Sudan journal of medical sciences最新文献

{"title":"Epidemiological Aspects and Antibiotics Susceptibility Patterns of Streptococcus pyogenes Isolated from Subjects with Tonsillitis, Sudan","authors":"Elnaim Bushra Ahmed, Elsir Ali Abu Groun, Babiker Saad Almugadam, Yousif Musa Alobaid Ahmed, Aymen Mudawe Nurain Mudawe, Nassir Abakar Babiker, Nadir Abuzeid","doi":"10.18502/sjms.v18i1.12861","DOIUrl":"https://doi.org/10.18502/sjms.v18i1.12861","url":null,"abstract":"Background: Globally, Streptococcus pharyngitis is a major public health challenge. The current study investigates the prevalence of Streptococcal pyogenes among children under 17 years old in ENT Kosti Teaching Hospital and examines the susceptibility of isolated S. pyogenes strains to commonly used antibiotics.Methods: A total of 384 throat swabs were obtained from children under the age of 17 who attended the Kosti Teaching Hospital between 2019 and 2021. Streptococcus pyogenes was isolated by conventional microbiology procedures. Each S. pyogenes strain was subjected to antibiotic susceptibility testing according to the CLSI guidelines.Results: Most participants of this study were females 219 (57%) and aged between 5 and 10 years 259 (67.4%). Out of the 384 participants, 134 (34.9%) and 255 (66.4%) suffered from lymphadenopathy and tonsil hyperplasia, respectively. Interestingly, lymphadenopathy and tonsil hyperplasia were more (P 0.05) in the 5–10 age group than those aged 11–16 years. Moreover, 41.4% of the participants were infected by a GAS sore throat. GAS sore throat is significantly associated with lymphadenopathy (AOR: 2.375, 95% CI: 1.479–3.815, P 0.000) and tonsil hyperplasia (AOR: 3.374, 95% CI: 1.939–5.874, P 0.000). Notably, males (AOR: 0.853, 95% CI: 0.549–1.325, P 0.479) and individuals aged 5–10 years (AOR: 0.867, 95% CI: 0.464–1.618, P 0.654) were less likely to have a GAS sore throat. In our study, all isolated strains were sensitive to penicillin. Clindamycin, azithromycin, and erythromycin resistance were observed in 7 (4.4%), 44 (27.7%), and 47 (29.6%) isolates, respectively.Conclusion: The study displayed the current situation of GAS sore throat in the White Nile state. Penicillin was found to be the effective drug to cure S. tonsillitis but a high rate of resistance to macrolides was noticed which is an alarming sign.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"139 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134502895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of an Educational Program on Stakeholders' Awareness About Risks of Cannabis Use in Sudan: A Quasi-Experimental Study","authors":"Mohammead Osman Yahya Mohammead, Fahad M Alhowaymel, Mohammed Abdelkrim Adam Abdelmalik, A. Alenezi","doi":"10.18502/sjms.v18i1.12864","DOIUrl":"https://doi.org/10.18502/sjms.v18i1.12864","url":null,"abstract":"Background: This study assesses stakeholders’ awareness level of Cannabis use and the effect of an educational program on their awareness in Kabkabiya city of Sudan.Methods: This quasi-experimental research was conducted using a pre- and posttest design between July and November 2018. A total of 203 stakeholders were recruited in the study using a convenience sampling technique. First, using a self-reported questionnaire, the pretest data were collected before the intervention. Then, the participants underwent an educational program intervention in the form of lectures and group discussions. At the end of the program, the participants were subjected to the posttest using the same questionnaire. Data were analyzed using descriptive and inferential statistics.Results: The results showed a poor to moderate level of awareness about Cannabis use among stakeholders. A statistically significant increase in the stakeholders’ awareness levels was found after the educational program intervention with a large effect size in awareness (z = –12.299, P = 0.001, r = 0.91). The results also showed that the participants who graduated from university had a significantly higher level of awareness than others at pre- and posttests stages (P =< 0.001).Conclusion: The educational program intervention effectively improved stakeholders’ awareness about the risks of Cannabis use. This study suggests providing ongoing health education for the public and focusing on individuals with lower educational levels to increase awareness of the risks of Cannabis use.