to evapotranspiration ratio. (author). 56 refs, 7 figs, 1 tab
Patient-centered care focuses on the patient and the individual's particular health care needs. The goal of patient-centered health care is to empower patients to become active participants in their care. This requires that physicians, radiologic technologists and other health care providers develop good communication skills and address patient needs effectively. Patient-centered care also requires that the health care provider become a patient advocate and strive to provide care that not only is effective but also safe. For radiologic technologists, patient-centered care encompasses principles such as the as low as reasonably achievable (ALARA) concept and contrast media safety. Patient-centered care is associated with a higher rate of patient satisfaction, adherence to suggested lifestyle changes and prescribed treatment, better outcomes and more cost-effective care. This article is a Directed Reading. Your access to Directed Reading quizzes for continuing education credit is determined by your area of interest. For access to other quizzes, go to www.asrt.org/store. According to one theory, most patients judge the quality of their healthcare much like they rate an airplane flight. They assume that the airplane is technically viable and is being piloted by competent people. Criteria for judging a particular airline are personal and include aspects like comfort, friendly service and on-time schedules. Similarly, patients judge the standard of their healthcare on nontechnical aspects, such as a healthcare practitioner's communication and "soft skills." Most are unable to evaluate a practitioner's level of technical skill or training, so the qualities they can assess become of the utmost importance in satisfying patients and providing patient-centered care.(1). PMID:19901351
Full Text Available It is not enough to consider treatment and care depression in the oncology that is the most common psychiatric illness in cancer patient affects of cancer treatment and the patient`s quality of life negatively, which is determined through researches in the field. With development of psycho-oncology it has been demonstrated to establish an important link between the cancer patient`s treatment as well as psycho-social support for the patient and psychiatric treatment and care for the if it is needed. With this connection between them it has been proposed to use of bio-psycho-social-model in cancer patient to improve their care. To achieve this goal, it is expected from medical personnel to realize patients psychosocial need und if he/she has a psychiatric disorders or syndromes. For the medical personnel that work in oncology services, it is inevitable to organize in order to raise the awareness of depression in the cancer patients. In the present study, it is focused on raising the awareness of depression in cancer patient for the medical personnel. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(2.000: 186-198
Stroke is one of the most serious health problems in the world, cited as being the second leading cause of death. After stroke, there is a greater risk of suffering second and further subsequent stroke-events. Given the heavy burden of disease present by stroke, there is a great need to improve patient education for stroke survivors, who are at an increased risk of another cerebrovascular accident. The purpose of this thesis is to develop the quality of patient education in nursing care o...
Gross, B; Ketema Wassie, F; Agnholt, Hanne;
Music for hemodialysis patients Background Patients starting a new regimen of dialysis often experience anxiety and other psychological disturbances. They struggle with the unknown situation, feelings of uncertainty and on top of that, a high level of sophisticated technological equipment. Music...... is known from literature to influence and dampen anxiety and tension and has been used for millennia in the treatment of illness. Here we report a study on the influence of music on patients undergoing dialysis and whether music has a potential for lowering discomfort in patients during first-time dialysis....... Purpose To investigate whether music can reduce feelings of anxiety, tension and restlessness in patients new to dialysis treatment and make them more relaxed during the treatment. Method Twenty patients aged 42-84 were selected for participation in the study, which took place over two separate dialysis...
van Brummelen, S E; de Vries, E; Schneeberger, P M; van Binnendijk, R S; Lestrade, P; Wever, P C
Two patients, men aged 17 and 19 years respectively, were admitted with parotitis epidemica and orchitis caused by mumps. The second patient also had meningitis. PCR analysis revealed that, in both cases, the causative agentwas a mumps virus that was genetically related to a wild-type virus responsible for an outbreak in Singapore. This viral strain was also responsible for a mumps outbreak at Hotel School The Hague in September 2004. Both patients were not fully vaccinated. Both patients were from regions in which clustering of patients with clinical signs of mumps has been seen. Interestingly, a number of patients with confirmed mumps had been fully vaccinated. Possible explanations for the increase in mumps cases include low vaccination and immunity levels, primary and secondary vaccine failure and the emergence of genetically disparate mumps viruses. PMID:16924947
Feitelberg, Steven P
The KP Patient Safety Executive Walkarounds Program in the KP San Diego Service Area was developed to provide routine opportunities for senior KP leaders, staff, and clinicians to discuss patient safety concerns proactively, working closely with our labor partners to foster a culture of safety that supports our staff and physicians. Throughout the KP San Diego Service Area, the Walkarounds program plays a major part in promoting responsible identification and reporting of patient safety issue...
A patient robot with an oral cavity mimicking unexpected movement due to vomiting and pain and functions to induce bleeding and saliva flow was developed and used for clinical training. Trainee students and clinical residents were asked to complete a questionnaire about the patient robot. The results showed the patient robot to be effective as a means of training students to respond to unexpected movements during surgical procedures. In the future, the author intend to incorporate additional ...
Christensen, Dorthe Wiinholdt; Andersen, Rene Richard; Rydahl-Hansen, Susan
Between 50 and 83 per cent of patients with a tracheostomy have difficulty swallowing. A study comprising 553 patients found aspiration and silent aspiration in respectively 48.8 per cent and 36.8 per cent of patients. As aspiration into the lungs is the commonest cause of hospital-acquired infec......Between 50 and 83 per cent of patients with a tracheostomy have difficulty swallowing. A study comprising 553 patients found aspiration and silent aspiration in respectively 48.8 per cent and 36.8 per cent of patients. As aspiration into the lungs is the commonest cause of hospital...... fluid/food when the tracheostomy is cuffed; whether nurses should ideally test patients for mis-swallowing and the extent to which nurses can prevent mis-swallowing. A systematic review showed that it makes a difference whether the patient is cuffed or uncuffed when fluid/food is administered. We also...... found a number of tools suitable for use in testing for dysphagia. We still do not know whether dysphagia can be prevented in tracheostomy patients, as we did not find answers to this question in the scientific literature.....
Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise; Birkelund, Regner
back patient and what back patients consider important when dealing with the healthcare system. Methods: The method draws on James Thomas' and Angela Hardens approach in "Methods for the thematic synthesis of qualitative research in systematic reviews" (2008). The thematic synthesis aims to systematise...... and integrate findings of qualitative studies. Results: The analysis reveals that many back patients feel that their experiences and perceptions are ignored by the health professionals, who are often concerned about identifying the cause. This can result in patients feeling mistrusted, marginalised...
Odlaug, Brian Lawrence; Weinhandl, Eric; Mancebo, Maria C;
Over the past 30 years, clinical trials have resulted in several successful pharmacotherapies for obsessive-compulsive disorder (OCD), yet patients in clinical settings often report inadequate response. This study compares clinical characteristics of treatment-seeking OCD patients to the inclusion...
Clinicians need a better understanding of transgender populations and a systematic approach to treating transgender patients medically and psychologically while managing any potential judgment or bias. This article explains key concepts, describes transgender patient health concerns, and discusses how to perform a comprehensive history. PMID:27228044
The issue of whether patients should always be told the truth regarding their diagnosis and prognosis has afforded much debate in healthcare literature. This article examines telling the truth from an ethical perspective. It puts forward arguments for and against being honest with patients, using a clinical example to illustrate each point.
Hsu, D H
Dyspnea is common in terminally ill patients and is often fairly difficult to control. If specific causes cannot be identified or treated, general measures to relieve symptoms should be used. Nondrug measures (eg, discussion and explanation with the patient) and drug measures (eg, morphine) can be used to control the dyspnea, although side effects, such as sedation, can be problematic.
Full Text Available Managing a bleeding patient is very challenging for the perioperative physician. Bleeding in a patient would be due to inherited or acquired disorders of haemostasis. Identifying the patients at risk of bleeding and utilising prophylactic treatment protocols has good outcomes. Along with clinical signs, trends in monitoring coagulation parameters and analysing blood picture are necessary. Management of patients in the postoperative period and in intensive care unit should be focused on normalization of coagulation profile as early as possible with available blood and its products. Available recombinant factors should be given priority as per the approved indications. Exploring the surgical site should be considered for persistent bleeding because haemodynamic compromise, excessive transfusion of fluids, blood and its products and more inotropic support may have a negative impact on the patient outcome.
Sørensen, Dorthe; Frederiksen, Kirsten; Grøfte, Thorbjørn;
Objectives: This paper provides a theoretical account of nurses’ collaboration with patients with chronic obstructive pulmonary disease during non-invasive ventilation treatment in hospital. Background: Despite strong evidence for the effect of non-invasive ventilation treatment, success remains a...... huge challenge. Nurse-patient collaboration may be vital for treatment tolerance and success. A better understanding of how nurses and patients collaborate during non-invasive ventilation may therefore contribute to improvement in treatment success. Design: A constant comparative classical grounded...... theory. Method: The data comprised sessions of qualitative participant observation during the treatment of 21 patients with non-invasive ventilation that included informal conversations with the nurses and semi-structured interviews with 11 patients after treatment completion. Data were collected at...
The objectives of this study were to determine the entrance surface dose to the patient and to estimate the dose to the uterus and ovaries due to hysterosalpingography (HSG) diagnostic examinations performed in Recife-Pe, Brazil. The entrance doses were measured using four thermoluminescent dosimeters per patient, attached to anatomical landmarks on the patient's skin. The study was carried out on 25 patients between 21 and 45 years of age who underwent the HSG examinations in two training hospitals and one private radiodiagnostic institute. The number of exposures performed ranged from 4 to 15 radiographs per patient measured. Entrance surface doses varied between 4.99 and 36.6 mGy, with an average of 12.6mGy. The doses to the ovaries and uterus ranged from 0.80 mGy to 5.8 mGy and 1.10mGy to 8.05 mGy, respectively. (author)
Holmes-Rovner, M; Rovner, D R
Patient decision support (PDS) tools or decision aids have been developed as adjuncts to the clinical encounter. Their aim is to support evidence-based patient choice. Clinical trials of PDS tools have used an array of outcome measures to determine efficacy, including knowledge, satisfaction, health status and consistency between patient choice and values. This paper proposes that the correlation between 'subjective expected utility' (SEU) and decision may be the best primary endpoint for trials. SEU is a measure usually used in behavioural decision theory. The paper first describes how decision support tools may use decision analysis to structure the presentation of evidence and guide patient decision-making. Uses of expected utility (EU) are suggested for evaluating PDS tools when improving population health status is the objective. SEU is the theoretically better measure when internal consistency of patient choices is the objective. PMID:11083037
Bagger, Bettan; Taylor Kelly, Hélène; Hørdam, Britta
Every year millions of patients worldwide suffer injury or death due to unsafe care, thus improving patient safety is both a national and international priority. A developmental project involving University College Zealand and clinical partners in the region focused upon the improvement of patient...... safety by optimizing the theory-practice connection with respect to the development of students’ competencies and the reporting of clinical errors. Population: 2nd year nursing students at University College Zealand (N: 56). Informed consent and full anonymity. Aims: - To increase patient safety by...... raising student awareness with respect to the role of the reporting of clinical errors and thus increase patient safety - To prepare a structured and systematical teaching program Methodology: an explorative, longitudinal study - Identification of students’ self-evaluated knowledge, skills and competences...
Pedersen, Anette Fischer; Hansen, Rikke P; Vedsted, Peter
Blødning fra endetarmen ses normalt som et alarmsymptom på kolorektalkræft. Alligevel vælger mange patienter at lade være med at opsøge lægen. Denne artikel ser nærmere på sammenhængen mellem et alarmsymptom (rektal blødning), forsinkelser i patientforløbet og tanker om kræft. Resultaterne viser,...
Bagger, Bettan; Taylor Kelly, Hélène; Hørdam, Britta
Improving patient safety is both a national and international priority as millions of patients Worldwide suffer injury or death every year due to unsafe care. University College Zealand employs innovative pedagogical approaches in educational design. Regional challenges related to geographic......, social and cultural factors have resulted in a greater emphasis upon digital technology. Attempts to improve patient safety by optimizing students’ competencies in relation to the reporting of clinical errors, has resulted in the development of an interdisciplinary e-learning concept. The program makes...
Patient exposures arising from radiological procedures form the largest part of the population exposure from artificial sources of radiation. According to United Nations Scientific Committee on the Effects of Atomic Radiation, the annual frequency of X ray examinations is 360 per 1000 individuals worldwide. Owing to the associated risk of radiation detriment to the patient, there is a clear need to monitor and control these exposures, and to optimize the design and use of the X ray imaging equipment so that the patient dose is reduced as far as possible, consistent with achieving the required clinical image quality
U.S. Department of Health & Human Services — The national average for the HCAHPS survey categories. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent...
Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise; Birkelund, Regner
and integrate findings of qualitative studies. Results: The analysis reveals that many back patients feel that their experiences and perceptions are ignored by the health professionals, who are often concerned about identifying the cause. This can result in patients feeling mistrusted, marginalised...... and reluctant to speak out. Therefore, telling about experiences and perceptions is important for back patients in order to feel accepted and acknowledged. The health professionals must incorporate the patients’ narratives as an integral part of the care and treatment. Conclusions: In order to...... acknowledge the back patient the narrative must be complemented by a different perspective that includes the issue of ethical responsibility. It is therefore also a question of adopting certain norms as binding; to be bound by obligation or loyalty. Thus, the literature review argues for a more process...
Geiker, Nina Rica Wium
(Paper I). The present study is, to my knowledge, the only study investigating the validity of performed nutritional risk screenings by comparing them with medical records. Eight per cent of patients were correctly screened for nutritional risk. A total of 24% of 2393 patients were nutritionally screened......Malnutrition, under-nutrition and/or obesity, may develop due to disease but may also cause disease. The prevalence of under-nutrition among hospitalized patients is high: 40-60% are either already under-nourished on admittance or at-risk of becoming malnourished. As in the general population...... of prescription medication, and take longer to recover. Acknowledging the adverse effects of malnutrition on health, since 2006 it has been mandatory to screen all patients for nutritional risk within 24 hours of admittance at all hospitals in the Capital Region, Denmark. The compliance to and the validity...
U.S. Department of Health & Human Services — A list of the state averages for the HCAHPS survey responses. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent...
It has been suggested that it is very important to position patients reproducibly at different stages of radiotherapy treatment planning and treatment, or similar procedures. Devices have been described for positioning a patient's upper and lower thorax. This invention provides reproducible positioning for a female patient's breasts, for example in planning treatment of and treating breast tumours. The patient is placed prone, using for example an upper thorax device. A support device is placed central to and beneath her breasts to partially displace them outwards. The device may be triangular in section with one apex contacting the chest wall at the sternum. Restraining straps may be provided to hold the breasts against the support device. Means may be provided to take a healthy breast from the path of radiation through the tumour. (author)
Federal Laboratory Consortium — he National Capital Area (NCA) Medical Simulation Center is a state-of-the-art training facility located near the main USU campus. It uses simulated patients (i.e.,...
Department of Veterans Affairs — This database is part of the National Medical Information System (NMIS). The Patient Treatment File (PTF) contains a record for each inpatient care episode provided...
Conclusion: Traumatic asphyxia is a clinical condition caused by blunt thoracoabdominal trauma, and with good trauma management patients can be discharged with less mortality and morbidity. [Cukurova Med J 2014; 39(4.000: 914-917
Kirti Rajesh Bendre; Tanvi Vijay Tuteja; Geeta Madhav Niyogi
Background: Objectives: To review all obstetric patients admitted in Intensive Care Unit (ICU) to access ethiology, required interventions, maternal mortality and to identify the conditions associated with maternal death. Methods: This is a retrospective study carried out in a medical college with tertiary hospital facility in Mumbai. The ICU admissions for a period of 5 years from October 2005 to October 2010 were reviewed. Results: Over 5 years, 48 out of 10800 obstetric patients wer...
King-Wing Ma, Terry; Kam-Tao Li, Philip
Depression is the most common psychiatric illness in patients with end-stage renal disease (ESRD). The reported prevalence of depression in dialysis population varied from 22.8% (interview-based diagnosis) to 39.3% (self- or clinician-administered rating scales). Such differences were attributed to the overlapping symptoms of uraemia and depression. Systemic review and meta-analysis of observational studies showed that depression was a significant predictor of mortality in dialysis population. The optimal screening tool for depression in dialysis patients remains uncertain. The Beck Depression Inventory (BDI), Patient Health Questionnaire (PHQ) and Center for Epidemiologic Studies Depression Scale (CESD) have been validated for screening purposes. Patients who scored ≥14 using BDI should be referred to a psychiatrist for early evaluation. Structured Clinical Interview for DSM disorders (SCID) remains the gold standard for diagnosis. Non-pharmacological treatment options include cognitive behavioural therapy and exercise training programs. Although frequent haemodialysis may have beneficial effects on patients' physical and mental well-being, it cannot and should not be viewed as a treatment of depression. Selective serotonin reuptake inhibitors (SSRIs) are generally effective and safe in ESRD patients, but most studies were small, non-randomized and uncontrolled. The European Renal Best Practice (ERBP) guideline suggests a trial of SSRI for 8 to 12 weeks in dialysis patients who have moderate-major depression. The treatment effect should be re-evaluated after 12 weeks to avoid prolonging ineffective medication. This review will discuss the current understanding in the diagnosis and management of depression in dialysis patients. PMID:26860073
Sabio Paz, Verónica; Panattieri, Néstor D; Cristina Godio, Farmacéutica; Ratto, María E; Arpí, Lucrecia; Dackiewicz, Nora
Patient safety and quality of care has become a challenge for health systems. Health care is an increasingly complex and risky activity, as it represents a combination of human, technological and organizational processes. It is necessary, therefore, to take effective actions to reduce the adverse events and mitigate its impact. This glossary is a local adaptation of key terms and concepts from the international bibliographic sources. The aim is providing a common language for assessing patient safety processes and compare them. PMID:26294153
To measure the frequency of depression and its risk factors in patients under going hemodialysis. It is a cross-sectional prospective study conducted at Hemodialysis unit of Shalamar Hospital and Shaikh Zayed Hospital, Lahore from 1/sup st/ January 2006 to 30/sup th/ April 2006. All patients getting regular hemodialysis for more than three months were included. Beck's Depression Inventory- II (BDI-II; adapted in Urdu) was administered on all the patients who were able to read or understand it. Blood sample were drawn at the same time for routine hematological, biochemical parameters and viral markers (Anti HCV and HbsAg). Diagnosis was made as per Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM IV) for correlation of psychological variables with clinical, hematological and biochemical parameters. Eighty nine patients were enrolled which included fifty two (58.4%) were male and seventy seven (86.5%) were married. Major causes of renal failure were diabetes, hypertension and chronic glomerulonephrotis. Duration of dialysis was from 03 to 49 months with mean of 19.64 +- 11.7 months. Severity of depression was categorized in to mild, moderate and severe on the basis of BDI score. Majority of the patients fifty (56.1%) were moderately to severely depressed and there was no gender difference in the prevalence of depression. Majority of patients undergoing hemodialysis were depressed. Major risk factors for depression were marital status, illiteracy, number of children, socioeconomic factors, gender, hypertension and hypoalbuminemia. Patients with anemia, hyponatremia and hyperkalemia had suicidal tendency. Patients with hepatitis C and disturbed liver function have strong correlation with psychological parameters. (author)
Wenner, Allen R.
Instant Medical History®1 is an interrogation expert system that uses the patient to generate the initial portion of the electronic medical record. Prior to a decision about what type of medical intervention is required, the patient uses an interactive voice response telephone system to respond to branching questions based on the answer to the previous question. The responses are translated into medical terminology and presented to medical personnel who can quickly determine the level of enco...
Sex education evokes a wide variety of responses in the community and from teachers. Consequently, physicians have a responsibility to present sex education material in a factual, objective way. Many people are misinformed about sexual behavior. Physicians can help patients and the community by being aware of appropriate sex education for each age group. A curriculum for sex education, and opportunities to provide sex information for patients of different ages and stages in the lifecycle, are...
Galya Ivanova Gancheva
Leptospirosis is a re-emerging zoonosis with broad clinical spectrum and high mortality in severe forms. The aim of this study was to analyze clinical manifestations, laboratory findings, epidemiological data, and management in elderly patients with leptospirosis. Toward that end, we performed a descriptive analysis of 15 leptospirosis elderly cases (age 60-78 years) treated at the Clinic of Infectious Diseases of University Hospital - Pleven (1976-2012). Patients were serologically confirmed...
Wellbery, Caroline; Chan, Melissa
Much has been written about the symbolic function of the white coat: its implications of purity, its representation of authority and professionalism, and its role in consolidating a medical hierarchy. By contrast, the medical literature has paid almost no attention to the patient gown. In this article, we argue that in order to understand the full implications of the white coat in the doctor-patient relationship, we must also take into account patients' dress, and even undress. We explore contemporary artistic images of white coat and patient gown in order to reveal the power differential in the doctor-patient relationship. Artistic representations capture some of the cultural ambivalence surrounding the use of the white coat, which confers professional status on its wearer, while undermining his or her personal identity. At the other end of the sartorial spectrum, hospital gowns also strip wearers of their identity, but add to this an experience of vulnerability. Although compelling reasons for continuing to wear the white coat in circumscribed settings persist, physicians should be mindful of its hierarchical implications. Ample room remains for improving patients' privacy and dignity by updating the hospital gown. PMID:24687912
Panek, W C; Holland, G N; Lee, D A; Christensen, R E
The records of 100 patients (161 eyes) with uveitis were reviewed retrospectively to determine the prevalence of increased intraocular pressure, the forms of uveitis most commonly associated with glaucoma, and the forms that require specific glaucoma therapy. Secondary glaucoma was present in 23 patients (31 eyes): three of 24 patients with acute uveitis (three eyes, 12% of acute uveitis patients) and 20 of 76 patients with chronic uveitis (28 eyes, 26% of chronic uveitis patients). Eighteen ...
Introduction: Two thirds of patients (ptes) cancer present slimming recognized a negative prognostic factor. Anorexia cachexia syndrome (SCA) results from the interaction of multiple factors and causes death of 22% of these patients. Nutritional support produces a moderate recovery weight without affecting the underlying metabolic disorders. Objectives: Conduct a review of current knowledge of the underlying pathophysiology and management the cachexia-anorexia syndrome in cancer patients. Designing indications possible policy interventions in the management of these patients. Method: Performed an a literature review on SCA. Conclusions: We identify patients at risk for early implementation of non-pharmacological measures preventive. The control side effects to treatment oncospecific with particular attention to the need for antiemetics, laxatives / antidiarrheal control dental and proper pain management is fundamental. Keep track enteral is a priority. In those with swallowing disorders or dysphagia, nasogastric feeding tube should be considered early. Indications for gastrostomy / jejunostomy and total parenteral nutrition (TPN) are very limited. The NPT is a complementary treatment maneuver a temporary and reversible complication, in order to prevent deterioration
Dike, Charles C; Nicholson, Elizabeth; Young, John L
Patients in a forensic psychiatric facility often require escorted transport to medical facilities for investigations or treatments of physical health ailments. Transporting these patients presents significant safety and custody challenges because of the nature of patients housed in forensic psychiatric facilities. A significant proportion of these patients may be transfers from the Department of Corrections (DOC) under legal mandates for psychiatric evaluation and treatment better provided in a hospital setting, and most of them will return to the DOC. Although departments of correction have protocols for escorting these potentially dangerous individuals, it is unclear whether receiving psychiatric hospitals have established procedures for maintaining the safety of others and custody of these individuals during transportation outside the hospital facility. The literature is sparse on precautions to be observed when transporting dangerous forensic psychiatric patients, including those with high escape risk. In this article, we describe one forensic inpatient facility's procedure for determining the appropriate level needed to transport these individuals outside of the forensic facility. We also describe the risk assessment procedure for determining level of transport. These are quality improvement measures resulting from a critical review of an incident of escape from the forensic facility several years ago. PMID:26668224
Full Text Available Humanoids have increasingly become the focus of attention in robotics research in recent years, especially in service and personal assistance robotics. This paper presents the application developed for humanoid robots in the therapy of dementia patients as a cognitive stimulation tool. The behaviour of the robot during the therapy sessions is visually programmed in a session script that allows music to play, physical movements (dancing, exercises, etc., speech synthesis and interaction with the human monitor. The application includes the control software on board the robot and some tools like the visual script generator or a monitor to supervise the robot behaviour during the sessions. The robot applicationʹs impact on the patientʹs health has been studied. Experiments with real patients have been performed in collaboration with a centre of research in neurodegenerative diseases. Initial results show a slight or mild improvement in neuropsychiatric symptoms over other traditional therapy methods.
