Sudan journal of medical sciences最新文献

Factors Associated with Poor Asthma Control among Sudanese Patients Attending Atbara Teaching Hospital in Sudan 苏丹阿特巴拉教学医院苏丹患者哮喘控制不良的相关因素

Sudan journal of medical sciences Pub Date : 2024-12-31 DOI: 10.18502/sjms.v19i4.15854

Hadeel Kareem Aladdin, Sufian Khalid Mohammed Noor, Amro Mohamed Fagir Farah, Sara Elamin Bushara

{"title":"Factors Associated with Poor Asthma Control among Sudanese Patients Attending Atbara Teaching Hospital in Sudan","authors":"Hadeel Kareem Aladdin, Sufian Khalid Mohammed Noor, Amro Mohamed Fagir Farah, Sara Elamin Bushara","doi":"10.18502/sjms.v19i4.15854","DOIUrl":"https://doi.org/10.18502/sjms.v19i4.15854","url":null,"abstract":"Objective: To identify factors associated with poor bronchial asthma control in patients attending Atbara Teaching Hospital, Sudan, in 2020. Methods: This was an analytical, descriptive, cross-sectional hospital-based study conducted at the Atbara Teaching Hospital in River Nile State, Sudan, between February and June 2020. All patients diagnosed with bronchial asthma who were attending any hospital department were included. Results: In total, 292 patients were enrolled, 51.4% were aged 18–45 years and 51.4% were female. The most frequent complaints were an audible wheeze and shortness of breath (approximately 93%), and 49% had been diagnosed with asthma >10 years previously. Of the patients, 42% were admitted 1 to 3 times and 47.3% were admitted to the intensive care unit (ICU). Hospital admission was associated with improper inhaler use (P = 0.003), the presence of triggers at home or work (P = 0.003), and passive smoking (P = 0.016). ICU admission was associated with female sex (P = 0.039) and the presence of triggers at home or work (P = 0.026). Conclusion: Asthma is a major problem in Atbara City. Improper inhaler use, the presence of triggers at home or work, and passive smoking were significantly associated with hospital admission. Female sex and the presence of triggers at home or work were significantly associated with ICU admission.","PeriodicalId":496833,"journal":{"name":"Sudan journal of medical sciences","volume":"19 4","pages":"432-440"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147910314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Validation of the Arabic Version of Medication Regimen Complexity Index Among Older Patients Validation of the “MRCI-Arabic” 老年患者用药方案复杂性指数阿拉伯语版本的验证“mrci -阿拉伯语”的验证

Sudan journal of medical sciences Pub Date : 2023-09-27 DOI: 10.18502/sjms.v18i3.14086

Nilay Aksoy, Nur Ozturk, Betul Okuyan, Mesut Sancar

{"title":"Validation of the Arabic Version of Medication Regimen Complexity Index Among Older Patients Validation of the “MRCI-Arabic”","authors":"Nilay Aksoy, Nur Ozturk, Betul Okuyan, Mesut Sancar","doi":"10.18502/sjms.v18i3.14086","DOIUrl":"https://doi.org/10.18502/sjms.v18i3.14086","url":null,"abstract":"The medication regimen complexity index is widely used in clinical practice and many studies, to assess the complexity of medication regimens. The goal of this study is to validate the medication regimen complexity index-Arabic (MRCI-Arabic) version among older patients. Methods: This methodologic study was conducted in older patients (≥ 65 years old) who were native Arabic speakers at a community pharmacy located in Istanbul, Turkey. After the translation and cultural adaptation process finished, medication regimens of 30 patients were evaluated for test-retest reliability three weeks apart by the rater who was a native Arabic speaker. The inter-rater correlation was calculated in study population (n =100). The link between the number of medications and the score of medication regimen complexity was used to assess convergent validity. The difference in the score of pharmaceutical regimen complexity in stratified age groups was used to examine discriminant validity. Results: The inter-rater and test-retest reliability of the MRCI-Arabic total scale and its subsection were extremely high (Spearman’s rho ranged from 0.996 to 1; p <0.001). There was a strong and positive correlation between the total MRCI-Arabic score and the number of medications (r = 0.830; p < 0.001), the number of chronic diseases (r = 0.641; p < 0.001). Conclusion: The Arabic validation of the MRCI is a validated tool that can be used by native Arabic-speaking healthcare professionals to determine the complexity of their patients’ medication regimens.","PeriodicalId":496833,"journal":{"name":"Sudan journal of medical sciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135536041","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}

