Prevalence and Management of Periodontal Diseases in Gezira Province (Central Sudan)

Objectives: This study aimed to assess the status of present periodontal diseases in Gezira Province. The facilities investigated included those in urban and rural areas including Wad Medani Dental hospital, Wad Medani Military Hospital, El Gadaiea Health Centre and Maringan Health Centre. Methodology: The study tools were direct pre-coded questionnaires, and a checklist. The procedure involved dental clinical examinations of patients to estimate periodontal diseases assessed by measuring calculus, gingival bleeding and periodontal pockets (PI index). The study sample was randomly selected to comprise 10% of patients attending Wad Medani Dental and Military Dental Hospitals during a week time period (6 days). All patients attended El Gadaiea and Marinjan Health Centres (n = 201) and sampled patients at rural health institutions during the same period were recruited (n = 448). Results: Thirty study sites in the rural areas were chosen from five study councils including Alhosh, Wad Alnaeem, Alhag Abdalla, Almadina Arab and Hantoub. They comprise 418 towns, villages and camps, of the only 118 had health services, including only four dental units. This was the reason that most of rural populations seek oral health services for periodontal diseases and dental caries in Wad Medani health institutions. The result showed that the prevalence of gingivitis and periodontal diseases were more prominent in the rural areas, while the management of them were meager in both the urban and rural areas. Conclusion: From the results of the present study could be concluded that there was a high prevalence of periodontal diseases due to poor provision of dental services in both quantity and quality at Gezira Province. &nbsp

PSEUDOMYXOMA PERITONEI A RARE CASE

This is a case report of a 55- year old male patient who presented with features of intestinal obstruction. The obstruction which was relieved surgically by removal of fibrous adhesions was found to be the result of Pseudomyxoma peritonei however, at operation the primary focus of the tumor was not found because of extensive local metastasis. The patient received parental chemotherapy inform of intravenous 5-fluorouracil (6oomg/day 5 times/ week) for 6 month and was discharged from hospital in good condition

Interventional Ultrasound for Ovarian Cyst Aspiration During Pregnancy; A Case Report and Literature Review

Abstract: Herewith we present perinatal outcome in pregnancies with ovarian cysts after fine needle aspiration in the second trimester and excision during c-section at term. Outcome was satisfactory for both maternal and fetal. 28 years primigravida presented with huge ovarian cyst, size 18 X 16 cm in her second trimester of pregnancy. The procedure was performed without anaesthesia under ultrasound guidance. Three litres were aspirated within two hours while the patient was on her right lateral position. Cytology of the aspirated fluid revealed a simple ovarian cyst and no evidence of malignancy. The pregnancy continued uneventfully. C-section was done at 37 weeks gestational age.  Ovarian cystectomy was performed. The result of histopathology was benign cystadenoma. We concluded that ovarian cyst aspiration under ultrasound guidance is simple, safe and useful in the management of ultrasonically benign ovarian cysts. We advocate using this procedure in similar situation and same characteristics

Neonatal Mortality and Neonatal Health Services in Wad Madani Pediatric Teaching Hospital

The main objectives of this study are to describe the neonatal health and neonatal health services in Wad Madani Teaching Hospital also to identify the problems which cause death. Methodology: This is a descriptive retrospective study carried   out in Wad Madani Pediatric Teaching Hospital, in a period from January to October 2003. Data was collected from hospital records; observation and interview. Results: the majority of deaths were due to prematurity 33.3%, neonatal sepsis 24.3% and birth asphyxia 20%.  The neonatal mortality (NM) to total neonatal admission from January to October 2003 was 14.6% and 41.9% of total hospital deaths. Conclusion: Our conclusions ; Neonatal death in Wad Madani Teaching Hospital was found to be significantly high , strengthening of referral system recommended and special equipments that are not available in the Wad Madani Pediatric Teaching Hospital should be provided.&nbsp

REPORT CASE OF EXCESSIVE GENITAL WARTS, WAD MADANI MATERNITY HOSPITAL

Anogenital warts (condylomata acuminata) is the most common viral sexually transmitted disease in the United States. Although condylomata affect both genders, data from office visits for warts obtained from the 1994 to 1998 National Ambulatory Medical Care Survey showed that women accounted for 67 percent of the patient population (1)

CHEMICAL COMPOSITION OF URINARY STONES IN PATIENTS REFERRED TO GEZIRA HOSPITAL FOR RENAL DISEASES AND SURGERY IN GEZIRA STATE CENTRAL SUDAN

