Effects of different levels of sugar beet roots based concentrates on the performance of Tagger male kids

    High meat demand in the Sudan enhanced improvement of goat meat production. Tagger is a promising meat breed due to good conformation and high meat quality. Nutrition is a main constraint for goat meat production. Sugar beet is introduced into the Gezira State with no information on effects of dried sugar beet roots (DSBR) based concentrates level on Tagger kids performance, carcass characteristics and meat composition. Twelve Tagger males of 6 months old were housed in individual pens, divided into 3 groups, each with 4 animals and allocated at random to the experimental diets. They were weighed weekly for 8 weeks with a two weeks preliminary period. They were fed groundnut haulm (GNH) ad lib. in two equal meals at 8.0 am and 4.0 pm and refusals were collected and weighed daily. The animals were fed different levels of DSBR based concentrates: 0 (control), 150g and 300g, in two equal parts before GNH meals. The concentrates contained 68% DSBR,15% groundnut cakes, 15% sunflower cakes, 1% salt and 1% oyster shell. Samples of feeds and refusals were stored for laboratory analysis.  Resultd showed that groundnut haulm (30% CP, 8.8% CF, 4.8% ash and 48.2% NFE) had better proximate analysis than refusals which generally improved with concentrates levels. Dried sugar beet had 12.9% CP, 11.0% CF and 59.25% NFE and the concentrates had 42.25% CP, 2.0% CF and 49.5% NFE. Overall mean BW generally increased with concentrates level (10.78, 10.9 and 12.19kg at 0, 150 and 300g, respectively), but  not significantly different. Overall mean daily feed intakes varied with concentrates level and were 1550.89, 1187.46 and 1545.67g at 0, 150 and 300g concentrates, respectively, and were significantly least in animals fed 150g concentrates. Weekly weight gain generally increased with concentrates level in all weeks and was highest in animals fed 150g concentrates with no significant effects for concentrates level. It was 0.55, 0.68 and 0.60 kg at 0, 150 and 300g concentrates, respectively. It is recommended to use DSBR based concentrates in fattening Tagger kids.     حفز ارتفاع الطلب  على اللحوم وأسعارها في السودان تحسين لحوم الماعز. تعتبر التقر سلالة واعدة لإنتاج اللحوم لجودة القوام ونوعية اللحم.  إلا أن التغذية من المعوقات الرئيسة لإنتاج لحوم الماعز.  أدخل بنجر السكر لولاية الجزيرة ولا تتوفر معلومات عن أثر مستوى جذر البنجر الجاف) ج ب ج (على أداء جديان التقر وصفات الذبيحة  وتركيب اللحم.  وضعت 12 من ذكور جديان التقر بعمر 6 أشهر في حظائر فردية  وقسمت الى 3 مجموعات بكل منها 4 حيوانات  ووزعت عشوائيا على أعلاف الدراسة. وزنت الحيوانات أسبوعيا لمدة 8 أسابيع منها أسبوعين فترة إعدادية. أعلفت الحيوانات تبن الفول السوداني )ت ف س) حسب الرغبة في وجبتين متساويتين عند الثامنة صباحا والرابعة مساء وجمع ووزن العلف المتبقي.  كما أعلفت الحيوانات مستويات مختلفة من عليقة مركزة ترتكز على )ج ب ج  (عند صفر( الشاهد), 150 و300جم في جزئين متساويين  قبل وجبتي ت ف س. احتوت العليقة المركزة على 68% ج ب ج و15%  امباز فول سوداني و15%  تبن زهرة الشمس و1% ملح و 1% صدف  حفظت عينات من  الأعلاف والعلف المتبقي للتحليل المعملي.  حُللت المعلومات إحصائيا باستخدام تحليل التباين واستخدم اختبار دنكن لفصل اختلافات المتوسطات. كان  ت ف س (  30% بروتين خام ، 8.85 ألياف خام، 4.8% رماد و 48.2% جزء خالي من النتروجين) أحسن في التحليل التقريبي من المتبق.والذي تحسنت نوعيته بارتفاع مستوى العليقة المركزة. كان تركيب  ج ب ج 12.95 % بروتين خام ، 11% الياف خام و 59.25% جزء خالي من النتروجين .وتركيب العليقة المركزة  42.25 % بروتين خام ، 2% ألياف خام و 49.5% جزء خالي من النتروجين .  زاد متوسط الوزن الكلى مع زيادة العليقة المركزة (10.78 ،  10.9 و 12.19عند صفر و 150 و 300 جم عليقة مركزة على التوالي بدون فروقات معنوية . (P>.05)  تباين متوسط المتناول من العلف تبعاً لمستوي المركزات وكان 1550.89 و 1187.46 و 1545.67 جم عند صفر و 150 و300 جم عليقة مركزة ، علي التوالي وكان أقل معنوياً للحيوانات التي غُذيت علي  150عليقة مركزة.  تباينت زيادة الوزن الأسبوعي بزيادة مستوي العليقة المركزة في كل الأسابيع وكانت الأعلى للحيوانات عند 150 جم بدون زيادة معنوية. وكانت 0.55 و0.68 و 0.60 كجم عند صفر و 150 و300 جم عليقة مركزة، علي التوالي. يوصي باستخدام علائق جذور بنجر السكر المجففة لتسمين جديان التقر