引用次数: 0

War in Sudan: The Impact on Maternal and Perinatal Health 苏丹战争:对孕产妇和围产期健康的影响

Sudan journal of medical sciences Pub Date : 2023-09-27 DOI: 10.18502/sjms.v18i3.14094

Ahmed A Hassan, Ishag Adam, Nazik Elmalaika Husain

引用次数: 0

Customized Preliminary Impression: A Novel Impression Technique for Severely Resorbed Edentulous Ridges 定制预印模:一种用于重度无牙嵴再吸收的新型印模技术

Sudan journal of medical sciences Pub Date : 2023-09-27 DOI: 10.18502/sjms.v18i3.14087

Arpit Sikri, Jyotsana Sikri, Tarun Kal, Ritika Sharda, Natasha Bathla, Sahil Thakur

{"title":"Customized Preliminary Impression: A Novel Impression Technique for Severely Resorbed Edentulous Ridges","authors":"Arpit Sikri, Jyotsana Sikri, Tarun Kal, Ritika Sharda, Natasha Bathla, Sahil Thakur","doi":"10.18502/sjms.v18i3.14087","DOIUrl":"https://doi.org/10.18502/sjms.v18i3.14087","url":null,"abstract":"Patients with long-term edentulism and/or ill-fitting (poorly fitted) dentures are more likely to experience severe mandibular alveolar ridge resorption. Some of these patients have genial tubercles that rise over the mandibular residual ridge in the anterior region and protrude into the floor of the mouth. Typically, the most prominent portions of the resorbed mandibular edentulous ridge are in contact with the lingual flanges of the mandibular stock impression trays (i.e., genial tubercles and internal oblique lines). In these situations, it is advised that a preliminary custom impression tray be created to pour an initial impression, allowing for the fabrication of individual custom trays. In general, dental practice for the fabrication of the complete denture, the stock trays are used for making the preliminary impression and the custom trays for the final impression. The present article portrays an innovative and efficient clinical technique involving the fabrication of a customized preliminary impression tray for preliminary impression making particularly in unconventional situations, that is, pronounced mandibular alveolar ridge resorption.","PeriodicalId":496833,"journal":{"name":"Sudan journal of medical sciences","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135536275","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}

引用次数: 0

Factors Associated with Access to the Saudi Primary Healthcare in Light of Vision 2030 根据2030年愿景，与获得沙特初级卫生保健有关的因素

Sudan journal of medical sciences Pub Date : 2023-09-27 DOI: 10.18502/sjms.v18i3.14092