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125556611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Prolonged Sitting a Risk Factor in Developing Hemorrhoids and Anal Fissures?","authors":"Gamal E.H.A. Shallaly, Elfatih M Malik, Mohamed Abdelmonem Ali, Maysa H. M. Hamza, Babikir A. B. Ibrahim, Hassan E.H.M. Ahmed, Mohamed M. I. Elhajahmed, Modather M.E. Salih","doi":"10.18502/sjms.v18i1.12866","DOIUrl":"https://doi.org/10.18502/sjms.v18i1.12866","url":null,"abstract":"Background: Anal fissures and hemorrhoids are common anal conditions. They cause significant morbidity, social embarrassment, and work absenteeism. In addition, they form a significant workload on the healthcare system. Nevertheless, the etiology of these conditions is still contentious. It has been observed that hemorrhoids and anal fissures are associated with prolonged sitting. This study aims to investigate this observation.Methods: This is a case–control study. We compared 81 patients with symptomatic and endoscopically proven hemorrhoids and/or anal fissures with 162 controls with no symptoms or endoscopic evidence of perianal disease. The study was conducted at Khartoum North Teaching Hospital (KNTH) endoscopy unit between January and December 2019. Demographic data, sitting hours per day, and endoscopic findings of patients and controls were recorded in a proforma. The cases and controls were matched for age, sex, and bowel habits. Data were analyzed and compared using the SPSS version 23.Results: The mean sitting hours for cases was 5.99 (SD 3.4) whereas that for controls was 4.0 (SD 3.0) with a highly significant difference (P < 0.001). Sitting for 5 hr or more per day (exposure) was associated with an increased risk of developing hemorrhoids and/or anal fissures [odds ratio 3.68, 95% CI: 2.1–6.47].Conclusion: The study showed that sitting down for 5 hr or more per day might increase the risk of developing hemorrhoids and/or anal fissures. This finding could help in the prevention and treatment of these diseases and the reduction of recurrences.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128799292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial – A Glimpse into the Future of Medical Education in Sudan","authors":"Mohamed H. Ahmed","doi":"10.18502/sjms.v18i1.12859","DOIUrl":"https://doi.org/10.18502/sjms.v18i1.12859","url":null,"abstract":"This is an Editorial and does not have an abstract. Please download the PDF or view the article in HTML.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115831743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrent Solitary Clavicular Parosteal Osteoma 25 Years after Surgical Resection","authors":"M. Mısırlıoğlu","doi":"10.18502/sjms.v18i1.12871","DOIUrl":"https://doi.org/10.18502/sjms.v18i1.12871","url":null,"abstract":"Osteoma is a slowly growing, asymptomatic, benign osteogenic tumor. An extremely rare case of clavicular parosteal osteoma (PO) is reported. A 46-year-old female patient was treated with marginal resection after an open biopsy for a large, firm symptomatic mass originating from the middle part of the left clavicle, which recurred 25 years after surgery. In the fifth year postoperatively, the patient was followed up with a full range of motion of the left shoulder without any problem in her daily life. In this case report, the clinical course, imaging findings, diagnosis, and long-term results of a rare case of parosteal osteoma recurrence of the clavicle are described for the first time in the literature.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130307656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness of Final-Year Medical Students of Omdurman Islamic University on Their Career Choices","authors":"Omer E. A. Elbashier, Maab O. A. Ibrahim, Hatoon M. A. Abdalla, Hefa A. I. Elseed, Hiba H. I. Rahama, Yusra A. A. Abbas","doi":"10.18502/sjms.v18i1.12863","DOIUrl":"https://doi.org/10.18502/sjms.v18i1.12863","url":null,"abstract":"Background: Medical students undergo a complex process as a student to make a career decision and pursue further specialization. This study explores the factors that influence the career choices of the two genders studying in the final year of medicine at Omdurman Islamic University.Methods: This institution-based cross-sectional study was conducted on 194 male and female fifth-year medical students studying at Omdurman Islamic University. The questionnaire contains 15 multiple-choice questions to determine the factors affecting students’ career choices – lifestyle, income, family impact,…etc. – and the association between gender and the specialties they choose to pursue.Results: The specialties were preferred in the following order: surgery