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Sample records for chloroquine-treated sudanese patients

  1. Dynamics of pfcrt alleles CVMNK and CVIET in chloroquine-treated Sudanese patients infected with Plasmodium falciparum

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    Warhurst David C

    2010-03-01

    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.

  2. Serum testosterone concentration in chloroquine- treated rats ...

    African Journals Online (AJOL)

    ONOS

    2010-07-05

    Jul 5, 2010 ... The effects of ascorbic acid (vitamin C) and alpha-tocopherol (vitamin E) were studied on serum testosterone ... chloroquine are probably mediated via the generation of free radicals. ... Effects of ascorbic acid and alpha-tocopherol on serum testosterone concentration in chloroquine-treated rats. Groups.

  3. Lipid Profile in Sudanese Diabetic Patients

    International Nuclear Information System (INIS)

    Naway, L. M. Y.

    2011-04-01

    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

  4. Lipid Profile in Sudanese Diabetic Patients

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    Naway, L M. Y. [Sudan Academy of Sciences, Atomic Energy Council, Khartoum (Sudan)

    2011-04-15

    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

  5. Thyroid function in sudanese patients with chronic renal failure

    International Nuclear Information System (INIS)

    Khalid, A.Sh.; Mohamed, S.A.; Abdalla, B.A.; Suliman, S.M.; Abadi, R.S.

    2003-01-01

    This study deals with the determination of thyroid related hormones (T4,T3 and TSH) levels in sudanese patients with end-stage renal disease (ESRD) and under haemodialysis to determine the best means of treatment. This is the first time in Sudan to investigate thyroid related hormones on patients with chronic renal failure and was done on 61 patients and 60 symptoms-free subjects as controls. Radioimmunoassay (RIA) technique is used for the determination of serum total T4 and T3,whereas, TSH was determination using immunoradiometric assay (IRMA). T-test calculation revealed that the mean concentrations of total T4 and T3 of the patients were much lower than that of the normal subjects (p 0.05).These results revealed that, serum total T4 levels tent to decline after long term treatment with haemodialysis. Serum total T3 level fluctuate in lower margin of the normal range in haemodialyzed patients. As serum total thyroxine (T4) tends to decline in haemodialyzed patients, the use of thyroxine replacement therapy is highly recommended. (Author)

  6. Prevalence of hypodontia in a sample of Sudanese orthodontic patients

    Science.gov (United States)

    Hassan, Duaa Abdulrahman; Abuaffan, Amal H; Hashim, Hayder A

    2014-01-01

    Objective: The aims of this study were to determine the prevalence of hypodontia in the permanent dentition in a sample of Sudanese patients who sought orthodontic treatment and to compare the results with the reported findings of other populations. Materials and Methods: Orthodontic files including orthopantomographs of 1069 patients (760 females and 309 males - more than 8 years old) were examined and inspected for evidence of hypodontia. Results: The prevalence of hypodontia of the present sample was 5.1%. Hypodontia was found considerably more frequently in the mandible than in the maxilla. The distribution of missing teeth was noticed in the left side more than in the right side. The most frequently missing teeth were the maxillary lateral incisors, followed by the mandibular second premolars, maxillary second premolars and mandibular left lateral incisor. The majority of patients had two or three teeth missing, but rarely more than 5 teeth missing. Conclusions: The prevalence of hypodontia of this study was within the range of that reported in the literature. The incidence of hypodontia in the anterior segment requires great need for orthodontic and prosthodontic treatment. With early detection of hypodontia, alternative treatment modalities can be planned and performed with a multidisciplinary team approach restoring the esthetic and function. PMID:25143929

  7. Frequency of neurological deficits in Sudanese lepromatic patients ...

    African Journals Online (AJOL)

    ... the disease is progressive and results in permanent damage to the skin, nerves, ... patients had upper limbs sensory nerve dysfunction while 42.86% exhibited ... Impaired olfaction was the most common cranial nerve sign seen in 12.86%.

  8. Clinical pattern of intracranial space occupying lesions in adult Sudanese patients

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    Mustafa, Mustafa Seidahmed [Faculty of Medicine, University of Khartoum, Khartoum (Sudan)

    1999-07-01

    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)

  9. Clinical pattern of intracranial space occupying lesions in adult Sudanese patients

    International Nuclear Information System (INIS)

    Mustafa, Mustafa Seidahmed

    1999-01-01

    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)

  10. Assessment of laboratory values of thyroid function tests in Sudanese patients

    International Nuclear Information System (INIS)

    Farah, Mansour El Tahir

    1997-01-01

    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 T 3 , T 4 , FT 4 (by enzyme immunoassay) and TSH (by the ultrasensitive enzyme immunoassay). Serum T 3 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 T 4 concentration was normal in one-third of the hyperthyroid patients, and one-fourth of the hypothyroid patients, and 90.9% of the control group. FT 4 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 T 4 is more specific in the diagnosis of thyroid diseases. (Author)

  11. Assessment of laboratory values of thyroid function tests in Sudanese patients

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    Farah, Mansour El Tahir [Faculty of Medicine, University of Khartoum, Khartoum (Sudan)

    1998-12-31

    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 T{sup 3}, T{sup 4}, FT{sup 4} (by enzyme immunoassay) and TSH (by the ultrasensitive enzyme immunoassay). Serum T{sup 3} 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 T{sup 4} concentration was normal in one-third of the hyperthyroid patients, and one-fourth of the hypothyroid patients, and 90.9% of the control group. FT{sup 4} 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 T{sup 4} is more specific in the diagnosis of thyroid diseases. (Author) 97 refs. , 20 tabs. , 11 figs.

  12. Evaluation of cardiac function tests in Sudanese adult patients with sickle cell trait

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    Kamal E.A. Abdelsalam

    2016-10-01

    Full Text Available Background: Cardiac dysfunctions have been recognized as a common complication of sickle cell anaemia (SCA, and together with pulmonary disorder accounts for many deaths in these patients. However, sickle cell traits appear clinically normal, although they have genetic abnormality. The aim of this study was to assess the effect of sickle cell trait on cardiac prognostic markers by measuring high density lipoprotein (HDL-C, low density lipoprotein (LDL-C, cardiac creatine kinase (CK-MB, ultra-sensitive C reactive protein (us-CRP, total homocysteine (Hyc, and N-terminal pro-brain natriuretic peptide (NT-pro BNP tests in adult Sudanese patients with sickle cell trait.Methods: A cross-sectional study was performed in 200 healthy volunteers as a control group and 200 diagnosed patients with sickle cell trait. It was carried out in Khartoum Specialized Hospital, Al-Bayan Hospital, Obayed Clinical Center and Dr. Nadir Specialized Hospital, Sudan between January 2015 and January 2016. All participants were between 20-32 years old. LDL-C, HDL-C, CK-MB, NT-proBNP and hs-CRP concentrations were measured by Hitachi 912 full-automated Chemistry Analyzer (Roche Diagnostics, Germany as manufacturer procedure, while homocysteine level was measured by ELISA technique using special kit.Results: When compared to control group, the levels of LDL-C, hs-CRP and NT-proBNP revealed significant increase in patients’ sera (p<0.001, while Hyc and CK-MB levels were increased insignificantly in patients with SCT (p=0.069, p=0.054 respectively. On the other hand, comparison to control group, HDL-C showed insignificant reduction in patients (p=0.099.Conclusion: The results suggest that sickle cell trait increased the risk of patient-related complication secondary to cardiac dysfunction.

  13. Estimation of patient dose in abdominal CT examination in some Sudanese hospitals

    International Nuclear Information System (INIS)

    Adam, Ebthal Adam Shikhalden

    2016-04-01

    The use of CT in medical diagnosis delivers radiation doses to patients that are higher than those from other radiological procedures. The aim of this study was to estimate radiation doses in abdomen CT examinations of patients in two Sudanese hospitals. Details were obtained from approximately 80 CT examinations and included all age groups ( adults and pediatric). The results from the two hospitals were compared with each other as well as with the IAEA guidance level for this particular investigation. The estimation of radiation doses were carried out by calculating volume dose index (CTD1vol), dose length product (DLP), doses to some organs of interest and effective dose (E) using the software program "CT EXPO V2.1". The study showed that the mean DLP of the one hospitals ASH is 1736.7 mGy.cm which is by far much higher than that for the other hospital NMDC which stands at 185.3 mGy.cm, as well as higher than the IAEA level which is 696 mGy.cm. The study showed that the mean CTD1vol for patients in ASH is 36.2 mGy which again higher than that for the other hospital which is 3.9 mGy and higher than the IAEA level which is 10.9 mGy calculating the effective dose for patients in the two hospitals reveals that the mean effective dose of patient in one hospital (ASH) is 26.25 mSv, which is quite high compared with other hospital (NMDC), which has the mean value of 2.8 mGv and also higher than the IAEA level from this investigation which is 7.6 mSv. Regarding organ doses, the study showed that organ doses in hospital ASH are always higher than that calculated in hospital NMDC and the highest doses in both hospital were delivered to the kidneys with mean values of 50.24 mGy and 5045 mGy for the two hospitals respectively. The study showed that there is an urgent need for optimizing patient doses in such CT examinations. This can be ensured by providing training and retraining for workers and conducting quality control measurements and preventive maintenance regularly so

  14. Evaluation of blood glucose and thyroid function in Sudanese diabetic patients

    International Nuclear Information System (INIS)

    Agarib, M.O.A.

    2008-03-01

    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 (T 4 , T 3 , 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 T 4 and T 3 ) 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

  15. Evaluation of blood glucose and thyroid function in Sudanese diabetic patients

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    Agarib, M O.A. [Department of Biochemistry, Atomic Energy Council, Sudan Academy of Sciences, Khartoum (Sudan)

    2008-03-15

    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 (T{sub 4}, T{sub 3}, 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 T{sub 4} and T{sub 3}) 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

  16. A study on the pattern of primary bone tumors in Sudanese patients who presented to the Khartoum Teaching Hospital referred orthopaedic clinics

    International Nuclear Information System (INIS)

    Ibrahim, Alaa Fathi

    1996-01-01

    This study was undertaken to find epidemiological data about primary bone tumors in Sudanese patients e.g. age, sex, geographical and tribal distribution in addition to modes of presentation and radiological appearance. The study was conducted in Khartoum and involved forty three patients. The results showed a lower incidence of benign tumors, a higher affliction of females, specially by malignant primary bone tumors and more patients seen to come from western and central sudan than other areas.(Author)

  17. Association Between Lipoprotein(A) and Small Apo(A) Phenotypes and Coronary Heart Disease in Sudanese Diabetic Patients

    International Nuclear Information System (INIS)

    Ahmed, A.M.; Elabid, B.E.H.; Addalla, M.A.

    2013-01-01

    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

  18. Screening for high risk human papilloma virus (HR-HPV) subtypes, among Sudanese patients with oral lesions.

    Science.gov (United States)

    Babiker, Ali Yousif; Eltom, Faris Margani; Abdalaziz, Mohamed S; Rahmani, Arshad; Abusail, Saadalnour; Ahmed, Hussain Gadelkareem

    2013-01-01

    HR-HPV subtypes are strongly linked to etiology of many human cancers including oral cancer. The epidemiology of infection with different HPV genotypes greatly varies in different countries. The aim of this study was to identify and genotype the HR-HPV subtypes in oral tissues obtained from Sudanese patients with oral lesions. In this retrospective study 200 patients with oral lesions were screened by molecular methods (PCR) for the presence of HR-HPV subtypes. Of the 200 patients, 100/200 were patients with oral cancer (ascertained as case group) and 100/200 were patients with non-neoplastic oral lesions (ascertained as control group). Out of the 200 patients, 12/200 (6%) were found with HR-HPV infection. Of the 12 positive patients, 8/12 (66.7%) were among cases and the remaining 4/12 (33.3%) were among control group. The distribution of different genotypes was: type HPV 16 6/12 (50%), HPV18 4/12 (34%), HPV 31 1/12 (8%) and HPV 33 1/12 (8%). In view of these findings, HPV particularly subtypes 16 and 18 play a role in the etiology of oral cancer in the Sudan.

  19. Plasma levels of interleukin-17, interleukin-23, and transforming growth factor-β in Sudanese patients with vitiligo: A case-control study

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    Ali Malik Osman

    2015-01-01

    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.

  20. Return of qualified Sudanese

    OpenAIRE

    Lindsay T McMahon

    2007-01-01

    With the signing of the Comprehensive Peace Agreement in January 2005, the new Government of South Sudan began to call for the return of the millions of South Sudanese IDP s and refugees. The International Organization for Migration (IOM) has developed a programme to help them do so.

  1. Return of qualified Sudanese

    Directory of Open Access Journals (Sweden)

    Lindsay T McMahon

    2007-07-01

    Full Text Available With the signing of the Comprehensive Peace Agreement in January 2005, the new Government of South Sudan began to call for the return of the millions of South Sudanese IDP s and refugees. The International Organization for Migration (IOM has developed a programme to help them do so.

  2. A comparison between transabdominal ultrasonographic and cystourethroscopy findings in adult Sudanese patients presenting with haematuria.

    Science.gov (United States)

    Ahmed, Feras O; Hamdan, Hamdan Z; Abdelgalil, Hani B; Sharfi, Abdulrauf A

    2015-02-01

    Gross and microscopic haematuria both are a common cause of referral to urology clinics. It has a wide spectrum of differential. In many occasions, it is a presentation of underlining serious urological problems. Evaluation of gross and significant microscopic haematuria is of paramount importance. This study was conducted to assess and compare the findings and diagnostic competency of transabdominal ultrasonography (US) versus cystourethroscopy in patients with haematuria of lower urinary tract origin. Prospective hospital-based study done at Ibn Sina Specialized and Omdurman Military Hospitals from June 2012 to March 2013. The study included 109 patients. Structured questionnaires were used to gather data from patients. All patients were evaluated by transabdominal US before cystourethroscopy examination. One hundred and nine patients were studied. Patients' mean (SD) age was 57.9 (18.8) years. Fifty-four patients (49.5 %) presented with macroscopic haematuria, while 55 patients presented with microscopic haematuria. The sensitivity and specificity of the US in detecting prostate enlargement, vesical stones, bladder wall tumour, cystitis and schistosomiasis were [(84, 80 %); (82.6, 97.7 %); (64.7, 92.1 %); (15.3, 96.8 %); and (15.3, 98.9 %)], respectively, as compared to cystoscopic finding as the gold standard. Ultrasonography is accepted only as a first-line imaging tool for evaluation of haematuria in poor settings, but cannot replace or became as good as cystoscopy, which remains the gold standard.

  3. IL-1β level in Sudanese patients with atherosclerotic coronary heart ...

    African Journals Online (AJOL)

    McRoy

    studies investigating inflammatory cytokines in atherosclerotic patients with coronary heart disease (CHD).[2,5-7]. However, systemic level of IL-1β may still be unreliable marker for atherosclerosis. This is because systemic level of IL-1β could not faithfully reflect the local inflammatory process near the atheromatous lesions.

  4. Depression among HIV/AIDS Sudanese patients: a cross-sectional analytic study.

    Science.gov (United States)

    Elbadawi, Abdulateef; Mirghani, Hyder

    2017-01-01

    Depression and HIV/AIDS are common morbid health problems; the relationship is bidirectional exacerbating each other with deleterious consequences. There are limited studies on this topic in Sudan. In this study, we investigated depression among HIV/AIDS in Sudan. A cross-sectional analytic study was conducted among 362 HIV/AIDS patients from three centers in Khartoum, Sudan. Data were collected by the Hospital Depression and Anxiety (HADS) questionnaire. Chi-square was used for testing the significance and a P. Value of ≥ 0.05 was considered as statistically significant. Depression was evident in 332 (63.1%) of patients 68 (19.3%) had mild depression, 114 (32.4%) moderate depression, and 40 (11.4%) severe depression. Depression was commoner among women, illiterate, married/widowed, not receiving counseling, delaying the result of the test, P-value 0.05. Depression was prevalent among HIV/AIDS patients, especially females, low level of education, and widowed/married patients, and those not receiving counseling and post diagnosis sessions.

  5. Investigation of selected trace elements in Sudanese patients with leukemia using NAA

    International Nuclear Information System (INIS)

    Elradi, M. M. M.

    2010-10-01

    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)

  6. Renal transplantation: Sonography and Doppler assessment of transplanted kidneys in adult Sudanese patients

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    Moawia Gameraddin

    2017-06-01

    Full Text Available Background Every year, thirty-five thousand patients receive renal transplants worldwide. Kidney transplant provides better quality of life and reduced morbidity. Doppler and sonography were the best imaging modalities for evaluation. Aims To assess the sonographic findings of renal allograft and to determine the correlation between Doppler resistive index and size of allograft and echogenicity. Methods This was a cross-sectional study conducted in Khartoum State from January to August 2016. A total of 86 patients with known transplanted kidneys were scanned with ultrasound using 3MHz and 5MHz transducers. The age was categorized into four groups and so the Doppler indices. Descriptive statistics used to analyse quantitative and qualitative variables (percent and means ± SD. Spearman's rho test was used to find the correlation between RI of renal vessels and allograft size. The Qui-square test was used to find an association between RI and echogenicity of the graft. Results Renal transplantation was common at the age of 20 to 50 years. The mean Doppler index of the renal artery was 0.68±0.11 in renal allografts. Renal transplantation was common in professionals and homemakers (30.2 per cent and 20.93 per cent respectively. Hypertension and diabetes were the most common causes (44.1 per cent and 18.6 per cent. A significant correlation was found between RI and allograft size (p-value=0.012. There was no statistical association between RI and echogenicity of allograft (pvalue=0.106. Conclusion The Doppler resistive index is significantly correlated with allograft size and had no association with echogenicity. Patients with enlarged allograft had raised resistive indices. The study recommended that Duplex ultrasound should be used in the initial assessment and follow-up of renal transplant.

  7. Investigation of selected trace elements in Sudanese patients with leukemia using NAA

    Energy Technology Data Exchange (ETDEWEB)

    Elradi, M M. M. [Atomic Energy Council, Sudan Academy of Sciences, Khartoum (Sudan)

    2010-10-15

    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 concentration of Co was higher than the control group but statistically not significant. The level of selenium was considerably lower than in the control group (p < 0.05). In group II (AML): Significantly elevated values were found in Cr and Fe as compared to the control group. The concentrations of Co, Hg and Zn also were higher but statistically not significant (p> 0.05), the level of selenium was statistically lower than in the control group (p< 0.05). In group III (CLL): It was observed that contents of the Cr, Fe, Hg, Rb, Zn elements were elevated significantly (p<0.05) than healthy subjects. The concentration of Co was higher than the control group but statistically not significant, the level of selenium was considerably lower than in the control group (p < 0.05). In group 4 (CML): The concentrations of Fe, Hg, Rb, Zn were statistically higher than in the healthy subject (p < 0.05). Also the level of Cr was higher but statistically not

  8. Heparin and Aspirin in Pregnant Sudanese women with Recurrent ...

    African Journals Online (AJOL)

    ... prophylaxis against pregnancy loss in 58 pregnant Sudanese women with recurrent (>3) miscarriages associated with antiphospholipid syndrome (APS). Three (5.1%) patients had early miscarriages, three (5.1%) patients developed pre-eclamptic toxaemia and forty-seven (81%) of the 58 patients had cesarean delivery.

  9. Clinical Presentation of Epilepsy among Adult Sudanese Epileptic ...

    African Journals Online (AJOL)

    Objective: To study the pattern of clinical presentation of epilepsy among adult Sudanese epileptic patients. Methods: 120 patients with epilepsy were included in a prospective cross-sectional study. Setting: The study was conducted at Sheik Mohamed Kheir Friday Epileptic Clinic .Duration: May 2003 Oct 2006. Results: ...

  10. Predicting intention to treat HIV-infected patients among Tanzanian and Sudanese medical and dental students using the theory of planned behaviour - a cross sectional study

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    Nasir Elwalid F

    2009-11-01

    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.

  11. Presence of human papilloma virus, herpes simplex virus and Epstein-Barr virus DNA in oral biopsies from Sudanese patients with regard to toombak use.

    Science.gov (United States)

    Jalouli, Jamshid; Ibrahim, Salah O; Sapkota, Dipak; Jalouli, Miranda M; Vasstrand, Endre N; Hirsch, Jan M; Larsson, Per-Anders

    2010-09-01

    Using PCR/DNA sequencing, we investigated the prevalence of human papillomavirus (HPV), herpes simplex virus (HSV) and Epstein-Barr virus (EBV) DNA in brush biopsies obtained from 150 users of Sudanese snuff (toombak) and 25 non-users of toombak in formalin-fixed paraffin-embedded tissue samples obtained from 31 patients with oral dysplasias (25 toombak users and 6 non-users), and from 217 patients with oral cancers (145 toombak users and 72 non-users). In the brush tissue samples from toombak users, HPV was detected in 60 (40%), HSV in 44 (29%) and EBV in 97 (65%) of the samples. The corresponding figures for the 25 samples from non-users were 17 (68%) positive for HPV, 6 (24%) positive for HSV and 21 (84%) for EBV. The formalin-fixed samples with oral dysplasias were all negative for HPV. In the 145 oral cancer samples from toombak users, HPV was detected in 39 (27%), HSV in 15 (10%) and EBV in 53 (37%) of the samples. The corresponding figures for the samples from non-users were 15 (21%) positive for HPV, 5 (7%) for HSV and 16 (22%) for EBV. These findings illustrate that prevalence of HSV, HPV and EBV infections are common and may influence oral health and cancer development. It is not obvious that cancer risk is increased in infected toombak users. These observations warrant further studies involving toombak-associated oral lesions, to uncover the possible mechanisms of these viral infections in the development of oral cancer, and the influence of toombak on these viruses. © 2010 John Wiley & Sons A/S.

  12. Sudanese Journal of Dermatology: Submissions

    African Journals Online (AJOL)

    photographs. Make sure that each table is cited in the text. Avoid too many tables. Identify statistical measures such as standard deviation, standard error of the mean and data statistical significance, if possible. 3. Manuscripts to Sudanese Journal of Dermatology should not be under simultaneous consideration by another ...

  13. Clinical pattern of Pott's disease of the spine, outcome of treatment and prognosis in adult Sudanese patients

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    Mbbs, El Bashir Gusm Elbari Ahmed [Clinical Medicine, University of Khartoum, Khartoum (Sudan)

    1997-04-01

    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)

  14. Clinical pattern of Pott's disease of the spine, outcome of treatment and prognosis in adult Sudanese patients

    International Nuclear Information System (INIS)

    Mbbs, El Bashir Gusm Elbari Ahmed

    1997-04-01

    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)

  15. Sudanese Adolescent Refugees: Acculturation and Acculturative Stress

    Science.gov (United States)

    Poppitt, Gillian; Frey, Ron

    2007-01-01

    This study explored acculturation and acculturative stress in Sudanese adolescent refugees living in Brisbane. Twenty Sudanese adolescents participated in semi-structured interviews which revealed that the main source of acculturative stress was related to concern over English language proficiency, issues of parental control and conflicting…

  16. Zinc and copper levels are not correlated with angiographically-defined coronary artery disease in sudanese patients.

    Science.gov (United States)

    Lutfi, Mohamed F; Elhakeem, Ramaze F; Khogaly, Raga S; Abdrabo, Abdelkarim A; Ali, Ahmed B; Gasim, Gasim I; Adam, Ishag

    2015-01-01

    We investigated zinc and copper levels in angiographically defined obstructive coronary artery disease (CAD) in patients undergoing elective coronary angiography in El-Shaab Hospital, Sudan. We performed a cross-sectional study. One hundred forty-two patients were enrolled. Sociodemographic and medical characteristics were collected using a questionnaire. Glucose, lipid, zinc, and copper levels were measured. Out of 142 patients, 102 (71.8%) had CAD and 40 (28.2%) had patent coronary arteries. There were no significant differences in median (interquartile range) zinc [118.5 (97.2-151.0) vs. 130.0 (106.0-174.0) μg/ml, P = 0.120] and copper [150.6 (125.0-183.0) vs. 158 (132.0-180.0) μg/mL, P = 0.478] levels between patients with CAD and those with patent coronary arteries. In linear regression analysis, there were no associations between CAD and zinc and copper levels. The current study failed to show any significant association between CAD and zinc and copper levels.

  17. Risk factors of post renal transplant anaemia among Sudanese patients, a study in three renal transplant centres

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    Elmusharaf Khalifa

    2011-08-01

    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.

  18. Deportation of South Sudanese from Israel

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    Laurie Lijnders

    2013-09-01

    Full Text Available Israel’s aggressive campaign of arrest and deportation of South Sudanese asylum seekers contravenes the principle of non-refoulement and international standards for voluntary, dignified return.

  19. Endocrinal investigations on Sudanese malnourished children

    International Nuclear Information System (INIS)

    Ali, N.; Mohammed, F. S.; Bushra, M. M.; Babiker, A. H.; Hisham, M.

    2004-01-01

    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)

  20. Reproductive hormones disorders of Sudanese females using immunoradiometric assay (IRMA)

    International Nuclear Information System (INIS)

    Ali, N. I.; Almahi, W. A. A.; Abdalla, O. M.; Bafarag, S. M. I.; Abdelgadir, O. M.; Eltayeb, M. A. H.; Hassan, A. M. E.; Hassan, A. M. E.

    2004-12-01

    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)

  1. Primary vesicoureteral reflux in Sudanese children

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    El-Tigani M. A. Ali

    2014-01-01

    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.

  2. Anxiety during pregnancy among Sudanese pregnant women ...

    African Journals Online (AJOL)

    Many women suffer psychological symptoms during pregnancy but few studies have examined anxiety among pregnant ladies in relation to the level of education, previous bad obstetrical history and female circumcision. Aims: To determine frequency of anxiety among Sudanese women as related to pregnancy and ...

  3. Slow return of displaced Southern Sudanese

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    Tim Morris

    2007-07-01

    Full Text Available The pace of repatriation of Sudanese refugees and return of IDP s to South Sudan has picked up but expectations at the time of the signing of the Comprehensive Peace Agreement (CPA CPA in January 2005 have yet to be realised. With all eyes on Darfur, assistance to sustain returns to South Sudan remains inadequate.

  4. Sudanese live sheep and mutton exports competitiveness

    OpenAIRE

    Babiker Idris Babiker; Abdul-Jabbar Mohammed Abdullah; Mohamed Ahmed Al-Feel

    2011-01-01

    The livestock sector of Sudan provides livelihood for about 17% of the population. Sudanese livestock products meet the domestic demand for meat in addition to a substantial excess for export amounting to about 22% of total country exports. It contributes about 19% of GDP. Sheep marketing in Sudan is characterised by traditional operations and is informally organised, although, recently there are great efforts by the formal livestock authorities to organise some secondary and terminal livesto...

  5. Population structure and genetic diversity of Sudanese native chickens

    African Journals Online (AJOL)

    The objectives of this study were to analyze genetic diversity and population structure of Sudanese native chicken breeds involved in a conservation program. Five Sudanese native chicken breeds were compared with populations studied previously, which included six purebred lines, six African populations and one ...

  6. Editorial: Sudanese journal of dermatology: steps forward | Shamad ...

    African Journals Online (AJOL)

    Sudanese Journal of Dermatology is improving itself continuously. This paper is highlighting the African Journal OnLine (AJOL) project and its website. This journal has been launch on the AJOL website in May 2005. Also, since May 2005 Sudanese Journal of Dermatology has been recorded in the ISSN (International ...

  7. Risk factors for gestational diabetes mellitus in Sudanese pregnant ...

    African Journals Online (AJOL)

    Background: The prevalence of gestational diabetes mellitus (GDM) in Sudan is less compared with international reports. Whether there is concomitant difference in the risk factors for GDM among Sudanese women is uncertain. Aim: This study investigated the common risk factors for GDM among Sudanese pregnant ...

  8. Varicella outbreak in Sudanese refugees from Calais.

    Science.gov (United States)

    Lesens, O; Baud, O; Henquell, C; Lhermet Nurse, A; Beytout, J

    2016-05-01

    We describe an outbreak of varicella in 31 Sudanese refugees (all except one were male, mean age: 26 ± 1), from the Calais migrant camp and sheltered in a French transit area. The attack rate was 39%. Adults are scantly immunized against varicella zoster virus in East Africa and may be exposed to epidemics once in France. © International Society of Travel Medicine, 2016. All rights reserved. Published by Oxford University Press. For permissions, please e-mail: journals.permissions@oup.com.

  9. The association between health-related quality of life and Ramadan fasting in diabetic patients: a survey using a structured D-39 assessment tool. A Sudanese cohort

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    Ahmed Osman Mahgoub

    2017-03-01

    Full Text Available Introduction: Most cases of chronic diseases result in physical, psychological, financial, and social burdens on the patients and the economy. The overall health-related quality of life of patients can be positively influenced by several variables including glycemic control, economic status, comorbidities, presence of complications, and the quality of medical, psychological, and social support. Studies examining the effects of fasting on diabetes during Ramadan fasting underline the biochemical changes without considering the psychosocial and financial implications. This study aimed to illuminate some of the challenges faced by both fasting and non-fasting diabetic patients during Ramadan.Further, we evaluated the quality of life of diabetes patients, explored the socio-demographic and disease-related variables, and estimated the percentage of diabetic patients who fasted during Ramadan. Methods: This was a community-based cross-sectional study conducted from August 2015 to October 2015. Diabetes 39 instrument was administered to 112 patients with diabetes in Khartoum to evaluate their health-related quality of life during Ramadan. Results: Fifty-four percent of study participants were female and 64.3% of them were aged between 40-60 years old. Sixty-two participants were able to fast (55.4% and fasted for more than 15 days. Half of the participants had, at least, one comorbidity, among which hypertension was the most common. Approximately 59% of fasting patients had mild impairment in their health-related quality of life, whereas 60% of non-fasting participants had moderate impairment. Limited stamina, and fear of hypoglycemia were the items with the highest mean scores in both groups. The fasting group had a lower average score (2.88 compared to the non-fasting group (3.66. This difference was statistically significant (p=0.033. Conclusion: Over 53% of study patients fasted for at least 1 day during Ramadan. Interestingly, Patients who fasted

  10. Role of Tc99m-dimercaptosuccinic acid (DMSA) in diagnosis of acute urinary tract infection (UTI) in Sudanese children patients

    International Nuclear Information System (INIS)

    Abu baker, S. E. E.

    2003-01-01

    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 Tc 99m dimercaptosuccinic acid (Tc 99m -DMSA), with two other routine investigations; the intravenous urographic (IVU), and ultrasonography (US), for diagnosis of renal parenchymal abnormality in children. The Tc 99m -DMSA renal scan was utilized as the gold standard test for renal involvement. All patients had Tc 99m -DMSA renal scan, and US, and only 22 patients had contrast IVU. The Tc 99m -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, Tc 99m -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 Tc 99m -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)

  11. Sudanese live sheep and mutton exports competitiveness

    Directory of Open Access Journals (Sweden)

    Babiker Idris Babiker

    2011-01-01

    Full Text Available The livestock sector of Sudan provides livelihood for about 17% of the population. Sudanese livestock products meet the domestic demand for meat in addition to a substantial excess for export amounting to about 22% of total country exports. It contributes about 19% of GDP. Sheep marketing in Sudan is characterised by traditional operations and is informally organised, although, recently there are great efforts by the formal livestock authorities to organise some secondary and terminal livestock markets. These markets are deficient in basic infrastructures and systematic marketing research. The system as a whole is faced by various complex obstacles and constraints, which decrease the contribution of livestock in general, and sheep in particular, to the national economy, and suppress the optimum exploitation of this resource. These obstacles are represented in the lack of transportation networks that connect the production and consumption centres to break the seasonality of supply that creates shortages and high prices at the consumption centres. This paper employs the policy analysis matrix (PAM technique to examine the Sudanese live sheep and mutton competitiveness in the international market. The results indicated that the market price was greater than the border price implying a positive incentive as an implicit subsidy to the live sheep exporter. The mutton exporters were found subsidised as well. The international value added (IVA indicted a positive foreign exchange earnings or savings. Exported live sheep and mutton coefficient of competitiveness (CIC implied that sheep and mutton exports are profitable and internationally competitive.

  12. Genetic characterization of two Sudanese goat breeds (Capra hircus ...

    African Journals Online (AJOL)

    STORAGESEVER

    2009-05-18

    May 18, 2009 ... study offer useful information about some Sudanese goat breeds. Key words: Capra hircus ... the College of Agricultural Studies, Sudan University, while those for the Nilotic ..... hircus) in Schuan P R China, Zool. Sci. 23: 29-234.

  13. Neurological manifestaions among Sudanese patients with multiple ...

    African Journals Online (AJOL)

    Background: Multiple myeloma may involve the nervous system at every level, including the neuromuscular junction, peripheral nerve, plexus, spinal nerve root, spinal cord, meninges, and brain. Such involvement may be primary or secondary, as well as non-invasive paraneoplastic effects. Objective: To find out the ...

  14. Hawadith Street Initiative: A unique Sudanese childhood charity experience.

    Science.gov (United States)

    Ahmed, Awad Mohamed; A-Rahman, Nada Hassan Ahmed

    2015-01-01

    Due to escalating conflicts and resultant economic constraints, different social services in low income and low-middle income countries have witnessed a decline in its standards, and increase in the costs. This situation has led to emergence of large numbers of patients and their families who cannot afford the costs of health services provided by public hospitals. On this background, and the old heritage of the Sudanese to help the needy, the Hawadith Street Initiative (HSI) was established. Named after the street on which it was founded - which translates indirectly to "Accidents Lane", HSI was established in 2012 by a group of youths, most of them in their twenties of age, and recently graduated. The main activity of the initiative is helping the needy hospital patients, especially with regards to their treatment costs, in Khartoum and other cities in Sudan. Starting with recreational programs for cancer patients, and public campaigns for donation of blood, the initiative's youths changed their activities. Using the social media, Facebook, they adopted the strategy of communication with potential donors, after sending posts containing brief anonymous presentations and call of help for needy cases. Currently HSI includes more than 2000 volunteers in Khartoum and 17 other cities. The most important achievement of HSI is the establishment of an intensive care unit at a children hospital in Omdurman city costing 435,880 US dollars. HSI demonstrates the possibility of delivering great services with minimum resources, and constitutes a unique organization, worldwide, in a new wave of Internet-based initiatives.

  15. Understanding and Overcoming Barriers: Learning Experiences of Undergraduate Sudanese Students at an Australian University

    Science.gov (United States)

    Gately, Natalie Jane; Ellis, Suzanne; Britton, Katherine; Fleming, Tina

    2017-01-01

    An increase in migration of Sudanese and South Sudanese people to Australia due to civil unrest in their home country has increased the numbers of Sudanese students at university. Migrant experiences, particularly those of English as a second language, can impact negatively on education and learning. Inconsistencies between student scores on…

  16. Reproductive Hormones Disorders Of Sudanese Infertile Females Using Immunoradiometric assay (IRMA)

    International Nuclear Information System (INIS)

    Ali, N. I.; Almahi, W. A. A.; Abdalla, O. M.; Bafarag, S. M. I.; Abdelgadir, O. M.; Eltayeb, M. A. H.; Hassan, A. M. E.; Hassan, A. M. E.

    2004-01-01

    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)

  17. The effect of hyperthyroidism on serum cholesterol in Sudanese females

    International Nuclear Information System (INIS)

    Hussien, A.E.

    2006-03-01

    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)

  18. Blood cholesterol level in Sudanese females with hyperthyroidism

    International Nuclear Information System (INIS)

    Ahmed, N. M.

    2004-08-01

    In view to high incidence of thyroid dis function among Sudanese females, this study was conducted, essentially to study the effect of thyroid disorders on lipids metabolism, mainly on total cholesterol. In this study samples were collected from RIA laboratory in Sudan Atomic Energy Commission. 50 hyperthyroidism females were selected as a study group of age range (20-55) years. In addition 47 samples were collected with same age of study group used as control group. Thyroid related hormones thyroxine T4, triiodothyronine T3, thyroid stimulating hormone TSH using the sensitive radioimmunoassay method and cholesterol were measured for the two groups using enzymatic-calorimetric test. Statistical analysis were done with SPSS computer program to compare the cholesterol levels in the control subjects with the patients levels. The results showed significantly decreased cholesterol level of patient group when compared with the control group (p<0.01). At the end of this study the result was agreed well with previous results concerning cholesterol level as affected by thyroid disorder. (Author)

  19. The effect of hyperthyroidism on serum cholesterol in Sudanese females

    Energy Technology Data Exchange (ETDEWEB)

    Hussien, A E [Coordination Council of Sudan Atomic Energy Commission, Sudan Academy of Sciences, Khartoum (Sudan)

    2006-03-15

    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)

  20. Levels of estrogen, carcinoembryonic antigen and cancer antigen of breast in Sudanese female with breast cancer

    International Nuclear Information System (INIS)

    Abdelhadi, H. A.; Sirelkhatim, D. A.; Eltayeb, E. A.; Ahmed, W. A.; Elhussein, B.

    2006-12-01

    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 to 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 patients groups. The patients group was sixty Sudanese females visiting the Radio Isotope Center, Khartoum (RICK) and they were confirmed as breast cancer patients 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 levels of CA 15.3 was significantly (p<0.0001) higher in the breast cancer patients compared to the control.(Author)

  1. Molecular Characterization of Sudanese and Southern Sudanese Chicken Breeds Using mtDNA D-Loop

    Directory of Open Access Journals (Sweden)

    Charles E. Wani

    2014-01-01

    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.

  2. Endocrine identification of menopausal status of Sudanese women

    International Nuclear Information System (INIS)

    Khalid, M. M. M.

    2010-12-01

    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

  3. Molecular Detection of Epstein - Barr virus in Nasopharyngeal Carcinoma among Sudanese population

    Directory of Open Access Journals (Sweden)

    Ali Edris

    2016-11-01

    Full Text Available Abstract Background Nasopharyngeal carcinoma (NPC is the most common cancer arising from the nasopharynx that varies significantly from other cancers of the head and neck in its occurrence, causes, clinical behavior, and treatment. NPC caused by an interaction between infection with EBV and environmental and genetic factors, encompasses a multistep oncogenic process. The frequency of Epstein-Barr virus EBV among nasopharyngeal carcinoma is well known worldwide, however, in the Sudan there is barely a published data. The aim of this study was to detect Epstein-Barr virus (EBV in nasopharyngeal carcinoma (NPC biopsies obtained from Sudanese patients using Polymerase Chain reaction. Methods This is a descriptive, retrospective hospital based study, conducted at the National Center for ENT diseases and the Faculty of Medical Laboratory Science, University of Khartoum, Khartoum City, Sudan. Archival blocks were obtained from 82 patients diagnosed as having nasopharyngeal carcinoma were molecularly examined for the presence of Epstein-Barr virus. Results Eighty two Paraffin fixed tissue sections were examined for the presence of the virus using PCR, EBV was identified in 51/ 82 (62.2% samples and couldn’t be identified in 31/ 82 (37.8% tissue samples. Out of the 51 infected samples, 33/51 (64.7% were found among males and 18/27 (66.7% were found among females. Conclusion The present study is providing strong evidence supporting the general association of EBV infection in NPC among Sudanese patients.

