Sudan medical journal
- Impact factor0.00
- 5-year impact0.00
- Cited half-life0.00
- Immediacy index0.00
- Article influence0.00
- Other titlesMajalah al-Lībiyah al-Soudāniyah
- Material typePeriodical
- Document typeJournal / Magazine / Newspaper
Publications in this journal
- Sudan medical journal 09/2013;
- Sudan medical journal 12/2012;
Article: indications of revision TKA in Sudan[show abstract] [hide abstract]
ABSTRACT: Abstract Total knee arthroplasty is a highly successful procedure, with the Percentage of patients requiring revision relatively small. However, when considering the large number of these procedures performed annually, this small percentage of failures constitutes a significant number of patients. This is a retrospective hospital based study, defined causes and consequently the indications for revision TKA, that done in Saheron, Sherg Elniel and Soba hospitals in Khartoum State, Sudan from Jan 2007 to Jan 2012. Total number of patients of this study was 29 patients (31 knees). 16 of them were females. The main causes of failure among the study group were septic loosening 41.9%, aseptic loosening 35.5%, instability 12.9%. Seventeen patients (54.8%) of the study group was defined as early failure and the main cause of this early failure was infection 53%(9 patients). Thirteen patients (42%) of the studied group underwent their primary procedure inside Sudan and the main cause of revision of was septic loosening 61% (8 of 13 patients), while the cause for revision in operation that done outside Sudan was aseptic loosening 55.5% (10 of 18 pts).Infection, aseptic Loosening, and instability were the preeminent factors necessitating revision of primary total knee arthroplasty in Sudan in this study. This study recommended, establishment of a national data registry of joint replacement in Sudan. Establishment of a national surgical protocol of arthroplasty in Sudan. Resources should be devoted to increased researches focused on prevention, early diagnosis and treatment of prosthetic joint infection. Surgeons should continue to be vigilant in preventing infection preoperatively and aggressive in treating postoperative wound complications.Sudan medical journal 05/2012;
Article: Conducting health services research.Sudan medical journal 01/2012; 4(3).
- Sudan medical journal 01/2012; 48.
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ABSTRACT: Background The risk provided by general anaesthesia is increased in patient undergoing mastectomy when co-morbidities exist. The need for a safe, easy and effective alternative anaesthetic technique that can provide an adequate postoperative analgesia in such group of patients was the main indication for this study. Methods Two hundred patients, with coexisting medical diseases, were the candidates for interpleural block to provide surgical anaesthesia, as a surrogate for general anaesthesia for mastectomy, supplemented with midazolam to achieve conscious sedation. The candidates were studied with regard to intraoperative analgesia, haemodynamic stability, the duration of postoperative analgesia and the incidence of complications related to the technique. Results The mean age of patients was 54.3 (STD 12.5) years and all of them were suffering from coexisting medical diseases. Following interpleural block, the intraoperative mean heart rate was 78.5 (STD 6.3) beats/min and the mean blood pressure was 82.7 (STD 7.0) mmHg. Pain score was 1 in 80 (40%) patients, 2 in 62 (31%) patients, 3 in 54 (27%) patients and 4 in only 4 (2%) patients. Neither postoperative pneumothorax nor pain in the first 3 hours was observed and the mean duration of postoperative analgesia was 9.3 (STD 1.8) hours. All candidates were fully satisfied with the procedure. Conclusion In this study, interpleural block provided satisfactory anaesthesia for mastectomy in patients having co-morbid diseases, with haemodynamic stability, less incidence of complication and long-lasting postoperative analgesia. The skill of this technique should be mastered by anaesthetist working in developing countries.Sudan medical journal 01/2012; 48(2):141-146.
