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Article: Patterns and management outcome of paediatrics burn in a general surgical department: experience from a secondary referral hospital.

Bakhiet, Mohammed Yousof / Koko, Mohammedbabalrahma Bashier Ahmed / Gismalla, Mohamed Daffalla-Awadalla / Assil, Sami Mahmoud / Bagit, Ahmed A

Sudanese journal of paediatrics

2023 Volume 23, Issue 1, Page(s) 74–81

Abstract: Burns are considered the fourth most common type of traumatic injury worldwide with significant morbidity and mortality. The aim of this study is to disclose the incidence, etiological factors, treatment and outcome of paediatric burns in Sudan. This is ... ...

Abstract	Burns are considered the fourth most common type of traumatic injury worldwide with significant morbidity and mortality. The aim of this study is to disclose the incidence, etiological factors, treatment and outcome of paediatric burns in Sudan. This is a retrospective hospital-based study, conducted during 2016-2019. Patients who presented with burn injuries and managed in the hospital were included in the study. Flowchart sheets were used to collect the data. Then, it was entered and analysed using Statistical Package for the Social Sciences version 21 statistical software (IBM Corporation, Chicago, IL). The total number of patients who fulfill our criteria is 85 with a median age of 4 years (7 months-15 years). Sixty-five percent of them were under 5 years with male predominance (55%). Most patients' burns occurred at home. The median percentage of burn is 18% (2%-90%) which is caused by scalding burn among 55.3% followed by the flame burn in 41.2% of patients. Regarding fluid management, 60% received fluid. Open dressing for burn wounds was done for 75% and close dressing among 15% of patients. More than 80% of the patients in this study were treated and discharged in a good condition while the mortality was 5.9%. This study showed the significant burden of paediatric burns management on general surgery units in a referral hospital. Therefore, equipping the hospital and founding these specialities will decrease this load and will improve the outcome.
Language	English
Publishing date	2023-08-09
Publishing country	Sudan
Document type	Journal Article
ZDB-ID	3035197-2
ISSN	1858-8360 ; 0256-4408
ISSN (online)	1858-8360
ISSN	0256-4408
DOI	10.24911/SJP.106-1603179359
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Publications in Plastic Surgery and Reconstruction: A Review from a Developing Country, Sudan.

Bakhiet, Mohammed Yousof / Alshareef, Alshareef Mohamed / Abuelnour, Aimen Elsheikh Khalil / Asiri, Mohammed Nasser / Alzahrani, Rayan Abdullah J / Alghamdi, Saja Mohammed S / Murdhi A Alzahrani, Rayan / Alghamdi, Hanin Ayed M / Gismalla, Mohamed Daffalla-Awadalla

Plastic and reconstructive surgery. Global open

2024 Volume 12, Issue 5, Page(s) e5761

Abstract: Background: Plastic and reconstructive surgery services need to be improved in developing African countries. Research and article publications from those countries are limited. This review was conducted to identify published articles from Sudan in the ... ...

Abstract	Background: Plastic and reconstructive surgery services need to be improved in developing African countries. Research and article publications from those countries are limited. This review was conducted to identify published articles from Sudan in the area of plastic and reconstructive surgery. Methods: This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. The Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines were used for the preparation of this systematic review. A comprehensive systematic search was performed using PubMed, ScienceDirect, and Web of Science databases. Articles published in Sudan, specifically in the area of plastic and reconstructive surgery, and written in English were included in this review. Results: The total number of articles that fulfilled the inclusion criteria was 23. The articles were written from 1969 to 2023. Only two articles were published in the 20th century. The most common study type was a retrospective study of eight articles, and the most common study area was Khartoum Teaching Hospital. Regarding the publishing journals, the number of subscription journals was six (30%), whereas open access was 17 (70%). Conclusion: This review demonstrates the lack of articles published on plastic surgery in Sudan. Further investigation is needed to determine the challenges and problems associated with possible clarifications.
Language	English
Publishing date	2024-05-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	2851682-5
ISSN	2169-7574 ; 2169-7574
ISSN (online)	2169-7574
ISSN	2169-7574
DOI	10.1097/GOX.0000000000005761
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Clinical Fellowship

Arun Kumar Kaliya Perumal / Mohamed Daffalla-Awadalla Gismalla / Rami Ibrahim

Journal of Medical Education, Vol 17, Iss

A Surgeon’s Odyssey

2019 Volume 3

Abstract: The efficacy of clinical fellowships to produce experts in any focused surgical sub-speciality is undeniable. To substantiate and emphasize the importance of clinical fellowships, we conducted a survey among twenty specialist surgeons who completed their ...

