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Volume No. Date Topics
Volume No. 1 2011-10-08 18
Volume No. 2 0000-00-00 3
Volume No. 3 0000-00-00 16
Volume No. 4 2012-03-23 11
Volume No. 5 2012-06-01 9
Volume No. 6 2012-09-01 7
Volume No. 7 10
Volume No. 8 2013-01-01 12
Volume No. 9 2013-03-01 8
Volume No. 10 2013-06-01 10
Volume No. 11 2013-08-01 9
Volume No. 12 2013-11-01 10
Volume No. 13 2014-03-01 9
Volume No. 14 2014-06-01 6
Volume No. 15 2014-09-01 7
Volume No. 16 2016-04-01 8
Volume No. 17 2016-05-01 5
Volume No. 18 2016-06-01 5
Volume No. 19 2017-02-01 7
Volume No. 20 2017-03-01 8
Volume No. 21 2018-01-01 5
Volume No. 22 2018-06-01 6

Intravascular lymphocytosis in acute appendicitis: Incidence and Significance

 
 
 
 
 
 

 Elgaili Mohd Elgaili1,  Salah Ahmed Abdelrahim2, Ahmed Abdalla Mohamedani1  

 

1 Department of Pathology, Faculty of Medicine, University of Gezira.

2 Department of Pathology, Faculty of Medicine, University of Sennar

 

Correspondent: Elgaili Mohd Elgaili, Department of Pathology, Faculty of Medicine, University of Gezira.   Email: eljeilimohamed@yahoo.co.uk

 
 
 
 
 
 

 

Background: Acute appendicitis (AP) is a common medical emergency sometimes posing a diagnostic challenge to the clinician. Intravascular lymphocytosis (IVL) in appendicectomy specimens removed for AP is a common phenomenon that has not been described and studied in details in surgical pathology textbooks. With the aim to evaluate the microscopic features of AP and to explore the significance and incidence of this phenomenon, 220 appendicectomy specimens were collected in the period of January 2010 to December 2011 in the Medical Laboratory, University of Gezira. 

Methods: Haematoxylin and eosin (H/E) stained sections were examined histopathologically. Sections with IVL were stained for immunohistochemistry using CD20 and CD3 to identify the type of lymphocytes. Statistical analysis was done using Statistical Package for Social Sciences (SPSS) software version 16.

Results: Microscopic examination revealed that the classical features of AP were observed in 65.9% of cases, perforation was present in 6.4% and 27.7% of cases showed no features of AP. The IVL was present in 37 of cases (16.8%), observed more commonly in the mesoappendix {62.2%}. It is more common in specimens with no evidence of inflammation or obstruction. Immunohistochemical stains revealed mixed B- and T- lymphocyte populations.

Conclusion: The study provides evidence that IVL represents a common and distinct microscopic feature in appendicectomy sections. Being not described in common histopathology books, it might be overlooked by pathologist. Immunohistochemistry confirmed its inflammatory nature. Sometimes it might be so prominent that it can be mistaken for intravascular lymphoid neoplasia and may be misinterpreted by inexperienced pathologists. The phenomenon might constitute a new entity added to the previous microscopic faces of appendicular inflammatory processes. Further studies with a larger sample size and more parameters are recommended to highlight the blurred areas of this phenomenon.

Keywords: Intravascular lymphocytosis, acute appendicitis, immunohistochemistry, central Sudan.

 
 
 
 

 

Cigarette Smoking &Gingival Bleeding among Chronic Periodontitis Patients in Khartoum Dental Hospital

 
 
 
 
 
 

 Dr. Wafaa Mohammed Abdelwahab Eltazi

Faculty of Dentistry, Department of Periodontology, AlNeelain University

 
 
 
 
 
 

Background information: Periodontal disease is a pathological condition affecting the supporting structures of teeth. They can be either periodontitis or gingivitis. Periodontitis is characterized clinically by gingival bleeding on probing, loss of attachment, pocket formation, alveolar bone loss.Cigarette smoking is a major systemic risk factor for periodontal diseases.Aim of study: To assess the effect of cigarette smoking on the gingival bleeding.