Variation in morphology and branching pattern of superior mesenteric artery

The anatomical variations of superior mesenteric artery branches are common. In this study we reported an extraordinary morphology and branching of superior mesenteric artery, during our routine dissection of a 38-year-old Sudanese male cadaver, where the superior mesenteric artery forms an arch over the confluence of inferior vena cava and left renal vein. Other variations observed were: 1) The superior mesenteric artery shares the same origin of coeliac trunk; 2) The unusual origin of right hepatic artery. We think that the knowledge of these variations plays an important role in conducting and planning of radiological and surgical procedures especially in hepatobiliary and pancreatic surgery. Morphology and branching patterns of this artery is anecdotic, which makes this case the most unique

The timing of mandibular tooth formation in two African groups

Background: Ethnic differences in the timing of human tooth development are unclear. Aim: To describe similarities and differences in the timing of tooth formation in two groups of Sudanese children and young adults. Subjects and methods: The sample consisted of healthy individuals from Khartoum, Sudan, aged 2–23 years. The Northern group was of Arab origin (848 males, 802 females) and the Western group was of African origin (846 males, 402 females). Each mandibular left permanent tooth from first incisor to third molar was assessed from dental radiographs into one of 15 development stages. Mean ages at entry for 306 tooth stages were calculated using probit regression in males/females in each group and compared using a t-test. Results: Mean ages were not significantly different in most tooth stage comparisons between ethnic groups for both males (61/75) and females (56/76), despite a tendency of earlier mean ages in the Western group. Mean ages for most tooth stage comparisons between males and females (137/155) were not significantly different within ethnic groups suggesting low sexual dimorphism. Conclusion: The mean ages of most mandibular tooth formation stages were generally not significantly different between ethnic groups or between males and females in this study

Doctor-Patient Communication A Requisite for Better Medication History Taking: Insight from Sudan

Despite the awareness of doctors about the significance of obtaining a comprehensive medication history for patients, they often neglect this in their practice, resulting in an incomplete patient medication list. The study aimed to investigate the role of communication skills as a crucial part of optimal pharmacotherapy. An observational, cross-sectional study was carried out at internal medicine department in a tertiary hospital, Wad Medani, Sudan.  The research instrument was a form involved a checklist rating a doctor’s performance during the medical encounters. Among 94 medical doctors, 51% were males and 6.15 (SE) was the average years of experience. About 13% of participants received under-graduation training in communication skills, while 21% had it after post-graduation. Concerning communication skills evaluation, 61% of specialists, 29% of registrars, and 7% of house officers reported an excellent performance. Gender and doctors’ ranking in a medical team had a significant role in communication skills (P-value <0.05) with an overall adjusted R2 of 0.339. Specialists were the most knowledgeable and skillful in obtaining structured medication history; 67% reported an excellent performance. Communication skills had a remarkable impact in getting patient medication history (P-value: <0.05) with an overall adjusted R2 of 0. 763.The study concluded that; gender and doctors’ ranking in the medical team were the main predictors for doctors to be a good communicator. Communication skills have a significant role in medication history taking. There was a gap in knowledge and training in communication skills among internal medicine doctors specifically, “house officers.” This gap negatively contributed to obtaining a comprehensive patient medication history

Pharmacist-driven antimicrobial stewardship interventions in patients with COVID-19: a scoping review