by 22.9%, internal medicine by 18.3%, obstetric gynecology by 13.8%, and pediatric by 10% (limited to the four major specialties). The least chosen specialties were histopathology, emergency medicine, psychiatry, and anesthesia (all were 0.9%). Family medicine and forensics were not chosen by any participant. Females significantly preferred dermatology, obstetrics and gynecology, otolaryngology, and pediatrics compared to their male counterparts. Whereas, males compared to females significantly preferred orthopedics and surgery. The factors influencing change in students’ specialties based on their gender were family views and family obligations. Nearly 80% of students choose a career based on personal interest; lifestyle and financial reward were also seen to play an important role in choosing a specialty. About 91% of participants agreed that there is a need for guidance. A great proportion of final-year students (62%) preferred to specialize abroad and related it to a good lifestyle and financial stability.Conclusion: This study showed that the students’ awareness about specialty choices was limited to certain specialties as seen in the literature. The most preferred specialties were surgery (22.9%), internal medicine (18.3%), obstetrics and gynecology (13.8%), and pediatric (10%). There are many factors influencing the selection of specialties, however, the most common one is personal interest followed by lifestyle issues and financial reward. Additionally, there is a significant gender difference in career-choice decisions.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"292 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117329060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimation of Atopy and Allergies Among Sudanese Children with Asthma","authors":"Amani Elgadal, Omaima Nail","doi":"10.18502/sjms.v18i1.12862","DOIUrl":"https://doi.org/10.18502/sjms.v18i1.12862","url":null,"abstract":"Background: Bronchial asthma is a chronic respiratory problem characterized by a reversible hyper-responsive airway obstruction that is provoked by allergens, infections, or nonspecific triggers. The study aims to assess the coexistence of atopy and allergies among children with asthma.Methods: This single-center study was conducted at Mohamed El-Amin H. Hospital, Sudan. A free online sample size calculator was used. A specially designed form was used for data collection. Data were analyzed using the SPSS version 20.0.Results: A total of 300 participants were enrolled in the study, with a mean age of 7.46 ± 3.93 years. The male-to-female ratio was 1.3:1. A total of 215 (71.6%) children had a family history of asthma; atopy was allergic rhinitis in 108 (36%), eczema in 53 (17.7%), food allergy in 38 (14%), and allergic conjunctivitis in 29 (9.7%). A significant association was observed between male gender and family history of asthma, atopy, and coexisting personal history of atopy, P = 0.002, 0.004, and 0.001, respectively. All participants who had atopy had allergic rhinitis; 53 (49%) had atopic dermatitis, 29 (26.8%) had coexisting allergic conjunctivitis, and food allergies were found in 38 (35.2%) participants. Common food allergies found were eggplants, fish, cow milk, and banana. Atopy and allergies were common among those who were 6–10 years old, however, only allergic rhinitis was statistically significant with age (P = 0.021).Conclusion: Combined family history of asthma and atopy was common, few had atopy only, and fewer had neither family history nor atopy. Atopy found was allergic rhinitis, conjunctivitis, eczemas, and food allergy.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130849803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"BAY 11-7082: An Anti-inflammatory Drug for COVID-19","authors":"M. Nemati, F. Danesh Pouya, E. Roshani Asl, Yousef Rasmi","doi":"10.18502/sjms.v18i1.12872","DOIUrl":"https://doi.org/10.18502/sjms.v18i1.12872","url":null,"abstract":"The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a new coronavirus named by the International Committee on Taxonomy of Viruses. COVID-19 patients have high mortality due to respiratory failure from acute respiratory distress syndrome (ARDS) induced by SARS-CoV-2. The abnormal activation of P21-activated kinase (PAK1, RAC/CDC42-activated kinase 1) is reported in COVID-19. The PAK1 induces nuclear factor kappa B (NF-κB) activation as well as inflammatory pathways through its stimulation. BAY 11-7082 {(E) 3-[(4-methylphenyl)-sulfonyl]-2-propenenitrile is one of the therapies that inhibit inflammation via mentioned signaling pathway, therefore, we suggest that this drug can potentially be effective in treating COVID-19.