Abstract	The efficacy of clinical fellowships to produce experts in any focused surgical sub-speciality is undeniable. To substantiate and emphasize the importance of clinical fellowships, we conducted a survey among twenty specialist surgeons who completed their clinical fellowships in various surgical sub-specialities. We analysed the correlation between training related parameters with that of their performance after the fellowship. When surgeons strongly agreed that their fellowship training was comprehensive, their post-fellowship confidence as an expert increased. When they were satisfied that they developed the desired diagnostic and surgical skills during their fellowship, they became confident as an expert, were competent in practice, and able to do more sub-speciality related procedures after the fellowship; in addition, they became able clinical researchers. Therefore, it is with no doubt that clinical fellowships can be deemed as an integral part of sub-speciality training. Keywords: MEDICAL EDUCATION, GRADUATE TRAINING, LEARNING CURVE, CLINICAL FELLOWSHIP, CLINICAL COMPETENCY
Keywords	MEDICAL EDUCATION ; GRADUATE TRAINING ; LEARNING CURVE ; CLINICAL FELLOWSHIP ; CLINICAL COMPETENCY ; Education (General) ; L7-991 ; Medicine (General) ; R5-920
Subject code	610
Language	English
Publishing date	2019-01-01T00:00:00Z
Publisher	Shaheed Beheshti University of Medical Sciences and Health Services
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Renal mycetoma presenting with features suggesting renal malignancy: A case report.

Taha, Sami Mahjoub / Ahmed, Alia Mirghani / Yousif, Badreldin Mirgani / Osman, Yassin Mohammed / Gismalla, Mohamed Daffalla Awadalla

International journal of surgery case reports

2023 Volume 107, Page(s) 108366

Abstract: Introduction and importance: Neoplasms of the Kidney are rarely caused by actinomycetoma or other mycetoma species. Actinomycetoma is a neglected tropical disease which is not uncommon in Sudan. Usually, it is presented as skin and subcutaneous tissue ... ...

Abstract	Introduction and importance: Neoplasms of the Kidney are rarely caused by actinomycetoma or other mycetoma species. Actinomycetoma is a neglected tropical disease which is not uncommon in Sudan. Usually, it is presented as skin and subcutaneous tissue lesions or mass and can affect the bone and other soft tissue. Sites of the lesion are found in lower limbs, upper limbs, head and neck and torso. Case presentation: A 55-year-old female presented incidental left renal mass on ultrasound examination from the internal medical department. It is presented as a renal mass mimicking renal cell carcinoma with coexistence with another actinomycetoma brain mass. The histopathology report after nephrectomy confirmed the diagnosis. Patients commenced on anti-actinomycetoma treatment after nephrectomy. Clinical discussion: This is the first reported case in our facility which was diagnosed as a renal actinomycetoma. It was treated by surgical excision and received antibacterial treatments. Conclusion: This case demonstrates that renal actinomycetoma can occur in an endemic area even without cutaneous or subcutaneous lesions.
Language	English
Publishing date	2023-06-01
Publishing country	Netherlands
Document type	Case Reports
ISSN	2210-2612
ISSN	2210-2612
DOI	10.1016/j.ijscr.2023.108366
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Medical students’ perception towards E-learning during COVID 19 pandemic in a high burden developing country

Mohamed Daffalla-Awadalla Gismalla / Mohamed Soud Mohamed / Omaima Salah O Ibrahim / Moawia Mohammed Ali Elhassan / Mohamed NaserEldeen Mohamed

BMC Medical Education, Vol 21, Iss 1, Pp 1-

2021 Volume 7

Abstract: Abstract Background In High-income countries, many academic institutions are using E-learning during COVID 19 Pandemic. However, in limited-resource countries, like Sudan, shifting towards E-learning requires many adjustments to be made to make sure the ... ...

