Hepatitis B Virus, Hepatitis C Virus and Human Immunodeficiency Virus Infections among Pregnant Women in Central Sudan

Background: The epidemiology of viral hepatitis and Human immunodeficiency virus (HIV) during pregnancy is of great importance for health planners and program managers. However, few published data on viral hepatitis and HIV are available in Sudan especially during pregnancy.Objectives: The current study was conducted to investigate seropositivity of hepatitis B, hepatitis C, and HIV among pregnant women in central Sudan.Materials and methods: A cross sectional study was conducted where 396 pregnant women were investigated for the presence of hepatitis B, C and HIV. Enzyme linked immunosorbent assay (ELISA) was used to detect HBsAg and anti-HCV. Antibodies to HIV were detected by three different methods as per Strategy III of the National AIDS Control Organization by utilizing different systems of testing to make a diagnosis of HIV.Results: Twenty (5.1%), five (1.3%), and six (1.5%) women were seropositive for HBsAg anti- HCV antibodies and HIV, respectively. One (0.003 %) woman was seropositive for both HBsAg and anti-HCV antibodies. While age, parity, were not associated with seropostivtiy of HBsAg, home delivery was the only significant risk factor for seropostivtiy of HBsAg (OR=4.5 (95% CI=1.2-16.7)Conclusion: Prevalence of HBV and HCV among pregnant women in this setting is in the intermediate zone of endemicity. This is alarming and should draw medical authorities’ attention if vertical transmission is to be reduced.Key words: Sudan, hepatitis B, hepatitis C, HIV, seropositivity, Pregnancy

Morbidity and Mortality Pattern of Neonates Admitted into Nursery Unit in Wad Medani Hospital, Sudan

Background: Neonatal outcome is an important indicator of obstetrics and health care. Few or no published data are available concerning neonatal morbidity and mortality in Sudan. Objectives: To study morbidity and mortality pattern amongst inborn neonates admitted into nursery unit in Wad Medani Hospital, Sudan during the period Jan-June, 2009.Results: A total of 1211 (29.5%) out of 4098 in-born neonates were admitted during study period. The major indications for neonatal admission were; infections 300 (24.8%), low birth weight (LBW) 307(25.4%) and asphyxia 130(10.7). There were 133(11%) neonatal deaths; preterm delivery, LBW and birth asphyxia were the major causes of death among these neonates.Conclusion: neonatal infection, preterm birth and LBW were the common causes of neonatal morbidity and mortality. There is an urgent need for more research throughout the country concerning these common causes of morbidity and mortality.Key words: pregnancy, preterm delivery, low birth weight, asphyxi

Association of placenta praevia with repeat cesarean section in Omdurman Maternity Hospital, Sudan 2010- 2012

Background: Several risk factors for placenta praevia exist, including  previous cesarean section(C/S). This association has been investigated long time ago, however in this hospital there is no documented evidence. This study was done to assess the risk of placenta praevia based on number of previous cesarean sections.Methods: A hospital-based study, at Omdurman maternity hospital- OMH during; January 2010-December 2012. Deliveries in OMH were reviewed by trained registrars. Patients diagnosed prenatally or during delivery as  placenta praevia were included. All women operated were followed till  discharge from hospital.Results: Total number of deliveries during the study period is 94758.Of them 68415 (72.2%) delivered vaginally and 26343 (27.8%) by C/S.Of the latter 10643 (40.4%) underwent elective and 15700 (59.6%) emergency CS.448 (0.5%) were diagnosed as placenta praevia. Placenta praevia was more common in patients with scarred uterus being found a 250 out of 9853 CS (2.5%). Its frequency increased with the number of uterine scars: one scar; (1.7%), (RR = 1.45, CI= 1.12-1.88), 2-4 scars (2.8%), (RR = 2.32, CI= 1.87-2.87) & five or more scars; (12.7%), (RR = 10.54, CI= 7.34-15.13). Nineteen patients (7.6%) had adherent placenta, (RR = 42.41, CI =5.69-315.83), 68(15.2%) had history of dilatation and  curettage (D&C) or evacuation,(RR = 1.5, CI = 1.18-1.94), 37 (8.3%) had previous history of placenta praevia, (RR= 8.30, CI = 6.17- 11.19). Threematernal deaths were encountered (0.7%).Conclusion: The frequency of placenta praevia in this study increased with increasing number of previous C/S, and was associated with adverse  feto-maternal outcome. This study provides a reason to reduce primary C/S and encouraging vaginal birth after C/S (VBAC).Key words: Placenta praevia. Repeated cesarean section. Sudan