  4. Sudanese refugees in Koboko: environmental health interventions.

    Science.gov (United States)

    Morgan, J

    1994-02-01

    The recounted experiences of an emergency support engineer revealed the importance of involving women in decision making at the local level. The task involved the provision of a gender sensitive technical program: a construction project to identify and supply safe, clean tap water for Sudanese refugees resettled in Uganda border areas where Ugandans had just returned as refugees in Zaire. There was squabbling among refugees because soap distribution was unsatisfactory, and a village elder revealed that corruption among elected officials was interfering with relief supplies. The village elder was able to notify an Oxfam spring technician, and other village women were consulted about suitable springs for providing permanent supplies during the dry season. Several springs were located, and one was selected. Six women helped prepare the spring for piped water, and, in the process, learned about spring technology. The location of tapstands was accomplished with village men and women mapping exact locations. Six taps were needed to serve a population of 100 people. Refugees helped with the digging of trenches, fixing the pipes, and assembling the tapstands. The operation took two weeks, but after the work was done, no one would use the tap water. A health educator consultant had to assure the villagers that the water was safe. Within days, villagers and refugees were using the tap water. Street theater was used to convey another health message about the importance of water tap maintenance. As a consequence, six men and women formed a sanitary committee to make certain the areas remained clean and well drained and that water was not wasted. Committee members were trained to make simple repairs. The lesson learned was that women can be effectively involved at the local level, if one listens intently, talks with women, and watches behavior carefully.

  5. Uranium abundance in some sudanese phosphate ores

    International Nuclear Information System (INIS)

    Adam, A.A.; Eltayeb, M.A.H.

    2009-01-01

    This work was carried out mainly to analysis of some Sudanese phosphate ores, for their uranium abundance and total phosphorus content measured as P 2 O 5 %. For this purpose, 30 samples of two types of phosphate ore from Eastern Nuba Mountains, in Sudan namely, Kurun and Uro areas were examined. In addition, the relationship between uranium and major, and trace elements were obtained, also, the natural radioactivity of the phosphate samples was measured, in order to characterize and differentiate between the two types of phosphate ores. The uranium abundance in Uro phosphate with 20.3% P 2 O 5 is five time higher than in Kurun phosphate with 26.7% P 2 O 5 . The average of uranium content was found to be 56.6 and 310 mg/kg for Kurun and Uro phosphate ore, respectively. The main elements in Kurun and Uro phosphate ore are silicon, aluminum, and phosphorus, while the most abundant trace elements in these two ores are titanium, strontium and barium. Pearson correlation coefficient revealed that uranium in Kurun phosphate shows strong positive correlation with P 2 O 5 , and its distribution is essentially controlled by the variations of P2O5 concentration, whereas uranium in Uro phosphate shows strong positive correlation with strontium, and its distribution is controlled by the variations of Sr concentration. Uranium behaves in different ways in Kurun phosphate and in Uro phosphate. Uro phosphate shows higher concentrations of all the estimated radionuclides than Kurun phosphate. According to the obtained results, it can be concluded that Uro phosphate is consider as secondary uranium source, and is more suitable for uranium recovery, because it has high uranium abundance and low P 2 O 5 %, than Kurun phosphate. (authors) [es

  6. HLA polymorphism in Sudanese renal donors

    Directory of Open Access Journals (Sweden)

    Ameer M Dafalla

    2011-01-01

    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.

  7. Flipped Learning for ESL Writing in a Sudanese School

    Science.gov (United States)

    Abdelrahman, Limia Ali Mohamed; DeWitt, Dorothy; Alias, Norlidah; Rahman, Mohd Nazri Abdul

    2017-01-01

    Sudanese students seem to lack proficiency in writing English. In addition, teachers continue to use traditional, teacher-centered methods in teaching English as a second language (ESL). The flipped learning (FL) approach where video lectures are assigned as online homework before class, followed by learning activities during class, might be able…

  8. Population structure and genetic diversity of Sudanese native chickens

    African Journals Online (AJOL)

    User

    2013-11-06

    Nov 6, 2013 ... of eggs and meat, respectively, of which 80% are from indigenous stocks (FAO, 2006). In Sudan, the traditional sector comprises 70% of the total chicken's annual production of 20.1 million birds and 900 million eggs. (Sulieman, 1996). The Sudanese fowls with various types, which collectively are called ...

  9. Genetic variability in Sudanese Acacia senegal (L.) assessed by ...

    African Journals Online (AJOL)

    TUOYO

    2010-07-26

    Jul 26, 2010 ... Full Length Research Paper. Genetic variability in Sudanese Acacia senegal (L.) assessed by random amplified polymorphic DNA. Rami S. Habeballa*, Nada B. Hamza and Eisa I. El Gaali. Commission for Biotechnology and Genetic Engineering, National Centre for Research, Khartoum, Sudan. P. O. Box.

  10. Risk factors for gestational diabetes mellitus in Sudanese pregnant ...

    African Journals Online (AJOL)

    McRoy

    Int J Med Biomed Res 2012;1(1):79-84. 79. Risk factors for gestational diabetes mellitus in Sudanese pregnant women. Mardi T.G1, Lutfi M.F2*. 1Department of Physiology, Faculty of Medicine and Health Sciences, Omdurman Islamic University,. Sudan. 2Department of Physiology, Faculty of Medicine and Health Sciences, ...

  11. Silver lining: building a shared Sudanese identity through food.

    Science.gov (United States)

    Crofts, A V

    2010-01-01

    The displaced of Sudan, due to both decades of civil war and natural disasters, are disproportionately female and many are responsible for dependents. For those settling in the capital, Khartoum, their livelihood depends on carving out ways to earn money in an urban area that is experiencing tremendous growth from the millions of recent arrivals. When confronted with the immediate need to provide for their families, women turn to a skill universally expected of them: cooking. Therefore, Khartoum is home to a thriving micro-economy of food vendors. By selling these dishes in the capital, they broaden the culinary horizons of the city while preserving their own food traditions. Their growing numbers provide an opportunity for regional foodways to gain wider introduction, adaptation, and, finally, adoption. These same vendors also facilitate a nascent sense of a shared Sudanese identity and nationalism. For established Khartoum urbanites, the definition of Sudanese food (and, by extension, what it means to be Sudanese) expands as street-vendor fare moves to restaurants and becomes more widely available throughout the city. As urban Sudanese overcome their preconceptions and discover a taste for regional cuisines, meals function as unofficial diplomacy during this turbulent time in Sudan's history.

  12. Regeneration of Sudanese maize inbred lines and open pollinated ...

    African Journals Online (AJOL)

    STORAGESEVER

    2008-06-03

    Jun 3, 2008 ... Keywords: Sudanese maize genotypes, embryogenic callus, regeneration, and tissue culture. INTRODUCTION. Maize is an important food and forage crop in the North- ern and Southern regions of ... Skoog, 1965) containing 60 g l-1 sucrose and lacking 2,4-D (referred to as maturation or RI medium) and ...

  13. Study of genetic diversity in Sudanese sesame (Sesamum indicum L ...

    African Journals Online (AJOL)

    STORAGESEVER

    2008-12-17

    Dec 17, 2008 ... Study of genetic diversity in Sudanese sesame. (Sesamum indicum L.) germplasm using random amplified polymorphic DNA (RAPD) markers. E. Abdellatef 1*, R. Sirelkhatem 1, M. M. Mohamed Ahmed1, K. H. Radwan2 and. M. M. Khalafalla1. 1Commission for Biotechnology and Genetic Engineering, ...

  14. Portal Vein Thrombosis in Sudanese Children | Sabir | Sudan ...

    African Journals Online (AJOL)

    Ten children received liver support for portal biliopathy, five children had splenectomy because of hypersplenism. Four children died. Propranolol was stopped in 50 children out of 150 children who cleared their varices after two years. Conclusions: PVT in children is common in Sudanese children, and represents the ...

  15. The health of South Sudanese refugees: one million and counting

    African Journals Online (AJOL)

    (CAR). South Sudanese are leaving the country in droves, uprooted from their home once again to seek refuge across the borders. Many more continue to seek refuge as internally displaced persons (IDPs) in the protection of civilians' sites throughout the country. Numbers of refugees and IDPs. The infographic shows that, ...

  16. Antibacterial efficiency of the Sudanese Roselle (Hibiscus sabdariffa L.), a famous beverage from Sudanese folk medicine.

    Science.gov (United States)

    Abdallah, Emad Mohamed

    2016-01-01

    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. 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 investigated using qualitative methods. The results of the antibacterial test indicate that the methanol extract of H. sabdariffa calyces contained effective antibacterial agent(s), revealed a considerable zone of inhibition against all tested Gram-negative and Gram-positive bacteria, and it was a competitor to gentamicin and greatly higher than penicillin which showed weak or no effect. The results of current investigation support the folk medicine application of this plant against different microbial ailments and suggest it as a promising source for new antibacterial agents.

  17. Human chorionic gonadotropin (HCG) and alphafeto protein (AFP) in sudanese pregnant women using immunoradiometric assay

    International Nuclear Information System (INIS)

    Abdalla, O. M.; Khalid, M. M.; Hassan, A.; Ali, N. I.; Khalid, A. SH.; Abdelhadi, H. A.; Khair, L. A. M.; Almahi, W. A.; Gaafar, A.; Abdalla, H.; Basheer, H.

    2004-12-01

    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)

  18. Human chorionic gonadotropin (HCG) and alphafeto protein (AFP) in Sudanese pregnant women using immunoradiometric assay

    International Nuclear Information System (INIS)

    Abdalla, O. M.; Khalid, M. M.; Hassan, A.; Ali, N. I.; Khalid, A. SH.; Abdelhadi, H. A.; Khair, L. A. M.; Almahi, W. A.; Gaafar, A.; Abdalla, H.; Basheer, H.

    2004-01-01

    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)

  19. Editorial Misconceptions in statistics | Al Aboud | Sudanese Journal ...

    African Journals Online (AJOL)

    No Abstract. Sudanese Journal of Dermatology Vol. 4(1) 2006: 1. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.4314/sjd.v4i1.32877 · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More ...

  20. Antibacterial efficiency of the Sudanese Roselle (Hibiscus sabdariffa L.), a famous beverage from Sudanese folk medicine

    Science.gov (United States)

    Abdallah, Emad Mohamed

    2016-01-01

    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 investigated using qualitative methods. Results: The results of the antibacterial test indicate that the methanol extract of H. sabdariffa calyces contained effective antibacterial agent(s), revealed a considerable zone of inhibition against all tested Gram-negative and Gram-positive bacteria, and it was a competitor to gentamicin and greatly higher than penicillin which showed weak or no effect. Conclusion: The results of current investigation support the folk medicine application of this plant against different microbial ailments and suggest it as a promising source for new antibacterial agents. PMID:27104041

  1. Plans for first oil production revived in two Sudanese fields

    International Nuclear Information System (INIS)

    Anon.

    1993-01-01

    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

  2. Successful Adaptation among Sudanese Unaccompanied Minors: Perspectives of Youth and Foster Parents

    Science.gov (United States)

    Luster, Tom; Qin, Desiree; Bates, Laura; Rana, Meenal; Lee, Jung Ah

    2010-01-01

    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…

  3. HIV/AIDS knowledge and condom use among Somali and Sudanese immigrants in Denmark

    DEFF Research Database (Denmark)

    Lazarus, Jeff; Himedan, Himedan Mohammed; Østergaard, Lise Rosendal

    2006-01-01

    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....

  4. Speech intelligibility problems of Sudanese learners of English : an experimental approach

    NARCIS (Netherlands)

    Tajeldin Ali, Ezzeldin Mahmoud

    2011-01-01

    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)

  5. Concentration of some radionuclides in some popular sudanese medicinal plants

    International Nuclear Information System (INIS)

    Sagiroun, M. I. A.

    2012-10-01

    In this study was measured concentration of naturally occurring radionuclides 2 38U , 2 32T h and 4 0K in samples of sudanese medicinal plants. The radionuclide activity concentrations in samples analyzed ranged from 4.09 to 41.07 Bq kg -1 for 2 38T h and from 353.14 to 2270.21 Bq kg -1 for 4 0k . 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)

  6. Lengths and Positions of the Vermiform Appendix among Sudanese Cadavers

    Directory of Open Access Journals (Sweden)

    Ehab I. El-Amin

    2015-08-01

    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.

  7. Setting the media agenda: A study of the 2010 Sudanese presidential elections

    Directory of Open Access Journals (Sweden)

    Syed Arabi Idid

    2015-06-01

    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.

  8. Good sleep quality is associated with better academic performance among Sudanese medical students

    OpenAIRE

    Mirghani, Hyder Osman; Mohammed, Osama Salih; Almurtadha, Yahia Mohamed; Ahmed, Moneir Siddig

    2015-01-01

    Background There is increasing awareness about the association of sleep quality and academic achievement among university students. However, the relationship between sleep quality and academic performance has not been examined in Sudan; this study assessed the relationship between sleep quality and academic performance among Sudanese medical students. Methods A case?control study was conducted among 165 male and female medical students at two Sudanese universities. Excellent (A) and pass (C) ...

  9. Estimation of stature using lower limb measurements in Sudanese Arabs.

    Science.gov (United States)

    Ahmed, Altayeb Abdalla

    2013-07-01

    The estimation of stature from body parts is one of the most vital parts of personal identification in medico-legal autopsies, especially when mutilated and amputated limbs or body parts are found. The aim of this study was to assess the reliability and accuracy of using lower limb measurements for stature estimations. The stature, tibial length, bimalleolar breadth, foot length and foot breadth of 160 right-handed Sudanese Arab subjects, 80 men and 80 women (25-30 years old), were measured. The reliability of measurement acquisition was tested prior to the primary data collection. The data were analysed using basic univariate analysis and linear and multiple regression analyses. The results showed acceptable standards of measurement errors and reliability. Sex differences were significant for all of the measurements. There was a positive correlation coefficient between lower-limb dimensions and stature (P-value Arabs. Copyright © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  10. Chemical constituents of selected Sudanese medicinal and aromatic plants

    International Nuclear Information System (INIS)

    Burham, B.O.

    2007-11-01

    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 R f 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

  11. Chemical constituents of selected Sudanese medicinal and aromatic plants

    Energy Technology Data Exchange (ETDEWEB)

    Burham, B O [Atomic Energy Researches Coordination Council, Sudan Academy of Sciences, Khartoum (Sudan)

    2007-11-15

    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 R{sub f} 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

  12. A compiled checklist of seaweeds of Sudanese Red Sea coast

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    Nahid Abdel Rahim Osman

    2016-02-01

    Full Text Available 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.

  13. Comparison level of thyroid and thyroid related hormones between sudanese males and females

    International Nuclear Information System (INIS)

    Madani, H.; Hassan, AME.; Basama, N. K.; Mohamed, W.A.S.; Eltayeb, N. H.; Elsayed, B. B.

    2012-12-01

    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 (T 4 ) and Tri-iodo-thyronine (T 3 ). 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 (T 4 ), tri iodine thyronine (T 3 ) 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)

  14. Health Information in Sudanese (Arabic dialect) (سودانية عربية)

    Science.gov (United States)

    ... Suicide - سودانية عربية (Sudanese (Arabic dialect)) MP3 ... Karen Chemical Dependency Taskforce of Minnesota Mood Disorders What Is Mental Distress - سودانية عربية (Sudanese (Arabic ...

  15. When Two Elephants Fight the Grass Suffers: Parents and Teachers Working Together to Support the Literacy Development of Sudanese Youth

    Science.gov (United States)

    Walker-Dalhouse, Doris; Dalhouse, A. Derick

    2009-01-01

    Reading achievement and academic challenges of Sudanese children were investigated. Sudanese parents, and their children, and English as a Second Language (ESL) teachers were interviewed. Parents' and children's interviews were transcribed and four themes were generated from the data: Cultural Differences/Practices; Parent roles and expectations;…

  16. Sex Prediction using Foramen Magnum and Occipital Condyles Computed Tomography Measurements in Sudanese Population

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    Usama Mohamed El-Barrany

    2016-12-01

    Full Text Available Sex determination is important in establishing the identity of an individual. The foramen magnum is an important landmark of the skull base. The present research aimed to study the value of foramen magnum measurements to determine sex using computed tomography (CT among Sudanese individuals. Foramen magnum CT scans of 400 Sudanese individuals (200 males and 200 females aged 18 - 83 years were included in this study. Foramen magnum (length and width, right occipital condyle (length and width, left occipital condyle (length and width, minimum intercondylar distance, maximum bicondylar distance and maximum medial intercondylar distance were measured. All data were subjected to discriminant functions analysis. All nine measurements were significantly higher in males than females. Among these measurements, the right condyle length, minimum intercondylar distance, and foramen magnum width were able to determine sex in Sudanese individuals with an accuracy rate of 83 %.

  17. Writing from Inside Out: Accounts of Sudanese Women Working In the Media

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    Saadia Izzeldin Malik

    2013-06-01

    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”.

  18. Assessment of Plasma Cystatin C among Sudanese Patients with ...

    African Journals Online (AJOL)

    Background: Cystatin C is mainly used as a biomarker of kidney function. It is freely filtered by glomerulus, and does not return to the blood stream or secreted by renal tubules. It has been suggested to be closer to the “ideal” endogenous marker. Objectives: To assess the plasma levels of cystatin c, creatinine clearance, ...

  19. Deranged liver among Sudanese patients with dengue virus ...

    African Journals Online (AJOL)

    Background: Deranged liver is a well-recognized feature of dengue infection, often demonstrated by coagulopathy and mild to moderate increase in transaminase levels although jaundice and fulminant hepatic failure are generally uncommon. Objective: This study aimed to evaluate the hepatic effect of dengue fever ...

  20. Patterns of pelvic and acetabular injury among Sudanese patients ...

    African Journals Online (AJOL)

    , S Idris. Abstract. Background: Most of major pelvic fractures result from very high energy trauma and require urgent hospital treatment. However more minor, stable fractures may only require a period of rest and analgesia followed by gradual ...

  1. The psychological impact of vitiligo in adult Sudanese patients ...

    African Journals Online (AJOL)

    Objective: Vitiligo is a chronic skin disease that causes loss of pigment, resulting in irregular pale patches of skin. The disease has profound psychological consequences. These effects range from mild embarrassment to a severe loss of self-confidence and social anxiety, especially for those who have lesions on exposed ...

  2. Thyroid Dysfunctions in Sudanese Patients with Vitiligo | Osman ...

    African Journals Online (AJOL)

    Introduction: Vitiligo is a chronic acquired skin condition that causes loss of pigment, resulting in irregular pale patches of skin. The precise cause of vitiligo is not fully understood. The autoimmune base of the disease is supported by the frequent observation that several autoimmune disorders, particularly thyroid diseases ...

  3. Factors influencing Sudanese microfinance intention to adopt mobile banking

    Directory of Open Access Journals (Sweden)

    Anwar Ammar

    2016-12-01

    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.

  4. Rationalizing Oral Corrective Feedback in Sudanese EFL Classrooms

    Directory of Open Access Journals (Sweden)

    Bashir Abuelnour Elbashir Hussein

    2014-05-01

    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.

  5. FOREIGN LANGUAGE TEACHING IN SUDANESE UNIVERSITIES: GOALS, ATTITUDES, AND REALITY

    Directory of Open Access Journals (Sweden)

    Abdel Rahim Hamid Mugaddam

    2012-07-01

    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.

  6. Radium - 226 levels in some sudanese plants and soils

    International Nuclear Information System (INIS)

    Sam, A.K.

    1993-01-01

    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

  7. In Transit/ion: Sudanese Students' Resettlement, Pedagogy and Material Conditions

    Science.gov (United States)

    Harris, Anne

    2013-01-01

    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…

  8. Islands of Education: Schooling, Civil War and the Southern Sudanese (1983-2004)

    Science.gov (United States)

    Sommers, Marc

    2005-01-01

    Victims of warfare, famine, slavery, and isolation, the Southern Sudanese are one of the most undereducated populations in the world. Since the inception of formal education in southern Sudan a century ago, schooling has largely consisted of island-like entities surrounded by oceans of educational emptiness. Islands of Education is the first book…

  9. Gendered Barriers to Educational Opportunities: Resettlement of Sudanese Refugees in Australia

    Science.gov (United States)

    Hatoss, Aniko; Huijser, Henk

    2010-01-01

    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…

  10. Topological variability and sex differences in fingerprint ridge density in a sample of the Sudanese population.

    Science.gov (United States)

    Ahmed, Altayeb Abdalla; Osman, Samah

    2016-08-01

    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 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. Copyright © 2016 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  11. Childhood Problems in a Sudanese City: A Comparison of Extended and Nuclear Families.

    Science.gov (United States)

    Al Awad, Ahmed M. El Hassan; Sonuga-Barke, Edmund J. S.

    1992-01-01

    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)

  12. Metabolic control targets in Sudanese adults with type 1 diabetes: A population-based study

    Directory of Open Access Journals (Sweden)

    Ahmed O Almobarak

    2017-01-01

    Full Text Available Background: Type 1 diabetes is a challenging metabolic disorder for health authorities in Sudan. The objective of this study was to assess the level of glycemic control and to determine the prevalence of dyslipidemia and complications among individuals with type 1 diabetes in Sudan. Materials and Methods: Individuals with type 1 diabetes, who were having the disease for at least 1 year, were invited to participate in this study. Data were collected from two diabetes centers, in the Capital Khartoum and Atbara City, North of Sudan. Participants were interviewed using standardized pretested questionnaire to record medical history, sociodemographic data, and life style characteristics. Blood pressure, body mass index, and waist circumference were measured. Blood samples were taken for measurement of lipid profile and glycosylated hemoglobin. Results: A total of eighty individuals with type 1 diabetes volunteered to participate in this study, 37.5% of males and 62.5% of females. Majority of the patients were aged between 40 and 70 years old. There was poor glycemic control (glycosylated hemoglobin> 7%, in 83.8%. Age and sex were significant factors associated with poor glycemic control in this cohort. High cholesterol, triglyceride, and low density lipoprotein were seen in 76.2%, 27.5%, and 48.8% of participants, respectively. Low high density lipoprotein was seen in 33.8%. Hypertension was determined in 21.3%. Peripheral neuropathy, visual impairment, diabetic foot, and myocardial infarction were seen in 50%, 48.8%, 18.8%, and 2.5% of patients, respectively. Conclusion: Sudanese adults with type 1 diabetes have poor glycemic control, high prevalence of dyslipidemia, and long-term complications.

  13. Mental health literacy among refugee communities: differences between the Australian lay public and the Iraqi and Sudanese refugee communities.

    Science.gov (United States)

    May, Samantha; Rapee, Ronald M; Coello, Mariano; Momartin, Shakeh; Aroche, Jorge

    2014-05-01

    This study investigated differences in mental health knowledge and beliefs between participants from the Iraqi and Sudanese refugee communities, and Australian-born individuals, in Sydney, Australia. Ninety-seven participants were given vignettes of characters describing symptoms of major depressive disorder and posttraumatic stress. They were required to identify psychological symptoms as disorders, rate beliefs about the causes of and helpful treatments for these disorders, and rate attitude statements regarding the two characters. Australian participants recognized the presented symptoms as specific mental disorders significantly more than Iraqi and Sudanese participants did, and reported causal and treatment beliefs which were more congruent with expert beliefs as per the western medical model of mental disorder. The Sudanese group endorsed supernatural and religious causal beliefs regarding depression and posttraumatic stress symptoms most often; but both Sudanese and Iraqi participants strongly supported options from the supernatural and religious treatment items. However, evidence for pluralistic belief systems was also found. Although sampling was non-random, suggesting caution in the interpretation of results, it appears that the mental health literacy of lay Australians may be more aligned with the western medical model of mental disorder than that of Iraqi and Sudanese refugee communities. Mental health literacy support needs of Iraqi and Sudanese refugee communities resettled in western countries such as Australia might include education about specific symptoms and causes of mental disorder and the effectiveness of psychiatric treatments. These findings provide useful directions for the promotion of optimal service utilization among such communities.

  14. Chemical composition, antioxidant capacity, and mineral extractability of Sudanese date palm (Phoenix dactylifera L.) fruits

    Science.gov (United States)

    Mohamed, Rania M A; Fageer, Aisha S M; Eltayeb, Mohamed M; Mohamed Ahmed, Isam A

    2014-01-01

    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 varieties contained significantly varied (P 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

  15. Reinventing the political role of health professionals in conflict prevention & reconciliation: the Sudanese model.

    Science.gov (United States)

    Salih, Alaaddin M; Ahmed, Jasim M; Mohamed, Jamal F; Alfaki, Musaab M

    2016-01-01

    Given the persistent recurrence of armed conflict, influential actors owe it to the affected communities to take action. The legitimacy of health professionals to mitigate the effects of conflict relates to their ability to save lives and address the physical and mental consequences of armed conflict during which thousands of lives may be lost. Medical professionals have unique and potentially far-reaching skills. These become crucial during wartime and disasters in terms of providing medical services and humanitarian aid. However, they are insufficiently used in one area: involvement in politics as a tool to foster peace. Despite this, Sudanese individuals from medical backgrounds have participated actively in conflict resolution and peace-building processes. In fact, their political actions throughout the last six decades have aimed to prevent conflict at four different levels, which are described by Yusuf et al. in their article on the political involvement of health professionals in prevention. Their stand against President Nimeiri's Sharia laws was primordial prevention of religious conflict at the national level. Their leading role in the second Sudanese Intifada uprising was a key factor in saving the country from civil war, and another example of primary prevention. Sudanese physicians were also involved in secondary prevention by being influentially involved in almost all national peace agreements. Avoiding disputes at the tertiary level represents the weakest link in their repeated efforts. This paper outlines the different roles Sudanese medical personnel have taken in peacemaking. It also critically evaluates them in order to consider new methods of political involvement that suit future challenges.

  16. Cytological changes in oral epithelium due to Sudanese homemade alcoholic beverages

    OpenAIRE

    Awdah M. Al-hazimi; Shima Bushra Bakhet; Hussain Gadelkarim Ahmed

    2013-01-01

    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,...

  17. Frequency of ABO, subgroup ABO and Rh(D) blood groups in major sudanese ethnic groups

    International Nuclear Information System (INIS)

    Hassan, F.M.

    2010-01-01

    Background: There are differences in the distribution of ABO, sub group A BO and Rh(D) blood groups in different populations of the world. Relatively little information is available about blood group distributions in Sudanese population. To see the frequency of ABO, subgroup ABO and Rh(D) blood groups in major Sudanese ethnic groups(Danagla Shaygia and Gaaleen). Blood testing for ABO, subgroup ABO and Rh(D) typing was done over six months, in 300 unrelated individuals, from both genders. Blood samples were collected from students of the college of medical laboratory science - Sudan University of Science and Technology using finger prick method and following routine slide method. Blood group 'O' was the most predominant ( 52.7%) in both Rh positive and negative subjects followed by blood group A, B and AB. Majority (98.0%)o f the subjects were Rh(D) positive and only 2% were Rh negative. The predominant subgroup of ABO was A2 (14.1% ). The frequency of ABO blood groups in both Rh positive and negative subjects among the major Sudanese ethnic group was similar to that reported from neighbouring regions. (author)

  18. The role of nuclear medicine diagnostic technology in prediction of prostate carcinoma in Sudanese individuals

    International Nuclear Information System (INIS)

    Auhamed, H. S. H.

    2011-03-01

    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

  19. Navigating a strange and complex environment: experiences of Sudanese refugee women using a new nutrition resource

    Directory of Open Access Journals (Sweden)

    Mannion CA

    2014-04-01

    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

  20. Presence of plaque, gingivitis and caries in Sudanese children with congenital heart defects.

    Science.gov (United States)

    Ali, Hiba Mohamed; Mustafa, Manal; Hasabalrasol, Siham; Elshazali, Osama Hafiz; Nasir, Elwalid Fadul; Ali, Raouf Wahab; Berggreen, Ellen; Skeie, Marit Slåttelid

    2017-05-01

    The objective of this study is to assess the presence of plaque, gingivitis, and caries in a group of Sudanese children with congenital heart defects CHDs (cases) and compare them to children without CHDs (controls). This analytical cross-sectional study included cases (N = 111, with a mean age of 7.2 ± 3.0 years) and controls (N = 182, with a mean age of 7.2 ± 2.8 years) from Khartoum, Sudan. Examinations were done by two calibrated dentists using plaque index, gingival index, and WHO (World Health Organization) caries diagnostic criteria (dmft/DMFT index: decayed, missing, and filled teeth). Children with CHDs (cases) had statistically significantly higher mean number of sites with plaque and gingivitis than children without CHDs (controls), although almost all children experienced plaque. Cases also experienced significantly higher mean dmft/DMFT than controls (age group 1, 3-7 years: 3.7 vs 2.3 and age group 2, 8-12 years: 1.3 vs 0.6). The Significant Caries Indices in cases (age groups 1 and 2) were also significantly higher than among controls (SiC 8.2 vs 5.9 and 1.8 vs 0.8, respectively). Fillings were totally lacking among cases and scarce among controls. The findings clearly showed that this group of Sudanese children with CHDs was more severely affected with gingivitis and caries than the control group without CHDs. These results are cause for concern in children at risk of developing systemic infections and serious complications related to poor oral health. These findings provide important baseline data for planning appropriate dental preventive strategies for Sudanese children with CHDs.

  1. Preliminary sequence stratigraphy and tectonic evolution of the Tokar Delta, (Southern Sudanese Red Sea)

    OpenAIRE

    Yagoub, Abbas Musa

    2007-01-01

    The study area comprises about 2500sq.Kms. From the seismic data acquired by the Oil Companies (Chevron 1975-76 Total 1980 and IPC 1992), thirty two seismic lines were selected Fig (2). Also synthetic seismograms of Suakin-1, Bashayer-1 A and Bashayer-2A wells are used. The stratigraphy and sedimentation of the Sudanese Red Sea can be placed into four major tectonic phases, Pre-rifting stratigraphy, Syn-Rift Pre-Salt Stratigarphy, Salt Phase and Syn-Rift Post Salt Stratigraphy. Basic conce...

  2. Contribution of Sudanese medical diaspora to the healthcare delivery system in Sudan: exploring options and barriers.

    Science.gov (United States)

    Abdalla, Fayrouz Mohammed; Omar, Maye Abu; Badr, Elsheikh Elsiddig

    2016-06-30

    Medical diaspora options, including the engagement of expatriate physicians in development efforts within their home country, are being called for to reverse the effects of brain drain from developing countries. This paper presents the results of a study exploring the potential contributions for the Sudanese Medial Diaspora Options to the healthcare delivery system (HCDS) in Sudan, focusing on the options of temporal and permanent returns and the likely obstacles faced in their implementation. This was a cross-sectional study using a mixed methods design including quantitative and qualitative approaches. For the quantitative approach, the study, which focused on the possible contribution of the diaspora to healthcare delivery in Sudan, was based on an online survey using random purposive and snowballing sampling techniques involving 153 Sudanese physicians working in Saudi Arabia and other Gulf States, the United Kingdom, the Republic of Ireland, and the United States of America. The qualitative approach involved in-depth interviews with returnee physicians and key informants in Sudan, focusing on the return experiences, the barriers for return, and the options to improve future contributions. Despite contributions of the Sudanese medical diaspora being of a small scale considering the size of the phenomenon, as well as infrequent and not appropriately organized, their inputs to academia and the links built with overseas institutions and specialist clinical services were nevertheless remarkable. The main barrier to temporal return was inappropriate organization by the local counterparts, while those for permanent return of physicians were poor work environment, insufficient financial payment, unsecured accommodation, and offspring education. The study identified short-term return as a feasible option considering the country's current conditions. Proper coordination mechanisms for short-term returns and facilitation of permanent return through stakeholders

  3. Separation from family and its impact on the mental health of Sudanese refugees in Australia: a qualitative study.

    Science.gov (United States)

    Savic, Michael; Chur-Hansen, Anna; Mahmood, Mohammad Afzal; Moore, Vivienne

    2013-08-01

    This study explored the impact of separation from family members on the mental health and wellbeing of Sudanese refugees in Australia, and the coping strategies used. In-depth interviews were conducted with Sudanese community representatives and health workers, primary and mental health care practitioners, health service managers and policy makers. Interviews were analysed using thematic analysis. Separation was perceived as having a negative impact on the mental health of Sudanese refugees in Australia, and manifested in concern about the safety of relatives abroad and in changing roles. The pressure to send money home emerged as a high priority for Sudanese refugees, often superseding local concerns. Several strategies were used to bridge the separation gap, including maintaining contact through the use of information communication technologies, and family-reunification. Separation from family can be an ongoing source of stress and sadness among refugees in countries such as Australia. While resettling refugees are actively taking steps to cope with the impact of separation, awareness of the issue in mainstream services appears to be low. Separation from family continues to affect refugees' lives in countries of resettlement. While it may be difficult to alter the course of the monumental circumstances that cause forced migration, service providers can support refugees' coping abilities by understanding these global-local intersections. © 2013 The Authors. ANZJPH © 2013 Public Health Association of Australia.

  4. Sudanese Students' Perceptions of Their Class Activities: Psychometric Properties and Measurement Invariance of My Class Activities--Arabic Language Version

    Science.gov (United States)

    Pereira, Nielsen; Bakhiet, Salaheldin Farah; Gentry, Marcia; Balhmar, Tahani Abdulrahman; Hakami, Sultan Mohammed

    2017-01-01

    This study examined the psychometric properties and measurement invariance of the Arabic version of "My Class Activities" (MCA), an instrument designed to measure students' perceptions of interest, challenge, choice, and enjoyment in classrooms. Scores of 3,516 Sudanese students in Grades 2 to 8 were used. Confirmatory factor analysis…

  5. Classroom Management Strategies to Address the Needs of Sudanese Refugee Learners: Support Document--Methodology and Literature Review

    Science.gov (United States)

    Burgoyne, Ursula; Hull, Oksana

    2007-01-01

    This document presents the methodology and literature review for the research report "Classroom Management Strategies to Address the Needs of Sudanese Refugee Learners" (ED499673), which examined the extent to which English language, literacy and numeracy teachers used classroom management strategies to meet the needs of adult Sudanese…

  6. Television, Language, and Literacy Practices in Sudanese Refugee Families: "I Learned How to Spell English on Channel 18"

    Science.gov (United States)

    Perry, Kristen H.; Moses, Annie M.

    2011-01-01

    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…

  7. A Novel Missense Mutation in SLC5A5 Gene in a Sudanese Family with Congenital Hypothyroidism.

    Science.gov (United States)

    Watanabe, Yui; Ebrhim, Reham Shareef; Abdullah, Mohamed A; Weiss, Roy E

    2018-05-15

    Thyroid hormone synthesis requires the presence of iodide. The sodium iodide symporter (NIS) is a glycoprotein which mediates the active uptake of iodide from the blood stream into the thyroid grand. NIS defects due to SLC5A5 gene mutations are known to cause congenital hypothyroidism (CH). The proposita is a 28-year-old female whose origin is the North Sudan where neonatal screening for CH is not available. She presented with severe constipation and a goiter at the age of 40 days. Laboratory testing confirmed CH and she was started on levothyroxine (L-T4). Presumably due to the delayed treatment the patient developed mental retardation. Her younger sister presented with a goiter, tongue protrusion and umbilical hernia and the youngest brother was also diagnosed with CH based on the TSH >100 µIU/mL at the age of 22 days and 8 days, respectively. Two siblings were treated with L-T4 and had normal development. Their consanguineous parents had no history of thyroid disorders. We performed whole exome sequencing (WES) on the proposita. WES identified a novel homozygous missense mutation in the SLC5A5 gene: c.1042T>G, p.Tyr348Asp, which was subsequently confirmed by Sanger sequencing. All affected children were homozygous for the same mutation and their unaffected mother was heterozygous. The NIS protein is composed of 13 transmembrane segments (TMS), an extracellular amino-terminus and an intracellular carboxyl terminus. The mutation is located in the TMS IX which has the most β-OH group-containing amino acids (serine and threonine) which is implicated in Na+ binding and translocation. In conclusion, a novel homozygous missense mutation in the SLC5A5 gene was identified in the Sudanese family with CH. The mutation is located in the TMS IX of the NIS protein which is essential for NIS function. Low iodine intake in Sudan is considered to affect severity of hypothyroidism in the patients.

  8. Intergenerational variation in sexual health attitudes and beliefs among Sudanese refugee communities in Australia.

    Science.gov (United States)

    Dean, Judith; Mitchell, Marion; Stewart, Donald; Debattista, Joseph

    2017-01-01

    The aim of this study was to develop intergenerational understanding of the factors perceived to be influencing the sexual health and wellbeing of young Sudanese refugees in Queensland, Australia. Data from 11 semi-structured, face-to-face interviews exploring sexual health knowledge, attitudes and behaviours with young people aged 16 to 24 years, and five focus groups with adults from the broader Queensland Sudanese community, were compared and contrasted. Findings indicate that sexual health-related knowledge, attitudes and beliefs, along with patterns of sexual behaviour, are changing post-resettlement and this creates considerable intergenerational discord and family conflict. Study findings provide an understanding of how the interplay between traditional cultural gender, parenting and relationship norms and perceived normative Australian beliefs and patterns of behaviour influence the construction of both young people's and their parents' attitudes to sexual health post-arrival. We suggest that sexuality education programmes adapted to the specific cultural- and age-related contexts need to be introduced early within the resettlement process for both young people and their families.

  9. Sexual health knowledge and behaviour of young Sudanese Queenslanders: a cross-sectional study.

    Science.gov (United States)

    Dean, Judith; Mitchell, Marion; Stewart, Donald; Debattista, Joseph

    2017-06-01

    Background Forced migration is associated with sexual vulnerability. However, little is known about the sexual health literacy and needs of refugee-background youth post resettlement. Conducted in partnership with the Queensland Sudanese community, this study used a cross-sectional survey to explore the sexual health knowledge, attitudes and behaviours of a convenience sample of 16- to 24-year-old Sudanese-background youth in Australia (n=229). Sexually transmissible infection (STI) and HIV knowledge scores were generally low, although they were found to significantly improve the longer participants had lived in Australia (Pbehaviour score suggests generally low levels of risk-taking behaviour. However, of the 140 sexually active participants, 3.1% reported a STI diagnosis, 9.0% reported sex leading to a pregnancy and 33.1% reported they had experienced unwanted sex. Participants also reported engaging in behaviours such as anal sex (33%) and sharing injecting drug equipment. Patterns of sexual behaviour among this predominately refugee-background group are not dissimilar to those of other young Australians. Nonetheless, the self-reported patterns of risk behaviour combined with the low and inaccurate levels of sexual health knowledge suggest this group of young people remain sexually vulnerable, particularly early within their resettlement experience. Culturally and contextually informed sexual health interventions are needed early within the resettlement experience.

  10. Trace elements content of sudanese local snuff and its agricultural soil

    International Nuclear Information System (INIS)

    Hassan, R. E.; Eltayeb, M. A.

    2003-01-01

    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)

  11. Bullous Lichen Planus in an Indian female | Puri | Sudanese Journal ...

    African Journals Online (AJOL)

    Bullous lichen planus is a rare entity. We describe bullous lichen planus in an. Indian female who had itchy erythematous papular lesions with vesicles and bullae predominantly over the dorsa of both legs. The patient was subjected to histopathological examination after which the diagnosis was confirmed. The patient was ...

  12. Essential trace elements content in a sudanese meal of cooked Hibiscus Sp. leaves as determined by both X-ray florescence and atomic absorption spectroscopy techniques

    International Nuclear Information System (INIS)

    Mohamed, S.M; Taha, M.H.

    2003-01-01

    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)

  13. Risk Factors and Outcome Associated with Polyhydramnios in Sudanese Women

    Energy Technology Data Exchange (ETDEWEB)

    Hassan, O I [Postgraduate Medical Studies Board, Faculty of Medicine, University of Khartoum, Khartoum (Sudan)

    2002-10-01

    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)

  14. Case Presentation: Regression of Kaposi's Sarcoma in a Sudanese ...

    African Journals Online (AJOL)

    Introduction: Post-transplant malignancy is an increasing problem among patients receiving solid organ transplant worldwide. It has been related to recipient morbidity and mortality. Kaposi's sarcoma (KS) is a relatively common malignancy after kidney and solid organ transplantation, accounting for the majority of ...