Abstract	Abstract Background In High-income countries, many academic institutions are using E-learning during COVID 19 Pandemic. However, in limited-resource countries, like Sudan, shifting towards E-learning requires many adjustments to be made to make sure the E-learning is held in a proper manner, as best as possible. This study was undertaken to assess medical students’ perception towards implementing E-learning during COVID 19 Pandemic and to highlight for E-learning implementation in Sudan as an example of a limited-resource setting. Methods A cross-sectional survey was conducted between 10 and 25 of May 2020 among the undergraduate medical students at the Faculty of Medicine, University of Gezira, Sudan. The study used self-administered online-based questionnaire. E-mail and social media platforms such as Facebook and WhatsApp were utilized to disseminate the questionnaire. Results The total numbers of 358 undergraduate medical students responded to the online survey questionnaire. The majority (87.7 %) of students agreed that the closure of the university is an essential decision to control the spread of the COVID-19 infection. Approximately two-thirds (64 %) of students perceived that E-learning is the best solution during COVID 19 lockdown. The level of medical students (Pre-clerkship and Clerkship) and place of residence had significant correlation (p-value < 0.05) with medical students opinion regards starting the E-learning. Internet bandwidth and connectivity limitation, unfamiliarity with E-learning system, technical support limitation and time flexibility in case of technical problems during online exams, and lack of face-to-face interaction were the factors considered by medical students to be against the E-learning implementation. Conclusions Most medical students had a positive perception of E-learning. However, there are many challenges considered as an inhibitory factor for utilizing electronic technologies for medical education. We recommend that challenges of E-learning in our limited-resource ...
Keywords	E-learning ; Distance learning ; Medical Education ; Africa ; Special aspects of education ; LC8-6691 ; Medicine ; R
Subject code	370
Language	English
Publishing date	2021-07-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Gunshot Injuries

Mohammed Yousof Bakhiet / Mohammedbabalrahma Bashier Ahmed Koko / Abderahim Abdelrahman Kabbashi / Mohamed Daffalla Awadalla Gismalla

Sudan Journal of Medical Sciences, Vol 18, Iss 1, Pp 71-

Patterns, Presentations, and Outcomes of Civilian Hospital Experiences in a Developing Country Setting

2023 Volume 83

Abstract: Abstract Background: Gunshot injuries are considered a health burden as well as one of the intricate emergencies in civilian medical practice. In this study, we aim to determine the pattern of presentation and management outcome in a general hospital ... ...

Abstract	Abstract Background: Gunshot injuries are considered a health burden as well as one of the intricate emergencies in civilian medical practice. In this study, we aim to determine the pattern of presentation and management outcome in a general hospital setting in a sub-Saharan African country. Methods: This is a retrospective, hospital-based study conducted between January 2015 and December 2019 in a general teaching hospital to review the clinical presentation and management outcome of gunshot injuries. All patients' records were reviewed during the study period. Results: The total number of patients involved in the study was 157 with 83% male predominant. About 50% were from the age group 20–29 years that were most affected. The commonest anatomical site affected in the study was the lower limb (41.4%) and upper limb (22.9%), and most of the patients had been diagnosed with limb fractures (49.7%) and soft tissue injuries (28.7%). Wound debridement is the commonest procedure performed for 91 (58.0%) patients. The site of the pullet has a significant relation to the management outcome with a P-value of 0.002. Additionally, about 45% (72 patients) have stayed more than 20 days and it was affected significantly by the types of treatment provided, which has a significant relation to a hospital stay with a P-value of 0.00. Conclusion: Most of the patients in this study were young males. Upper and lower limb fractures were the most common presentations. Wound debridement, bone fixation, and laparotomy were the most common treatments with significant success rates, despite prolonged hospital stays.
Keywords	epidemiology ; gunshot injuries ; gunshot wound ; sub-saharan countries ; sudan ; Medicine ; R
Subject code	616
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	Knowledge E
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Medical students' perception towards E-learning during COVID 19 pandemic in a high burden developing country.

Gismalla, Mohamed Daffalla-Awadalla / Mohamed, Mohamed Soud / Ibrahim, Omaima Salah O / Elhassan, Moawia Mohammed Ali / Mohamed, Mohamed NaserEldeen

BMC medical education

2021 Volume 21, Issue 1, Page(s) 377

Abstract: Background: In High-income countries, many academic institutions are using E-learning during COVID 19 Pandemic. However, in limited-resource countries, like Sudan, shifting towards E-learning requires many adjustments to be made to make sure the E- ... ...