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ABSTRACT: Abstract Objectives This prospective experimental cohort, single blinded study was conducted at Soba University Hospital to compare the clinical effects of intrathecal pethidine versus morphine plus fentanyl on labor pain as sole labor analgesia. Methods Fifty primiparaous patients, fulfilling the inclusion criteria, were randomly selected and into two groups. Patients in group A received 10 mg pethidine while those in group B received morphine (0.25mg) plus fentanyl (25μg). Opioids used in each group were injected in the subarachnoid space and patients were then monitored for the onset, duration and quality of analgesia, the effect of analgesia on maternal vital signs, the side effects of intrathecal opioid (nausea, vomiting, itching and respiratory depression), mode of delivery, neonatal Apgar score and maternal satisfaction. Results Intrathecal opioid is a good technique to provide labor analgesia, with a great degree of satisfaction to both study groups. Onset time of analgesia was more rapid, duration was prolonged and analgesia was more intense in group B. Hypotension was noticed in both study groups, with an increased incidence of vomiting in group A and itching in group B. There were no significant changes in vital signs, variations in the mode of delivery or Apgar score among the study groups. Conclusions Intrathecal opioid is a good technique of labor analgesia, with minimal side effects and a great degree of acceptance by mothers.Sudan medical journal 12/2011; 47(3):153-159.
- Sudan medical journal 01/2011; 46 (4).
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ABSTRACT: Abstract Background: The presence of unilateral varicose veins is a noticeable clinical occurrence in mycetoma patients; however its pathogenesis was not studied previously. Methodology: Thirty patients with confirmed mycetoma were studied prospectively. The venous system of the affected limb was studied using imaging and histologic techniques. Results: Unilateral varicose veins was more evident in patients with long standing mycetoma, with massive lesions and with radiological bone changes. In histological sections, certain venous abnormalities were demonstrated. The veins and venules showed marked muscular hypertrophy, intimal and advential thickening, oedema and lumen narrowing but no venous occlusion or arterio-venous shunts were observed. Venography showed a brisk venous circulation in the vicinity of mycetoma lesion, which was more evident in eumycetoma. However at the site of mycetoma lesion there was displacement and distortion of the venous circulation and in some patients there was evidence of early venous varicosity above the lesions. The vascular doppler study showed brisk both arterial and venous blood flow in the affected limb when compared to the sound limb. Conclusion: These venous changes could be compensatory mechanism to the increased venous return secondary to increase in the arterial blood flow at the mycetoma lesion due to the chronic inflammatory changes and the condition should be treated conservatively.Sudan medical journal 01/2011; 47(1):20-24.
- Sudan medical journal 04/2010; 48(1):7-12.
Article: Educational technology in surgerySudan medical journal 01/2010; 46(3):152-159.
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ABSTRACT: Relatively little information is available on common sedative and analgesic practice in Sudanese ICUs. Exposing the situation will help to reach a consensus towards establishment of protocols regarding the use of sedatives and analgesics in ICU. Objectives The aims of this observational exploratory study is to know whether sedatives and analgesics are administered regularly to critically ill patient in ICU, to determine the commonly used sedative and analgesics, to identify strategies for sedatives and analgesics administration and to identify whether sedation scoring systems are used. Methods In this observational exploratory study we sought to assess the differences in the prescription of sedative and analgesic drugs in Khartoum state’s ICUs, as an example of ICU practice in Sudan, by means of a short, selfadministered questionnaire. All intensive care physicians in Khartoum state (40 physicians) were targeted by the questionnaire. Results The study approached 40 ICU physicians using short questionnaire. Among the respondents of this study, only 27% use sedation in 100% of their mechanically ventilated patient, with a large percentage of patients at risk of developing adverse events from lake of sedation. The most commonly used sedative is midazolam; propofol used by most of physician, and ketamine and thiopentone used in small percentage of patients. Large percent of ICU physicians never use sedation score (40%), with the risk of over or under sedation. Concerning ICU analgesia, pethedine is the most commonly used analgesic drug (37.5% used it always). Conclusion The study demonstrated substantial differences in sedative and analgesic practices in Sudanese ICUs. The study concluded that our practice regarding sedation and analgesia is in need of further evaluation and it should be guided by protocols and strategies that control drug administration.Sudan medical journal 01/2010; 46(3):142-147.
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