Khartoum Medical Journal 2020-05-18T21:09:38+00:00 Abduraheem Farah Abduraheem Open Journal Systems <p><span style="text-decoration: underline;"><strong>Khartoum Medical Journal (KMJ)</strong></span> is the official medical of Faculty of Medicine University of Khartoum .<strong> S</strong>ince 2008, Khartoum Medical Journal (KMJ)&nbsp; is one of the leading international journal for presenting novel and fundamental advances in the fields of health education , medical education and medicine Khartoum Medical Journal (KMJ) is published every 4 months ( January , May and November ) , Open Access, Peer Reviewed and Fully Refereed international journal with NO&nbsp; processing charge. Writing a research paper is a skill and Khartoum Medical Journal (KMJ) have the team of Professors and Researcher who are dedicated to help, learn and improve that skill by providing a guidance for writing high quality research papers. In depth evaluation of each research paper is a prime focus of every member of Khartoum Medical Journal (KMJ) Reviewer Panel ensuring the novelty in each research manuscript being published.</p> <p><strong>Khartoum Medical Journal (KMJ)</strong> publishes original articles, health education , technical notes , review articles ,medical education , &nbsp;case reports, Letter to the Editor, commentaries , peer reviews,….etc.</p> <p><em><strong>Why publish with Khartoum Medical Journal?</strong></em>&nbsp;</p> <p>Khartoum Medical Journal is internationally recognized peer-reviewed journal. The journal publishes high-quality research papers, as well as reviews, policy bridges, commentaries, book reviews and short communications designed to help drive progress in all scientific fields. The journal's broad scope and active, influential Editorial Board make Khartoum Medical Journal unique in its position to support the broad communities in all areas of sciences.&nbsp;<br> <br>Our journal is here to support you, whether it is through publishing high-quality research or our commissioned reviews and special issues. By being community led, Khartoum Medical Journal is growing year on year in article quality and impact.&nbsp;<br>We hope you'll join us and choose to publish with a journal that supports you.&nbsp;<br><br> <em>More reasons to publish with Khartoum Medical Journal</em>&nbsp;</p> <p><em><strong>High Quality and Fair Peer Review</strong></em></p> <p><em><strong>&nbsp;</strong></em></p> <p>Together with our editorial board of over 30 active researchers across all disciplines, we provide excellent editorial service to guide your paper from submission through the peer review process to publication. In our peer review process, we aim for two expert referee reports on every article, ensuring quality and fairness.</p> <p>&nbsp;</p> <p>Fast Publication</p> <p>&nbsp;</p> <p>Publishing your research quickly is one of our top priorities. You can immediately share your research with your peers around the world as soon as it is reviewed and accepted. We are fast - on average our papers receive a first decision in 3 to 6 weeks.</p> <p>&nbsp;</p> <p>High Publication Standards</p> <p>&nbsp;</p> <p>Khartoum Medical Journal publishes each paper to a very high standard in PDF. Our in-house production team ensures that your paper looks as good as possible both in print and online.</p> <p>&nbsp;</p> <p>Personal Service</p> <p>&nbsp;</p> <p>The peer review of every paper in Khartoum Medical Journal is personally overseen by the Publisher. If you have any questions we are always on hand to help to make sure publishing is easy and stress-free, just email us!</p> <p>&nbsp;</p> <p>Multidisciplinary Scope</p> <p>&nbsp;</p> <p>Khartoum Medical Journal welcomes research papers from all Medical disciplines, from the most fundamental and theoretical work through applied and multidisciplinary research. Any paper reporting original and technically sound results will be published regardless of novelty.</p> <p>&nbsp;</p> <p>Flexibility</p> <p>&nbsp;</p> <p>We provide flexibility in formatting your papers. Your research paper doesn’t have to conform to a strict structure. While all submitted papers require essential elements, we do not impose any limit on paper length or the number of tables and figures.</p> <p>&nbsp;</p> <p>Open Access</p> <p>&nbsp;</p> <p>Khartoum Medical Journal is a fully open access journal. Your article will be immediately and permanently available for readers to read, download, and share. Khartoum Medical Journal article processing is free of&nbsp; charges to encourage more researcher to publish their work&nbsp; .</p> <p>&nbsp;</p> <p><strong>Aims and Scope</strong></p> <p>Khartoum Medical Journal&nbsp; is a peer-reviewed, open access journal that provides rapid publication of articles in all areas of educational research and Medicine.</p> <p>KMJ aims to publish research papers, reviews and short communications in the areas of medicine and medical research.KMJ will not only publish traditional full research reports, including short communications, but also this journal will publish reports/articles on all stages of the research process like study protocols, pilot studies and pre-protocols. KMJ is novelty attracting, open minded, peer-reviewed medical periodical, designed to serve as a perfectly new platform for both mainstream and new ground shaking works as long as they are technically correct and scientifically motivated. The journal also encourages the submission of useful reports of negative results. This is a quality controlled, OPEN peer reviewed, open access INTERNATIONAL journal.</p> <p>The goal of this journal is to provide a platform for scientists and health care providers all over the world to promote, share, and discuss various new issues and developments in different areas of educational research</p> <ol> <li>Provide a forum for scientific and clinical medicine publications.</li> <li>Serve the medical community in Sudan and the region in the field of continuing medical education.</li> <li>Offer opportunities for the publication of serviceoriented research and disseminate information aimed</li> </ol> <p>at the promotion of health services.</p> <ol start="4"> <li>Encourage the development of medical and allied sciences research.</li> <li>Provide opportunities for development of expertise in medical and allied sciences education.</li> <li>Act as a platform for the expression of professional and scientific opinion and exchange of information.</li> <li>Provide a forum for the exchange of ideas and experiences in the field of education and training in</li> </ol> <p>the medical and health professions</p> <p>&nbsp;</p> <p>&nbsp;</p> The association of measures of adiposity: Body mass index, visceral adiposity index and lipid accumulation product with markers of Metabolic Syndrome in young adults 2020-05-18T20:38:46+00:00 Nouralsalhin Abdalhamid Alaagib Rabab Mohammed Elbashir Huda Mahgoub Ali <p>Background and objectives: Obesity and Metabolic syndrome (MetS) among young adults<br>is increasing worldwide. This study investigated the relation between body mass index (BMI), waist<br>circumference (WC), Visceral Adiposity Index (VAI) and Lipid Accumulation Product (LAP), as markers<br>of obesity in young adults, with markers of MetS: blood pressure (BP), fasting blood glucose (FBG), plasma<br>triglycerides (TG), high density lipoproteins (HDL), low density lipoproteins (LDL) and total cholesterol.<br>Methods One hundred and fifty young adults (66 male and 84 females) aged between 18-25<br>years volunteered to participate in the study. BP and anthropometric measurements including height, weight<br>and WC were done. BMI was calculated as weight/hight<br>2<br> (kg/m<br>2<br>). A fasting venous blood sample was taken<br>to measure FBG, plasma TG, HDL, LDL and cholesterol. Lipid Accumulation Product (LAP) and Visceral<br>Adiposity Index (VAI) were calculated.<br>Results Overweight and obese young adults had a significantly higher BP, higher LDL and lower HDL<br>compared to normal weight subjects ((P=0.001), (P=0.005) and (P=0.0001), respectively. BMI showed<br>highly significant positive correlation with BP (P=0.001) and LDL (P=0.005) and a highly significant<br>negative correlation with HDL (P=0.001). WC associated positively with BP (P=0.0001) and negatively<br>with HDL (P=0.0001).VAI and LAP showed a significant correlation with LDL (P=0.04) and a highly<br>significant negative correlation with HDL (P=0.0001). <br>Conclusion Both BMI and WC are simple and cheap parameters which showed significant association<br>with most of the markers of MetS in young adults. They can be used as predictors of MetS in young adults<br>especially in communities with limited financial resources.</p> 2020-05-18T00:00:00+00:00 ##submission.copyrightStatement## Quality of life among adolescents with epilepsy: An outpatient based study, Khartoum, Sudan 2020-05-18T20:43:51+00:00 Inaam N. Mohamed Sarah E.Mohamed <p>ABSTRACT</p> <p>Background The term “Quality of Life (QOL)” refers to the physical, psychological and social aspects of health. Several studies attempted to measure the QOL among epileptic patients using either generic or specific instruments. In adolescents the impact of epilepsy on life style and QOL is even more evident. The objective of this study is to measure the QOL and to identify the effect of gender, epilepsy classification, antiepileptic drugs (AEDs) and control of seizures on QOL in adolescent patients with epilepsy.</p> <p>&nbsp;</p> <p>Methods This is a cross-sectional, observational study, conducted in outpatients at Gafer Ibn Auf Specialized Hospital and Soba University Hospital. Fifty patients were enrolled in the study and the QOL was measured using the tool Quality of Life in Epilepsy for Adolescents (QOLIE-AD-48). Data was analysed using statistical package for social sciences (SPSS).</p> <p>&nbsp;</p> <p>Results The quality of Life total mean score for patients was 78.95±12.9. The highest mean score was for school behaviour domain (88.83±24.56) and the lowest score was for stigma (68.08±19.18). &nbsp;Males with epilepsy had higher score for QOL as compared to females. Patients in basic school had significantly higher total QOL score than those in high school. The total score for QOL is significantly lower in patients with generalized-motor-tonic-clonic seizures, non-compliance to AEDs, on polytherapy and those with partial response to treatment (p&nbsp; &lt;0.05).</p> <p>&nbsp;</p> <p>Conclusion Epilepsy has impact on quality of life in adolescents with epilepsy especially in the stigma and attitude towards the disease domains. Psychological evaluation and intervention are of great value to help patients cope with their illness. Transitional clinic to take over the care of adolescent patients for easy transfer to adulthood care is recommended.</p> 2020-05-18T00:00:00+00:00 ##submission.copyrightStatement## Laparoscopic appendicectomy in children: specimen coiling prevention using safe and simple technique to retrieve the appendix in a glove finger 2020-05-18T20:49:03+00:00 Abdelbasit E. Ali Motaip H. Alrawili <p>ABSTRACT</p> <p>Background Removal of the appendix from the peritoneal cavity following laparoscopic appendicectomy (LA) can be challenging. Several techniques have been described to extract the appendix. The use of a glove finger to remove the appendix is well known, however, it may prove to be difficult due to coiling and clubbing of the appendix inside the glove finger at the exit site. Occasionally the glove finger is damaged during this procedure with a resultant wound soiling and potentially wound infection.</p> <p>&nbsp;</p> <p>Objectives To enable easy retrieval of the appendix and avoid complications.</p> <p>&nbsp;</p> <p>Methods The 3rd Endo-loop ligature - that is coming out with the appendix - is left long and grasped to facilitate keeping the appendix straight during its removal in the glove finger. The records of all the children who underwent LA using this modified technique in our department in the period between February 2017 and March 2020 were reviewed retrospectively.</p> <p>&nbsp;</p> <p>Results In 48 cases out of 151 LA, the appendix was extracted using this technique. Their ages ranged between 2-13 years. Complications related to the technique were observed in three patients (6.25%), one patient had a slipped ligature and two patients had fragmented necrotic appendices.</p> <p>&nbsp;</p> <p>Conclusion Leaving a long ligature on the specimen is a simple, safe, inexpensive, easy and effective technique to control, straighten and retrieve the appendix in a glove finger.</p> 2020-05-18T00:00:00+00:00 ##submission.copyrightStatement## Incidence, indications, and risk factors of reopening after cardiac surgery in a tertiary cardiac centre, Sudan: Retrospective observational study 2020-05-18T20:54:27+00:00 Fatimah Azhari Gasmalla Gadeltayeb Elfatih M. Malik Elamin E. Elnur <p>ABSTRACT</p> <p>Background Chest re-opening&nbsp; after&nbsp; cardiac&nbsp; surgery&nbsp; is&nbsp; a&nbsp; surgical&nbsp; approach&nbsp; that&nbsp; is&nbsp; performed&nbsp; for diagnosing and managing some postoperative complications. The rate of reopening of patients undergoing cardiac surgery varies between 2% to 6%. The most frequent indication for reopening is bleeding after surgery, cardiac tamponade, cardiac arrest and redo surgery. Several risk factors have been associated with reopening including age, sex, body mass index (BMI), New York Heart Association NYHA class, diabetes mellitus, cardiopulmonary bypass and aortic cross clamp time. The aim of this study is to determine the incidence, indications, and risk factors of reopening after cardiac surgery.</p> <p>&nbsp;</p> <p>Methods In this retrospective observational study, a total of consecutive 638 patients who underwent cardiac surgery in Ahmed Gasim cardiac centre in 2017 were included.</p> <p>&nbsp;</p> <p>Results Thirty-nine out of the 638 surgeries done were reopened. The incidence of reopening was 61 per 1000 in all age groups: 90 per 1000 in adults, and 34 per 1000 in paediatrics. Among the 39 reopening cases, bleeding was the most frequent indication for reopening. Multivariate analysis by logistic regression revealed that having NYHA class II gave odds ratio&nbsp;&nbsp; &nbsp;(OR) = 24.767 (95% confidence interval (CI) =</p> <p>1.048 – 585.3), previous cardiac surgery OR = 13.9 (95% CI = 1.013 – &nbsp;193.3), &nbsp;having diabetes mellitus</p> <p>OR = 4.885 (95% CI = 1.251 – 19.056), longer cardiopulmonary bypass time OR = 1.012 (95% CI = 1.00</p> <p>– 1.024), preoperative aspirin intake OR = 3.528 (95% CI = 1.062 – 11.720), and warfarin therapy OR =</p> <p>12.790 (95% CI = 1.594 – 102.3).</p> <p>&nbsp;</p> <p>Conclusion In Ahmed Gasim cardiac centre, the incidence of reopening after cardiac surgery was found to be relatively higher than the international records. Reopening was mostly performed for management of postoperative bleeding. Factors associated with increased risk of reopening included: cardiac failure assessed by NYHA classification, previous cardiac surgery, diabetes mellitus; anti-thrombotic therapy and longer bypass time.</p> 2020-05-18T00:00:00+00:00 ##submission.copyrightStatement##