Joginder Pal Attri
Full Text Available Many patients with psychiatric illnesses are prescribed long-term drug treatment, and the anaesthesiologist must be aware of potential interactions with anaesthetic agents. Psychotropic drugs often given in combination with each other or with other non-psychiatric drugs generally exert profound effects on the central and peripheral neurotransmitter and ionic mechanisms. Hence, prior intake of these drugs is an important consideration in the management of the patient about to undergo anaesthesia and surgery. This article highlights the effects of anaesthetics on patients taking antipsychotics, tricyclic antidepressants, monoamine oxidase inhibitors and lithium carbonate. The risk that should be considered in the perioperative period are the extent of surgery, the patient′s physical state, anaesthesia, the direct and indirect effects of psychotropics, risk of withdrawal symptoms and risk of psychiatric recurrence and relapse.
Høy, Bente; Hall, E.O.C.; Wagner, L.
This study shows how care providers in hospital practice perceive the elderly patient's dignity as a core value in health promoting care towards the elderly. Fifteen focus group interviews were conducted with care providers who told about their nursing practice experience. The interviews were...... analysed using a phenomenological hermeneutical approach. The results disclose that when caring for the elderly patient's health potential, care providers saw dignity as the core value of health. Dignity was found to capture three themes: autonomy, identity, and worthiness. These themes reflect the...... principles of nursing practice, protecting, enhancing and promoting the elderly patient's health potential. It is suggested that these themes of dignity provide a frame of reference in elder care; they shape the understanding of when health issues become a concern for health-promoting care for the elderly...
Natalya Victorova Strueva; Galina Afanas'evna Melnichenko; Mikhail Gur'evich Poluektov; Larisa Victorovna Savel'eva; Gul'nara Victorovna Katsiya; Nikolay Petrovich Goncharov
Objectives: The aim of the study was to investigate the influence of duration and individual characteristics of sleep and chronotype on body weight, eating behavior, anxiety, depression, life quality, metabolic and hormonal parameters of obese patients. Materials and methods: 200 patients with primary obesity were studied: 83 men and 117 women at age from 18 to 61 years old, median age 41,5 years [31,0; 50,0]; body weight 107 kg [94; 128,5], waist circumference 112 cm [102; 124]; neck circumf...
A patient support system for use in computerized tomography (CT) is described. The system is particularly useful for CT scanning of the brain and also of the abdominal area. The support system consists of two moveable tables which may be translated into position for X-ray scanning of the patient's body and which may be translated incrementally and automatically to obtain scans at adjacent locations. For use with brain scans, the second table is replaced by a detachable restraint assembly which is described in detail. The support system is so designed that only a small volume of low density material will intercept the X-ray beam. (UK)
Thengilsdóttir, G; Pottegård, Anton; Linnet, K;
their prescription dispensed within a year from issuing (primary non-adherent) was assessed, as well as the time from issue until dispensing. Associations between demographic factors and primary non-adherence were estimated using logistic regression. RESULTS: The overall primary non-adherence was 6...... when a prescription is issued until it is dispensed. METHODS: Data on patients receiving a new prescription for a statin or an antidepressant from the Primary Health Care database were linked with dispensing histories from The Icelandic Prescription Database. The proportion of patients who did not have...
Eke, F; Balfe, J W; Hardy, B E
Three boys were treated for arteritis of the aorta and great vessels and bilateral renal artery stenosis. One presented at age 6 months with failure to thrive, excessive sweating, and vomiting: hypertension and cardiac failure were subsequently diagnosed. The two older boys (7 and 14 years) presented with symptomless hypertension. The clinical and angiographic findings in the three patients suggest that the illness may have been Takayasu's arteritis, which should be included in the differential diagnosis of hypertension in infancy and childhood. Renal autotransplantation was performed in all three patients with good results. Early renal autotransplantation may reduce the morbidity associated with this disease. PMID:6148918
Reynard, John; Stevenson, Peter
Following recent high profile cases of surgical error in the UK and USA, patient safety has become a key issue in healthcare, now placed at heart of junior doctor's training. Errors made by doctors are very similar to those made in other high risk organisations, such as aviation, nuclear and petrochemical industries. Practical Patient Safety aims to demonstrate how core principles of safety from these industries can be applied in surgical and medical practice, in particular throughtraining for health care professionals and healthcare managers.Whilst theoretical aspects of risk management form
Baldwin, Mike; Spong, Andrew; Doward, Lynda; Gnanasakthy, Ari
Internet communication is developing. Social networking sites enable patients to publish and receive communications very easily. Many stakeholders, including patients, are using these media to find new ways to make sense of diseases, to find and discuss treatments, and to give support to patients and their caregivers. We argue for a new definition of patient-reported information (PRI), which differs from the usual patient-reported outcomes (PRO). These new emergent data from the social web ha...
Ennis, Jeffrey H
The physician-patient relationship, like any human relationship, blends two types of interactions described by philosopher Martin Buber. In an “I-It” interaction, the physician objectifies the patient and his or her problem; in an “I-Thou” interaction, the physician perceives the patient as an emotional being. My encounters with medical practitioners as a patient with brachial neuritis and Guillain-Barré syndrome illustrate these forms of the physician-patient relationship.
Pors, Anja Svejgaard
Purpose - The purpose of this paper is to examine how strategic, patient-centred communication plays a part in the discursive management of expectations posed to patients and healthcare organizations. Design/methodology/approach - The paper provides an analysis of four documents collected as part of an ethnographic case study regarding "The Perspective of the Patient" - a Danish Hospital's patient-centred communication programme. Mapping methods inspired by Grounded Theory are used to qualify the analysis. Findings - The paper shows that strategic patient-centred communication addresses both a care-oriented approach to the patient and deploys market perceptions of patients. Market and care is seen as co-existing organizing modes that entail expectations to the patient. In the communication programme the patient is constructed in six information-seeking patient figures: affective patient; target group patient; citizen with rights; patient as a competent resource; user as active partner; and consumer. As a result, the patient-centred communication programme renders the patient as a flexible figure able to fit organizational demands of both care orientation and market concerns. Originality/value - This study contributes to qualitative research in organizational health communication by combining two subfields - patient-centredness and health communication - in an empirical study of how market and care are intertwined in a patient-centred communication programme. The argument goes beyond the prevalent prescriptive approaches to patient-centredness and healthcare communication, instead providing a critical analytical perspective on strategic communication and patient-centredness and showing how expectations are posed to both patient and organization. PMID:27052626
Aaltio, Laura; Huhtamaa, Iina
Cardiovascular diseases affect many people in Finland. One way to support this patient group is patient education. Since the time spent in the inpatient settings is limited, treatment and education of cardiovascular patients is currently focused mainly on the outpatient settings. This creates pressure for the nurses due to the strict time-frame and high turnover of patients. The purpose of this final project was to find evidence-based knowledge on the patient education of a cardiac patie...
Caffarella, Rosemary S.
Patient education is recognized by health care providers and patients themselves as an important component of adequate health care for hospital patients. Through this informational process, patients receive information about specific health problems, learn the necessary competencies to deal with them, and develop accepting attitudes toward the…
Ameri, Cinzia; Fiorini, Fulvio
If the "old economy" preached standardization of products/services in order to reduce costs, the "new economy" is based on the recognition of the needs and the management of information. It is aimed at providing better and more usable services. One scenario is a national health service with regional management but based on competition between hospitals/companies.This led to a different handling of the user/patient, which has become the center of the health system: marketing seeks to retain the patient, trying to push a client-patient to not change their healthcare service provider. In costs terms, it is more economical to retain a customer rather than acquire a new one: a satisfied customer is also the best sounding board for each company. Customer equity is the management of relations with patients which can result in a greater customer value: it is possible to recognize an equity of the value, of the brand and of the report. Loyalty uses various marketing activities (basic, responsive, responsible, proactive and collaborative): each hospital/company chooses different actions depending on how many resources it plans to invest in loyalty. PMID:27374397
Andersen, Tariq Osman
This paper introduces the concept of the “participatory patient” as a vehicle to promote attention to patients¿ dual enactment of participation on participatory design (PD) projects in healthcare. By an empirical case-story from an ongoing PD project in healthcare, I illustrate the relationship...
Hvidt, Niels Christian
Faith and hope in divine healing figure in most religious traditions. This chapter looks at faith in healing miracles and explores how following that faith may involve both risks and advantages. On the one hand, it may imply a risk by camouflaging a deferring attitude as when patients decline...
Selberg, Hanne; Madsen, Trine Stougaard
Right patient, Right Blood Simulation based training in blood transfusion practice in nursing education Background: In spite of strict checking procedures to handling transfusion of blood severe adverse reactions are likely to happen and the major cause of morbidity occurs to be liable to human...
Fibromyalgia: The Information and the Care You Deserve PATIENT HANDBOOK e Fibromyalgia: You Need the Facts Fibromyalgia (fi’bro-mi-al’je- ) affects more than ... occur in men as well. 1 People with fibromyalgia may experience the following symptoms: 2 • Chronic, widespread ...
O'Donnell, Joseph F
Insomnia affects up to 50% of patients with cancer, but has received little attention from the oncology community compared with other symptoms such as pain and fatigue. Insomnia and subsequent sleep disturbances can lead to fatigue, mood disturbances, and contribute to immunosuppression, which can have a profound impact on quality of life and perhaps affect the course of disease. Insomnia in cancer patients must be distinguished from cancer-related fatigue. Although they are 2 distinct conditions, insomnia and fatigue are interrelated. Insomnia often leads to daytime fatigue that interferes with normal functioning. Conversely, daytime fatigue can lead to behaviors such as napping, which result in insomnia. The primary goal of insomnia treatment should first be to relieve any underlying disorder (eg, cancer pain, depression, anxiety) that may be causing the sleep disturbance. Because insomnia in this patient population may be due to a variety of causes, treatment must be multimodal and include both pharmacologic and nonpharmacologic therapies. A plan that combines attention to sleep hygiene and cognitive-behavioral therapy with prescription of hypnotic medications can help relieve the symptoms of insomnia in cancer patients and improve their quality of life. PMID:15675652
Salama Abo-elyazed Ouf; Tarek Abd-elgawaad Moussa; Alshimaa Saber Mohamed Abd-Elmegeed; Samar Mohamed Rajaee Eltahlawy
Objective: To study the occurrence and prevalence of dermatomycosis in special patient populations suffering from diabetes, cancer and heart diseases. Methods: A total of 640 patients suffering from diabetes, 280 patients suffering from cancer and 210 patients suffering from heart diseases from Cairo City were evaluated for dermatophytosis at the dermatology clinics of four different hospitals from January 2005 to December 2006. Results: It is estimated that diabetic patient...
Son, Yu Ri; Choi, Kyoung Hyo; Kim, Tae Gyun
Objective To identify risk factors for dysphagia in tongue cancer patients. Dysphagia is a common complication of surgery, radiotherapy, and chemotherapy in tongue cancer patients. Previous studies have attempted to identify risk factors for dysphagia in patients with head and neck cancer, but no studies have focused specifically on tongue cancer patients. Methods This study was conducted on 133 patients who were diagnosed with tongue cancer and who underwent a videofluoroscopy swallowing stu...
van Sluijs, E. M.
This large-scale study describes the way in which physical therapists currently inform, instruct and advise their patients. The study is based on 2000 audiotaped sessions of physical therapy treatments and 1600 patient questionnaires. The results show that patients receive much information and advice during treatment but that patient's compliance is unsatisfactory. The study shows which factors are related to patients' non-compliance. Finaly the book gives an explanatory model for short-term ...
Horwitz, Anna; Reuther, Lene; Andersen, Stig Ejdrup
in Copenhagen. RESULTS: A total of 111 patients were included. Eighty-eight patients (79%) always or often read the patient information leaflets. Among these, 77% attached importance to adverse effects. A mere 13% attached importance to all leaflet information. In all, 21% never or rarely read patient......-five patients (32%) stated that they had stopped taking medication due to the information about adverse effects. CONCLUSION: The patient information leaflet is an important source of drug information as most patients read the leaflet and nearly a third of the patients stated that information about the adverse...... information leaflets, but relied on the doctor or the pharmacist. 62% of the interviewed had no problems reading or understanding the patient information leaflets. Among the 38% with reading problems, 57% had difficulties due to text-size, and 33% found the written language difficult to understand. Thirty...
Bostan, Sedat; Acuner, Taner; Yilmaz, Gökhan
The expectations of patient are one of the determining factors of healthcare service. The purpose of this study is to measure the Patients' Expectations, based on Patient's Rights. This study was done with Likert-Survey in Trabzon population. The analyses showed that the level of the expectations of the patient was high on the factor of receiving information and at an acceptable level on the other factors. Statistical meaningfulness was determined between age, sex, education, health insurance, and the income of the family and the expectations of the patients (p<0.05). According to this study, the current legal regulations have higher standards than the expectations of the patients. The reason that the satisfaction of the patients high level is interpreted due to the fact that the level of the expectation is low. It is suggested that the educational and public awareness studies on the patients' rights must be done in order to increase the expectations of the patients. PMID:17028043
Jensen, Andrew; Boyle, Justin; Khanna, Sankalp
We describe the development of a method to distil routinely collected clinical data into patient flow information to aid hospital bed management. Using data from state-wide emergency department and inpatient clinical information systems, a user-friendly interface was developed to visualise patient flow conditions for a particular hospital. The historical snapshots employ a variable time scale, allowing flow to be visualised across a day, week, month or year. Flow information includes occupancy, arrival and departure rates, length-of-stay and access block observations, which can be filtered by age, departure status, diagnosis, elective status, triage category, and admission unit. The tool may be helpful in supporting hospital bed managers in their daily decision making. PMID:22797023
Bro Brask, Kirsten; Birkelund, Regner
The aim of this study was to research how the staff experience care expressed during the brief encounter with the patients in a diagnostic imaging department. This was a qualitative study with a phenomenological and hermeneutical frame of reference. The data were collected using field observations...... and semistructured interviews and analyzed according to the guidelines for meaning condensation by Giorgi. The imaging staff found that care is expressed in an administrative, an instrumental, and a compassionate sense. The imaging staff perceived care in a way that clearly differs from the traditional perception...... of care understood as the close relations between people. In their self-understanding, the staff found that care not only comprised the relational aspect but also that it was already delivered during the preparatory phases before the actual meeting with the patient and up until the image...
Pandey M; Thomas B
With the developments in cancer treatment, more and more patients are surviving their disease. However, very little emphasis is being placed to rehabilitate these cancer survivors. Ignorance, social structure, stigma attached in seeking psychological help, and poor communication skills of oncology staff all contribute to poor rehabilitative efforts. The priority of governmental agencies and health efforts to fight rampant communicable diseases, malnutrition, maternal health, and the frequent ...
A 52-year-old Caucasian man presented to hospital with confusion and was treated for a urinary tract infection. He developed new and unexpected signs and symptoms during his stay in hospital. On further questioning, the story of his social background unfolded and, following further investigation, he was diagnosed with human immunodeficiency virus (HIV). This case reminds all clinicians to think about HIV in the older patient and it also gives direction for investigation and management of simi...
Sreelatha, Omana Kesary; Ramesh, Sathyamangalam VenkataSubbu
Teleophthalmology is gaining importance as an effective eye care delivery modality worldwide. In many developing countries, teleophthalmology is being utilized to provide quality eye care to the underserved urban population and the unserved remote rural population. Over the years, technological innovations have led to improvement in evidence and teleophthalmology has evolved from a research tool to a clinical tool. The majority of the current teleophthalmology services concentrate on patient screening and appropriate referral to experts. Specialty care using teleophthalmology services for the pediatric group includes screening as well as providing timely care for retinopathy of prematurity (ROP). Among geriatric eye diseases, specialty teleophthalmology care is focused toward screening and referral for diabetic retinopathy (DR), glaucoma, age-related macular degeneration (ARMD), and other sight-threatening conditions. Comprehensive vision screening and refractive error services are generally covered as part of most of the teleophthalmology methods. Over the past decades, outcome assessment of health care system includes patients’ assessments on their health, care, and services they receive. Outcomes, by and large, remain the ultimate validators of the effectiveness and quality of medical care. Teleophthalmology produces the same desired clinical outcome as the traditional system. Remote portals allow specialists to provide care over a larger region, thereby improving health outcomes and increasing accessibility of specialty care to a larger population. A high satisfaction level and acceptance is reported in the majority of the studies because of increased accessibility and reduced traveling cost and time. Considering the improved quality of patient care and patient satisfaction reported for these telemedicine services, this review explores how teleophthalmology helps to improve patient outcomes. PMID:26929592
Eke, F.; Balfe, J W; Hardy, B E
Three boys were treated for arteritis of the aorta and great vessels and bilateral renal artery stenosis. One presented at age 6 months with failure to thrive, excessive sweating, and vomiting: hypertension and cardiac failure were subsequently diagnosed. The two older boys (7 and 14 years) presented with symptomless hypertension. The clinical and angiographic findings in the three patients suggest that the illness may have been Takayasu's arteritis, which should be included in the differenti...
DEMİRÇEKEN, Fulya G.; SOYKAN, İrfan; KULOĞLU, Zarife; ÇETİNKAYA, Hülya; ÖZDEN, Ali
Background and Aims: The etiology of functional (nonulcer) dyspepsia is unknown and many factors are suspected. Giardia lamblia is the most common protozoan isolated from the gastrointestinal tract, and chronic giardiasis is considered as a cause of dyspepsia. Our aim was to determine the frequency of giardiasis in patients undergoing upper gastrointestinal endoscopy for dyspepsia and to compare with results of stool examination by microscopy. Materials and Methods: One hundred and four dyspe...
Dintinjana, Renata Dobrila; Redžović, Arnela; Čubranić, Aleksandar; Dintinjana, Marin; Vanis, Nenad
Cachexia is defi ned as an unintended loss of stable weight exceeding 10%. Patients with advanced cachexia express anorexia, early satiety, severe weight loss, weakness, anemia, and edema. Anorexia represents the result of a failure of the usual appetite signals whereas cachexia is the debilitating state of involuntary weight loss. This syndrome, referred to as the »cancer anorexia-cachexia syndrome« (CACS) and usually consists of a combination of anorexia, tissue wasting, malnutr...
Singh, S; Hamdy, S.
Swallowing musculature is asymmetrically represented in both motor cortices. Stroke affecting the hemisphere with the dominant swallowing projection results in dysphagia and clinical recovery has been correlated with compensatory changes in the previously non‐dominant, unaffected hemisphere. This asymmetric bilaterality may explain why up to half of stroke patients are dysphagic and why many will regain a safe swallow over a comparatively short period. Despite this propensity for recovery, dy...
care staff and patients. So, knowing that patient-centred communication and good inter-collegial communication is for the benefit of both health professionals and patients, the relevance of improving health care professionals' communication skills and investigating the effect on both professionals and......Although patient-centred communication has provided a focus point in health care for many years, patient surveys continuously reveal serious communication problems as experienced by patients, due to poor communication. Likewise, poor inter-collegial communication can cause problems for both health...
Zerbe, Tony R.; Zerbe, Shirleen D.
Historically, analysis of patient service time (patient tracking) in ambulatory clinics has been performed manually. A case study of Eye and Ear Clinic in Pittsburgh, PA, revealed that this approach to patient data collection was prone to clerical error and did not satisfy the clinic's information-processing needs. Initial attempts at automation identified the features required of a successful computerized scheduling and patient tracking system.
Martin, Leslie R; Williams, Summer L; Haskard, Kelly B; Dimatteo, M Robin
Quality healthcare outcomes depend upon patients' adherence to recommended treatment regimens. Patient nonadherence can be a pervasive threat to health and wellbeing and carry an appreciable economic burden as well. In some disease conditions, more than 40% of patients sustain significant risks by misunderstanding, forgetting, or ignoring healthcare advice. While no single intervention strategy can improve the adherence of all patients, decades of research studies agree that successful attempts to improve patient adherence depend upon a set of key factors. These include realistic assessment of patients' knowledge and understanding of the regimen, clear and effective communication between health professionals and their patients, and the nurturance of trust in the therapeutic relationship. Patients must be given the opportunity to tell the story of their unique illness experiences. Knowing the patient as a person allows the health professional to understand elements that are crucial to the patient's adherence: beliefs, attitudes, subjective norms, cultural context, social supports, and emotional health challenges, particularly depression. Physician-patient partnerships are essential when choosing amongst various therapeutic options to maximize adherence. Mutual collaboration fosters greater patient satisfaction, reduces the risks of nonadherence, and improves patients' healthcare outcomes. PMID:18360559
Dellson, Pia; Nilbert, Mef; Carlsson, Christina
future simplified and more attractive informed consent forms. CONCLUSIONS: The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language......, structured text and illustrations to improve the informed consent process and thereby patient enrolment into clinical trials....
Full Text Available Ushma Shah, David T Wong, Jean Wong Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada Abstract: Most surgeries in North America are performed on an ambulatory basis, reducing health care costs and increasing patient comfort. Patient satisfaction is an important outcome indicator of the quality of health care services incorporated by the American Society of Anesthesiologists (ASA. Patient satisfaction is a complex concept that is influenced by multiple factors. A patient's viewpoint and knowledge plays an influential role in patient satisfaction with ambulatory surgery. Medical optimization and psychological preparation of the patient plays a pivotal role in the success of ambulatory surgery. Postoperative pain, nausea, and vomiting are the most important symptoms for the patient and can be addressed by multimodal drug regimens. Shared decision making, patient–provider relationship, communication, and continuity of care form the main pillars of patient satisfaction. Various psychometrically developed instruments are available to measure patient satisfaction, such as the Iowa Satisfaction with Anesthesia Scale and Evaluation du Vecu de I'Anesthesie Generale, but none have been developed specifically for ambulatory surgery. The ASA has made recommendations for data collection for patient satisfaction surveys and emphasized the importance of reporting the data to the Anesthesia Quality Institute. Future research is warranted to develop a validated tool to measure patient satisfaction in ambulatory surgery. Keywords: patient, satisfaction, anesthesia, outcomes, questionnaire, perspectives
M.B. Haeseker (Michiel); S. Croes (Ser); C. Neef (Cees); C.A. Bruggeman (Cathrien); L. Stolk (Lisette); A. Verbon (Annelies)
textabstractBackground: To compare vancomycin pharmacokinetic parameters in patients with and without neutropenia.Methods: Patients ≥18 years admitted on general wards were included. Routinely vancomycin trough and peak plasma concentrations were measured with a fluorescence polarization immunoassay
Paice, B.; Gray, J M; McBride, D; Donnelly, T; Lawson, D H
Significant hyperkalaemia occurred in 406 out of 29 063 patients admitted to a major Scottish teaching hospital in one year (1.4%). Mortality was higher in these patients than in control patients and was strongly correlated with the severity of the hyperkalaemia. Overall seven deaths were directly due to hyperkalaemia (out of 58 deaths among patients with hyperkalaemia). Factors contributing to a poor prognosis were severity and speed of onset of hyperkalaemia and the presence of appreciable ...
C. Van Eck
Study Design: Clinical PerspectiveObjective: To provide back care education for patients with low back pain. Background: Understanding the internal and external forces the body issubjected to, as well as the spine’s response to these forces, can better equipphysiotherapists in educating patients with low back pain. Methods and Measures: The focus of the clinical perspective is to providephysiotherapists with clinically sound reasoning when educating patients. Results: Providing a patient han...
Fuhrmann, Lone; Hesselfeldt, Rasmus; Lippert, Anne; Perner, Anders; Ostergaard, Doris
. MATERIAL AND METHODS: Prospective observational study at Herlev Hospital, Copenhagen, Denmark. Study personnel measured vital signs on all patients present on five wards during the evening and night and interviewed nursing staff about patients with abnormal vital signs. Subsequently, patient records were...
Fuhrmann, L.; Hesselfeldt, R.; Lippert, A.; Perner, A.; Ostergaard, D.