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125359593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anxiety and Depression Among Sudanese Nurses During the COVID-19 Pandemic: A Cross-sectional Study","authors":"Hammad A. Fadlalmola, Mohammed A. Abdelmalik, Huda Kh. Masaad, Abdalbasit A. Mariod, Abdalla MA. Osman, Eyas G. Osman, Kalthoum I.Yousif, Aisha M. Adam, Sahar A. Ebrahim, Amal M. Elhusein","doi":"10.18502/sjms.v17i4.12552","DOIUrl":"https://doi.org/10.18502/sjms.v17i4.12552","url":null,"abstract":"Background: While treating patients during a pandemic, nurses are at risk of mental health issues caused by the stress they face. This study aimed to examine the degree of anxiety and depression among Sudanese nurses throughout the coronavirus disease 2019 (COVID-19) pandemic and demographic features and their association with depression and anxiety. Methods: An online-based cross-sectional study was conducted on Sudanese nurses. Data were collected from eligible nurses using a three-part questionnaire: demographic questions, the generalized anxiety disorder-7 (GAD-7), and the major depression index (MDI). We used the Chi-square test and Spearman or point biserial correlation to assess the association between demographics, anxiety, and depression. Results: Two hundred and forty-six nurses from Sudan participated in this study. Around 69.5% of participants experienced mild to severe anxiety, while 26.4% revealed mild to severe depression. We found a significant association between depression and anxiety (P < 0.001). However, we did not find a significant association between depression or anxiety categories and the baseline characteristics of participants. Conclusion: Our study demonstrates high rates of anxiety and depression among Sudanese nurses throughout the COVID-19 pandemic. As we found no association between anxiety and depression with personal characteristics, psychological support should be given to all nurses’ categories as all of them nearly have the same risk for anxiety and depression.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122034149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women’s Awareness and Beliefs of Breast Cancer at Al-Baha, Saudi Arabia","authors":"Manal SA Hakami","doi":"10.18502/sjms.v17i4.12554","DOIUrl":"https://doi.org/10.18502/sjms.v17i4.12554","url":null,"abstract":"Background: Women’s awareness and beliefs about breast cancer in Saudi Arabia were not fully investigated. The aim of this descriptive study was to assess women’s awareness and beliefs toward breast cancer in Al-Baha, Saudi Arabia. Methods: This is a descriptive cross-sectional study; it was conducted among women attending the Women and Child Care Center at Alawi Royal Mall in Alaqiq for mammogram screening of breast cancer. A convenient sampling technique was used; it included women who attended the center in the period from September 2021 to December 2021, and who agreed to participate. The data were collected using a questionnaire consisting of questions on awareness and beliefs toward breast cancer. The data were analyzed using SPSS software. Results: The current study showed that the level of awareness in women was high toward breast cancer general information (42.9%), the meaning of malignancy (54.3%), and ways for detecting breast cancer (42.9%), it was also shown that they had fair awareness on myths related to breast cancer (45.7%), and signs and symptoms of breast cancer (51.4%). The study also showed that the women have a high level of beliefs toward breast cancer health services (48.6%), the ability of breast cancer to be prevalent in some families (45.7%), the ways of breast cancer self-detection (34.3%), and mammogram role in early detection of breast cancer (34.3%). It was found that the occupation of women and women’s level of education significantly improved the awareness in women. It was shown that the occupation of women and their level of education were significantly related to the level of beliefs toward breast cancer (21.4%) compared to 16.7% for women working in the private sectors. Conclusion: Women in Al-Baha have a high level of awareness and beliefs about breast cancer. The occupation of women and women’s level of education are associated with a high level of awareness and beliefs toward breast cancer.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122120412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}