  15. Effect of hyperthyroidism on renal functions among Sudanese subjects

    International Nuclear Information System (INIS)

    Abdalla, O. M; Alfaki, H. M

    2016-01-01

    This study was conducted in order to investigate the effect of hyperthyroidism disorders and renal functions. This is done by determining the thyroid and the thyroid related hormones levels and by determining the concentration of urea, creatinine, uric acid and the level of serum K"+ and Na"+ in the study and control groups. This study was conducted on thirty two patients with hyperthyroidism from the radiation and Isotopes Center in Khartoum(RICK) and 39 healthy subjects were studied as controls. The patients samples showed lower mean value of creatinine compared to the control group. However, these values were within the normal range(0.5-.085 mg/dl), while the mean value of Na"+ concentration was 161±9.4 mEq/L (normal range 135-145 mEq/L); the median was 157 mEq/L(ragging-181 mEq/L). In comparison between thyroid and the kidney functions parameters of the control group and the groups with hyperthyroidism, it was observed that there was a pronounced difference in the T4 concentration (p-value<0.05). This change was accompanied by a significant difference between these groups in the TSH concentrations. According to the statistical analysis, there were significant differences between the control group and the hyperthyroidism group, in the Na, creatinine and urea concentrations while there were no differences in the K"+ and uric acid concentrations. In the control group there are negative correlations between the T3 and Na on one hand and the T4 and urea concentrations on the other hand. The TSH showed positive correlation with Na"+ and K"+.Similarly, significant positive correlations were observed between the K"+,urea and Na"+ concentration. The test group showed only significant correlation between the T4 and T3.(Author)

  16. Plutonium isotopes in sediments from the Sudanese coast of the Red Sea

    International Nuclear Information System (INIS)

    Khatir Sam, A.; Ahamed, M.M.O.; El Khangi, F.; Roos, P.

    2000-01-01

    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: 238 Pu, 4.7-28.6 mBq/kg; 239+240 Pu, 53-343 mBq/kg dry weight. The average activity ratios of 238 Pu/ 239+240 Pu (0.075 ± 0.045 mBqk/kg) and 239+240 Pu/ 137 Cs (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, 239/240 Pu/ 137 Cs ratio in sediments collected from the biologically rich fringing reef is an order of magnitude higher compared to other sampling locations. (author)

  17. Statistical study on the thyroid disorders on Sudanese female undergoing in vitro investigations in Khartoum state

    International Nuclear Information System (INIS)

    Albaba, O. S. A.

    2002-10-01

    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)

  18. Sexual and reproductive health communication among Sudanese and Eritrean women: an exploratory study from Brisbane, Australia.

    Science.gov (United States)

    Rogers, Claire; Earnest, Jaya

    2015-01-01

    This exploratory study piloted in Brisbane, Australia, reports on findings from in-depth focus-group discussions conducted with Sudanese and Eritrean women in Brisbane. We investigated and documented their experiences and knowledge of sexual and reproductive health and contraception, and explored their views on sexuality and relationships education within the family environment of minority ethnic communities in Australia. Underpinned by a qualitative psychosocial framework, the study also involved key-informant interviews with health and multicultural not-for-profit sector professionals. Through the knowledge and experiences shared by the participants, the key themes of cultural insensitivity, exclusion and poor communication within the family were highlighted by participants as determining factors in the achievement of sexual and reproductive health and good quality sex and relationships education. Participants proposed recommendations for how minority ethnic communities in Australia can more effectively support and communicate within the family environment to increase their own and their children's knowledge and understanding.

  19. Estimation of sex from the anthropometric ear measurements of a Sudanese population.

    Science.gov (United States)

    Ahmed, Altayeb Abdalla; Omer, Nosyba

    2015-09-01

    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. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  20. Knowledge, Attitudes and Practices of Sudanese Women Regarding the Pap Smear Test and Cervical Cancer.

    Science.gov (United States)

    Almobarak, Ahmed O; Elbadawi, Ayman A; Elmadhoun, Wadie M; Elhoweris, Mohammed H; Ahmed, Mohammed H

    2016-01-01

    Despite the established role of the Pap smear test (PST) in prevention and early detection of cervical cancer, it is still rarely practiced in Sudan. Many challenges hinder the establishment of an effective cervical cancer screening program, including socio-cultural factors. Therefore, this study aimed to investigate the knowledge, attitudes and practices (KAP) of Sudanese women with regard to the Pap smear test and cervical cancer. A total of 500 married women aged 14 to 58 years were recruited from obstetric clinics, hospitals and universities in Khartoum in 2014. Data were collected using a standardized, pretested questionnaire that inquired socio-demographic characteristics and their KAP about cervical cancer and the PST. More than 52% of participating women were above 30 years of age, and the majority (78.8%) were university degree holders. A total of 486 (97.2 %) of participants were resident in urban areas of Khartoum State. However about 48% of the respondents had never heard about PST, and only 15.8% of the participants had undergone a Pap smear test previously; 46.6% (233/500) knew that the human papilloma virus (HPV) was the causative agent, but only 39.2% (196/500) had heard about HPV vaccination, and only 11.4% (57/500) had received the vaccine. However 68% of the respondents agreed to do Pap smear if properly informed about the test and 75.4% of the respondents agreed to participate in a cervical cancer screening program. Despite a high educational level, less than half of our participants had accurate knowledge about cervical cancer, HPV, and cervical cancer screening. Health education about cervical cancer, HPV and sexually transmitted infections and the role of PST in cervical cancer prevention are crucial when designing interventions aimed at improving cervical cancer screening for Sudanese women.

  1. Good sleep quality is associated with better academic performance among Sudanese medical students.

    Science.gov (United States)

    Mirghani, Hyder Osman; Mohammed, Osama Salih; Almurtadha, Yahia Mohamed; Ahmed, Moneir Siddig

    2015-11-23

    There is increasing awareness about the association of sleep quality and academic achievement among university students. However, the relationship between sleep quality and academic performance has not been examined in Sudan; this study assessed the relationship between sleep quality and academic performance among Sudanese medical students. A case-control study was conducted among 165 male and female medical students at two Sudanese universities. Excellent (A) and pass (C) academic groups were invited to respond to a self-administered questionnaire, using the Pittsburgh Sleep Quality Index (PSQI). Students also completed a diary detailing their sleep habits for 2 weeks prior to filling out the questionnaire. Various parameters of sleep quality were then compared between the two groups. A significant difference (p sleep quality, subjective sleep rating, bedtime later than midnight, sleep latency, and daytime dysfunction (during driving, preparing a meal, etc.). No differences were found between groups for the use of sleep medications. The mean sleeping hours was (7 ± 1.9) and (6.3 ± 1.9) for the excellent and pass groups respectively (p < 0.05). A significant difference (p < 0.001) between the excellent and average groups was found for weekday and weekend bedtime, weekend wake-up time, and weekend wake-up delay. No differences were found between groups for the weekday's wake- up time, and bedtime delay during weekends. Besides, snoring was present in 9.2 % of the excellent group versus 28 % in pass group (p < 0.005).

  2. Women and mass media: a critical and analytical study of the portrayal of Sudanese women in printed media.

    Science.gov (United States)

    Badri, A E; Osama, S

    1995-06-01

    This study examines how Sudanese women are portrayed in the mass media. Data are obtained from a content analysis of historical records of Sudanese daily newspapers and women's magazines and from surveys among female editors in print media. The following types of newspapers are reviewed: independent newspapers; papers for the Al-Umma Party, a communist party, a Bathist party, a Muslim Nationalist Islamic Front Party, and a National Union Democratic Party; and a current military government paper. Women's magazines are published by women. Articles focus on women as the main newsmakers, women's life issues, female authors, a female focus but a male author, and famous Sudanese women. 16 content themes are identified. Women were not extensively featured or photographed in either newspapers or magazines. The Al-Umma Party paper and Al-Sudan Al-Hadith paper (an independent paper) were the only two newspapers with at least 10 photos of women. Women were pictured as professionals, educated persons, and leaders. There were 17 female editors. These editors preferred an image of women as leaders, followed by productive workers. Only 11.76% believed that women's dual roles as producers and reproducers should be portrayed. Female editors did not want a special women's page. 52.94% (the largest percentage) preferred targeting women with substantial leadership abilities. 17.65% desired the portrayal of women as workers and housewives. 58.82% did not think that the mass media image changed behavior or attitudes, because most Sudanese women are illiterate. Women's issues in both newspapers and women's magazines were devoted to women's work, achievements, and needs. The authors recommend removal of obstacles to women's equal participation in the mass media and press and research on the effect of media images on women's self-perception and behavior.

  3. Biochemical studies on gestational diabetes mellitus and impaired glucose tolerance in Sudanese pregnant women

    International Nuclear Information System (INIS)

    Shalayel, Mohammed Helmy Faris

    1998-01-01

    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

  4. Modelling malaria incidence with environmental dependency in a locality of Sudanese savannah area, Mali.

    Science.gov (United States)

    Gaudart, Jean; Touré, Ousmane; Dessay, Nadine; Dicko, A Lassane; Ranque, Stéphane; Forest, Loic; Demongeot, Jacques; Doumbo, Ogobara K

    2009-04-10

    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. 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. 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 predicted. The error parameters have shown the smallest

  5. Modelling malaria incidence with environmental dependency in a locality of Sudanese savannah area, Mali

    Directory of Open Access Journals (Sweden)

    Demongeot Jacques

    2009-04-01

    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

  6. Modelling malaria incidence with environmental dependency in a locality of Sudanese savannah area, Mali

    Science.gov (United States)

    Gaudart, Jean; Touré, Ousmane; Dessay, Nadine; Dicko, A lassane; Ranque, Stéphane; Forest, Loic; Demongeot, Jacques; Doumbo, Ogobara K

    2009-01-01

    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 predicted. The error

  7. Comparison between INAA and ICP-OES: analysis of Sudanese medicinal plants

    International Nuclear Information System (INIS)

    Sheikhaldin, Elsadig Abdelmoniem

    2014-07-01

    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 (R 2 ) 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)

  8. Evaluation of some chemical and physical parameters of Sudanese crude oil

    International Nuclear Information System (INIS)

    Mohamed, Elsamoual Hamdn Alla

    2001-05-01

    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)

  9. Bioactive Natural Products from Two Sudanese Medicinal Plants Diospyros mespiliformis and Croton zambesicus

    Directory of Open Access Journals (Sweden)

    Ietidal E. Mohamed

    2009-10-01

    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.

  10. Factors associated with tooth loss and prosthodontic status among Sudanese adults.

    Science.gov (United States)

    Khalifa, Nadia; Allen, Patrick F; Abu-bakr, Neamat H; Abdel-Rahman, Manar E

    2012-01-01

    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 teeth was associated with age, gender, and socioeconomic status; tooth loss due to caries was associated with age, tribe, frequency of tooth-brushing, and a low 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.

  11. Identification and safety evaluation of Bacillus species occurring in high numbers during spontaneous fermentations to produce Gergoush, a traditional Sudanese bread snack

    DEFF Research Database (Denmark)

    Thorsen, Line; Abdelgadir, Warda S.; Rønsbo, Mie Hvillum

    2011-01-01

    Gergoush is a naturally fermented Sudanese Bread snack produced in three fermentation steps (primary starter, adapted starter and final dough), followed by three baking steps for a half to one hour at above 200°C. This study examines the microbiota of two sets of fermentations performed at a trad......Gergoush is a naturally fermented Sudanese Bread snack produced in three fermentation steps (primary starter, adapted starter and final dough), followed by three baking steps for a half to one hour at above 200°C. This study examines the microbiota of two sets of fermentations performed...

  12. Women’s Equal Rights and Islam in Sudanese Republican Thought: A Translation of Three Family Law Booklets from 1975, Produced and Circulated by the Republican Sisters

    OpenAIRE

    al-Nagar, Samia; Tønnessen, Liv; Taha, Asma Mahmoud Muhammed

    2015-01-01

    This paper includes a translation of three booklets produced by the Sudanese Republican Sisters in commemoration of International Women’s Day in 1975: (i) Women Rights in the Constitution and under Sudanese Sharia Laws , (i) Divorce Is Not an Original Precept in Islam , and (iii) Polygamy Is Not a Principle of Islam. The booklets give insights into radical views on women’s equal rights in Islam long before the term “Islamic feminism” started to circulate. The booklets tackle contested iss...

  13. Effects of oral contraceptives on the thyroid function in Sudanese females

    International Nuclear Information System (INIS)

    Mohammed Khier, L. A.

    2005-03-01

    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 (T 4 ), triiodothyronine (T 3 ), free thyroxine (FT 4 ) and free triiodothyronine (FT 3 ) 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 T 4 in group 3 was significantly higher (P 4 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)

  14. Anti-caries activity of selected Sudanese medicinal plants with emphasis on Terminalia laxiflora

    Directory of Open Access Journals (Sweden)

    Ebtihal Abdalla M. Mohieldin

    Full Text Available Abstract In Sudan, some medicinal plants, such as Acacia seyal, Calotropis procera and Balanites aegyptiaca have been used to prevent or treat oral health problems. The stem and stem bark of Terminalia laxiflora Engl., Combretaceae, are used as antiseptics for mouthwash to prevent gingivitis and thrush in Africa. Methanol and 50% hydroethanolic extracts of 25 plants that are used in traditional Sudanese medicine for several diseases and cavity disorders were screened for anti-cavity activities. T. laxiflora methanolic wood extracts, which exhibited such activity, were investigated. The crude extracts were assayed for their antimicrobial activities against Streptococcus sobrinus in terms of minimum inhibitory concentration and glucosyltransferase inhibition. The active extract of T. laxiflora wood was subsequently fractionated by different chromatographic techniques. Isolated compounds were identified by spectroscopic methods and assessed for S. sobrinus and glucosyltransferase inhibitory effects. Methanolic extracts of Terminalia brownii (bark, T. laxiflora (wood, A. seyal (bark, Persicaria glabra (leaves and Tamarix nilotica (stem showed good activities against both S. sobrinus and glucosyltransferase (MIC ≤ 1 mg/ml, IC50 values <50 µg/ml. Over all plant extracts, T. laxiflora demonstrated the good combined activities (MIC 0.5 mg/ml, glucosyltransferase, IC50 10.3 µg/ml; therefore, its methanolic wood extracts were selected for further phytochemical studies. Four constituents were isolated by chromatographic techniques and identified by spectroscopic techniques. Pharmacological evaluation of the obtained compounds showed that flavogallonic acid dilactone had comparatively good antibacterial activity. In the glucosyltransferase inhibitory test, terchebulin displayed potent activity with an IC50 of 7.5 µM. The screening presented in this study showed that methanol extracts of T. laxiflora wood possessed promising anti-cavity effects.

  15. Antimicrobial and phyto chemical investigations of Veronia Amygdalina and other sudanese medicinal plants

    International Nuclear Information System (INIS)

    Almagboul, A.Z.; Bashir, A. K.; Salih, A. Karim M.; Khalid, S. A.; Farouk, A.

    1994-01-01

    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)

  16. Creating a Bridge of Understanding between Two Worlds: Community-Based Collaborative-Action Research with Sudanese Refugee Women.

    Science.gov (United States)

    Baird, Martha B; Domian, Elaine Williams; Mulcahy, Ellyn R; Mabior, Rebecca; Jemutai-Tanui, Gladys; Filippi, Melissa K

    2015-01-01

    To explore the process of partnership between university researchers, students, and South Sudanese refugee women to address the health challenges associated with their resettlement transition to the United States. This qualitative study used a community-based collaborative action research (CBCAR) framework in the design, collection, and analysis of the qualitative data. Twenty refugee women participated in this study. Five health education seminars followed by an audio-recorded focus group were held over 9 months. A final focus group was held to confirm derived themes and develop an action plan. The partnership between the refugee women and researchers resulted in awareness of how power structures and differing expectations affected the process. The dialog in the focus groups provided an opportunity for refugee women to voice challenges to their health in resettlement. A pattern was recognized about how political and sociocultural events affected the process of CBCAR. Dialog and sharing differing worldviews and perspectives led to insights about ways to improve the health of the South Sudanese refugee community. CBCAR is a useful framework to address health concerns of a refugee community. Insights from this study provided a foundation for a future intervention research project with the refugee women. © 2015 Wiley Periodicals, Inc.

  17. Value versus Accuracy: application of seasonal forecasts to a hydro-economic optimization model for the Sudanese Blue Nile

    Science.gov (United States)

    Satti, S.; Zaitchik, B. F.; Siddiqui, S.; Badr, H. S.; Shukla, S.; Peters-Lidard, C. D.

    2015-12-01

    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.

  18. Evaluation of the major and minor nutrients in some Sudanese food items

    International Nuclear Information System (INIS)

    Ahmed, Abdelbagi Nasir

    1998-11-01

    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

  19. Attitudes and perceptions of Sudanese high-school students and their parents towards spectacle wear

    Directory of Open Access Journals (Sweden)

    Saif H. Alrasheed

    2018-04-01

    Full Text Available Background: Uncorrected refractive error is a major cause of avoidable vision impairment and may have significant impact on social life, education and economic prospects of people. This condition could be easily treated by wearing spectacles, but because of attitudes and misconceptions of some communities towards spectacle wear and eye care, such methods are underutilised. Aim: To assess the attitudes and perceptions of Sudanese high-school students and their parents towards spectacle wear. Setting: The study was conducted in eight randomly selected high schools from the South Darfur state of Sudan. Methods: A cross-sectional school-based study comprising 387 high-school students with age ranging from 12 to 17 years together with 47 students’ parents with age ranging from 32 to 52 years. Quantitative and qualitative methods were used to collect data from eight high schools. Semi-structured questionnaires were distributed to collect the quantitative data, and seven focus group meetings were held in the schools with students’ parents to derive the qualitative data. Results: The findings revealed that 39%, 32% and 27.1% of the students believed that wearing spectacles affected their opportunities for education, employment and marriage, respectively. A total of 36.4% of the students believed that wearing spectacles could lead to making the eyes weaker or could damage the eyes, resulting in early blindness, and 22.5% of the respondents believed that spectacles were only for older people. In general, the perception towards spectacle wear was different between genders, with females appearing to be more vulnerable to social and psychological distress when wearing spectacles compared to males. A total of 79% of the parents were aware that wearing spectacles would improve vision if an eye doctor prescribed the spectacles. However, parents reported that the disadvantages of wearing spectacles were that they reduced the power of the eyes and

  20. Whole genome population genetics analysis of Sudanese goats identifies regions harboring genes associated with major traits.

    Science.gov (United States)

    Rahmatalla, Siham A; Arends, Danny; Reissmann, Monika; Said Ahmed, Ammar; Wimmers, Klaus; Reyer, Henry; Brockmann, Gudrun A

    2017-10-23

    Sudan is endowed with a variety of indigenous goat breeds which are used for meat and milk production and which are well adapted to the local environment. The aim of the present study was to determine the genetic diversity and relationship within and between the four main Sudanese breeds of Nubian, Desert, Taggar and Nilotic goats. Using the 50 K SNP chip, 24 animals of each breed were genotyped. More than 96% of high quality SNPs were polymorphic with an average minor allele frequency of 0.3. In all breeds, no significant difference between observed (0.4) and expected (0.4) heterozygosity was found and the inbreeding coefficients (F IS ) did not differ from zero. F st coefficients for the genetic distance between breeds also did not significantly deviate from zero. In addition, the analysis of molecular variance revealed that 93% of the total variance in the examined population can be explained by differences among individuals, while only 7% result from differences between the breeds. These findings provide evidence for high genetic diversity and little inbreeding within breeds on one hand, and low diversity between breeds on the other hand. Further examinations using Nei's genetic distance and STRUCTURE analysis clustered Taggar goats distinct from the other breeds. In a principal component (PC) analysis, PC1 could separate Taggar, Nilotic and a mix of Nubian and Desert goats into three groups. The SNPs that contributed strongly to PC1 showed high F st values in Taggar goat versus the other goat breeds. PCA allowed us to identify target genomic regions which contain genes known to influence growth, development, bone formation and the immune system. The information on the genetic variability and diversity in this study confirmed that Taggar goat is genetically different from the other goat breeds in Sudan. The SNPs identified by the first principal components show high F st values in Taggar goat and allowed to identify candidate genes which can be used in the

  1. Marine algae as biomonitors for heavy metals accumulation at the Red Sea Sudanese coast

    International Nuclear Information System (INIS)

    Ali, A.Y.A.

    2007-09-01

    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

  2. Marine algae as biomonitors for heavy metals accumulation at the Red Sea Sudanese coast

    Energy Technology Data Exchange (ETDEWEB)

    Ali, A Y.A. [Red Sea University, Department of Chemistry, Port Sudan (Sudan)

    2007-09-15

    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

  3. Exploring the English Language Teachers’ Attitudes Towards the Use of Pedagogical Dictionaries in their Classes (Sudanese Perspective

    Directory of Open Access Journals (Sweden)

    Nauman Al-Amin Ali El-Sayed

    2014-05-01

    Full Text Available The dictionary should always be present in language education. It is the tool with which EFL teachers can effectively perform teaching tasks in their classes. Good teachers should take on the habit of consulting their dictionaries to assimilate the lexical, syntactical, phonological, morphological, etymological and more other features of one word or expression that a good dictionary can provide. This paper is investigating the attitudes of English language teachers in the use of this important teaching aid. It is an additional viewpoint from EL teachers in four Sudanese State Universities on the use of dictionary in their classes. The findings of this research might be of significance to other researchers, teachers, language learners and textbook designers; and the results may be applicable in many similar EFL environments round the globe.

  4. Trauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees.

    Science.gov (United States)

    Schweitzer, Robert; Melville, Fritha; Steel, Zachary; Lacherez, Philippe

    2006-02-01

    This paper explores the impact of pre-migration trauma, post-migration living difficulties and social support on the current mental health of 63 resettled Sudanese refugees. A semistructured interview including questionnaires assessing sociodemographic information, pre-migration trauma, anxiety, depression and posttraumatic stress, post-migration living difficulties and perceived social support were administered assisted by a bilingual community worker. Resettled refugees from Sudan evidenced a history of trauma. Less than 5% met criteria for posttraumatic stress but 25% reported clinically high levels of psychological distress. The results indicate that social support--particularly perceived social support from the migrant's ethnic community--play a significant role in predicting mental health outcomes. Pre-migration trauma, family status and gender were also associated with mental health outcomes. Refugees in Australia may constitute a particularly vulnerable group in terms of mental health outcomes. Culturally specific sequelae in terms of social isolation and acculturation may be particularly problematic for these migrants.

  5. Assessment of the Nutritional Status of Sudanese Primary School Pupils in Riyadh City, Kingdom of Saudi Arabia.

    Science.gov (United States)

    Khayri, Hiba O; Muneer, Siddig E; Ahmed, Saifeldeen B; Osman, Magdi A; Babiker, Elfadil E

    2016-02-01

    The study was conducted in Saudi Arabia to assess the nutritional status of primary school Sudanese pupils and explore its' correlates. Anthropometric measurements of 400 (200 males and 200 females) students of age 6-12 were taken. Their daily food intake was assessed using food frequency and 24 h recall method. Data about the socio-economic characteristics of the students' families was collected through personal interview using a questionnaire. The study revealed that 31 and 8.75 % of the respondents suffer from underweight and overweight, respectively. The respondents' average daily intake of calories and fiber was significantly lower than that of the DRI, while their intake of protein, carbohydrates, unsaturated fat, some vitamins and iron was significantly higher than that of the DRI (unbalanced meals). Apart from the family monthly income none of the hypothesized predictors of the respondents' nutritional status were found to be significantly correlated with the students' nutritional status indicators.

  6. Diagnosis of visceral leishmaniasis by the polymerase chain reaction using blood, bone marrow and lymph node samples from patients from the Sudan

    DEFF Research Database (Denmark)

    Andresen, K; Gasim, S; Elhassan, A M

    1997-01-01

    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...

  7. Study on fallout radioactivity in the Sudanese red sea coastal environment

    International Nuclear Information System (INIS)

    Hassona, R. K.

    2004-03-01

    The activity concentration of fallout radionuclides v.z., 238 Pu, 239+240 Pu, 241 Am, 137 Cs and 90 Sr 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 ( 238 Pu), 47.96±26.3 ( 239+240 Pu), 19.1±6.5 ( 241 Am), 273±157 ( 137 Cs) 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+240 Pu), 6.2±4.0, 11.7±6.1 and 5.1±3.5 ( 241 Am) and 688±242, 868±713 and 116±14.8( 137 Cs) for brown, red and green algae, respectively. High levels of 137 Cs 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 238 Pu, 239+240 Pu 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+240 Pu 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 210 Po 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

  8. 'We don't have to go and see a special person to solve this problem': Trauma, mental health beliefs and processes for addressing 'mental health issues' among Sudanese refugees in Australia.

    Science.gov (United States)

    Savic, Michael; Chur-Hansen, Anna; Mahmood, Mohammad Afzal; Moore, Vivienne M

    2016-02-01

    The impact of trauma on refugee mental health has been a particular focal point for research and treatment in Western contexts, despite uncertainty about the degree to which this corresponds with refugees' needs, mental health beliefs and healing mechanisms. This study explored the mental health beliefs of resettling Sudanese refugees in Australia. In-depth qualitative interviews were conducted with Sudanese community representatives and with a range of health and social work professionals who were not necessarily Sudanese. The concept of trauma was not universally considered to be salient for Sudanese refugees. Key informants, especially those in refugee-oriented services, emphasised stoicism and a desire to move forward and questioned the appropriateness of Western psychological therapies. Processes that exist within the family and the Sudanese community to deal with stressors like loss, grief and social isolation were explained. Dialogue between services and community members is needed to ensure responses to refugee mental health are sensitive to the diversity of needs and mental health beliefs of refugees. This will enable workers to ascertain how individual refugees understand their experiences of distress or sadness and to determine whether community strategies and/or professional responses are appropriate. © The Author(s) 2015.

  9. Antimalarial activity of selected Sudanese medicinal plants with emphasis to Maytenus senegalensis

    Energy Technology Data Exchange (ETDEWEB)

    Idris, Ahmed El Tahir Mohamed [Department of Biochemistry, Faculty of Medicine, University of Khartoum, Khartoum (Sudan)

    1998-03-01

    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 IC{sub 50} values {<=} 50 {mu} g/ml. While 21 extracts (57%) showed antimalrial activities with IC{sub 50} values {<=} 50 {mu} g/ml on Dd2. 13 extracts (22%) and ten extracts (18%) only showed an activity with IC{sub 50} values {<=} 5 {mu} g/ml on 3 D7 and Dd2, respectively. The activities of some plant extracts, which affected 3D7 strain, were measured using the radiolabelled ({sup 3}H) hypoxanthine method and microscopical count. 15 plant extracts (48%) from 32 showed IC{sub 50} values {<=} 50 {mu} g/ml against 3D7 strain using the radiolabelled hypoxanthine methods and only 5 extracts (16%) showed IC{sub 50} values {<=} 5 {mu} g/ml against 3D7. Most of the extracts screened had a low effect on lymphocyte proliferation (IC{sub 50} values >100 {mu} 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

  10. Antimalarial activity of selected Sudanese medicinal plants with emphasis to Maytenus senegalensis

    International Nuclear Information System (INIS)

    Idris, Ahmed El Tahir Mohamed

    1998-03-01

    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 IC 50 values ≤ 50 μ g/ml. While 21 extracts (57%) showed antimalrial activities with IC 50 values ≤ 50 μ g/ml on Dd2. 13 extracts (22%) and ten extracts (18%) only showed an activity with IC 50 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 ( 3 H) hypoxanthine method and microscopical count. 15 plant extracts (48%) from 32 showed IC 50 values ≤ 50 μ g/ml against 3D7 strain using the radiolabelled hypoxanthine methods and only 5 extracts (16%) showed IC 50 values ≤ 5 μ g/ml against 3D7. Most of the extracts screened had a low effect on lymphocyte proliferation (IC 50 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

  11. Application of Spectroscopic Techniques for the Determination of Trace Element Concentrations in some Sudanese vegetables and fruits

    International Nuclear Information System (INIS)

    Ahmed, A. N.; Ali, A. H.; Eltayeb, M. A. H.; Othman, M. M.; Taha, K. K.

    2004-01-01

    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 international data. Food samples of fruits and vegetables were collected from different localities in Sudan. The samples were then prepared and their Br, Ca, Co, Cu, Fe, Mg, Mn, P, Pb, Na, Rb, Sr, and Zn content were determined using Atomic absorption spectroscopy (AAS), X-ray fluorescence spectroscopy (XRF), flame photometry and colorimetry. Verified standards TDD-1D and Hay-9 (supplied by the IAEA) were measured using the techniques mentioned above for accuracy. 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 higher values 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 in 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. (Authors)

  12. Effect of Heat Treatment and Salt Concentration on Free Amino Acids Composition of Sudanese Braided (Muddaffara Cheese during Storage

    Directory of Open Access Journals (Sweden)

    Mohamed O. E. Altahir

    2014-07-01

    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.

  13. A Study of Correlations within the Dimensions of Lower Limb Parts for Personal Identification in a Sudanese Population

    Directory of Open Access Journals (Sweden)

    Altayeb Abdalla Ahmed

    2014-01-01

    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.

  14. A Home at the End of the World: Eritrean and Sudanese Asylum Seekers in Tel Aviv, Israel

    Directory of Open Access Journals (Sweden)

    David Clinton Wills

    2017-04-01

    Full Text Available This paper explores the ways in which national culture intersects with urban environs to produce multinational subjectivity. Specifically, this paper shows the activity of Eritrean and Sudanese asylum seekers in Tel Aviv, Israel, as particularly generative of the life world building of Southern Tel Aviv (known as Little Africa. Juxtaposing these spaces of urban life, this paper also looks at the Holot Detention Facility as a space of life as well, situating the asylum seeker along various, migratory paths towards citizenship. With the near-total recreation of African life, this paper examines the Neve Sha’anan neighborhood as supportive of the LGBT and migrant communities, evidencing the flourishing of national culture outside of traditional boundaries. Particularly, this paper looks at “The Prevention of Infiltration Law” to discuss ideas of “infiltrators” using frameworks from Foucault, Merleau-Ponty, Levinas, Jean-Luc Nancy and Achille Mbembe. Examining ideas of space, place, ethics, embodiment, law, the body, street art, border fences, architecture, and minimalism, this paper juxtaposes BLM (Black Lives Matter and BDS (Boycott, Divestment, Sanctions from a transnational perspective of world-building, asking the question of where can one call a place, home.    Keywords: Tel Aviv, Eritrea, Sudan, asylum seekers, infiltration

  15. Evaluation of natural radioactivity and heavy metals content in Sudanese phosphate rocks used as low cost fertilizer

    International Nuclear Information System (INIS)

    Elkhangi, F.A.; Aamhed, M.M.O.; Abdalla, I.A.

    1997-01-01

    This study was carried out to determine the level of natural radioactivity and heavy metals content of Sudanese rock phosphate used as low cost fertilizer. Thirty samples collected from two types of local phosphate rocks from the Nuba mountains (Uro and Kurun) were used in this study and the activity concentrations of natural radioactivity determined using gamma spectroscopy were compared to those found in samples of imported phosphorous fertilizers Single Super phosphate (SSP) and Triple Super phosphate (TSP). The results showed that the ' Ra activity concentration was 0.6 - 0.8 Bq/g for Uro and 0.3 - 0.5 Bq/g for Kurun. As for the most commonly used imported fertilizer TSP, the result was found to be greater than that of Uro (around 1.0 Bq/g). The heavy metals content of Uro and Kurun rocks measured using X-ray Fluorescence Technique showed their levels were below the toxic levels reported by Christina (1991). It is evident that the environmental hazard is comparable in the local and imported fertilizers and is acceptable in both cases by international standards. The determine factor therefore in optioning for the use of a local or an imported brand should then be the fertilizing efficiency of the brand used against other economic consideration rather than the fertilizers environmental impact

  16. The effect of maternal anthropometric characteristics and social factors on gestational age and birth weight in Sudanese newborn infants

    Directory of Open Access Journals (Sweden)

    Schmalisch Gerd

    2008-07-01

    Full Text Available Abstract Background In Africa low birth weight (LBW ( Methods In 1000 Sudanese mothers with singleton births, anthropometric measurements (weight, height, mid-arm circumference and newborn birth weight were taken within 24 hours of delivery. Furthermore, maternal education and socio-economic status were recorded. The effect of these maternal variables on gestational age and birth weight was investigated by receiver operating characteristic (ROC curves and by multivariate logistic regression analysis. Results Although maternal height was significantly correlated (p = 0.002 with gestational age, we did not find maternal characteristics of value in determining the risk for preterm birth. Birth order was the strongest determinant of birth weight compared to other maternal characteristics. The LBW rate of first born babies of 12.2% was nearly twice that of infants of multiparous mothers. Maternal age and all maternal anthropometric measurements were positively correlated (p 12 years of education. Conclusion Birth order and maternal height were found to be the most important maternal parameters which influences birth weight and the risk for LBW. The duration of maternal education and not social class was found to significantly affect the risk for LBW.

  17. The effect of maternal anthropometric characteristics and social factors on gestational age and birth weight in Sudanese newborn infants.

    Science.gov (United States)

    Elshibly, Eltahir M; Schmalisch, Gerd

    2008-07-18

    In Africa low birth weight (LBW) (birth weight. In 1000 Sudanese mothers with singleton births, anthropometric measurements (weight, height, mid-arm circumference) and newborn birth weight were taken within 24 hours of delivery. Furthermore, maternal education and socio-economic status were recorded. The effect of these maternal variables on gestational age and birth weight was investigated by receiver operating characteristic (ROC) curves and by multivariate logistic regression analysis. Although maternal height was significantly correlated (p = 0.002) with gestational age, we did not find maternal characteristics of value in determining the risk for preterm birth. Birth order was the strongest determinant of birth weight compared to other maternal characteristics. The LBW rate of first born babies of 12.2% was nearly twice that of infants of multiparous mothers. Maternal age and all maternal anthropometric measurements were positively correlated (p birth weight. A maternal height of birth weight, while the number of years of education was positively correlated with birth weight (p = 0.01). The LBW rate decreased from 9.2% for 12 years of education. Birth order and maternal height were found to be the most important maternal parameters which influences birth weight and the risk for LBW. The duration of maternal education and not social class was found to significantly affect the risk for LBW.

  18. Media Event, Racial Ramblings, or Both? An Analysis of Media Coverage of the Tamworth Council Sudanese Refugees Resettlement Case (2006

    Directory of Open Access Journals (Sweden)

    Kwamena Kwansah-Aidoo

    2015-12-01

    Full Text Available This article presents our analysis of Australian media reporting of the 2006 Tamworth City Council’s decision to refuse the resettlement of five Sudanese families in Tamworth (NSW and subsequent reversal, supposedly due to the pressure brought to bear on the council as a result of the media “hype.” The question at the core of our analyses is as follows: Did the media play a role in the over-(representation of this case as racist or was it just a case of the media reporting racism? Informed by media framing theory, we examine print media reports for patterns of presentation as well as representations of both the council and the refugees who were the focus of the reporting. We conclude that while the media played a significant role in making visible a case built on racial stereotypes, their reporting also contained racializing and paternalistic stereotyping that contribute to the reproduction of both everyday and systemic racism.

  19. Application of spectroscopic Techniques for the determination of trace element concentrations in some Sudanese vegetables and fruits

    International Nuclear Information System (INIS)

    Ahmed, A. N.; Ali, A. H.; Eltayeb, M. A. H.; Osman, M. M.; Taha, K. K.

    2004-12-01

    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)

  20. The in vitro antifungal activity of sudanese medicinal plants against Madurella mycetomatis, the eumycetoma major causative agent.

    Science.gov (United States)

    Elfadil, Hassabelrasoul; Fahal, Ahmed; Kloezen, Wendy; Ahmed, Elhadi M; van de Sande, Wendy

    2015-03-01

    Eumycetoma is a debilitating chronic inflammatory fungal infection that exists worldwide but it is endemic in many tropical and subtropical regions. The major causative organism is the fungus Madurella mycetomatis. The current treatment of eumycetoma is suboptimal and characterized by low cure rate and high recurrence rates. Hence, an alternative therapy is needed to address this. Here we determined the antifungal activity of seven Sudanese medicinal plant species against Madurella mycetomatis. Of these, only three species; Boswellia papyrifera, Acacia nubica and Nigella sativa, showed some antifungal activity against M. mycetomatis and were further studied. Crude methanol, hexane and defatted methanol extracts of these species were tested for their antifungal activity. B. papyrifera had the highest antifungal activity (MIC50 of 1 ug/ml) and it was further fractionated. The crude methanol and the soluble ethyl acetate fractions of B. papyrifera showed some antifungal activity. The Gas-Liquid-Chromatography hybrid Mass-Spectrophotometer analysis of these two fractions showed the existence of beta-amyrin, beta-amyrone, beta-Sitosterol and stigmatriene. Stigmatriene had the best antifungal activity, compared to other three phytoconstituents, with an MIC-50 of 32 μg/ml. Although the antifungal activity of the identified phytoconstituents was only limited, the antifungal activity of the complete extracts is more promising, indicating synergism. Furthermore these plant extracts are also known to have anti-inflammatory activity and can stimulate wound-healing; characteristics which might also be of great value in the development of novel therapeutic drugs for this chronic inflammatory disease. Therefore further exploration of these plant species in the treatment of mycetoma is encouraging.

  1. The in vitro antifungal activity of sudanese medicinal plants against Madurella mycetomatis, the eumycetoma major causative agent.

    Directory of Open Access Journals (Sweden)

    Hassabelrasoul Elfadil

    2015-03-01

    Full Text Available Eumycetoma is a debilitating chronic inflammatory fungal infection that exists worldwide but it is endemic in many tropical and subtropical regions. The major causative organism is the fungus Madurella mycetomatis. The current treatment of eumycetoma is suboptimal and characterized by low cure rate and high recurrence rates. Hence, an alternative therapy is needed to address this. Here we determined the antifungal activity of seven Sudanese medicinal plant species against Madurella mycetomatis. Of these, only three species; Boswellia papyrifera, Acacia nubica and Nigella sativa, showed some antifungal activity against M. mycetomatis and were further studied. Crude methanol, hexane and defatted methanol extracts of these species were tested for their antifungal activity. B. papyrifera had the highest antifungal activity (MIC50 of 1 ug/ml and it was further fractionated. The crude methanol and the soluble ethyl acetate fractions of B. papyrifera showed some antifungal activity. The Gas-Liquid-Chromatography hybrid Mass-Spectrophotometer analysis of these two fractions showed the existence of beta-amyrin, beta-amyrone, beta-Sitosterol and stigmatriene. Stigmatriene had the best antifungal activity, compared to other three phytoconstituents, with an MIC-50 of 32 μg/ml. Although the antifungal activity of the identified phytoconstituents was only limited, the antifungal activity of the complete extracts is more promising, indicating synergism. Furthermore these plant extracts are also known to have anti-inflammatory activity and can stimulate wound-healing; characteristics which might also be of great value in the development of novel therapeutic drugs for this chronic inflammatory disease. Therefore further exploration of these plant species in the treatment of mycetoma is encouraging.

  2. A study on the effect of levels of tannins on in vitro digestibility of different Sudanese varieties of sorghum grains

    International Nuclear Information System (INIS)

    Mohammed, M.A.