Objective: The purpose of this study was to perform the chemical analysis of stones to know the pattern of biochemical composition of stones in Sudanese subjects. Methods: 169 renal stones were analyzed during the period from February to December 2008. 96 patients were referred to Gezira Hospital for Renal diseases and Surgery (GHRDS), Gezira state, central Sudan. The stones were analyzed by semi quantitative method in the Gezira central laboratory. Kits were used for chemical analysis of stones. Calcium, phosphate, oxalate, uric acid, carbonate and cystine were determined. Results: Male to female ratio was 2:1. Calcium, oxalate and uric acid were the most common forms of stones (90.5%), followed by phosphate (4.7%), carbonate (3.0%) and cystine which accounted for 1.8% of the study subjects. Conclusion: The relative frequency of calcium oxalate stones in our study about 65.1%,outnumbers other types which is compatible with the international literature. While there is relative high percentage of uric acid stones which can be explained by the high animal protein consumption in Sudan together with the hot weather which can be a cause of a highly concentrated urine . Other types phosphates (4.7%), carbonate (3.0%), and cystine which account only ( 1.8%)

Helping Mothers Survive Bleeding after Birth Training Join project between University of Gezira, Jhpiego- affiliated with Johns Hopkins University, Sudanese American Medical Association (SAMA), Sudanese Obstetrical and Gynaecological Society

Abstract:The post partum haemorrhage (PPH) Project of Sudan should consider facilitation of implementation of a more comprehensive and innovative program to address prevention, identification and management of PPH with the goal of improving the quality of care and health outcomes related to PPH.The Master Trainer Course was held at the University of Gezira (U of G) followed by Champion courses and Clinical Mentor orientation sessions in 5 hospitals (4 rural and 1 urban). There are additional 5 hospitals in Gezira state where providers have yet to receive the Champions course. The additional courses are planned in March and April of 2016. 23 Master Trainers were mentored in help mother survive (HMS). The PPH Project Director based at UofG and additional 2 more trainers were introduced to the principles of HMS training and the low dose high frequency (LDHF) approach was adopted. 155 providers participated in a bleeding after birth (BAB) Champions Course. 106 of the participants were village midwives who received selected updates around child birth to address gaps identified during the opening role play. Updates included being patient during second stage of labour, no pulling of fetus, delivering babies to mothers, abdomen/skin to skin, drying the baby immediately, changing the wet cloth and covering the baby with dry cloth while on mothers’ abdomen, not to hold babies upside down, not to separate babies from mothers after cutting the cord. No cord milking, evacuation of birth canal in the name of “cleaning” it, no routine episiotomy or pulling the placenta without counter pressure and few others.34 providers from 5 hospitals (4 rural and 1 urban) were oriented as clinical mentors. They will conduct peer mentorship at respective hospitals as well as the downward type of mentorship to midwives at health centers and village midwives from respective community neighborhoo

RAK CERVIKSA U TRUDNOĆI: PRIKAZ BOLESNICE

The case of 29 years old pregnant III-para at 38 weeks of gestational age is presented. The patient was admitted complaining of vague abdominal pain. By speculum examination the large cervix with reddish ulcerative cervical canal was established and punch biopsy performed. The pathohistological diagnosis was well differentiated squamous cell carcinoma. No local metastases or lymph node or other signs of cancer spreading were present (stage 1a). The CS was done, born vital newborn of 2 kg weight, proceeded to total abdominal hysterectomy with bilateral salpingoophorectomy. The pathohistological finding was: Stromal invasion of 3 mm in depth and 6 mm in lateral spread (FIGO stage 1a1). Postoperative period was uneventfull, the patient was reffered to Institute of Nuclear Medicine for further management, where she received only 2 cycles of radiation and chemotherapy and thereafter stopped the treatement. Two years later the patient presented very ill and passed because of uremia.Prikazana je bolesnica dobi 29 godina, III-para, s oko 38 tjedana trudnoće. Primljena je zbog nejasnih boli u donjem trbuhu. Pregledom u spekulima nađen je krupni cerviks s ulceracijom u cervikalnom kanalu. Pod anestezijom je učinjena biopsija cerviksa i dobivena patohistološka dijagnoza: dobro diferencirani karcinom pločastih stanica. Nije bilo lokalnih metastaza, širenja u limfne čvorove ili drugih znakova širenja raka (stupanj 1a). Učinjen je carski rez i nastav¬ljena totalna histerektomija s obostranom salpingooforektomijom. Patohistološki nalaz je bio: stomalna invazija 3 mm u dubinu i postranična zahvaćenost 6 mm (FIGO stupanj 1a1). Postoperativni je tijek bio uredan, bolesnica je upućena u Zavod za nuklearnu medicinu radi zračenja i kemoterapije. Primila je samo dva ciklusa terapije i tada napustila liječenje. Nakon dvije godine pacijentica se pojavila vrlo bolesna, umrla je od uremije