. MATERIAL AND METHODS: Prospective observational study at Herlev Hospital, Copenhagen, Denmark. Study personnel measured vital signs on all patients present on five wards during the evening and night and interviewed nursing staff about patients with abnormal vital signs. Subsequently, patient records were...
Wang, Sheila C; Anderson, John Ae; Jones, Duncan Vb; Evans, Robyn
The objectives of this study were to provide an assessment of photographic documentation of the wound from the patients' perspective and to evaluate whether this could improve patients' understanding of and involvement in their wound care. Our results revealed that most patients visiting the wound care clinic have difficult-to-see wounds (86%). Only 20% of patients monitor their wounds and instead rely on clinic or nurse visits to track the healing progress. There was a significant association between patients' ability to see their wound and their subsequent memory of the wound's appearance. This was especially true for patients who had recently begun visiting the wound care clinic. This relationship was not present in patients who had visited the clinic for 3 or more years. Patients reported that the inability to see their wounds resulted in feeling a loss of autonomy. The majority of patients reported that photographing their wounds would help them to track the wound progress (81%) and would afford them more involvement in their own care (58%). This study provides a current representation of wound photography from the patients' perspective and reveals that it can motivate patients to become more involved in the management of their wounds - particularly for patients with difficult-to-see wounds. PMID:24872018
This chapter deals with important aspects of patient care, which may become the radiographer's responsibility in the absence of dedicated nursing staff. Although large pediatric centers usually employ nurses for bedside patient management, the general radiographer should be familiar with some aspects of routine patient care. This knowledge guarantees the safety and well-being of children entrusted to the technologist
Rouslan Kotchetkov; Ameen Patel; Omid Salehian
Ventricular tachycardia although not common, can occasionally complicate pregnancy. Its presence may indicate an underlying cardiac structural abnormality, or undiagnosed congenital arrhythmic disease. However, some pregnant patients with ventricular tachycardia have structurally normal hearts. Two cases of ventricular tachycardia in pregnant patients with structurally normal hearts are presented and an approach to diagnosis and management of such patients are discussed.
Cooksley, T.; Nanayakkara, P. W. B.; Nickel, C. H.;
readmission but have not been validated in international populations. AIM: To perform an external independent validation of the HOSPITAL and LACE scores. DESIGN: An unplanned secondary cohort study. METHODS: Patients admitted to the medical admission unit at the Hospital of South West Jutland (10...... discriminatory power of both scores decreased with increasing age. CONCLUSION: Readmissions are a complex phenomenon with not only medical conditions contributing but also system, cultural and environmental factors exerting a significant influence. It is possible that the heterogeneity of the population and...
Bech, Camilla Louise Nørgaard; Brabrand, M.; Lassen, Annmarie Touborg
assessing potential risk factors associated with adverse outcomes and mortality. Our aim was to describe ambulance transports to the ED and identify prognostic factors accessible in the prehospital phase and associated with 7-day mortality. Methods We included all adult patients (>18 years) with a first......-based healthcare registers in order to identify comorbid conditions and information on mortality. Demographic factors and first registered vital sign were analysed by univariate logistic regression analysis, with 7-day mortality as outcome. Results In total, 18,572 first-time ambulance contacts were identified in...
Jensen, S M; Lippert, A; Ostergaard, D
handover, and to bring suggestions on how to optimize this process. A literature search on handovers to EDs was performed in PubMed, Embase, Web of Science and Cochrane databases. A total of 18 papers were included. Issues regarding transfer of information are highlighted. Newer studies suggest that....... Giving and taking over responsibility is an important issue. The handover of patients to the ED has the potential to be improved. Cultural issues and a lack of professional recognition of handover importance need to be approached. Multidisciplinary training in combination with a structured tool may have...
Eulália Maria Martins da SILVA
Full Text Available Introduction: With the population aging, the number of chronic and degenerative illnesses, own of the old age, it will appear more frequently. Objective: The objective of this study was to do a literature revision in order to approach the illnesses that more they attack the patients of the third age (from the chronic diseases even the degenerative chronic diseases. Para that, a description will be accomplished as the concept and the signs and symptoms of the illnesses observed more frequently in the senior patients that will be depression, stress, loss of the memory, aterosclerose, osteoporosis, arthritis reumatóide and disorder temporomandibular, arterial hypertension, vascular diseases, heart diseases, obesity, diabetes mellitus, urinary incontinence, hearing and visual disturbances, disease of Parkinson and still the disease of Alzheimer. Conclusion: Based on the literature revision, we ended that, not only the professionals of the health, as well as all those that work with the seniors in general, they should have the concern of treating him with larger attention, patience and perseverance, to the point of to minimize the limitations that each one presents.
Natalya Victorova Strueva
Full Text Available Objectives: The aim of the study was to investigate the influence of duration and individual characteristics of sleep and chronotype on body weight, eating behavior, anxiety, depression, life quality, metabolic and hormonal parameters of obese patients. Materials and methods: 200 patients with primary obesity were studied: 83 men and 117 women at age from 18 to 61 years old, median age 41,5 years [31,0; 50,0]; body weight 107 kg [94; 128,5], waist circumference 112 cm [102; 124]; neck circumference 41 cm [38; 46], body mass index (BMI 36,9 [32,8; 42,3]. Results: We found an association between sleep duration, chronotype and the emotional eating. Significant sleep reduction (to less than 6 hours was associated with high level of anxiety, depression, emotional eating and insomnia. Younger age, early onset and shorter duration of obesity and brisk weight gain during last is connected to the evening chronotype. The emotional eating associated with hypersomnolence in the absence of statistically significant increase of anxiety and depression in individuals with evening chronotype. Sleep duration and chronotype have no significant effect on the body weight, metabolic, hormonal parameters and the dynamics of body. weight after 7±1 months of treatment of obesity.
Norrbrink, Cecilia; Löfgren, Monika; Hunter, Judith P; Ellis, Jaqueline
Nociceptive and neuropathic pain (NP) are common consequences following spinal cord injury (SCI), with large impact on sleep, mood, work, and quality of life. NP affects 40% to 50% of individuals with SCI and is sometimes considered the major problem following SCI. Current treatment recommendations for SCI-NP primarily focus on pharmacological strategies suggesting the use of anticonvulsant and antidepressant drugs, followed by tramadol and opioid medications. Unfortunately, these are only partly successful in relieving pain. Qualitative studies report that individuals with SCI-related long-lasting pain seek alternatives to medication due to the limited efficacy, unwanted side effects, and perceived risk of dependency. They spend time and money searching for additional treatments. Many have learned coping strategies on their own, including various forms of warmth, relaxation, massage, stretching, distraction, and physical activity. Studies indicate that many individuals with SCI are dissatisfied with their pain management and with the information given to them about their pain, and they want to know more about causes and strategies to manage pain. They express a desire to improve communication with their physicians and learn about reliable alternative sources for obtaining information about their pain and pain management. The discrepancy between treatment algorithms and patient expectations is significant. Clinicians will benefit from hearing the patient´s voice. PMID:23459087
Hooten, Doug; Zavadsky, Matt
We're arguably at the most pivotal time in our young profession. The ACA has provided EMS an unprecedented opportunity to become a part of the healthcare system, a move that many of us have dreamed about for decades. We need to pay attention to the changing dynamics of the environment in which we operate. The factors that currently impact hospitals, doctors and other healthcare providers will also impact us sooner than we think. Take the time to help shape our future and how we participate in this new healthcare system. It's time to focus on the patient and the patient's experience with our service. Wayne Gretzky said two important things during an interview when he was asked what makes him such a great hockey player. One was, "You miss 100% of the shots you don't take." The other was, "A good hockey player plays where the puck is. A great hockey player plays where the puck is going to be. I skate to where the puck is going to be, not where it has been." Our advice to you is to go ahead, take the shot, get ahead of the other team and focus on improved customer satisfaction sooner rather than later. PMID:24660359
Beumer, J. III; Curtis, T.A.; Morrish, R.B. Jr.
Complete dentures were fabricated for 88 patients following completion of cancericidal doses of radiation therapy to the head and neck regions. All were followed for at least 6 months after delivery. All patients received dentures resting within the radiation field. Three patients developed osteoradionecroses directly attributable to their dentures. These three had been dentulous prior to therapy and had either pre- or posttreatment extractions. Of the 58 patients who had been edentulous prior to therapy, none developed osteoradionecrosis. Five patients developed soft tissue necroses secondary to the use of dentures.
Complete dentures were fabricated for 88 patients following completion of cancericidal doses of radiation therapy to the head and neck regions. All were followed for at least 6 months after delivery. All patients received dentures resting within the radiation field. Three patients developed osteoradionecroses directly attributable to their dentures. These three had been dentulous prior to therapy and had either pre- or posttreatment extractions. Of the 58 patients who had been edentulous prior to therapy, none developed osteoradionecrosis. Five patients developed soft tissue necroses secondary to the use of dentures
Strøm, Thomas; Pande-Rolfsen, Guri; Hagen, Christine;
Interest in and the quantity of publications on delirium in critically ill patients have grown increasingly over the last decade. Critically ill patients have traditionally been sedated to facilitate mechanical ventilation. This practice impeded the recognition of delirium in the critically ill...... patients, and consequently the disorder was underdiagnosed. Delirium in the critically ill patients is associated with increased morbidity and mortality. Less sedation, guided by protocols with daily wake up trials, and validated delirium scoring systems, have improved the opportunities to diagnose and...... monitor delirium in the critically ill patients. Udgivelsesdato: 2009-Oct-19...
Dambaugh, Lori A; Ecklund, Margaret M
Obese patients have complex needs that complicate their care during hospitalization. These patients often have comorbid conditions, including hypertension, heart failure, obstructive sleep apnea, pressure ulcers, and difficulty with mobility. Obese patients may be well served in the progressive care setting because they may require more intensive nursing care than can be delivered in a general care unit. Progressive care nurses have core competencies that enable them to safely and effectively care for obese patients. A plan of care with interdisciplinary collaboration illustrates the integrative care for obese progressive care patients. (Critical Care Nurse 2016; 36:58-63). PMID:27481802
This paper assesses the use of a patient stretcher that directly docks to a CT scanner for acutely injured and/or critically ill patients. The stretcher permits performance of radiography and acts as a platform for critical care monitoring and patient support devices. During a 1-year period, the prototype CT-docking stretcher was used for 35 patients sustaining acute trauma and 25 patients from critical care units. Observations were elicited from physicians, nurses and technologists concerning the advantages or disadvantages of the docking stretcher. Advantages of the CT-docking stretcher included time saved in moving patients to the CT table from the admitting/emergency ward, transfer of critically ill patients onto the stretcher in the controlled environment of the intensive care unit rather than the CT suite, increasing CT throughput by direct docking of the patient stretcher to the CT scanner rather than manual transfer of complex support and monitoring devices with the patient, decreased risk associated with physical movement of patients with potentially unstable spinal injuries or unstable physiologic status, and decrease in potential for injury to medical personnel performing patient transfer
Wilkins, Alasdair R; Venkat, Manu V; Brown, Adam S; Dong, Jessica P; Ran, Nina A; Hirsch, James S; Close, Kelly L
Given that a new wave of biosimilar insulins will likely enter the market in coming years, it is important to understand patient perspectives on these biosimilars. A survey (N = 3214) conducted by the market research company dQ&A, which maintains a 10 000-patient panel of people with type 1 or type 2 diabetes in roughly equal measure, investigated these perspectives. The survey asked whether patients would switch to a hypothetical less expensive biosimilar insulin that was approved by their provider. Approximately 66% of respondents reported that they would "definitely" or "likely" use a biosimilar insulin, while 17% reported that they were "unlikely" to use or would "definitely not use" such a product. Type 2 diabetes patients demonstrated slightly more willingness to use biosimilars than type 1 diabetes patients. Common patient concerns included whether biosimilars would be as effective as reference products (~650 respondents), whether side effect profiles would deviate from those of reference products (~220 respondents), and the design of the delivery device (~50 respondents). While cost savings associated with biosimilar insulins could increase patient uptake, especially among patients without health insurance (some recent estimates suggest that biosimilars will come at a substantial discount), patients may still need assurance that a cheaper price tag is not necessarily associated with substandard quality. Overall, the dQ&A survey indicates that the majority of patients are willing to consider biosimilar insulins, but manufacturers will need to work proactively to address and assuage patient concerns regarding efficacy, safety, drug administration, and other factors. PMID:24876533
Background: As a result of increased interest and public demand, providing patients with adequate information about radiooncology has become more and more difficult for the doctor. Insufficient patient information can not only cause anxiety for the patient, but can also lead to legal action against the physician. In order to gain a deeper insight into our clinical practice of providing patient information, we developed a special questionnaire. We describe our first experiences in using this questionnaire at our institute. Patients and methods: We examine the amount of information and level of satisfaction, as well as the agreement of assessment between patient and physician after the provision of standard patient information before and at the end of radiotherapy. 51 consecutive patients were interviewed with a newly designed questionnaire. The first questioning with 13 items was carried out before radiotherapy and the second with ten items was done at the end of treatment. Sum scores for information and satisfaction were defined and agreement was measured by the weighted κ coefficient. Results: Global level of information and satisfaction was good, and a significant increase in information level and a significant decline in satisfaction were seen between questionnaire 1 and 2. Agreement between patient and physician was fair, for example intent of treatment resulted in a κ coefficient of 0.34, and poor for the doctor's role with a κ coefficient of -0.002. Only 52% of the patients who received palliative radiotherapy rated correctly the non-curative intent of treatment, whereas 86% of the patients who received curative radiotherapy made a correct statement. Before radiotherapy, emotional state was often both negatively and positively assessed by the patients. Conclusion: Our short questionnaire is simple and easy to understand. It provides insights into patient information with respect to assessment of the information, satisfaction level, and agreement between
Kirti Rajesh Bendre
Methods: This is a retrospective study carried out in a medical college with tertiary hospital facility in Mumbai. The ICU admissions for a period of 5 years from October 2005 to October 2010 were reviewed. Results: Over 5 years, 48 out of 10800 obstetric patients were admitted in ICU (0.4%. Most common reasons for admissions were obstetric hemorrhage and preeclampsia. The most common intervention done was transfusion of blood and blood products. Conclusions: We need better information about high risk obstetrics in order to improve maternal care. The study identifies the risk factors for maternal mortality and severe maternal morbidity, most significant being obstetric hemorrhage. Lack of antenatal care and delay in referral to intensive care unit adversely affect the maternal outcome. [Int J Reprod Contracept Obstet Gynecol 2015; 4(2.000: 370-372
Schindler, Karin; Brix, Johanna; Dämon, Sabine; Hoppichler, Friedrich; Kruschitz, Renate; Toplak, Hermann; Ludvik, Bernhard
Evidence demonstrates that medical diabetes treatment has to be accompanied by lifestyle modifications. Structured nutrition interventions and increased physical activity will help patients to normalise, respectively maintain their body weight. The main target of a diabetes therapy is aimed at achieving normal or nearly normal blood glucose levels. Reaching this goal may be facilitated by the following nutritional patterns: Using mainly carbohydrates from vegetables, whole grains, legumes and fruits, Restriction of mono- and disaccharides are often important factors in normalising body weight and blood glucose, Reduction of dietary fat could be indicated. However, the primary goal is the limitation of saturated fatty acids which to high percentage are consumed with animal products. There is not sufficient evidence to recommend a dietary protein consumption of more than 20% of energy intake. Individuals with diabetes should be aware of the importance of acquiring daily vitamin and mineral requirements. Natural food sources should be preferred. PMID:27052240
Worsøe, Line Brink; Tordsson, Emma Mathilde
I efteråret 2007 gennemførte forfatterne af denne artikel en undersøgelse af fertilitetspatienters kommunikation på nettet. Undersøgelsen var en del af kandidatspecialet i Sprogpsykologi "Fra Person til Patient - en narrativ undersøgelse af fertilitetspatienters kommunikation". Sigtet med specialet...... var at afdække hvilke ændringer af psykologiske processer en person gennemgår når denne indgår i et behandlingsforløb i det danske sygehusvæsen. Det er et emne tidligere behandlet af sundhedspsykologien. Et af de vigtigste fund i denne forbindelse blev imidlertid, at nok kunne de psykologiske...
Santiago Herrero; Jose Antonio Lapuerta-Irigoyen
The elderly population consists of those over age 75 years and appears to represent the fastest-growing segment of the population.Intravenous thrombolytic therapy (TT) is the most common strategy for the treament of acute myocardial infarction (AMI) in many parts of the world. However, TT carries a higher risk of intra-cranial hemorrhage (ICH) in the elderly patients. Primary percutaneous transluminal coronary angioplasty and stenting (PCI) represents an important alternative in these elderly individuals with contraindications to TT. In developing countries, or in areas without availability of primary PCI, TT remains the only therapeutic modality. Dedicated randomized trials are needed to provide a comprehensive understanding of AMI management in the elderly group.
Rao, Bharat R.; Sandilya, Sathyakama; Niculescu, Radu; Germond, Colin; Goel, A.
We describe REMIND, a data mining framework that accurately infers missing clinical information by reasoning over the entire patient record. Hospitals collect computerized patient records (CPR's) in structured (database tables) and unstructured (free text) formats. Structured clinical data in the CPR's is often poorly recorded, and information may be missing about key outcomes and processes. For instance, for a population of 344 colon cancer patients, important clinical outcomes, such as dise...
Wong, Jean; Shah, Ushma; Wong, David
Ushma Shah, David T Wong, Jean Wong Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada Abstract: Most surgeries in North America are performed on an ambulatory basis, reducing health care costs and increasing patient comfort. Patient satisfaction is an important outcome indicator of the quality of health care services incorporated by the American Society of Anesthesiologists (ASA). Patient satisfaction is a complex concep...
Park, Kwang Ok; Lee, Yoon Young
Background Opioid analgesics are widely used to reduce postoperative pain and to enhance post-operative recovery. However, orthostatic intolerance (OI) induced by opioid containing intravenous patient controlled analgesia (IPCA) may hinder postoperative recovery. This study investigated factors that affect OI in patients receiving IPCA for postoperative pain control. Methods OI was instantly evaluated at the time of first ambulation in 175 patients taking opioid containing IPCA after open and...
Full Text Available Given the importance of patient's rights in healthcare, special attention has been given to the concept of patient's rights by the Ministry of Health and Medical Education in Iran. Iranian patient's rights charter has been compiled with a novel and comprehensive approach. This charter aims to elucidate rights of recipients of health services as well as observing ethical standards in medicine. This paper presents the Iranian patient's rights charter. Based on a study done from 2007 to 2009, the charter has been finalized through an extensive consultation involving all stakeholders, patients, physicians, nurses, lawyers, patient associations and health policy makers. The developed charter was adopted by the Ministry of Health in December 2009. Iranian patient's rights charter has been formulated in the framework of 5 chapters and 37 articles including vision and an explanatory note. The five chapters concern right to receiving appropriate services, right to access desired and enough information, right to choose and decide freely about receiving healthcare, right to privacy and confidentiality, and finally right to access an efficient system of dealing with complaints which have been explained in 14, 9, 7, 4 and 3 articles, respectively. The paper concludes that, adopting the patient's rights charter is a valuable measure to meet patient's rights; however, a serious challenge is how to implement and acculturate observing patient's rights in practice in our healthcare system in Iran.
Mehmet Fuat Eren
Full Text Available Venous thromboembolism (VTE is a major complication of cancer and represents an important cause of morbidity and mortality. The incidence of VTE is 0.6-7.8% in patients with cancer more than double the incidence of VTE in patients without cancer. The risk of VTE which includes deep venous thrombosis (DVT and pulmonary embolism (PE is increased two to seven fold in patients with cancer. VTE risk is especially high among certain groups such as hospitalized patients with cancer and those receiving active antineoplastic therapy. Also cancer patients, who undergoing major surgery, are increased risk of VTE. Trauma, long-haul travel, increased age, obesity, previous VTE and genetic component are also predisposing factors for VTE. Patients with cancer who develop VTE should be managed multidisciplinary treatment guidelines. The primary goal of thromboprophylaxis in patients with cancer is to prevent VTE. The large majority of cancer patients should be treated with therapeutic doses of unfractioned heparin (UFH or low molecular weight heparin (LMWH. Prophylaxis should include cancer patients who underwent major surgery for cancer and patients with a history of VTE.
Benoit-Vical, F; Valentin, A; Da, B; Dakuyo, Z; Descamps, L; Mallié, M
The aim of this work was to assess the efficacy of oral N'Dribala (tuberous roots decoction of Cochlospermum planchonii Hook) treatment versus chloroquine in non-severe malaria. The study included 85 patients with uncomplicated Plasmodium falciparum infection in Banfora, Burkina Faso. Forty-six patients that received N'Dribala beverage were compared to 21 patients treated with chloroquine. All patients were monitored with clinical examination and a parasitemia control by Giemsa-stained thick films. N'Dribala appeared safe and statistically as efficient as chloroquine for the treatment of uncomplicated Plasmodium falciparum malaria. At day 5 (D5), 57% of chloroquine-treated and 52% of N'Dribala-treated patients were cured with no detectable parasitemia (parasite density (Pd): 0) and more than 90% of whole patients were asymptomatic. N'Dribala is easily available in this country, cheap, without significant side effects and efficient with a clearly demonstrated activity on Plasmodium falciparum blood stages. This study enhances the traditional use of the Cochlospermum planchonii as alternative therapy for treatment of non-severe malaria. PMID:14522441
Johansen, Kamilla; Pedersen, Didde; Kragbak, Nina;
, Nursing education in Århus, Hedeager 2, 8200 Aarhus N, Denmark. Background: Medical treatment and care of patients with infections may include source isolation of the patient, to avoid spreading of the infection. However, isolation is a potential physiological and psychological stress factor to the....... Quality of Care: The patients felt abandoned and forgotten by the nurses, because of fewer visits and time limited communication. This led to emotions such as frustrations, insecurity and neglect. While isolated the patients felt it difficult to achieve contact and have an optimal relation with the nurses...... experience both positive and negative effects of source isolation, and areas of potential interest for developing new strategies to improve care of isolated patients were identified. Surprisingly, despite both verbal and written information, the information has not been understood by the patients. Repetitive...
Strømgaard, Sofie; Rasmussen, Søren Wistisen; Schmidt, Thomas Andersen
BACKGROUND: Crowded departments are a common problem in Danish hospitals, especially in departments of internal medicine, where a large proportion of the patients are elderly. We therefore chose to investigate the number and character of hospitalizations of elderly patients with a duration of less...... than 24 hours, as such short admissions could indicate that the patients had not been severely ill and that it might have been possible in these cases to avoid hospitalization. METHODS: Medical records were examined to determine the number of patients aged 75 or more who passed through the emergency...... department over a period of two months, and the proportion of those patients who were discharged after less than 24 hours. The reasons for the hospitalization, the diagnoses and the treatment given were noted. RESULTS: There was a total of 595 hospitalizations of patients aged 75 or above in the emergency...
Willard, S G; McDermott, B E; Woodhouse, L M
Recent cases in our Eating Disorders Clinic suggest that patients diagnosed with bulimia nervosa seeking surgical fat removal may be exhibiting a variant of the purging behavior seen in bulimic patients. These same patients exhibit historical or concurrent abuse of laxatives and/or diuretics or self-induced vomiting in a pathologic attempt to obtain or maintain an idealized body image. This paper presents two case studies that illustrate the bulimic patient's compulsive quest for lipectomy with unrealistic expectations that surgical alteration of the body will be an emotional and physical panacea. Plastic surgeons must be cautioned regarding this potential manifestation of bulimia nervosa and the dangers inherent in colluding with the patient in a pathologic request for surgery. It is important for plastic surgeons to recognize appropriate use of lipectomy as an alternative to traditional purging behavior in the bulimic patient. PMID:8764715
Full Text Available Distributed virtual patient record system is proposed for diagnosis and analysis. It permits physicians located at various places to consult on the status of the patient. In spite of patient data located at various sites, the data can be assembled and the patient record can be constructed dynamically by using the patient’s Social Security Number (SSN. Later, a graphical model could be constructed through which consulting physicians can derive useful information about the current status of the patient. It uses modern distributed objects and emerging telecollaboration tools. In this study, we describe the meaning of distributed virtual patient record, the barriers for implementing the system, requirements of the system and services. In addition, an example named “TeleMed” which implements this concept has been described.