Excess dietary iodine intake in long-term African refugees

Abstract Objective To assess the iodine status of long-term refugees dependent on international food aid and humanitarian assistance. Design A series of cross-sectional two-stage cluster or systematic random sample surveys which assessed urinary iodine excretion and the prevalence of visible goitre. Salt samples were also collected and tested for iodine content by titration. Setting Six refugee camps in East, North and Southern Africa. Subjects Male and female adolescents aged 10-19 years. Main results The median urinary iodine concentration (UIC) ranged from 254 to 1200 μg l−1 and in five of the camps exceeded the recommended maximum limit of 300 μg l−1, indicating excessive iodine intake. Visible goitre was assessed in four surveys where it ranged from 0.0 to 7.1%. The camp with the highest UIC also had the highest prevalence of visible goitre. The iodine concentrations in 11 salt samples from three camps were measured by titration and six of these exceeded the production-level concentration of 20 to 40 ppm recommended by the World Health Organization (WHO), but were all less than 100 ppm. Conclusions Excessive consumption of iodine is occurring in most of the surveyed populations. Urgent revision of the level of salt iodisation is required to meet current WHO recommendations. However, the full cause of excessive iodine excretion remains unknown and further investigation is required urgently to identify the cause, assess any health impact and identify remedial actio

A study on removal characteristics of (Mn2+) from aqueous solution by CNT

It is important to remove manganese from water because of its effects on human and the environment. Human activities are one of the biggest contributors for excessive manganese concentration in the environment. The proposed method to remove manganese in aqueous solution by using adsorption as in carbon nanotubes (CNT) at different parameters: The parameters are CNT dosage, pH, agitation speed and contact time. Different pHs are pH 6.0, pH 6.5, pH 7.0, pH 7.5 and pH 8.0, CNT dosages are 5mg, 6.25mg, 7.5mg, 8.75mg or 10mg, contact time are 10 min, 32.5 min, 55 min, 87.5 min and 120 min while the agitation speeds are 100rpm, 150rpm, 200rpm, 250rpm and 300rpm. The parameters chosen for experiments are based on experimental design done by using Central Composite Design, Design Expert 6.0 with 4 parameters, 5 levels and 2 replications. Based on the results, condition set at pH 7.0, agitation speed of 300 rpm, 7.5mg and contact time 55 minutes gives the highest removal with 75.5%. From ANOVA analysis in Design Expert 6.0, the residual concentration will be very much affected by pH and CNT dosage. Initial manganese concentration is 1.2mg/L while the lowest residual concentration achieved is 0.294mg/L, which almost satisfy DOE Malaysia Standard B requirement. Therefore, further experiments must be done to remove manganese from model water to the required standard (0.2 mg/L) with the initial concentration set to 0.294 mg/L

Date seed extract as preservatives

The increasing demand for minimally-processed. extended shelflife foods and rcpons of ehemical preservatives as having potential toxicity demands food manufacturers to find altcrnative snurccs of anTimicrobial compounds. Food infection and into.~ication are considered as the most common causes of foodborne dir.eases worldwide. Foodbome pathogens cau.ing these diseases find their way in foods through cros, COnTamination. improper handling and temp<;'rature abuse. Food ,poilage microorganisms. On the other hand. cause products to lose thcir quality which renders them unacceptable to consumcrs, Shon shclflife of food products because of spoilage is one of thc major problems of the food induslTy. Examples of food spoilage microorganisms include P-<f:llJO",UlW;' ''':nlgillU.m. 8acilh,,· :Wblilis. I.acrolwdlllls 51' .. StJccho,-o"'yc-es cere,'i,i"e and AS/H'I"gilltr;, lIig"I"

Capturing differences in dental training using a virtual reality simulator

Virtual reality simulators are becoming increasingly popular in dental schools across the world. But to what extent do these systems reflect actual dental ability? Addressing this question of construct validity is a fundamental step that is necessary before these systems can be fully integrated into a dental school's curriculum. In this study, we examined the sensitivity of the Simodont (a haptic virtual reality dental simulator) to differences in dental training experience. Two hundred and eighty-nine participants, with 1 (n = 92), 3 (n = 79), 4 (n = 57) and 5 (n = 61) years of dental training, performed a series of tasks upon their first exposure to the simulator. We found statistically significant differences between novice (Year 1) and experienced dental trainees (operationalised as 3 or more years of training), but no differences between performance of experienced trainees with varying levels of experience. This work represents a crucial first step in understanding the value of haptic virtual reality simulators in dental education

Feedback and motor skill acquisition using a haptic dental simulator

Aim: To investigate the effect of qualitatively different types of pedagogical feedback (FB) on the training, transfer and retention of basic manual dexterity dental skills using a virtual reality (VR) haptic dental simulator. Methods: Sixty-three participants (M = 22.7 years; SD = 3.4 years), with no previous dental training, were randomly allocated to one of three groups (n = 21 each). Group 1 received device-only feedback during the training phase, that is the visual display of the simulator (DFB); Group 2 received verbal feedback from a qualified dental instructor (IFB); and Group 3 received a combination of instructor and device feedback (IDFB). Participants completed four tasks during which feedback was given according to group allocation as well as two skills transfer tests. Skill retention was examined immediately after training, at 1 week and at 1 month post-test. Results: Statistically significant differences were found between the groups in overall performance (P < 0.001) and error (P = 0.006). Post hoc comparisons revealed the IDFB group produced substantially better performance and fewer errors in comparison with DFB and IFB training. This difference translated to improved performance in skill retention and generalisation of knowledge to novel tasks. Conclusion: These data indicate that the acquisition and retention of basic dental motor skills in novice trainees is best optimised through a combination of instructor and visual display (VR)-driven feedback. The results have implications for the utility and implementation of VR haptic technology in dental education