    2008-06-01

    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)

  3. A study on the effect of levels of tannins on in vitro digestibility of different Sudanese varieties of sorghum grains

    Energy Technology Data Exchange (ETDEWEB)

    Mohammed, M A [Animal Resources Research Council, Sudan Academy of Sciences, Khartoum (Sudan)

    2008-06-15

    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)

  4. Application of spectroscopic techniques of analysis for the determination of trace elements concentrations in some sudanese food items

    International Nuclear Information System (INIS)

    Ahmed, A. N.; Ali, A.H.; Eltayeb, M. A.; Ahmed, M.M.O

    2004-01-01

    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)

  5. Hypothyroidism as an Underlying Cause of Hyperprolactinaemia in Infertile Sudanese women

    International Nuclear Information System (INIS)

    Shabbo, N.M.I.

    2009-01-01

    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 (T 4 ), triiodothyronine (T 3 ) 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 (T 4 , T 3 ) and thyroid stimulating hormone (TSH) and prolactin. The results were as follows, remarkable elevation in T 4 and T 3 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

  6. Clinical Presentation and Treatment Outcome of Sleeping Sickness in Sudanese Pre-School Children.

    OpenAIRE

    Eperon, G; Schmid, C; Loutan, L; Chappuis, F

    2007-01-01

    BACKGROUND: Existing data on human African trypanosomiasis (HAT) due to Trypanosoma brucei gambiense among children are limited. Here, we described the demographic, clinical, diagnostic, treatment and outcome characteristics of HAT in pre-school children from Kajo-Keji County, South Sudan in comparison with older patients. METHODS: We did a retrospective analysis of HAT patients treated at the Kiri Sleeping Sickness Treatment Centre (SSTC), Kajo-Keji County, from June 2000 to December 2002. R...

  7. Addisons disease in an Indian female – A rarity | Brar | Sudanese ...

    African Journals Online (AJOL)

    caused by autoimmune destruction of adrenal gland cortex. Those with Addisons disease have a deficiency of cortisol and aldostreone. These deficiencies are accompanied by adrenal androgen depletion. A case report of 43 year old female is hereby reported. The patient presented with hyperpigmentation of nipples, ...

  8. Histopathological Pattern and Age Distribution, of Malignant Ovarian Tumor among Sudanese Ladies

    Directory of Open Access Journals (Sweden)

    Sumeya A. Khieri

    2018-02-01

    CONCLUSION: The incidence of different types of ovarian cancers in the present study is similar to worldwide incidence. The surface epithelial tumour is the commonest ovarian cancer, of which serous adenocarcinoma is the commonest and most of our patients present in late stages.

  9. Mental health and psychosocial support for South Sudanese refugees in northern Uganda: a needs and resource assessment.

    Science.gov (United States)

    Adaku, Alex; Okello, James; Lowry, Blakeley; Kane, Jeremy C; Alderman, Stephen; Musisi, Seggane; Tol, Wietse A

    2016-01-01

    very limited MHPSS services available in Rhino Camp. The types of MHPSS problems among South Sudanese refugees in northern Uganda are diverse and the burden appears to be considerable, yet there are currently few available services. The assessment indicates the need for a range of services addressing social concerns as well as varied types of mental conditions. The idiom of "overthinking" may form a useful starting point for intervention development and mental health communication.

  10. An investigation of some heavy metals and radionuclides in sediments from the Sudanese coast of the red sea

    International Nuclear Information System (INIS)

    Idris, Abubakr Mustafa

    1999-07-01

    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 2 26Ra, 2 28Ra, 2 28K, 1 37Cs) 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 2 26Ra, 2 28Ra, and 4 0K are 2.5-25.1 Bq/kg, 2.1-13.1 Bq/kg, respectively, while most of the measurements for 1 37Cs 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

  11. Estimates of diagnostic reference levels for common radiographic x-ray examinations in some sudanese hospitals

    International Nuclear Information System (INIS)

    Awad, Ezdehar Mohammed Satti.

    2016-03-01

    The objective of this study were to estimate patient dose in some common diagnostic x-ray examinations in Sudan with the aim to propose national diagnostic reference levels (DRLs). Radiation doses were estimated for the patients in 23 public hospitals in different town in Sudan (Wad-Madani, Kasala, Atbara Al obaid, Al nhod, Khartoum). Entrance surface air kerma (ESAK) was estimated in a three steps protocol: First, x-ray unit output Y (d) was measured at a distance at a distance (d) for different peak tube voltages and tube loading (mAs). Next, incident air kerma (k) was calculated from Y (d) using inverse square law combined with patient exposure factors. ESAK was calculated from k using backscatter factor, B. Mean ESAK values were comparable to those reported in other countries and are below reference dose levels. The estimated mean ESAK values were: 0.4, 1.9, 1.8, 3.2, 2.4, 3.5, and 8.4 mGy for chests . The estimated mean ESAK values were 0.4, 1.9, 1.8, 3.2, 2.4, 3,5, and 8.4 mGy for chest PA, Skull AP/PA, Skull LAT, Abdomen Pelvis AP, Lumber Spine AP and Lumber Spine LAT examination respectively. The results are used for dose optimization and to propose national diagnostic reference levels. (Author)

  12. Distress and psychopathology among Sudanese patients with type 2 diabetes mellitus and its relation to glycaemic control

    Directory of Open Access Journals (Sweden)

    Hyder O. Mirghani, MD

    2017-08-01

    الاستنتاجات: تنتشر ضائقة السكري والاكتئاب بين مرضى السكري السودانيين. ويرتبط الهيموجلوبين السكري بالعبء العاطفي من ضائقة السكري والأمور المتعلقة بالحمية وليس الاكتئاب أو مدة الإصابة بداء السكري.

  13. Distress and psychopathology among Sudanese patients with type 2 diabetes mellitus and its relation to glycaemic control

    OpenAIRE

    Hyder O. Mirghani, MD

    2017-01-01

    أهداف البحث: العلاقة بين التحكم بداء السكري والاكتئاب علاقة متناقضة ومتعارضة. الاضطراب العاطفي هو سمة واحدة ومستمرة ذات خاصيتين أساسيتين؛ المحتوى والشدة، وهذا يمكن أن يوفر حلقة وصل بين الاكتئاب الشديد، وضائقة السكري، وأعراض الاكتئاب. في هذه الدراسة، نهدف للبحث في العلاقة بين الاكتئاب وضائقة السكري للسيطرة على نسبة السكر في الدم. طرق البحث: أجريت هذه الدراسة الوصفية المقطعية في مركز السكري في أم درمان، السودان خلال الفترة من يونيو إلى أغسطس ٢٠١٦. تمت مقابلة ٨٩ مريضا يعانون من داء السكري الن...

  14. Evaluation of Cd, Cr, Cu, Ni, and Pb in selected cosmetic products from Jordanian, Sudanese, and Syrian markets.

    Science.gov (United States)

    Massadeh, A M; El-Khateeb, M Y; Ibrahim, S M

    2017-08-01

    There is no sufficient data that evaluate heavy metal content in cosmetic products in Jordan as well as Sudan and Syria. This study aims to assess metal levels which include Cadmium (Cd), Chromium (Cr), Copper (Cu), Nickel (Ni), and Lead (Pb) in cosmetic products. These elements have draft limits because they are identified as potential impurities and are known to be toxic. This study aims to provide information to the population that may be beneficial to public health. Samples were collected from different brands obtained from markets in Jordan, Sudan, and Syria. Some of the selected cosmetic products were eyeliner, eye pencil, mascara, lipstick, powder, face cream, body cream, sun block, Vaseline, and the traditional eye cosmetic (kohl). The heavy metal content in these samples were determined by atomic absorption spectrometry (AAS). Based on analysis of variance analysis, a significant difference in heavy metal levels was found for samples obtained from Jordanian and Sudanese markets. The acid digestion method used in this study was based on procedures recommended by Nnorom et al. with some modifications as follows. (i) A weight of 2.0 g of cosmetic sample was dissolved in a mixture of 6 mL of high quality concentrated 69% nitric acid (HNO 3 ; Merck, Darmstadt, Germany) and 4 mL of concentrated 37% hydrochloric acid (Scharlau, Spain) in a porcelain crucible and heated on a hotplate to near dryness. (ii) An aliquot of 15 mL HNO 3 (1.00 M) was added to the digested sample and filtered through a Whatman No. 40 filter paper. (iii) The digested sample was transferred quantitatively into a 25 mL volumetric flask and then diluted with deionized water. (iv) Each digested sample was evaporated at 70 °C to about 1 mL and transferred into a polyethylene flask and diluted with 25 mL deionized water. (v) Blank was treated in the same procedure. In Jordan the concentration ranges of heavy metals in the collected samples were: Cd (0.03-0.10 μg/g), Cr (0.0-1.00

  15. Genotypes of human papilloma virus in Sudanese women with cervical pathology

    Directory of Open Access Journals (Sweden)

    Tobi Khater

    2010-12-01

    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.

  16. Refugees, Post-Migration Stress, and Internet Use: A Qualitative Analysis of Intercultural Adjustment and Internet Use Among Iraqi and Sudanese Refugees to the United States.

    Science.gov (United States)

    Mikal, Jude P; Woodfield, Braden

    2015-10-01

    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. © The Author(s) 2015.

  17. Evaluation of baobab (gonglase) solution for home management of diarrhoea in sudanese children

    International Nuclear Information System (INIS)

    Abdel Galil, Nour Elhuda

    1996-06-01

    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

  18. Evaluation of baobab (gonglase) solution for home management of diarrhoea in sudanese children

    Energy Technology Data Exchange (ETDEWEB)

    Abdel Galil, Nour Elhuda [Department of Biochemistry and Soil Science, Faculty of Agriculture, University of Khartoum, Khartoum (Sudan)

    1996-06-01

    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

  19. Maternal serum anti-Müllerian hormone in Sudanese women with preeclampsia.

    Science.gov (United States)

    Agabain, Eiman; Mohamed, Hameed; Elsheikh, Anas E; Hamdan, Hamdan Z; Adam, Ishag

    2017-06-24

    A case-control study was conducted at Omdurman Maternity Tertiary Hospital, Sudan, during the period from May to August 2014 to investigate AMH level in women with preeclampsia compared to healthy controls. The cases were women with preeclampsia and healthy pregnant women were the controls. The obstetrics and medical history was gathered using a questionnaire. AMH level was measured using ELISA. There was no significant difference between the two groups (40 in each arm of the study) in the age, parity and gestational age. Thirty-three of the 40 cases were patients with severe preeclampsia. There was no significant difference in median inter-quartile of the AMH level between the women with preeclampsia and the controls [0.700 (0.225-1.500) vs. 0.700 (0.400-1.275) ng/ml, P = 0.967]. In a linear regression model there was no association between the log of AMH and age, parity, gestational age, BMI, hemoglobin level and preeclampsia.

  20. Physico-chemical properties, fatty acid and tocopherol composition of oils from some Sudanese oil bearing sources

    Directory of Open Access Journals (Sweden)

    Matthäus, Bertrand

    2008-12-01

    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

  1. Carbon stocks, greenhouse gas emissions and water balance of Sudanese savannah woodlands in relation to climate change

    Energy Technology Data Exchange (ETDEWEB)

    Alam, S. A.

    2013-06-01

    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

  2. Defining the Nation: National Identity in South Sudanese Media Discourse Eine Nation definieren: Die nationale Identität im südsudanesischen Mediendiskurs

    Directory of Open Access Journals (Sweden)

    Ole Frahm

    2012-01-01

    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

  3. Characterization of immune response to killed leishmania major promastigotes plus BCG vaccine in Sudanese volunteers: a double-blind placebo controlled study

    International Nuclear Information System (INIS)

    Sati, Iman Nasr Eldin

    1996-12-01

    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 anti l eishmania 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

  4. Ripening of Sudanese Braided (Muddaffara Cheese Manufactured from Raw or Pasteurized Milk: Effect of Heat Treatment and Salt Concentration on the Physicochemical Properties

    Directory of Open Access Journals (Sweden)

    Mohamed O. E. Altahir

    2014-01-01

    Full Text Available The objective of the study was to investigate the interactive effect of heat treatment (raw or pasteurized milk, ripening in salted whey (SW and storage period for up to 3 months on the physicochemical properties of Sudanese braided cheese (SBC. Braided cheeses were manufactured from raw (BCRM and pasteurized (BCPM milk and ripened in SW (0%, 5%, and 10% salt for up to 90 days. All the treatments significantly (P≤0.05 affected the physicochemical characteristics of SBC. The total solid, protein, and fat contents of BCRM or BCPM decreased (P≤0.05, whereas their TA, SN, and salt contents increased significantly (P≤0.05 as storage period and the salt level of the whey were elevated. Both FRI and SRI of BCRM and BCPM increased with the increase in storage period and the salt level of the whey. For SN, FRI, SRI, pH, and moisture contents the magnitude of the change was more pronounced in BCRM than in BCPM, while for protein, fat, salt, and TS contents, the opposite was true; that is, the magnitude of the change was more pronounced in BCPM than in BCRM. Further studies are required to standardize muddaffara cheese manufacturing procedure particularly in rural areas.

  5. A study of antioxidant activity, enzymatic inhibition and in vitro toxicity of selected traditional sudanese plants with anti-diabetic potential

    Science.gov (United States)

    2014-01-01

    Background Diabetes mellitus is a chronic metabolic disease with life-threatening complications. Despite the enormous progress in conventional medicine and pharmaceutical industry, herbal-based medicines are still a common practice for the treatment of diabetes. This study evaluated ethanolic and aqueous extracts of selected Sudanese plants that are traditionally used to treat diabetes. Methods Extraction was carried out according to method described by Sukhdev et. al. and the extracts were tested for their glycogen phosphorylase inhibition, Brine shrimp lethality and antioxidant activity using (DPPH) radical scavenging activity and iron chelating activity. Extracts prepared from the leaves of Ambrosia maritima, fruits of Foeniculum vulgare and Ammi visnaga, exudates of Acacia Senegal, and seeds of Sesamum indicum and Nigella sativa. Results Nigella sativa ethanolic extract showed no toxicity on Brine shrimp Lethality Test, while its aqueous extract was toxic. All other extracts were highly toxic and ethanolic extracts of Foeniculum vulgare exhibited the highest toxicity. All plant extracts with exception of Acacia senegal revealed significant antioxidant activity in DPPH free radical scavenging assay. Conclusions These results highly agree with the ethnobotanical uses of these plants as antidiabetic. This study endorses further studies on plants investigated, to determine their potential for type 2 diabetes management. Moreover isolation and identification of active compounds are highly recommended. PMID:24885334

  6. Ripening of Sudanese Braided (Muddaffara) Cheese Manufactured from Raw or Pasteurized Milk: Effect of Heat Treatment and Salt Concentration on the Physicochemical Properties.

    Science.gov (United States)

    Altahir, Mohamed O E; Elgasim, Elgasim A; Mohamed Ahmed, Isam A

    2014-01-01

    The objective of the study was to investigate the interactive effect of heat treatment (raw or pasteurized milk), ripening in salted whey (SW) and storage period for up to 3 months on the physicochemical properties of Sudanese braided cheese (SBC). Braided cheeses were manufactured from raw (BCRM) and pasteurized (BCPM) milk and ripened in SW (0%, 5%, and 10% salt) for up to 90 days. All the treatments significantly (P ≤ 0.05) affected the physicochemical characteristics of SBC. The total solid, protein, and fat contents of BCRM or BCPM decreased (P ≤ 0.05), whereas their TA, SN, and salt contents increased significantly (P ≤ 0.05) as storage period and the salt level of the whey were elevated. Both FRI and SRI of BCRM and BCPM increased with the increase in storage period and the salt level of the whey. For SN, FRI, SRI, pH, and moisture contents the magnitude of the change was more pronounced in BCRM than in BCPM, while for protein, fat, salt, and TS contents, the opposite was true; that is, the magnitude of the change was more pronounced in BCPM than in BCRM. Further studies are required to standardize muddaffara cheese manufacturing procedure particularly in rural areas.

  7. Inhibitory activities of selected Sudanese medicinal plants on Porphyromonas gingivalis and matrix metalloproteinase-9 and isolation of bioactive compounds from Combretum hartmannianum (Schweinf) bark.

    Science.gov (United States)

    Mohieldin, Ebtihal Abdalla M; Muddathir, Ali Mahmoud; Mitsunaga, Tohru

    2017-04-20

    Periodontal diseases are one of the major health problems and among the most important preventable global infectious diseases. Porphyromonas gingivalis is an anaerobic Gram-negative bacterium which has been strongly implicated in the etiology of periodontitis. Additionally, matrix metalloproteinases-9 (MMP-9) is an important factor contributing to periodontal tissue destruction by a variety of mechanisms. The purpose of this study was to evaluate the selected Sudanese medicinal plants against P. gingivalis bacteria and their inhibitory activities on MMP-9. Sixty two methanolic and 50% ethanolic extracts from 24 plants species were tested for antibacterial activity against P. gingivalis using microplate dilution assay method to determine the minimum inhibitory concentration (MIC). The inhibitory activity of seven methanol extracts selected from the 62 extracts against MMP-9 was determined by Colorimetric Drug Discovery Kit. In search of bioactive lead compounds, Combretum hartmannianum bark which was found to be within the most active plant extracts was subjected to various chromatographic (medium pressure liquid chromatography, column chromatography on a Sephadex LH-20, preparative high performance liquid chromatography) and spectroscopic methods (liquid chromatography-mass spectrometry, Nuclear Magnetic Resonance (NMR)) to isolate and characterize flavogalonic acid dilactone and terchebulin as bioactive compounds. About 80% of the crude extracts provided a MIC value ≤4 mg/ml against bacteria. The extracts which revealed the highest potency were: methanolic extracts of Terminalia laxiflora (wood; MIC = 0.25 mg/ml) followed by Acacia totrtilis (bark), Ambrosia maritima (aerial part), Argemone mexicana (seed), C. hartmannianum (bark), Terminalia brownii (wood) and 50% ethanolic extract of T. brownii (bark) with MIC values of 0.5 mg/ml. T. laxiflora (wood) and C. hartmannianum (bark) which belong to combretaceae family showed an inhibitory activity over 50% at

  8. Application of gamma ray spectrometry and atomic absorption spectrometry for monitoring some radionuclides and heavy metals in sediments from the sudanese red sea coast

    International Nuclear Information System (INIS)

    Idris, A. M.; Eltayeb, M. A.

    2004-01-01

    A total of 31 surface sediment samples were collected from port-sudan harbour, sawakin harbour and the fringing reefs area that are located along the Sudanese coast of the red sea. The sampling was performed to provide good spatial coverage taking into account man's activity in port-sudan harbour and the fringing reefs area. the bulk samples were analyzed for some natural and anthropogenic radionuclides ( 226 Ra, 228 Ra, 40 K, 137 Cs) using direct gamma-ray spectrometry. Concentration of some heavy metals were determined in five fractions with grain-size of 1.000-0.500 m lm, 0.500-0.250 m lm, 0.250-0.125 m lm, 0.125-0.063 m lm and less than 0.063 m lm. The fractionation process was performed using dry sieving method. A total of 155 sub-samples (fractions) were digested by wet digestion method and analyzed for Mn, Fe, Ni, Cu, Zn, and Pb using flame atomic absorption spectrometry. Quality assurance of the obtained data was achieved through the analysis of certified reference materials. the radioactivity concentration ranges of ( 226 Ra, 228 Ra, and 40 K,) are 2.5-25.1b/kg, 2.1-13.1b q/kg,21.6- 429 Bq/kg, respectively. For ( 137 Cs)measurements, the highest value is 8.3 Bq/kg while most of samples were below the detection limits of the system. The concentration ranges of Mn, Fe, Cu, Zn, and Pb are 53.3-819 mg/kg, 1.4-51 mg/g, 8-131 mg/kg 9.5-113 mg/kg, 18.4-142 mg/kg, and 4.0-26.6 mg/kg, respectively. The granulometric normalization shows that some samples were subjected to anthropogenic activities. This finding was reinforced by results that were obtained from enrichment factor calculations and statistical multivariate analysis that is principal component analysis (Pca), also the Pca indicates that silt/clay fraction (>0.063 m lm ) is the dominant source for the emission of anthropogenic activities. From viewpoint of mineralogical composition the cluster analysis has distributed the samples into tow clusters. Dominant elements in sediments (Mn and Fe ) recorded

  9. Association between oral health status and type 2 diabetes mellitus among Sudanese adults: a matched case-control study.

    Directory of Open Access Journals (Sweden)

    Hasaan G Mohamed

    Full Text Available AIM: The purpose of this study was to compare the clinical and subjective oral health indicators of type 2 diabetic patients (T2DM with age and gender matched non-diabetic controls. A second aim was to identify clinical and subjective oral health indicators that discriminate between well-controlled and poorly controlled T2DM patients as well as between patients with long and short duration of the disease. METHODS: A total of 457 individuals participated in the study (154 T2DM cases and 303 non-diabetic controls. The T2DM group was sub-divided according to metabolic control [(well-controlled: glycosylated haemoglobin test 8%, (poorly controlled: glycosylated haemoglobin test > 8%] and according to duration of T2DM [(long duration: >10 years, (short duration: 10 years]. Participants were interviewed using a structured questionnaire including socio-demographics, lifestyle and oral health related quality of life factors. The clinical examination comprised full mouth probing depths, plaque index, tooth mobility index, furcation involvement and coronal and root surface caries. RESULTS: The T2DM patients presented with more probing depths 4 mm, furcation involvement, tooth mobility, missing teeth, and oral impacts on daily performance (OIDP. The corresponding adjusted odds ratios and their 95% confidence intervals were 4.07 (1.74-9.49, 2.96 (1.36-6.45, 5.90 (2.26-15.39, 0.23 (0.08-0.63 and 3.46 (1.61-7.42, respectively. Moreover, the odds ratio was 2.60 (1.21-5.55 for the poorly controlled T2DM patients to have high levels of mobility index and 2.94 (1.24-6.94 for those with long duration of T2DM to have high decayed, missed and filled teeth (DMFT values. CONCLUSION: This study revealed that chronic periodontitis, tooth mobility, furcation involvement and OIDP were more prevalent among T2DM patients compared to their non-diabetic controls.

  10. Levels of estrogen, carcinoembryonic antigen and cancer antigen of breast in breast cancer patients

    International Nuclear Information System (INIS)

    Abdelhadi, H. A.

    2005-09-01

    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)

  11. Constitutive phosphorylation of ATM in lymphoblastoid cell lines from patients with ICF syndrome without downstream kinase activity.

    Science.gov (United States)

    Goldstine, Jimena V; Nahas, Shareef; Gamo, Kristin; Gartler, Stanley M; Hansen, R Scott; Roelfsema, Jeroen H; Gatti, Richard A; Marahrens, York

    2006-04-08

    Double strand DNA breaks in the genome lead to the activation of the ataxia-telangiectasia mutated (ATM) kinase in a process that requires ATM autophosphorylation at serine-1981. ATM autophosphorylation only occurs if ATM is previously acetylated by Tip60. The activated ATM kinase phosphorylates proteins involved in arresting the cell cycle, including p53, and in repairing the DNA breaks. Chloroquine treatment and other manipulations that produce chromatin defects in the absence of detectable double strand breaks also trigger ATM phosphorylation and the phosphorylation of p53 in primary human fibroblasts, while other downstream substrates of ATM that are involved in the repair of DNA double strand breaks remain unphosphorylated. This raises the issue of whether ATM is constitutively activated in patients with genetic diseases that display chromatin defects. We examined lymphoblastoid cell lines (LCLs) generated from patients with different types of chromatin disorders: Immunodeficiency, Centromeric instability, Facial anomalies (ICF) syndrome, Coffin Lowry syndrome, Rubinstein Taybi syndrome and Fascioscapulohumeral Muscular Dystrophy. We show that ATM is phosphorylated on serine-1981 in LCLs derived from ICF patients but not from the other syndromes. The phosphorylated ATM in ICF cells did not phosphorylate the downstream targets NBS1, SMC1 and H2AX, all of which require the presence of double strand breaks. We demonstrate that ICF cells respond normally to ionizing radiation, ruling out the possibility that genetic deficiency in ICF cells renders activated ATM incapable of phosphorylating its downstream substrates. Surprisingly, p53 was also not phosphorylated in ICF cells or in chloroquine-treated wild type LCLs. In this regard the response to chromatin-altering agents differs between primary fibroblasts and LCLs. Our findings indicate that although phosphorylation at serine-1981 is essential in the activation of the ATM kinase, serine-1981 phosphorylation is

  12. Anti-phospholipid antibodies in patients with Plasmodium falciparum malaria

    DEFF Research Database (Denmark)

    Jakobsen, P H; Morris-Jones, S D; Hviid, L

    1993-01-01

    Plasma levels of antibodies against phosphatidylinositol (PI), phosphatidylcholine (PC) and cardiolipin (CL) were measured by enzyme-linked immunosorbent assay (ELISA) in patients from malaria endemic area of Sudan and The Gambia. Some Sudanese adults produced IgM antibodies against all three types...... of phospholipids (PL) during an acute Plasmodium falciparum infection. The anti-PL antibody titre returned to preinfection levels in most of the donors 30 days after the disease episode. IgG titres against PI, PC and CL were low. In Gambian children with malaria, IgM antibody titres against PI and PC were...... significantly higher in those with severe malaria than in those with mild malaria. These results show that a proportion of malaria patients produce anti-PL antibodies during infection and that titres of these antibodies are associated with the severity of disease....

  13. Review on patients radiation dose and frequency of procedures during medical exposure in Sudan

    International Nuclear Information System (INIS)

    Abu Baker, Samah Mohamed Nasr

    2015-09-01

    The aim of this study was to estimate patient dose, the annual frequency and the number of staff and devices in the medical applications of ionizing radiation in Sudan. Survey was conducted on diagnostic radiology, nuclear medicine and radiotherapy. With respect to diagnostic radiology, only patient radiation dose was estimated. The data for diagnostic radiology was obtained from 24 peer reviewed scientific published literatures during the years ( 2006 - 2015). The collected publications included about 64 Sudanese hospitals covering different types of diagnostic exams. A values of the effective dose for pediatrics and adult patients were within the ranges of similar worldwide values published by UNSCEAR report in 2008 with exceptional to fluoroscopy hysterosalpingography for adult patients. For nuclear medicine procedures, questionnaires were distributed to five hospitals representing the whole existing NM department in Sudan at the time of of study. The estimated total annual frequency of diagnostic procedures was 0.2 per 1000 population. The estimated total annual collective and annual per caput effective dose from all NM procedures were 16.268 man Sv and 0.5 μSv, respectively. Comparing the annual per caput effective dose with UNSCEAR value our results was less than the worldwide value and greater than the value for heath care level 111-1 v countries. Questionnaires were also distributed to collect data on radiotherapy procedures performed in the two existing radioisotopes Sudanese hospitals. The prescribed dose and the number of fractions were comparable between the two hospitals. The minimum prescribed dose was 20 Gy with 5 fractions for nasopharynx (NPH) palliative and the maximum prescribed dose was 64 Gy with 32 fractions for prostate.(Author)

  14. Statistical study of the reproductive hormones in relation to age and PCOS for patients undergoing in vitro investigation in Khartoum

    International Nuclear Information System (INIS)

    Abdelgadir, O. M.

    2002-09-01

    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)

  15. Influence of Type 2 Diabetes on Prevalence of Key Periodontal Pathogens, Salivary Matrix Metalloproteinases, and Bone Remodeling Markers in Sudanese Adults with and without Chronic Periodontitis

    Directory of Open Access Journals (Sweden)

    Hasaan Gassim Mohamed

    2016-01-01

    Full Text Available This study compared the influence of type 2 diabetes on the occurrence of six periodontal pathogens in plaque samples of patients with and without chronic periodontitis. Levels of salivary MMP-8, MMP-9, RANKL, and OPG were also investigated. The study enrolled 31 patients with type 2 diabetes and chronic periodontitis (DM + CP, 29 with chronic periodontitis (CP, and 20 with type 2 diabetes (DM. Questionnaire-guided interviews were conducted and plaque index, bleeding on probing, and pocket depth were recorded. Polymerase chain reaction (PCR was utilized to determine the prevalence of the bacteria. The levels of salivary molecules were determined by enzyme immunosorbent assay (ELISA. The CP group had the highest prevalence of P. gingivalis (81.5%, followed by the DM + CP (59.3% and DM (55.0% groups (P>0.05. Similar trends were observed for P. intermedia and T. denticola. The prevalence of T. forsythia was 100% in both periodontitis groups compared to 90% in the DM group. There were no significant differences between the groups regarding the concentrations of MMP-8, MMP-9, or OPG. RANKL concentrations were below the detection limit. Our data show that type 2 diabetes has no significant influence on the prevalence of the investigated periodontal pathogens, or the levels of salivary MMP-8, MMP-9, and OPG.

  16. Agrobiodiversity: A future solution of acute malnutrition in Africa; Study in the causation of acute malnutrition among Sudanese children and infants’

    International Nuclear Information System (INIS)

    Osman, Faiza; Sidahmed, Alamin

    2014-01-01

    Full text: Introduction: Food security and livelihood assessments tend to focus on the household food security component of the underlying causes of acute malnutrition, which considered as a negative impacts of food insecurity and livelihood-related coping strategies. Household food security directly impact the types and quantity of food an individual consumes within the household. It includes feeding practices for infants and young children e.g. breastfeeding and complementary feeding; Nutrition causal analysis NCA Isotopes and nuclear techniques can measures more accurate parameters about nutritional situation and needed food items for sustainable long term solution. In the studies for the evaluation of body composition of children with SAM and human milk intakes using isotopic techniques (FTIR) supported by IAEA it was observed that 23% of SAM patients coming back to hospital after discharged and infants with less human milk intakes coming from low income families. Methods; A nutrition survey was carried out among SAM and participated women in human milk intake families in Khartoum state. Nutrition casual analysis was conducted, livelihood assessment using PRA and HHEA were carried out along with measuring body composition of small number of children from those families. Results : Livelihood evaluation should that 56% of the families categorized as low income with lower economic approaches and house hold food insecurity was also detected. The nutritional profile of the study population expressed a prevalence of acute malnutrition among infants and children (15.7%). Regression analysis showed that the body fat and fat free mass were influenced by the consumption of an imbalanced diet. The causes of malnutrition are complex, a leading cause was found to be a general simplification of diets with a decline in diversity and nutritional quality. It was appeared that Diet, biodiversity can be considered as a solution of hidden hunger among selected communities have a

  17. Utilization of dental health care services in context of the HIV epidemic- a cross-sectional study of dental patients in the Sudan.

    Science.gov (United States)

    Nasir, Elwalid Fadul; Astrøm, Anne Nordrehaug; David, Jamil; Ali, Raouf Wahab

    2009-11-16

    HIV infected patients should be expected in the Sudanese dental health care services with an increasing frequency. Dental care utilization in the context of the HIV epidemic is generally poorly understood. Focusing on Sudanese dental patients with reported unknown HIV status, this study assessed the extent to which Andersen's model in terms of predisposing (socio-demographics), enabling (knowledge, attitudes and perceived risk related to HIV) and need related factors (oral health status) predict dental care utilization. It was hypothesized that enabling factors would add to the explanation of dental care utilization beyond that of predisposing and need related factors. Dental patients were recruited from Khartoum Dental Teaching Hospital (KDTH) and University of Science and Technology (UST) during March-July 2008. A total of 1262 patients (mean age 30.7, 56.5% females and 61% from KDTH) were examined clinically (DMFT) and participated in an interview. A total of 53.9% confirmed having attended a dental clinic for treatment at least once in the past 2 years. Logistic regression analysis revealed that predisposing factors; travelling inside Sudan (OR = 0.5) were associated with lower odds and females were associated with higher odds (OR = 2.0) for dental service utilization. Enabling factors; higher knowledge of HIV transmission (OR = 0.6) and higher HIV related experience (OR = 0.7) were associated with lower odds, whereas positive attitudes towards infected people and high perceived risk of contagion (OR = 1.3) were associated with higher odds for dental care utilization. Among need related factors dental caries experience was strongly associated with dental care utilization (OR = 4.8). Disparity in the history of dental care utilization goes beyond socio-demographic position and need for dental care. Public awareness of HIV infection control and confidence on the competence of dentists should be improved to minimize avoidance behaviour and help establish dental

  18. 76 FR 76617 - Sudanese Sanctions Regulations

    Science.gov (United States)

    2011-12-08

    ... Darfur Peace and Accountability Act of 2006 (Pub. L. 109-344, 120 Stat. 1869) (the ``DPAA'') and issued... Mountains State, Blue Nile State, Abyei, Darfur, and marginalized areas in and around Khartoum. While E.O... Nile State, Abyei, Darfur, and marginalized areas in and around Khartoum. * * * * * Subpart D...

  19. Land and the Sudanese transition to peace

    Directory of Open Access Journals (Sweden)

    Domenico Polloni

    2005-11-01

    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.

  20. Vitamin C status in Sudanese camels

    NARCIS (Netherlands)

    Elkhidir, Hassab Elrasoul Hussein Mohamed

    2002-01-01

    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

  1. Sudanese Journal of Dermatology: Editorial Policies

    African Journals Online (AJOL)

    Experts: Prof El sheikh Mahgoub ( Mycology) Prof Mamoun Homeida (Internal medicine & therapeutics) Prof Suad Suleiman ( Parasitology ) Dr najeeb Suleiman ( Pathology) Prof Nabil H Bashir ( Toxicology). Dermatologists: Prof Amor Khachemoune ( USA) Dr. Bakri El Agraa (Sudan) Dr Khalid Al Aboud ( Saudi Arabia)

  2. Malignant Appendage Tumours in Zaria | Samaila | Sudanese ...

    African Journals Online (AJOL)

    ... Eccrine sweat gland origin. Conclusion: Malignant appendage tumours showed a higher frequency in middle aged men in this review. A good knowledge and understanding of the pathology, high index of suspicion and immunohistochemical studies should help in making diagnosis. Surgical intervention with wide margin ...

  3. Dyslipidemia among Sudanese Children Undergoing Maintenance ...

    African Journals Online (AJOL)

    The levels of total cholesterol (TC), triglycerides (TGD) and high density lipoprotein cholesterol (HDL-C) were measured from fasting serum samples using electrophoresis and low density lipoprotein cholesterol (LDL-C) was then calculated. Results: End stage renal failure (ESRF) children had higher mean TC (193±36 ...

  4. Nasopharyngeal Hemangiopericytoma in a Sudanese child: A ...

    African Journals Online (AJOL)

    These cells can be found surrounding all capillaries and are thought to be immature smooth muscle derived from mesenchyme. Pericytes add structural support to the capillaries and have a contractile capability playing a role in capillary blood flow regulation, modulating both flux and permeability1,3,4. Approximately 1% of ...

  5. Sudanese Medical Students and Scientific Research | Mohamed ...

    African Journals Online (AJOL)

    Only 14.7% knew the engines used for finding medical literature. Conclusion: The low knowledge score is due to lack of application of research in the academic curriculum; however, the students have a fairly positive attitude. The knowledge is expected to improve with the intended policy to include practical research in the ...

  6. Phylogenetic relationships within indigenous Sudanese Cassia ...

    African Journals Online (AJOL)

    Random amplified polymorphic DNA (RAPD) markers were used to assess genetic diversity in Cassia senna (L.). RAPD technique was carried out in a set of 27 (C. senna (L.) genotypes collected from different regions of Sudan. A total of 27 polymorphisms (5.2 polymorphic markers per primer) out of 31 reproducible ...

  7. Techniques and radiation dose in CT examinations of adult patients

    International Nuclear Information System (INIS)

    Elameen, S. E. A.

    2010-06-01

    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)

  8. Acute renal failure and severe rhabdomyolysis in a patient with resistant thrombotic thrombocytopenic purpura

    Directory of Open Access Journals (Sweden)

    Al Qahtani S

    2011-10-01

    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

  9. Dasatinib Induced Avascular Necrosis of Femoral Head in Adult Patient with Chronic Myeloid Leukemia

    Directory of Open Access Journals (Sweden)

    Mohamed A. Yassin

    2015-01-01

    Full Text Available Chronic myeloid leukemia (CML is a myeloproliferative neoplasm characterized by the presence of the Philadelphia (Ph chromosome resulting from the reciprocal translocation t(9;22(q34;q11. The molecular consequence of this translocation is the generation of the BCR-ABL fusion gene, which encodes a constitutively active protein tyrosine kinase. The oncogenic protein tyrosine kinase, which is located in the cytoplasm, is responsible for the leukemia phenotype through the constitutive activation of multiple signaling pathways involved in the cell cycle and in adhesion and apoptosis. Avascular necrosis of the femoral head (AVNFH is not a specific disease. It occurs as a complication or secondary to various causes. These conditions probably lead to impaired blood supply to the femoral head. The diagnosis of AVNFH is based on clinical findings and is supported by specific radiological manifestations. We reported a case of a 34-year-old Sudanese female with CML who developed AVNFH after receiving dasatinib as a second-line therapy. Though the mechanism by which dasatinib can cause avascular necrosis (AVN is not clear, it can be postulated because of microcirculatory obstruction of the femoral head. To the best of our knowledge and after extensive literature search, this is the first reported case of AVNFH induced by dasatinib in a patient with CML.

  10. Schistosomiasis in patients in the Sultanate of Oman

    International Nuclear Information System (INIS)

    Scrimgeour, Euan M.; Ahmed, A.; Sallam, J.; Khoul, R.; Al-Dhahry, Said H.S.; Daar, Abdallah S.; El-Khatim, Hussein S.; Idris, Mohamed A.; Date, A.

    2001-01-01

    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

  11. Investigation of selected trace elements in hair samples of eczema patients

    International Nuclear Information System (INIS)

    Osman, N. O.

    2010-12-01

    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)

  12. Investigation of selected trace elements in hair samples of eczema patients

    Energy Technology Data Exchange (ETDEWEB)

    Osman, N O [Atomic Energy Council, Sudan Academy of Sciences (SAS), Khartoum (Sudan)

    2010-12-15

    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)

  13. Browse Title Index

    African Journals Online (AJOL)

    Items 351 - 400 of 475 ... Vol 4, No 3 (2009), Prevalence of Dental Caries among Type I Diabetic children in ... Prevalence of Depression among Sudanese Patients with type-2 ... Progressive Multifocal Leuoencephalopathy(PML) in HIV Patient ...

  14. Autism and Reading: Teaching a Sudanese Refugee Boy

    Science.gov (United States)

    Walker-Dalhouse, Doris; Dalhouse, A. Derick

    2015-01-01

    Refugee families in the United States face numerous challenges in becoming acculturated. School-age children of refugees face the additional challenges of acquiring academic language and meeting school expectations for behavior and social interactions while attempting to navigate the school curriculum. This case study examines the school and home…

  15. Iron overload and pregnancy outcome among Sudanese women ...

    African Journals Online (AJOL)

    The mean babies' birth weights were comparable among the IOL and the LSI groups but both were significantly lower than that among the NSI group. Conclusion: Iron supplementation to pregnant women must be rationalized so that women will benefit without developing undesirable effects. Key words: iron, oxidative stress ...

  16. Remittances to Conflict Zones : the Sudanese Diaspora in Cairo ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Le nouveau site Web facilitera l'enregistrement des événements démographiques afin d'améliorer l'accès aux services pour tous. Le nouveau site Web et la nouvelle bibliothèque de ressources aideront à améliorer les systèmes d'information et d'enregistrement des faits d'état civil dans les pays en développement.