Barré, Chantal; Falcou, Marie-Christine; Mosseri, Véronique; Carrié, Sylvie; Dolbeault, Sylvie
It is important to support patients with cancer during their care pathway and even beyond. They undergo long and difficult treatments, all anxiety-causing situations and sources of stress. Sophrological techniques help patients to find calm, lessen their fears and offer them the opportunity to work on themselves through simple easily reproducible exercises. This observation has been verified by a study carried out at the Institut Curie with patients undergoing chemotherapy. PMID:26567064
Ahmad Haerian; Ali Moemen; Saeede Asgari; Farzane Vaziri
Introduction: health literacy is a fundamental part of the healing promotion. The aim of this study was to evaluate periodontal health literacy among patients. Materials and methods: 296 patients attending periodontal clinic who were above 16 years old participated in this study. Gathering data was based on screening questions on a 5-point Likert scale. After completion questionnaire, data was analyzed by Mann-Whitney and Kruskal-Wallis test. Based on the scores of questions, patients were cl...
Psychodynamic psychotherapy is effective as an approach to understanding the psychological conflicts and the psychiatric symptoms of cancer patients as well as to planning useful psychological interventions. The author recommends that the psychotherapist who treats cancer patients be familiar with the following: 1) the natural course and treatment of the illness, 2) a flexible approach in accord with the medical status of the patient, 3) a common sense approach to defenses, 4) a concern with ...
L Downey; Lloyd, Hilary
There are a number of circumstances that may affect an individual's ability to maintain personal hygiene. Hospitalised patients, and in particular those who are bedridden, may become dependent on nursing staff to carry out their hygiene needs. Assisting patients to maintain personal hygiene is a fundamental aspect of nursing care. However, it is a task often delegated to junior or newly qualified staff. This article focuses on the principles of bed bathing patients in hospital, correct proced...
Ziting Wang; Anantharaman Vathsala; Ho Yee Tiong
Haematuria has a prevalence of 12% in the postrenal transplant patient population. It heralds potentially dangerous causes which could threaten graft loss. It is important to consider causes in light of the unique, urological, and immunological standpoints of these patients. We review the literature on common causes of haematuria in postrenal transplant patients and suggest the salient approach to the evaluation of this condition. A major cause of haematuria is urinary tract infections. There...
The identification of patient plays a key role in the quality and safety of radiotherapy. It does impact on all professional staff and on patients. After the regulatory authority approval (Cnil), a pilot study has been performed on 1901 patients. Acceptance has been very high (> 93%) with a low risk of mis-identification (< 0.1%). The next step will be to implement and test a bimodal system in order to improve registration capacity and sensitivity. (authors)
Bel, E.H.D.; Weersink, E.J.M.; Rijssenbeek-Nouwens, L.H.M.
Control of asthma, the goal of asthma treatment, seems hard to obtain. However, it is largely unknown why control of asthma remains difficult in many patients in spite of available powerful medication. In this thesis we studied non-pharmacological factors influencing asthma control: patient related factors, such as adherence and health status, as well as environmental related factors such as exposure to house dust mite allergen. Finally we studied the effect of a combination of these patient ...
Full Text Available Abstract Background Patients have the potential to provide a rich source of information on both organisational aspects of safety and patient safety incidents. This project aims to develop two patient safety interventions to promote organisational learning about safety - a patient measure of organisational safety (PMOS, and a patient incident reporting tool (PIRT - to help the NHS prevent patient safety incidents by learning more about when and why they occur. Methods To develop the PMOS 1 literature will be reviewed to identify similar measures and key contributory factors to error; 2 four patient focus groups will ascertain practicality and feasibility; 3 25 patient interviews will elicit approximately 60 items across 10 domains; 4 10 patient and clinician interviews will test acceptability and understanding. Qualitative data will be analysed using thematic content analysis. To develop the PIRT 1 individual and then combined patient and clinician focus groups will provide guidance for the development of three potential reporting tools; 2 nine wards across three hospital directorates will pilot each of the tools for three months. The best performing tool will be identified from the frequency, volume and quality of reports. The validity of both measures will be tested. 300 patients will be asked to complete the PMOS and PIRT during their stay in hospital. A sub-sample (N = 50 will complete the PMOS again one week later. Health professionals in participating wards will also be asked to complete the AHRQ safety culture questionnaire. Case notes for all patients will be reviewed. The psychometric properties of the PMOS will be assessed and a final valid and reliable version developed. Concurrent validity for the PIRT will be assessed by comparing reported incidents with those identified from case note review and the existing staff reporting scheme. In a subsequent study these tools will be used to provide information to wards/units about their
Reporting patient satisfaction has become an increasingly common component of studies evaluating treatment outcomes. However the construct of "patient satisfaction" is one that is complex and context dependent. While there is no question that careful, reliable, and valid measurement of this important aspect of patient care is required, tools for achieving this objective have not been fully developed. Measures of patient satisfaction that reflect the unique role of the hand in everyday life will require the same approach to instrument development as has been used to move forward the field of outcome measurement in general. PMID:27570227
Full Text Available Erectile dysfunction (ED is a common problem seen among patients on hemodialysis (HD, but it is still a taboo subject in our country. The attention given to this sexual problem remained low, and the prevalence of ED among these patients has not been well characterized. We carried out this study in order to determine the prevalence and severity of ED in HD patients. We conducted a descriptive cross-sectional study in our HD unit in March 2013. ED was evaluated using the International Index Erection Function. Thirty patients with a mean age of 49.1 years were eligible for this study. The main causes of chronic kidney disease were hypertension (62.5% and diabetes (41.6%. The prevalence of ED was 80%, including 33.3% severe ED. Plasma levels of gonadotropins: luteinizing hormone (LH, follicule-stimulating hormone were in the standards except for one patient who had an elevated level of LH. Prolactin was elevated in four cases. ED was present in 8.4% of patients before the discovery of renal failure and in 91.6% of patients at the beginning of dialysis. For 19 patients (79.1%, the ED had increased during the dialysis sessions. A significant number of our HD patients presented with ED of varying degrees. Nephrologists should pay attention to the problem of ED in order to improve the quality of their life.
C. S. Rand
Full Text Available Although there are very few published studies on adherence to treatment regimens in chronic obstructive pulmonary disease (COPD, the evidence that exists suggests that, as with asthma therapy, adherence is poor. Patient beliefs about COPD, as well as their motivation and expectations about the likelihood of success of medical interventions, can influence adherence rates. Other critical factors include the patient's understanding of their illness and therapy, and the complexity of the prescribed treatment regimen. Incorrect inhaler technique is also a common failing. When prescribing in primary or specialist care, healthcare professionals should address adherence as a vital part of the patient consultation. Improved patient education may also increase adherence rates.
Quik, E. H.; Feenstra, T. L.; Postmus, D.; Slotman, B. J.; Leemans, C. R.; Krabbe, P. F. M.; Langendijk, J. A.
Background and purpose: Proton therapy is an emerging technique in radiotherapy which results in less dose to the normal tissues with similar target dose than photon therapy, the current standard. Patient-level simulation models support better decision making on which patients would benefit most. Ma
Dellson, Pia; Nilbert, Mef; Carlsson, Christina
of future simplified and more attractive informed consent forms. CONCLUSIONS: The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language...
Objectives: To stratify patients into various stages, calculate average patient delay and study various causes of delay to presentation. Methodology: This was a one year hospital based cross sectional study at Khyber Teaching Hospital, using non probability consecutive sampling. A simplified staging was used for this study; Early (Stage I), Intermediate (Stage II, III), and Late (Stage IV). A patient was labelled delay when >3 months had elapsed between first symptom perception and first doctor consultation. Results: 80 patients were included with age 21-80 years (mean 45.28+-13.15). 80% of the patients were married, 76.3% (n=61/80) were poor with annual income of <500 US $, 85% of patients were illiterate. The participants from Rural and Urban areas were similar (37 % vs 31%); 15% were from Afghanistan. 80% patients presented with a delay of >3 months. Most common cause of delay was false symptom interpretation in 25.3% (n=17) patients. Conclusion: Late clinical presentation is because of lack of health education, unawareness, misconceptions about treatment and strong belief in traditional medicine resulting in advanced disease. This is worsened by poverty and unavailability of health care services especially in rural areas. (author)
Full Text Available The Telemedicine system comprises of both hardware and software components at both the patient and doctor ends. A leading field for application of telemedicine is in the field of cardiology where ECG is the major tool for diagnosis. The proposed project in this paper provides an image based techniques to acquire and analyse a constant streaming of ECG signal through digital camera for image capturing, information extraction and analysis performed using MATLAB tools as well as data sending system based on internet network. The method captures the vital signs and parameters from the ICU monitoring machine using a webcam and transmits the image through the internet. This original image is then availed to the consulting doctor via an ANDROID cell phone. In case of anomaly a notification is send to the doctor’s phone. The paper proposes a method to capture, compare and generate alert regarding the patient’s condition using the heart rate and make the captured image be available to the physician.
Daniela de Araújo Lamino
Full Text Available Cross-sectional study, carried out at the outpatient clinic of an oncology hospital. Data were collected from 88 caregivers of cancer patients using the Caregiver General Comfort Questionnaire (GCQ to assess the caregivers’ comfort. The caregivers’ GCQ score mean was 203.9; better comfort scores was associated with age, care time and current occupation; positive aspects of comfort were related to the fact that caregivers felt loved, to patients’ physical and environmental comfort and to caregivers’ spirituality. 203.9; better comfort scores were associated with age of the caregiver and current occupation; positive aspects of comfort were related to the fact that caregivers felt loved, to patients’ physical and environmental comfort and to caregivers’ spirituality. Caregivers, who didn’t have a paid job or leisure’s activities showed a worse GCQ. The GCQ scale can help to identify factors that interfere in caregivers’ comfort, as well as needs that can be modified through health professionals’ interventions.
The traditional approach to patient safety in health care has ranged from reticence to outward denial of serious flaws. This undermines the otherwise remarkable advances in technology and information that have characterized the specialty of medical practice. In addition, lessons learned in industries outside health care, such as in aviation, provide opportunities for improvements that successfully reduce mishaps and errors while maintaining a standard of excellence. This is precisely the call in medicine prompted by the 1999 Institute of Medicine report ''To Err Is Human: Building a Safer Health System.'' However, to effect these changes, key components of a successful safety system must include: (1) communication, (2) a shift from a posture of reliance on human infallibility (hence ''shame and blame'') to checklists that recognize the contribution of the system and account for human limitations, and (3) a cultivation of non-punitive open and/or de-identified/anonymous reporting of safety concerns, including close calls, in addition to adverse events. (orig.)
Bagian, James P. [National Center for Patient Safety, Department of Veterans Affairs, Ann Arbor, MI (United States)
The traditional approach to patient safety in health care has ranged from reticence to outward denial of serious flaws. This undermines the otherwise remarkable advances in technology and information that have characterized the specialty of medical practice. In addition, lessons learned in industries outside health care, such as in aviation, provide opportunities for improvements that successfully reduce mishaps and errors while maintaining a standard of excellence. This is precisely the call in medicine prompted by the 1999 Institute of Medicine report ''To Err Is Human: Building a Safer Health System.'' However, to effect these changes, key components of a successful safety system must include: (1) communication, (2) a shift from a posture of reliance on human infallibility (hence ''shame and blame'') to checklists that recognize the contribution of the system and account for human limitations, and (3) a cultivation of non-punitive open and/or de-identified/anonymous reporting of safety concerns, including close calls, in addition to adverse events. (orig.)
There is a very high prevalence of Erectile Dysfunction (ED) in dialysis patients. There is no as such available data on ED and factors affecting it in our patients. Analytical, cross-sectional, hospital based study conducted from January to March 2008, Haemodialysis unit of Shalimar and Mayo Hospital, Lahore. All male patients of end stage renal disease (ESRD) on maintenance haemodialysis therapy, whose spouses are alive and able to perform intercourse, were included in the study. Patient with cognitive and communication deficits were excluded from study. International index of erectile function-5 (IIEF-5), adopted in Urdu was used for the determination of prevalence of erectile function. Categorization of erectile dysfunction was done as mild, moderate and severe. Demographic data were collected and certain laboratory parameters (haemoglobin, haematocrit, urea, HBsAg and Anti HCV) were sent. Total numbers of patient were fifty. Major cause of ESRD was diabetes mellitus 28 (56%). Most of the patients 33 (66%) have passed 10th grade or they were under 10th grade. Prevalence of ED was 86% with mean IIEF-5 score of 10.36+-7.13. Majority of patients 33 (64.7%) were suffering from severe degree of ED. Factors responsible for ED are diabetes mellitus, age more than 50 year, high pre dialysis urea and Anti HCV positive patients. In this study, smoking, duration of dialysis and monthly spending is not related with ED. Majority of the patients suffering from ESRD, on maintenance haemodialysis are having ED. None of the patients suffering from ED were taking any treatment for it. Haemodialysis does not improve sexual dysfunction. Major factors responsible for ED are diabetes mellitus, age more than 50 years, high pre dialysis urea and Anti HCV positive patients. (author)
Ezzeldin Mahmoud Tajeldin Ali
Full Text Available This study attempts to examine the effect of using English literary texts in teaching the past simple and past perfect tenses of English as a foreign language (EFL at the secondary schools' level, in Gadarif province, in Eastern Sudan. Teaching English through literary text was done adjacent to a school syllabus called Sudan Practical Integrated National English (SPINE for comparison purposes. On the basis of an experimental approach, pre tests and post tests were taken by 85 students; 42 students were chosen for the experimental group and 43 for the control group. The purpose behind the pre-tests was to give information about the learners' knowledge of English grammar before any training took place. After the pre tests, the two groups attended language classes through two different methods (SPINE and Literature. The language classes continued for five weeks after which students in the two groups have taken post tests. Results obtained via the tests, revealed that the teaching of English past tenses through literature proved to be more effective than through SPINE. The experimental group has relatively higher scores in comparison to the control group. The computation of the coefficient correlation showed a significant difference.Keywords: Literary text, effective, effect, multidisciplinary
Mariod, Abdalbasit Adam; Fadul, Hadia
Three methods were used for extraction of gelatin from two insects, melon bug (Coridius viduatus) and sorghum bug (Agonoscelis versicoloratus versicoloratus). Extraction of insect gelatin using hot water gave higher yield reached up to 3.0%, followed by mild acid extraction which gave 1.5% and distilled water extraction which gave only 1.0%, respectively. The obtained gelatins were characterized by FTIR and the spectra of insect's gelatin seem to be similar when compared with commercial gelatin. Amide II bands of gelatins from melon and sorghum bug appeared around at 1542-1537 cm(-1). Slight differences in the amino acid composition of gelatin extracted from the two insects were observed. Ice cream was made by using 0.5% insect's gelatin and compared with that made using 0.5% commercial gelatin as stabilizing agent. The properties of the obtained ice cream produced using insects gelatin were significantly different when compared with that made using commercial gelatin. PMID:24958775
Forty-four sources of late-maturing sorghum [Sorghum bicolor (L.) Moench] germplasm (Reg. No. PI 665639 to PI 665682) were converted to early-maturing, dwarf-height enhanced F3 families, and were released by the National Sorghum Foundation, the United Sorghum Checkoff Program, the USDA-ARS, and MMR ...
Creasey, A; Giha, H; Hamad, A A;
An analysis is presented of continuous data collected over 11 years based on 1,902,600 person/days of observation on the malaria experience of the people of Daraweesh, a village in eastern Sudan. Malaria transmission is hypo-endemic: the acquisition of clinical immunity with age is not as obvious...
Isam M A Zarroug
Full Text Available The abundance of onchocerciasis vectors affects the epidemiology of disease in Sudan, therefore, studies of vector dynamics are crucial for onchocerciasis control/elimination programs. This study aims to compare the relative abundance, monthly biting-rates (MBR and hourly-based distribution of onchocerciasis vectors in Abu-Hamed and Galabat foci. These seasonally-based factors can be used to structure vector control efforts to reduce fly-biting rates as a component of onchocerciasis elimination programs.A cross-sectional study was conducted in four endemic villages in Abu-Hamed and Galabat foci during two non-consecutive years (2007-2008 and 2009-2010. Both adults and aquatic stages of the potential onchocerciasis vector Simulium damnosum sensu lato were collected following standard procedures during wet and dry seasons. Adult flies were collected using human landing capture for 5 days/month. The data was recorded on handheld data collection sheets to calculate the relative abundance, MBR, and hourly-based distribution associated with climatic factors. The data analysis was carried out using ANOVA and Spearman rank correlation tests.Data on vector surveillance revealed higher relative abundance of S. damnosum s.l. in Abu- Hamed (39,934 flies than Galabat (8,202 flies. In Abu-Hamed, vector populations increased in January-April then declined in June-July until they disappeared in August-October. Highest black fly density and MBR were found in March 2007 (N = 9,444, MBR = 58,552.8 bites/person/month, and March 2010 (N = 2,603, MBR = 16,138.6 bites/person/month while none of flies were collected in August-October (MBR = 0 bites/person/month. In Galabat, vectors increased in September-December, then decreased in February-June. The highest vector density and MBR were recorded in September 2007 (N = 1,138, MBR = 6,828 bites/person/month and September 2010 (N = 1,163, MBR = 6,978 bites/person/month, whereas, none appeared in collection from April to June. There was a significant difference in mean monthly density of S. damnosum s.l. across the two foci in 2007-2008 (df = 3, F = 3.91, P = 0.011. Minimum temperature showed significant correlation with adult flies counts in four areas sampled; the adult counts were increased in Nady village (rs = 0.799 and were decreased in Kalasecal (rs = -0.676, Gumaiza (rs = -0.585, and Hilat Khateir (rs = -0.496. Maximum temperature showed positive correlation with black fly counts only in Galabat focus. Precipitation was significantly correlated with adult flies counts in Nady village, Abu-Hamed, but no significance was found in the rest of the sampled villages in both foci. Hourly-based distribution of black flies showed a unimodal pattern in Abu-Hamed with one peak (10:00-18:00, while a bimodal pattern with two peaks (07:00-10:00 and (14:00-18:00 was exhibited in Galabat.Transmission of onchocerciasis in both foci showed marked differences in seasonality, which may be attributed to ecology, microclimate and proximity of breeding sites to collection sites. The seasonal shifts between the two foci might be related to variations in climate zones. This information on black fly vector seasonality, ecology, distribution and biting activity has obvious implications in monitoring transmission levels to guide the national and regional onchocerciasis elimination programs in Sudan.
The aim of the present study was to evaluate the effect of gamma irradiation treatment on seeds of pepper cress (lepidium sativum L), seeds of black mustard (brassica nigra L.Koch), leaves of lemon grass (cymbopogon citratus), and calyces of roselle (hibiscus sabdariffa L), pods of senna (cassia senna L) and pods prickly acacia (Acacia nilotica L.). The radiation processing was carried out at dose levels of 0, 5, 10. 15 kGy. The irradiated and control samples were analyzed for microbial load, tannins and total phenol content as well as DPPH scavenging activity. The results indicated that gamma radiation treatment significantly reduced microbial load and showed that the total microbial load decreased linearly with absorbed radiation dose. They, also, indicated maximum reduction in tannin content in lemon grass, prickly acacia and roselle. On the other hand, irradiation with 15 kGy increased the tannin and phenol contents in black mustard, pepper cress and senna and reduced the phenol content of roselle and prickly acacia. The results also revealed that gamma irradiation resulted in significant decrease of DPPH radical scavenging activity of the different studied methanolic extracts with exception of pepper cress seeds.(Author)
Zarroug, Isam M. A.; Hashim, Kamal; Elaagip, Arwa H.; Samy, Abdallah M.; Frah, Ehab A.; ElMubarak, Wigdan A.; Mohamed, Hanan A.; Deran, Tong Chor M.; Aziz, Nabil; Higazi, Tarig B.
Background The abundance of onchocerciasis vectors affects the epidemiology of disease in Sudan, therefore, studies of vector dynamics are crucial for onchocerciasis control/elimination programs. This study aims to compare the relative abundance, monthly biting-rates (MBR) and hourly-based distribution of onchocerciasis vectors in Abu-Hamed and Galabat foci. These seasonally-based factors can be used to structure vector control efforts to reduce fly-biting rates as a component of onchocerciasis elimination programs. Methods A cross-sectional study was conducted in four endemic villages in Abu-Hamed and Galabat foci during two non-consecutive years (2007–2008 and 2009–2010). Both adults and aquatic stages of the potential onchocerciasis vector Simulium damnosum sensu lato were collected following standard procedures during wet and dry seasons. Adult flies were collected using human landing capture for 5 days/month. The data was recorded on handheld data collection sheets to calculate the relative abundance, MBR, and hourly-based distribution associated with climatic factors. The data analysis was carried out using ANOVA and Spearman rank correlation tests. Results Data on vector surveillance revealed higher relative abundance of S. damnosum s.l. in Abu- Hamed (39,934 flies) than Galabat (8,202 flies). In Abu-Hamed, vector populations increased in January-April then declined in June-July until they disappeared in August-October. Highest black fly density and MBR were found in March 2007 (N = 9,444, MBR = 58,552.8 bites/person/month), and March 2010 (N = 2,603, MBR = 16,138.6 bites/person/month) while none of flies were collected in August-October (MBR = 0 bites/person/month). In Galabat, vectors increased in September-December, then decreased in February-June. The highest vector density and MBR were recorded in September 2007 (N = 1,138, MBR = 6,828 bites/person/month) and September 2010 (N = 1,163, MBR = 6,978 bites/person/month), whereas, none appeared in collection from April to June. There was a significant difference in mean monthly density of S. damnosum s.l. across the two foci in 2007–2008 (df = 3, F = 3.91, P = 0.011). Minimum temperature showed significant correlation with adult flies counts in four areas sampled; the adult counts were increased in Nady village (rs = 0.799) and were decreased in Kalasecal (rs = - 0.676), Gumaiza (rs = - 0.585), and Hilat Khateir (rs = - 0.496). Maximum temperature showed positive correlation with black fly counts only in Galabat focus. Precipitation was significantly correlated with adult flies counts in Nady village, Abu-Hamed, but no significance was found in the rest of the sampled villages in both foci. Hourly-based distribution of black flies showed a unimodal pattern in Abu-Hamed with one peak (10:00–18:00), while a bimodal pattern with two peaks (07:00–10:00) and (14:00–18:00) was exhibited in Galabat. Conclusion Transmission of onchocerciasis in both foci showed marked differences in seasonality, which may be attributed to ecology, microclimate and proximity of breeding sites to collection sites. The seasonal shifts between the two foci might be related to variations in climate zones. This information on black fly vector seasonality, ecology, distribution and biting activity has obvious implications in monitoring transmission levels to guide the national and regional onchocerciasis elimination programs in Sudan. PMID:26943668
Trovik Tordis A
Full Text Available Abstract Background Information on oral health-related quality of life, in addition to clinical measures, is essential for healthcare policy makers to promote oral health resources and address oral health needs. Objectives This paper aimed at evaluating the psychometric properties of the Arabic version of Child-OIDP, estimating the prevalence, severity and causes of oral impacts on daily performances in 12-year-old public and private school attendees in Khartoum State and to identify socio-demographic and clinical correlates of oral impacts as assessed by the Child-OIDP inventory. Methods The Child-OIDP questionnaire was translated into Arabic was administered to a representative sample of 1109 schoolchildren in Khartoum state. Clinical measures employed in this study included DMFT index, Gingival index, Plaque index and Dean's index. A food frequency questionnaire was used to study the sugar-sweetened snack consumption. Results The instrument showed acceptable psychometric properties and is considered as a valid, reliable (Cronbach's alpha 0.73 and practical inventory for use in this population. An impact was reported by 54.6% of the schoolchildren. The highest impact was reported on eating (35.5% followed by cleaning (28.3% and the lowest impacts were on speaking (8.6% and social contact (8.7%. Problems which contributed to all eight impacts were toothache, sensitive teeth, exfoliating teeth, swollen gums and bad breath. Toothache was the most frequently associated cause of almost all impacts in both private and public school attendees. After adjusting for confounders in the 3 multiple variable regression models (whole sample, public and private school attendees, active caries maintained a significant association with the whole sample (OR 2.0 95% CI 1.4-2.6 and public school attendees (OR 3.5 95% CI 2.1-5.6, and higher SES was associated with only public school attendees' Child-OIDP (OR 1.9 95% 1.1-3.1. Conclusion This study showed that the Arabic version of the Child-OIDP was applicable for use among schoolchildren in Khartoum. Despite the low prevalence of the dental caries pathology (24%, a significant relationship, with an average moderate intensity was found with OHRQoL. Focus in this population should be on oral health education, improving knowledge of the prospective treatment opportunities and provision of such services.