Materials and methods: Smoking status was assessed by Self reported questionnaire. The gingival bleeding was assessed by Gingival Index (GI)Loe and Silness (1963)&Sextants were used according to FDI (WHO 1983).Result: 99.4% of patients with mild gingival inflammation Gingival Indices (N =168) were smokers. Alternatively, 99.5% of patients with moderate (bleeding on probing) Gingival Indices (N =182) were non- smokers. Conclusion: Smokers showed less gingival bleeding than non-smokers.

Recommendation:Smoking cessation counseling should be an integral part of any dental and periodontal therapy and prevention program.

 
 
 
 
 
 

Comparison of Rheumatoid Factor and anti-Cyclic-Citrullinated protein antibodies for the Diagnosis of rheumatic arthritis in Khartoum, Sudan

 
 
 
 
 
 

Shaaban Khudair*, Mowahib Al Edressy §, Mohammed Abbasf, Ahmed BoladY

* Al Azhar University, Faculty of Medicine, Cairo -Egypt.

§ Internal medicine,(Rheumatologist), Ribat National University- Sudan

fSalman bin Abdulaziz University, College of Applied Medical Sciences. Medical Laboratory Department. Riyadh-Al Kharj, Saudi Arabia.

YAlneelain University ,Faculty of Medicine, Microbiology department .Khartoum, Sudan.

 

Corresponding author

Professor Ahmed Kamal Bolad

Dean of Graduate College- Al Neelain University,

And Professor of Immunology-Faculty of Medicine, Department of Microbiology and Unit of Immunology-Al Neelain Medical Research Centre and Suda Medical Specialization Board, .Khartoum, Sudan.

Tel: 00249122793690  e-mail: aaabolad@hotmail.com

 
 
 
 
 
 

Background: The objective of the current study was to determine the sensitivity and specificity of anti-Cyclic-Citrullinated protein antibodies (anti-CCP antibodies) as compared to that of Rheumatoid Factor (RF) in diagnosing patients with rheumatoid arthritis (RA) Methodology Fifty six samples also were collected from Sudanese patients (46 females, 9 males) with rheumatic diseases who visited the rheumatology clinic ElRibat Hospital, Khartoum, Sudan. Titers of RF and anti-CCP antibodies of each patient were recorded. Sensitivity and specificity of the test were evaluated using ELISA as the gold standard method. Results The sensitivity of (RF) test (41/56) was 73.2% whereas the sensitivity of Anti CCP test (34/56) was 60.7%. The specificity of RF test (44/56) was 78.6%, whereas the specificity of Anti CCP test (54/56) was 96.4%. Conclusions The combination of anti-CCP and RF tests provides nearly 100% and thus could be helpful in the differential diagnosis of RA and other rheumatic diseases.

Keywords: Anti-CCP antibodies, Rheumatoid Factor, Rheumatoid arthritis.

مستخلص الدراسة:

الخلفية : الهدف من الدراسة الحالية هو تحديد حساسية ونوعية ( الأجسام المضادة لل CCP ) بالمقارنة مع عامل الروماتويدي (RF ) في تشخيص المرضى الذين يعانون من التهاب المفاصل الروماتويدي (RA ). طرق البحث تم جمع ست وخمسون عينة أيضا من المرضى السودانيين ( 46 إناث و 9 ذكور) يعانون من أمراض روماتيزمية والذين زاروا عيادة الروماتيزم مستشفى الرباط ، الخرطوم، السودان. تم تسجيل معايرة الاجسام المضادة لاختبار العامل الروماتويدي والاجسام المضادة ل CCP لكل مريض . تم تقييم الحساسية والنوعية باستخدام الانزيم المناعي الملتصق كمعيار قياسي. النتائج كانت حساسية اختبار  RF (41/ 56) 73.2 ٪ في حين بلغت حساسية مكافحة CCP اختبار (34 /56) 60.7 ٪ . كانت خصوصية اختبار RF (44/ 56) 78.6 ٪ ، في حين كان خصوصية مكافحة CCP اختبار (54/ 56) 96.4 ٪ . الاستنتاجات مزيج من مكافحة CCP والاختبارات RF يوفر ما يقرب من 100 ٪ ، وبالتالي قد تكون مفيدة في التشخيص التفريقي ل التهاب المفاصل الروماتويدي و غيرها من الأمراض الروماتيزمية.