Abstract	Background: In High-income countries, many academic institutions are using E-learning during COVID 19 Pandemic. However, in limited-resource countries, like Sudan, shifting towards E-learning requires many adjustments to be made to make sure the E-learning is held in a proper manner, as best as possible. This study was undertaken to assess medical students' perception towards implementing E-learning during COVID 19 Pandemic and to highlight for E-learning implementation in Sudan as an example of a limited-resource setting. Methods: A cross-sectional survey was conducted between 10 and 25 of May 2020 among the undergraduate medical students at the Faculty of Medicine, University of Gezira, Sudan. The study used self-administered online-based questionnaire. E-mail and social media platforms such as Facebook and WhatsApp were utilized to disseminate the questionnaire. Results: The total numbers of 358 undergraduate medical students responded to the online survey questionnaire. The majority (87.7 %) of students agreed that the closure of the university is an essential decision to control the spread of the COVID-19 infection. Approximately two-thirds (64 %) of students perceived that E-learning is the best solution during COVID 19 lockdown. The level of medical students (Pre-clerkship and Clerkship) and place of residence had significant correlation (p-value < 0.05) with medical students opinion regards starting the E-learning. Internet bandwidth and connectivity limitation, unfamiliarity with E-learning system, technical support limitation and time flexibility in case of technical problems during online exams, and lack of face-to-face interaction were the factors considered by medical students to be against the E-learning implementation. Conclusions: Most medical students had a positive perception of E-learning. However, there are many challenges considered as an inhibitory factor for utilizing electronic technologies for medical education. We recommend that challenges of E-learning in our limited-resource setting should be systematically evaluated and that effective strategies should be developed to overcome their inhibitory effects.
MeSH term(s)	COVID-19 ; Communicable Disease Control ; Computer-Assisted Instruction ; Cross-Sectional Studies ; Developing Countries ; Education, Distance ; Humans ; Pandemics ; Perception ; SARS-CoV-2 ; Students, Medical ; Sudan/epidemiology
Language	English
Publishing date	2021-07-10
Publishing country	England
Document type	Journal Article
ZDB-ID	2044473-4
ISSN	1472-6920 ; 1472-6920
ISSN (online)	1472-6920
ISSN	1472-6920
DOI	10.1186/s12909-021-02811-8
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Buccal mucosal graft urethroplasty for anterior urethral stricture, experience from a low-income country.

Awad, Sami Mahjoub Taha / Ahmed, Musab Abdalla M / Abdalla, Yassin Mohamed Osman / Ahmed, Mohammed El Imam M / Gismalla, Mohamed Daffalla-Awadalla

BMC urology

2021 Volume 21, Issue 1, Page(s) 171

Abstract: Background/purpose: This study was conducted to present our experience in urethral mucosal graft urethroplasty to repair urethral stricture, as the first experience in our context.: Methods: This is a prospective hospital-based study that had been ... ...

Abstract	Background/purpose: This study was conducted to present our experience in urethral mucosal graft urethroplasty to repair urethral stricture, as the first experience in our context. Methods: This is a prospective hospital-based study that had been designed to review management outcomes of buccal mucosal graft urethroplasty for anterior urethral stricture from January 2017 to January 2019. Results: The total number of involved patients was 60. The success rate was found to be 90% (n = 54), while 6 (10%) had a recurrence of stricture. Pain and pain combined bleeding from internal suture lines were the only early complication encountered in 50 (83.3%) and 2 (3.3%) patients, respectively. late complications occurred as follows 14 (23.3%) patients had UTI, 12 (20%) had wound infections, 8 (13.3%) had changes in ejaculation, and decrease in intensity of orgasm, and 6 (10%) had erectile dysfunction. One of the long-term complications was graft diverticulum in one case and was treated conservatively (in ventral on lay BMG). Conclusion: Improvement of the service in limited resources countries like Sudan and was reflected in the excellent outcome of BMG urethroplasty as treatment of anterior urethral stricture (success rate 90%).
MeSH term(s)	Adult ; Humans ; Male ; Middle Aged ; Mouth Mucosa/transplantation ; Poverty ; Prospective Studies ; Sudan ; Urethra/surgery ; Urethral Stricture/pathology ; Urethral Stricture/surgery ; Urologic Surgical Procedures, Male/methods ; Young Adult
Language	English
Publishing date	2021-12-07
Publishing country	England
Document type	Journal Article
ZDB-ID	2059857-9
ISSN	1471-2490 ; 1471-2490
ISSN (online)	1471-2490
ISSN	1471-2490
DOI	10.1186/s12894-021-00918-0
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Review of Plastic and Reconstructive Surgery in a General Hospital Setting