Suzan Zein Alabdeen Makawi; Elrasheed Ahmed Gadkariem; Saad Mohamed Hussein Ayoub
Flavonoids were extracted by solid phase extraction (SPE) from seven floral honey samples of different botanical origin from different regions of Sudan. The flavonoids were determined by high performance liquid chromatography (HPLC) technique using photo diode array detector (PDA). An isocratic and gradient systems for the resolution, identification and quantification of five flavonoids, namely; quercetin, kaempferol, apigenin, hesperetin and isorhamnetin, were developed. Although the isocrat...
Azhari H. Nour
Full Text Available Problem statement: Certain basil essential oils were claimed to have a larvicidal activity towards mosquito's larvae. To test this claim the essential oils of four accessions of basil grown in Sudan were selected and tested for Anopheles larvae. Malaria is the major health problem in the Sudan and the whole country is now considered endemic, with varying degrees, about 35,000 deaths every year due to malaria. Anopheles mosquito is the major vector of malaria disease in Sudan. Search for larvicidal active compound(s is one of several attempts to fine effective and affordable ways to control this mosquito. To determine the toxic effects of basil essential oils extracted by steam distillation against Anopheles larvae. Approach: For the larvicidal bioassay, three concentrations (100, 300, 500 ppm of essential oil solutions of four basil accessions were prepared; 1 mL of ethanol was used to solubilize the oil in water (999 mL. In each concentration of oil solution were inserted 20 larvae (third instars. A set of controls using 0.1% ethanol and untreated sets of larvae in (tap water, were also run for comparison. Data were evaluated through regression analysis, from the regression line; the LC50 values were read. The active ingredients were separated and/ or identified by TLC, IR and GC-MS. Results: Larvicidal activity of the essential oils is varied, lasted for about 9 h and thereafter decreased, LC50 values ranging from 190-300 ppm. Linalool, geraniol and eugenol are active components of basil essential oil against Anopheles larvae. Two accessions were caused 100% mortality at a concentration range 300-500 ppm for 3 h. Conclusion: These results indicated that basil essential oils have larvicidal activity towards Anopheles larvae. Therefore, could be affordable way to control this mosquito.
Tigaran, S; Rasmussen, V; Dam, M;
To investigate the frequency of ECG abnormalities suggestive of myocardial ischaemia in patients with severe drug resistant epilepsy and without any indication of previous cardiac disease, assuming that these changes may be of significance for the group of epileptic patients with sudden unexpected...
The risks of radiation therapy in patients with Fanconi's anemia who have cancer are not clear. Possible toxicity was reported in six of 14 patients: 1/1 with vaginal cancer, 4/10 with head and neck or esophageal cancer, and 1/3 with oral cancer following bone marrow transplant
Epstein, S K
Mechanical ventilation assumes the work of breathing, improves gas exchange, and unloads the respiratory muscles, all of which require good synchronization between the patient and the ventilator. Causes for patient-ventilator dyssynchrony include both patient factors (abnormalities of respiratory drive and abnormal respiratory mechanics) and ventilator factors (triggering, flow delivery, breath termination criteria, the level and mode of ventilator support, and imposed work of breathing). Although patient-ventilator dyssynchrony can often be detected on physical exam, careful analysis of ventilator waveforms (pressure-time, flow-time) allows for more precise definition of the underlying cause. Patient-ventilator interaction can be improved by reversing patient factors that alter respiratory drive or elevate patient ventilatory requirements and by correcting factors that contribute to dynamic hyperinflation. Proper setting of the ventilator using sensitive triggering mechanisms, satisfactory flow rates, adequate delivered minute ventilation, matching machine T(I) to neural T(I), and applying modes that overcome the imposed work of breathing, further optimize patient-ventilator synchrony. PMID:16088669
Kensing, Finn; Strand, Dixi Louise; Bansler, Jørgen P.;
In this paper, we discuss PD issues and concerns in the context of a national initiative the purpose of which is to provide IT support for the communication and collaboration within a heterogeneous network of patients/citizens and health care professionals. We present the notion of patient...
As the population ages, the incidence of dementia increases. All types of dementia, whether they are reversible or irreversible, lead to loss of intellectual function and judgment, memory impairment, and personality changes. The skills to feed oneself, use eating utensils, and consume items recognized as food, thereby maintaining nutrition status, may be lost as dementia progresses. Reports indicate that nutrition status may be maintained when patients are hand fed, but this is labor intensive and therefore expensive. Feeding via a percutaneous endoscopic gastrostomy tube is often chosen as an acceptable alternative. Research indicates that there is little benefit in this population when aggressive nutrition support is instituted. Providing tube feeding to patients with dementia does not necessarily extend life, increase weight, or reduce the incidence of pressure ulcers or aspiration. There are many legal and ethical issues involved in the decision to place a feeding tube in demented patients. The primary issue in patients with dementia may be autonomy and the right of an individual to decide whether or not a tube should be placed at all. Legally, there is clear precedent that the courts see the insertion of a feeding tube as extraordinary care that the patient has the right to refuse. However, much of case law is derived from cases of patients who were in a persistent vegetative state. Advance directives help to determine what the patient would want for himself. Considering all the options before the patient can no longer make decisions is the most desirable course. PMID:16556924
Kjærgaard, Benedict; Rudolph, Søren Finnemann; Lucas, Alexander;
Treatment of the hypothermic patient depends more on the clinical condition than on the core temperature. Unconscious patients need thorough investigation, and they can often be rewarmed with warm water in the pleural cavities. Cardiac arrest requires cardio pulmonary rescue until rewarming can b...
Pii, Kathrine Hoffmann; Villadsen, Kaspar
This article presents findings from an empirical study among patients and professionals involved in a preventive health program at a Danish hospital. It shows how patients enrolled in the program interact with health professionals in ways that challenge assumptions common to governmentality studi...
Control of asthma, the goal of asthma treatment, seems hard to obtain. However, it is largely unknown why control of asthma remains difficult in many patients in spite of available powerful medication. In this thesis we studied non-pharmacological factors influencing asthma control: patient related
Tan, Zaldy S.; Mulhausen, Paul L.; Smith, Stephen R.; Ruiz, Jorge G.
The virtual patient is a case-based computer program that combines textual information with multimedia elements such as audio, graphics, and animation. It is increasingly being utilized as a teaching modality by medical educators in various fields of instruction. The inherent complexity of older patients and the shortage of geriatrics educators…
Slator, R; Harris, D L
Rhinoplasty patients have long been considered to be psychologically unstable and therefore a "risky" group upon which to operate. Patients who had rhinoplastic operations more than 5 years ago were contacted by post and their psychological health assessed by the use of psychometric tests. The results show no evidence to support earlier suggestions that requests for rhinoplasty may be early symptoms of severe psychiatric disease. However, several points do emerge. Male patients show more symptoms of anxiety and depression than normal, and female patients who give no history of injury preceding their operation behave in a more extrovert and sociable manner than normal. Furthermore, patients of both sexes who give no history of injury before their operation, even though pleased with the operative results, are more self-conscious of their appearance than those who were injured prior to their rhinoplasty. PMID:1623348
Johnstone, M; Parashos, P
Patients are living longer and the rate of edentulism is decreasing. Endodontic treatment is an essential part of maintaining the health and well-being of the elderly. Retention of natural teeth improves the quality of life and the overall health and longevity of ageing patients. Also, teeth that might be otherwise extracted may be strategically valuable to retain a prosthesis, and elderly patients are more likely to have medical complications that may prevent dental extractions from being safely performed. The technical goals of endodontic treatment in the elderly are the same as those for younger patients. However, the pulpo-dentinal complex undergoes calcific changes over time, which may pose challenges for the clinician. The purposes of this review are to discuss age changes in the pulp and the challenges posed by diagnosing, treatment planning and treating the elderly endodontic patient. PMID:25762039
Masterton, Malin; Renberg, Tobias; Kälvemark Sporrong, Sofia
(Pmore critical than men regarding which species are used for what purposes (Pmore positive attitude towards animal testing is not shared to an equal degree with patients, who are the intended end-users and beneficiaries of medical......A strong argument for the practice of animal testing in medical research is the potential benefit to patients in getting improved pain relief, minimising morbidity and mortality. However, patients’ opinions on the ethics of animal testing are seldom sought, despite their role as principal...... stakeholders. This study compared the attitudes of patients and researchers on animal testing. Focus-group interviews were held with patients suffering from chronic inflammatory diseases, resulting in a questionnaire that was distributed January–May 2011. The questionnaire was posted to patient members...
With increasingly larger numbers of irradiated patients in our population, it seems likely that all dentists will eventually be called upon to manage the difficult problems that these patients present. Of utmost concern should be the patient's home care program and the avoidance of osteroradionecrosis. Endodontics and periodontics are the primary areas for preventing or eliminating the infection that threatens osteoradionecrosis. Endodontic treatment must be accomplished with the utmost care and maximum regard for the fragility of the periapical tissues. Pulpally involved teeth should never be left open in an irradiated patient, and extreme care must be taken with the between-visits seal. If one is called upon for preradiation evaluation, routine removal of all molar as well as other compromised teeth should be considered. Attention should be directed to the literature for further advances in the management of irradiated patients
With increasingly larger numbers of irradiated patients in our population, it seems likely that all dentists will eventually be called upon to manage the difficult problems that these patients present. Of utmost concern should be the patient's home care program and the avoidance of osteroradionecrosis. Endodontics and periodontics are the primary areas for preventing or eliminating the infection that threatens osteoradionecrosis. Endodontic treatment must be accomplished with the utmost care and maximum regard for the fragility of the periapical tissues. Pulpally involved teeth should never be left open in an irradiated patient, and extreme care must be taken with the between-visits seal. If one is called upon for preradiation evaluation, routine removal of all molar as well as other compromised teeth should be considered. Attention should be directed to the literature for further advances in the management of irradiated patients.
C. Van Eck
Full Text Available Study Design: Clinical PerspectiveObjective: To provide back care education for patients with low back pain. Background: Understanding the internal and external forces the body issubjected to, as well as the spine’s response to these forces, can better equipphysiotherapists in educating patients with low back pain. Methods and Measures: The focus of the clinical perspective is to providephysiotherapists with clinically sound reasoning when educating patients. Results: Providing a patient handout, educating them in how to incorporate back care knowledge into their dailyactivities.Conclusion: Physiotherapists can play a significant role in empowering patients through education to take responsi-bility for their disability.
Full Text Available Introduction. Cardiovascular disease are the major cause of mortality in developed countries. CHF is also a chronic cardiovascular disorder. Teaching the self care plays a major role in its prevention and chronic complications. Regarding the importance of self care investigating the, effect of self care education on the knowledge of the patients on CHF is so important. Methods. In this study 42 patients with CHF were selected in the first exam held 15 days before and after a two hour training class. A training booklet was given to them. Data was collected by a questionnarie which includ 5 section as follows. The 1st section included the demographic charactristics. The 2nd section, 7 questions about anatpmy and physiology of the heart, the 3rd section included eight questions about drugs history, the 4th section included nine questions about regimen of the patients and the 5th section included 6 questions about physical activity. Results. The self care knowledge of patients increased 95 percent after education. There was no correlation between the effects of self care education and the age of all units studied. Statistical tests showed no correlation between the effects of self care education and educational level. Discussion. The knowlegde of the patients is low regarding the self care. The self care education to patients is the main duty of nurses. So, it is recommended to be considered as the first nursing intervention regarding these patients.
S P Sawant
Full Text Available Aims and Objectives: Pulmonary embolism (PE is rare in the Indian population and is under-reported in patients with malignancy. We studied the clinical profile and outcome of patients with PE and cancer in the Indian population. Materials and Methods: Data of cancer patients with PE, admitted in a tertiary cancer centre, was analyzed. The prevalence of PE was calculated as the number of patients with PE per 10,000 hospital admissions. The demographic data, details of cancer, co-morbidities, details of PE, and treatment given for PE and their outcomes were recorded and analyzed. Results: There were 56,425 hospital admissions in the study period. The prevalence of PE was 6.4 per 10,000 hospital admissions .Thirty-six cancer patients were diagnosed to have PE. In females, gynecological malignancies (36.84% and in males gastrointestinal, head and neck cancers, and hematological malignancies were the most common sites (17.7% each. PE was associated with DVT in 41.7%. Dyspnea was the most common presenting symptom. Five patients (13.88% were asymptomatic and were incidentally detected to have PE . The most common echocardiographic finding was right ventricular dysfunction (55.55%. Mortality among the treated patients was 22% (7 / 31 and in untreated patients it was 80% (4 / 5. The factors that had an impact on a three-month survival were, the presence of massive PE (P = 0.019 and the presence of RV dysfunction at presentation (P = 0.005. Conclusion: The prevalence of PE and mortality due to PE is high in cancer patients. Risk stratification for venous thromboembolism (VTE should be done in all cancer patients and thromboprophylaxis should be optimally used.
Wu, Clayton; Melnikow, Joy; Dinh, Tu; Holmes, James F.; Gaona, Samuel D.; Bottyan, Thomas; Paterniti, Debora; Nishijima, Daniel K.
Introduction Understanding patient perceptions and preferences of hospital care is important to improve patients’ hospitalization experiences and satisfaction. The objective of this study was to investigate patient preferences and perceptions of hospital care, specifically differences between intensive care unit (ICU) and hospital floor admissions. Methods This was a cross-sectional survey of emergency department (ED) patients who were presented with a hypothetical scenario of a patient with mild traumatic brain injury (TBI). We surveyed their preferences and perceptions of hospital care related to this scenario. A closed-ended questionnaire provided quantitative data on patient preferences and perceptions of hospital care and an open-ended questionnaire evaluated factors that may not have been captured with the closed-ended questionnaire. Results Out of 302 study patients, the ability for family and friends to visit (83%), nurse availability (80%), and physician availability (79%) were the factors most commonly rated “very important,” while the cost of hospitalization (62%) and length of hospitalization (59%) were the factors least commonly rated “very important.” When asked to choose between the ICU and the floor if they were the patient in the scenario, 33 patients (10.9%) choose the ICU, 133 chose the floor (44.0%), and 136 (45.0%) had no preference. Conclusion Based on a hypothetical scenario of mild TBI, the majority of patients preferred admission to the floor or had no preference compared to admission to the ICU. Humanistic factors such as the availability of doctors and nurses and the ability to interact with family appear to have a greater priority than systematic factors of hospitalization, such as length and cost of hospitalization or length of time in the ED waiting for an in-patient bed. PMID:26587095
Boehm, O; Baumgarten, G; Hoeft, A
Postoperative mortality remains alarmingly high with a mortality rate ranging between 0.4% and 4%. A small subgroup of multimorbid and/or elderly patients undergoing different surgical procedures naturally confers the highest risk of complications and perioperative death. Therefore, preoperative assessment should identify these high-risk patients and stratify them to individualized monitoring and treatment throughout all phases of perioperative care. A "tailored" perioperative approach might help further reduce perioperative morbidity and mortality. This article aims to elucidate individual morbidity-specific risks. It further suggests approaches to detect patients at the risk of perioperative complications. PMID:27396802
Ros, Wynand J.G
Introduction In 2010 the UMC Utrecht started with the introduction of patient portals for patients with chronic conditions. The evaluation concerned portals of three patient groups: adults with HIV, adolescents with CF and parents of children with CF. The portals had six modules: ‘overview treatment appointments’, ‘overview of medication and test results’, ‘e-consult (a-synchronous)’, ‘request for medical prescription’, ‘diaries’ and ‘questionnaires’. Aim and objectives To evaluate patient’s ...
Célia Harumi Tengan; Acary S. Bulle de Oliveira; Alberto Alain Gabbai
Twenty patients with periodic paralysis were evaluated and the aspects studied included epidemiological data, clinical manifestations, ancillary tests, treatment and evolution. Sixteen patients had the hypokalemic form (5 familiar, 5 sporadic, 5 thyrotoxic and 1 secondary). No patient with the normokalemic form was detected. Predominance of men was found (14 patients), especially in the cases with hyperthyroidism (5 patients). No thyrotoxic patient was of oriental origin. Only 4 patients had ...
Nicole M. Reusser
Full Text Available Human papillomavirus (HPV infection is the most common sexually transmitted disease worldwide and can result in pre-malignancies or overt malignancies of the skin and mucosal surfaces. HPV-related illnesses are an important personal and public health problem causing physical, mental, sexual and financial detriments. Moreover, this set of malignancies severely affects the immunosuppressed population, particularly HIV-positive patients and organ-transplant recipients. There is growing incidence of HPV-associated anogenital malignancies as well as a decrease in the average age of affected patients, likely related to the rising number of high-risk individuals. Squamous cell carcinoma is the most common type of HPV-related malignancy. Current treatment options for HPV infection and subsequent disease manifestations include imiquimod, retinoids, intralesional bleomycin, and cidofovir; however, primary prevention with HPV vaccination remains the most effective strategy. This review will discuss anogenital lesions in immunocompromised patients, cutaneous warts at nongenital sites, the association of HPV with skin cancer in immunocompromised patients, warts and carcinomas in organ-transplant patients, HIV-positive patients with HPV infections, and the management of cutaneous disease in the immunocompromised patient.
Since the late '90s citizens have been increasingly involved in healthcare, thanks to a shift in access to healthcare information, greater patients' and citizens' awareness about their rights and needs, and a change in physicians' attitudes and behavior. At the same time, to ensure the sustainability of the national health services, patients' needs are increasingly being examined in relation to the services and interventions needed, and to foster informed demand by patients and citizens, and appropriate prescriptions by physicians. Nowadays, patients already have a section in an authoritative medical journal. Working with clinicians, they set research priorities and the outcomes to be studied. Especially in UK and USA, they are invited to participate in the design and development of trials and in deciding which trials should be funded. The situation varies widely in different countries, though involving citizens in healthcare decisions is a common mantra. Even when they consult a clinician, the patients' role has evolved. People ask for information more often and want an active part in decisions about their health. Physicians start to pay more attention to the person and the social context, feelings and emotions, and person-centered care has become a reference in the doctor-patient relationship. This article offers an overview of the changing roles of patients and citizens in healthcare. PMID:27030220
Salama A Ouf; Tarek A Moussa; Alshimaa M Abd-Elmegeed; Samar R Eltahlawy
Objective:To study the occurrence and prevalence of dermatomycosis in special patient populations suffering from diabetes, cancer and heart diseases. Methods: A total of 640 patients suffering from diabetes, 280 patients suffering from cancer and 210 patients suffering from heart diseases from Cairo City were evaluated for dermatophytosis at the dermatology clinics of four different hospitals from January 2005 to December 2006. Results: The presence of diabetes looks a risk factor for tinea pedis and tinea corporis. Tinea cruris and tinea unguium were not common among diabetics, while tinea capitis and tinea versicolor were completely missed. Tinea capitis followed by tinea pedis are the most common among cancer patients. Thirty cases were recorded for tinea among 210 patients with heart diseases of which tinea capitis and tinea versicolor were recorded once while the other clinical types of tinea were estimated in 6-8 patients for each type. Conclusions: The present investigation shows that diabetes remains to be a risk factor for dermatophytosis and cancer comes next due to the use of radioactive irradiation.
Belkis Mercedes Vicente Sánchez
Full Text Available Introduction: Diabetes mellitus is a significant health problem worldwide, since it is one of the most frequent non-transmissible diseases as for the variety and intensity of complications associated with it. Objective: To assess some physical, psychic and social aspects related with life quality of these patients. Methods: A descriptive, cross-sectional study was developed in the in the Centre for Care and Education of Diabetic Patients, between 2006 and 2007. The universe was formed by 148 diabetic patients (type II that received ambulatory assistance in that institution. Variables: age, sex, years suffering from that disease, associated diseases and nutritional assessment according to the body mass index. Results: There was grater incidence of females, most of the patients were between 40 and 59 years; it was significant the association of diabetes with hypertension, mainly in overweight patients. Life quality was poorer with more years of diseases evolution, the obese patients and those with peripheral vascular disease. Conclusion: Even when life quality of diabetic patients is not generally deteriorated, there is a negative disposition towards the disease.
N. V. Vakhnina
Full Text Available Hypertension is one of the most common vascular diseases. The brain as target organs in hypertension is damaged more often and earlier. Neurological complications due to hypertension are frequently hyperdiagnosed in Russian neurological practice. Thus, headache, dizziness, impaired recall of recent events, nocturnal sleep disorders, and many other complaints in a hypertensive patient are usually regarded as a manifestation of dyscirculatory encephalopathy. At the same time headaches (tension headache and migraine in hypertensive patients are predominantly primary; headache associated with dramatic marked elevations in blood pressure is encountered in only a small number of patients. The role of cerebrovascular diseases in the development of dizziness in hypertensive patients is also overestimated. The vast majority of cases, patients with this complaint are in fact identified to have benign paroxysmal postural vertigo, Mеniеre’s disease, vestibular neuronitis, or vestibular migraine. Psychogenic disorders or multisensory insufficiency are generally responsible for non-systemic vertigo in hypertensive patients. Chronic cerebral circulatory insufficiency may cause non-systemic vertigo as a subjective equivalent of postural instability.Cognitive impairments (CIs are the most common and earliest manifestation of cerebrovascular lesion in hypertension. In most cases, CIs in hypertension were vascular and associated with cerebrovascular lesion due to lacunar infarcts and leukoaraiosis. However, mixed CIs frequently occur when hypertensive patients are also found to have signs of a degenerative disease, most commonly in Alzheimer’s disease.
Orozco, Federico; Anders, María; Mella, José; Antinucci, Florencia; Pagano, Patricia; Esteban, Paula; Cartier, Mariano; Romero, Gustavo; Francini, Bettina; Mastai, Ricardo
Relative adrenal insufficiency (RAI) is a common finding in cirrhotic patients with severe sepsis, and increased mortality. Its significance is unknown in stable conditions. The aim of this study was to evaluate the prevalence of RAI in stable cirrhotic patients at different stages of the disease. Also, the impact of RAI on the survival was evaluated and basal cortisol levels between plasma and saliva was correlated in control subjects and cirrhotic patients. Forty seven ambulatory patients and 16 control subjects were studied. RAI was defined as a serum cortisol increase of less than 9 υg/dl from baseline after the stimulation with 250 mg of synthetic ACTH. Twenty two had Child-Pugh = 8 and 25 = 9. The prevalence of RAI in patients with stable cirrhosis was 22%. A higher incidence of RAI was observed in patients with a Child-Pugh = 9 (8/32) than in those with = 8 (3/13, p developed this complication (79% and 51%, p < 0.05, respectively). In summary, the prevalence of RAI is frequent in patients with stable cirrhosis and that it is related to the severity of liver diseaseand increased mortality. PMID:27576278
Aelbrecht, Karolien; Rimondini, Michela; Bensing, Jozien; Moretti, Francesca; Willems, Sara; Mazzi, Mariangela; Fletcher, Ian; Deveugele, Myriam
Good doctor-patient communication may lead to better compliance, higher patient satisfaction, and finally, better health. Although the social variance in how physicians and patients communicate is clearly demonstrated, little is known about what patients with different educational attainments actually prefer in doctor-patient communication. In…
Carlsen, Berit Christina; Andersen, Klaus Ejner; Menné, Torkil;
limited. This review presents the current knowledge on the topic and discusses the evidence and characteristics of an increased susceptibility factor, possible causes to and genetic markers for the increased susceptibility, composition of the patient group and identification of patients at risk of...... developing multiple contact allergies. Evidence of allergen clusters among polysensitized individuals is also reviewed. The literature supports the idea that patients with multiple contact allergies constitute a special entity within the field of contact allergy. There is no generally accepted definition of...