Salah Alshagrawi, Ahmed Nasser Al-luhaym

{"title":"Factors Associated with Access to the Saudi Primary Healthcare in Light of Vision 2030","authors":"Salah Alshagrawi, Ahmed Nasser Al-luhaym","doi":"10.18502/sjms.v18i3.14092","DOIUrl":"https://doi.org/10.18502/sjms.v18i3.14092","url":null,"abstract":"Objective: Primary healthcare is a comprehensive approach to ensuring universal access to essential healthcare services. The Ministry of Health in Saudi Arabia has developed health-related objectives to enhance the accessibility of healthcare services and refining its policies. However, certain obstacles may impede the delivery and accessibility of healthcare, particularly to primary healthcare centers. The current study explored the variables associated with the accessibility of primary healthcare services in the context of Saudi Vision 2030. In particular, the research focused on examining the organizational and doctor-patient communication factors that are linked to primary healthcare accessibility. Methodology: In this cross-sectional study, an electronic questionnaire is used to collect data from patients visiting the primary healthcare facilities located within the second health cluster in Riyadh, Saudi Arabia. Results: The findings indicate that the organizational factors that have the greatest influence on primary healthcare accessibility are the proximity of the primary healthcare centers, the rapid and convenient nature of the registration and payment procedures, the cleanliness, design, and clarity of the facility, and the availability of up-to-date technologies and equipment. As for the factors affecting access to primary healthcare in doctor-patient communication, the most notable factors include the provision of respectful treatment by the doctor toward patients, attentive listening to patients’ concerns and questions, and clear explanation of treatment plans and outcomes. Conclusion: The findings of this study demonstrated the effect of several factors on primary healthcare accessibility, which will benefit the policymakers in healthcare planning in Saudi Arabia to improve the quality and accessibility to primary healthcare centers.","PeriodicalId":496833,"journal":{"name":"Sudan journal of medical sciences","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135535729","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}

引用次数: 0

Wilson’s Disease and Autoimmune Hepatitis Coexistence: A Cause of Diagnostic Delay 肝豆状核变性和自身免疫性肝炎共存:诊断延迟的原因

Sudan journal of medical sciences Pub Date : 2023-09-27 DOI: 10.18502/sjms.v18i3.14085

Mohammed G Mudawi, Salma Barakat MD, Elhadi M Awooda

{"title":"Wilson’s Disease and Autoimmune Hepatitis Coexistence: A Cause of Diagnostic Delay","authors":"Mohammed G Mudawi, Salma Barakat MD, Elhadi M Awooda","doi":"10.18502/sjms.v18i3.14085","DOIUrl":"https://doi.org/10.18502/sjms.v18i3.14085","url":null,"abstract":"This case report describes a 27-year-old housewife who presented with a progressive and insidious onset of abdominal distension, loss of appetite, and fatigue which started 3 months before her presentation. The physical assessment showed moderate ascites and small liver size, and no other peripheral evidence of chronic liver disease was observed. A diagnosis of liver cirrhosis and was confirmed by investigations and imaging, where ascites responded well to therapy with diuretics. Investigations for the cause of cirrhosis was established through the diagnosis of autoimmune hepatitis, and she was started on steroids and azathioprine with partial improvement in liver biochemistry. She presented 8 months later with neuropsychiatric symptoms in the form of slurred speech and difficulty walking. Accordingly, Wilson’s disease was suspected to be the cause and further investigations confirmed this. A chelating agent, D penicillamine, was added to her immunosuppressive treatment. Nine months later she showed slow improvement in her neurological symptoms and was referred for assessment for liver transplantation. Wilson’s disease, although rare, should be suspected in patients with decompensated liver disease. The dominance of clinical and epidemiological features of autoimmune hepatitis as a common causative pathology for chronic liver disease in young and middle-aged ladies may hide the presence of other serious different pathologies such as Wilson’s disease.","PeriodicalId":496833,"journal":{"name":"Sudan journal of medical sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135535912","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}

引用次数: 0

Measuring Nurses’ Satisfaction in Primary Health Care Centers at Khartoum, Sudan 苏丹喀土穆初级卫生保健中心护士满意度的测量

Sudan journal of medical sciences Pub Date : 2023-09-27 DOI: 10.18502/sjms.v18i3.14089