  17. Correlation between caries experience in Sudanese school children ...

    African Journals Online (AJOL)

    African Journal of Food, Agriculture, Nutrition and Development. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 13, No 2 (2013) >. Log in or Register to get access to full text downloads.

  18. Upper Gastrointestinal Endoscopy in Sudanese Infants and Children ...

    African Journals Online (AJOL)

    65 out of 100 children who presented with failure to thrive, short stature, and persistent diarrhoea were found to have macroscopic duodenal lesions. 65 duodenal biopsies showed total villous atrophy. H. pylori infection andgastritis were found in 165out of 180 biopsies [91.7%]. Ultrasound abdomen was performed in the ...

  19. Remittances to Conflict Zones : the Sudanese Diaspora in Cairo ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Refugees and migrants in transit countries such as Egypt have links to wider diaspora networks that help support them and enable them to support their families back home in conflict zones. However, there is a paucity of literature on such "South-South" remittance flows. The first phase of this project (105040) enabled the ...

  20. Remittances to Conflict Zones : the Sudanese Diaspora in Cairo ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    There has been very little research to date on South-South flows of remittances, for example, remittances between home countries and neighboring countries outside the conflict zone. Refugees and migrants in transit countries such as Egypt belong to networks that help sustain them and enable them to send money to their ...

  1. ECG finding in Sudanese athletes: A Pilot Study | Ahmed | Sudan ...

    African Journals Online (AJOL)

    Results: significant sinus bradycardia in athletics groups was observed. The mean [±SD] PR interval in control subjects and athletes was 0.18 [±.011] ms and 0.20 [±.010] ms respectively (p < .005). Comparisons among groups revealed significant prolongation in PR interval in the dynamic exercisers (mean0 .22 ms) when ...

  2. Health and Environmental Effects of Pesticides | Bsshir | Sudanese ...

    African Journals Online (AJOL)

    ... bioaccumulate, and establish themselves as part of the food-web (chain) and ... at the population level, demonstrates that the PTS are a threat to biodiversity, and ... The latter convention was established specifically for the Global monitoring ...

  3. Assessment of gamma camera performance at some Sudanese hospitals

    International Nuclear Information System (INIS)

    Ibrahim, Nour El huda Ibrahim Ali

    2016-05-01

    The study aims to investigate the performance quality of the gamma cameras used in three public hospitals in Sudan. It is widely recognized that the attainment of high standards of efficiency and reliability in the practice of nuclear medicine, as in other specialties based on advanced technology, requires an appropriate quality assurance program. In this study we have focused on four of the main tests in order to assess the performance of the three units in question, such as uniformity, resolution/ linearity, center of rotation, photopeak. The values were within the acceptable range (according to the adopted protocols). Overall performance of the units was acceptable. Although all the results were within the acceptable range, some of them were at border, thus an action of preventive maintenance should be considered. It is noticed that a minor to negligible co-operation exists between the centers experts and /or equipment. The establishment of an external and internal auditing program is recommended. More co-operation between the centers should be considered.(Author)

  4. Vitiligo: a review of the literature | Laranjeira | Sudanese Journal of ...

    African Journals Online (AJOL)

    Vitiligo is a relatively common dermatologic finding that has been observed since ancient times. It affects both sexes equally and the mean age at onset is between 10 and 30 years. Depigmentation of the skin, with loss of melanocytes on histology characterizes this disorder. The objective of this study was to investigate ...

  5. 76 FR 63191 - Sudanese Sanctions Regulations; Iranian Transactions Regulations

    Science.gov (United States)

    2011-10-12

    ... Sudan or Iran--including vitamins and minerals, food additives and supplements, and bottled drinking... minerals, food additives and supplements, and bottled drinking water, and seeds that germinate into items... than fish and shrimp roe), dried egg albumin, live animals, Rosary/Jequirity peas, non-food-grade...

  6. Detection and sequencing of rotavirus among sudanese children ...

    African Journals Online (AJOL)

    Introduction: Diarrheal diseases are a big public health problem worldwide, particularly among developing countries. The current study was conducted to detect and characterize group A rotavirus among admitted children with gastroenteritis to the pediatric hospitals, Sudan. Methods: A total of 755 stool samples were ...

  7. Regeneration of Sudanese maize inbred lines and open pollinated ...

    African Journals Online (AJOL)

    STORAGESEVER

    2008-06-03

    Jun 3, 2008 ... Callus induction capacity was highest in inbred lines IL3, IL15 and IL1. The. Varieties Hudiba-2 and ... Maize plant regeneration can take place through two avenues, that is ..... regenerants were tussel ear formation and dwarfism. These abnormalities are typical of tissue-cultured cells, plants derived from ...

  8. Risk factors for gestational diabetes mellitus in Sudanese pregnant ...

    African Journals Online (AJOL)

    McRoy

    Key words: Diabetes mellitus, gestation, risk factors, Sudan. INTRODUCTION. Gestational diabetes mellitus (GDM) is a universal risk factor for maternal and neonatal morbidity and mortality.[1] Low gestational age, neonatal macrosomia, hypoglycemia, respiratory distress syndrome are frequent complications of GDM and ...

  9. Colorectal cancer during pregnancy in a Sudanese female | Idris ...

    African Journals Online (AJOL)

    Diagnostic delays often lead to the tragic demise of a young woman from a potentially curable disease and of an otherwise viable fetus. This delay in diagnosis is a major contributing factor to the poor prognosis associated with this disease. Synchronous colon cancer during pregnancy presents a diagnostic and therapeutic ...

  10. Use of laser in dermatology | Eldin | Sudanese Journal of Dermatology

    African Journals Online (AJOL)

    New clinical indications are continually being proposed, some of which have been confirmed and others still in trial stage. In dermatology lasers are used in removal of benign skin lesion (moles, warts), scar resurfacing, treatment of vascular lesions and pigmented lesions (tattoos, freckles) and hair removal. In this paper we ...

  11. Sudanese Journal of Dermatology - Vol 5, No 1 (2007)

    African Journals Online (AJOL)

    Outpatient management protocol of skin tattoos with simple chemo/dermabrasion technique. EMAIL FULL TEXT EMAIL FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. J A Mohammad, A A Al-Rasheed, A M Alhamod, 1-5. http://dx.doi.org/10.4314/sjd.v5i1.32891 ...

  12. Acrodystrophic neuropathy of Bureau and Barriere in Sudanese ...

    African Journals Online (AJOL)

    Our case here has been documented to be a mutilating palmoplantar Keratoderma. The case is histopathologically confirmed to show Keratinized tissue. The condition as mentioned is extremely rare, where misdiagnosed as Epidermolysis Bullosa Dystrophica. Keywords: Acrodystrophic neuropathy of Bureau and Barriere, ...

  13. Growth differentiation factor 9 gene variants in Sudanese desert ...

    African Journals Online (AJOL)

    User

    2016-11-12

    Nov 12, 2016 ... divided by an intron of 1126 base pairs. The exons code for a ... nucleotide polymorphisms (SNPs) cause amino acid substitutions, and some of them have an effect on ovulation rate and .... MgCl2, 20 pmol of each primer, 1.5 U Go Taq Flexi Polymerase in 1-fold Colourless GoTaq Flexi buffer. (Promega ...

  14. 76 FR 63197 - Sudanese Sanctions Regulations; Iranian Transactions Regulations

    Science.gov (United States)

    2011-10-12

    ... the processing of funds transfers for the operating expenses or other official business of third... authorized to process funds transfers for the operating expenses or other official business of third-country... consistent with Sec. 560.516, for the operating expenses or other official business of third-country...

  15. EGRADATION CHARACTERISTICS OF SOME SUDANESE GRASSES AND GAS PRODUCTION TECHNIQUES

    OpenAIRE

    A.O. Idris; C. Kijora; A.M. Salih; I. Bushara; H.A.A. Elbukhary

    2012-01-01

    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 differe...

  16. Sudanese Journal of Dermatology - Vol 7, No 1 (2009)

    African Journals Online (AJOL)

    The response of Acne vulgaris to antibiotics both oral and topical · EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. I Al-Ziyoud. http://dx.doi.org/10.4314/sjd.v7i1.68341 ...

  17. Outcome of cholelithiasis in Sudanese children with Sickle Cell ...

    African Journals Online (AJOL)

    EB

    Sickle cell disease (SCD) is the commonest inherited haemoglobinopathy. Its most common clinical manifestation is anemia due to chronic haemolysis. The occurrence of gallstones is one of the most important manifestations of SCD in the digestive tract1, 2, 3, 4, 5. Excessive production of bilirubin from chronic haemolysis ...

  18. a pilot study of the diagnostic accuracy of fine needle aspirate cytol

    African Journals Online (AJOL)

    2018-06-02

    Jun 2, 2018 ... Fibroadenoma of the breast in a South African population -a pilot study of the ... Keywords: Fibroadenoma, diagnosis, breast ultrasonography, fine needle ..... breast cancer among Sudanese patients with breast palpa-.

  19. Pattern and Risk Factors of Urinary Bladder Neoplasms in ...

    African Journals Online (AJOL)

    It poses biologic and clinical challenges. ... Conclusion: There is significant relationship between urinary schistosomal infestation and the development of squamous cell carcinoma of the urinary bladder among Sudanese patients. Keywords: Urinary Bladder, Transitional Cell Carcinoma, Squamous Cell Carcinoma

  20. Patient satisfaction

    Directory of Open Access Journals (Sweden)

    Bhanu Prakash

    2010-01-01

    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.

  1. Patient satisfaction.

    Science.gov (United States)

    Prakash, Bhanu

    2010-09-01

    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.

  2. Patient opinion

    DEFF Research Database (Denmark)

    Zurita, Laura; Nøhr, Christian

    2004-01-01

    The paper is based upon a case study and aims to provide information abouit patients values and communication that will be useful in the design of more patient friendly health system.......The paper is based upon a case study and aims to provide information abouit patients values and communication that will be useful in the design of more patient friendly health system....

  3. NESB patients.

    Science.gov (United States)

    Charles, Janice; Britt, Helena; Fahridin, Salma

    2010-04-01

    General practitioner consultations with patients of non-English speaking background (NESB) account for one in 10 encounters recorded in the BEACH (Bettering the Evaluation and Care of Health) program (NESB is defined as patients who reported that their primary language spoken at home is not English). We present a descriptive comparison of consultations with NESB and English speaking patients recorded between April 2007 and March 2009. Indigenous persons were excluded from the analysis to give a clearer picture of NESB patients of non- Australian origin. Only statistically significant differences with nonoverlapping 95% confidence intervals are reported.

  4. Patient life

    DEFF Research Database (Denmark)

    Ludvigsen, Mette Spliid

    2004-01-01

    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 ...

  5. Labelling patients

    International Nuclear Information System (INIS)

    Strudwick, R.M.

    2016-01-01

    This article looks at how diagnostic radiographers label their patients. An ethnographic study of the workplace culture in one diagnostic imaging department was undertaken using participant observation for four months and semi-structured interviews with ten key informants. One of the key themes; the way in which radiographers label their patients, is explored in this article. It was found from the study that within the department studied the diagnostic radiographers labelled or categorised their patients based on the information that they had. This information is used to form judgements and these judgements were used to assist the radiographers in dealing with the many different people that they encountered in their work. This categorisation and labelling of the patient appears to assist the radiographer in their decision-making processes about the examination to be carried out and the patient they are to image. This is an important aspect of the role of the diagnostic radiographer. - Highlights: • I have studied the culture in one imaging department. • Radiographers label or categorise their patients. • These labels/categories are used to manage the patient. • This is an important aspect of the way in which radiographers work.

  6. disease patient

    Directory of Open Access Journals (Sweden)

    Setareh Mamishi

    2016-09-01

    Full Text Available Background and Purpose: Chronic granulomatous disease (CGD is an inherited disorder of the nicotinamide adenine dinucleotide phosphate (NADPH oxidase complex. This disorder results in recurrent life-threatening bacterial and fungal infections. Aspergillus species are the most common fungal infections in these patients. Case Report: Herein, we present a case of fungal infection in a girl with CGD. We confirmed aspergillosis through the positive microscopic and macroscopic examinations, as well as radiology results. Invasive aspergillosis in this patient with pneumonia, lung abscess, and osteomyelitis of the ribs was not initially treated with amphotericin B (Am B and recombinant interferon-gamma. Conclusion: Among infectious diseases, fungal infections, in particular aspergillosis, remain a serious problem in CGD patients. Considering poor clinical response and deficient immune system, rapid diagnosis of fungal infection and optimizing the treatment of these patients are recommended.

  7. Patient empowerment

    DEFF Research Database (Denmark)

    Eskildsen, Nanna Bjerg; Joergensen, Clara Ruebner; Thomsen, Thora Grothe

    2017-01-01

    Background There is an increased attention to and demand for patient empowerment in cancer treatment and follow-up programmes. Patient empowerment has been defined as feeling in control of or having mastery in relation to cancer and cancer care. This calls for properly developed questionnaires...... assessing empowerment from the user perspective. The aim of this review was to identify questionnaires and sub-scales measuring empowerment and manifestations of empowerment among cancer patients. Materials and methods We conducted a systematic search of the PubMed, PsycINFO and CINAHL databases....... Empowerment and multiple search terms associated with empowerment were included. We included peer-reviewed articles published in English, which described questionnaires measuring empowerment or manifestations of empowerment in a cancer setting. In addition, the questionnaire had to be a patient...

  8. chemotherapy patients

    Directory of Open Access Journals (Sweden)

    Katarzyna Augustyniuk

    2016-02-01

    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.

  9. Soluble receptors for tumor necrosis factor as markers of disease activity in visceral leishmaniasis

    NARCIS (Netherlands)

    Zijlstra, E. E.; van der Poll, T.; Mevissen, M.

    1995-01-01

    Serum concentrations of soluble receptors for tumor necrosis factor (sTNFRs) were measured before and after antimony therapy in 25 Sudanese patients with active visceral leishmaniasis (VL). Both sTNFR types I and II were significantly elevated in patients with VL compared with healthy controls from

  10. Acanthamoeba keratitis in Sudan: outcome of ketoconazole ...

    African Journals Online (AJOL)

    In an exploration of the acanthamoebic aetiology of chronic keratitis cases (not responding to antibiotics, antiviral or antifungal therapy), 138 Sudanese patients were seen over a 2-year period at two teaching eye hospitals in Khartoum State. Six (4.3%) of these patients were found to be suffering from Acanthamoeba ...

  11. The polymerase chain reaction can reveal the occurrence of naturally mixed infections with Leishmania parasites

    DEFF Research Database (Denmark)

    Ibrahim, M E; Smyth, A J; Ali, M H

    1994-01-01

    On isolation and characterization of Leishmania parasites from Sudanese patients with visceral leishmaniasis (VL), four cases of mixed infections were found. Three of those cases were from the Eastern Sudan focus of VL. In one case the patient was found to be concomitantly infected with Leishmania...

  12. Diarrhea due to Cryptosporidium parvum in immunocompromised ...

    African Journals Online (AJOL)

    Objective: The objective of this study is to search for Cryptosporidium parvum in Sudanese immunocompromised and immunocompetent patients presenting with diarrhea. Methods: Two hundred and thirteen stool specimens were collected from different groups of patients presenting with diarrhea and healthy control ...

  13. Albumin: Creatinine Ratio during long term Diabetes Mellitus in the ...

    African Journals Online (AJOL)

    Albumin: Creatinine Ratio during long term Diabetes Mellitus in the Assessment of early Nephropathy in Sudanese Population. ... Further studies with 24 hour urine sample are recommended for assessment of Microalbuminuria in long term Diabetic patients, provided that the patients are on a normal diet with regular ...

  14. Browse Title Index

    African Journals Online (AJOL)

    Items 1 - 50 of 475 ... Vol 2, No 2 (2007), Another Method for Localization of Radiolucent Urinary Stones during ESWL, Abstract. A I Ibrahim, S Pandyan. Vol 6, No 2 (2011), Anthropometric Evaluation of Nutritional Status for Patients with End-Stage Renal Disease in Sudanese Patients, Abstract. EM Elhafiz, WEM Osman, EG ...

  15. Determination of the normal range of thyroid hormones in Sudanese by locally produced reagents

    International Nuclear Information System (INIS)

    Ali, Nagi Ibrahim

    1999-05-01

    In this study serum samples have been collected from 100 volunteers in order to measure serum thyroxine (T 4 ) and serum triiodothyronine (T 3 ). 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 (T 4 and T 3 ) 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

  16. Epidemiology of underweight and overweight-obesity among term pregnant Sudanese women.

    LENUS (Irish Health Repository)

    Rayis, Duria A

    2010-12-06

    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.

  17. Assessment of iron status of Sudanese pregnant women by serum ferritin

    International Nuclear Information System (INIS)

    Eltayeb, E.A.; Khangi, F.A.; Satti, G.M.; Abu Salab, A.

    2004-03-01

    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)

  18. Effect of Some Sudanese Traditional Hot Iron Branding on Cattle Hide Quality

    Directory of Open Access Journals (Sweden)

    Rehab Eltejani Abdelkarim

    2016-12-01

    Full Text Available This study was designed in order to assess and evaluate the effect of hot iron branding on cattle hide quality. 62 shapes of hot iron branding were detected and classified. Branding damage was evaluated depending on: purpose of application, location in the animal body, branding area, tribe which applied and hide degree. The results showed that, Baggara tribes branding were causing the greater damage on cattle hides; where 71.4% of its brands placed in the abdominal and animal back area (middle of the hide; in proportion to Misseriya Zuraq tribes (68.4%. According to the location of branding, the less tribe that causing damages to the cattle hides were Darfur tribes (14.3%. In terms of branding area Darfur tribes were causing the most branding damages where 42.8% of its brands on cattle hides were between 20-30cm, followed by Baggara tribes where 57.1% of its brands were between 10-20cm then Misseriya Zuraq tribes by 52.6%, and finally North Kordofan tribes of 37.5%. grading of cattle hides depending on the presence of the brand marks the study revealed that, Misseriya Zuraq tribe's brands were obtained the highest percentage (89.4% of the rejected hides (Scarto= 4 and 5 grades, when compared with North Kordofan tribes (87.5%. For commercial reason brand's were mostly done in the area of 5-10cm but, their effect on cattle hide quality was greater, where 81% of the hides were classified as Scarto.

  19. Hepatitis B virus and hepatitis C virus in pregnant Sudanese women

    Directory of Open Access Journals (Sweden)

    Karsany Mubarak S

    2007-10-01

    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.

  20. Islamic Credit Risk Analysis Case Of Sudanese Banking Sector 2006-2014

    Directory of Open Access Journals (Sweden)

    Mohammed A. SirElkhatim

    2017-06-01

    Full Text Available Islamic banking system has been expanding so quickly over the past few years. Moreover it has been developing significantly around the non-Muslim territories including Middle Eastern countries Southeast Asian countries and European countries and even in North American countries. The existing of Islamic banks is to attract the customers who seek to avoid interest. The prediction of corporate bankruptcies is an Important and widely studied topic since it can have significant impact on bank lending decisions and profitability the ultimate purpose of credit risk management is to ensure that credit fund is of safety profitability and fluidity. At present it is extremely important of commercial banks to set up an early bank risk warning system.

  1. Economic impacts of changes in wheat’s import tariff on the Sudanese economy

    Directory of Open Access Journals (Sweden)

    Omer Elgaili Elsheikh

    2015-01-01

    Domestic production of wheat is highly variable over time, and falls short of satisfying the demand, whereas wheat consumption is increasing over time. Encouraging innovation of convenient and fast food industry using domestic traditional grains is recommended to curb wheat consumption. Furthermore, wheat imports should be conditioned on availability of hard currency, domestic production capacity, and food gap, while maintaining stable exchange rate that strikes a balance between encouraging sorghum exports and wheat imports. This should be associated with increased investment in stabilizing and increasing wheat production, and remedy the predicaments facing agriculture.

  2. Serum Calcium, Magnesium, Zinc and Copper Levels in Sudanese Women with Preeclampsia

    Science.gov (United States)

    Elmugabil, Abdelmageed; Hamdan, Hamdan Z.; Elsheikh, Anas E.; Rayis, Duria A.; Gasim, Gasim I.

    2016-01-01

    Background Although the exact pathophysiology of preeclampsia is not fully understood, several elemental micronutrient abnormalities have been suggested to play a contributory role in preeclampsia. Aims To investigate the levels of calcium, magnesium, zinc and copper in women with preeclampsia. Subjects and Methods A case—control study was conducted in Omdurman Maternity Hospital, Sudan, during the period of September through December 2014. The cases were women with preeclampsia while healthy pregnant women were the controls. The medical and obstetrics history was gathered using questionnaires. The serum levels of calcium, magnesium, zinc and copper were measured using atomic absorption spectrophotometer. Results There was no significant difference between the two groups in their age, gestational age, parity and body mass index. Zinc and copper levels were not significantly different between the two groups. In comparison with the controls, women with preeclampsia had a significantly lower median (inter-quartile) serum calcium [7.6 (4.0─9.6) vs. 8.1 (10.6─14.2), mg/dl, P = 0.032] and higher levels of magnesium [1.9 (1.4─2.5) vs. 1.4 (1.0─1.9) mg/dl; P = 0.003]. In binary logistic regression, lower calcium (OR = 0.73, 95% CI = 0.56 ─ 0.95, P = 0.021) and higher magnesium (OR = 5.724, 95% CI = 1.23 ─ 26.50, P = 0.026) levels were associated with preeclampsia. There were no significant correlations between levels of hemoglobin and these trace elements. Conclusion The current study showed significant associations between preeclampsia and serum levels of calcium and magnesium. PMID:27911936

  3. Antibacterial activity of the parotid glands secretions of sudanese indigenous african toad (Bufo spp.)

    International Nuclear Information System (INIS)

    Abugabr, H. E.; Elhussein, S. A.; Mahmoud, Z. N.

    2009-01-01

    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)

  4. Effect of Body Composition on Ventilation Parameters in a Group of Young Sudanese Females

    Directory of Open Access Journals (Sweden)

    N. A. Alaagib

    2017-07-01

    Conclusion: Increase in BMI, body weight, WC and body fat showed positive significant correlation with FEV1% and may give a restrictive pattern in LFT. Underweight subjects may show significant reduction in lung function if their BMI is not considered. الخلفية: اختبار وظيفة الرئة يساعد في تشخيص ومتابعة المرضى الذين يعانون من أمراض رئوية أو قلبية. تجاهل مؤشر حجم كتلة الجسم وتكوين الجسم أثناء تفسير نتائج اختبار وظيفة الرئة قد يؤدي إلى التشخيص الخاطئ والاستخدام غير الضروري للأدوية. الهدف: أجريت هذه الدراسة لاختبار الفرضية القائلة بأن الاختلافات في تكوين الجسم بين الأفراد يمكن أن تفسر ملامح اختبار وظيفة الرئة التي يتم تفسيرها من خلال الاختلافات في العمر والجنس والارتفاع فقط. الطريقة: هذه دراسة رصدية تحليلية مقطعية والتي شملت 150 من الإناث الشابات البالغات. واستبعدت من يعانين من تاريخ انقطاع الطمث والتدخين والربو أو أمراض القلب. القياسات الأنثروبومترية بما في ذلك: مؤشر كتلة الجسم، محيط الخصر ونسبة الدهون في الجسم محسوبة من قياسات سماكة الجلد. تم إجراء اختبارات قياس التنفس الديناميكي باستخدام مقياس التنفس الرقمي؛ تم قياس FEV1، FVC، FEV1٪. النتائج: كان لكل من السمنة ونقص الوزن فى المدروسات انخفاض كبير في FEV1 (P = .002 و FVC (P = .004 مقارنة مع تلك العادية. وكان FEV1٪ أعلى بكثير في مجموعة زيادة الوزن والبدانة مقارنة مع المجموعتين الأخريتين (P= 0.02. وزن الجسم، مؤشر كتلة الجسم، ومحيط الخصر كان على علاقة إيجابية كبيرة مع FEV1 و FEV1٪ في الإناث الصحيحات. الخلاصة: إن الزيادة في مؤشر كتلة الجسم، وزن الجسم، محيط الخصر ونسبة الدهون في الجسم كانت على علاقة إيجابية كبيرة مع FEV1٪ ويمكن أن تعطي نمطا انحصاريا في اختبار وظيفة الرئة. الاناث مع نقص الوزن قد تظهر انخفاضا كبيرا في وظائف الرئة إذا لم يتم النظر في مؤشر كتلة الجسم.

  5. 75 FR 10997 - Cuban Assets Control Regulations; Sudanese Sanctions Regulations; Iranian Transactions Regulations

    Science.gov (United States)

    2010-03-10

    ... specific license, or otherwise exempt, the exportation of such services and software from the United States... services and software. Paragraph (c) of each of these two sections provides that specific licenses may be... Iranian Transactions Regulations to authorize the exportation of certain services and software incident to...

  6. Study on the relation between uranium content and total phosphorus in some sudanese phosphate ore samples

    International Nuclear Information System (INIS)

    Eltayeb, M. A. H.; Mohammed, A. A.

    2003-01-01

    In the present work uranium content and total phosphorus were determined in 30 phosphate ore samples collected from Kurun and Uro areas in Nuba Mountains in Sudan. Spectrophotometry technique was used for this purpose. Uranium analysis is based on the use of nitrogen (V) acid for leaching the rock, and treatment with ammonium carbonate solution, whereby uranium (Vi) is kept in solution as its carbonate complex. The ion exchange technique was used for the recovery of uranium. Uranium was eluted from the resin with 1 M hydrochloric acid. In the elute, uranium was determined spectrophotometrically by measurement of absorbance of the yellow uranium (Vi)-8-hydroxyquinolate complex at λ 400 nm. The total phosphorus was measured as (P 2 O 5 %) by treatment of the total liquor with ammonium molybdate solution. The absorbance of the blue complex was measured at λ 880 nm. The results show that a limited relation is existed between uranium content and total phosphorus in phosphate samples from kurun area, which contain 58.8 ppm uranium in average, where there are no relation is existed in phosphate samples from uro area, which contain 200 ppm uranium in average. (Author)

  7. Study on the relation between uranium content and total phosphorus in some sudanese phosphate ore samples

    International Nuclear Information System (INIS)

    Mohammed, A.A.; Eltayeb, M.A.H.

    2003-01-01

    In the present work uranium content and total phosphorous were determined in 30 phosphate ore samples collected from Kurun and Uro areas in Nuba mountains in sudan. Spectrophotometry technique was used for this purpose. Uranium analysis is based on the use of nitrogen (V) acid for leaching the rock, and treatment with ammonium carbonate solution, whereby uranium (VI) is kept in solution as its carbonate complex. The ion-exchange technique was used for the recovery of uranium. Uranium was eluted from the resin with 1 M hydrochloric acid. In the elute, uranium was determined spectrophotometrically by measurement of the absorbance of the yellow uranium (VI) - 8- hydroxyquinolate complex at λ 400 nm. The total phosphorus was measured as (P 2 O 5 %) by treatment of the leach liquor with ammonium molybdate solution. The absorbance of the blue complex was measured at λ 880 nm. The results show that a limited relation is existed between uranium content and total phosphorus in phosphate samples from Kurun area, which contain 58.8 ppm uranium in average, where there are no relation is existed in phosphate samples samples from Uro area, which contain 200 ppm uranium in average

  8. Challenges Faced by Sudanese Banks in Implementing Online Banking: Bankers’ Perception

    OpenAIRE

    Nafis Alam; Ibrahim Hussien Musa Magboul; Murali Raman

    2010-01-01

    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 tell...

  9. Frequency and patterns of abnormal Pap smears in Sudanese women with infertility: What are the perspectives?

    Directory of Open Access Journals (Sweden)

    Ahmed O Almobarak

    2013-01-01

    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.

  10. Utilization of family planning services by married Sudanese women of reproductive age.

    Science.gov (United States)

    Ibnouf, A H; van den Borne, H W; Maarse, J A M

    2007-01-01

    To explore differences in utilization of family planning services and predisposing factors, we surveyed 601 women from urban and rural areas of Khartoum state. About half were using modern family planning techniques; there were no significant differences in utilization rates between urban and rural settings. Contraceptive pills were the most frequently used modern method (47.7%) followed by intrauterine devices (10.2%) and injections (7.5%). Breastfeeding was used by around 33% of both groups. The rhythm method and withdrawal were more often used by urban women (22.2% and 8.6% respectively) than rural women (16.1% and 3.6% respectively). Use of male methods (condom; sterilization) was extremely low. Socioeconomic status, knowledge and education level were the most important determinants of using modern methods.

  11. Red blood cell distribution width and iron deficiency anemia among pregnant Sudanese women

    Directory of Open Access Journals (Sweden)

    Abdelrahman Esam G

    2012-12-01

    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

  12. Comparison of Predictive Models for Photovoltaic Module Performance under Sudanese-Sahelian Climate

    Directory of Open Access Journals (Sweden)

    Njomo Donatien

    2012-06-01

    Full Text Available This paper investigates various approaches to the modeling of photovoltaic systems and tests their accuracy under tropical climate. Particularly the single diode model is used to estimate the electrical behavior of the cell with respect changes on environmental parameter of temperature and irradiance. A particular typical MXS60 solar panel is used for models evaluation and results are comparing with points taken directly from the experience made on the same panel in tropical climate of the Sudan type . The accuracy of models was computed and the better model was determined for local conditions. The analysis of the curves shows that the single diode model has the better accuracy whereas the Photovoltaic geographical information system (PVGIS approach seems to be not appropriate for the region.

  13. diabetic patients

    Directory of Open Access Journals (Sweden)

    Mehraban Falahati

    2016-09-01

    candiduria and female gender, high FBS and urine glucose, uncontrolled diabetes (HbA1c ≥8, and acidic urine pH (P<0.05. Conclusion: Considering the high incidence rate of candiduria in diabetic patients, control of diabetes, predisposing factors, and causal relationships between diabetes and candiduria should be highlighted.

  14. Sudan Journal of Medical Sciences - Vol 3, No 4 (2008)

    African Journals Online (AJOL)

    Acute intussusception in children seen at El Obeid Hospital, Western Sudan. EMAIL FULL TEXT EMAIL FULL TEXT ... Incidence of ventricular arrhythmias, brady-arrhythmias and sudden cardiac death in Sudanese Patients with acute Myocardial Infarction · EMAIL FULL TEXT EMAIL FULL TEXT DOWNLOAD FULL TEXT ...

  15. Prevalence, Management and Complications of Foreign Body ...

    African Journals Online (AJOL)

    Background: Inhalation of foreign bodies (FBs) is a common problem in Sudanese children. Its incidence has not changed significantly but the safety of removal has improved dramatically. Most of the airway FBs was in patients younger than 15 years of age. Methodology: This is a retrospective study conducted in Ibn Sina ...

  16. The pathogenesis of post kala-azar dermal leishmaniasis from the field to the molecule: does ultraviolet light (UVB) radiation play a role?

    DEFF Research Database (Denmark)

    Ismail, A; Khalil, E A G; Musa, A M

    2006-01-01

    Post kala-azar dermal leishmaniasis (PKDL) is a dermatosis caused by persistence of Leishmania donovani parasites in the skin following apparently successful treatment of visceral leishmaniasis. The distribution of PKDL lesions in Sudanese patients often mirrors the clothing habits of those...

  17. Expression of Estrogen and Progesterone Receptors among ...

    African Journals Online (AJOL)

    Study design: This is a descriptive study to detect the level of Estrogen (ER) and Progesterone (PR) receptors in a sample of biopsies from Sudanese women with breast cancer presented at Khartoum teaching Hospital Material and Methods: Forty biopsies from breast cancer patients were examined with immunostaining

  18. Pathological response for neoadjuvant chemotherapy in locally ...

    African Journals Online (AJOL)

    Background: Breast cancer is the leading cancer in Sudanese females. Objectives: This study was done to evaluate the clinical response to neoadjuvant chemotherapy for patients treated at National Cancer Institute (NCI) and to compare it with the published literature. Methods: This is a retrospective study conducted in ...

  19. Sudan Journal of Medical Sciences - Vol 7, No 2 (2012)

    African Journals Online (AJOL)

    Association between Diabetes Mellitus type 1 and Celiac Disease: case-control study among Sudanese patients 2009-2011 · EMAIL FULL TEXT EMAIL FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. A Bolad, A Farouk, MF Lutfi, M Nemeiri, 105-110 ...

  20. Sudan Journal of Medical Sciences - Vol 3, No 1 (2008)

    African Journals Online (AJOL)

    Audit of Extracorporeal Shockwave Lithotripsy in 210 Sudanese Patients at Gezera Hospital for Renal Diseases & Surgery (GHRD&S) Sudan · EMAIL FULL TEXT EMAIL FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. ME Imam, O Omran, O Taha, F Nogud, A Abdelmahmod, I Walaa, E Widaa, N Yosif, ...

  1. Acute care patients discuss the patient role in patient safety.

    Science.gov (United States)

    Rathert, Cheryl; Huddleston, Nicole; Pak, Youngju

    2011-01-01

    Patient safety has been a highly researched topic in health care since the year 2000. One strategy for improving patient safety has been to encourage patients to take an active role in their safety during their health care experiences. However, little research has shed light on how patients view their roles. This study attempted to address this deficit by inductively exploring the results of a qualitative study in which patients reported their ideas about what they believe their roles should be. Patients with an overnight stay in the previous 90 days at one of three hospitals were surveyed using a mailing methodology. Of 1,040 respondents, 491 provided an open-ended response regarding what they believe the patient role should be. Qualitative analysis found several prominent themes. The largest proportion of responses (23%) suggested that patients should follow instructions given by care providers. Other prominent themes were that patients should ask questions and become informed about their conditions and treatments, and many implied that they should expect competent care. Our results suggest that patients believe they should be able to trust that they are being provided competent care, as opposed to assuming a leadership role in their safety. Our results suggest that engaging patients in safety efforts may be complex, requiring a variety of strategies. Managers must provide environments conducive to staff and patient interactions to support patients in this effort. Different types of patients may require different engagement strategies.

  2. Communicating with patients

    Science.gov (United States)

    ... Ask your patients about their outlooks, attitudes, and motivations. Learn the patient's perspective. Talk to the patient ... beliefs. This will help you understand the patient's motivation and let you plan the best ways to ...

  3. Patients' preferences for patient-centered communication

    DEFF Research Database (Denmark)

    Lau, Sofie Rosenlund; Christensen, Søren Troels; Andreasen T., Jesper

    2013-01-01

    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....

  4. Patient notes

    Directory of Open Access Journals (Sweden)

    Pádraig Ó Tuama

    2017-05-01

    Full Text Available Here’s the thing. While I have my asthma under control and my sleeping is no worse than usual, I am still near the uaigh. That’s the word for grave in Irish, and it’s also part of the word for loneliness. I’m near one or the other, or both. There was a time when my health was the only thing I talked about, and my friends from that time ask me now, and I remember that that was the person I was; when health was a fear, because pain was my first language. But what’s really bothering me is the way I use the possessive when it comes to my asthma, my insomnia, my thinning hair, my symptoms. It makes me think I think I am these things. Am I? I wilt therefore I am? If they are me, where will I go if I lose them? I remember when I learned the word ontology – the study of the nature of being. If I am sad, is sad me? If sad is me then what happens when someone treats my sadness? If we were all speaking Irish we would say that sadness is on me. But we’re not. Because when I was five I asked where English came from and my parents introduced me to stair. If we all spoke Irish we would say stair instead of history. But we speak English, mostly, and so stair is relegated to something we use to get up or down, never a story. Did you know that I carry my people’s history in my bones? People didn’t believe me when I said that but then scientists wrote about it, and discovered what was already there — inherited in the blood, the bones, the DNA, the genomes, the chromosomes, like thinning curly hair, like weak lungs, like poetry, like insomnia — and it’s all the rage now, that codified stairstory inside us. Once when I was waiting on a trolley I kept on trying to get up even though I knew I’d fall down. So they put an orderly to mind me. Well, he was there to restrain me, but I didn’t mind. He was young and eager to be seen to be good with patients. I asked him how long his shift had been and he said it was his first. After a bit of this

  5. Achieving patient satisfaction: resolving patient complaints.

    Science.gov (United States)

    Oxler, K F

    1997-07-01

    Patients demand to be active participants on and partners with the health care team to design their care regimen. Patients bring unique perceptions and expectations and use these to evaluate service quality and satisfaction. If customer satisfaction is not achieved and a patient complaint results, staff must have the skills to respond and launch a service recovery program. Service recovery, when done with style and panache, can retain loyal customers. Achieving patient satisfaction and resolving patient complaints require commitment from top leadership and commitment from providers to dedicate the time to understand their patients' needs.

  6. Patient life in hospital

    DEFF Research Database (Denmark)

    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...... are created through stories about three roughly framed aspects of hospitalisation: A. Being together with fellow patients entails a constant dilemma, B. Relationships between patients are restricted and extended and C. Shifting perspectives in solidarity. Conclusion Patients' hospitalisation is strongly...

  7. Effects of ethanol and/or chloroquine with low protein dietary intake

    African Journals Online (AJOL)

    filtration rate, aldosterone synthesis and alteration of kidney structure [8]. ... faeces and urine to pass into a lower compartment filled with sawdust preventing any .... Figure 3: Serum levels of urea in ethanol and/or chloroquine-treated rats, fed.

  8. Preoperative patient education: evaluating postoperative patient outcomes.

    Science.gov (United States)

    Meeker, B J

    1994-04-01

    Preoperative teaching is an important part of patient care and can prevent complications, as well as promote patient fulfillment during hospitalization. A study was conducted at Alton Ochsner Medical Foundation in New Orleans, LA, in 1989, to determine the impact of a preoperative teaching program on the incidence of postoperative atelectasis and patient satisfaction. Results showed no significant difference of postoperative complications and patient gratification after participating in a structured preoperative teaching program. As part of this study, it was identified that a patient evaluation tool for a preoperative teaching class needed to be developed. The phases of this process are explained in the following article.

  9. Awake craniotomy. A patient`s perspective.

    Science.gov (United States)

    Bajunaid, Khalid M; Ajlan, Abdulrazag M

    2015-07-01

    To report the personal experiences of patients undergoing awake craniotomy for brain tumor resection. We carried out a qualitative descriptive survey of patients` experiences with awake craniotomies for brain tumor resection. The survey was conducted through a standard questionnaire form after the patient was discharged from the hospital. Of the 9 patients who met the inclusion criteria and underwent awake craniotomy, 3 of those patients reported no recollection of the operation. Five patients had auditory recollections from the operation. Two-thirds (6/9) reported that they did not perceive pain. Five patients remembered the head clamp fixation, and 2 of those patients classified the pain from the clamp as moderate. None of the patients reported that the surgery was more difficult than anticipated. Awake craniotomy for surgical resection of brain tumors was well tolerated by patients. Most patients reported that they do not recall feeling pain during the operation. However, we feel that further work and exploration are needed in order to achieve better control of pain and discomfort during these types of operations.

  10. Patient Assessment File (PAF)

    Data.gov (United States)

    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...

  11. Transfer Out Patient Not Abandon The Patient

    Directory of Open Access Journals (Sweden)

    Deepak Gupta

    2015-12-01

    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

  12. Dentist-Patient Relationship

    Directory of Open Access Journals (Sweden)

    Gheorghe Raftu

    2016-01-01

    In the dentist-patient relationship confidence comes from the assurance that personal information(belonging to the patient will remain confidential; this is in the interest of the patient and the patient'sautonomy is recognized. There were presented several behavioral types which can lead to a physicianpatientrelationship, based on trust.