A wide variety of musculoskeletal abnormalities may be seen in patients with chronic renal failure. Recently a destructive spondyloarthropathy has been described in patients undergoing hemodialysis. The characteristic features include marked disk space narrowing associated with vertebral end-plate erosion and sclerosis, without significant osteophyte formation. Ten patients with changes of destructive spondyloarthropathy involving the cervical or lumbar spine are presented in this exhibit. The appearance on plain radiographs, multiplanar tomography, CT and MR imaging is discussed. The importance of recognizing these changes as un unusual manifestation of chronic renal failure and their differentiation from infection are stressed
Riiskjær, Erik; Ammentorp, Jette; Nielsen, Jørn Flohr;
. Eight public hospitals in a Danish county. Participants. 32 809 inpatients and 1842 nurses on 84 wards. Main Outcome Measure. Optimal organizational level for measuring patient satisfaction and correlations between overall patient satisfaction and organizational context. Results. In all, 71.......4% of the departments chose to have the survey results specified at the subunit level or for specific diagnostic groups. Substantial differences in patient satisfaction between wards are illustrated. On the wards with the highest improvement potential, we found significantly higher occupancy rates, acute rates, rates...
S.V. Medina-León; A. Medina-Palomera; A. González-Ángeles; Rogers, P; M. Gil-Samaniego-Ramos; J. Ceballos-Corral; V. Nuño-Moreno
There has been much research where the flow of patients was improved, but most of this study is case-specific and only a few papers offer guidelines for patient flow analysis and improvement. In this study a general framework for the analysis and improvement of patient flow is presented, based on a literature review and on experience from a case study in a hospital in Mexico dealing with identifying improvement opportunities that reduced waiting times in the obstetrics/gynecology area of the ...
Stoy, W A
Medic 27 responds to a report of a fall victim at 27 West Pinnacle Lane. En route, the crew learns from dispatch that the patient fell approximately 25 feet from the roof of a three-story structure onto the roof of an adjacent garage. The caller reports the patient "going in and out of consciousness." The EMS crew requests the dispatch of a rescue unit and ladder company to assist on scene and the placement of a medical helicopter on standby. On scene, the patient's wife reports her husband accidentally disturbed a hornets' nest as he secured a weather vane to the top of the family home. She says the hornets stung her husband repeatedly. In his attempt to avoid the stings, his movements jarred the ladder, causing him to fall to the roof below. As you walk to the side of the patient's home, his wife adds that her husband has a cardiac condition and now complains of chest pain and trouble breathing. You wonder what you'll find when you reach the victim. Is he a medical patient with traumatic injuries or a trauma patient with medical complications? PMID:11213605
Grando, Maria Adela; Bates, David
The authors explore novel information-based mechanisms that are changing the way patients are involved in their own health care. The book covers models, frameworks and technologies to improve patient-to-provider communication, patient interaction with information technologies, patient education and involvement in health care decision processes, and patient access, understanding and control over their clinical data.
Bennett, Ariana H; Hassinger, Jane A; Martin, Lisa A; Harris, Lisa H; Gold, Marji
Research indicates that health care teams are good for staff, patients, and organizations. The characteristics that make teams effective include shared objectives, mutual respect, clarity of roles, communication, trust, and collaboration. We were interested in examining how teams develop these positive characteristics. This paper explores the role of sharing stories about patients in developing patient-centered teams. Data for this paper came from 1 primary care clinic as part of a larger Providers Share Workshop study conducted by the University of Michigan. Each workshop included 5 facilitated group sessions in which staff met to talk about their work. This paper analyzes qualitative data from the workshops. Through an iterative process, research team members identified major themes, developed a coding scheme, and coded transcripts for qualitative data analysis. One of the most powerful ways group members connected was through sharing stories about their patients. Sharing clinical cases and stories helped participants bond around their shared mission of patient-centered care, build supportive relationships, enhance compassion for patients, communicate and resolve conflict, better understand workflows and job roles, develop trust, and increase morale. These attributes highlighted by participants correspond to those documented in the literature as important elements of teambuilding and key indicators of team effectiveness. The sharing of stories about patients seems to be a promising tool for positive team development in a primary care clinical setting and should be investigated further. PMID:26348238
... be more susceptible to adverse scarring due to melanin, a brown pigment, found in the skin. Keloids ... such as laser skin resurfacing, chemical peels, laser hair removal and dermabrasion. Ethnic patients should be cautious ...
Hampton, H L
Adolescent patients need knowledge and motivation to practice a healthy lifestyle. The provider of adolescent health care is uniquely qualified to provide factual health information and practical advice. Enlisting parental support for confidential adolescent health services usually is not problematic when parents and health care providers share common goals and responsibility. The health care provider must develop rapport to foster high-risk health behavior disclosure and must promote health messages that are stronger than those received from peers, television, movies, and magazines. Adolescents who elect to abstain from sexual activity need as much support as sexually active patients. Depression, substance abuse, and eating disorders must be recognized and treated. Preventative health care services for adolescents can be optimized when office staff understand the special needs of these young women. The physician's concerns regarding the health of adolescent patients will be welcomed by patients, their parents, and the community. PMID:10693179
Ross, Lone; Petersen, Morten Aagaard; Johnsen, Anna Thit;
PURPOSE: The aims of this study were to assess how communication with health care staff is perceived by Danish cancer patients and to characterise those patients who report problems in communication. METHODS: In a cross-sectional survey, a nationally representative sample of 2,202 cancer patients...... consultations, and whether doctors criticised other doctors. RESULTS: A total of 1,490 cancer patients responded to the questionnaire. Of these, 24 % reported one or more problems with the areas of communication measured. The problem most frequently reported (by 12 %) was not having sufficient time for...... who had been in contact with a hospital department during the past year was invited to respond to a questionnaire. Communication with doctors and nurses was assessed separately as were their abilities as listeners, doctors' use of an understandable language, timing of the information, duration of...
U.S. Department of Health & Human Services — Reducing Costs, Protecting Consumers - The Affordable Care Act on the One Year Anniversary of the Patients Bill of Rights For too long, too many hard working...
Full Text Available There has been much research where the flow of patients was improved, but most of this study is case-specific and only a few papers offer guidelines for patient flow analysis and improvement. In this study a general framework for the analysis and improvement of patient flow is presented, based on a literature review and on experience from a case study in a hospital in Mexico dealing with identifying improvement opportunities that reduced waiting times in the obstetrics/gynecology area of the emergency department. The framework involves an initial analysis using basic tools followed by the selection of a strategy based on system complexity; financial investment required and team participation. The alternative strategies considered were use of advanced analysis tools; use of kaizen events; or direct recommendations. The aim of the framework is to serve as guideline in patient flow improvement projects by helping select the most appropriate improvement path, resulting in project success.
Sam Foster, Chief Nurse at Heart of England NHS Foundation Trust, looks at what the NHS can learn about good customer service from the private sector, and how Always Events can improve patient care. PMID:27523767
dos Santos, Regina Maria; Viana, Ivea Rayane M N; da Silva, Josefa Rita; Trezza, Maria Cristina Soares Figueiredo; Leite, Joséte Luzia
This is a qualitative study about the relationship among nurses of a university hospital and their patients when they need to undress those patients to take care. The purpose was to analyze speech of seven nurses in this situation. The information was taken by transcribing the semi-structured interviews which were analyzed according Michel Foucault's thought. The results demonstrated that the relationship among nurses and patients at the time when nudity is needed to perform nursing care is full of power, to which the nurses don't feel always prepared. Also the nurses don't think that, acting as they act, they exert power over the patients. It is suggested to Nursing schools to perform seminars about the care with the naked body. PMID:21308217
Coleman, R; Body, J J; Aapro, M;
There are three distinct areas of cancer management that make bone health in cancer patients of increasing clinical importance. First, bone metastases are common in many solid tumours, notably those arising from the breast, prostate and lung, as well as multiple myeloma, and may cause major...... morbidity including fractures, severe pain, nerve compression and hypercalcaemia. Through optimum multidisciplinary management of patients with bone metastases, including the use of bone-targeted treatments such as potent bisphosphonates or denosumab, it has been possible to transform the course of advanced...... cancer for many patients resulting in a major reduction in skeletal complications, reduced bone pain and improved quality of life. Secondly, many of the treatments we use to treat cancer patients have effects on reproductive hormones, which are critical for the maintenance of normal bone remodelling...
... This helps the skin stay healthy and prevents bedsores. Turning a patient is a good time to ... M, et al. Risk assessment and prevention of pressure ulcers: a clinical practice guideline from the American College ...
Department of Veterans Affairs — The National Patient Care Database (NPCD), located at the Austin Information Technology Center, is part of the National Medical Information Systems (NMIS). The NPCD...
Goiato, Marcelo Coelho; Sonego, Mariana Vilela; dos Santos, Daniela Micheline; da Silva, Emily Vivianne Freitas
A white female patient presented to the university clinic to obtain implant retained prostheses. She had an edentulous maxillary jaw and presented three teeth with poor prognosis (33, 34 and 43). The alveolar bone and the surrounding tissues were healthy. The patient did not report any relevant medical history contraindicating routine dental treatment or implant surgery, but self-reported a dental history of asymptomatic nocturnal bruxism. The treatment plan was set and two Branemark protocols supported by six implants in each arch were installed after a 6-month healing period. A soft occlusal splint was made due to the patient's history of bruxism, and the lack of its use by the patient resulted in an acrylic fracture. The prosthesis was repaired and the importance of using the occlusal splint was restated. In the 4-year follow-up no fractures were reported. PMID:24907215
Full Text Available Pyoderma gangrenosum (PG has previously been reported in very few patients with HIV infection. We describe here a 30-year-old housewife with HIV infection having multiple ulcerations over lower limbs characteristic of PG.
Hoffman, Kenneth J.
In today's world, medical information on patients is usually recorded by a variety of health care providers who write their thoughts either on paper or in a word processing program. Telemedicine and other high technology initiatives add to the existing information database. However, most stored data are not easily linked. This makes it difficult to do process evaluations and nearly impossible to determine treatment effectiveness. Any aggregate data analysis must rely on the very few standardized patient data points that may include some demographic information, diagnosis and codable procedures. This paper demonstrates the utility of business process reengineering techniques using Integrated Computer Assisted Manufacturing Definition modeling to create a data model in which patient information is used to build an analyzable database. This provides the infrastructure in which to store all patient data.
... site. Top of Page Preventing fungal infections in cancer patients Fungi are difficult to avoid because they are a natural part of the environment. Fungi live outdoors in soil, on plants, trees, and other vegetation. They are also on ...
... HAIs HICPAC One & Only Campaign A Patient Safety Threat – Syringe Reuse Recommend on Facebook Tweet Share Compartir ... need to be aware of a very serious threat to their health - the reuse of needles or ...
Danholt, Peter; Bødker, Keld; Hertzum, Morten;
This short paper outlines a recently initiated research project that concerns healthcare information systems and patient empowerment. Drawing on various theoretical backgrounds, Participatory Design (PD), Computer Supported Cooperative Work (CSCW), Computer Mediated Communication (CMC), and Science...
Both patients and caregivers but also treating physicians are concerned about complications along with surgical interventions. A major problem is abrupt cessation of anti-Parkinson medication, which leads to manifold disturbances, sometimes even to an akinetic crisis. There are several means to guarantee continuous dopaminergic stimulation even in patients that are not allowed to take medication orally before they undergo surgery. Amongst others rectally applied levodopa, amantadine infusions, and especially the use of a rotigotine patch are good means to overcome oral intake. Perioperative management is important due to the fact that in Germany alone each year more than 10 000 PD patients undergo surgery. Main reasons for this are fractures, but also elective interventions. Further emergency situations that cause treatment as an inpatient are psychosis, motoric disability, but also pneumonia and cardiovascular disturbances. In contrast PD patients suffer less often from cancer. PMID:27276074
Idorn, L; Jensen, A S; Juul, K; Reimers, J.I.; Johansson, P I; Sørensen, K E; Ostrowski, S R; Søndergaard, L
. Using a population-based design, we retrospectively identified all TEs in 210 Fontan patients. Whole blood assays (thromboelastography, thromboelastography functional fibrinogen and Multiplate) reflecting global hemostasis, clot strength and platelet aggregation were analyzed prospectively in 112...
Jensen, Lotte Groth
investigate the creation of overview in daily clinical practice and further investigates how respectively a paper-based patient record and an EPR supports the creation of clinical overview. That the change from paper-based patient record to EPR can cause difficulties, interruptions and challenges...... or rendered visible in detail. Studies have been conducted on the differences on using respectively a paper-based patient record and an EPR, but few studies have focused on the creation of overview in daily clinical practice in connection with this transition. Therefore, the aim of this PhD dissertation...... of clinical overview. Considering the change from paper-based patient record to EPR, the dissertation also investigates how the two artefacts support the creation of clinical overview. The present dissertation is primarily based on ethnographic inspired observational studies and semi-structured interviews...
Bakken, R; van Walraven, A-M; Egeland, T
The article discusses views and recommendations of the World Marrow Donor Association concerning ethical issues related to the donation of hematopoietic stem cell products with respect to recruitment, evaluation, workup, and follow-up of unrelated donors. Particular emphasis is placed upon commitment of individual donors, in particular, with respect to the needs of patients to find HLA-matched donors, who may be asked to donate stem cell and other cell products more than once for given patients. PMID:14628078
CNS infections caused by infective agents are rare in immunocompetent hosts, but more frequent in immunocompromised patients. In addition, the spectrum of causative agents is completely different. There are no pathognomonic alterations in radiologic imaging, even in clinically severely ill patients imaging is often non-specific or inconspicious. This article gives a review of the most frequent infective agents and image alterations. Modern radiology is not yet able to replace the gold standard of pathogen detection. (orig.)
Sabry Alaa; Abo-Zenah Hamdy; Wafa Ehab; Mahmoud Khaled; El-Dahshan Khaled; Hassan Ahmed; Abbas Tarek; Saleh Abd El-Baset; Okasha Kamal
The prevalence of sleep disorders is higher in patients with kidney failure than the general population. We studied the prevalence of sleep disorders in 88 (mean age; 41.59 ± 16.3 years) chronic hemodialysis (HD) patients at the Urology and Nephrology Center, Mansoura Uni-versity, Egypt over 4-month period. The investigated sleep disorders included insomnia, restless leg syndrome (RLS), obstructive sleep apnea syndrome (OSAS), excessive daytime sleepiness (EDS), narcolepsy and sleep walk...
Jensen, Helene Christine Kildegaard; Brabrand, Mikkel; Vinholt, Pernille Just;
. METHODS: We conducted a prospective cohort study involving all first time admissions (n=11988) to the Acute Medical Department at Odense University Hospital linking potassium level at admission with registry data on patient characteristics, laboratory data, redeemed prescriptions and time of death for the...... or betagonist use. CONCLUSIONS: In a mixed population of hospitalized medical patients, hypokalemia is common and plasma [K(+)]<2.9 mmol/l is associated with increased 7-day and 8-30 day mortality....
Johnson Space Center teamed up with Sarasota, Florida-based METI (now CAE Healthcare) through the STTR program to ruggedize the company’s patient simulators for training astronauts in microgravity environments. The design modifications were implemented in future patient simulators that are now used to train first responders in the US military as well as fire departments and other agencies that work in disaster zones.
Alabiso, Giulia; Alio, Luigi; Arena, Saverio; Barbasetti di Prun, Allegra; Bergamini, Valentino; Berlanda, Nicola; Busacca, Mauro; Candiani, Massimo; Centini, Gabriele; Di Cello, Annalisa; Exacoustos, Caterina; Fedele, Luigi; Fuggetta, Eliana; Gabbi, Laura; Geraci, Elisa; Imperiale, Ludovica; Lavarini, Elena; Incandela, Domenico; Lazzeri, Lucia; Luisi, Stefano; Maiorana, Antonio; Maneschi, Francesco; Mannini, Luca; Mattei, Alberto; Muzii, Ludovico; Pagliardini, Luca; Perandini, Alessio; Perelli, Federica; Pinzauti, Serena; Porpora, Maria Grazia; Remorgida, Valentino; Leone Roberti Maggiore, Umberto; Seracchioli, Renato; Solima, Eugenio; Somigliana, Edgardo; Tosti, Claudia; Venturella, Roberta; Vercellini, Paolo; Viganò, Paola; Vignali, Michele; Zannoni, Letizia; Zullo, Fulvio; Zupi, Errico
A panel of experts in the field of endometriosis expressed their opinions on management options in a 28-year-old patient, attempting pregnancy for 1 year, with severe cyclic pelvic pain and with clinical examination and imaging techniques suggestive of adenomyosis. Many questions this paradigmatic patient may pose to the clinician are addressed, and all clinical scenarios are discussed. A decision algorithm derived from this discussion is also proposed. PMID:26772777
Burney, Basil O.; Garcia, Jose M.
Prevalence of hypogonadism in men with cancer has been reported between 40% and 90%, which is significantly higher than in the general population. Hypogonadism is likely to affect the quality of life in these patients by contributing to non-specific symptoms, including decreased energy, anorexia, sarcopenia, weight loss, depression, insomnia, fatigue, weakness, and sexual dysfunction. Pathogenesis of hypogonadism in cancer patients is thought to be multi-factorial. Inflammation may play an im...
Feroze Kaliyadan; Ambika Kumar
Vitiligo is known to be associated with social stigma and a decreased quality of life, especially when lesions are located over the face. While there are numerous treatment options for vitiligo, most of these need a long time to produce good cosmetic results. Camouflaging the skin lesions can be a useful option in such patients. The proper use of camouflage has been shown to improve the quality of life in patients with vitiligo. In this article, we discuss the different camouflage options ava...
Dumitrescu, T Pene; Fossler, MJ; Schmith, VD
Pharmacometrics, whether using simple or complex models, has contributed to rational and efficient drug development,1–3 with the main focus on early drug development.4 This article describes why opportunities more directly focused on the patient abound in late stage development, illustrating the concept with three innovative examples which focus on benefits to patients, enabling drugs that are truly efficacious to reach the market faster in diseases with high unmet medical needs, while maintaining adequate safety. PMID:26225220
Bastounis, E.; Pikoulis, E; Leppaniemi, A.; Alexiou, D.; Tsigris, C; Tsetis, A.
With improvements in medical technology, more and larger surgical procedures are performed in haemophiliac patients, but rarely reported in the surgical literature. A retrospective study from a 10 year period from one referral centre identified a total of 68 operations performed in haemophiliac patients. The levels of the defective factors were carefully monitored preoperatively and postoperatively, and replaced according to a standard formula. Special caution was taken to avoid any postopera...
Full Text Available Mechanical ventilation significantly affects cerebral oxygenation and cerebral blood flow through changes in arterial carbon dioxide levels. Neurosurgical patients might require mechanical ventilation for correction and maintenance of changes in the pulmonary system that occur either due to neurosurgical pathology or following surgery during the acute phase. This review discusses the basics of mechanical ventilation relevant to the neurosurgeon in the day-to-day management of neurosurgical patient requiring artificial support of the respiration.
Patel, Manish S; Carson, Jeffrey L.
Anemia is commonly encountered in the preoperative patient. With variable etiology, determination of the cause of the anemia can impact perioperative surgical and medical management and outcome. Red blood cell transfusions are often administered during the perioperative time period in patients with preoperative anemia, although evidence to support the optimal transfusion threshold is limited. We review the evaluation of anemia, as well as evidence regarding perioperative blood transfusions. R...
Bogdan Popescu; Oana Păun; Răzvan V. Scăunașu; Cristian Bălălău; Șerban V. Berteșteanu
Larynx cancer is one of the most susceptible form of cancer susceptible to induce alteration of the patient’s psychological profile due to the social role that the larynx has in communication. Oral communication is severely impaired even after voice rehabilitation of the laryngectomized patients, so that the social rehabilitation is somewhat not only a medical but also a social problem. The psychological profile of these patients is altered in a way that dealing with the disease is sometimes ...
Full Text Available Stroke is one of the major problems in medical and healthcare that can cause severe disability and death of patients especially for older population. Rehabilitation plays an important role in stroke therapy. However, most of the rehabilitative exercises are monotonous and tiring for the patients. For a particular time, they can easily get bored in doing these exercises. The role of patient’s motivation in rehabilitation is vital. Motivation and rehabilitative outcomes are strongly related. Digital games promise to help stroke patients to feel motivated and more engaged in rehabilitative training through motivational gameplay. Most of the commercial games available in the market are not well-designed for stroke patients and their motivational needs in rehabilitation. This study aims at understanding the motivational requirements of stroke patients in doing rehabilitative exercises and living in a post-stroke life. Based on the findings from the literature review, we report factors that can influence the stroke patients’ level of motivation such as social functioning, patient-therapist relationship, goal-setting, and music. These findings are insightful and useful for ideating and designing interactive motivation-driven games for stroke patients. The motivational factors of stroke patients in rehabilitation may help the game designers to design motivation-driven game contexts, contents, and gameplay. Moreover, these findings may also help healthcare professionals who concern stroke patient’s motivation in rehabilitative context. In this paper, we reported our Virtual Nursing Home (VNH concept and the games that we are currently developing and re-designing. Based on this literature review, we will present and test out the ideas how we can integrate these motivational factors in our future game design, development, and enhancement.
This is the first article in a four-part continuing education series addressing patient care and the clinical management of disease. This series is not directed at nuclear medicine procedures themselves, but focuses on topics related to patients referred for nuclear medicine studies. After reading this article, the reader should be able to: 1) discuss the diagnosis of pulmonary embolism; and 2) discuss conventional versus thrombolytic approaches to therapy
Ultrasound B-scan examination of traumatized eve is safe, cheap and easy diagnostic method for visualization of the posterior pole of the eye. Ophthalmoscopic visualization of the fundus of traumatized eye can be obscured by corneal opacity, anterior chamber hyphema, cataractous change of the lens, or hemorrhage of the citreous. Ultrasound B-scan examination of the posterior pole is imperative in such cases to detect any intraocular damage and the presence of a foreign body. So we performed ultrasound B-scan examination of traumatized eye seventy eight patients and analyzed those findings. All cases were confirmed by follow up examination of ophthalmoscopy and ultrasound, or surgery. The results were as follows; 1. The most common cause of the ocular injury was traffic accidents (19 patients, 24.4%),male was more commonly injured (63 patients, 80.8). and the most common age group was their 4th decade. 2. Summary of sonographically detected intraocular lesions were as follows; 1) Corneal opacity (44 patients)-hyphema 15, traumatic cataract 24, vitreous hemorrhage 31, retinal detachment 20, intraocular foreign body 4, etc. 2) Hyphemal (16 patients)-hyphema 16, vitreous hemorrhage 11, tretinal detachment 5, etc. 3) Traumatic cataract with no corneal or lens opacity (6 patients)-vitreous hemorrhage with or without retinal detachment 3, normal vitreous and retina 3. 4) Vitreous opacity(12 patients)-vitreous hemorrhage 12, retinal detachment 4, intraocular foreign body 3, etc. In all seventy eight patients with ocular trauma , we could demonstrate characteristic findings for each intraocular lesion. So we recognized the important role and high diagnostic accuracy of ultrasound B-scan examination for the evaluation of the posterior pole of traumatized eye
Full Text Available Preliminary data are reported from experiments in which Warrington's (1984 Recognition Memory Tests were given to patients with misidentification delusions including the Capgras type and to psychotic patients. The results showed a profound impairment on face recognition for most groups, especially those with the Capgras delusion. It was rare to find a patent whose score on the word test was anything but normal.
Flávio Jota de Paula
Full Text Available Tuberculosis (TB was diagnosed in 25 of 466 patients who underwent renal transplant over a period of 15 years. TB developed from 1 month to 9 years post-transplant. In 56% of the cases the onset was within the first post-transplant year. TB affected several isolated or combined organs. Pulmonary involvement was present in 76% of cases, either as isolated pleuro-pulmonary (56% or associated with other sites (20%. The non-pulmonary sites were: skin, joints, tests, urinary tract, central nervous system and lymphonodules. The diagnosis was confirmed by biopsy in 64% of the cases, by identification of tubercle bacilli in 24% and only at necropsy in 12% Biopsy specimens could be classified in three histological forms: exudative, that occurred in early onset and more severe cases granulomatous in late onset and benign cases; and mixed in intermediate cases. Azathioprine dosages were similar along post-transplant time periods in TB patients and in the control groups; and in TB patients who were cured and who died. The number of steroid treated rejection crises was greater in TB than in the control group. Prednisone doses were higher and the number of rejection crises was greater in TB patients who died than in those who were cured. Fifteen patients were cured and ten died, two of them of causes unrelated to TB. Six of the eight TB-related deaths occurred in the first 6 post-transplant months. The outcome was poor in patients in whom TB arose early in post-transplant period and where the exudative or mixed forms were present; whereas the prognosis was good in patients with late onset and granulomatous form of TB. In one patient TB was transmitted by the allograft.