Yahya Hussein Ahmed Abdalla

{"title":"Measuring Nurses’ Satisfaction in Primary Health Care Centers at Khartoum, Sudan","authors":"Yahya Hussein Ahmed Abdalla","doi":"10.18502/sjms.v18i3.14089","DOIUrl":"https://doi.org/10.18502/sjms.v18i3.14089","url":null,"abstract":"Background: The primary healthcare sector has experienced significant growth globally, and the nursing workforce has also expanded in recent decades in response to health system reforms. This study aims to assess job satisfaction among primary healthcare nurses in Khartoum, Sudan. Methods: This descriptive cross-sectional study was conducted in 10 primary healthcare centers on 50 nurses who were selected using simple random sampling. Data were collected using an online questionnaire and it was analyzed using SPSS. Results: The findings of this study indicate that the job satisfaction level among nurses working at primary healthcare centers in Khartoum was high (4.4/5). Most nurses reported high satisfaction with all items including protocols, salary, environment, and relationships. The study also found a significant correlation between nurses’ sex and experience with their level of job satisfaction. Female nurses reported significantly higher job satisfaction (4.4/5) compared to male nurses (3.6/5), (p-value = 0.04). Additionally, nurses with fewer years of experience reported significantly higher job satisfaction compared to those with more years of experience (p-value = 0.03). Conclusion: The study concludes that nurses working at primary healthcare centers in Khartoum have high job satisfaction, particularly regarding the working environment, salary, relationships, and availability of guidelines. Female nurses and those with less experience have significantly higher job satisfaction.","PeriodicalId":496833,"journal":{"name":"Sudan journal of medical sciences","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135535915","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}

引用次数: 0

Consolidating Medical Education in Sudan During War 在苏丹战争期间巩固医学教育

Sudan journal of medical sciences Pub Date : 2023-09-27 DOI: 10.18502/sjms.v18i3.14093

Mohamed H. Taha, Nazik E. Husain, Wail Nuri Osman Mukhtar, Mohamed Elhassan Abdalla

{"title":"Consolidating Medical Education in Sudan During War","authors":"Mohamed H. Taha, Nazik E. Husain, Wail Nuri Osman Mukhtar, Mohamed Elhassan Abdalla","doi":"10.18502/sjms.v18i3.14093","DOIUrl":"https://doi.org/10.18502/sjms.v18i3.14093","url":null,"abstract":"Background: Providing quality medical education in Sudan faces challenges due to armed conflicts. This short communication explores practical solutions for ensuring the continuity of medical education during the conflict in the Sudanese context. Methods: A comprehensive literature review covered relevant articles published from 1915 to 2023. Four major databases (PubMed, Scopus, Web of Science, and Google Scholar) were searched using keywords related to medical education, war, armed conflict, and affected countries. Data synthesis identified common themes, challenges, and trends and suggested solutions for medical education in conflict zones. Case studies from Ukraine, Liberia, and Iraq were included for a comprehensive understanding. Results: Collaborative alliances among medical schools facilitate resource sharing and support. Engaging the Sudanese diaspora through virtual collaborations, mentorship programs, and faculty exchanges enhance educational experiences. Stable regions as educational hubs ensure uninterrupted academic progress for students from conflict-affected areas. Online and remote education, including asynchronous learning and social media platforms, overcome access barriers and fosters knowledge sharing. Ambulatory teaching provides practical experience and adaptability. Prioritizing faculty well-being and professional development through training and support is crucial. Emphasizing resilience and adaptability in student education prepare them for healthcare delivery in resource-limited settings. Research and innovation contribute to evidence-based strategies. International collaboration and support offer opportunities for knowledge exchange and infrastructure improvement. Conclusion: Implementing collaborative strategies and innovative approaches helps Sudanese medical schools overcome challenges during armed conflicts and maintain quality medical education. These solutions empower students and faculty, enhance resilience, and contribute to improving healthcare systems in post-war Sudan.","PeriodicalId":496833,"journal":{"name":"Sudan journal of medical sciences","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135536038","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}

引用次数: 0

Computer-Based Clinical Examination (CCE) in Surgery: Would It Complement or Replace the OSCE in the Post-COVID-19 Era? 基于计算机的外科临床检查(CCE):在后covid -19时代，它是补充还是取代OSCE ?

