مجلة النيلين الطبية
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Item Al Neelain Medical Journal(Al-Neelain University, 2023-03) Al Neelain Medical Journal -Faculty of medical and health scienceItem Al Neelain Medical Journal(Faculty of medical and health science, 2022-12) Al Neelain Medical Journal -Faculty of medical and health scienceItem Al Neelain Medical Journal(Faculty of medical and health science, 2022-10) Al Neelain Medical Journal -Faculty of medical and health scienceItem Al Neelain Medical journal -Cover(Faculty of Medical -Alneelail University, 2020-02) Al Neelain Medical journalItem Sonographic Measurement of Normal Kidney Dimensions among Sudanese Children(Faculty of Medical -Alneelail University, 2020-02) Abdelaziz Ata, Muna Ahmed; Asma Elamin, Ahmed AbukonnaThis study was conducted in Khartoum state, in the ultrasound department of Sheikh Khalid medical complex. The objective is to determine sonographically the normal limits of the kidney dimensions according to age, gender and somatometric parameters among Sudanese children who have morphologically normal kidneys. A prospective cross-sectional research design and convenience sampling method were utilized. Participants included 300 normal subjects (173 boys and 127 girls) their age ranged from 6 month – 14 years old. The Sonographic examination was performed on (Aloka SSD-4000 and Mindray DP-1100 machine) with 3.5 MHz convex transducer. The result showed that the dimensions of the kidneys were not statistically different in boys and girls (p > 0.05). There was a statistically significant difference between right and left kidney length (p < 0.05). Height and weight correlated best with both kidney lengths. Thus the normal limits, prediction models of kidney lengths were established with respect to height and weight. The study concluded that Sonographic determination of pathologic changes in the size of the kidneys necessitates knowing the normal ranges of their lengths, especially with respect to height in this population. أجريت هذه الدراسة بولاية الخرطوم في قسم الموجات فوق الصوتية بمجمع الشيخ خالد الطبي . وتهدف الدراسة الي تحديد الابعاد الطبيعية للكلي عبر استخدام الموجات فوق الصوتية حسب العمر والجنس والمعايير الجسدية بين الأطفال السودانيين الذين لديهم كلي طبيعية شكليا. تم استخدام تصميم بحثي مستقبلي لطريقة أخذ العينات الملائمة . شملت الدراسة عدد 300 طفل منهم 173 طفل ذكر و127 أنثي تتراوح أعمارهم بين (6أشهر إلي 14 سنة), تم إجراء الفحص بالموجات فوق الصوتية بإستخدام أجهزة . Aloka PHD Prosound SSD-4000 و . Mindray DP-1100 أظهرت النتائج أن أبعاد الكليتين لم تكن مختلفة عند الأولاد والبنات (p> 0.05) كان هناك فرق ذو دلالة إحصائية بين طول الكلي اليمني واليسري (p> 0.05). يرتبط الطول والوزن بشكل أفضل مع أطوال الكلي وهكذا تم تحديد الأبعاد الطبيعية ونماذج التنبوء لأطوال الكلي فيما يتعلق بالطول والوزن . وخلصت الدراسة إلي تحديد التصوير بالموجات فوق الصوتية للتغييرات المرضية في حجم الكلي والذي يتطلب معرفة النطاقات الطبيعية لأطوالها خاصة ما يتعلق بالطول في هذه المجموعة المختارة من الطلاب لذلك تم إستبعاد كل الحالات غير الطبيعية أو المرضيةItem Sonographic Measurement of Normal liver and spleen Dimensions among Sudanese Children(Faculty of Medical -Alneelail University, 2020-02) Abdelaziz Ata, Muna AhmedThis study was conducted in Khartoum state, in the ultrasound department of Sheikh Khalid medical complex from 2016 to 2020. The purpose of this study is to evaluate normal visceral organs in Sudanese children using ultrasonography it was conducted to specify the measurements of the liver and spleen for children from ages (6 months up to 14 years). A prospective cross-sectional research design and convenience sampling method were utilized. Participants included 302 normal subjects (174 boys and 128 girls) their age ranged from 6 month – 14 years old. The Sonographic examination was performed on (Aloka SSD-4000 and Mindray DP-1100 machine) with 3.5 MHz convex transducer. The analysis result showed that there was significant difference in liver and spleen length in different gender (p< than 0.01 and 0.05 respectively). The mean measurements are slightly more in male than female. The result indicates that the spleen is smaller than the liver. The results of the study provide a standard set of normal range of liver and spleen size according to weight, height, age and sex of the children, as determined by ultrasonography. المستخلص أجريت هذه الدراسة بولاية الخرطوم في قسم الموجات فوق الصوتية بمجمع الشيخ خالد الطبي في الفترة من 2016 إلى 2020. والغرض من هذه الدراسة هو تقييم الأعضاء الحشوية الطبيعية لدى الأطفال السودانيين باستخدام الموجات فوق الصوتية التي أجريت لتحديد قياسات الكبد والطحال. للأطفال من سن (6 شهور حتى 14 سنة).