M. R. Nodel
pathy in Parkinson's disease (PD) patients is one of the least studied manifestations of a broad range of neuropsychic disorders. According to numerous researchers, the rate of apathy in PD patients is 17–80%. The structural and neurochemical changes associated with PD have been considered to be the leading pathophysiological factors of apathy. The possible general pathophysiological mechanisms are discussed for apathy and hypokinesia, depression, executive (frontal) cognitive functions, and ...
D'Ivernois, Jean-François; Gagnayre, Rémi; Assal, Jean-Philippe; Golay, Alain; Libion, France; Deccache, Alain
Over the past thirty years, therapeutic patient education (TPE) has become an essential part of the treatment of long-term diseases. Evaluations of this new practice are expected, and are sometimes imposed according to protocols and criteria that do not always reflect the complexity of changes taking place within patients and healthcare providers. Sometimes, expected results are not achieved because evaluation methods are inappropriate. These guidelines, drawn up by three university centres h...
Bensing, J.M.; Visser, S.; Saan, H.
This article presents the development of patient education (PE) in The Netherlands from a historical perspective. A description is given of the first pioneering years from the 70s till the late 80s, in which early topics like the organization of PE, the orchestration of PE between different disciplines, the role of the social environment, the provision of PE in difficult patient groups and -most of all- the technical development of educational materials took the time and attention of the grow...
Morphological imaging, based on the use of various techniques including ultrasound, X-ray computed tomography (CT), and magnetic resonance imaging (MRI), plays an important role in the characterization, diagnosis and follow-up of patients with Human Immunodeficiency Virus (HIV) infection and Acquired Immunodeficiency Syndrome (AIDS). While the presence of thoracic infections, the most frequently observed illnesses in AIDS patients, can best be performed by using conventional chest films and CT, the assessment of cerebral involvement in AIDS patients - characterized by the presence of focal masses, demyelination, meningitis, and infarction - is best achieved using MRI. The work-up of patients with gastrointestinal symptoms should include the use of ultrasound for the evaluation of visceral involvement and lymphadenopathy, completed by CT to further characterize pathologic conditions in either the bowel or visceral organs. Ultrasound is the screening exam of choice in AIDS patients with suspected renal disease, but other methods may be necessary for the assessment of the complications due to pharmacological treatment. Musculoskeletal complications may require the combined use of all the above methods, since they may be caused by infections, tumors and rheumatologic illness. The use of the radiographic methods for the detection of the numerous forms of infections and malignancies in AIDS patients is described in detail for the various body districts
Shin, Takeshi; Miyata, Akane; Arai, Gaku; Okada, Hiroshi
Testicular cancer(TC)is the most common and curable cancer affecting men of reproductive age. Successful treatment approaches have resulted in longer life expectancy in TC survivors. The most frequently used treatment for TC is a combination of inguinal orchiectomy, and either radiotherapy or cisplatin-based chemotherapy. In many TC patients, sperm quality is already abnormal and there may even be a lack of viable spermatozoa at the time of diagnosis. Therefore, the effect of cancer treatment on fertility is a potentially significant issue. Fertility preservation in these men has become essential and needs to be discussed prior to the start of cancer treatment. The only currently established fertility preservation method is the cryopreservation of sperm before therapy. For most patients seeking cryopreservation, the semen sample is collected via masturbation. If the patient is unable to ejaculate for any reason, other techniques such as vibratory stimulation and electroejaculation can be performed. In azoospermic or severely oligozoospermic patients, testicular sperm extraction at the time of the inguinal orchiectomy is a useful technique for obtaining spermatozoa before cytotoxic therapy. We herein present an overview of the current topics on fertility in TC patients, including the effects of surgery, chemotherapy, and radiation therapy. We also describe the strategy for fertility preservation in these patients. PMID:25812494
Current literature on dental radiology was reviewed in order to seek justification for radiological protection of patients in dental radiography, to explore the different factors affecting patient dose and to derive practical guidance on how to achieve radiological protection of patients in dentistry. Individual doses incurred in dental radiology are in general relatively low, however it is generally accepted that there is no safe level of radiation dose and that no matter how low the doses received are, there is a mathematical probability of an effect. Hence appropriate patient protection measures must be instituted to keep the exposures as low as reasonably achievable (ALARA). The literature review demonstrated that there is considerable scope for significant dose reductions in dental radiology using the techniques of optimisation of protection. The techniques of optimization of protection that can be used to ensure patient dose is as low as reasonably achievable whilst achieving clinically adequate image quality include the following: image receptor selection, image receptor holders, collimation, beam filtration, operating potential and exposure time, patient protective equipment, film exposure and processing, film storage, image viewing, quality assurance, diagnostic reference levels, technique charts and training and education.(au)
Smaragdi Marinaki; John N Boletis; Stratigoula Sakellariou; Ioanna K Delladetsima
Despite reduction of hepatitis C prevalence afterrecognition of the virus and testing of blood products,hemodialysis （HD） patients still comprise a high riskgroup. The natural history of hepatitis C virus （HCV）infection in dialysis is not fully understood whilethe clinical outcome differs from that of the generalpopulation. HD patients show a milder liver diseasewith lower aminotransferase and viral levels depicted bymilder histological features on liver biopsy. Furthermore,the ＂silent＂ clinical course is consistent with a slowerdisease progression and a lower frequency of cirrhosisand hepatocellular carcinoma. Potential explanations forthe ＂beneficial＂ impact of uremia and hemodialysis onchronic HCV infection are impaired immunosurveillanceleading to a less aggressive host response to the virusand intradialytic release of ＂hepatoprotective＂ cytokinessuch as interferon （IFN）-α and hepatocyte growthfactor. However, chronic hepatitis C is associated witha higher liver disease related cardiovascular and allcausemortality of HD patients. Therapy is indicated inselected patients groups including younger patients withlow comorbidity burden and especially renal transplantcandidates, preferably after performance of a liverbiopsy. According to current recommendations, choice oftreatment is IFN or pegylated interferon with a reportedsustained viral response at 30%-40% and a withdrawalrate ranging from 17% to 30%. New data regardingcombination therapy with low doses of ribavirin whichprovide higher standard variable rates and good safetyresults, offer another therapeutic option. The newprotease inhibitors may be the future for HCV infectedHD patients, though data are still lacking.
Borza, Liana Rada; Gavrilovici, Cristina; Stockman, René
The present paper revisits the ethical models of patient--physician relationship from the perspective of patient autonomy and values. It seems that the four traditional models of physician--patient relationship proposed by Emanuel & Emanuel in 1992 closely link patient values and patient autonomy. On the other hand, their reinterpretation provided by Agarwal & Murinson twenty years later emphasizes the independent expression of values and autonomy in individual patients. Additionally, patient education has been assumed to join patient values and patient autonomy. Moreover, several authors have noted that, over the past few decades, patient autonomy has gradually replaced the paternalistic approach based on the premise that the physician knows what is best for the patient. Neither the paternalistic model of physician-patient relationship, nor the informative model is considered to be satisfactory, as the paternalistic model excludes patient values from decision making, while the informative model excludes physician values from decision making. However, the deliberative model of patient-physician interaction represents an adequate alternative to the two unsatisfactory approaches by promoting shared decision making between the physician and the patient. It has also been suggested that the deliberative model would be ideal for exercising patient autonomy in chronic care and that the ethical role of patient education would be to make the deliberative model applicable to chronic care. In this regard, studies have indicated that the use of decision support interventions might increase the deliberative capacity of chronic patients. PMID:26204658
Falzone, Elisabeth; Hoffmann, Clément; Keita, Hawa
Elderly people represent the fastest-growing segment of our society and undergo surgery more frequently than other age groups. Effective postoperative analgesia is essential in these patients because inadequate pain control after surgery is associated with adverse outcomes in elderly patients. However, management of postoperative pain in older patients may be complicated by a number of factors, including a higher risk of age- and disease-related changes in physiology and disease-drug and drug-drug interactions. Physiological changes related to aging need to be carefully considered because aging is individualized and progressive. Assessment of pain management needs to include chronological age, biological age with regard to renal, liver and cardiac functions, and the individual profile of pathology and prescribed medications. In addition, ways in which pain should be assessed, particularly in patients with cognitive impairment, must be considered. Cognitively intact older patients can use most commonly used unidimensional pain scales such as the visual analogue scale (VAS), verbal rating scale (VRS), numeric rating scale (NRS) and facial pain scale (FPS). VRS and NRS are the most appropriate pain scales for the elderly. In older patients with mild to moderate cognitive impairment, the VRS is a better tool. For severe cognitively impaired older patients, behavioural scales validated in the postoperative context, such as Doloplus-2 or Algoplus, are appropriate. For postoperative pain treatment, most drugs (e.g. paracetamol, nonsteroidal anti-inflammatory drugs, nefopam, tramadol, codeine, morphine, local anaesthetics), techniques (e.g. intravenous morphine titration, subcutaneous morphine, intravenous or epidural patient-controlled analgesia, intrathecal morphine, peripheral nerve block) and strategies (e.g. anticipated intraoperative analgesia or multimodal analgesia) used for acute pain management can be used in older patients. However, in view of pharmacokinetic
... Anxiety in Migraine Patients Depression and Anxiety in Migraine Patients Todd A. Smitherman, PhD and Steven M. ... health care provider if you experience these symptoms. Migraine, Depression, and Anxiety Many migraine patients suffer from ...
... Depression and Anxiety in Migraine Patients Print Email Depression and Anxiety in Migraine Patients ACHE Newsletter Sign ... newsletter by entering your e-mail address below. Depression and Anxiety in Migraine Patients Todd A. Smitherman, ...
Reconstruction of alveolar defects in patients with cleft lip and palate - 111 consecutive patients......Reconstruction of alveolar defects in patients with cleft lip and palate - 111 consecutive patients...
Storgaard, Filip Holst; Pedersen, Christina Gravgaard; Jensen, Majbritt Lykke; Jensen, Steen Lund
Physiotherapy improves patient reported shoulder function and health status in patients with subacromial impingement syndrome.......Physiotherapy improves patient reported shoulder function and health status in patients with subacromial impingement syndrome....
Versteeg, Henneke; Starrenburg, Annemieke; Denollet, Johan;
Patient device acceptance might be essential in identifying patients at risk for adverse patient-reported outcomes following implantation of an implantable cardioverter defibrillator (ICD). We examined the validity and reliability of the Florida Patient Acceptance Scale (FPAS) and identified...
Matiti, Miliica Ruth
This research is concerned with patient dignity in nursing. It proposes the introduction of the concept of Perceptual Adjustment Level (PAL) in order to resolve the problem of the definition of patient dignity and its maintenance within nursing care. The aims of the study are to identify how patients and nurses perceive patient dignity, to investigate the extent to which patient dignity is maintained and to identify nursing care activities in maintaining patient dignity. The im...
Aylin Gözübüyükoğulları; Duru Tabanlıoğlu Onan; Nuran Allı
Background and Design: The aim of our study was to determine the frequency of fibromyalgia syndrome in chronic urticaria patients. Materials and Methods: The study was carried out with the participation of 100 chronic urticaria patients and 61 control group patients. Chronic urticaria patients were investigated for the etiology of urticaria and the autologous serum skin test was performed in those patients. Both the chronic urticaria patients and the controls were evaluated for fibromyalgi...
Visser, Adriaan; Deccache, A.; Bensing, J.
This issue of Patient Education and Counseling presents the state of the art of patient education in several European countries. It is based on papers presented at a meeting in Paris on the evolution and development of patient education in western, central and eastern Europe (May 1999). Also patient education in the US is presented in this issue. Patient education is defined as all the educational activities directed to patients, including aspects of therapeutic education, health education an...
O'Toole, Sam M; Fan, Stanley L; Yaqoob, M Magdi; Chowdhury, Tahseen A
Burgeoning levels of diabetes are a major concern for dialysis services, as diabetes is now the most common cause of end-stage renal disease in most developed nations. With the rapid rise in diabetes prevalence in developing countries, the burden of end stage renal failure due to diabetes is also expected to rise in such countries. Diabetic patients on dialysis have a high burden of morbidity and mortality, particularly from cardiovascular disease, and a higher societal and economic cost compared to non-diabetic subjects on dialysis. Tight glycaemic and blood pressure control in diabetic patients has an important impact in reducing risk of progression to end stage renal disease. The evidence for improving glycaemic control in patients on dialysis having an impact on mortality or morbidity is sparse. Indeed, many factors make improving glycaemic control in patients on dialysis very challenging, including therapeutic difficulties with hypoglycaemic agents, monitoring difficulties, dialysis strategies that exacerbate hyperglycaemia or hypoglycaemia, and possibly a degree of therapeutic nihilism or inertia on the part of clinical diabetologists and nephrologists. Standard drug therapy for hyperglycaemia (eg, metformin) is clearly not possible in patients on dialysis. Thus, sulphonylureas and insulin have been the mainstay of treatment. Newer therapies for hyperglycaemia, such as gliptins and glucagon-like peptide-1 analogues have become available, but until recently, renal failure has precluded their use. Newer gliptins, however, are now licensed for use in 'severe renal failure', although they have yet to be trialled in dialysis patients. Diabetic patients on dialysis have special needs, as they have a much greater burden of complications (cardiac, retinal and foot). They may be best managed in a multidisciplinary diabetic-renal clinic setting, using the skills of diabetologists, nephrologists, clinical nurse specialists in nephrology and diabetes, along with
Full Text Available "nBackground: Antiself humoral immune responses have been detected not only in classical autoimmune diseases, but autoantibodies have also been found in sera of patients suffering from chronic parasitic diseases. We aimed to investigate the role of fasciolosis as a trigger factor of autoimmune reactivity by searching some antibodies related to hepatobiliary systems, in patients with fasciolosis. "nMethods: Thirty-two patients (17 males, 15 females with fasciolosis were included in this case-control study. Anti-nuclear antibodies (ANA Screen (antigen mixture of dsDNA, histones, nRNP/Sm, Sm, SS-A, SS-B, Scl-70, Jo-1, ribosomal P-proteins, centromere ELISA and single-antigen ELISAs for detection of some antibodies (dsDNA, Anti-M2, Anti- liver-kidney microsomes type 1 (LKM-1 and Myeloperoxidase (MPO were carried out. "nResults: ANA-screen, M-2, LKM-1, MPO and anti-dsDNA positivity were detected with ELISA in 7, 7, 4, 2 and 2 of 32 patients with fasciolosis, consecutively. No statistically significant difference was detected for any of the autoantibodies' frequency between patients with fasciolosis and control group. However, autoantibody positivity rate was significantly higher in patients with fasciolosis (50 % than control group (12.5 %. Absorbance values of all autoantibodies in patients with fasciolosis were statistically significant higher than controls. "nConclusion: These results lent support to the role of fasciolosis as a trigger factor of autoimmune reactivity by the breakdown of tolerance. In spite of the extensive knowledge that has accumulated, the specific relationship between fasciolosis and autoimmunity is still obscure.
Full Text Available Introduction. Anxiety, as a primary symptom, includes all conditions of indefinite fear and psychic disorders dominated by fear. All dialysis patients suffer from anxiety as an independent phenomenon, or as part of another disease. Material and Methods. This study included 753 patients on chronic hemodialysis in Bosnia and Herzegovina (B&H in the period 1999-2004. The patients were divided into two groups: the first group included 348 patients with Balkan Endemic Nephropathy (BEN, and the control group included 405 patients with other diagnoses causing renal insufficiency (N18. The study was designed as a comparative cross sectional study, and patients were tested using questionnaires assessing anxiety, depression and general mental health status. Statistical analysis was done using standard descriptive and analytical methods. Results. Socio-demographic data showed highly significant differences between BEN and N18 in relation to place of residence (urban/rural (c2 = 23.970 p<0.01; in the incidence of renal comorbidity (c2 = 23.970 p<0.01; familial renal comorbidity (c2 = 23.970 p<0.01; and migrations (c2 = 4.874 p<0.01. Beck Anxiety Inventory Scores were highly significantly different between the two groups p<0.001, in regard to the incidence and variables. Hamilton Depression Rating Scale demonstrated a group significance p<0.001, and variables pointed to somatization, general anxiety and depression. This was confirmed by mini-mental state examination pointing to generalmental weakness. Conclusion. Anxiety appeared in all tested dialysis patients. It may be independent, somatized as part of another mental disorder or reinforced by a cognitive damage. Structured anxiety and depression result in pre-suicidal risk. .
Madsen, Marlene Dyrløv
,demonstrating significant, consistent and sometimes large differences in terms of safety culture factors across the units participating in the survey. Paper 5 is the results of a study of the relation between safety culture, occupational health andpatient safety using a safety culture questionnaire survey......, and those of patients who experience the physical effect of poor patient safety. The dissertationconsists of nine papers and an appendix. Paper 1 describes the results of doctors and nurses attitudes towards reporting and the handling of adverse events. Paper 2 is a study and “review” of the international...
Griva, B.L. E-mail: email@example.com
Lymph node involvement is very frequent in paracoccidioidomycosis (PBM) mainly in its juvenile form. PBM also affects the lymphatic system of patients with the chronic form as it was confirmed by bipedal lymphangiography and autopsy. Lymphoscintigraphy has been used to evaluate lymphedema and cancer. The purpose of this investigation was to study the lymphoscintigraphic variables in a critical manner, to functionally evaluate the lymphatic system of patients with different forms of PBM, and to evaluate the influence of the antifungal treatment on the lymphoscintigraphic variables by lymphoscintigraphy of the extremities. Forty-six patients with PBM were studied. Twenty-one had the juvenile and 25 the chronic form. Patients with the juvenile form were divided again into three subgroups according to age. Eleven healthy volunteers were evaluated as controls. All of them were injected with 37 MBq of dextran 500-99mTc into the first interdigital space of each foot, and blood was obtained for serum albumin determination. Twenty-nine patients were evaluated after the beginning of the antifungal treatment. The time elapsed between both exams was smaller in patients with the juvenile form than in those with the chronic form. Semi-quantitative variables, such as the intensity of visualization of the radiotracer and the pattern of the time-activity curve with regions of interest over ilioinguinal lymph nodes and legs, were studied. Quantitative variables were also evaluated including the velocity of visualization of the lymph nodes, lymph flow ratio, and lymph node radiotracer uptake. The error propagation was calculated to assess the lymph flow ratio accuracy. Correlation between variables and serum albumin was done. The intensity and velocity of visualization of the radiotracer, the lymph flow ratio, and the pattern of the time-activity curve were useful variables to the evaluation of patients with the juvenile and the chronic form of PBM. The lymph flow ratio calculated by
Liistro, Francesco; Colombo, Antonio
Developed nations are experiencing an unprecedented growth in the number of elderly citizens. Thanks to the modernization of both society and medical care, over the past century, life expectancy in most countries has nearly doubled. The elderly (80 years or over) represent the fastest-growing segment of our population. Owing to their age, the elderly are more afflicted with chronic diseases, including coronary artery disease. Recently, clinicians became more aggressive in the use of invasive cardiovascular diagnostic tests in these patients. With regard to younger patients, we have a wealth of data from large, randomized trials that defined which subsets of patients benefit from revascularization therapies. However, because the very elderly were severely underrepresented in these randomized studies, we have almost no information concerning the choice of treatment in these patients. Initial results of percutaneous revascularization procedures in elderly patients come from retrospective analysis performed during the pre-stent era. In these studies a procedural mortality risk 5-fold higher in patients > 80 years compared with those 80 years). The comparison between the percutaneous approach and the surgical approach to coronary artery disease in the elderly has its major limitation in the lack of data from randomized trials. The available information suggests similar results with the two different strategies (5-year survival rate: 85.7% for the coronary artery bypass grafting group vs 81.4% for the percutaneous revascularization group) with a clear benefit in favor of surgery only in diabetic patients. The only constant difference is the need of a repeat intervention which is significantly higher for the percutaneous approach. Furthermore, the introduction of newer percutaneous devices suitable for the recanalization of totally occluded coronary arteries could increase the completeness of the revascularization achieved with the percutaneous approach with a positive
Lymph node involvement is very frequent in paracoccidioidomycosis (PBM) mainly in its juvenile form. PBM also affects the lymphatic system of patients with the chronic form as it was confirmed by bipedal lymphangiography and autopsy. Lymphoscintigraphy has been used to evaluate lymphedema and cancer. The purpose of this investigation was to study the lymphoscintigraphic variables in a critical manner, to functionally evaluate the lymphatic system of patients with different forms of PBM, and to evaluate the influence of the antifungal treatment on the lymphoscintigraphic variables by lymphoscintigraphy of the extremities. Forty-six patients with PBM were studied. Twenty-one had the juvenile and 25 the chronic form. Patients with the juvenile form were divided again into three subgroups according to age. Eleven healthy volunteers were evaluated as controls. All of them were injected with 37 MBq of dextran 500-99mTc into the first interdigital space of each foot, and blood was obtained for serum albumin determination. Twenty-nine patients were evaluated after the beginning of the antifungal treatment. The time elapsed between both exams was smaller in patients with the juvenile form than in those with the chronic form. Semi-quantitative variables, such as the intensity of visualization of the radiotracer and the pattern of the time-activity curve with regions of interest over ilioinguinal lymph nodes and legs, were studied. Quantitative variables were also evaluated including the velocity of visualization of the lymph nodes, lymph flow ratio, and lymph node radiotracer uptake. The error propagation was calculated to assess the lymph flow ratio accuracy. Correlation between variables and serum albumin was done. The intensity and velocity of visualization of the radiotracer, the lymph flow ratio, and the pattern of the time-activity curve were useful variables to the evaluation of patients with the juvenile and the chronic form of PBM. The lymph flow ratio calculated by
People with genetic cancer syndromes have a special interest in imaging. They also have special risk factors with respect to radiation. They need to utilize the potential of imaging while keeping in mind concerns about cumulative radiation exposure. Before imaging, early detection of problems was limited. With imaging, issues can be identified when they are small and a good plan of action can be developed early. Operations can be planned and metastatic cancer avoided. The positive contribution of imaging to the care of these patients can be profound. However, this additional surveillance is not without cost. An average patient with 1 of these syndromes will undergo 100 or more scans in their lifetime. Imaging professionals should be able to describe the risks and benefits of each scan in terms that the patient and the ordering physician can understand to make smart decisions about the ordering of scans. Why CT versus MRI? When are x-ray or ultrasound appropriate, and when are they not? What are the costs and the medical risks for the patient? What value does this picture add for the physician? Is there a way to answer the medical question with a test other than a scan? Medicine is a team sport, and the patient is an integral member of the team. PMID:24589397
Sabry, Alaa A; Abo-Zenah, Hamdy; Wafa, Ehab; Mahmoud, Khaled; El-Dahshan, Khaled; Hassan, Ahmed; Abbas, Tarek Medhat; Saleh, Abd El-Baset M; Okasha, Kamal
The prevalence of sleep disorders is higher in patients with kidney failure than the general population. We studied the prevalence of sleep disorders in 88 (mean age; 41.59 +/- 16.3 years) chronic hemodialysis (HD) patients at the Urology and Nephrology Center, Mansoura University, Egypt over 4-month period. The investigated sleep disorders included insomnia, restless leg syndrome (RLS), obstructive sleep apnea syndrome (OSAS), excessive daytime sleepiness (EDS), narcolepsy and sleep walking, and we used a questionnaire in accordance with those of the International Restless Legs Syndrome Study Group, the Berlin questionnaire, Italian version of Epworth Sleepiness Scale, International Classification of Sleep Disorders, and the specific questions of Hatoum's sleep questionnaire. The prevalence of sleep disorders was 79.5% in our patients, and the most common sleep abnormality was insomnia (65.9%), followed by RLS (42%), OSAS (31.8%), snoring (27.3%), EDS (27.3%), narcolepsy (15.9%), and sleep walking (3.4%). Insomnia correlated with anemia (r=0.31, P= 0.003), anxiety (r=0.279, P= 0.042), depression (r=0.298, P= 0.24) and RLS (r=0.327, P= 0.002). Also, RLS correlated with hypoalbuminemia (r=0.41, P= Sleep disorders are quite common in the HD patients, especially those who are anemic and hypoalbuminemic. Assessment of sleep quality, preferably with polysomnography, is necessary to confirm our results. Interventional studies for management of sleep disorders in HD patients are warranted. PMID:20228517
Full Text Available Introduction: Due to a variety of circumstances and world-wide research findings, patient safety andquality care during hospitalization have emerged as major issues. Patient safety deficits may burdenhealth systems as well as allocated resources. The international community has examined severalproposals covering general and systemic aspects in order to improve patient safety; several long-termprograms and strategies have also been implemented promoting the participation of health-relatedagents, and also government agencies and non-governmental organizations.Aim: Those factors that have negative correlations with patient safety and quality healthcare weredetermined; WHO and EU programs as well as the Greek health policy were also reviewed.Method: Local and international literature was reviewed, including EU and WHO official publications,by using the appropriate keywords.Conclusions: International cooperation on patient safety is necessary in order to improvehospitalization and healthcare quality standards. Such incentives depend heavily on establishing worldwideviable and effective health programs and planning. These improvements also require further stepson safe work procedures, environment safety, hazard management, infection control, safe use ofequipment and medication, and sufficient healthcare staff.
