Proportion of bacteria causing healthcare associated infection in Khartoum North Teaching Hospital

Background: This study was conducted at Khartoum North Teaching Hospital (KNTH) in the period between June 2005 to September 2007 in order to determine the bacteria that causes common healthcare associated infection (HAI.) Methods: Hundred bacteriological specimens from patients with HAI from different surgical and internal medicine departments (27 from patients in obstetrics and gynecology units, 33 from patients in surgical ward, and 16 from urology units, 12 from the medicine, 8 from the otorhinolaryngyology and 4 from ophthalmology departments) were collected. All samples were cultured on suitable bacterial culture media and processed. Presence of significant growth was further studied to identify type of pathogen and its susceptibility against selected (common used)antibiotics. Results: Study showed that the most frequent bacteria isolated from patients as a cause of HAI were Pseudomonas aeruginosa (23%) , Proteus mirabilis (17%) , and E. coli (13%) respectively. Conclusion: The study also revealed that all Gram-negative isolates were highly sensitive to antibiotic such as ceftriaxone, ciprofloxacin and imipenem, while P. aeruginosa showed resistant to many commonly used antibiotics, but was sensitive to imipenem and pipracillin. All Gram-positive isolates were sensitive to vancomycin. Further studies are needed to evaluate the common microorganisms causing HAI and their drug susceptibility and proportion of HAI in this setting.Keywords: Gram-negative, Gram-positive, Nosocomial, microorganisms, antibiotic resistance

The Mysterious, Threat We Will Confront Mycobacterium Chelonae

Background: Surgical wound infection is an internationally recognized complication which is expected to get cured in few days time. Lack of antibiotic policies added to the existing chaos in free market policies is expected to end up with mysterious resistant organisms soon in future. Objectives: To report our experience with 52 key hole protracted surgical wound infections in 23 patients. Patients and methods: Demographic data of patients who suffered post operative subcutaneous wound nodules following minimal access surgery, duration of the disease and its clinical manifestations as well as results of investigations were collected and analysed. Results: Two males and 21 females, age range 27-65 (median 42) years had 32 key-hole wound nodules and 20 persistent discharging wounds that had appeared in an average but latent period of nine weeks (range three weeks to sixmonths after surgery). Only two cultures were positive for Mycobacterium chelonae. Conclusion: Mycobacterium chelonae should be suspected in protracted surgical wounds and treated promptly with meticulous frequent dressings, wound excision and clarithromycin plus ceftazidime. Keywords: surgical wounds, subcutaneous, mycobacterium, catalase, resistant organisms.Sudan Journal of Medical Sciences Vol. 3 (2) 2008: pp. 133-13

Staphylococcus aureus Nasal Carriage among Surgical personnel in National Ribat University Teaching Hospital-Khartoum-Sudan

Introduction: Staphylococcus aureus (S. aureus) is one of the most common causes of both community and hospital acquired bacterial infection. There is strong correlation between S aureus nasal carriage and disease progress. Nasal carriage is high among health care workers. Inappropriate usage of antibiotic may lead to emergence of resistant strains which has serious consequences. Objective: The objective of this study is to reveal the frequency of S aureus nasal carriage and its drug resistance among surgical personnel in National Ribat Teaching Hospital Khartoum Sudan. Methods: This is a hospital-based case study. Nasal smears were taken from medical workers in the surgical department and operational theater at National Ribat Teaching Hospital in Khartoum State, Sudan. Samples were processed, cultured, then susceptibility tests were performed using Bauer-Kirby disc diffusion methods following recommendations of National Committee for Laboratory Standards (NCCLS). Results were analyzed and discussed. Results: Sixty three samples were taken. Thirty were males. Growth was achieved in only eight (12.6%). Majority showed resistance to penicillin. However, alls strain were sensitive to amoxicillin/calvunalic acid, vancomycin and oxacillin. Conclusion: this study gives an early alarm on the problems related to S. aureus colonization rate and its drug resistance. Nevertheless, the small number of our study group is a bit fall. Keywords: drug resistance, hospital acquired bacterial infection Sudan Journal of Medical Science Vol. 3 (4) 2008: pp. 281-28

Inhibition of phage infection in capsule-producing Streptococcus thermophilus using concanavalin A, lysozyme and saccharides

Lactic cultures that produce capsular polysaccharides are widely used in the dairy industry. However, little information is available on their phage-cell interactions. Concanavalin A (Con A), lysozyme, andsaccharides were investigated for their ability to modify phage-cell interactions in such a manner as to inhibit phage infection. The ability of phage to infect cells was determined by measuring acidproduction in Elliker broth. Acid production by capsule-producing Streptococcus thermophilus was inhibited less by bacteriophage when cells were pretreated with Con. A than was acid production by acapsule-free variant. The presence of 0.5 mg/ml lysozyme in Elliker broth significantly reduced phage infection. However, there was no increased effect when lysozyme and Con A were combined in thegrowth medium. The addition of 5 g/L of glucosamine to Elliker broth also inhibited phage infection. The results of this study indicate that it is possible to reduce phage infection of capsule-forming S.thermophilus by blocking or modifying phage adsorption sites