تم استخدام تصميم بحثي مستقبلي لطريقة أخذ العينات الملائمة . شملت الدراسة عدد 302 طفل منهم 174 ذكر و128 أنثي تراوحت أعمارهم بين 6 أشهر - 14 عامًا. تم إجراء الفحص بالموجات فوق الصوتية باستخدام جهازيAloka SSD-4000) و (Mindray DP-1100 مع بروب محدب 3.5 ميجاهرتز. أظهرت نتيجة التحليل وجود اختلاف في طول الكبد والطحال بين الجنسين من 0.01 و 0.05 P >على التوالي. وكانت القياسات المتوسطة هي أكثر بقليل في الذكور من الإناث. تشير النتيجة إلى أن الطحال أصغر من الكبد. كما توفر نتائج الدراسة مجموعة قياسية من النطاق الطبيعي لحجم الكبد والطحال وفقًا للوزن والطول والعمر والجنس للأطفال ، كما هو محدد بواسطة التصوير بالموجات فوق الصوتية.Item Lisfranc Injuries of the Foot, Outcomes of Surgical Treatment in Sudanese Patients, 2017(Faculty of Medicine - Al-Neelain University, 2020-02) Sami Nogdallah, Ismail M. Saleem; Mona AliBackground: Fracture dislocations involving the Lisfranc joint are rare; they represent only 0.2% of all the fractures. Open reduction and internal fixation of displaced or unstable Lisfranc injuries represents the gold standard for the treatment of this complex injuries. The recent establishment of specialized foot and ankle units in Sudan provided the chances to assess the outcome of surgical intervention for the Sudanese patients suffering these injuries as there are no previous work on this important condition. Objective: To evaluate the clinical and functional outcomes of open reduction and internal fixation of Lisfranc injuries of the foot. Material and Methods: In an, observational hospital-based case series study; a total of twenty-seven consecutive adults ± 40-years-old; with displaced ligamentous or osseous Lisfranc injuries, due to high and low energy foot trauma; January 2015 to January 2017 were recruited from the Foot and ankle clinics at Sharg-Elneel and Ibrahim Malik specialized hospitals in Khartoum, Sudan. Open reduction and internal fixation by screws ± Kirschner wire (K-wires) has been done to all patients after careful pre-operative assessment. At 6 months following surgery, patients were examined clinically and assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) and foot function index. Results: The AOFAS rating scale of the 27 patients ranges between 73 and 97 with a mean of 85. Which indicates very good outcome, However, the foot function index (FFI) score ranges from 11 to 41 with a mean FFI of 18.85, which was consistent with the Good AOFAS Foot Functional Outcome score, reflecting ‘Good Foot Functional Outcome’. The timing of surgery was variable, from 1-3 weeks due post-trauma edema and swelling of the soft tissue. Conclusion: Surgical correction of Lisfranc injuries by open reduction and internal fixation is found to be a valid treatment, which is directly linked to a good clinical and functional outcome. Particularly in reducing post-operative pain.Item Effect of an Educational Program regarding Thalassemia on the Knowledge and Care Practices of Mothers of Thalassemic Children in Jordan(Faculty of Medicine - Al-Neelain University, 2020-02) Seirin Mohammad Khresheh, Sara Lavinia Brairالمقدمة : الثلاسيميا هي واحدة من أكثر الأمراض الموروثة في الأردن . كان الهدف من هذة الدراسة هو تقييم فعالية برنامج تعليمي حول مرض الثلاسيميا وحول ممارسات المعرفة والرعاية لأمهات أطفال مرضى الثلاسيميا في الأردن. الطريقة: تم استخدام دراسة التجريبية مع الاختبار القبلي والاختبار البعدي لجمع البيانات. تم الحصول على عينة ملائمة 45من الامهات اللواتي لديهن اطفال مرض الثلاسيميا من ثلاثة مستشفيات حكومية في الاردن. وتم استخدام استبيان منظم موحد لجمع البيانات من خلال المقابلات.تم تحليل البيانات باستخدام الاصدار 16 من SPSS. النتائج: بلغ متوسط عمر الأمهات( 35.7 ) ، 88 ٪ منهن متزوجات,37.7٪ لديهن مستوى تعليم عالي, 53٪ لا يعملن, 53.3 ٪ لديهن منالدخل شهري أكثر من 300 دينار .و متوسط عمر الأطفال المصابين بمرض الثلاسيميا (7.8 ٪ ), 53.3٪ منهم ذكور ، و 51.1٪ما بين اعمار 6-10 سنوات.أظهرت النتائج أن المستوى العام للمعرفة لدى الامهات قد زاد بشكل كبير بعد ادخال البرنامج . مقارنة ما قبل ادخال البرنامج .)لوحظ تحسن كبير في درجات معرفةالامهات في جميع مقاييس المعرفة للثلاسيميا t=, 96.75 ، P = .000.