Pub Date : 2022-12-31DOI: 10.18502/sjms.v17i4.12547
Selma Abdelrahman Hussein, Hammad Ali Fadlalmola, Suzy Munir Salama, Eyas Gaffar Osman, Abdalbasit Adam Mariod
Background: Chronic Renal Failure (CRF) is a long-term disease caused by progressive kidney dysfunction due to many reasons leading to a significant rise in serum levels of creatinine and urea reaching the advanced stage where the patient goes for frequent hemodialysis. This study aims to discuss the evaluation of the efficacy of gum Arabic (GA) supplementation on the serum level of creatinine, urea, sodium, and potassium in CRF patients. Methods: Four databases PubMed, Web of Science, Scopus, and the Cochrane Library were searched for clinical trials assessment of gum Arabic intervention in CRF patients. Animal trials and experimental protocols were excluded. Screening of data and data extraction were done by two reviewers independently of each other. Meta-analysis was conducted on the selected studies using RevMan and the resulting description was summarized through the Forest plot tool on the efficacy of GA on 4 variables, creatinine, urea, sodium, and potassium in CRF patients. Results: From 574 studies searched, only 4 studies were included in this systemic review and meta-analysis. Although one of the studies had proved the objectives of the review but it was removed from the meta-analysis due to the heterogeneity caused by its inclusion. Conclusion: The few studies included in the current review revealed significant efficacy of GA treatment on the serum level of creatinine, urea, and sodium, but not potassium.
背景:慢性肾衰竭(Chronic Renal Failure, CRF)是一种由进行性肾功能障碍引起的长期疾病，由于多种原因导致血清肌酐和尿素水平显著升高，达到晚期，患者需要频繁的血液透析。本研究旨在探讨阿拉伯树胶(GA)补充剂对慢性肾功能衰竭患者血清肌酐、尿素、钠和钾水平的影响。方法:检索PubMed、Web of Science、Scopus和Cochrane图书馆四个数据库，检索评估阿拉伯胶干预治疗CRF患者的临床试验。排除动物试验和实验方案。数据筛选和数据提取由两位独立的审稿人完成。使用RevMan对选定的研究进行meta分析，并通过Forest绘图工具总结GA对CRF患者肌酐、尿素、钠和钾4个变量的疗效。结果:在574项研究中，只有4项研究被纳入系统评价和荟萃分析。虽然其中一项研究证实了综述的目的，但由于纳入的异质性，该研究被从meta分析中删除。结论:本综述中包含的少数研究显示，GA治疗对血清肌酐、尿素和钠水平有显著疗效，但对钾水平无显著影响。
{"title":"Efficacy and Safety of Gum Arabic on Renal Failure Patients: Systematic Review and Meta-analysis","authors":"Selma Abdelrahman Hussein, Hammad Ali Fadlalmola, Suzy Munir Salama, Eyas Gaffar Osman, Abdalbasit Adam Mariod","doi":"10.18502/sjms.v17i4.12547","DOIUrl":"https://doi.org/10.18502/sjms.v17i4.12547","url":null,"abstract":"Background: Chronic Renal Failure (CRF) is a long-term disease caused by progressive kidney dysfunction due to many reasons leading to a significant rise in serum levels of creatinine and urea reaching the advanced stage where the patient goes for frequent hemodialysis. This study aims to discuss the evaluation of the efficacy of gum Arabic (GA) supplementation on the serum level of creatinine, urea, sodium, and potassium in CRF patients. Methods: Four databases PubMed, Web of Science, Scopus, and the Cochrane Library were searched for clinical trials assessment of gum Arabic intervention in CRF patients. Animal trials and experimental protocols were excluded. Screening of data and data extraction were done by two reviewers independently of each other. Meta-analysis was conducted on the selected studies using RevMan and the resulting description was summarized through the Forest plot tool on the efficacy of GA on 4 variables, creatinine, urea, sodium, and potassium in CRF patients. Results: From 574 studies searched, only 4 studies were included in this systemic review and meta-analysis. Although one of the studies had proved the objectives of the review but it was removed from the meta-analysis due to the heterogeneity caused by its inclusion. Conclusion: The few studies included in the current review revealed significant efficacy of GA treatment on the serum level of creatinine, urea, and sodium, but not potassium.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"31 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":"127727897","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}
Pub Date : 2022-09-30DOI: 10.18502/sjms.v17i3.12077
Faihaa Dafalla, H. Awadalla, N. Husain
This is an Editorial and does not have an abstract. Please download the PDF or view the article HTML.