Sudan journal of medical sciences Pub Date : 2023-09-27 DOI: 10.18502/sjms.v18i3.14084

Gamal E H A El Shallaly, Mudather M Bafadni, Hozifa M A Abdelmaged, Maysa H A Hamza

{"title":"Computer-Based Clinical Examination (CCE) in Surgery: Would It Complement or Replace the OSCE in the Post-COVID-19 Era?","authors":"Gamal E H A El Shallaly, Mudather M Bafadni, Hozifa M A Abdelmaged, Maysa H A Hamza","doi":"10.18502/sjms.v18i3.14084","DOIUrl":"https://doi.org/10.18502/sjms.v18i3.14084","url":null,"abstract":"Objectives: Surgical clinical assessment of medical students is confronted by many challenges particularly the increasing numbers of students with limited resources, and pandemics. The search for new tools of assessment continues. Our objectives were: (1) To develop a computer-based clinical exam (CCE) and identify its characteristics (2) To assess its acceptability of the students. Method: The study was conducted at the Surgical Department, Alzaiem Alazhari University (AAU) between February and August, 2017. We used the modular objectoriented dynamic learning environment (MOODLE) program as a platform to upload and deliver the exam. The exam consisted of 45 questions (stations). Each consisted of a clinical scenario accompanied by a photograph (of a patient or investigation) or short video followed by multiple choice questions (MCQs). A questionnaire was designed to get the students’ feedback. We analyzed the questionnaire and scores obtained by the students and compared them to their performance in other tools of the surgical exam, using SPSS statistical program. Results: The study included 188 final year medical students. There was a highly significant correlation of the CCE scores of each student with their final result (r= 0.67), and with other tools of the surgery exam particularly the objective structured clinical examination (OSCE). Students’ acceptability was high. Conclusion: The CCE is valid and practicable. It saves time and is popular with the students and tutors. It complements the OSCE in the assessment of clinical competency and allows wide coverage of the curriculum. It is expected to gain importance and popularity in the post-COVID-19 era.","PeriodicalId":496833,"journal":{"name":"Sudan journal of medical sciences","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135535730","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}

引用次数: 0

Pagophagia-Induced Hyponatremia: An Unusual Case 食尿症引起的低钠血症:一例罕见病例

Sudan journal of medical sciences Pub Date : 2023-09-27 DOI: 10.18502/sjms.v18i3.14090

Aydanur Akbaba, Mustafa Bogan, Ceren Karakeçili, Fatma Boğan, Hasan Sultanoglu

{"title":"Pagophagia-Induced Hyponatremia: An Unusual Case","authors":"Aydanur Akbaba, Mustafa Bogan, Ceren Karakeçili, Fatma Boğan, Hasan Sultanoglu","doi":"10.18502/sjms.v18i3.14090","DOIUrl":"https://doi.org/10.18502/sjms.v18i3.14090","url":null,"abstract":"Hyponatremia occurs when the serum sodium level is below 135 mmol/L. The symptoms include nausea, vomiting, confusion, headache, cardiorespiratory symptoms, profound somnolence or coma, and seizures are observed. Iron deficiency anemia can also cause pagophagia, a Pica subspecies. Although it has been emphasized that electrolyte disturbance may develop due to pagophagia, only a dearth of cases was reported. A 59-year-old male patient was brought to the emergency department with complaints of incoherent speech that started at night, disorientated movements (such as fluttering and climbing), insomnia, restlessness, and confusion. In 2017, he experienced hyponatremia due to pagophagia and a salt-free diet. At the index episode of hyponatremia, he experienced confusion, drowsiness, and sleepiness. It was learned that the patient enjoyed these symptoms.For this purpose, the patient made a habit of eating a completely salt-free diet and consumed plenty of water. Although pagophagia is considered to cause hyponatremia because it causes excessive water intake, there are not enough cases reported. It is to be noted that people develop habits or addiction to things they like.","PeriodicalId":496833,"journal":{"name":"Sudan journal of medical sciences","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135535920","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}

引用次数: 0