Inter Vehicle Distance based connectivity aware routing in vehicular adhoc networks

Connectivity in vehicular traffic environment has witnessed significant attention due to the direct impact on the performance of most of the traffic safety applications of intelligent transport system. Various parameters such as density, speed, direction, link quality and inter vehicle distance (IVD) have been utilized for measuring connectivity. IVD has greater impact on connectivity and controls the impact of other parameters. Usage of real time IVD for measuring connectivity has not received sufficient attention in VANETs. This paper proposes IVD based connectivity aware routing (Ivd-CAR) for enhancing connectivity aware data dissemination. IVD calculation is robust and can effectively handle instantaneous GPS failure. Two localization techniques; namely, cooperative localization and Geometry based Localization are developed. Standard deviation of real time IVDs of a forwarding path is derived. Distribution of IVDs of a forwarding path is employed for estimating connectivity. Segment vehicle based next hop vehicle selection is utilized for incorporating network load, link quality and direction into consideration while selecting forwarding path. Simulations are carried out in ns2 to evaluate the performance of Ivd-CAR in realistic traffic environment. Comparative analysis of simulation results attests the superiority of Ivd-CAR to the state-of-the-art techniques: CSR and A-CAR

Phase Aberration Correction: A Deep Learning-Based Aberration to Aberration Approach

One of the primary sources of suboptimal image quality in ultrasound imaging is phase aberration. It is caused by spatial changes in sound speed over a heterogeneous medium, which disturbs the transmitted waves and prevents coherent summation of echo signals. Obtaining non-aberrated ground truths in real-world scenarios can be extremely challenging, if not impossible. This challenge hinders training of deep learning-based techniques' performance due to the presence of domain shift between simulated and experimental data. Here, for the first time, we propose a deep learning-based method that does not require ground truth to correct the phase aberration problem, and as such, can be directly trained on real data. We train a network wherein both the input and target output are randomly aberrated radio frequency (RF) data. Moreover, we demonstrate that a conventional loss function such as mean square error is inadequate for training such a network to achieve optimal performance. Instead, we propose an adaptive mixed loss function that employs both B-mode and RF data, resulting in more efficient convergence and enhanced performance. Finally, we publicly release our dataset, including 161,701 single plane-wave images (RF data). This dataset serves to mitigate the data scarcity problem in the development of deep learning-based techniques for phase aberration correction.Comment: arXiv admin note: text overlap with arXiv:2303.0574

Enhanced fodder yield of maize genotypes under saline irrigation is a function of their increased K accumulation and better K/Na ratio

Poor quality irrigation water adversely affects the growth and yield of crops. This study was designed to evaluate the growth, fodder yield and ionic concentration of three promising maize (Zea mays L.) genotypes under the influence of varying quality irrigation water, with different salinity levels. The genotypes, such as EV-1097, Kisan and Akbar were irrigated with usable (electrical conductivity, EC 1.5 dS m-1), marginal (EC 3.0 dS m-1), poor (EC 4.5 dS m-1) and very poor (EC 7.0 dS m-1) quality irrigationwater. The increasing adverse effects on various growth and yield variables of all three genotypes were observed with the increasing water salinity. Also, soil EC, SAR and ESP values increased linearly with increasing salinity levels of irrigation water. Poor quality irrigation water affected all the growthvariables and yield of maize. Increasing concentrations of sodium and chloride ions, coupled with decreasing concentration of potassium, in flag leaf of maize was observed in response to increasing salinity of irrigation water. The genotypic variation among the three maize genotypes to saline water irrigation was in order of EV-1097 > Kisan > Akbar. The better fresh fodder yield of maize genotypes under poor quality irrigation water was a function of their enhanced accumulation of potassium (K) and better K/Na ratio. The study concluded that, the genotype EV-1097 is a better choice for the maize growers under saline water irrigation condition.Key words: Maize (Zea Mays L.), fodder yield, saline irrigation, K accumulation, K/Na ratio

Double coin in esophagus at same location and same alignment - a rare occurrence: a case report

Coin is the most common foreign body swallowed by pediatric age group. The multiple coin swallowing is extremely rare and very few cases had been reported in English literature. Most of them were present at different site and had different alignment in the esophagus. The location of the coin (trachea vs. esophagus) is commonly determined by the alignment of the coin on radiographic studies. A 4-year-girl was presented to us with history of coin ingestions one day back without any respiratory distress. On radiological study there was suspicion of two coins on same location and alignment. The diagnosis was confirmed after removal. The both coin was removed successfully by esophagoscopy. Unexpected second foreign bodies in pediatric esophageal coin ingestions are rare and it is mandatory to do post operative radiography after removal to exclude duplex coin or tracheal coin. We are presenting this case because of its rarity, difficulty in diagnosis especially when proper history is not available

Wigner's DD-matrix elements for SU(3)SU(3) - A Generating Function Approach

A generating function for the Wigner's $D$-matrix elements of $SU(3)$ is derived. From this an explicit expression for the individual matrix elements is obtained in a closed form.Comment: RevTex 3.0, 22 pages, no figure