这是一篇社论，没有摘要。请下载PDF或查看文章HTML。
{"title":"Editorial – “Together We Build Our Health”: Paving Way Forward Through Analyzing the Context and Ensuring Wide Participation in the First and Second Health Forums in Sudan","authors":"Faihaa Dafalla, H. Awadalla, N. Husain","doi":"10.18502/sjms.v17i3.12077","DOIUrl":"https://doi.org/10.18502/sjms.v17i3.12077","url":null,"abstract":"This is an Editorial and does not have an abstract. Please download the PDF or view the article HTML.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124939224","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}
Pub Date : 2022-09-30DOI: 10.18502/sjms.v17i3.12110
Hammam Abdalrhman Altom Mohammed Ahmed, Ahmed Ali Ahmed Musa, Ahmed Mahmoud, Sayed Sayedahmed, Shiraz Bashir Jabralseed Mohammed, Ehssan Farouk Mohamed Ahmed, Anas Mohamed, A. Nail
Background: Visceral leishmaniasis (also known as Kala-azar) is a systemic parasitic infection with many clinical presentations. The present study assesses the variation in presentations among patients who attended the Tropical Diseases Teaching Hospital (TDTH) in Khartoum, Sudan. Methods: This analytical cross-sectional, hospital-based study was conducted at the TDTH between November 2019 and September 2020. Medical records of patients who presented at the TDTH were reviewed using a structured data extraction checklist. The Chi-square test was used to determine the associations between sociodemographic and clinical presentations of patients. P-value < 0.05 was considered as statistically significant. Results: Out of 195 patients, 79.5% were male and 48.2% were <31 years old. Fever was the main clinical presentation (90.2%) while 53.3% presented with weight loss and 72.3% and 39% presented, respectively, with splenomegaly and hepatomegaly. HIV was detected in 4.6% of the patients. RK39 was the main diagnostic test. We found a significant association between the abdominal distention and the age of the patients (P < 0.05) – age groups 11–20 and 41–50 years were more likely to present with abdominal distention than other age groups. Conclusion: There is no exact clinical presentation or routine laboratory findings that are pathognomonic for visceral leishmaniasis; therefore, it should be considered in the differential diagnosis of any patient with fever, weight loss, and abdominal distention, and among patients with HIV.
{"title":"Assessment of Variation in Clinical Presentation of Visceral Leishmaniasis Among Patients Attending the Tropical Diseases Teaching Hospital in Sudan","authors":"Hammam Abdalrhman Altom Mohammed Ahmed, Ahmed Ali Ahmed Musa, Ahmed Mahmoud, Sayed Sayedahmed, Shiraz Bashir Jabralseed Mohammed, Ehssan Farouk Mohamed Ahmed, Anas Mohamed, A. Nail","doi":"10.18502/sjms.v17i3.12110","DOIUrl":"https://doi.org/10.18502/sjms.v17i3.12110","url":null,"abstract":"Background: Visceral leishmaniasis (also known as Kala-azar) is a systemic parasitic infection with many clinical presentations. The present study assesses the variation in presentations among patients who attended the Tropical Diseases Teaching Hospital (TDTH) in Khartoum, Sudan. \u0000Methods: This analytical cross-sectional, hospital-based study was conducted at the TDTH between November 2019 and September 2020. Medical records of patients who presented at the TDTH were reviewed using a structured data extraction checklist. The Chi-square test was used to determine the associations between sociodemographic and clinical presentations of patients. P-value < 0.05 was considered as statistically significant. \u0000Results: Out of 195 patients, 79.5% were male and 48.2% were <31 years old. Fever was the main clinical presentation (90.2%) while 53.3% presented with weight loss and 72.3% and 39% presented, respectively, with splenomegaly and hepatomegaly. HIV was detected in 4.6% of the patients. RK39 was the main diagnostic test. We found a significant association between the abdominal distention and the age of the patients (P < 0.05) – age groups 11–20 and 41–50 years were more likely to present with abdominal distention than other age groups. \u0000Conclusion: There is no exact clinical presentation or routine laboratory findings that are pathognomonic for visceral leishmaniasis; therefore, it should be considered in the differential diagnosis of any patient with fever, weight loss, and abdominal distention, and among patients with HIV.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115833311","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}
