Preliminary report on theNeurology workload ina central hospital in Sudan.

Introduction: Identification of the local pattern of neurological diseases is expected to help setting the priorities for good planning of management and public education.Objectives: To identify the pattern of neurological disorders in a second biggest central hospital in Sudan.Methodology: Review of the diagnosis of 170 patients, seen in the out patients neuro-clinic and the neurology ward from March 2010 to February 2011, was done. Patients who were in follow up by other neuro-clinics were excluded.Results: The male to female ratio was 1:1 Patients who were 20-60 years old comprised 54%.About 50% of patients live in Omdurman city. Motor symptoms were the most common presenting symptoms forming 64.1% followed by cranial nerves symptoms 27.6%. Stroke was the commonestencountered diagnosis seen in 20.7%, followed by epilepsy in 16.6%, headache in 9.6%, movement disorders in 7.7%, peripheral neuropathy in 3.6%, demylination in 1.8%, cerebral venous sinus thrombosis (CVST) 1.8% and tumours in 1.2% patients. Stroke was more common in patients from East Sudan and Epilepsy was more common in patients from West Sudan. Vascular and degenerative changes were the commonest abnormalities seen in imaging studies. Demyelination and neoplasms were more common in females.Conclusion: Stroke, epilepsy and headache were the commonest neurological disorders met in Omdurman Teaching Hospital.Key words: general hospital, neurology department, neurological disorders

Experience with impacted upper ureteral Stones; should we abandon using semirigid ureteroscopes and pneumatic lithoclast?

<p>Abstract</p> <p>Introduction</p> <p>The AUA/EAU Ureteral Stones Guideline Panel reported that the stone free rate for the proximal ureteral stones is around 81% when treated by either SWL or ureteroscopy (URS).</p> <p>Complication rates, most notably ureteral perforation and long-term complications of URS such as stricture formation rates, have been reduced to < 5%. Moreover, impacted ureteral calculi are more difficult to fragment with SWL because of the lack of natural expansion space for stones, this result in a situation that is better managed by ureteroscopy. The aim of this study is to assess the efficacy, safety, and complications of impacted upper ureteral stone disintegration using semirigid ureteroscopes and pneumatic lithotripsy.</p> <p>Methods</p> <p>We retrospectively analyzed the records of 267 consecutive patients with impacted upper ureteral stones (9–20 mm) who were treated by semirigid ureteroscopes and pneumatic disintegration. The efficacy of treatment was estimated using the stone-free rate and all treatment related complications were analyzed.</p> <p>Results</p> <p>Except for 24 cases where the stone migrated to the kidney, the stone was successfully treated ureteroscopically, with a low rate of minimal complications such as mild hematuria (18.4%), short term low grade fever (13.5%). Only 3 patients (1.1%) had high grade fever and none had post operative stricture.</p> <p>Conclusion</p> <p>The use of semirigid URS and pneumatic lithotripsy in impacted upper ureteral stones in experienced hands has very satisfactory results with minimal complications. When Holmium laser and flexible URS are not available, semirigid URS and pneumatic lithotripsy is a good alternative that shouldn't, yet, be abandoned.</p

Flexural Strength of Innovative Thin-Walled Composite Cold-Formed Steel/PE-ECC Beams

A detailed experimental investigation on the flexural behaviour of an innovative precast composite element combining cold-formed steel (CFS) and engineered cementitious composites (ECC) is presented in this paper. Bonding ECC to the lightweight thin-walled CFS sections enhanced the buckling, bearing, and torsional properties of the composite sections. The proposed composite system will be used as precast flexural members in framed structures with large spans or as a rehabilitation approach for corroded cold-formed and hot-rolled steel flexural members. Simply supported beams with comparatively long spans with span-to-depth ratios of 6.83 and 13.48 were installed back-to-back and tested under a 4-point loading configuration. The behaviour of composite CFS/ECC beams under bending was investigated and compared with the bare CFS sections. Composite CFS/MOR beams incorporating high-strength mortar (MOR) as an ECC replacement were also investigated. The test specimens were divided into three series with sixteen tests in total. Series A (SC300) included six tests utilising 300-mm height SupaCee sections, Series B (C300) included four tests using 300-mm height lipped-Cee sections, and Series C (SC150) included six tests utilising 150-mm height SupaCee sections. The composite CFS/ECC beams exhibited high load-bearing capacities after reaching their plastic section capacities, while the bare CFS beams failed to reach their yield section capacities due to distortional buckling. Composite CFS/MOR beams could not reach their plastic moment capacities due to debonding between MOR and CFS after MOR crushing. The moment capacities of the composite CFS/ECC beams increased up to 140.0% over their duplicate bare CFS sections, while composite CFS/MOR beams showed only a 72.0% increase over CFS sections. Lastly, design equations to predict the moment capacity of composite CFS/ECC beams are presented, based on the experimental results