 
 
 
 

 

Quality of nursing care for under-five children regarding management of dehydration

Khartoum City - Governmental hospitals

(2013)

 
 
 
 
 
 

Nadia Mamoun Amin1; Prof: Abdelmageed Osman Musa2

1-Msc in Pediatric Nursing

Alneelain University, Faculty of Nursing Sciences

2- Associate Professor/Community Medicine, Faculty of Medicine, International     University of Africa- Khartoum, Sudan

Correspondence to Nadia Mamoun Amin

Email: nadiamamounamin1@gmail.com

 
 
 
 
 
 

Background:

Dehydration is one of the leading causes of mortality among under-five children worldwide and mainly in developing countries. In Sudan, 20% of under-five children die due to dehydration. Nursing is essential in the management of dehydration. The objective of this study was to assess the quality of nursing care which was received by under-five children who were primary diagnosed with dehydration

Materials and methods:

A total of 159 pediatric nurses were enrolled in this study. Data was collected by structured questionnaire and observational checklist and were analyzed by SPSS. 

 

Results:

The international standards of ratio nurse patient are 1:4. While in this study it is 1:7. Analysis of nurses’ knowledge in managing dehydration showed that 63% had good knowledge and knowledge about quality concepts                                                                                                                          

 

Most of the studied nurses had diploma (52.8%) only 30.2% had a bachelor's degree. 5.7% held a masters degree.

 

There were significance association between professional nurses and high quality of care regarding knowledge (P – Value = 0.016)

 

The performance of nurses was generally poor (70%) mainly in the assessment and monitoring the hydration status.

 

Conclusion:

Although nurses had adequate knowledge about management of dehydration, but the performance is poor.

The work-pressure is high as the ratio of nurse to patient is 1:17, but still the results revealed a serious problem and an indicator of deficit in pre-service and in-service training.

 

Keywords: quality of nursing care, under-five dehydration, pediatric wards Khartoum Sudan.   

 
 
 
 
 
 

 

Quality of nursing care for under-five children regarding management of dehydration

Khartoum City - Governmental hospitals

(2013)

 
 
 
 
 
 

Nadia Mamoun Amin1; Prof: Abdelmageed Osman Musa2

1-Msc in Pediatric Nursing

Alneelain University, Faculty of Nursing Sciences

2- Associate Professor/Community Medicine, Faculty of Medicine, International     University of Africa- Khartoum, Sudan

Correspondence to Nadia Mamoun Amin

Email: nadiamamounamin1@gmail.com

 
 
 
 
 
 

Background:

Dehydration is one of the leading causes of mortality among under-five children worldwide and mainly in developing countries. In Sudan, 20% of under-five children die due to dehydration. Nursing is essential in the management of dehydration. The objective of this study was to assess the quality of nursing care which was received by under-five children who were primary diagnosed with dehydration

Materials and methods:

A total of 159 pediatric nurses were enrolled in this study. Data was collected by structured questionnaire and observational checklist and were analyzed by SPSS. 

 

Results:

The international standards of ratio nurse patient are 1:4. While in this study it is 1:7. Analysis of nurses’ knowledge in managing dehydration showed that 63% had good knowledge and knowledge about quality concepts                                                                                                                          

 

Most of the studied nurses had diploma (52.8%) only 30.2% had a bachelor's degree. 5.7% held a masters degree.

 

There were significance association between professional nurses and high quality of care regarding knowledge (P – Value = 0.016)

 

The performance of nurses was generally poor (70%) mainly in the assessment and monitoring the hydration status.

 

Conclusion:

Although nurses had adequate knowledge about management of dehydration, but the performance is poor.

The work-pressure is high as the ratio of nurse to patient is 1:17, but still the results revealed a serious problem and an indicator of deficit in pre-service and in-service training.

 

Keywords: quality of nursing care, under-five dehydration, pediatric wards Khartoum Sudan.   

 
 
 
 
 
 

 

Acceptability   of Reproductive Health Information, Education and Communication printed materials- Khartoum and East Nile localities- Khartoum State-Sudan (2013)

 
 
 
 
 
 

Soad Mohammed Abdulla Alnassri1; Dr. Mustafa Elnimeiri 2

 

1- MSc in Community Health Nursing.

Department of Community Health Nursing- Faculty of Nursing Sciences-Alneelain University-Khartoum-Sudan.

2- Professor of Preventive Medicine & Epidemiology-Department of Community Medicine- Faculty of Medicine - Alneelain University-Khartoum-Sudan.

Correspondence Soad Mohammed AbdAlla Alnassri to email soad_alnassri@yahool.com

 
 
 
 
 
 

المقدمة :

 يجب أن تكون رسائل التثقيف والاتصال ونشر المعلومات مقبولة لدى الفئه  المستهدفة. اما إذا كانت وسائل  الاتصالات تحتوي على شيء  مسئ  وليست  معقولة ، فإن الفئه  المستهدفة  ترفض  الرسالة. الهدف  العام من هذه الدراسة تقييم مدي قبول   الامهات لوسائل  التثقيف والاتصال ونشر المعلومات  المطبوعه في مجال الصحة الانجابية .

الادوات والطرق:

وقد أجريت دراسة وصفية مستعرضة في  المنشأت الصحية في  محلية الخرطوم وشرق النيل  بولاية الخرطوم. العدد االكلي  للأمهات المقيدين  في هذه الدراسة ارتفع  الي   385 أم . وقد  تم جمع البيانات باستخدام استبيان موحد  لتقييم قبول   وسائل  التثقيف والاتصال ونشر المعلومات  المطبوعه في مجال الصحة الانجابية . استخدمت الحزمة الاحصائية للعلوم الاجتماعية  الاصداره  16 لتحليل البيانات التي تم جمعها .

النتائج :

كان أكثر من النصف ( 56.9 ٪ ) من الأمهات بعينتين  الدراسة  بالفئة العمرية 22-28 سنه.و كان متوسط ​​عمر الأمهات 27.66 بانحراف معياري 6.563 سنوات . وكانت 15 ٪ من افراد العينه  أميين في حين كان  المستوى التعليمي لمعظم افراد العينه هو  التعليم الابتدائي والجامعي ؛ 30.9 ٪ ، 21.3 ٪ على التوالي.
تم قبول   وسائل  التثقيف والاتصال ونشر المعلومات التي تتناول (  الوجبات المناسبه  واللبس  المناسب  للأم الحامل , علامات الخطورة  أثناء فترة الحمل , المباعدة بين الولادات و وسيلة خطة الولاده  من قبل 93.8 ٪، 99 ٪ ، 94.8 ٪ ، 92.7 ٪ من افراد العينه  على التوالي. كما  أظهرت قبول   وسائل  التثقيف والاتصال ونشر المعلومات ارتباط مهم للغاية مع المستوى التعليمي ( قيمة P = 0.000) ، وايضا  وجدت فروق ذات دلالة إحصائية بين قبول وفهم وسائل   التثقيف والاتصال ونشر المعلومات ( قيمة P = 0.00 ) . ولكن الصور التي رفضت من قبل افراد العينه  بوسائل  التثقيف والاتصال ونشر المعلومات التي تتناول (  الوجبات المناسبه  واللبس  المناسب  للأم الحامل , علامات الخطورة  أثناء فترة الحمل , المباعدة بين الولادات مثلت 6.20 ٪ ، 8.30٪ ، 5.20 ٪ على التوالي ولكن صور  وسيلة   خطة الولاده   رفضت بنسبة  11.50 ٪ من افراد العينه  . هناك فروق ذات دلالة إحصائية بين رفض نصوص وسائل   التثقيف والاتصال ونشر المعلومات والمستوى التعليم ( قيمة P = 0.00

الخاتمة :   الغالبية العظمي  من  افراد  العينه   بالمحليتين  قد قبلن  كل  وسائل  التثقيف والاتصال ونشر المعلومات ولكن  صور رسائل التثقيف والاتصال ونشر المعلومات  التي لم تكن مقبولة ثقافيا من قبل افراد العينه  بحاجة الى بعض التعديلات خاصة خطة الولاده.  قبول   ورفض نصوص  وسائل التثقيف والاتصال ونشر المعلومات  ارتبطت إلى حد كبير إحصائيا مع المستوى التعليمي (قيمة P = 0.000).