Pub Date : 2022-09-30DOI: 10.18502/sjms.v17i3.12121
Nidal Abubaker Harun, Mohamed A/Salam Nurein, T. O. Ali, Tarig Gasim Mohamed Alarabi, K. Ali, Heitham M. Mohammed, A. Abdalla, Abulqasim M. B. Siddeeg, A. G. E. Salih, S. Ahmed
Hepatobiliary surgery through laparoscopic approach is becoming a routine. Knowledge of extrahepatic arterial tree is essential for surgical and imaging procedures. Anatomical complexity is expected since the liver is developed by mergingof lobules with its separate blood supply. This makes a wide range of variations in the pattern of vascular arrangement and so reinforces the need for an accurate understanding of full spectrum of variations. This study aimed to investigate the variations in origin and distribution of extrahepatic arterial supply. Fifty volunteers (32 males and 18 females) aged 20–70 years were randomly recruited from the department of CT scan in Al Amal Hospital, Khartoum North, Sudan. The patients were already candidates for CT angiography with contrast for conditions other than hepatobiliary diseases. The reported data is related to those who accepted to participate in the study. Patients with history of hepatobiliary disease were excluded. 3D views of the scans were treated and the extrahepatic arterial tree was traced in a computer-based software. Key findings suggest that Michel’s classification was considered the standard template for description – 76% of them showed Michel’s type I classification. Types III and V constituted about 2%. About 4% of the cases were represented by types VI and IX. Other types of variations constituted about 12%. To conclude, although type I classification which describes the textbook pattern of hepatic artery distribution was significantly detected among the Sudanese population, other variants were to be considered since they are related to major arteries like aorta and superior mesenteric.
{"title":"Variations of Arterial Supply of the Liver: C.T. Angiographic Study Among Sudanese Adults","authors":"Nidal Abubaker Harun, Mohamed A/Salam Nurein, T. O. Ali, Tarig Gasim Mohamed Alarabi, K. Ali, Heitham M. Mohammed, A. Abdalla, Abulqasim M. B. Siddeeg, A. G. E. Salih, S. Ahmed","doi":"10.18502/sjms.v17i3.12121","DOIUrl":"https://doi.org/10.18502/sjms.v17i3.12121","url":null,"abstract":"Hepatobiliary surgery through laparoscopic approach is becoming a routine. Knowledge of extrahepatic arterial tree is essential for surgical and imaging procedures. Anatomical complexity is expected since the liver is developed by mergingof lobules with its separate blood supply. This makes a wide range of variations in the pattern of vascular arrangement and so reinforces the need for an accurate understanding of full spectrum of variations. This study aimed to investigate the variations in origin and distribution of extrahepatic arterial supply. Fifty volunteers (32 males and 18 females) aged 20–70 years were randomly recruited from the department of CT scan in Al Amal Hospital, Khartoum North, Sudan. The patients were already candidates for CT angiography with contrast for conditions other than hepatobiliary diseases. The reported data is related to those who accepted to participate in the study. Patients with history of hepatobiliary disease were excluded. 3D views of the scans were treated and the extrahepatic arterial tree was traced in a computer-based software. Key findings suggest that Michel’s classification was considered the standard template for description – 76% of them showed Michel’s type I classification. Types III and V constituted about 2%. About 4% of the cases were represented by types VI and IX. Other types of variations constituted about 12%. To conclude, although type I classification which describes the textbook pattern of hepatic artery distribution was significantly detected among the Sudanese population, other variants were to be considered since they are related to major arteries like aorta and superior mesenteric.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133839688","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}