Overview on Hepatitis B vaccination

Background: Hepatitis B virus (HBV) infection is increasing globally, posing a serious public health problem. Hepatitis B virus (HBV) infection and mortality are among the leading causes of death worldwide. Concerns for public health are amplified by the fact that about a third of the world's population is afflicted with HBV. HBV infection may result in cirrhosis, hepatocellular cancer, or both (HCC).Immunization is the most cost-effective strategy available worldwide for controlling and preventing hepatitis B in terms of benefit-cost ratio. Objective: This review article discusses the most critical components of the HBV vaccine and the most efficient strategies for increasing HBV vaccinatio

Proposal for generalised Supersymmetry Les Houches Accord for see-saw models and PDG numbering scheme

The SUSY Les Houches Accord (SLHA) 2 extended the first SLHA to include various generalisations of the Minimal Supersymmetric Standard Model (MSSM) as well as its simplest next-to-minimal version. Here, we propose further extensions to it, to include the most general and well-established see-saw descriptions (types I/II/III, inverse, and linear) in both an effective and a simple gauged extension of the MSSM framework. In addition, we generalise the PDG numbering scheme to reflect the properties of the particles.Comment: 44 pages. Changed titl

Uromodulin concentrations are not associated with incident CKD among persons with coronary artery disease

<p>Abstract</p> <p>Background</p> <p>A common variant of the UMOD gene was linked with prevalent chronic kidney disease (CKD) in large, genomics consortia. One community-based study found that urine concentrations of the uromodulin protein forecast risk of incident CKD. This study within persons with known coronary artery disease (CAD) evaluated whether uromodulin concentrations could distinguish CKD risk.</p> <p>Methods</p> <p>In the Heart and Soul Study, the UMOD snp (12917707) was genotyped in 879 individuals with baseline creatinine clearance (CrCl) measured from a 24-hour urine collection. Uromodulin protein was measured from stored urine specimens among a subset of 120 participants, balanced by genotype. Incident CKD cases (N = 102) were defined by an initial CrCl > 70 ml/min and a 5-year follow-up CrCl <60 ml/min; controls (N = 94) were matched on age, sex, and race.</p> <p>Results</p> <p>Among 527 self-described White participants with DNA, 373 (71%) were homozygous for the dominant allele (G/G), 133 (25%) were heterozygous (G/T) and only 21 (4%) were homozygous for the minor allele (T/T). The T/T genotype had an approximately 11 ml/min higher CrCl than the other 2 groups, but this difference did not reach statistical significance (p = 0.20). The T/T genotype had significantly lower uromodulin levels than the common G/G genotype, and the G/T genotype had intermediate levels. However, uromodulin concentrations were similar between cases and controls (44 vs. 48 mg/dL, p = 0.88).</p> <p>Conclusions</p> <p>This study among a cohort of persons with established CAD found no association between urine uromodulin and incident CKD, although UMOD genotype was associated with urine uromodulin concentrations.</p

Enhancing lepton flavour violation in the supersymmetric inverse seesaw beyond the dipole contribution

In minimal supersymmetric models the $Z$-penguin usually provides sub-dominant contributions to charged lepton flavour violating observables. In this study, we consider the supersymmetric inverse seesaw in which the non-minimal particle content allows for dominant contributions of the $Z$-penguin to several lepton flavour violating observables. In particular, and due to the low-scale (TeV) seesaw, the penguin contribution to, for instance, \Br(\mu \to 3e) and $\mu-e$ conversion in nuclei, allows to render some of these observables within future sensitivity reach. Moreover, we show that in this framework, the $Z$-penguin exhibits the same non-decoupling behaviour which had previously been identified in flavour violating Higgs decays in the Minimal Supersymmetric Standard Model.Comment: 29 pages, 9 figures, 4 tables; v2: minor corrections, version to appear in JHE