( كما تحسنت ممارسات الرعاية للأمهات بشكل ملحوظ بعد اعطاء البرنامج التعليمي (t= 104.99 P = .000) مقارنة مع( نتائج ما قبلاعطاء اليرنامج . تشير هذه التحسينات الكبيرة في نتائج ممارسات الرعاية الشاملة للأمهات أن البرنامج التعليمي كان فعالا. الخلاصة: أظهر البرنامج التعليمي تأثيرا كبيرا ويشكل زيادة ملحوظة في مستوى معرفة وممارسة الأمهات . يوصى يتنفيذ برنامج تعليمي صحي مماثل في مراكز الثلاسيميا الاخرى في الأردن لجميع أمهات الأطفال المصابين بمرض الثلاسيميا . Abstract: Introduction: Thalassemia is one of the most common inherited diseases in Jordan. The aim of this study was to evaluate the effectiveness of an educational program about thalassemia on knowledge and care practices of mothers of thalassemic children in Jordan. Methods: An experimental design with a pre and post-test was used. A convenient sample of mothers with thalassemic children (n=45) was obtained from three governmental hospitals in Jordan. A standardized structured questionnaire was used to collect data through an interview and data was analyzed using SPSS version 16. Results: The mean age of mothers was (35.7 years, SD=13.3), 88% were married, 37.7% had high level of education, 53% were not employed, 53.3% had monthly income more than 300 Jordanian Dinars (JD). The mean age of thalassemic children was (7.8 years, SD=5.0), 53.3% of them were males, and 51.1% were between 6-10 years old. Results showed that, the mothers' overall level of knowledge had significantly increased post intervention compared with the pre-intervention. Significant improvements in mothers' knowledge scores were observed on all subscales of the knowledge scale (t= 96.75, P=0.000). The care practices of mothers have also improved significantly post intervention (t= 104.99, P=0.000) compared with the pre-intervention results. These significant improvements in mothers' overall care practices scores indicate that the educational program was effective. Results showed no significant association of mothers' overall level of knowledge and care practices with their socio-demographic characteristics at pre-test or post-test. Conclusion: The educational program showed a significant impact in the form of a remarkable increase in the mothers' level of knowledge and care practice. It is recommended to implement a similar health educational program at the other thalassemia center in Jordan for all mothers' of thalassemic children.Item Prevalence and Causes of Blindness among Sudanese adults attending outreached ophthalmic services in Sudan- 2019(Faculty of Medicine - Al-Neelain University, 2020-02) Mohanad Kamaleldin Mahmoud, Mustafa Khidir ElnimeiriIntroduction: Blindness is a visual acuity of <3/60, or a corresponding visual field loss to less than 10 degrees in the better eye. It's a serious public health problem that contributes to severe physical limitation, affects the productivity and has psychological and social impacts. The objectives of this research were to estimate the prevalence and to identify the major causes of blindness. Materials & Methods: This was an outreached based cross- sectional study conducted among 858 participants on four different cities in Sudan in 2019. Cluster sampling was used to draw the sample proportionate to size and systematic random sampling was used to select participants. Each study participant was investigated and examined clinically then data were collected using a pre-coded, pretested and administered closed ended questionnaire. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 21.0.0. Prevalence was estimated, Univariate analysis for all determinants, bivariate analysis by cross tabulation of causes were performed. The study was estimated at 95% confidence level. Results: The prevalence of blindness among the study population was 14%; the uppermost affected region was in Nyala (35%). The majority of blinds were females (59%) and the highest age group affected was of 60 years and above (80%). Glaucoma was the leading cause of blindness (42%) followed by Cataract (32%) and Diabetic Retinopathy (8%). Conclusion: The prevalence of blindness among the study population is high. The majority of affected candidates were females of older age groups. Glaucoma was the leading cause of blindness followed by Cataract and Diabetic RetinopathyItem Al Neelain Medical Journal (NMJ)(Al-Neelain University, 2020-02) Faculty of Medicine