Pub Date : 2022-09-30DOI: 10.18502/sjms.v17i3.12128
Chamudi Ishara Rajamuni, B. Weerakoon
Background: Breast cancer is the most frequent cancer among the female population globally. Therefore, early detection is helpful for effective treatments and to reduce the mortality rate. Mammography is a radiological examination done with low-energy X-rays to detect abnormalities in breast tissue. This study aims to review the literature to evaluate the techniques, protocols, and conversion factors used to determine the diagnostic reference levels (DRLs); within the Asian continent using both phantom- and patient-based data. Methods: Related articles were systematically reviewed via Pub Med, Google scholar, and freehand search with the aid of relevant terms. Related abstracts in English were screened, and suitable articles were selected after reviewing the full-text. Four hundred and thirty abstracts were screened for relevance, and 12 articles were selected. Results: The study comprises four phantom-based and eight patient-based studies. The studies varied between the types of test subjects, conversion factors, breast compression thickness, and dose calculation protocols. This obstructs continuing the DRLs with the updates and comparisons among countries. Establishments of DRLs in Asian countries are less than the rest of the world. DRLs should be measured continuously, and should be updated based on other clinical parameters of the patients. Conclusion: DRLs in mammography were measured from time to time in different geographical locations in Asia by following various techniques. But when compared with the other regions of the world, there is less consideration for establishing DRLs in Asia. There should be standard protocols and updated conversion factors according to the advancements of the technology to ensure radiation protection with optimal absorbed dose with appropriate image quality.
{"title":"Diagnostic Reference Levels in Mammography in the Asian Context","authors":"Chamudi Ishara Rajamuni, B. Weerakoon","doi":"10.18502/sjms.v17i3.12128","DOIUrl":"https://doi.org/10.18502/sjms.v17i3.12128","url":null,"abstract":"Background: Breast cancer is the most frequent cancer among the female population globally. Therefore, early detection is helpful for effective treatments and to reduce the mortality rate. Mammography is a radiological examination done with low-energy X-rays to detect abnormalities in breast tissue. This study aims to review the literature to evaluate the techniques, protocols, and conversion factors used to determine the diagnostic reference levels (DRLs); within the Asian continent using both phantom- and patient-based data. \u0000Methods: Related articles were systematically reviewed via Pub Med, Google scholar, and freehand search with the aid of relevant terms. Related abstracts in English were screened, and suitable articles were selected after reviewing the full-text. Four hundred and thirty abstracts were screened for relevance, and 12 articles were selected. \u0000Results: The study comprises four phantom-based and eight patient-based studies. The studies varied between the types of test subjects, conversion factors, breast compression thickness, and dose calculation protocols. This obstructs continuing the DRLs with the updates and comparisons among countries. Establishments of DRLs in Asian countries are less than the rest of the world. DRLs should be measured continuously, and should be updated based on other clinical parameters of the patients. \u0000Conclusion: DRLs in mammography were measured from time to time in different geographical locations in Asia by following various techniques. But when compared with the other regions of the world, there is less consideration for establishing DRLs in Asia. There should be standard protocols and updated conversion factors according to the advancements of the technology to ensure radiation protection with optimal absorbed dose with appropriate image quality.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128965198","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}
Pub Date : 2022-09-30DOI: 10.18502/sjms.v17i3.12115
Z. Asim
This is a Letter to the Editor and does not have an abstract. Please download the PDF or view the article HTML.