MA Ying; LI Hui-chun; ZHENG Lei-lei; YU Hua-liang
Objective: This study is aimed at exploring the relationship between hemodynamic changes and depressive and anxious symptom in depression patients. Methods: The cardiac function indices including the left stroke index (LSI), ejection fraction (EF), heart rate (HR), diastolic pressure mean (DPM), systolic pressure mean (SPM), left ventricle end-diastolic volume (LVDV), effective circulating volume (ECV), resistance total mean (RTM) and blood flow smooth degree (BFSD) were determined in 65 patients with major depressive disorders and 31 healthy normal controls. The clinical symptoms were assessed with Hamilton depression scale (HAMD) and Hamilton anxiety scale (HAMA). Results: In patients with depression without anxiety,LSI, EF, LVDV, DPM, SPM, ECV, BFSD were significantly lower than those in controls, while RTM was higher than that in controls. Patients with comorbidity of depression and anxiety showed decreased LVDV, ECV, BFSD, and increased HR in comparison with the controls. The anxiety/somatization factor score positively correlated with LSI, EF, LVDV, but negatively correlated with RTM. There was negative correlation between retardation factor score and DPM, SPM, LVDV. Conclusion: The study indicated that there are noticeable changes in left ventricle preload and afterload, blood pressure, peripheral resistance, and microcirculation in depressive patients, and that the accompanying anxiety makes the changes more complicated.
Burney, Basil O; Garcia, Jose M
Prevalence of hypogonadism in men with cancer has been reported between 40% and 90%, which is significantly higher than in the general population. Hypogonadism is likely to affect the quality of life in these patients by contributing to non-specific symptoms, including decreased energy, anorexia, sarcopenia, weight loss, depression, insomnia, fatigue, weakness, and sexual dysfunction. Pathogenesis of hypogonadism in cancer patients is thought to be multi-factorial. Inflammation may play an important role, but leptin, opioids, ghrelin, and high-dose chemotherapy through different mechanisms have all been implicated as the cause. Hypogonadism is also associated with poor survival in cancer patients. Data looking into the treatment of hypogonadal male cancer patients with testosterone are limited. However, improvements in body weight, muscle strength, lean body mass, and quality of life have been shown in hypogonadal men with other chronic diseases on testosterone replacement therapy. Prospective and interventional trials are needed to test the efficacy and safety of testosterone treatment in improving quality of life of these patients. PMID:22528986
Hurst, Victor; Doerr, Harold K.; Bacal, Kira
The Medical Operational Support Team (MOST) has been tasked by the Space and Life Sciences Directorate (SLSD) at the NASA Johnson Space Center (JSC) to integrate medical simulation into 1) medical training for ground and flight crews and into 2) evaluations of medical procedures and equipment for the International Space Station (ISS). To do this, the MOST requires patient models that represent the physiological changes observed during spaceflight. Despite the presence of physiological data collected during spaceflight, there is no defined set of parameters that illustrate or mimic a 'space normal' patient. Methods: The MOST culled space-relevant medical literature and data from clinical studies performed in microgravity environments. The areas of focus for data collection were in the fields of cardiovascular, respiratory and renal physiology. Results: The MOST developed evidence-based patient models that mimic the physiology believed to be induced by human exposure to a microgravity environment. These models have been integrated into space-relevant scenarios using a human patient simulator and ISS medical resources. Discussion: Despite the lack of a set of physiological parameters representing 'space normal,' the MOST developed space-relevant patient models that mimic microgravity-induced changes in terrestrial physiology. These models are used in clinical scenarios that will medically train flight surgeons, biomedical flight controllers (biomedical engineers; BME) and, eventually, astronaut-crew medical officers (CMO).
Nora Sexto Delgado
Full Text Available Background: Buccal health as integral and determinant part of general health makes us find different ways and methods to elevate life quality in the population. Objective: To establish the risk of suffering from dental cavities in asthmatic patients. Methods: A non match case and control study constituted by 100 children selected at simple random from the universe of asthmatic patients belonging to the General Comprehensive doctor offices number 7,9,10, 11, 43, and 44 from Area II in Cienfuegos municipality. The controlled group was selected in the same offices but from the universe of non asthmatic children. The age in both groups was from 6 to 15 years old. Visits to the children´s home were carried out for the record of the information through health oral dental and buccal health knowledge surveys. Results: The index of cavities, lost, and obturated permanent teeth was higher (3, 28 than in the control group (0, 44. The buccal hygiene indexes and the level of knowledge in both groups did not show significant differences. The most used drugs in asthma therapy were salbutamol and ketotifeno which change the buccal milieu. The odds ratio technique between asthmatic and non asthmatic patients showed 4, 9 times more at risk of suffering from dental cavities in the first group. Finally, it can be stated that the asthmatic patients are more at risk of suffering from cavities than the non asthmatic ones, so a program for buccal health in these patients should be performed.
Introduction: Historically, education of patients was paternalistic where people have been conditioned to do as the 'doctor' tells them. Traditionally this worked as people tended to have limited access to knowledge of treatment regimen available. However, in the information age, this knowledge is more readily available and it is now common practice to educate people diagnosed with cancer about their treatment and disease process. In fact, dissemination of information is now an intrinsic part of cancer care. Purpose: The primary aim of this study was to investigate the practice of patient education for gynaecological cancers treated with brachytherapy and review the feasibility of designing a distance learning information tool to inform patients about a clinical treatment option available to them in the cancer agency. Methods: The study was divided into two parts. Part 1 was a review of adult learning principles and clinical application. Part 2 explored the feasibility of moving from face-to-face to distance learning in this situation. Conclusions: Adaptation of clinical patient education from a face-to-face learning situation to distance education could be very successful if the basic principles of adult education and facilitation are followed and special care given to maintaining open lines of communication/support for the distant patient
Mitchell, Fiona [Radiation Therapy, BC Cancer Agency, 600 West 10th Avenue, Vancouver, BC V5Z 4E6 (Canada)]. E-mail: firstname.lastname@example.org
Introduction: Historically, education of patients was paternalistic where people have been conditioned to do as the 'doctor' tells them. Traditionally this worked as people tended to have limited access to knowledge of treatment regimen available. However, in the information age, this knowledge is more readily available and it is now common practice to educate people diagnosed with cancer about their treatment and disease process. In fact, dissemination of information is now an intrinsic part of cancer care. Purpose: The primary aim of this study was to investigate the practice of patient education for gynaecological cancers treated with brachytherapy and review the feasibility of designing a distance learning information tool to inform patients about a clinical treatment option available to them in the cancer agency. Methods: The study was divided into two parts. Part 1 was a review of adult learning principles and clinical application. Part 2 explored the feasibility of moving from face-to-face to distance learning in this situation. Conclusions: Adaptation of clinical patient education from a face-to-face learning situation to distance education could be very successful if the basic principles of adult education and facilitation are followed and special care given to maintaining open lines of communication/support for the distant patient.
Kim, S. K.; Lee, H. S.; Cho, K. H.; Suh, C. O.; Kim, G. E. [Yonsei University College of Medicine, Seoul (Korea, Republic of)
Between Jan. 1977 and Dec. 1984, 14 patients diagnosed of thymoma has been analyzed retrospectively. 6 patients(6/14 patients 43%) had myasthenia gravis. 12 patients (12/14 patients 86%) had invasive thymoma. Complete resection was carried out in 6 patients (43%), 2 patients had partial resection (14%) and 6 patients had only biopsy (43%). Postoperative or radical radiotherapy was given to 8 patients, of whom 5 patients was still alive (4 yr. 2.8 yr. 1.6 yr. 1.4 yr. 1.3 yr) and 3 patients died (1 yr. 0.6 yr. 0.6 yr). External irradiation ranges 1,950-7,000 rads (mean 4,500, median 4,000 rads)
Holdaas, Hallvard; Holme, Ingar; Schmieder, Roland E; Jardine, Alan G; Zannad, Faiez; Norby, Gudrun E; Fellström, Bengt C; Ladefoged, Søren Daustrand
A randomized, placebo-controlled trial in diabetic patients receiving hemodialysis showed no effect of atorvastatin on a composite cardiovascular endpoint, but analysis of the component cardiac endpoints suggested that atorvastatin may significantly reduce risk. Because the AURORA (A Study to...... Evaluate the Use of Rosuvastatin in Subjects on Regular Hemodialysis: An Assessment of Survival and Cardiovascular Events) trial included patients with and without diabetes, we conducted a post hoc analysis to determine whether rosuvastatin might reduce the risk of cardiac events in diabetic patients...... receiving hemodialysis. Among the 731 participants with diabetes, traditional risk factors such as LDL-C, smoking, and BP did not associate with cardiac events (cardiac death and nonfatal myocardial infarction). At baseline, only age and high-sensitivity C-reactive protein were independent risk factors for...
Full Text Available Human adenoviruses belong to the Adenoviridae family and they are divided into seven species, including 56 types. Adenoviruses are common opportunistic pathogens that are rarely associated with clinical symptoms in immunocompetent patients. However, they are emerging pathogens causing morbidity and mortality in recipients of hematopoietic stem cell and solid organ transplants, HIV infected patients and patients with primary immune deficiencies. Clinical presentation ranges from asymptomatic viraemia to respiratory and gastrointestinal disease, haemorrhagic cystitis and severe disseminated illness. There is currently no formally approved therapy for the treatment of adenovirus infections.This article presents current knowledge about adenoviruses, their pathogenicity and information about available methods to diagnose and treat adenoviral infections.
Diagnostic radiology in cancer patients suffering from limb edemas serves two main purposes: to detect or to rule out lymph node metastases, recurrent cancer, or secondary malignancies, and to differentiate venous edema from lymphedema. The authors suggest an algorithmic pathway where the non-invasive imaging modalities, real-time ultrasonography and computed tomography are recommended as the initial diagnostic step. Both techniques are equally well suited to detect enlarged lymph nodes with high accuracy. In addition, computed tomography allows to a certain degree to separate venous from lymphedema. Phlebography is rarely needed in these patients. Lymphography should only be considered in patients undergoing microsurgical reconstructive operations of the lymphatics (e.g. lymphovenous anastomoses) because this invasive study carries the risk of deteriorating the edematous limb. (orig.)
Peters, P.E.; Groth, W.
Diagnostic radiology in cancer patients suffering from limb edemas serves two main purposes: to detect or to rule out lymph node metastases, recurrent cancer, or secondary malignancies, and to differentiate venous edema from lymphedema. The authors suggest an algorithmic pathway where the non-invasive imaging modalities, real-time ultrasonography and computed tomography are recommended as the initial diagnostic step. Both techniques are equally well suited to detect enlarged lymph nodes with high accuracy. In addition, computed tomography allows to a certain degree to separate venous from lymphedema. Phlebography is rarely needed in these patients. Lymphography should only be considered in patients undergoing microsurgical reconstructive operations of the lymphatics (e.g. lymphovenous anastomoses) because this invasive study carries the risk of deteriorating the edematous limb.
Renau Escrig, Ana I; Salavert, Miguel; Vivó, Carmen; Cantón, Emilia; Pérez Del Caz, M Dolores; Pemán, Javier
Major burn patients have characteristics that make them especially susceptible to candidemia, but few studies focused on this have been published. The objectives were to evaluate the epidemiological, microbiological and clinical aspects of candidemia in major burn patients, determining factors associated with a poorer prognosis and mortality. We conducted a retrospective observational study of candidemia between 1996 and 2012 in major burn patients admitted to the La Fe University Hospital, Valencia, Spain. The study included 36 episodes of candidemia in the same number of patients, 55.6% men, mean age 37.33 years and low associated comorbidity. The incidence of candidemia varied between 0.26 and 6.09 episodes/1000 days stay in the different years studied. Candida albicans was the most common species (61.1%) followed by Candida parapsilosis (27.8%). Candidemia by C. krusei, C. glabrata or C. tropicalis were all identified after 2004. Central vascular catheter (CVC) was established as a potential source of candidemia in 36.1%, followed by skin and soft tissues of thermal injury (22.2%) and urinary tract (8.3%). Fluconazole was used in 19 patients (52.7%) and its in vitro resistance rate was 13.9%. The overall mortality was 47.2%, and mortality related to candidemia was 30.6%. Factors associated with increased mortality were those related to severe infection and shock. CVC was the most usual focus of candidemia. Fluconazole was the most common antifungal drug administered. The management of candidemia in major burn patients is still a challenge. PMID:26931414
Zarski, J P; Leroy, V
Hepatitis C virus (HCV) is usually but not exclusively transmitted by the parenteral route. Some precautions are recommended for infected patients as well as his/her close contacts and family members. The risk of sexual transmission and from household contacts is very low. Use of condoms is only recommended in cases of multiple partners and for those at high risk of transmission. Some personal objects should not be shared, i.e. razors, toothbrushes and nail clippers, but it is not necessary to avoid sharing eating utensils. Sexual partners may be tested for anti-HCV HCV-positive individuals should refrain from donating blood, organs and tissue. Clear and evidenced-based information should be provided to patients as to the means of prevention with special attention to individual risk groups such as IV drug abusers. The risk of HCV transmission after needlestick injury, although low, justifies universal precaution measurements for health-care workers. Nosocomial transmission has been described after medical procedures, especially haemodialysis and endoscopy. Thus, disinfection procedures as well as universal precautions are essential for all health-care workers. It is also important for HCV patients to inform health-care workers beforehand about their HCV status. Perinatal transmission is rare and is usually related to the degree of maternal viral load. Pregnancy is not contra-indicated in HCV. infected individuals and breast-feeding is allowed. Finally, HCV patients with active disease should be advised to refrain from alcohol intake, especially during antiviral therapy. After HCV infection it is necessary to consider not only diagnostic and therapeutic steps but also the risk of transmission in the patient's circle and consequences for the patient. PMID:10622576
AIM: To assess the prevalence of bowel dysfunction in hemiplegic patients, and its relationship with the site of neurological lesion, physical immobilization and pharmacotherapy.METHODS: Ninety consecutive hemiplegic patients and 81 consecutive orthopedic patients were investigated during physical motor rehabilitation in the same period, in the same center and on the same diet. All subjects were interviewed ≥ 3 mo after injury using a questionnaire inquiring about bowel habits before injury and at the time of the interview. Patients' mobility was evaluated by the Adapted Patient Evaluation Conference System. Drugs considered for the analysis were nitrates, angiogenic converting enzyme (ACE) inhibitors,calcium antagonists, anticoagulants, antithrombotics,antidepressants, anti-epileptics.RESULTS: Mobility scores were similar in the two groups. De novo constipation (OR = 5.36) was a frequent outcome of the neurological accident.Hemiplegics showed an increased risk of straining at stool (OR: 4.33), reduced call to evacuate (OR: 4.13),sensation of incomplete evacuation (OR: 3.69), use of laxatives (OR: 3.75). Logistic regression model showed that constipation was significantly and independently associated with hemiplegia. A positive association was found between constipation and use of nitrates and antithrombotics in both groups. Constipation was not related to the site of brain injury.CONCLUSION: Chronic constipation is a possible outcome of cerebrovascular accidents occurring in 30% of neurologically stabilized hemiplegic patients.Its onset after a cerebrovascular accident appears to be independent from the injured brain hemisphere,and unrelated to physical inactivity. Pharmacological treatment with nitrates and antithrombotics may represent an independent risk factor for developing chronic constipation.
Purpose: To evaluate the utility of an infrared-guided patient setup (iGPS) system to reduce the uncertainties in the setup of lung cancer patients. Methods and Materials: A total of 15 patients were setup for lung irradiation using skin tattoos and lateral leveling marks. Daily electronic portal device images and iGPS marker locations were acquired and retrospectively reviewed. The iGPS-based shifts were compared with the daily electronic portal device image shifts using both the central axis iGPS marker and all five iGPS markers. For shift calculation using the five markers, rotational misalignment was included. The level of agreement between the iGPS and portal imaging to evaluate the setup was evaluated as the frequency of the shift difference in the range of 0-5 mm, 5-10 mm, and >10 mm. Results: Data were obtained for 450 treatment sessions for 15 patients. The difference in the isocenter shifts between the weekly vs. daily images was 0-5 mm in 42%, 5-10 mm in 30%, and >10 mm in 10% of the images. The shifts seen using the iGPS data were 0-5 mm in 81%, 5-10 mm in 14%, and >10 mm in 5%. Using only the central axis iGPS marker, the difference between the iGPS and portal images was 10 mm in 7% in the left-right direction and 73%, 18%, and 9% in the superoinferior direction, respectively. When all five iGPS markers were used, the disagreements between the iGPS and portal image shifts >10 mm were reduced from 7% to 2% in the left-right direction and 9% to 3% in the superoinferior direction. Larger reductions were also seen (e.g., a reduction from 50% to 0% in 1 patient). Conclusion: The daily iGPS-based shifts correlated well with the daily electronic portal device-based shifts. When patient movement has nonlinear rotational components, a combination of surface markers and portal images might be particularly beneficial to improve the setup for lung cancer patients
This book addresses patient-specific modeling. It integrates computational modeling, experimental procedures, imagine clinical segmentation and mesh generation with the finite element method (FEM) to solve problems in computational biomedicine and bioengineering. Specific areas of interest include cardiovascular problems, ocular and muscular systems and soft tissue modeling. Patient-specific modeling has been the subject of serious research over the last seven years and interest in the area is continually growing and this area is expected to further develop in the near future.
Since February 1990 public information evenings pertaining to respiratory tract diseases have been held every month in the cities of Fellbach, Backnang and at times in Waiblingen. These sessions have met with a great show of interest from patients, doctors and the public in general, as indicated by the consistently large number of over 100 participants. This continual educational work with its accompanying measures, such as, asthma-sport, breathing exercises, and books and videos on loan, represents an effective alternative to the formally structured, patient training programs limited to a specific time period. A broad range of effectiveness is attained by engaging public media in the informative process. PMID:1438125
September 1994 sees the publication of guidelines on radiology standards for primary dental care, a report by a joint Working Party of the Royal College of Radiologists (RCR) and NRPB. Central to these guidelines is the potential to reduce collective dose to patients and to improve the diagnostic quality of radiographs. This article presents the basis for the derivation of the collective dose to patients from dental radiology and identifies the amount by which the annual collective dose of some 170 man Sv can be reduced. The guidelines are described elsewhere in this bulletin. (Author)
Full Text Available Vitiligo is known to be associated with social stigma and a decreased quality of life, especially when lesions are located over the face. While there are numerous treatment options for vitiligo, most of these need a long time to produce good cosmetic results. Camouflaging the skin lesions can be a useful option in such patients. The proper use of camouflage has been shown to improve the quality of life in patients with vitiligo. In this article, we discuss the different camouflage options available in vitiligo - products and techniques with their relative advantages and disadvantages.
Lordick, Florian; Hacker, Ulrich
Cancer patients are regularly affected by malnutrition which often leads to a worsened quality of life and activity in daily living, more side effects and complications during anticancer treatment and shorter survival times. The early diagnosis and treatment of malnutrition are therefore relevant components of oncological treatment. The assessment of the nutritional status and determination of the body-mass-index should be done in every patient with cancer. The clinical examination delivers important findings and indications for malnutrition. Bioimpedance analysis can deliver additional objective information. The treatment of malnutrion should start early and follows a step-wise escalation reaching from nutritional counseling to enteral nutritional support to parenteral nutrition. PMID:26886037
Davidsen, Annette Sofie; Fosgerau, Christina Fogtmann
For mentalization theorists, implicit mentalization is a key component of all forms of therapy. However, it has been difficult to grasp and to describe precisely how implicit mentalization works. It is said to take place partly by mirroring others in posture, facial expression and vocal tone. Based...... consultations with patients with depression. We wanted to see how implicit mentalizing unfolds in physician–patient interactions. Consultations were videorecorded and analysed within the framework of conversation analysis. GPs and psychiatrists differed substantially in their propensity to mirror body movements...
This patent specification describes an E.M.I. claim relating to a patient positioning and support arrangement for a computerised axial tomography system, the arrangement comprising a curved platter upon which the patient can be disposed, a table having a curved groove to accommodate the platter, and means for driving the platter slidably along the groove; the platter being formed of a substantially rigid platform shaped to conform to the groove, and a shroud, secured to the platter and disposed between the platter and the surface of the groove, so as to permit the platter to slide smoothly. (U.K.)
Aline Correa de Carvalho
Full Text Available Purpose: To investigate changes in multifocal electroretinography (mfERG parameters associated with high dose chloroquine therapy for treatment of malaria in the Amazonia region of Brazil. Methods: Forty-eight subjects who had received chloroquine treatment for single or multiple malaria infections with a cumulative dose ranging from 1,050 to 27,000mg were included. The control group consisted of 37 healthy aged-matched subjects. Data was collected on amplitude and implicit time of the N1, P1 and N2 waves in the central macular hexagon (R1 and in five concentric rings at different retinal eccentricities (R2-R6. Results: No significant difference was observed in any mfERG parameter between chloroquine treated patients and control subjects. A comparison with previous data obtained from patients with rheumatologic disorders in the same region of Brazil who had received larger cumulative doses of chloroquine and had displayed mfERG changes, indicated that retinal toxicity seems to be dependent on cumulative dose. Conclusion: Lack of mfERG changes in the current study suggests that intensive high dose chloroquine therapy for treatment of malaria is not associated with retinal toxicity.
The project Serum-proteomics in melanoma patients funded by 'Programma Oncologico Italia-USA' Oncoproteomica has the general aim to collect serum samples from melanoma patients and to analyze the expression profile of several cytokines, in order to identify whether significant differences are evident between patients and controls, or among different patients subgroups with different staging or therapy
Visser, Adriaan; Deccache, A.; Bensing, J.
This issue of Patient Education and Counseling presents the state of the art of patient education in several European countries. It is based on papers presented at a meeting in Paris on the evolution and development of patient education in western, central and eastern Europe (May 1999). Also patient
Bak, Søren; Stenager, E N; Stenager, Egon;
The aim of the present study was to assess, through an epidemiological study, whether suicide risk is increased in patients with motor neuron disease (MND). The study involved 116 patients with MND. In the study period 92 patients died, 47 males and 45 females. No patients committed suicide. The...
Andersen, Marianne; Hagen, Casper; Frystyk, Jan;
OBJECTIVES: Patients with prolactinomas and patients with acromegaly often have heterogenous adenomas. In this study we have focused on patients with prolactinomas who developed acromegaly and acromegalic patients with hyperprolactinaemia. Our hypothesis is that some patients with...... hyperprolactinaemia may develop clinical acromegaly. METHODS: We have included patients examined at department M, Odense University Hospital between 1996 and 2001. Seventy-eight patients with prolactinomas, 65 females and 13 males, with a median age (range) of 30 Years (14-74) and 47 Years (20-66), respectively, were...