 

 

 

 

 

Abstract:

The IEC messages must be acceptable to the target population. If communication

material contains something offensive, is not believable, the audience will reject the message conveyed.The overall aim of the study was to assess the acceptability of reproductive health IEC printed materials.  

Materials and methods:

A descriptive -cross sectional study was conducted in health facilities at Khartoum and East Nile localities at Khartoum State. The total number of mothers enrolled in this study mounted to 385 mothers. Data were collected using a standardized administered questionnaire to assess the acceptability of information, education and communication printed materials in reproductive health.  SPSS   version 16 was used to analyze the collected data.

Results:

More than half (56.9%) of mothers from both study samples were in the age group 22-28 years. The mean age of mothers was 27.66 with standard deviation 6.563 yrs.15% of the respondents were illiterate while the educational level of most of the respondents was primary education and university; 30.9%, 21.3% respectively.

IEC materials addressing appropriate nutrition &clothing for pregnant mother, serious signs and symptoms during pregnancy, birth spacing and delivery plan were accepted by 93.8%, 99 %, 94.8%, 92.7% of the respondents respectively 

Acceptability of IEC materials showed highly significant association with educational level (P value = 0.000), also found that significant differences between acceptability and apprehension of IEC materials (P value =0.00).The picture (s) that rejected by respondents in IEC materials addressing appropriate nutrition & clothing for pregnant mother , serious signs and symptoms during pregnancy and birth spacing   represented 6.20% ,8.30%,5.20 % respectively but in IEC material delivery plan  the  pictures  rejected by  11.50% of the respondents. There is   significant differences between rejection of information, education and communication texts and educational level (P value =0.00)

Conclusions:  All IEC materials were accepted by the vast majority of mothers in both localities. IEC pictures that were not culturally accepted by respondents need some modifications and adjustments, especially IEC material delivery plan.

Acceptability and rejection of IEC text were highly statistically associated with educational level (P value = 0.000).

 
 
 
 
 
 

 

Acceptability   of Reproductive Health Information, Education and Communication printed materials- Khartoum and East Nile localities- Khartoum State-Sudan (2013)

 
 
 
 
 
 

Soad Mohammed Abdulla Alnassri1; Dr. Mustafa Elnimeiri 2

 

1- MSc in Community Health Nursing.

Department of Community Health Nursing- Faculty of Nursing Sciences-Alneelain University-Khartoum-Sudan.

2- Professor of Preventive Medicine & Epidemiology-Department of Community Medicine- Faculty of Medicine - Alneelain University-Khartoum-Sudan.

Correspondence Soad Mohammed AbdAlla Alnassri to email soad_alnassri@yahool.com

 
 
 
 
 
 

المقدمة :

 يجب أن تكون رسائل التثقيف والاتصال ونشر المعلومات مقبولة لدى الفئه  المستهدفة. اما إذا كانت وسائل  الاتصالات تحتوي على شيء  مسئ  وليست  معقولة ، فإن الفئه  المستهدفة  ترفض  الرسالة. الهدف  العام من هذه الدراسة تقييم مدي قبول   الامهات لوسائل  التثقيف والاتصال ونشر المعلومات  المطبوعه في مجال الصحة الانجابية .

الادوات والطرق:

وقد أجريت دراسة وصفية مستعرضة في  المنشأت الصحية في  محلية الخرطوم وشرق النيل  بولاية الخرطوم. العدد االكلي  للأمهات المقيدين  في هذه الدراسة ارتفع  الي   385 أم . وقد  تم جمع البيانات باستخدام استبيان موحد  لتقييم قبول   وسائل  التثقيف والاتصال ونشر المعلومات  المطبوعه في مجال الصحة الانجابية . استخدمت الحزمة الاحصائية للعلوم الاجتماعية  الاصداره  16 لتحليل البيانات التي تم جمعها .

النتائج :

كان أكثر من النصف ( 56.9 ٪ ) من الأمهات بعينتين  الدراسة  بالفئة العمرية 22-28 سنه.و كان متوسط ​​عمر الأمهات 27.66 بانحراف معياري 6.563 سنوات . وكانت 15 ٪ من افراد العينه  أميين في حين كان  المستوى التعليمي لمعظم افراد العينه هو  التعليم الابتدائي والجامعي ؛ 30.9 ٪ ، 21.3 ٪ على التوالي.
تم قبول   وسائل  التثقيف والاتصال ونشر المعلومات التي تتناول (  الوجبات المناسبه  واللبس  المناسب  للأم الحامل , علامات الخطورة  أثناء فترة الحمل , المباعدة بين الولادات و وسيلة خطة الولاده  من قبل 93.8 ٪، 99 ٪ ، 94.8 ٪ ، 92.7 ٪ من افراد العينه  على التوالي. كما  أظهرت قبول   وسائل  التثقيف والاتصال ونشر المعلومات ارتباط مهم للغاية مع المستوى التعليمي ( قيمة P = 0.000) ، وايضا  وجدت فروق ذات دلالة إحصائية بين قبول وفهم وسائل   التثقيف والاتصال ونشر المعلومات ( قيمة P = 0.00 ) . ولكن الصور التي رفضت من قبل افراد العينه  بوسائل  التثقيف والاتصال ونشر المعلومات التي تتناول (  الوجبات المناسبه  واللبس  المناسب  للأم الحامل , علامات الخطورة  أثناء فترة الحمل , المباعدة بين الولادات مثلت 6.20 ٪ ، 8.30٪ ، 5.20 ٪ على التوالي ولكن صور  وسيلة   خطة الولاده   رفضت بنسبة  11.50 ٪ من افراد العينه  . هناك فروق ذات دلالة إحصائية بين رفض نصوص وسائل   التثقيف والاتصال ونشر المعلومات والمستوى التعليم ( قيمة P = 0.00

الخاتمة :   الغالبية العظمي  من  افراد  العينه   بالمحليتين  قد قبلن  كل  وسائل  التثقيف والاتصال ونشر المعلومات ولكن  صور رسائل التثقيف والاتصال ونشر المعلومات  التي لم تكن مقبولة ثقافيا من قبل افراد العينه  بحاجة الى بعض التعديلات خاصة خطة الولاده.  قبول   ورفض نصوص  وسائل التثقيف والاتصال ونشر المعلومات  ارتبطت إلى حد كبير إحصائيا مع المستوى التعليمي (قيمة P = 0.000).

 

 

 

 

 

Abstract:

The IEC messages must be acceptable to the target population. If communication

material contains something offensive, is not believable, the audience will reject the message conveyed.The overall aim of the study was to assess the acceptability of reproductive health IEC printed materials.  

Materials and methods:

A descriptive -cross sectional study was conducted in health facilities at Khartoum and East Nile localities at Khartoum State. The total number of mothers enrolled in this study mounted to 385 mothers. Data were collected using a standardized administered questionnaire to assess the acceptability of information, education and communication printed materials in reproductive health.  SPSS   version 16 was used to analyze the collected data.

Results:

More than half (56.9%) of mothers from both study samples were in the age group 22-28 years. The mean age of mothers was 27.66 with standard deviation 6.563 yrs.15% of the respondents were illiterate while the educational level of most of the respondents was primary education and university; 30.9%, 21.3% respectively.

IEC materials addressing appropriate nutrition &clothing for pregnant mother, serious signs and symptoms during pregnancy, birth spacing and delivery plan were accepted by 93.8%, 99 %, 94.8%, 92.7% of the respondents respectively 

Acceptability of IEC materials showed highly significant association with educational level (P value = 0.000), also found that significant differences between acceptability and apprehension of IEC materials (P value =0.00).The picture (s) that rejected by respondents in IEC materials addressing appropriate nutrition & clothing for pregnant mother , serious signs and symptoms during pregnancy and birth spacing   represented 6.20% ,8.30%,5.20 % respectively but in IEC material delivery plan  the  pictures  rejected by  11.50% of the respondents. There is   significant differences between rejection of information, education and communication texts and educational level (P value =0.00)

Conclusions:  All IEC materials were accepted by the vast majority of mothers in both localities. IEC pictures that were not culturally accepted by respondents need some modifications and adjustments, especially IEC material delivery plan.

Acceptability and rejection of IEC text were highly statistically associated with educational level (P value = 0.000).