这是一封给编辑的信，没有摘要。请下载PDF或查看文章HTML。
{"title":"Shaping Healthcare System Under Industry 5.0: Trends and Barriers","authors":"Z. Asim","doi":"10.18502/sjms.v17i3.12115","DOIUrl":"https://doi.org/10.18502/sjms.v17i3.12115","url":null,"abstract":"This is a Letter to the Editor and does not have an abstract. Please download the PDF or view the article HTML.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132170801","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}
Pub Date : 2022-09-30DOI: 10.18502/sjms.v17i3.12085
Alaa A. Abbas, Manhal Eltigani Ahmed, S. Mohammed, Shahd Shakir Gar-Alnabi, W. Mohammed, Musaab Ahmed, M. H. Ahmed, S. Badi
Background: Graft survival post-kidney transplantation is of paramount importance to patients and nephrologists. Nonadherence to immunosuppressive therapy can be associated with deterioration of renal function and graft rejection. This study aimed to evaluate the adherence to immunosuppressive medications in kidney transplant patients at three centers in Khartoum, Sudan. Methods: In this descriptive cross-sectional hospital-based survey, 277 post-kidneytransplant patients were recruited. Data were collected using a questionnaire and analyzed using the SPSS v.23. Our scoring method was calculated based on Morisky Medication Adherence Scale (MMAS-8) related to immunosuppressive medications and was expressed as questions in the questionnaire; every correct answer was given one mark, then the marks were gathered and their summation was expressed. Results: Overall, 33% ,45%, and 22% of the studied participants reported high, medium, and low adherence, respectively. The major factor for nonadherence was forgetfulness affecting 36.1% of those who did not adhere. The cost of the immunosuppressive medications did not negatively affect any of the participants’ adherence (100%). However, a significant association was seen between adherence and occupational status, duration of transplantation, shortage of immunosuppressants, recognizing the name of immunosuppressant, side effect, and forgetfulness (P-values = 0.002, 0.01, 0.006 , 0.000, 0.022, and 0.000, respectively). Logistic regression analysis showed a significant association with occupational status, side effects, and forgetfulness Conclusion: Only one-third of the participants were classed as “highly adherent” to their immunosuppressant medications. Factors that can affect adherence to immunosuppressant medications were occupational status, side effects, and forgetfulness.
{"title":"Adherence to Immunosuppressive Medications in Kidney Transplant Patients at Three Centers in Khartoum State, Sudan: A Cross-sectional Hospital Study","authors":"Alaa A. Abbas, Manhal Eltigani Ahmed, S. Mohammed, Shahd Shakir Gar-Alnabi, W. Mohammed, Musaab Ahmed, M. H. Ahmed, S. Badi","doi":"10.18502/sjms.v17i3.12085","DOIUrl":"https://doi.org/10.18502/sjms.v17i3.12085","url":null,"abstract":"Background: Graft survival post-kidney transplantation is of paramount importance to patients and nephrologists. Nonadherence to immunosuppressive therapy can be associated with deterioration of renal function and graft rejection. This study aimed to evaluate the adherence to immunosuppressive medications in kidney transplant patients at three centers in Khartoum, Sudan. \u0000Methods: In this descriptive cross-sectional hospital-based survey, 277 post-kidneytransplant patients were recruited. Data were collected using a questionnaire and analyzed using the SPSS v.23. Our scoring method was calculated based on Morisky Medication Adherence Scale (MMAS-8) related to immunosuppressive medications and was expressed as questions in the questionnaire; every correct answer was given one mark, then the marks were gathered and their summation was expressed. \u0000Results: Overall, 33% ,45%, and 22% of the studied participants reported high, medium, and low adherence, respectively. The major factor for nonadherence was forgetfulness affecting 36.1% of those who did not adhere. The cost of the immunosuppressive medications did not negatively affect any of the participants’ adherence (100%). However, a significant association was seen between adherence and occupational status, duration of transplantation, shortage of immunosuppressants, recognizing the name of immunosuppressant, side effect, and forgetfulness (P-values = 0.002, 0.01, 0.006 , 0.000, 0.022, and 0.000, respectively). Logistic regression analysis showed a significant association with occupational status, side effects, and forgetfulness \u0000Conclusion: Only one-third of the participants were classed as “highly adherent” to their immunosuppressant medications. Factors that can affect adherence to immunosuppressant medications were occupational status, side effects, and forgetfulness.