  13. A good patient?

    DEFF Research Database (Denmark)

    Campbell, Catherine; Scott, Kerry; Skovdal, Morten

    2015-01-01

    , 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...

  14. Patient-centred Prevention among PAD Patients

    DEFF Research Database (Denmark)

    Pii, Kathrine Hoffmann

    2015-01-01

    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......-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....... The paper shows that the programme’s attempt to facilitate that patients make their “own” decision is challenged by patients who understand the preventive programme in relational terms and even demand more intervention from the professionals in terms of expert advice, involvement, and discipline. Conclusion...

  15. Ergonomics and patient handling.

    Science.gov (United States)

    McCoskey, Kelsey L

    2007-11-01

    This study aimed to describe patient-handling demands in inpatient units during a 24-hour period at a military health care facility. A 1-day total population survey described the diverse nature and impact of patient-handling tasks relative to a variety of nursing care units, patient characteristics, and transfer equipment. Productivity baselines were established based on patient dependency, physical exertion, type of transfer, and time spent performing the transfer. Descriptions of the physiological effect of transfers on staff based on patient, transfer, and staff characteristics were developed. Nursing staff response to surveys demonstrated how patient-handling demands are impacted by the staff's physical exertion and level of patient dependency. The findings of this study describe the types of transfers occurring in these inpatient units and the physical exertion and time requirements for these transfers. This description may guide selection of the most appropriate and cost-effective patient-handling equipment required for specific units and patients.

  16. The Angry Dying Patient.

    Science.gov (United States)

    Houston, Robert E.

    1999-02-01

    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 responses to dying and enlist them in the process of family reconciliation, they can impact the end-of-life experience in a positive way.

  17. Patient Safety Culture

    DEFF Research Database (Denmark)

    Kristensen, Solvejg

    of health care professional’s behaviour, habits, norms, values, and basic assumptions related to patient care; it is the way things are done. The patient safety culture guides the motivation, commitment to and know-how of the safety management, and how all members of a work place interact. This thesis......Patient safety is highly prioritised in the Danish health care system, never the less, patients are still exposed to risk and harmed every day. Implementation of a patient safety culture has been suggested an effective mean to protect patients against adverse events. Working strategically...

  18. Organizing Patient Involvement

    DEFF Research Database (Denmark)

    Brehm Johansen, Mette

    hospitals. During the last 25 years, patient involvement and quality improvement have become connected in Danish healthcare policy. However, the ideal of involving patients in quality improvement is described in very general terms and with only few specific expectations of how it is to be carried out...... in practice, as I show in the thesis. In the patient involvement literature, the difficulties of getting patient involvement in quality improvement to have in an impact on the planning and development of healthcare services is, for example, ascribed to conceptual vagueness of patient involvement, differences...... in perspectives, values and understandings between patients and healthcare professionals, or the lack of managerial attention and prioritization....

  19. National Patient Safety Foundation

    Science.gov (United States)

    ... News Member Testimonials Lifetime Members Stand Up for Patient Safety Welcome Stand Up Members Stand Up e-News ... PLS Webcast Archives Stand Up Templates and Logos Patient Safety Coalition Coalition Overview Coalition Member Roster Members-Only ...

  20. Praying for patients.

    Science.gov (United States)

    Sutton, Julie; Macey, Nicola

    2017-01-04

    I feel sad for the nurse who was sacked for praying for a patient. Whatever happened to freedom of speech? What is wrong with offering to pray with patients? I pray this nurse finds a job where people appreciate her.

  1. Wooing patients with technology.

    Science.gov (United States)

    Myers, Michael

    2013-04-01

    Technologies that can give healthcare organizations a marketing advantage with patients include: Registration kiosks that request payment automatically, in a more comfortable environment for both patients and registration staff. Emails that enable patients to schedule initial visits and follow-up care. Secure online messaging platforms that enable patients to obtain timely answers to questions they have for their providers both before and after receiving services.

  2. Can "patient keeper" help in-patients?

    Science.gov (United States)

    Al-Hinnawi, M F

    2009-06-01

    The aim of this paper is to present our "Patient Keeper" application, which is a client-server medical application. "Patient Keeper" is designed to run on a mobile phone for the client application and on a PC for the server application using J2ME and JAVA2, respectively. This application can help doctors during visits to their patients in hospitals. The client application allows doctors to store on their mobile phones the results of their diagnoses and findings such as temperature, blood pressure, medications, analysis, etc., and send this information to the server via short message service (SMS) for storage in a database. The server can also respond to any request from the client and send the result via Bluetooth, infrared, or over the air. Experimental results showed a significant improvement of the healthcare delivery and reduction for in-patient stay.

  3. Learning from patients

    DEFF Research Database (Denmark)

    Henriksen, Ann-Helen; Ringsted, Charlotte

    2011-01-01

    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...

  4. The elderly patients' dignity

    DEFF Research Database (Denmark)

    Høy, Bente; Hall, E.O.C.; Wagner, L.

    2007-01-01

    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...... patient and what goals should be defined. Key words: Dignity, elderly patient, phenomenological hermeneutical method....

  5. Potential impact of mangrove clearance on biomass and biomass size spectra of nematode along the Sudanese Red Sea coast.

    Science.gov (United States)

    Sabeel, Rasha Adam Osman; Vanreusel, Ann

    2015-02-01

    The potential effect of mangrove clearance on nematode assemblage biomass, biomass size spectra (NBSS) and abundance/biomass curves (ABC) was investigated in three sites representing a varying degree of mangrove clearance as well as in three stations established at each sites representing high-, mid- and low-water levels. Results revealed significant differences in sediment and nematode characteristics between the three sites. Although both the cleared and the intact mangrove had comparable biomass values, clear differences in biomass size spectra and abundance biomass curves were observed. The results suggested that the variation in the silt fraction and the food quality positively affected the total biomass. Mangrove clearance has caused a shift from a unimodal to a bimodal biomass size spectrum at all water levels, owing to an increase in smaller-bodied opportunistic non-selective deposit feeding nematodes. The ABC further confirmed the effect of clearance by classifying the cleared mangrove as moderately to grossly disturbed. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. Seasonal Variation in Biting Rates of Simulium damnosum sensu lato, Vector of Onchocerca volvulus, in Two Sudanese Foci.

    Directory of Open Access Journals (Sweden)

    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.

  7. Why a Medical Career? "What Makes Sudanese Students to Join a Medical College and Pursue a Medical Career"?

    Science.gov (United States)

    Mutwali, Ismat Mohammed; Omer, Aisha Ibrahim A.; Abdalhalim, Sadigh Mohammed

    2015-01-01

    Introduction: Career selection and decision to pursue a medical career is a multi factorial process. It is influenced by the personal capabilities and the available resources as well as the social, educational, economical and cultural factors. Sudan is one of the African countries with a high number of medical colleges and an increasing number of…

  8. Microbial load and stability of some phyto chemical compounds of selected Sudanese medicinal plant materials as affected by gamma irradiation

    International Nuclear Information System (INIS)

    Musa, H. A. A.; Ahmed, E. E. A.; Osman, G. A. M.; Ali, H. A.; Muller, J. L.

    2011-01-01

    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)

  9. Association of Rift Valley fever virus infection with miscarriage in Sudanese women: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Maria Baudin, MSc

    2016-11-01

    Funding: Schlumberger Faculty for the Future, CRDF Global (31141, the Swedish International Development Cooperation Agency, the County Council of Västerbotten, and the Faculty of Medicine, Umeå University.

  10. The In Vitro Antifungal Activity of Sudanese Medicinal Plants against Madurella mycetomatis, the Eumycetoma Major Causative Agent

    NARCIS (Netherlands)

    H. Elfadil (Hassabelrasoul); A.H. Fahal (Ahmed); W. Kloezen (Wendy); E.M. Ahmed (Elhadi M.); W.W.J. van de Sande (Wendy)

    2015-01-01

    textabstractEumycetoma is a debilitating chronic inflammatory fungal infection that exists worldwide but it is endemic in many tropical and subtropical regions. The major causative organism is the fungus Madurella mycetomatis. The current treatment of eumycetoma is suboptimal and characterized by

  11. Isolation and Characterization of Microorganisms Associated with the Traditional Sorghum Fermentation for Production of Sudanese Kisra †

    OpenAIRE

    Mohammed, Sulma I.; Steenson, Larry R.; Kirleis, Allen W.

    1991-01-01

    Sorghum flour obtained from Sudan was mixed with water in a 1:2 (wt/vol) ratio and fermented at 30°C for 24 h. The bacterial populations increased with fermentation time and reached a plateau at approximately 18 h. At the end of 24 h, sorghum batter pH had dropped from 5.95 to 3.95 and the batter had a lactic acid content of 0.80%. The microbial population during the 24 h of fermentation consisted of bacteria (Pediococcus pentosaceus, Lactobacillus confusus, Lactobacillus brevis, Lactobacillu...

  12. Mental health and psychosocial support for South Sudanese refugees in northern Uganda: a needs and resource assessment

    OpenAIRE

    Adaku, Alex; Okello, James; Lowry, Blakeley; Kane, Jeremy C.; Alderman, Stephen; Musisi, Seggane; Tol, Wietse A.

    2016-01-01

    Background Since December 2013, an armed conflict in South Sudan has resulted in the displacement of over 2.2 million people, more than 270,000 of whom are presently in refugee settlements located throughout Uganda. Existing literature suggests that refugees are at increased risk for a range of mental health and psychosocial problems. There is international consensus on the importance of needs and resource assessments to inform potential mental health and psychosocial support (MHPSS) interven...

  13. Polymerase Chain Reaction targeting insertion sequence IS6110 for the diagnosis of pulmonary tuberculosis among Sudanese children and young adults

    Directory of Open Access Journals (Sweden)

    Ahmed L Osman

    2014-01-01

    All children participating in the study were subjected to the Mantoux test after obtaining appropriate consent injected by 5 tuberculin units of tuberculin purified protein derivative, and the results were recorded after three days. Specimens were decontaminated and inoculated on Lowenstein–Jensen media according to the modified Petroff's method. Two smears were prepared and stained by Ziehl–Neelsen stain and Auramine fluorescent dye; bacterial DNA was extracted from each specimen by using phenol chloroform method, and then the Polymerase Chain Reaction technique was adopted to detect Insertion Sequence IS6110 gene of MTB in these specimens. This study showed that the positive results for TST, ZN, Auramine, Culture and PCR were 86 (43.7%, 16 (8.1%, 22 (11.2%, 32 (16.2% and 35(17.8%, respectively. The study concluded that the PCR technique is the most sensitive and specific technique for a quick identification of MTB in gastric lavage and sputum from children who are unable to expectorate a good quality sputum sample or who are diagnosed as negative using conventional diagnostic methods.

  14. Extraction and characterization of gelatin from two edible Sudanese insects and its applications in ice cream making.

    Science.gov (United States)

    Mariod, Abdalbasit Adam; Fadul, Hadia

    2015-07-01

    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. © The Author(s) 2014.

  15. Evaluation of oral health-related quality of life among Sudanese schoolchildren using Child-OIDP inventory

    Directory of Open Access Journals (Sweden)

    Trovik Tordis A

    2010-12-01

    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.

  16. Assessment of HIV/AIDS comprehensive correct knowledge among Sudanese university: a cross-sectional analytic study 2014.

    Science.gov (United States)

    Elbadawi, Abdulateef; Mirghani, Hyder

    2016-01-01

    Comprehensive correct HIV/AIDS knowledge (CCAK) is defined as correctly identify the two major ways of preventing the sexual transmission of HIV, and reject the most common misconceptions about HIV transmission. There are limited studies on this topic in Sudan. In this study we investigated the Comprehensive correct HIV/AIDS knowledge among Universities students. A cross-sectional analytic study was conducted among 556 students from two universities in 2014. Data were collected by using the self-administered pre-tested structured questionnaire. Chi-square was used for testing the significance and P. Value of ≥ 0.05 is considered as statistically significant. The majority (97.1%) of study subjects have heard about a disease called HIV/AIDS, while only 28.6% of them knew anyone who is infected with AIDS in the local community. Minority (13.8%) of students had CCAK however, males showed a better level of CCAK than females (OR = 2.77) with high significant statistical differences (P. Value = 0.001). Poor rate of CCAK among university students is noticed, especially among females. Almost half of students did not know preventive measures of HIV, nearly two thirds had misconception, about one third did not know the mode of transmission of HIV.

  17. Kinetic study and synergistic interactions on catalytic CO2 gasification of Sudanese lower sulphur petroleum coke and sugar cane bagasse

    Directory of Open Access Journals (Sweden)

    Elbager M.A. Edreis

    2017-04-01

    Full Text Available In this study the effects of iron chloride (FeCl3 on the CO2 gasification kinetics of lower sulphur petroleum coke (PC and sugar cane bagasse (SCB via thermogravimetric analyser (TGA were investigated. The FeCl3 loading effects on the thermal behaviour and reactivity of CO2 gasification of PC were studied. The possible synergistic interaction between the PC and SCB was also examined. Then the homogeneous model or first order chemical reaction (O1 and shrinking core models (SCM or phase boundary controlled reactions (R2 and R3 were employed through Coats–Redfern method in order to detect the optimum mechanisms for the catalytic CO2 gasification, describe the best reaction behaviour and determine the kinetic parameters. The results showed that the thermal behaviour of PC is significantly affected by the FeCl3 loading. Among various catalyst loadings, the addition of 7 wt% FeCl3 to PC leads to improve the PC reactivity up to 39% and decrease the activation energy up to 22%. On the other hand, for char gasification stage of SCB and blend, the addition 5 wt% FeCl3 improved their reactivities to 18.7% and 29.8% and decreased the activation energies to 10% and 17%, respectively. The synergistic interaction between the fuel blend was observed in both reaction stages of the blend and became more significant in the pyrolysis stage. For all samples model R2 shows the lowest values of activation energy (E and the highest reaction rates constant (k. Finally, model R2 was the most suitable to describe the reactions of non-catalytic and catalytic CO2 gasification.

  18. Does patient satisfaction affect patient loyalty?

    Science.gov (United States)

    Kessler, Daniel P; Mylod, Deirdre

    2011-01-01

    This paper aims to investigate how patient satisfaction affects propensity to return, i.e. loyalty. Data from 678 hospitals were matched using three sources. Patient satisfaction data were obtained from Press Ganey Associates, a leading survey firm; process-based quality measures and hospital characteristics (such as ownership and teaching status) and geographic areas were obtained from the Centers for Medicare and Medicaid Services. The frequency with which end-of-life patients return to seek treatment at the same hospital was obtained from the Dartmouth Atlas. The study uses regression analysis to estimate satisfaction's effects on patient loyalty, while holding process-based quality measures and hospital and market characteristics constant. There is a statistically significant link between satisfaction and loyalty. Although satisfaction's effect overall is relatively small, contentment with certain hospitalization experience may be important. The link between satisfaction and loyalty is weaker for high-satisfaction hospitals, consistent with other studies in the marketing literature. RESEARCH LIMITATION/IMPLICATIONS: The US hospitals analyzed are not a random sample; the results are most applicable to large, non-profit teaching hospitals in competitive markets. Satisfaction ratings have business implications for healthcare providers and may be useful as a management tool for private and public purchasers. The paper is the first to show that patient satisfaction affects actual hospital choices in a large sample. Because patient satisfaction ratings are also correlated with other quality measures, the findings suggest a pathway through which individuals naturally gravitate toward higher-quality care.

  19. Remote Patient Management for Home Dialysis Patients

    Directory of Open Access Journals (Sweden)

    Eric L. Wallace

    2017-11-01

    Full Text Available Remote patient management (RPM offers renal health care providers and patients with end-stage kidney disease opportunities to embrace home dialysis therapies with greater confidence and the potential to obtain better clinical outcomes. Barriers and evidence required to increase adoption of RPM by the nephrology community need to be clearly defined. Ten health care providers from specialties including nephrology, cardiology, pediatrics, epidemiology, nursing, and health informatics with experience in home dialysis and the use of RPM systems gathered in Vienna, Austria to discuss opportunities for, barriers to, and system requirements of RPM as it applies to the home dialysis patient. Although improved outcomes and cost-effectiveness of RPM have been demonstrated in patients with diabetes mellitus and heart disease, only observational data on RPM have been gathered in patients on dialysis. The current review focused on RPM systems currently in use, on how RPM should be integrated into future care, and on the evidence needed for optimized implementation to improve clinical and economic outcomes. Randomized controlled trials and/or large observational studies could inform the most effective and economical use of RPM in home dialysis. These studies are needed to establish the value of existing and/or future RPM models among patients, policy makers, and health care providers.

  20. Displacing the patient

    DEFF Research Database (Denmark)

    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 information-pursuing patient figure making it possible to streamline the organization's care orientation on market conditions. In contrast to a dichotomy of care and market as mutually exclusive (Mol 2008), care and market appear to be intertwined in political patient figures through which the organization...

  1. Learning the Patient's Story.

    Science.gov (United States)

    Ragan, Sandra L; Kanter, Elisa

    2017-12-01

    To provide a brief history on narrative medicine and highlight its importance in providing quality patient care. Explains narrative medicine using published, peer-reviewed literature and highlights some of the literary, medical, sociological, and communication perspectives that contributed to the narrative medicine movement. A commitment to the patient-provider relationship and knowing the patient's story is a critical aspect in providing quality cancer care. Teaching oncology nurses skills that are grounded in narrative medicine will improve health care by increasing the nurses' knowledge of their patients and strengthening the nurse-patient relationship. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Displacing the patient

    DEFF Research Database (Denmark)

    Pors, Anja Svejgaard

    2014-01-01

    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 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 orientation on market......Over the past decade, patient communication has become a strategic priority in Danish public hospitals: communication is a focal point of policies, plans and daily work practices. Hospitals today create communication strategies and build communication departments to improve communication...

  3. Depression in Cancer Patients

    Directory of Open Access Journals (Sweden)

    Beyhan Bag

    2014-06-01

    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

  4. Measuring the patient experience.

    Science.gov (United States)

    Lees, Carolyn

    2011-01-01

    This paper examines the complex issues of measuring the patient experience and evaluating the quality of health care. It discusses the use of surveys, patient stories and narrative methods of data collection in an attempt to define quality and how it should be measured. A recent Department of Health (DH) document insists that patients will be at the heart of decision making in the NHS by having greater control in informing strategic commissioning decisions (DH 2010c). The government aims to improve patient experience, enabling patients to rate services according to the quality of care they receive. This will be carried out using information generated by patients. This paper discusses the advantages and disadvantages of using surveys in gathering patient satisfaction data. It considers the value of surveys in measuring quality of care and appraises their usefulness in strengthening patients' collective voice. The paper investigates the use of another source of feedback - it examines the design of qualitative data collection methods as a means of gaining feedback from service users in encouraging providers of health care to be more responsive to their needs. Too often, patients are expected to fit the services, rather than services meeting the patients' needs. The most effective way of exploring and representing the patient's experience is by using a mixed-method approach. In other words, an integrated approach with the use of surveys and more narrative methods, such as patient stories, will effectively define quality and how it should be measured, ensuring that the focus is always on what matters most to patients.

  5. Medication adherence in type 2 diabetes patients: study of patients ...

    African Journals Online (AJOL)

    Medication adherence in type 2 diabetes patients: study of patients in ... impact of medication adherence on the clinical outcomes of type 2 diabetes patients at ... the review of case notes of one-hundred and fifty two randomly selected patients.

  6. Understanding patient experience

    DEFF Research Database (Denmark)

    Andersen, Tariq O.; Andersen, Pernille R. D.; Kornum, Anders C.

    2017-01-01

    , safety) arise from getting feedback on symptoms and from continuous and comforting interaction with clinicians. With this paper, we aim to sensitise UX researchers and designers of patient-centred e-health by proposing three UX dimensions: connectedness, comprehension, and compassion.......The term 'patient experience' is currently part of a global discourse on ways to improve healthcare. This study empirically explores what patient experience is in cardiac remote monitoring and considers the implications for user experience (UX). Through interviews around the deployment of a mobile...... app that enables patients to collaborate with clinicians, we unpack experiences in six themes and present narratives of patients' lifeworlds. We find that patients' emotions are grounded in negative feelings (uncertainty, anxiety, loss of hope) and that positive experiences (relief, reassurance...

  7. Music for Hemodialysis patients

    DEFF Research Database (Denmark)

    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...

  8. Displacing the Patient

    DEFF Research Database (Denmark)

    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 (market orientation......), the patient is also a resource for organizational development and a customer with consumer behavior. Overall, the strategy presents an information-pursuing patient figure making it possible to streamline the organization's care orientation on market conditions. In contrast to Annemarie Mol’s dichotomy of care......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...

  9. Why measure patient satisfaction?

    Science.gov (United States)

    Riskind, Patty; Fossey, Leslie; Brill, Kari

    2011-01-01

    A practice that consistently and continuously measures patient perceptions will be more efficient and effective in its daily operations. With pay-for-performance requirements on the horizon and consumer rating sites already publicizing impressions from physician encounters, a practice needs to know how it is performing through the eyes of the patients. Azalea Orthopedics has used patient feedback to coach its physicians on better patient communication. The Orthopaedic Institute has used patient satisfaction results to reduce wait times and measure the return on investment from its marketing efforts. Patient survey results that are put to work can enhance the efficiency and effectiveness of practice operations as well as position the practice for increased profitability.

  10. Acknowledging the back patient

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise

    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......-oriented patient approach that incorporates patients' narratives as an integral and ethical part of the care and treatment....

  11. Patients and radiotherapy

    International Nuclear Information System (INIS)

    Eardley, A.

    1986-01-01

    The results of interviews with thirty discharged patients who had undergone radical radiotherapy for cancer of the head and neck are presented. Patients were asked whether their side-effects had got worse or had stayed the same, what effect their side effects had had on eating and drinking and whether they had felt depressed during this period. Measures which could be taken to improve patients' experiences of radiotherapy are discussed. (U.K.)

  12. Keeping our patients' secrets.

    Science.gov (United States)

    Clough, J D; Rowan, D W; Nickelson, D E

    1999-10-01

    Protecting the privacy of the patient's medical record is a central issue in current discussions about a patient bill of rights, and controversy over a proposed "unique health identifier" has raised the decibel level of these discussions. At the heart of the debate is how best to resolve the inherent conflict between the individual's right to privacy and the need for access to patients' health information for reasons of public health, research, and health care management.

  13. Patient tracking system

    International Nuclear Information System (INIS)

    Chapman, L.J.; Hakimi, R.; Salehi, D.; McCord, T.; Zionczkowski, B.; Churchill, R.

    1987-01-01

    This exhibit describes computer applications in monitoring patient tracking in radiology and the collection of management information (technologist productivity, patient waiting times, repeat rate, room utilization) and quality assurance information. An analysis of the reports that assist in determining staffing levels, training needs, and patient scheduling is presented. The system is designed to require minimal information input and maximal information output to assist radiologists, quality assurance coordinators, and management personnel in departmental operations

  14. Patients Are Our Teachers

    Directory of Open Access Journals (Sweden)

    Robert E. Becker

    2018-04-01

    Full Text Available In the patient-physician encounter, physicians hone their skills while alleviating the patient’s suffering. Both benefit. Leaning on the work of Hippocrates, Darwin, and William Osler, the authors sketch out the case for honoring patients as indispensable teachers of the art and science of medicine. They argue that this tradition of Hippocratic medicine both anticipates modern precision medicine and reawakens a focus on public health medicine, each a benefit to the patients and communities served by physicians. A community that compromises the learning relationship of physician to patient and population undermines quality of care.

  15. Patient-Ventilator Dyssynchrony

    Directory of Open Access Journals (Sweden)

    Elvira-Markela Antonogiannaki

    2017-11-01

    Full Text Available In mechanically ventilated patients, assisted mechanical ventilation (MV is employed early, following the acute phase of critical illness, in order to eliminate the detrimental effects of controlled MV, most notably the development of ventilator-induced diaphragmatic dysfunction. Nevertheless, the benefits of assisted MV are often counteracted by the development of patient-ventilator dyssynchrony. Patient-ventilator dyssynchrony occurs when either the initiation and/or termination of mechanical breath is not in time agreement with the initiation and termination of neural inspiration, respectively, or if the magnitude of mechanical assist does not respond to the patient’s respiratory demand. As patient-ventilator dyssynchrony has been associated with several adverse effects and can adversely influence patient outcome, every effort should be made to recognize and correct this occurrence at bedside. To detect patient-ventilator dyssynchronies, the physician should assess patient comfort and carefully inspect the pressure- and flow-time waveforms, available on the ventilator screen of all modern ventilators. Modern ventilators offer several modifiable settings to improve patient-ventilator interaction. New proportional modes of ventilation are also very helpful in improving patient-ventilator interaction.

  16. Patients' thoughts on patient- retained medical records

    African Journals Online (AJOL)

    was also thought to motivate the patients to act on the advice given, and the records also served as a reminder to take their ... to use it and to standardise the information that is recorded; and health planners should be motivated to implement .... Table I: Combined list of themes identified and quotations supporting them.

  17. Patients Provide Recommendations for Improving Patient Satisfaction.

    Science.gov (United States)

    Moore, Angelo D; Hamilton, Jill B; Krusel, Jessica L; Moore, LeeAntoinette G; Pierre-Louis, Bosny J

    2016-04-01

    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. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

  18. Knowing Patients: Turning Patient Knowledge into Science

    NARCIS (Netherlands)

    Pols, Jeannette

    2014-01-01

    Science and technology studies concerned with the study of lay influence on the sciences usually analyze either the political or the normative epistemological consequences of lay interference. Here I frame the relation between patients, knowledge, and the sciences by opening up the question: How can

  19. Radiological protection of patients

    International Nuclear Information System (INIS)

    Niroomand-Rad, A.

    2003-01-01

    The benefits of ionizing radiation in the diagnosis and treatment of cancer, as well as other conditions such as cardiac ablation, are well established. However determination, monitoring, and evaluation of patient doses is not as easy task. Furthermore, radiation doses for individual patients may vary greatly from one radiological procedure to another. Attention is needed to reduce unnecessary radiation exposure to patients from All types of radiation producing machines and equipment. The patient risk from radiation injury-stochastic and/or deterministic must be weighted against the benefits of a proper medical examination or treatment as well as the risk of depriving the patient from the necessary medical care. Arbitrary reduction of radiological patient doses without regard to final outcome is determined to proper medical care provided to the patient. Sacrificing image quality in order to reduce patient dose is potentially harmful to the patient as well. Furthermore, the role of radiation exposure incurred from screening procedures such as mammography, needs to be properly considered and differentiated from medically indicated procedures. A known radiation induced risk needs to be balanced against diagnostic efficacy of a screening procedure. In these cases, regulations on standards and guidelines for determination, monitoring, and evaluation of patient doses may be appropriate. In this paper, the technical data collected in the United States have been compared with the corresponding data in Canada. However, even here, it has been recognized that we can not assume that one dose limit fits all. It is advisable to consider individual patient specifics if it means the difference between detection and miss

  20. Visual patient records

    NARCIS (Netherlands)

    Luu, M.D.

    2015-01-01

    Patient information is often complex and fragmented; visualization can help to obtain and communicate insights. To move from paper medical records to interactive and visual patient records is a big challenge. This project aims to move towards this ultimate goal by providing an interactive prototype

  1. Withholding truth from patients.

    LENUS (Irish Health Repository)

    O'Sullivan, Elizabeth

    2012-01-31

    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.

  2. Excluding the typical patient

    DEFF Research Database (Denmark)

    Odlaug, Brian Lawrence; Weinhandl, Eric; Mancebo, Maria C

    2014-01-01

    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...

  3. Lejringsskader hos rygopererede patienter

    DEFF Research Database (Denmark)

    Sestoft, Bodil; Larsen, Birgit; Erlandsen, Mogens

    2009-01-01

    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 par...

  4. Patient dosimetry in hysterosalpingography

    International Nuclear Information System (INIS)

    Khoury, H.J.; Maia, A.; Oliveira, M.; Kramer, R.; Drexler, G.

    2001-01-01

    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)

  5. [Physiotherapy of cancer patients].

    Science.gov (United States)

    Gomez, Izabella; Szekanecz, Éva; Szekanecz, Zoltán; Bender, Tamás

    2016-07-01

    Physiotherapy of cancer patients is one of the most controversial issues in our country. Malignant diseases are firstly mentioned as a contraindication of physiotherapy. Until now, physiotherapy was not suggested (or only in limited accessibility) for those patients who had malignant disease in medical history. International medical practice was less restrictive in managing this topic. The development of imaging techniques put this question in a new light. On the basis of evidence, the majority of articles have reported beneficial effects of physiotherapy in cancer patients, and only few articles mentioned it as harmful. Of course, each patient requires an individual assessment, however, if we exclude the possibility of tumor recurrence and metastasis, most of physiotherapy procedures can be used safely. One of the aims of this review is to support the physicians' decisions when to prescribe treatments, in such a way, that more patients could receive physiotherapy. Orv. Hetil., 2016, 157(31), 1224-1231.

  6. Patient Delay in Colorectal Cancer Patients

    DEFF Research Database (Denmark)

    Pedersen, Anette Fischer; Hansen, Rikke P; Vedsted, Peter

    2013-01-01

    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,...

  7. NRPB patient dosimetry service

    International Nuclear Information System (INIS)

    Shrimpton, P.; Hillier, M.; Bungay, D.; Wall, B.

    1994-01-01

    For nearly 20 years, thermoluminescent dosemeters (TLDs) have been used by NRPB to investigate the doses received by patients undergoing diagnostic examinations with x-rays, and these measurements have formed the basis for national recommendations on patient protection. Monitoring typical levels of patient dose should represent an essential element of routine quality assurance in x-ray departments. In order to promote more widespread measurements in hospitals, NRPB has drawn on a wealth of experience to establish a high-quality service providing TLDs for medical dosimetry by post. (author)

  8. Identitetskonstruktioner af patienter

    DEFF Research Database (Denmark)

    Lassen, Inger; Ottesen, Aase Marie; Strunck, Jeanne

    2015-01-01

    of New Public Management affects the welfare model and creates increasing inequality among citizens. These developments make it relevant to study how underlying ideologies may affect the construction of patient identity and health in the Danish welfare system. This would imply studying the role...... of identity at societal level, and in this paper we therefore ask whether the Danish Health Act constructs persons in need of care as vulnerable patients or as empowered citizens in line with recommendations by policy makers. The question we ask is whether the construction of patient identity in the Danish...

  9. Patient Dosimetry. Chapter 22

    Energy Technology Data Exchange (ETDEWEB)

    Dance, D. R. [Royal Surrey County Hospital, Guildford (United Kingdom); Castellano, I. [The Royal Marsden Hospital, London (United Kingdom)

    2014-09-15

    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.

  10. IMPROVING PATIENT SAFETY:

    DEFF Research Database (Denmark)

    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...

  11. Medicare, physicians, and patients.

    Science.gov (United States)

    Hacker, Joseph F

    2004-05-01

    There are many other provisions to the MMA. It is important to remind our patients that these changes are voluntary. If patients are satisfied with their current Medicare benefits and plan, they need not change to these new plans. However, as physicians we should familiarize ourselves with these new Medicare options so as to better advise our patients. For more information, visit www.ama-assn.org. The Medical Society of Delaware will strive to keep you informed as these new changes are implemented.

  12. Humoral and cellular immune responses to glucose regulated protein 78 - a novel Leishmania donovani antigen

    DEFF Research Database (Denmark)

    Jensen, Anja T R; Ismail, Ahmed; Gaafar, Ameera

    2002-01-01

    The recently cloned glucose regulated protein 78 (GRP78) of Leishmania donovani has been suggested as a new and promising Leishmania vaccine candidate. We assessed antibody and T-cell reactivity to GRP78 in an enzyme-linked immunosorbent assay (ELISA) and in lymphoproliferative assays. Serological...... with a positive leishmanin skin test showed antibody reactivity to recombinant GRP78 (rGRP78). In lymphoproliferative assays, 9 of 13 isolates of peripheral blood mononuclear cells (PBMC) from individuals previously infected with L. donovani and one of three individuals previously infected with L. major showed...... in an area endemic for malaria but free of leishmaniasis and plasma from healthy Danes was negative in the assay. GRP78 antibody was detected in 10% and 5% of plasma samples from Sudanese and Ghanaian malaria patients, respectively, whereas 35% of plasma samples from otherwise healthy Sudanese individuals...

  13. Constructions of the patient in healthcare communications: six patient figures.

    Science.gov (United States)

    Pors, Anja Svejgaard

    2016-01-01

    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. 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. 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. 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.

  14. JALFHCC - Patient Registration Service

    Data.gov (United States)

    Department of Veterans Affairs — The Captain James A. Lovell Federal Health Care Center (JALFHCC) Patient Registration Service supports the operation of the first VA/Navy Federal Health Care Center...

  15. Sygepleje til trakeostomerede patienter

    DEFF Research Database (Denmark)

    Christensen, Dorthe Wiinholdt; Richard, René; Rydahl Hansen, Susan

    2016-01-01

    Der er ikke enighed om principperne bag plejen af trakeostomerede patienter, når de er i risiko for dysfagi og silent aspiration. Uenigheden har ført til udarbejdelse af en klinisk retningslinje med evidensbaserede anbefalinger....

  16. Patient survey (HCAHPS) - National

    Data.gov (United States)

    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...

  17. Positioning devices for patients

    International Nuclear Information System (INIS)

    Heavens, M.

    1981-01-01

    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)

  18. USU Patient Simulation Center

    Data.gov (United States)

    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.,...

  19. Patient survey (ICH CAHPS)

    Data.gov (United States)

    U.S. Department of Health & Human Services — In-Center Hemodialysis Facilites Patient evaluations from the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH-CAHPS) Survey. The...

  20. Patient Treatment File (PTF)

    Data.gov (United States)

    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...

  1. Doctors and patients.

    Science.gov (United States)

    Gillon, R

    1986-02-15

    Gillon outlines some prima facie moral duties of physicians to patients that have emerged from his previous articles in a series on philosophical medical ethics. These duties follow from four general ethical principles--respect for autonomy, beneficence, non-maleficence, and justice--plus the self-imposed supererogatory duty of medical beneficence. From these principles the author derives such duties as providing adequate information and advice on treatment options, encouraging patient participation leading to informed decisions, maintaining competence and exposing incompetence, admitting errors, disclosing personal medico-moral standards, and acknowledging that other interests may occasionally supersede those of the individual patient. Gillon concludes that, where self interest conflicts with medical beneficence, the claim of medicine as a profession requires that the patient's interests take priority.

  2. Woe patient is purple

    Directory of Open Access Journals (Sweden)

    Hatice Dogan

    2014-08-01

    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

  3. Nurse-patient collaboration

    DEFF Research Database (Denmark)

    Sørensen, Dorthe; Frederiksen, Kirsten; Groefte, Thorbjoern

    2013-01-01

    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...... at three intensive care units and one general respiratory ward in Denmark. Results: Succeeding emerged as the nurses’ main concern in the nurse-patient collaboration during non-invasive ventilation treatment. Four collaborative typologies emerged as processing their main concern: (1) twofold oriented...

  4. MRSA Information for Patients

    Science.gov (United States)

    ... with soap and water or an alcohol-based hand sanitizer before and after caring for every patient. Carefully ... with soap and water or an alcohol-based hand sanitizer before and after touching you. If you do ...

  5. Cirrhosis: A Patient's Guide

    Science.gov (United States)

    ... A Patient's Guide Viral Hepatitis Menu Menu Viral Hepatitis Viral Hepatitis Home For Veterans and the Public Veterans and the Public Home Hepatitis A Hepatitis B Hepatitis C Hepatitis C Home Getting ...

  6. Optimizing patient nutrition

    DEFF Research Database (Denmark)

    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...

  7. Participating in patient education

    DEFF Research Database (Denmark)

    Kristiansen, Tine Mechlenborg; Antoft, Rasmus

    2015-01-01

    point is applied in order to illustrate two central status passages taking place at the locally developed patient education programme: 1) The status passage from novice to an experienced person with chronic illness, and 2) The transformation from adolescence to adulthood living with a chronic illness......The paper builds on previous ethnographic research in Denmark focusing on the significance of participating in a locally developed patient education programme for everyday life (Kristiansen et.al. 2015). It presents a secondary analysis. Group based patient education can be understood as a health...... studies within the field of patient education and how it can enhance our understanding of the social practices at play and the identity transitions occurring as a result of the chronic illness itself and the participation at the programme. Further we reflect on potential practical implications of our...

  8. Tinnitus Patient Navigator

    Science.gov (United States)

    ... Cure About Us Initiatives News & Events Professional Resources Tinnitus Patient Navigator Want to get started on the ... unique and may require a different treatment workflow. Tinnitus Health-Care Providers If you, or someone you ...

  9. Anaesthesia for trauma patients

    African Journals Online (AJOL)

    casualty incident, or a natural disaster. ... Exposure/environmental control: completely undress the ... E. Figure 1: Advance Trauma Life Support® management priorities ..... requiring operative intervention: the patient too sick to anesthetize.

  10. Patient care in radiography

    International Nuclear Information System (INIS)

    Ehrlich, R.A.; McCloskey, E.D.

    1989-01-01

    This book focuses on patient care procedures for radiographers. The authors focus on the role of the radiographer as a member of the health care team. The authors report on such topics as communication in patient care: safety, medico-legal considerations, transfer and positioning; physical needs; infection control; medication; CPR standards, acute situations; examination of the GI tract; contrast media; special imaging techniques and bedside radiography

  11. "Patient care in radiology"

    DEFF Research Database (Denmark)

    Bro Brask, Kirsten; Birkelund, Regner

    2014-01-01

    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 observation...... was electronically forwarded. And, care expressed in between was perceived as care in the traditional sense and termed as “patient care in radiology.”...

  12. Medical Services: Patient Administration

    Science.gov (United States)

    2001-03-12

    5–16, page 41 Final disposition procedures for military patients • 5–17, page 42 Military patients requiring continued hospitalization or nursing ...general anesthetic, intravenous sedation , or nitrous oxide sedation . (3) All nonoperative procedures that involve more than a slight risk of harm to the...aid or palliative treatment, (b) Is likely to result in any disability for work beyond the day or occurrence, (c) Appears to require prolonged

  13. Depression in hemodialysis patients

    International Nuclear Information System (INIS)

    Anees, M.; Barki, H.; Masood, M.

    2008-01-01

    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)

  14. Patient loyalty model.

    Science.gov (United States)

    Sumaedi, Sik; Bakti, I Gede Mahatma Yuda; Rakhmawati, Tri; Astrini, Nidya Judhi; Yarmen, Medi; Widianti, Tri

    2015-07-06

    This study aims to investigate the simultaneous effect of subjective norm, perceived behavioral control and trust on patient loyalty. The empirical data were collected through survey. The respondents of the survey are 157 patients of a health-care service institution in Bogor, Indonesia. Multiple regressions analysis was performed to test the conceptual model and the proposed hypotheses. The findings showed that subjective norm and trust influence patient loyalty positively. However, this research also found that perceived behavioral control does not influence patient loyalty significantly. The survey was only conducted at one health-care service institution in Bogor, Indonesia. In addition, convenience sampling method was used. These conditions may cause that the research results can not be generalized to the other contexts. Therefore, replication research is needed to test the stability of the findings in the other contexts. Health-care service institutions need to pay attention to trust and subjective norm to establish patient loyalty. This study is believed to be the first to develop and test patient loyalty model that includes subjective norm, perceived behavioral control and trust.