Mohammed Yousof Bakhiet / Elbadwai Hassan-Mohamed HabibAlla / Sami Mahmoud Assil / Mohamed Daffalla Awadalla Gismalla

Sudan Journal of Medical Sciences, Vol 18, Iss 1, Pp 84-

Experience from a Developing Country

2023 Volume 96

Abstract: Abstract Background: Plastic and reconstructive surgery in developing countries and underserved areas are significantly limited and face changes to start a proper service. This study presents a review of plastic surgery services and experiences in a ... ...

Abstract	Abstract Background: Plastic and reconstructive surgery in developing countries and underserved areas are significantly limited and face changes to start a proper service. This study presents a review of plastic surgery services and experiences in a district hospital located in an underserved area. Methods: This descriptive, retrospective, hospital-based study was conducted to review patients who presented to the plastic and reconstruction departments from January 2014 to January 2015. All patients seen in the outpatient clinic or emergency departments for plastic surgical consultation or management were included in the study. Results: The total of 403 cases fulfilled the inclusion criteria. The emergency surgical operation performed in our unit were distributed in the following descending order; fingertip injury (32%), cut wrist (12.7%), cut extensor tendon (9.9%), gunshot injuries (9.4%), fracture of a small bone of the hand (8.3%), and lower limb trauma. Surgery for congenital deformities constituted the most elective operation done in our unit (31.6 %), followed by tumor surgery (18.7%), burn surgery (17.3%), aesthetic surgery procedure (12.2%), and other miscellaneous cases (12.2%). Conclusion: This report demonstrates the efficacy of secondary hospital setting to accommodate a large volume of patients during the first year of establishment, and further predicting development needs, staff training, and governmental support.
Keywords	plastic surgery ; reconstruction ; underserve area ; sub-saharan ; developing countries ; Medicine ; R
Subject code	616
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	Knowledge E
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Clinical pathological characteristics and treatment outcomes of renal cell carcinoma (RCC): a retrospective study from Sudan.

Bafadni, Mudathir Mohamed / Osman, Yassin Mohammed / Ahmed, Mohammed El Imam Mohammed / Taha, Mussab Mahjoub / Idris, Dafalla Abu / Kheiralla, Khalid Eltahir Khalid / Elhassan, Moawia Mohammed Ali / Gismalla, Mohamed Daffalla Awadalla / Awad, Sami Mahjoub Taha

Ecancermedicalscience

2023 Volume 17, Page(s) 1524

Abstract: Background: Worldwide, renal cell carcinoma comprises 2.2% and 1.8% of global cancer incidence and mortality, respectively. Studies of epidemiology, treatment modalities and outcomes of renal cell carcinoma (RCC) in Sudan are scarce. To address this ... ...

Abstract	Background: Worldwide, renal cell carcinoma comprises 2.2% and 1.8% of global cancer incidence and mortality, respectively. Studies of epidemiology, treatment modalities and outcomes of renal cell carcinoma (RCC) in Sudan are scarce. To address this shortcoming, we evaluated baseline information on the epidemiology, types of treatment and outcomes of RCC at Gezira Hospital for Renal Diseases and Surgery (GHRDS) and the National Cancer Institute (NCI). Methods: We performed a retrospective, descriptive study of all patients with RCC, who were treated in GHRDS and NCI from January 2000 to December 2015. Results: A total of 189 patients with RCC were identiﬁed over the study period. Tumours were more common among male patients (56%) and involved the left kidney in 52% of cases. The median age at diagnosis was 57 years (range: 21-90 years). Loin pain was the most frequent symptom ( Conclusion: Our findings reveal poor outcomes for patients with RCC in Sudan, which is most likely due to the high proportion of patients presenting with advanced stages at the time of initial presentation.
Language	English
Publishing date	2023-03-23
Publishing country	England
Document type	Journal Article
ISSN	1754-6605
ISSN	1754-6605
DOI	10.3332/ecancer.2023.1524
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