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"57 1-2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120991570","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}
Pub Date : 2022-09-30DOI: 10.18502/sjms.v17i3.12118
I. Firoozjaie, H. Khoddam, M. Mohamadi, Mahin Tatari, Seyedmahrokh A. Maddah
Background: Healthcare providers are high-risk groups for the novel coronavirus disease (COVID-19) infection. Nursing students are an essential part of high-risk healthcare providers. The aim of this study was to evaluate the knowledge, attitude, and practice of nursing and midwifery students at Golestan University of Medical Sciences (GOUMS) toward the prevention of COVID-19. Methods: This cross-sectional study was conducted on 174 nursing and midwifery students of GOUMS (northeast of IRAN) in 2020. Data were gathered using an online questionnaire comprising three parts – Knowledge (8 questions), Attitude (10 questions), and Practice (8 questions) toward the prevention of COVID-19. The range of scores in each subscale (knowledge, attitude, and preventive practices) were 8–24, 10–50, and 8–24, respectively. Data were analyzed using the SPSS v.16 software. The Mann–Whitney and Kruskal–Wallis tests were used for the analysis. Results: Overall, in this study, nursing and midwifery students had a good knowledge (mean score: 23.19 ± 2.56), a positive attitude (mean score: 45.48 ± 4.21), and appropriate practice (mean score: 23.30 ± 3.51) regarding COVID-19 prevention. Also, the results revealed a positive correlation between knowledge and attitude (r = 0.1, P = 0.18) and attitude and practice (r = 0.2, P = 0.01) among the students. Conclusion: The findings demonstrated a good preventive knowledge, attitude, and practice toward COVID-19 among nursing and midwifery students.
背景:医疗服务提供者是新型冠状病毒病(COVID-19)感染的高危人群。护理专业的学生是高风险医疗保健提供者的重要组成部分。本研究的目的是评估戈列斯坦医科大学(GOUMS)护理和助产专业学生对COVID-19预防的知识、态度和实践。方法:对2020年伊朗东北部GOUMS护理与助产学专业174名学生进行横断面研究。通过在线问卷收集数据，该问卷由三部分组成:对COVID-19预防的知识(8个问题)、态度(10个问题)和实践(8个问题)。各分量表(知识、态度和预防措施)得分范围分别为8-24、10-50和8-24。数据分析采用SPSS v.16软件。使用Mann-Whitney和Kruskal-Wallis检验进行分析。结果:总体而言，本研究护理助产学学生对新冠肺炎的预防知识(平均得分:23.19±2.56)、态度积极(平均得分:45.48±4.21)、行为得当(平均得分:23.30±3.51)。学生的知识与态度(r = 0.1, P = 0.18)、态度与实践(r = 0.2, P = 0.01)呈显著正相关。结论:护理学和助产学学生对COVID-19有良好的预防知识、态度和实践。
{"title":"Knowledge, Attitude, and Practice toward Prevention of COVID-19 Among Nursing and Midwifery Students: A cross-sectional Study in Gorgan, Northern Iran","authors":"I. Firoozjaie, H. Khoddam, M. Mohamadi, Mahin Tatari, Seyedmahrokh A. Maddah","doi":"10.18502/sjms.v17i3.12118","DOIUrl":"https://doi.org/10.18502/sjms.v17i3.12118","url":null,"abstract":"Background: Healthcare providers are high-risk groups for the novel coronavirus disease (COVID-19) infection. Nursing students are an essential part of high-risk healthcare providers. The aim of this study was to evaluate the knowledge, attitude, and practice of nursing and midwifery students at Golestan University of Medical Sciences (GOUMS) toward the prevention of COVID-19. \u0000Methods: This cross-sectional study was conducted on 174 nursing and midwifery students of GOUMS (northeast of IRAN) in 2020. Data were gathered using an online questionnaire comprising three parts – Knowledge (8 questions), Attitude (10 questions), and Practice (8 questions) toward the prevention of COVID-19. The range of scores in each subscale (knowledge, attitude, and preventive practices) were 8–24, 10–50, and 8–24, respectively. Data were analyzed using the SPSS v.16 software. The Mann–Whitney and Kruskal–Wallis tests were used for the analysis. \u0000Results: Overall, in this study, nursing and midwifery students had a good knowledge (mean score: 23.19 ± 2.56), a positive attitude (mean score: 45.48 ± 4.21), and appropriate practice (mean score: 23.30 ± 3.51) regarding COVID-19 prevention. Also, the results revealed a positive correlation between knowledge and attitude (r = 0.1, P = 0.18) and attitude and practice (r = 0.2, P = 0.01) among the students. \u0000Conclusion: The findings demonstrated a good preventive knowledge, attitude, and practice toward COVID-19 among nursing and midwifery students.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130909514","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}
Pub Date : 2022-09-30DOI: 10.18502/sjms.v17i3.12103
O. Mustafa, Ebtehal Mohamed, A. Omer, Abdelmonem Mohamed, Sheima Abdemagid, Alaa I. Ali, N. Hassan, M. Khalil, Nagia Suliman
Background: Tuberculosis (TB) is a major healthcare burden in Sudan and other developing countries, it is considered the second most common cause of death from infectious diseases after those due to AIDS. In Sudan, TB lymphadenitis (TBLA) remains one of the major health problems. This descriptive cross-sectional study was conducted at the University of Medical Sciences and Technology (UMST) and Total Labcare Diagnostic Center (TDC). The study aims to compare the sensitivity of Fine Needle Aspiration Cytology (FNAC) smears with that of the Polymerase Chain Reaction (PCR) for the diagnosis of TBLA. Materials and Methods: Fifty-five dry smears were obtained using fine-needle aspiration (FNA) from an enlarged lymph node. PCR was applied to detect the target gene (IS6110). May-Grunwald-Giemsa (MGG) or Diff quick stains were used. Results: Two (4%) patients with TBLA were non-necrotic, while fifty-three of them (96%) were necrotic. Moreover, 17 (30%) fine-needle lymph node aspiration specimens were confirmed by PCR to be positive for Mycobacterium tuberculosis complex (MTB complex) while 38 (70%) of them were negative. Conclusion: There was no significant difference between the sensitivity of PCR and that of FNAC (P-value = 0.33).
{"title":"Evaluation of Fine-needle Aspiration Cytology (FNAC) Sensitivity Compared to PCR for Diagnosing Tuberculosis Lymphadenitis","authors":"O. Mustafa, Ebtehal Mohamed, A. Omer, Abdelmonem Mohamed, Sheima Abdemagid, Alaa I. Ali, N. Hassan, M. Khalil, Nagia Suliman","doi":"10.18502/sjms.v17i3.12103","DOIUrl":"https://doi.org/10.18502/sjms.v17i3.12103","url":null,"abstract":"Background: Tuberculosis (TB) is a major healthcare burden in Sudan and other developing countries, it is considered the second most common cause of death from infectious diseases after those due to AIDS. In Sudan, TB lymphadenitis (TBLA) remains one of the major health problems. This descriptive cross-sectional study was conducted at the University of Medical Sciences and Technology (UMST) and Total Labcare Diagnostic Center (TDC). The study aims to compare the sensitivity of Fine Needle Aspiration Cytology (FNAC) smears with that of the Polymerase Chain Reaction (PCR) for the diagnosis of TBLA. \u0000Materials and Methods: Fifty-five dry smears were obtained using fine-needle aspiration (FNA) from an enlarged lymph node. PCR was applied to detect the target gene (IS6110). May-Grunwald-Giemsa (MGG) or Diff quick stains were used. \u0000Results: Two (4%) patients with TBLA were non-necrotic, while fifty-three of them (96%) were necrotic. Moreover, 17 (30%) fine-needle lymph node aspiration specimens were confirmed by PCR to be positive for Mycobacterium tuberculosis complex (MTB complex) while 38 (70%) of them were negative. \u0000Conclusion: There was no significant difference between the sensitivity of PCR and that of FNAC (P-value = 0.33).","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125949361","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}
Pub Date : 2022-09-30DOI: 10.18502/sjms.v17i3.12079
F. Taha
Background: Pregnancy predisposes women to developing constipation, and hormonal and mechanical factors, sedentary lifestyle, and alteration of diet augments the condition, leading to discomforts experienced by pregnant women. However, this can be controlled through proper education and lifestyle modification. The present study aims to check the effect of health awareness education module on the reduction of constipation among pregnant women. Methods: A quasi-experimental study design was used. One hundred and twentyfive pregnant women were randomly selected from Saad Abu Alela Hospital between January and March 2017), and based on the ROME II criteria, 59 of them were found to have constipation. After obtaining consent from the women, health awareness module (information about constipation, dietary measures, increased fluid intake, and exercise) was offered to them. Data were collected by structured close-ended questionnaire for the knowledge, pre- and post-intervention, and checklists for the practice and follow-up of the weekly outcome over two months. Data were analyzed, and suitable statistical methods was used. P < 0.05 was considered as statistically significant. Results: The overall prevalence of constipation was 47.2% with a prevalence of 4%, 6.4%, and 36.8% in the first, second, and third trimesters of pregnancy, respectively. Pregnant women’s knowledge about constipation increased significantly from 16.9% pre- to 92.9 post-intervention with P = 0.000. The fiber diet intake, fluid intake, and exercise by pregnant women increased from 37.3%, 39%, and 13.6% pre- to 72.9%, 88.1%, and 49.1% post-intervention, respectively) with P = 0.001. Moreover, 46 (78%) women were relieved of constipation post-intervention. Conclusion: The health awareness module was very effective and significantly increased the level of knowledge, practice, and outcomes with respect to constipation in pregnant women.
{"title":"Effectiveness of Health Awareness Module on Pregnant Women’s Perception on and Experience of Constipation at Saad Abu Alela – University Hospital, 2017","authors":"F. Taha","doi":"10.18502/sjms.v17i3.12079","DOIUrl":"https://doi.org/10.18502/sjms.v17i3.12079","url":null,"abstract":"Background: Pregnancy predisposes women to developing constipation, and hormonal and mechanical factors, sedentary lifestyle, and alteration of diet augments the condition, leading to discomforts experienced by pregnant women. However, this can be controlled through proper education and lifestyle modification. The present study aims to check the effect of health awareness education module on the reduction of constipation among pregnant women. \u0000Methods: A quasi-experimental study design was used. One hundred and twentyfive pregnant women were randomly selected from Saad Abu Alela Hospital between January and March 2017), and based on the ROME II criteria, 59 of them were found to have constipation. After obtaining consent from the women, health awareness module (information about constipation, dietary measures, increased fluid intake, and exercise) was offered to them. Data were collected by structured close-ended questionnaire for the knowledge, pre- and post-intervention, and checklists for the practice and follow-up of the weekly outcome over two months. Data were analyzed, and suitable statistical methods was used. P < 0.05 was considered as statistically significant. \u0000Results: The overall prevalence of constipation was 47.2% with a prevalence of 4%, 6.4%, and 36.8% in the first, second, and third trimesters of pregnancy, respectively. Pregnant women’s knowledge about constipation increased significantly from 16.9% pre- to 92.9 post-intervention with P = 0.000. The fiber diet intake, fluid intake, and exercise by pregnant women increased from 37.3%, 39%, and 13.6% pre- to 72.9%, 88.1%, and 49.1% post-intervention, respectively) with P = 0.001. Moreover, 46 (78%) women were relieved of constipation post-intervention. \u0000Conclusion: The health awareness module was very effective and significantly increased the level of knowledge, practice, and outcomes with respect to constipation in pregnant women.","PeriodicalId":132580,"journal":{"name":"Sudan journal of medical sciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132621388","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}
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