  15. Patient-Centered Research

    Science.gov (United States)

    Wicki, J; Perneger, TV; Junod, AF; Bounameaux, H; Perrier, A

    2000-01-01

    PURPOSE We aimed to develop a simple standardized clinical score to stratify emergency ward patients with clinically suspected PE into groups with a high, intermediate, or low probability of PE, in order to improve and simplify the diagnostic approach. METHODS Analysis of a database of 1090 consecutive patients admitted to the emergency ward for suspected PE, in whom diagnosis of PE was ruled in or out by a standard diagnostic algorithm. Logistic regression was used to predict clinical parameters associated with PE. RESULTS 296 out of 1090 patients (27%) were found to have PE. The optimal estimate of clinical probability was based on eight variables: recent surgery, previous thromboembolic event, older age, hypocapnia, hypoxemia, tachycardia, band atelectasis or elevation of a hemidiaphragm on chest X-ray. A probability score was calculated by adding points assigned to these variables. A cut-off score of 4 best identified patients with low probability of PE. 486 patients (49%) had a low clinical probability of PE (score 9). CONCLUSION This clinical score, based on easily available and objective variables, provides a standardized assessment of the clinical probability of PE. Applying this score to emergency ward patients suspected of PE could allow a more efficient diagnostic process.

  16. Patients for patient safety in China: a cross sectional study.

    Science.gov (United States)

    Zhang, Qiongwen; Li, Yulin; Li, Jing; Mao, Xuanyue; Zhang, Lijuan; Ying, Qinghua; Wei, Xin; Shang, Lili; Zhang, Mingming

    2012-02-01

    To investigate the baseline status of patients' awareness, knowledge, and attitudes to patient safety in China, and to determine the factors that influence patients' involvement in patient safety. We conducted a cross sectional survey using questionnaires adapted from recent studies on patient safety from outside China. The items included medical errors, infection, medication safety, and other aspects of patient safety. The questionnaire included 17 items and 5 domains. The survey was conducted between Jan. 2009 and Dec. 2010 involving 1000 patients from ten grade-A hospitals in seven provinces or cities in China. Most patients from the surgery departments completed the questionnaires voluntarily and anonymously. Five reviewers independently input the data into Microsoft Excel 2003, and the data were double-checked. Data were analyzed using SPSS 15.0 software for differences in the perceptions and attitudes of patients toward patient safety among different genders, ages, and regions. We distributed 1000 questionnaires and collected 959 completed questionnaires (response rate: 96%). Among the respondents, 58% of patients did not know what medical error is. Sixty-five percent of patients wanted disclosure of all medical errors. After errors occurred, 58% of patients wanted explanations of all possible harms that had resulted. Among 187 patients who had experienced medical errors, 83% of patients had sought appropriate legal action. About 52% of patients understood hospital infection, but 28% patients did not know that infections could occur in hospital. Seventy-eight percent of patients thought that medical staff should wash their hands before examining patients. More than half of the patients (68%) were willing to remind the staff of hygiene if they saw unsanitary conditions in a health clinic. Only 14% of patients knew the side effects of medications that they took. The majority of patients surveyed expressed willingness to contribute to patient safety, but their

  17. [Patient blood management].

    Science.gov (United States)

    Folléa, G

    2016-11-01

    In a context of regular review of transfusion practice, the aim of this review is to present an update of the scientific basis of the so-called "patient blood management" (PBM), the state of its development in Europe, and possible ways to progress its development further in France. Analysis and synthesis of the data from scientific literature on the scientific basis of PBM (methods, indications, efficacy, risks, efficiency). PBM appears as an evidence-based, patient centred, multidisciplinary approach, aiming to optimise the care of patients who might need transfusion and, consequently, the use of blood products. PBM is based on three pillars: optimise the patient's own blood supplies, minimise blood loss, optimise patient's tolerance of anaemia. Available scientific evidence can be considered as sufficient to consider PBM guidelines and practices as an indispensable complement to the transfusion medicine guidelines and practices. Several countries have launched PBM programmes (alternatives to allogeneic transfusion and optimisation of the use of blood components). Although current French national transfusion guidelines contain some PBM measures, PBM programmes should be further developed in France, primarily for medical reasons. Possible ways, using the existing basis having proved to be effective, are proposed to further develop PBM in France, as a complement to transfusion medicine, with the participation of involved stakeholders, including experts from relevant medical specialties, both at local and national levels. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  18. Cachexia Syndrome, anorexia patient

    International Nuclear Information System (INIS)

    Roldán, G.; Musé, I.

    2004-01-01

    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

  19. Glaucoma in patients with uveitis.

    OpenAIRE

    Panek, W C; Holland, G N; Lee, D A; Christensen, R E

    1990-01-01

    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 ...

  20. Patient-centred outcomes research: perspectives of patient stakeholders.

    Science.gov (United States)

    Chhatre, Sumedha; Gallo, Joseph J; Wittink, Marsha; Schwartz, J Sanford; Jayadevappa, Ravishankar

    2017-11-01

    To elicit patient stakeholders' experience and perspectives about patient-centred care. Qualitative. A large urban healthcare system. Four patient stakeholders who are prostate cancer survivors. Experience and perspectives of patient stakeholders regarding patient-centred care and treatment decisions. Our patient stakeholders represented a diverse socio-demographic group. The patient stakeholders identified engagement and dialogue with physicians as crucial elements of patient-centred care model. The degree of patient-centred care was observed to be dependent on the situations. High severity conditions warranted a higher level of patient involvement, compared to mild conditions. They agreed that patient-centred care should not mean that patients can demand inappropriate treatments. An important attribute of patient-centred outcomes research model is the involvement of stakeholders. However, we have limited knowledge about the experience of patient stakeholders in patient-centred outcomes research. Our study indicates that patient stakeholders offer a unique perspective as researchers and policy-makers aim to precisely define patient-centred research and care.

  1. Patient satisfaction with cataract surgery

    Directory of Open Access Journals (Sweden)

    Wasfi Ehab I

    2008-10-01

    Full Text Available Abstract Introduction Measuring the patient satisfaction is a very important issue that will help very much in improving the service provided to patients and improve the level of satisfaction. Aim To evaluate patient satisfaction with the cataract surgery service and identify any areas for improvement, determination of patient satisfaction with referral, out-patient consultation, pre-assessment clinic, surgery and post-operative care, also to report patients' comments relating to improvement in service provision. Methodology A retrospective study was undertaken for 150 patients underwent cataract surgery at Barrow General Hospital, UK, the survey sample was by postal questionnaires. We collected our data from the theatre lists for a period of 4 month. Results This study included 150 patients; the response rate was (72% 108 patients, Most patients were referred from their general practitioner 86.1%, 93 (86.1% patients were happy with the time interval from seeing their GP to eye clinic. In the eye out patient department many factors significantly affected the level of patient satisfaction, in general the more information provided for the patient the more the satisfaction. Conclusion Patient satisfaction is on important health outcome old understanding both the domains of satisfaction as well as their relative importance to patients is necessary to improve the overall quality of patient care. Meeting the doctor, presenting all relevant information and giving printed information are very important factors in improving the patient's satisfaction with cataract surgery.

  2. Robotherapy with Dementia Patients

    Directory of Open Access Journals (Sweden)

    Francisco Martín

    2013-01-01

    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 application's impact on the patient's 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.

  3. Acknowledging the back patient

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Bastrup Jørgensen, Lene; Norlyk, Annelise

    , Silkeborg Regional Hospital, Regional Hospital Central Jutland, Silkeborg, Denmark 2. Health, Section for Nursing, Aarhus University, Aarhus, Denmark 3. University of Southern Denmark & Vejle Sygehus, Vejle, Denmark keywords:Back Patient, Narrative, Biomedical, Marginalisation, Self-Identity, Ethical......#296 Acknowledging The Back Patient. A Thematic Synthesis Of Qualitative Research. A Systematic Literature Review. Janne Brammer Damsgaard1, Lene Bastrup Jørgensen1, Annelise Norlyk2, Regner Birkelund3 1. Health, Section for Nursing, Aarhus University & Research Unit, Elective Surgery Centre....... Therefore, telling about experiences and perceptions is important for back patients in order to feel accepted and acknowledged. But selfhood cannot be reduced to narrative identity since the identity of the self is only fully revealed the moment we include the ethical dimension including certain norms...

  4. Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions.

    Science.gov (United States)

    Bishop, Andrea C; Macdonald, Marilyn

    2017-06-01

    The risk associated with receiving health care has called for an increased focus on the role of patients in helping to improve safety. Recent research has highlighted that patient involvement in patient safety practices may be influenced by patient perceptions of patient safety practices and the perceptions of their health care providers. The objective of this research was to describe patient involvement in patient safety practices by exploring patient and nursing staff perceptions of safety. Qualitative focus groups were conducted with a convenience sample of nursing staff and patients who had previously completed a patient safety survey in 2 tertiary hospital sites in Eastern Canada. Six focus groups (June 2011 to January 2012) were conducted and analyzed using inductive thematic analysis. Four themes were identified: (1) wanting control, (2) feeling connected, (3) encountering roadblocks, and (4) sharing responsibility for safety. Both patient and nursing staff participants highlighted the importance of building a personal connection as a precursor to ensuring that patients are involved in their care and safety. However, perceptions of provider stress and nursing staff workload often reduced the ability of the nursing staff and patient participants to connect with one another and promote involvement. Current strategies aimed at increasing patient awareness of patient safety may not be enough. The findings suggest that providing the context for interaction to occur between nursing staff and patients as well as targeted interventions aimed at increasing patient control may be needed to ensure patient involvement in patient safety.

  5. Teleophthalmology: improving patient outcomes?

    Directory of Open Access Journals (Sweden)

    Sreelatha OK

    2016-02-01

    Full Text Available Omana Kesary Sreelatha,1 Sathyamangalam VenkataSubbu Ramesh2 1Ophthalmology Department, Sultan Qaboos University Hospital, Muscat, Oman; 2Department of Optometry, School of Allied Health Sciences, Manipal University, Manipal, India Abstract: 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

  6. Patient support systems

    International Nuclear Information System (INIS)

    Braden, A.B.; McBride, T.R.; Styblo, D.J.; Taylor, S.K.; Richey, J.B.

    1979-01-01

    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)

  7. Using Patient Portals to Increase Engagement in Patients with Cancer.

    Science.gov (United States)

    Rodriguez, Elizabeth S

    2018-04-03

    To review patient portals which serve as a tool for patient engagement by increasing access to electronic health care information and expanding ways to communicate with health care providers. Reviews of the literature and first-hand experience. Meaningful Use requirements propelled the design and development of patient portals in recent years. Patient engagement in oncology can improve quality of life and outcomes. Oncology nurses facilitate patient adoption of patient portals and support usage. Patient education helps manage communication expectations and understanding of online medical information. Copyright © 2018 Elsevier Inc. All rights reserved.

  8. Inappropriate requests from patients

    African Journals Online (AJOL)

    doctors continue to provide these patients with life-sustaining .... mentally different judgments about the best interests of ... ed suicide is legal. While it is clear ... Epidemiological studies have mainly been used to assess the risk of lung cancer in ...

  9. Do patients initiate therapy?

    DEFF Research Database (Denmark)

    Thengilsdóttir, G; Pottegård, Anton; Linnet, K

    2015-01-01

    BACKGROUND: Primary non-adherence occurs when a drug has been prescribed but the patient fails to have it dispensed at the pharmacy. AIMS: To assess primary non-adherence to statins and antidepressants in Iceland, the association of demographic factors with primary non-adherence, and the time fro...

  10. Acute Myocardial Infarction Patients

    Directory of Open Access Journals (Sweden)

    Bruce Ovbiagele

    2011-01-01

    Full Text Available Background. Diabetes mellitus (DM confers high vascular risk and is a growing national epidemic. We assessed clinical characteristics and prevalence of diagnosed DM among patients hospitalized with acute myocardial infarction (AMI in the US over the last decade. Methods. Data were obtained from all states within the US that contributed to the Nationwide Inpatient Sample. All patients admitted to hospitals between 1997 and 2006 with a primary discharge diagnosis of AMI were included. Time trends in the proportion of these patients with DM diagnosis were computed. Results. The portion of patients with comorbid diabetes among AMI hospitalizations increased substantially from 18% in 1997 to 30% in 2006 (<.0001. Absolute numbers of AMI hospitalizations in the US decreased 8% (from 729, 412 to 672, 243, while absolute numbers of AMI hospitalizations with coexisting DM rose 51% ((131, 189 to 198, 044, both (<.0001. Women with AMI were significantly more likely to have DM than similarly aged men, but these differences diminished with increasing age. Conclusion. Although overall hospitalizations for AMI in the US diminished over the last decade, prevalence of diabetes rose substantially. This may have important consequences for the future societal vascular disease burden.

  11. Rehabilitation of schizophrenic patients.

    Science.gov (United States)

    Gunatilake, S; Ananth, J; Parameswaran, S; Brown, S; Silva, W

    2004-01-01

    Schizophrenia is a maldevelopmental disorder of the brain that manifests in positive, negative, cognitive and affective symptoms. Currently, the mainstay of treatment involves pharmacotherapy. The limitations of antipsychotic treatment are that they can only control symptoms and cannot cure the illness, and 20% of patients do not respond, thus leading to the requirement of maintenance treatment. Patients that do respond continue to have disabling residual symptoms such as amotivation and isolation, maladaptive behavior, and impaired social functioning. These symptoms prevent patients from attaining educational, occupational, and social roles. Psychosocial interventions and models of quality of life in schizophrenia are based on the notion that increases in psychosocial functioning will be related to improvement in subjective experiences, such as self-esteem and satisfaction with life. The comparative effect of specific treatment methods and the additional benefits of multiple treatments need to be explored. Diversified techniques have also been employed, such as shaping, cognitive process therapy, mastery-oriented skill training, motivation and enhancement. Issues in designing psychosocial interventions and the role of various professionals in providing such interventions need to be carefully considered. Predictor variables and the indications for particular therapies in an individual need to be explored. Generalizability of the gains made by rehabilitation/recovery is also an important consideration. Patients in jail, chronic mental hospitals, private facilities, and the Veterans Administration system are all different in their ability to benefit, their motivations, and the severity of their psychopathology. Therefore, it is very difficult to generalize findings from one setting to another.

  12. Assemblages of Patient Safety

    DEFF Research Database (Denmark)

    Balatsas Lekkas, Angelos

    2016-01-01

    This thesis identifies how design processes emerge during the use of devices in healthcare, by attending to assemblages where contingencies of risk and harm co-exist with the contribution of healthcare professionals to the safe care of patients. With support from the field of Science and Technology...... practices of interdisciplinary care....

  13. [Healthcare patient loyalty].

    Science.gov (United States)

    Ameri, Cinzia; Fiorini, Fulvio

    2016-01-01

    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.

  14. Right patient, Right blood

    DEFF Research Database (Denmark)

    Selberg, Hanne; Madsen, Trine Stougaard

    2014-01-01

    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...

  15. Depression in CADASIL patients

    Directory of Open Access Journals (Sweden)

    Lačković Maja

    2014-01-01

    Full Text Available Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL is a hereditary neurological disease accompanied by recurrent ischemic events, characterized by the presence of psychiatric disorders. The aim of this study was to examine the occurrence of depression and its severity among patients with CADASIL. Sixteen patients with diffuse white matter changes on MRI and clinical signs suggesting CADASIL were included in the study. Definitive diagnosis of CADASIL was obtained by electron microscopic analysis of skin biopsies. Testing of the patients’ affective status was primarily devoted to detecting depression. Electron microscopic examinations of all skin biopsies revealed numerous granular osmiophilic material (GOM deposits embedded into the basal lamina around altered or degenerated vascular smooth muscle cells (VSMCs. Clinical symptoms of depression were present in a great number of examined CADASIL patients. The frequency of depression was higher than previously reported. Psychiatric disturbances might also represent the onset of CADASIL, especially in young patients, and should be evaluated by differential diagnosis. [Projekat Ministarstva nauke Republike Srbije, br. 41002

  16. Patients who challenge.

    Science.gov (United States)

    Ward, Michael; Savulescu, Julian

    2006-12-01

    Individuals have different values. They seek to express their individuality even when receiving medical care. It is a part of modern medical practice and respect for patient autonomy to show respect for different values. We give an account of what it means to respect different values and challenging patients in medical practice. Challenging choices are often choices which are perceived by many to be either irrational or against a person's interests, such as engaging in harmful or excessively risky activities. When the medical profession is involved in such choices, the basic medical principle of acting in a person's best interests is challenged. Often doctors refuse to respect controversial choices on paternalistic grounds. We should all respect and facilitate the controversial choices of competent individuals, subject to resource limitations, our own and others well-being and autonomy, and the public interest. But more importantly, sometimes such choices make for a better, more autonomous life. Sometimes, such choices reflect considerations of global well-being or altruism, or idiosyncratic attitudes to risk. Sometimes, they reflect unusual values. However, in some other cases, controversial choices are irrational and are not expressions of our autonomy. Doctors should assist patients to make rational if individual choices. The patient also bears the responsibility for bringing his beliefs to the attention of the clinician.

  17. Acknowledging the back patient

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise

    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...

  18. Patient Belief in Miracles

    DEFF Research Database (Denmark)

    Hvidt, Niels Christian

    2011-01-01

    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...

  19. Patient-Centered Research

    Science.gov (United States)

    Shridharani, KV; Yuen, W; Huang, D; Pan, C

    2000-01-01

    PURPOSE Complementary and Alternative Medicine (CAM) can be defined as medical practices not taught widely at US medical schools or generally available at US hospitals. National studies suggest that between 30–40% of the general US population use CAM. These users tend to be more educated, have higher incomes, and are more likely to be between the ages of 30–49. However, to date, no study has documented the use of CAM among the homebound population, patients who are usually elderly, debilitated, and have less access to medical care. We studied the use of alternative therapies in homebound patients of the Mount Sinai Visiting Doctors Program serving the inner city of New York. METHODS Eligibility for the study was limited to patients who are in the Visiting Doctors Program, and whose mini-mental status exam score was greater than 20 or who were deemed competent to complete the survey by their primary care provider. Participant's CAM use was assessed by a survey administered by an interviewer at the patient's home. RESULTS Forty-nine consecutive, eligible patients were interviewed and a survey completed. Among the respondents, 84% were women, the mean age was 78.6 (STD = 14.1). Respondents were 51% Caucasian, 27% African-American, 14% Hispanic and 8% other. On rating their own health, 69% rated it as poor to fair, 22% rated it as good, and 8% rated it as very good to excellent. Sixty-nine percent of the respondents reported using one or more CAM in the past 12 months. Commonly used CAM included: vitamins/minerals (33%) [excluding MVI, calcium], spiritual healing (27%), and herbal remedies (20%). Spiritual healing included prayer and faith healing. The most common herbal remedies were garlic, ginger, and chamomile tea. Among CAM users, their main sources of information about CAM came from their own physicians (32%), family/friends/co-workers (18%), and newspaper/radio/TV (18%). CONCLUSION The use of CAM in this elderly, debilitated, homebound population was

  20. Patients' and healthcare workers' perceptions of a patient safety advisory.

    Science.gov (United States)

    Schwappach, David L B; Frank, Olga; Koppenberg, Joachim; Müller, Beat; Wasserfallen, Jean-Blaise

    2011-12-01

    To assess patients' and healthcare workers' (hcw) attitudes and experiences with a patient safety advisory, to investigate predictors for patients' safety-related behaviors and determinants for staff support for the advisory. Cross-sectional surveys of patients (n= 1053) and hcw (n= 275). Three Swiss hospitals. Patients who received the safety advisory and hcw caring for these patients. Patient safety advisory disseminated to patients at the study hospitals. Attitudes towards and experiences with the advisory. Hcw support for the intervention and patients' intentions to apply the recommendations were modelled using regression analyses. Patients (95%) and hcw (78%) agreed that hospitals should educate patients how to prevent errors. Hcw and patients' evaluations of the safety advisory were positive and followed a similar pattern. Patients' intentions to engage in safety were significantly predicted by behavioral control, subjective norms, attitudes, safety behaviors during hospitalization and experiences with taking action. Hcw support for the campaign was predicted by rating of the advisory (Odds ratio (OR) 3.4, confidence interval (CI) 1.8-6.1, Ppatients (OR 1.9, CI 1.1-3.3, P= 0.034) and experience of unpleasant situations (OR 0.6, CI 0.4-1.0, P= 0.035). The safety advisory was well accepted by patients and hcw. To be successful, the advisory should be accompanied by measures that target norms and barriers in patients, and support staff in dealing with difficult situations.

  1. Psychotherapy for cancer patients.

    Science.gov (United States)

    Chong Guan, Ng; Mohamed, Salina; Kian Tiah, Lai; Kar Mun, Teoh; Sulaiman, Ahmad Hatim; Zainal, Nor Zuraida

    2016-07-01

    Objective Psychotherapy is a common non-pharmacological approach to help cancer patients in their psychological distress. The benefit of psychotherapies was documented, but the types of psychotherapies proposed are varied. Given that the previous literature review was a decade ago and no quantitative analysis was done on this topic, we again critically and systematically reviewed all published trials on psychotherapy in cancer patients. Method We identified 17 clinical trials on six types of psychotherapy for cancer patients by searching PubMed and EMBASE. Result There were four trials involved adjunct psychological therapy which were included in quantitative analysis. Each trial demonstrated that psychotherapy improved the quality of life and coping in cancer patients. There was also a reduction in distress, anxiety, and depression after a psychological intervention. However, the number and quality of clinical trials for each type of psychotherapy were poor. The meta-analysis of the four trials involved adjunct psychological therapy showed no significant change in depression, with only significant short-term improvement in anxiety but not up to a year-the standardized mean differences were -0.37 (95% confidence interval (CI) = -0.57, -0.16) at 2 months, -0.21 (95% CI = -0.42, -0.01) at 4 months, and 0.03 (95 % CI = -0.19, 0.24) at 12 months. Conclusion The evidence on the efficacy of psychotherapy in cancer patients is unsatisfactory. There is a need for more rigorous and well-designed clinical trials on this topic.

  2. Cancer patients' evaluation of communication

    DEFF Research Database (Denmark)

    Ross, Lone; Petersen, Morten Aagaard; Johnsen, Anna Thit

    2013-01-01

    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.......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....

  3. User interface and patient involvement.

    Science.gov (United States)

    Andreassen, Hege Kristin; Lundvoll Nilsen, Line

    2013-01-01

    Increased patient involvement is a goal in contemporary health care, and of importance to the development of patient oriented ICT. In this paper we discuss how the design of patient-user interfaces can affect patient involvement. Our discussion is based on 12 semi-structured interviews with patient users of a web-based solution for patient--doctor communication piloted in Norway. We argue ICT solutions offering a choice of user interfaces on the patient side are preferable to ensure individual accommodation and a high degree of patient involvement. When introducing web-based tools for patient--health professional communication a free-text option should be provided to the patient users.

  4. Patient activation and use of an electronic patient portal.

    Science.gov (United States)

    Ancker, Jessica S; Osorio, Snezana N; Cheriff, Adam; Cole, Curtis L; Silver, Michael; Kaushal, Rainu

    2015-01-01

    Electronic patient portals give patients access to personal medical data, potentially creating opportunities to improve knowledge, self-efficacy, and engagement in healthcare. The combination of knowledge, self-efficacy, and engagement has been termed activation. Our objective was to assess the relationship between patient activation and outpatient use of a patient portal. Survey. A telephone survey was conducted with 180 patients who had been given access to a portal, 113 of whom used it and 67 of whom did not. The validated patient activation measure (PAM) was administered along with questions about demographics and behaviors. Portal users were no different from nonusers in patient activation. Portal users did have higher education level and more frequent Internet use, and were more likely to have precisely 2 prescription medications than to have more or fewer. Patients who chose to use an electronic patient portal were not more highly activated than nonusers, although they were more educated and more likely to be Internet users.

  5. Multifocal Electroretinography after High Dose Chloroquine Therapy for Malaria

    Directory of Open Access Journals (Sweden)

    Aline Correa de Carvalho

    2013-01-01

    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.

  6. Handover of patients

    DEFF Research Database (Denmark)

    Jensen, S M; Lippert, A; Ostergaard, D

    2013-01-01

    that implementing a structured handover format holds the possibilities for improving the process. Electronic equipment could play a part in reducing problems. Cultural and organizational factors impact the process in different ways. The professions perceive the value and quality of information given differently......Handover has major implications for patient care. The handover process between ambulance and emergency department (ED) staff has been sparsely investigated. The purpose of this paper is, based on a literature review, to identify and elaborate on the major factors influencing the ambulance to ED....... 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...

  7. Mucormycosis in immunochallenged patients

    Directory of Open Access Journals (Sweden)

    Pak Jane

    2008-01-01

    Full Text Available Mucorales species are deadly opportunistic fungi with a rapidly invasive nature. A rare disease, mucormycosis is most commonly reported in patients with diabetes mellitus, because the favorable carbohydrate-rich environment allows the Mucorales fungi to flourish, especially in the setting of ketoacidosis. However, case reports over the past 20 years show that a growing number of cases of mucormycosis are occurring during treatment following bone marrow transplants (BMT and hematological malignancies (HM such as leukemia and lymphoma. This is due to the prolonged treatment of these patients with steroids and immunosuppressive agents. Liposomal amphotericin B treatment and posaconazole are two pharmacologic agents that seem to be effective against mucormycosis, but the inherently rapid onset and course of the disease, in conjunction with the difficulty in correctly identifying it, hinder prompt institution of appropriate antifungal therapy. This review of the literature discusses the clinical presentation, diagnosis, and treatment of mucormycosis among the BMT and HM populations.

  8. COPD: the patient perspective

    Directory of Open Access Journals (Sweden)

    Jones PW

    2016-02-01

    Full Text Available Paul W Jones,1 Henrik Watz,2 Emiel FM Wouters,3 Mario Cazzola4 1Division of Clinical Science, St George’s, University of London, London, UK; 2Pulmonary Research Institute at Lung Clinic Grosshansdorf, Airway Research Center North (ARCN, Member of the German Center for Lung Research (DZL, Grosshansdorf, Germany; 3CIRO+, Department of Respiratory Medicine, Maastricht University, Maastricht, the Netherlands; 4Unit of Respiratory Clinical Pharmacology, Department of Systemic Medicine, University of Rome ‘Tor Vergata,’ Rome, Italy Abstract: Chronic obstructive pulmonary disease (COPD is a highly prevalent disease characterized by nonreversible airway obstruction. Well-characterized symptoms such as exertional dyspnea and fatigue have a negative impact on patients’ quality of life (QoL and restrict physical activity in daily life. The impact of COPD symptoms on QoL is often underestimated; for example, 36% of patients who describe their symptoms as being mild-to-moderate also admit to being too breathless to leave the house. Additionally, early morning and nighttime symptoms are a particular problem. Methods are available to allow clinicians to accurately assess COPD symptoms, including patient questionnaires. Integrated approaches to COPD management, particularly pulmonary rehabilitation, are effective strategies for addressing symptoms, improving exercise capacity and, potentially, also increasing physical activity. Inhaled bronchodilators continue to be the mainstay of drug therapy in COPD, where options can be tailored to meet patients’ needs with careful selection of the inhaled medication and the device used for its delivery. Overall, an integrated approach to disease management should be considered for improving QoL and subsequent patient outcomes in COPD. Keywords: COPD, patients, physical actiity levels, pulmonary rehabilitation

  9. [Sport for pacemaker patients].

    Science.gov (United States)

    Israel, C W

    2012-06-01

    Sport activity is an important issue in many patients with a pacemaker either because they performed sport activities before pacemaker implantation to reduce the cardiovascular risk or to improve the course of an underlying cardiovascular disease (e.g. coronary artery disease, heart failure) by sports. Compared to patients with an implantable cardioverter defibrillator (ICD) the risks from underlying cardiovascular disease (e.g. ischemia, heart failure), arrhythmia, lead dysfunction or inappropriate therapy are less important or absent. Sport is contraindicated in dyspnea at rest, acute heart failure, new complex arrhythmia, acute myocarditis and acute myocardial infarction, valvular disease with indications for intervention and surgery and comorbidities which prevent physical activity. Patients with underlying cardiovascular disease (including hypertension) should preferably perform types and levels of physical activity that are aerobic (with dynamic exercise) such as running, swimming, cycling instead of sport with high anaerobic demands and high muscular workload. In heart failure, studies demonstrated advantages of isometric sport that increases the amount of muscle, thereby preventing cardiac cachexia. Sport with a risk of blows to the chest or physical contact (e.g. boxing, rugby, martial arts) should be avoided. Implantation, programming and follow-up should respect specific precautions to allow optimal physical activity with a pacemaker including implantation of bipolar leads on the side contralateral to the dominant hand, individual programming of the upper sensor and tracking rate and regular exercise testing.

  10. Diabetic patients: Psychological aspects.

    Science.gov (United States)

    Adili, Fatemeh; Larijani, Bagher; Haghighatpanah, Mohammadreza

    2006-11-01

    This study was undertaken to consider the psychological aspect of diabetes with regard to improving clinical outcomes. The review was limited to literature reports on the causes, solutions, and treatments of some common psychological problems known to complicate diabetes management. A literature search was undertaken using Pub-Med, CINAHL, Proquest, Elsevier, Blackwell Synergy, Ovid, Ebsco, Rose net, and Google websites, including studies published in English journals between 1995 and 2006. Therefore about 88 articles were selected based on the inclusion criteria. In earlier studies, relatively little empirical research was found to substantiate the effect of psychological counseling in complicated diabetes. The greatest deficits were seen in areas of mental health, self-esteem parent impact, and family cohesion. There were some different factors, which influence the psychological aspect of diabetic patients, such as age, gender, place of living, familial and social support, motivation, energy, life satisfaction, and lifestyle. There are various types of solutions for coping with the psychological problems in diabetic clients. The most essential solution lies in educating the patients and healthcare providers on the subject. Before initiating each educational intervention, a thorough assessment would be crucial. Treatment plans may benefit from cognitive behavior therapy (CBT), behavior family therapy, improving family communication, problem-solving skills, and providing motivation for diabetic patients. Moreover, it seems that the close collaboration between diabetologists and psychologists would be fruitful.

  11. Patient-oriented health technologies: Patients' perspectives and use.

    Science.gov (United States)

    Bauer, Amy M; Rue, Tessa; Munson, Sean A; Ghomi, Reza Hosseini; Keppel, Gina A; Cole, Allison M; Baldwin, Laura-Mae; Katon, Wayne

    2017-08-01

    For patient-oriented mobile health tools to contribute meaningfully to improving healthcare delivery, widespread acceptance and use of such tools by patients are critical. However, little is known about patients' attitudes toward using health technology and their willingness to share health data with providers. To investigate primary care patients' comfort sharing health information through mobile devices, and patients' awareness and use of patient portals. Patients (n=918) who visited one of 6 primary care clinics in the Northwest US completed a survey about health technology use, medical conditions, and demographics. More patients were comfortable sharing mobile health information with providers than having third parties store their information (62% vs 30%, Somers D=.33, phigher among patients with a chronic condition (AOR= 3.18, p=0.004). Comfort, awareness, and use of health technologies were variable. Practices introducing patient-facing health technologies should promote awareness, address concerns about data security, and provide education and training, especially to older adults and those with health literacy limitations. Patient-facing health technologies provide an opportunity for delivering scalable health education and self-management support, particularly for patients with chronic conditions who are already using patient portals.

  12. Patient (customer) expectations in hospitals.

    Science.gov (United States)

    Bostan, Sedat; Acuner, Taner; Yilmaz, Gökhan

    2007-06-01

    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 (pstudy, 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.

  13. Patient Satisfaction With Health Services At The Out-patient ...

    African Journals Online (AJOL)

    Journal Home > Vol 5, No 1 (2013) > ... Introduction: The patient's view as a recipient of health care service is rarely ... This study was aimed at assessing patient satisfaction with healthcare services received at a tertiary hospital in Nigeria.

  14. Communication with patients and colleagues

    DEFF Research Database (Denmark)

    Nørgaard, Birgitte

    2012-01-01

    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...... 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...

  15. Patient identification and tube labelling

    DEFF Research Database (Denmark)

    van Dongen-Lases, Edmée C; Cornes, Michael P; Grankvist, Kjell

    2016-01-01

    of phlebotomy procedures with the CLSI H3-A6 guideline was unacceptably low, and that patient identification and tube labelling are amongst the most critical steps in need of immediate attention and improvement. The process of patient identification and tube labelling is an essential safety barrier to prevent...... patient identity mix-up. Therefore, the EFLM Working Group aims to encourage and support worldwide harmonisation of patient identification and tube labelling procedures in order to reduce the risk of preanalytical errors and improve patient safety. With this Position paper we wish to raise awareness...... and provide recommendations for proper patient and sample identification procedures....

  16. Socioemotional selectivity in cancer patients.

    Science.gov (United States)

    Pinquart, Martin; Silbereisen, Rainer K

    2006-06-01

    This study analyzed the contact preferences of newly diagnosed cancer patients and healthy control group participants. In line with the theory of socioemotional selectivity, patients were more likely than control participants to prefer contact with familiar social partners, but this difference was stronger in younger and middle-aged patients than in older patients. Across a 6-month interval, patients' contact preferences changed according to the perceived success of therapy. For example, if therapy was perceived to be successful, patients showed an increasing interest in contacts with unfamiliar social partners. Results indicate that contact preferences are adapted to the perception of limited versus extended future lifetime. Copyright (c) 2006 APA, all rights reserved.

  17. Patient participation in transitional care of older patients

    OpenAIRE

    Dyrstad, Dagrunn Nåden

    2016-01-01

    PhD thesis in Health, medicine and welfare Background: Older patients often have several health challenges, with multiple medications, which leads to a need of treatment and care from diverse healthcare services. These patients are often in need of transitions from different levels of care, specifically during hospital admission and discharge. Patient participation is highlighted and stated in patients’ rights and healthcare directives, with patients being informed and involved in all trea...

  18. Participation in online patient support groups endorses patients' empowerment

    NARCIS (Netherlands)

    van Uden-Kraan, C. F.; Drossaert, Constance H C; Taal, E; Seydel, E. R.; van de Laar, Mart A F J

    Objective: Although much has been expected of the empowering effect of taking part in online patient support groups, there is no direct evidence thus far for the effects of participation on patient empowerment. Hence our exploring to what extent patients feel empowered by their participation in

  19. Patterns of Physician-Patient Communication Associated with Patient Satisfaction.

    Science.gov (United States)

    Williams, M. Lee; Clampitt, Phillip G.

    Using data drawn from ten initial physician/patient interviews, an original category system was employed to analyze patterns of physician/patient communication. Static analysis, interaction analysis, and Markov chain analysis were used to discover the underlying communication patterns associated with patient satisfaction. Results revealed that…

  20. Patient satisfaction after receiving dental treatment among patients ...

    African Journals Online (AJOL)

    Background: Patient satisfaction is one of the indicators of the quality of care. Therefore it is one of the tools for evaluating the quality of care. Aim: To determine patient satisfaction after receiving dental treatment among patients attending public dental clinics in Dar-Es-Salaam. Material and methods: Five public dental clinics ...

  1. Perception of patients accessing out- patient pharmacy on the ...

    African Journals Online (AJOL)

    Conclusion: Patients' overall perception of pharmacy services was above average. There is need for improvement in the quality of services, especially in the availability of essential drugs at competitive prices and provision of adequate counselling and drug information services to patients. Keywords: Patient satisfaction, ...

  2. High patient satisfaction after secondary rhinoplasty in cleft lip patients

    NARCIS (Netherlands)

    Hens, Greet; Picavet, Valerie A.; Poorten, Vincent Vander; Schoenaers, Joseph; Jorissen, Mark; Hellings, Peter W.

    2011-01-01

    We surveyed the subjective outcome of secondary rhinoplasty in cleft lip patients. Questionnaires were sent to 38 patients who had undergone a secondary rhinoplasty. A total of 30 questionnaires were returned and analyzed. Patients were asked to score their preoperative and postoperative nasal

  3. Patient satisfaction and positive patient outcomes in ambulatory anesthesia

    Directory of Open Access Journals (Sweden)

    Shah U

    2015-04-01

    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

  4. Heartburn in patients with achalasia.

    Science.gov (United States)

    Spechler, S J; Souza, R F; Rosenberg, S J; Ruben, R A; Goyal, R K

    1995-01-01

    Heartburn, the main symptom of gastrooesophageal reflux disease (GORD), might be expected to occur infrequently in achalasia, a disorder characterised by a hypertensive lower oesophageal sphincter (LOS) that fails to relax. Nevertheless, it is often described by patients with achalasia. The medical records of 32 patients with untreated achalasia who complained of heartburn, and of 35 similar patients who denied the symptom, were reviewed to explore the implications of heartburn in this condition. Data on endoscopic and manometric findings, and on the onset and duration of oesophageal symptoms were collected. Three patterns of heartburn were observed: (1) in 8 patients (25%) the onset of heartburn followed the onset of dysphagia, (2) in 15 patients (47%) heartburn preceded the onset of dysphagia and persisted as dysphagia progressed, and (3) in 9 patients (28%), heartburn preceded the onset of dysphagia and stopped as dysphagia progressed. The mean (SD) basal LOS pressure in the patients with heartburn (38 (16) mm Hg) was significantly lower than that in patients without the symptom (52 (26) mm Hg); the lowest LOS pressure (29 (11) mm Hg) was observed in the subset of patients whose heartburn preceded the onset of dysphagia and then stopped. It is concluded that patients who have achalasia with heartburn have lower basal LOS pressures than patients who have achalasia without this symptom. In some patients with achalasia, the appearance of dysphagia is heralded by the disappearance of longstanding heartburn. For these patients, it is speculated that achalasia develops in the setting of underlying GORD. PMID:7590421

  5. Patient participation in patient safety still missing: Patient safety experts' views.

    Science.gov (United States)

    Sahlström, Merja; Partanen, Pirjo; Rathert, Cheryl; Turunen, Hannele

    2016-10-01

    The aim of this study was to elicit patient safety experts' views of patient participation in promoting patient safety. Data were collected between September and December in 2014 via an electronic semi-structured questionnaire and interviews with Finnish patient safety experts (n = 21), then analysed using inductive content analysis. Patient safety experts regarded patients as having a crucial role in promoting patient safety. They generally deemed the level of patient safety as 'acceptable' in their organizations, but reported that patient participation in their own safety varied, and did not always meet national standards. Management of patient safety incidents differed between organizations. Experts also suggested that patient safety training should be increased in both basic and continuing education programmes for healthcare professionals. Patient participation in patient safety is still lacking in clinical practice and systematic actions are needed to create a safety culture in which patients are seen as equal partners in the promotion of high-quality and safe care. © 2016 John Wiley & Sons Australia, Ltd.

  6. Why patients mutilate themselves.

    Science.gov (United States)

    Favazza, A R

    1989-02-01

    Self-mutilation, the deliberate destruction or alteration of body tissue without conscious suicidal intent, occurs in a variety of psychiatric disorders. Major self-mutilation includes eye enucleation and amputation of limbs or genitals. Minor self-mutilation includes self-cutting and self-hitting. The author examines patients' explanations for self-mutilation which frequently focus on religions or sexual themes, and discusses scientific explanations that draw on biological, psychological, social, and cultural theories. Although no one approach adequately solves the riddle of such behaviors, habitual self-mutilation may best be thought of as a purposeful, if morbid, act of self-help.

  7. [What is patient autonomy?

    Science.gov (United States)

    Durand, Guillaume

    What does patient autonomy mean? If an autonomous choice is defined as an objective and rational choice, is the doctor's prescription not always the best route? Our contemporary democracies are marked by moral and religious pluralism which obliges society to respect a multiplicity of choices of existence. Three levels are important in terms of autonomy: a range of intellectual capacities, freedom with regard to constraints (external and internal), the capacity to be in control of one's existence. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  8. Readmissions of medical patients

    DEFF Research Database (Denmark)

    Cooksley, T.; Nanayakkara, P. W. B.; Nickel, C. H.

    2016-01-01

    of 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...... 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 health...

  9. Sleep Tips for Sjogren's Patients

    Science.gov (United States)

    ... Sjögren’s Patients.” Dr. Fisher reminds patients that adequate sleep is especially important for those with Sjögren’s syndrome, saying that sleep deprivation exacerbates daytime fatigue and can affect the ...

  10. Septic bursitis in immunocompromised patients.

    Science.gov (United States)

    Roschmann, R A; Bell, C L

    1987-10-01

    A retrospective analysis of 29 patients with septic bursitis was undertaken to ascertain if immunocompromised patients differed in their clinical presentations, type of organisms cultured, and outcome when compared with their non-immunocompromised cohorts. Thirty episodes of septic bursitis occurred in 29 patients, 43 percent of which occurred in immunocompromised patients. Despite similar clinical presentations, the bursae of immunocompromised patients took three times longer to sterilize and had a much higher bursal white blood cell count when compared with the bursae of non-immunocompromised patients. The bacteriologic spectrum was essentially identical in both groups; there were no cases in which gram-negative organisms were recovered from infected bursae. No cases of septic bursitis were seen in neutropenic patients. The most common factors contributing to an immunocompromised state were alcoholism or steroid therapy. A successful resolution of septic bursitis was seen in all the patients in the immunocompromised groups.

  11. Medical and Dental Patient Issues

    Science.gov (United States)

    ... A RadiationAnswers.org Ask the Experts Medical and Dental Patient Issues What's My Risk? The risks of ... developed by our topic editors for this category: Dental-Patient Issues Medical CT Reference Books and Articles ...

  12. Health literacy and patient portals.

    Science.gov (United States)

    Gu, Yulong; Orr, Martin; Warren, Jim

    2015-06-01

    Health literacy has been described as the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Improving health literacy may serve to promote concordance with therapy, engage patients in their own health care, and improve health outcomes. Patient portal technology aims at enabling patients and families to have easy access to key information in their own medical records and to communicate with their health care providers electronically. However, there is a gap in our understanding of how portals will improve patient outcome. The authors believe patient portal technology presents an opportunity to improve patient concordance with prescribed therapy, if adequate support is provided to equip patients (and family/carers) with the knowledge needed to utilise the health information available via the portals. Research is needed to understand what a health consumer will use patient portals for and how to support a user to realise the technology's potential.

  13. Patient Safety Threat - Syringe Reuse

    Science.gov (United States)

    ... Safety Stakeholder Meeting December 2009 The One & Only Campaign Patient Notification Toolkit Developing Documents for a Patient Notification Planning Media and Communication Strategies Writing for the Media Spokesperson Preparation Planning the ...

  14. Implications for patient-centeredness

    African Journals Online (AJOL)

    Kate H

    participation in decision-making, but in responding to questions asked. ... Also of particular relevance is the need to take into account the importance of patients' .... preliminary data and information about the patient, as well as to prepare ...

  15. Terminally ill patients as customers: the patient's perspective.

    Science.gov (United States)

    Seibel, Katharina; Valeo, Sara Celestina; Xander, Carola; Adami, Sandra; Duerk, Thorsten; Becker, Gerhild

    2014-01-01

    Consumerism in health care defines patients as self-determined, rational customers. Yet, it is questionable whether vulnerable patients, such as the terminally ill, also fulfill these criteria. Vulnerable contexts and the patient's perspective on being a customer remain relatively unexplored. The present study addresses this research gap by analyzing terminally ill patients' views on being customers. To explore the ways in which patients in palliative care refer to themselves as patients/customers, and how the patients' concepts of self-determination are related to their attitudes toward the patient/customer role. Qualitative interviews were conducted. Data were analyzed in three steps: narrative analysis, thematic content analysis, and typology construction. Researchers recruited 25 patients via the Department of Palliative Care, University Medical Center Freiburg, Germany. In many ways, palliative patients contradict the image of a self-determined customer. The palliative patient role is characterized by the concept of relational self-determination rather than an unrestricted self-determination. Self-attribution as a customer still occurs when positively associated with a person-centered, individualized treatment. Thus, the customer and patient role overlap within the palliative care setting because of the focus on the individual. The idealized customer role cannot be arbitrarily applied to all medical fields. Palliative patients are dependent on the physician, regardless of whether the customer or patient role is preferred. Hence, self-determination must be understood in relational terms, and physicians must recognize their crucial role in promoting patients' self-determination in the context of shared decision-making.

  16. Anxiety disorders in dialysis patients

    OpenAIRE

    Novaković Milan

    2007-01-01

    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 t...

  17. Caring for Latino patients.

    Science.gov (United States)

    Juckett, Gregory

    2013-01-01

    Latinos comprise nearly 16 percent of the U.S. population, and this proportion is anticipated to increase to 30 percent by 2050. Latinos are a diverse ethnic group that includes many different cultures, races, and nationalities. Barriers to care have resulted in striking disparities in quality of health care for these patients. These barriers include language, lack of insurance, different cultural beliefs, and in some cases, illegal immigration status, mistrust, and illiteracy. The National Standards for Culturally and Linguistically Appropriate Services address these concerns with recommendations for culturally competent care, language services, and organizational support. Latinos have disproportionately higher rates of obesity and diabetes mellitus. Other health problems include stress, neurocysticercosis, and tuberculosis. It is important to explore the use of alternative therapies and belief in traditional folk illnesses, recognizing that health beliefs are dependent on education, socioeconomic status, and degree of acculturation. Many-but not all-folk and herbal treatments can be safely accommodated with conventional therapy. Physicians must be sensitive to Latino cultural values of simpatia (kindness), personalismo (relationship), respeto (respect), and modestia (modesty). The LEARN technique can facilitate cross-cultural interviews. Some cultural barriers may be overcome by using the "teach back" technique to ensure that directions are correctly understood and by creating a welcoming health care environment for Latino patients.

  18. Sleep in obese patients

    Directory of Open Access Journals (Sweden)

    2014-08-01

    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.

  19. A Community Patient Demographic System

    OpenAIRE

    Gabler, James M.; Simborg, Donald W.

    1985-01-01

    A Community Patient Demographic System is described. Its purpose is to link patient identification, demographic and insurance information among multiple organizations in a community or among multiple registration systems within the same organization. This function requires that there be a competent patient identification methodology and clear definition of local responsibilities for number assignment and database editing.

  20. Patient care and radiation protection

    International Nuclear Information System (INIS)

    Sharko, G.A.

    1987-01-01

    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

  1. Polysomnographic findings in craniopharyngioma patients.

    Science.gov (United States)

    Pickering, Line; Klose, Marianne; Feldt-Rasmussen, Ulla; Jennum, Poul

    2017-12-01

    The purpose of this study is to evaluate whether damage to the hypothalamus due to craniopharyngioma or consequent surgery may involve the sleep-wake regulatory system, resulting in sleep disturbances and sleepiness. Seven craniopharyngioma patients and 10 healthy controls were evaluated with sleep questionnaires including the Epworth Sleepiness Scale, polysomnography, and a multiple sleep latency test (MSLT). Five patients and eight controls had lumbar puncture performed to determine hypocretin-1 levels. Patients tended to feel sleepier than control individuals of the same age (p = 0.09). No subjects had symptoms of hypnagogic hallucinations, sleep paralyses, or cataplexies. Four patients and one control had periodic leg movements (PLMs). One patient had fragmented sleep pattern, rapid eye movement (REM) sleep without atonia, and PLMs. One patient had short sleep periods during the daytime. Four patients had fragmented sleep pattern. With the MSLT, four patients and two controls had mean sleep latency of < 8 min. One patient and three controls had sudden onset of REM sleep in 2/5 and 3/5 sleep periods, respectively. All subjects showed normal hypocretin-1 levels. Four patients had electrophysiological findings indicative of central hypersomnia including one patient meeting the criteria of narcolepsy. The sleep-wake regulatory system may be involved in craniopharyngioma patients.

  2. Patient restraining strap for scintiphotography

    International Nuclear Information System (INIS)

    Kay, T.D.; Harper, J.W.

    1976-01-01

    A patient restraining strap for scintiphotography having a pair of expandable cloth-like bags joined together is presented. The strap encompasses the head of a patient and is then secured to a Gamma Scintillation Camera. Once inflated the restraining strap immobilizes the head without discomfort to the patient during the scintiphotography procedure. 1 claim, 1 drawing figure

  3. [Observation of critically ill patients

    DEFF Research Database (Denmark)

    Fuhrmann, L.; Hesselfeldt, R.; Lippert, A.

    2009-01-01

    . 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...

  4. [Student patient relationship from the patient's point of view].

    Science.gov (United States)

    Beca, Juan Pablo; Browne, Francisca; Valdebenito, Carolina; Bataszew, Alexander; Martínez, María José

    2006-08-01

    Patients are becoming increasingly active in their relationship with medical professionals. Their relationship with medical students needing to learn clinical skills, may be specially problematic if patients are not willing to accept their involvement in the medical team. To examine patient's perceptions of their relation with medical students and their agreement to let students be part of the treating team. Qualitative study using taped semi-structured interviews addressed to inpatients from one public and one private hospital in Chile. Both groups of patients acknowledged that students dedicated more time to them, but they expressed their preference to limit student's participation to clinical history taking and physical examination. They also expected them to be observers rather than actors. Patients from the private hospital emphasized that only one student per instructor should participate in their care. Patients from the public hospital were more compliant about student's participation. The right to refuse students' involvement in their care was clearly known by all patients from the private system and by most patients from the public hospital. Patients in Chilean public and private hospitals were in general positive regarding student's participation in their care. Students' clinical practice ought to strictly respect patients's rights, and patients should be considered volunteers who generously agree to cooperate with the education of medical students.

  5. Emerging versions of patient involvement with Patient Reported Outcomes

    DEFF Research Database (Denmark)

    Langstrup, Henriette

    It is a central argument in the growing Danish PRO-arena, that a large-scale collection of PRO from patients in the Danish Healthcare system will pave the way for more genuine patient involvement in clinical decision-making, quality management and governance of the health services. In this paper I...... discuss how patient involvement is being (re)configured when increasingly connected to national visions of participatory healthcare. A central discussion centers on ‘meaningful use’ of patient-generated data promoting patients’ expectations and experiences as a criterion for how to proceed...... with the national use of PRO. But how do assumptions of what constitutes meaning for patients interact with the kinds of roles that patients are expected to take on with PROtools? What forms of participation are assumed to be meaningful and thus good and which are not? In sketching emerging versions of patient...

  6. Communication and patient participation influencing patient recall of treatment discussions.

    Science.gov (United States)

    Richard, Claude; Glaser, Emma; Lussier, Marie-Thérèse

    2017-08-01

    Patient recall of treatment information is a key variable towards chronic disease (CD) management. It is unclear what communication and patient participation characteristics predict recall. To assess what aspects of doctor-patient communication predict patient recall of medication information. To describe lifestyle treatment recall, in CD primary care patients. Observational study within a RCT. Community-based primary care (PC) practices. Family physicians (n=18): practicing >5 years, with a CD patient caseload. Patients (n=159): >40 years old, English speaking, computer literate, off-target hypertension, type II diabetes and/or dyslipidaemia. Patient characteristics: age, education, number of CDs. Information characteristics: length of encounter, medication status, medication class. Communication variables: socio-emotional utterances, physician dominance and communication control scores and PACE (ask, check and express) utterances, measured by RIAS. Number of medication themes, dialogue and initiative measured by MEDICODE. Recall of CD, lifestyle treatment and medication information. Frequency of lifestyle discussions varied by topic. Patients recalled 43% (alcohol), 52% (diet) to 70% (exercise) of discussions. Two and a half of six possible medication themes were broached per medication discussion. Less than one was recalled. Discussing more themes, greater dialogue and patient initiative were significant predictors of improved medication information recall. Critical treatment information is infrequently exchanged. Active patient engagement and explicit conversations about medications are associated with improved treatment information recall in off-target CD patients followed in PC. Providers cannot take for granted that long-term off-target CD patients recall information. They need to encourage patient participation to improve recall of treatment information. © 2016 The Authors. Health Expectations Published by John Wiley & Sons Ltd.

  7. Patients' attitudes towards animal testing

    DEFF Research Database (Denmark)

    Masterton, Malin; Renberg, Tobias; Kälvemark Sporrong, Sofia

    2014-01-01

    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...... of support is comparable to those held by the general public found in national surveys. A clear majority of researchers were positive towards animal testing, and large statistical differences between patients and researchers were found regarding their attitudes towards testing animals commonly held as pets...... (Pattitude towards animal testing is not shared to an equal degree with patients, who are the intended end-users and beneficiaries of medical...

  8. Nursing care of Jewish Patients

    Directory of Open Access Journals (Sweden)

    Anna Maria Kostka

    2017-07-01

    Full Text Available Everyone has the right to equal treatment irrespective of color, culture, origin or religion. Jewish patients obey many rules. The use of proper diet, adherence to the principles of purity, prayer, performing rituals is very important for them. Medical staff is committed to providing patients with safety, regardless of the differences. Understanding the most important values, ethics and practices of Judaism will help to provide professional care for the patient of Jewish faith. Appropriate communication, understanding and tolerance are essential for creating a relationship with the patient, through which it will be possible to achieve the desired therapeutic effect and improve the quality of life of patients.

  9. Using patient acuity data to manage patient care outcomes and patient care costs.

    Science.gov (United States)

    Van Slyck, A; Johnson, K R

    2001-01-01

    This article describes actual reported uses for patient acuity data that go beyond historical uses in determining staffing allocations. These expanded uses include managing patient care outcomes and health care costs. The article offers the patient care executive examples of how objective, valid, and reliable data are used to drive approaches to effectively influence decision making in an increasingly competitive health care environment.

  10. CT-docking patient stretcher

    International Nuclear Information System (INIS)

    Mirvis, S.E.; Owens, E.; Maslyn, J.; Rizutto, M.

    1990-01-01

    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

  11. Patient dosimetry in diagnostic radiology

    International Nuclear Information System (INIS)

    Rweyemamu, M.

    2013-04-01

    The objective of this project was to review patient dosimetry aiming at reducing the patient dose during diagnostic procedures while maintaining the best image quality in order to protect patients from ionizing radiation. CT examination was selected in this study to represent imaging protocols with high patient doses used in diagnostic radiology. Dosimetric parameters in CT which are CTDI, CTDIW, DLP, MSAD, organ dose and effective dose were discussed. Parameters such as tube current, tube voltage, filtration, scan volume and slice thickness were found to affect patient dose, therefore proper management of these factors was recommended. For optimization of protection of the patient, application of the “as low as reasonably achievable” (ALARA) principle was recommended as an important key for avoiding overexposure and minimizing patient doses. Also it was recommended that CT examinations should be performed if and only if is the only suitable option when weighed against other options which do not involve ionizing radiation exposure. (author)

  12. Autonomy and the akratic patient.

    Science.gov (United States)

    McKnight, C J

    1993-01-01

    I argue that the distinction which is current in much writing on medical ethics between autonomous and non-autonomous patients cannot cope comfortably with weak-willed (incontinent) patients. I describe a case involving a patient who refuses a blood transfusion even though he or she agrees that it would be in his or her best interests. The case is discussed in the light of the treatment of autonomy by B Brody and R Gillon. These writers appear to force us to treat an incontinent patient either as autonomous, just like a rational agent whose decisions are in accordance with his beliefs or as non-autonomous, like comatose patients or children. Though neither is entirely satisfactory I opt for describing such patients as autonomous but point out that in cases like this the principle of respect for autonomy does not give a determinate answer about how the patient ought to be treated. PMID:8308874

  13. [Laparoscopic cholecystectomy in transplant patients].

    Science.gov (United States)

    Coelho, Júlio Cezar Uili; Contieri, Fabiana L C; de Freitas, Alexandre Coutinho Teixeira; da Silva, Fernanda Cristina; Kozak, Vanessa Nascimento; da Silva Junior, Alzemir Santos

    2010-02-01

    This study reviews our experience with laparoscopic cholecystectomy in the treatment of cholelithiasis in transplant patients. Demographic data, medications used, and operative and postoperative data of all transplant recipients who were subjected to laparoscopic cholecystectomy for cholelithiasis at our hospital were obtained. A total of 15 transplant patients (13 renal transplantation and 2 bone marrow transplantation) underwent laparoscopic cholecystectomy. All patients were admitted to the hospital on the day of the operation. The immunosuppressive regimen was not modified during hospitalization. Clinical presentation of cholelithiasis was biliary colicky (n=12), acute cholecystitis (n=2), and jaundice (n=1). The operation was uneventful in all patients. Postoperative complications were nausea and vomiting in 2 patients, prolonged tracheal intubation in 1, wound infection in 1 and large superficial hematoma in 1 patient. Laparoscopic cholecystectomy is associated to a low morbidity and mortality and good postoperative outcome in transplant patients with uncomplicated cholecystitis.

  14. Spirituality in adolescent patients.

    Science.gov (United States)

    Weaver, Meaghann S; Wratchford, Dale

    2017-07-01

    Adolescence, the transition between childhood and adulthood, represents a time of rapid biological, neurocognitive, and psychosocial changes. These changes have important implications for the development and evolution of adolescent spirituality, particularly for adolescents with chronic or life-limiting illnesses. To contribute positively to adolescent spiritual formation, palliative care teams benefit from understanding the normative changes expected to occur during adolescence. This paper provides a narrative review of adolescent spirituality while recognizing the role of religious, familial, and cultural influences on spiritual development during the teenage years. By giving explicit attention to the contextual norms surrounding adolescence and still recognizing each adolescent-aged patient as unique, palliative care teams can help adolescents transition toward meaningful and sustainable spiritual growth. This paper reviews the clinical and research implications relevant to integrating adolescent spiritual health as part of comprehensive palliative care.

  15. Prosthesis-patient mismatch

    Directory of Open Access Journals (Sweden)

    Philippe Pibarot

    2011-04-01

    Full Text Available Prosthesis-patient mismatch (PPM is present when the effective orifice area of the inserted prosthetic valve is too small in relation to body size. Its main hemodynamic consequence is to generate higher than expected gradients through normally functioning prosthetic valves. The purpose of this review is to present an update on the present state of knowledge with regards to diagnosis, prognosis and prevention of PPM. PPM is a frequent occurrence (20%–70% of aortic valve replacements that has been shown to be associated with worse hemodynamics, less regression of left ventricular hypertrophy, more cardiac events, and lower survival. Moreover, as opposed to most other risk factors, PPM can largely be prevented by using a prospective strategy at the time of operation.

  16. Patient Compliance With Electronic Patient Reported Outcomes Following Shoulder Arthroscopy.

    Science.gov (United States)

    Makhni, Eric C; Higgins, John D; Hamamoto, Jason T; Cole, Brian J; Romeo, Anthony A; Verma, Nikhil N

    2017-11-01

    To determine the patient compliance in completing electronically administered patient-reported outcome (PRO) scores following shoulder arthroscopy, and to determine if dedicated research assistants improve patient compliance. Patients undergoing arthroscopic shoulder surgery from January 1, 2014, to December 31, 2014, were prospectively enrolled into an electronic data collection system with retrospective review of compliance data. A total of 143 patients were included in this study; 406 patients were excluded (for any or all of the following reasons, such as incomplete follow-up, inaccessibility to the order sets, and inability to complete the order sets). All patients were assigned an order set of PROs through an electronic reporting system, with order sets to be completed prior to surgery, as well as 6 and 12 months postoperatively. Compliance rates of form completion were documented. Patients who underwent arthroscopic anterior and/or posterior stabilization were excluded. The average age of the patients was 53.1 years, ranging from 20 to 83. Compliance of form completion was highest preoperatively (76%), and then dropped subsequently at 6 months postoperatively (57%) and 12 months postoperatively (45%). Use of research assistants improved compliance by approximately 20% at each time point. No differences were found according to patient gender and age group. Of those completing forms, a majority completed forms at home or elsewhere prior to returning to the office for the clinic visit. Electronic administration of PRO may decrease the amount of time required in the office setting for PRO completion by patients. This may be mutually beneficial to providers and patients. It is unclear if an electronic system improves patient compliance in voluntary completion PRO. Compliance rates at final follow-up remain a concern if data are to be used for establishing quality or outcome metrics. Level IV, case series. Copyright © 2017 Arthroscopy Association of North

  17. Der Patient als Experte.

    Science.gov (United States)

    Dubs

    1998-01-01

    Patients as Experts: Determining Benefit by Using Assessments of Ability (ICIDH)When health economy and quality mangement are dealing with the cost-benefit relationship, to this day description, calculation, and assessment of the benefit are missing to a great extent. Deliberations in terms of cause and effect do not go beyond the model of pathogenesis (etiology - pathology - manifestation) and descriptions on the organ level (ICD). Only the international classification of impairments, disabilities, and handicaps (ICIDH) as a separate estimation of the resulting manifestations of illness on the levels of organ, individual, and society is capable to elucidate this benefit. It is the patient who is the expert to decide what he needs, what he wants, and what he can do, thus, evaluating on an individual level his loss of capability. The ICIDH is regarded as the key for the management of chronic diseases. The characteristics of being chronically ill require the integration of salutogenesis and the consideration of the hierarchy of needs. The specially developed MARA model serves as pragmatic basis for the description of the benefits of carried out and omitted interventions as changes of abilities by using the MARA curve (mean age-related ability) as ethical guideline. In quality circles the MARA model, which is based on ICIDH, hierarchy of needs and salutogenesis, can offer apatient-oriented basis of discussion for benefit assessments, and, in a pragmatical way, it can facilitate the introduction of evidence-based medicine. By the change of view from the organ level with multifactorial aspects to the individual level, in which the abilities can be understood as a monofactor, a high consensus potential between several participants of discussion in health service is possible.

  18. Genital reconstruction in exstrophy patients

    Directory of Open Access Journals (Sweden)

    R B Nerli

    2012-01-01

    Full Text Available Introduction: Surgery for bladder exstrophy has been evolving over the last four to five decades. Because survival has become almost universal, the focus has changed in the exstrophy-epispadias complex to improving quality of life. The most prevalent problem in the long-term function of exstrophy patients is the sexual activity of the adolescent and adult males. The penis in exstrophy patients appears short because of marked congenital deficiency of anterior corporal tissue. Many patients approach for genital reconstruction to improve cosmesis as well as to correct chordee. We report our series of male patients seeking genital reconstruction following exstrophy repair in the past. Materials and Methods: Fourteen adolescent/adult male patients attended urology services during the period January 2000-December 2009 seeking genital reconstruction following exstrophy repair in the past. Results: Three patients underwent epispadias repair, four patients had chordee correction with cosmetic excision of skin tags and seven patients underwent chordee correction with penile lengthening. All patients reported satisfaction in the answered questionnaire. Patients undergoing penile lengthening by partial corporal dissection achieved a mean increase in length of 1.614 ± 0.279 cm dorsally and 1.543 ± 0.230 cm ventrally. The satisfactory rate assessed by the Short Form-36 (SF-36 showed that irrespective of the different genital reconstructive procedures done, the patients were satisfied with cosmetic and functional outcome. Conclusions: Surgical procedures have transformed the management in these patients with bladder exstrophy. Bladders can be safely placed within the pelvis, with most patients achieving urinary continence and cosmetically acceptable external genitalia. Genital reconstruction in the form of correction of chordee, excision of ugly skin tags and lengthening of penis can be performed to give the patients a satisfactory cosmetic and functional

  19. Patient information in radiooncology. Results of a patient survey

    International Nuclear Information System (INIS)

    Schaefer, C.; Dietl, B.; Putnik, K.; Altmann, D.; Herbst, M.; Marienhagen, J.

    2002-01-01

    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

  20. Patient representatives? views on patient information in clinical cancer trials

    OpenAIRE

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-01-01

    Background Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate. The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed consent is possible to provide. We explored patient representatives? views and perceptions on the written trial information used in clinical cancer trials. Methods Written patient information leaflet...

  1. Effects of the Smartphone Application "Safe Patients" on Knowledge of Patient Safety Issues Among Surgical Patients.

    Science.gov (United States)

    Cho, Sumi; Lee, Eunjoo

    2017-12-01

    Recently, the patient's role in preventing adverse events has been emphasized. Patients who are more knowledgeable about safety issues are more likely to engage in safety initiatives. Therefore, nurses need to develop techniques and tools that increase patients' knowledge in preventing adverse events. For this reason, an educational smartphone application for patient safety called "Safe Patients" was developed through an iterative process involving a literature review, expert consultations, and pilot testing of the application. To determine the effect of "Safe Patients," it was implemented for patients in surgical units in a tertiary hospital in South Korea. The change in patients' knowledge about patient safety was measured using seven true/false questions developed in this study. A one-group pretest and posttest design was used, and a total of 123 of 190 possible participants were tested. The percentage of correct answers significantly increased from 64.5% to 75.8% (P effectively improve patients' knowledge of safety issues. This will ultimately empower patients to engage in safe practices and prevent adverse events related to surgery.

  2. [Electroconvulsive therapy in nonconsenting patients].

    Science.gov (United States)

    Besse, M; Methfessel, I; Wiltfang, J; Zilles, D

    2017-01-01

    Electroconvulsive therapy (ECT) is a potent and successful method for the treatment of severe psychiatric disorders. Severe depressive and psychotic disorders may lead to legal incapacity and inability to consent. In Germany, administration of ECT against the patient's will is feasible under certain constellations and is regulated under the terms of the guardianship law. This article outlines the prevalence, effectiveness and tolerability of ECT when applied in nonconsenting patients. Case report and literature review. The literature on ECT as a treatment in nonconsenting patients is relatively sparse. In 2008 the prevalence in Germany was less than 0.5 % of all patients receiving ECT. Case reports and case series suggest a good and equal level of effectiveness when compared to consenting patients. In the course of treatment the majority of patients consented to receive further ECT and retrospectively judged ECT as helpful. The use of ECT is a highly effective treatment in severe psychiatric disorders even when administered as treatment in nonconsenting patients. It can be lifesaving and lead to a rapid improvement of symptoms and relief from severe suffering also from the patients' perspective. Thus, it seems unethical not to consider ECT as a treatment against the nonautonomous will of legally incompetent patients in individual cases. Nevertheless, physicians should always seek to obtain the patients' consent as soon as possible for both legal and ethical reasons.

  3. Patient's rights charter in Iran.

    Directory of Open Access Journals (Sweden)

    Alireza Parsapoor

    2014-01-01

    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.

  4. Creating the ideal patient experience.

    Science.gov (United States)

    Purcărea, Th.V

    2016-01-01

    Healthcare industry continues to evolve under conditions of intense competition in approaching health prevention, protection, and promotion. Therefore, healthcare providers are challenged to always ensure better patient experience, winning patients' satisfaction, and loyalty and remain competitive on today's healthcare market. Healthcare markets bring together professionals and their patients into real collaborative relationships, which empower patients to contribute to the healthcare improvement. Within this competitive landscape, which is also characterized by digital health tools boosting patients' awareness and controlling their own health, medical providers need to be perceived as skilled and trustworthy in relying on patients' needs, expectations, and sacrifices are required in order to obtain the promised benefits. Moreover, while constantly providing a holistic assessment of the healthcare services' and experience attributes, acting on feedback and reaching healthcare service excellence, providing a better understanding of all the touch points with their patients and improving the quality and consistency of all these touch points, all these are achieved by employees, who are truly connected to the healthcare business. Today, patients are systematically becoming aware of the diversity of their choices, being increasingly involved in making better healthcare choices, and, so, more and more innovative products are introduced, targeting new patient segments. Findings from the last three years have shown that patients may achieve better outcomes due to the stakeholders' commitment to innovation within the context of the big-data revolution, by building new values.

  5. Patient-centered medical homes for patients with disabilities.

    Science.gov (United States)

    Hernandez, Brigida; Damiani, Marco; Wang, T Arthur; Driscoll, Carolyn; Dellabella, Peter; LePera, Nicole; Mentari, Michael

    2015-01-01

    The patient-centered medical home is an innovative approach to improve health care outcomes. To address the unique needs of patients with intellectual and developmental disabilities (IDDs), a large health care provider reevaluated the National Committee for Quality Assurance's 6 medical home standards: (a) enhance access and continuity, (b) identify and manage patient populations, (c) plan and manage care, (d) provide self-care and community support, (e) track and coordinate care, and (f) measure and improve performance. This article describes issues to consider when serving patients with IDDs.

  6. Patient-centered blood management.

    Science.gov (United States)

    Hohmuth, Benjamin; Ozawa, Sherri; Ashton, Maria; Melseth, Richard L

    2014-01-01

    Transfusions are common in hospitalized patients but carry significant risk, with associated morbidity and mortality that increases with each unit of blood received. Clinical trials consistently support a conservative over a liberal approach to transfusion. Yet there remains wide variation in practice, and more than half of red cell transfusions may be inappropriate. Adopting a more comprehensive approach to the bleeding, coagulopathic, or anemic patient has the potential to improve patient care. We present a patient-centered blood management (PBM) paradigm. The 4 guiding principles of effective PBM that we present include anemia management, coagulation optimization, blood conservation, and patient-centered decision making. PBM has the potential to decrease transfusion rates, decrease practice variation, and improve patient outcomes. PBM's value proposition is highly aligned with that of hospital medicine. Hospitalists' dual role as front-line care providers and quality improvement leaders make them the ideal candidates to develop, implement, and practice PBM. © 2013 Society of Hospital Medicine.

  7. Improving Patient Safety: Improving Communication.

    Science.gov (United States)

    Bittner-Fagan, Heather; Davis, Joshua; Savoy, Margot

    2017-12-01

    Communication among physicians, staff, and patients is a critical element in patient safety. Effective communication skills can be taught and improved through training and awareness. The practice of family medicine allows for long-term relationships with patients, which affords opportunities for ongoing, high-quality communication. There are many barriers to effective communication, including patient factors, clinician factors, and system factors, but tools and strategies exist to address these barriers, improve communication, and engage patients in their care. Use of universal precautions for health literacy, appropriate medical interpreters, and shared decision-making are evidence-based tools that improve communication and increase patient safety. Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.

  8. Lung cancer in younger patients

    DEFF Research Database (Denmark)

    Abbasowa, Leda; Madsen, Poul Henning

    2016-01-01

    INTRODUCTION: Lung cancer remains a leading cause of cancer-related death. The incidence increases with age and the occurrence in young patients is relatively low. The clinicopathological features of lung cancer in younger patients have not been fully explored previously. METHODS: To assess the age...... differences in the clinical characteristics of lung cancer, we conducted a retrospective analysis comparing young patients ≤ 65 years of age with an elderly group > 65 years of age. Among 1,232 patients evaluated due to suspicion of lung cancer in our fast-track setting from January-December 2013, 312 newly...... diagnosed lung cancer patients were included. RESULTS: Patients ≤ 65 years had a significantly higher representation of females (p = 0.0021), more frequent familial cancer aggregation (p = 0.028) and a lower incidence of squamous cell carcinoma (p = 0.0133). When excluding pure carcinoid tumours...

  9. The critically ill injured patient.

    Science.gov (United States)

    Cereda, Maurizio; Weiss, Yoram G; Deutschman, Clifford S

    2007-03-01

    Patients admitted to the ICU after severe trauma require frequent procedures in the operating room, particularly in cases where a damage control strategy is used. The ventilatory management of these patients in the operating room can be particularly challenging. These patients often have severely impaired respiratory mechanics because of acute lung injury and abdominal compartment syndrome. Consequently, the pressure and flow generation capabilities of standard anesthesia ventilators may be inadequate to support ventilation and gas exchange. This article presents the problems that may be encountered in patients who have severe abdominal and lung injuries, and the current management concepts used in caring for these patients in the critical care setting, to provide guidelines for the anesthetist faced with these patients in the operating room.

  10. Polysomnographic findings in craniopharyngioma patients

    DEFF Research Database (Denmark)

    Pickering, Line; Klose, Marianne; Feldt-Rasmussen, Ulla

    2017-01-01

    of the same age (p = 0.09). No subjects had symptoms of hypnagogic hallucinations, sleep paralyses, or cataplexies. Four patients and one control had periodic leg movements (PLMs). One patient had fragmented sleep pattern, rapid eye movement (REM) sleep without atonia, and PLMs. One patient had short sleep...... periods during the daytime. Four patients had fragmented sleep pattern. With the MSLT, four patients and two controls had mean sleep latency of REM sleep in 2/5 and 3/5 sleep periods, respectively. All subjects showed normal hypocretin-1 levels......PURPOSE: The purpose of this study is to evaluate whether damage to the hypothalamus due to craniopharyngioma or consequent surgery may involve the sleep-wake regulatory system, resulting in sleep disturbances and sleepiness. METHODS: Seven craniopharyngioma patients and 10 healthy controls were...

  11. [Hyperthyroidism in older patients].

    Science.gov (United States)

    Brun, R; Jenny, M; Junod, J P

    1978-09-30

    This study comprises 81 thyrotoxic patients with onset after the age of 60. In elderly persons, toxic multinodular goiter is the most common cause (68%) of hyperthyroidism, followed by solitary thyroid nodules (16%) and Graves' disease (16%). Cardiovascular disorders (cardiac failure, arrythmias etc.) constitute the first and often the only symptom in 62% of the cases. The other forms of appearance are both various and deceptive: depression, slight fever, asthenia or nausea. Separate analysis of the three forms of hyperthyroidism did not reveal clinical, biological or therapeutic differences between them, except an inferior rate of captation for the toxic nodules. Isolated measurement of T3 or T4 is often insufficient to confirm the diagnosis because either of these hormones may appear at a normal rate. In three cases only the free thyroxin index was pathological on first determination. The authors have established that the autonomous nodules are larger and more active after, rather than before, 60 years of age, and have attempted to define their morphological identity. The results of the treatment are analyzed and preference is expressed for radioactive iodine in every form of hyperthyroidism.

  12. Pneumoniae in immunocompromised patients

    International Nuclear Information System (INIS)

    Jacobi, Volkmar; Lehnert, Thomas; Thalhammer, Axel

    2009-01-01

    Due to the large surface area, heat, high humidity and high oxygen supply in the lung makes an ideal environment for the propagation of germs. The purpose of the immune system is to establish and maintain the balance between saprophytes and immune defense so as to depress and ultimately kill germs as they infiltrate the body. This usually is achieved by the use of a highly complex immune system. It is a perfect combination of non-specific, cellular and humoral immune mechanisms with very specific immune cells and antibodies, which are specialized on particular pathogens. The specific defenses potentiate the effect of the nonspecific defense in a large extent so as to prevent re-infection and ultimately eliminate recognized pathogens. The causes of immune deficiency can be related to either the cellular or humoral level and affect both the specific and nonspecific defenses. There is a different excitation spectrum depending on the type of immune deficiency. Immune deficiency can prevalently cause complications in the course of infections, decelerate the healing and allow the occurrence of rare pathogens. In particular, the radiological characteristics of typical and atypical pneumonia in immunocompromised patients will be discussed. Particular emphasis is placed on the appearance of bacterial infections, mycobacterioses, PCP, CMV, and laid fungual pneumonia. Even it is not possible to identify certain pathogens radiologically, it is often possible to narrow the spectrum of germs causing pulmonary infections significantly by comparing with other pulmonary complications such as lymphoma or kaposisarcomas. (orig.)

  13. Patient safety: lessons learned

    International Nuclear Information System (INIS)

    Bagian, James P.

    2006-01-01

    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.)

  14. Patient-Centeredness as Physician Behavioral Adaptability to Patient Preferences.

    Science.gov (United States)

    Carrard, Valérie; Schmid Mast, Marianne; Jaunin-Stalder, Nicole; Junod Perron, Noëlle; Sommer, Johanna

    2018-05-01

    A physician who communicates in a patient-centered way is a physician who adapts his or her communication style to what each patient needs. In order to do so, the physician has to (1) accurately assess each patient's states and traits (interpersonal accuracy) and (2) possess a behavioral repertoire to choose from in order to actually adapt his or her behavior to different patients (behavioral adaptability). Physician behavioral adaptability describes the change in verbal or nonverbal behavior a physician shows when interacting with patients who have different preferences in terms of how the physician should interact with them. We hypothesized that physician behavioral adaptability to their patients' preferences would lead to better patient outcomes and that physician interpersonal accuracy was positively related to behavioral adaptability. To test these hypotheses, we recruited 61 physicians who completed an interpersonal accuracy test before being videotaped during four consultations with different patients. The 244 participating patients indicated their preferences for their physician's interaction style prior to the consultation and filled in a consultation outcomes questionnaire directly after the consultation. We coded the physician's verbal and nonverbal behavior for each of the consultations and compared it to the patients' preferences to obtain a measure of physician behavioral adaptability. Results partially confirmed our hypotheses in that female physicians who adapted their nonverbal (but not their verbal) behavior had patients who reported more positive consultation outcomes. Moreover, the more female physicians were accurate interpersonally, the more they showed verbal and nonverbal behavioral adaptability. For male physicians, more interpersonal accuracy was linked to less nonverbal adaptability.

  15. Patient Safety and Healthcare Quality

    OpenAIRE

    Aikaterini Toska; Panagiotis Kyloudis; Maria Rekleiti; Maria Saridi

    2012-01-01

    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-relatedagent...

  16. Fingerprints identification of radiotherapy patients

    International Nuclear Information System (INIS)

    Lartigau, E.F.; Forrest, M.; Audebaud, S.; Dewitte, A.; Giscard, S.; Leclercq, B.

    2012-01-01

    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)

  17. Cryptococcosis infection among HIV patients

    Directory of Open Access Journals (Sweden)

    Zineb Tlamcani

    2016-06-01

    Full Text Available Cryptococcosis is commonly known as a central nervous system infection due to Cryptococcus neoformans. It is one of the most frequent infections in AIDS patients. Disseminated cryptococcosis appears in almost one third of these patients. In this review, we will discuss the clinical presentation of cryptococcal infections among HIV patients and various methods of diagnosis, such as India ink, latex agglutination test and culture.

  18. Parenteral nutrition in malnourished patients

    International Nuclear Information System (INIS)

    Lichvarova, I.

    2011-01-01

    Parenteral nutrition became a routine therapeutic option in malnourished patients, if conventional nutritional enteral support is not effective. Cachexia and malnutrition prolong the wound healing, contribute to immunosuppression, increase morbidity and the cost of treatment. Using of a malnutrition protocol as a screening tool is necessary to sort out malnourished patients. Parenteral nutrition is therefore an important part of the multimodal therapy and from the medical and the ethical point of view is a great mistake not to feed a patient. (author)

  19. Evaluation of therapeutic patient education

    OpenAIRE

    D'Ivernois , Jean-François; Gagnayre , Rémi; Assal , Jean-Philippe; Golay , Alain; Libion , France; Deccache , Alain

    2006-01-01

    9 pages; These guidelines mainly focus on the principles of evaluating Therapeutic Patient Education; 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 ...

  20. Biological therapy in geriatric patients

    International Nuclear Information System (INIS)

    Mego, M.

    2012-01-01

    Targeted biological therapy, alone or in combination with conventional chemotherapy, make significant progress in the treatment of patients with malignancy. Its use as opposed to high-dose chemotherapy is not limited by age, nevertheless, we have relatively little knowledge of the toxicity and effectiveness in geriatric patients. Aim of this article is to give an overview of the biological effectiveness and toxicity of anticancer therapy in geriatric patients, based on published data. (author)