Basic Clinical Characteristics and Hospital Outcomes of Acute Coronary Syndrome Patients-Sudan

Background: There are Variation in the presentation of the acute coronary syndrome between countries. The present study aimed to investigate the basic clinical characteristics and in-hospital outcomes among acute coronary syndrome patients in the Sudan.Material and Methods: A cross-sectional comparative study conducted among 202 consecutive acute coronary syndrome patients at a reference coronary care unit in Omdurman Teaching Hospital between July 2014 and August 2015. Participants signed a written informed consent, and then a case report form was filled. Information collected include vascular risk factors, vital signs, echocardiographic findings, and in Hospital complications. The local ethical committee approved the research, and the chi-square test was used to compare ST-segment Elevation (STSEACS) and None ST-Segment Elevation Acute coronary syndrome (NSTSEACS).Results: (out of 202 women (53.75%) in (NSEACS) P =0.009). Prior myocardial infarction, hypertension, diabetes mellitus, and, smoking were evident in 19.8%. 53.%, 30.2%, and 16.6% of acute coronary syndrome respectively, 97% of patients presented with chest pain, 54% presented to the hospital after 24 hours. Hypotension, heart failure, low ejection fraction, and in-hospital complications were more in (STSEACS) than (NSTSEACS), while (NSTEACS) patients received less Thrombolysis and Percutaneous coronary angioplasty P-value < 0.05Conclusions: Acute coronary syndrome patients were younger and had more complications than others in the West. ST-Segment Elevation Myocardial Infarction Patients are more likely to develop in-hospital complications and to receive reperfusion therapy. The limitation of the study is the lack of follow-up information after discharge

Efficacy of psychosocial intervention in improving quality of life and psychological well-being of Chinese patients with colorectal cancer: a randomised controlled trial.

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Prevalence of Depression among Sudanese Patients with type-2 Diabetes Mellitus

Background: Both diabetes mellitus and depression are common disorders, and when coexist; they lead to poor glycemic control that may ultimately increase the risk of both micro and macrovascular complications. In Sudan, few data are available regarding prevalence of depression among subjects with type -2 diabetes mellitus.Objectives: The aim of the study is to determine the prevalence of depression among Sudanese patients with type-2 diabetes mellitus.Materials and Methods: A cross-sectional descriptive study, carried out among Sudanese patients with type-2 diabetes mellitus who attended medical insurance clinic in Omdurman. The patients gave consent and HADS questionnaire was filled.Results: The study enrolled 400 patients with type 2 diabetes mellitus, 176 (44%) of them had depression. Among those with depression, 52.3% had mild depression, 29.5% and 18.2% of them, had severe and moderate depression, respectively. Sixty three percent of the study group were female. Their ages range from 30-79 years with a mean of 56.6 ±13.The average duration of diabetes was 10.3 years. 76% of patients were physically inactive and 16 (4%) of them were smokers. Fifty six (14%) had family history of psychiatric disorders, 170 (42.5%) of them showed lack of enjoyment, 77 (19.3%) of them lacked laughing, 81(20.3%) of them lost sensation of happiness, 68(17%) of them lost energy, 238 (59.5%) of them neglected their external appearance, 76 (19%) of them showed no enjoyment, and 62 (15.5%) of them lost enjoying reading or watching television.Conclusion: Depression is common among Sudanese patients with type -2 diabetes mellitus, therefore screening for depression should be part of routine clinical evaluation of these patients.Key words: Sudan, diabetes mellitus, depression

A scapular coordinate frame for clinical and kinematic analyses.

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BPS States on M5-brane in Large C-field Background

We extensively study BPS solutions of the low energy effective theory of M5-brane in large C-field background. This provides us an opportunity to explore the interactions turned on by C-field background through the Nambu-Poisson structure. The BPS states considered in this paper include the M-waves, the self-dual string (M2 ending on M5), tilted M5-brane, holomorphic embedding of M5-brane and the intersection of two M5-branes along a 3-brane.Comment: 25 pages, reference adde

Plasma free amino acid profiles of Boer goat bucks as influenced by two feeding regimens

The aim of the study was to monitor the physiological changes in plasma free amino acid profiles in Boer goats under nutritional restriction. Fifteen Boer goat bucks were allocated to two experimental groups: CG (control), fed Themeda trianda hay, supplemented with maize, molasses and urea ad libitum; and RG (restricted feeding) fed the same hay (80 and 86% of the daily NRC energy and protein requirements, respectively) for 29 days. Animals were weighed and blood collected weekly for determination of plasma free amino acid profiles and the results compared between experimental groups. At the end of the experimental period the CG animals had higher concentrations of alanine, tyrosine and citrulline amino acids. The RG group had higher concentrations of valine, isoleucine, leucine, threonine, methionine, lysine, taurine, ornithine, hydroxyproline and tri-methyl-histidine, while glycine, serine, aspartic acid, glutamic acid, arginine, histidine and proline levels were similar in both groups. From the results it can be concluded that plasma amino acid profiles in the Boer goat were significantly affected by nutritional restriction. The degradation of short carbon chain amino acids is preferred to long carbon chain amino acids for gluconeogenesis in the physiological mechanisms of response to nutritional restriction in Boer goats. Keywords: Boer goat; nutrition; restricted feeding; amino acids South African Journal of Animal Science Vol. 36 (5) 2006: pp.14-1

Impact of breastfeeding on infectious disease hospitalisation: the Children of 1997 cohort

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Dominant negative Bmp5 mutation reveals key role of BMPs in skeletal response to mechanical stimulation

Background. Over a hundred years ago, Wolff originally observed that bone growth and remodeling are exquisitely sensitive to mechanical forces acting on the skeleton. Clinical studies have noted that the size and the strength of bone increase with weight bearing and muscular activity and decrease with bed rest and disuse. Although the processes of mechanotransduction and functional response of bone to mechanical strain have been extensively studied, the molecular signaling mechanisms that mediate the response of bone cells to mechanical stimulation remain unclear. Results. Here, we identify a novel germline mutation at the mouse Bone morphogenetic protein 5 (Bmp5) locus. Genetic analysis shows that the mutation occurs at a site encoding the proteolytic processing sequence of the BMP5 protein and blocks proper processing of BMP5. Anatomic studies reveal that this mutation affects the formation of multiple skeletal features including several muscle-induced skeletal sites in vivo. Biomechanical studies of osteoblasts from these anatomic sites show that the mutation inhibits the proper response of bone cells to mechanical stimulation. Conclusion. The results from these genetic, biochemical, and biomechanical studies suggest that BMPs are required not only for skeletal patterning during embryonic development, but also for bone response and remodeling to mechanical stimulation at specific anatomic sites in the skeleton. © 2008 Ho et al; licensee BioMed Central Ltd