Background: Coronavirus Disease 2019 (COVID-19) is a highly infectious disease that can be treated with antivirals in addition to other antimicrobials in cases of secondary or concomitant infections. This creates potential for antimicrobials misuse, which increases antimicrobial resistance (AMR). Pharmacists are known to undertake prominent roles in combatting AMR. Aim: The aim of this review was to characterize pharmacist-driven interventions that have been performed in patients with COVID-19 globally and describe their impact on antimicrobial use. Method: We followed the Joanna Briggs Institutes manual framework for scoping reviews in our study. Studies that reported antimicrobial stewardship (AMS) interventions performed by pharmacists in COVID-19 patients were included. Articles that did not report outcomes or did not mention pharmacists in the intervention were excluded. Restrictions included English-only articles from inception date until June 2022. Articles were searched from four databases. Results: Eleven publications were included in the review. The most common AMS intervention was pharmacist-driven interventions reported in 63.2% of all studies, followed by guideline development and application (26.3%), and medication supply coordination (10.5%), respectively. The outcomes of the interventions were difficult to compare but showed a reduction in antimicrobial use and prevention of adverse drug reactions with a relatively high acceptance rate from physicians. Conclusion: Pharmacists played an important role in performing AMS-related interventions in COVID-19 patients and helped in the fight against the worsening of AMR during the pandemic. The impact of pharmacist-driven AMS interventions in patients with COVID-19 seemed to be positive and improved outcomes related to antimicrobial use

Assessing behavioural changes in ALS: cross-validation of ALS-specific measures

Objective: The Beaumont Behavioural Inventory (BBI) is a behavioural proxy report for the assessment of behavioural changes in ALS. This tool has been validated against the FrSBe, a non-ALS specific behavioural assessment, and further comparison of the BBI against a disease-specific tool was considered. This study cross-validates the BBI against the ALS-FTD-Q. Methods: 60 ALS patients, 8% also meeting criteria for FTD, were recruited. All patients were evaluated using the BBI and the ALS-FTD-Q, completed by a carer. Correlational analysis was performed to assess construct validity. Precision, sensitivity, specificity and overall accuracy of the BBI, when compared to the ALS-FTD-Q, were obtained. Results: The mean score of the whole sample on the BBI was 11.45±13.06. ALS-FTD patients scored significantly higher than non-demented ALS patients (31.6±14.64, 9.62±11.38; p<.0001). A significant large positive correlation between the BBI and the ALS-FTD-Q was observed (r=.807, p<.0001), and no significant correlations between the BBI and other clinical/demographic characteristics, indicating good convergent and discriminant validity, respectively. 72% of overall concordance was observed. Precision, sensitivity and specificity for the classification of severely impaired patients were adequate. However, lower concordance in the classification of mild behavioural changes was observed, with higher sensitivity using the BBI, most likely secondary to BBI items which endorsed behavioural aspects not measured by the ALS-FTD-Q. Discussion: Good construct validity has been further confirmed when the BBI is compared to an ALS-specific tool. Furthermore, the BBI is a more comprehensive behavioural assessment for ALS, as it measures the whole behavioural spectrum in this condition

Renal cell carcinoma in children: Case report and literature review

Renal cell carcinoma is infrequent in children; consequently it is important to communicate its diagnosis and follow up. The behaviour of this type of tumor is better characterized in adults and in this setting the treatment of choice is surgical resection. However, the place of chemo- and radiotherapy has not been well defined. Here, we present a 9-year-old boy with renal cell carcinoma demonstrating only hematuria without any pathological physical examination findings. The mass was described by abdominal ultrasonography and computed tomography in the left kidney. After the left nephroureterectomy, the patient was given no adjuvant therapy

Naso-Maxillary extramedullary plasmacytoma: A case report

We report an early case of extramedullary, right maxillary sinus and nasal, plasmacytoma. The patient was a 27 years old female who presented with nasal bleeding and a nasal mass. Imaging studies showed opacities in the nasal cavity and the maxillary sinus but there was no bone involvement.&nbsp; A biopsy from the nasal mass showed a plasmacytoma. She was investigated to rule out systemic disease. The investigations included; serum electrophoresis, urine analysis for Bence Jones proteins, bone marrow aspirates study and radiological skeletal survey. The results of all investigations were negative. After complete excision of the tumour endoscopically the patient was treated with adjuvant radiotherapy. She remained well, without recurrence or spread of the tumour at 4 years follow up. CTscans pre and postoperatively as well as H&amp;E and Immunohistochemistry slides are presented. To our knowledge, this is the first case to be reported in Sudan.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp