SAR J Med | Pages : 1-2
DOI : 10.36346/sarjm.2023.v04i01.001
Millions of people worldwide suffer from COVID-19 infection, the consequences of vaccination and/or long covid syndrome. So far, there is no truly and regularly effective cure for this. However, nature offers some possibilities in the form of tinctures from plants. We have made concoctions from probably the best of these. Examples: Dandelion against spike proteins, Pine needles against viruses, Frankincense against autoaggressions, Ginkgo biloba for blood thinning. The effects proved to be excellent and without side effects.
Haider M. Al-Zaidi, Alaa A. Abdulrazaq, Hani M. Badr, Basim S. Ahmed
SAR J Med | Pages : 70-74
DOI : 10.36346/sarjm.2022.v03i05.003
Background: The entire world was affected by the outbreak of novel coronavirus 2 (SARS-CoV-2), which influenced daily life worldwide and affected the medical, social, and economic prospects of all nations. This virus occurs clinically in four variants: asymptomatic; mild upper respiratory tract infection (URTI); anosmia and/ or ageusia as the only symptoms; and severe systemic disease, such as bilateral interstitial pneumonia. Approximately 20% of the population develops the severe course associated with cytokine release syndrome (CRS). Those who develop lung injury and dyspnea have higher mortality. An autopsy can reveal the pathogenesis and determine the cause of death. Objectives: To understand the pathophysiological changes in lung tissue in COVID-19-affected individuals. Patients and Methods: This is a case series of post-mortem lung histopathology examinations of deceased COVID-19-positive patients. Samples were collected from postmortem models acquired from six diseased individuals who tested positive for SARS-CoV-2 by reverse transcriptase polymerase chain (PCR) reaction and subsequently passed away in the tertiary hospital between July and September 2020 because of COVID-19. Their slides and paraffin-embedded blocks of lung biopsies, as well as their reports, were collected and sent to two pathologists for further evaluation of COVID-19-related changes in the lungs. Results: Only two of the six patients confirmed features of diffuse alveolar injury with hyaline layer and fibrin thrombi in pulmonary arteries, small vessel congestion, and pulmonary infarction. Two patients demonstrated diffuse alveolar fibrosis (organizing pneumonia), severe inflammation, and foci of squamous metaplasia, in addition to the deposition of carbon particles. One case had diffuse pulmonary fibrosis with pulmonary artery thrombosis without an inflammatory background. In another case, there were atypical large cells, ischemic necrosis, and severe inflammation with macrophages and pneumocyte hyperplasia inside the alveoli. Conclusion: the thromboembolic events suggest a role for COVID-19-induced coagulopathy. Molecular mechanisms and clinical features of COVID -19 should be studied. Atypical alterations need to be investigated to confirm their relation to COVID-19 infection.
Fania A Albadri, Mosab Nouraldein Mohammed Hamad, Ahmed Mohammed Babiker, Nousiba Elgasim, Abd elwahab Jah elnabi Jubara, Ammar Abdallah Hussein
SAR J Med | Pages : 68-69
DOI : 10.36346/sarjm.2022.v03i05.002
Background: Anemia represents a major health problem worldwide, and it becomes very complicated hematological disorder when occur in pregnant ladies. Method: 100 pregnant ladies included in a hospital based cross sectional study at Alfadlab hospital, River Nile State, hematological analyzer used to test hemoglobin for each participant. Result: 27 (27%) of the participated pregnant women was anemic, and malaria increase the severity of anemia among them. Conclusion: Anemia affected more than quarter (27%) of the participants .further studies recommended with large sample size.
Nezar Mohammed Kheir Mohammed, Taha Umbeli Ahmed, Mohammed Ahmed Ibrahim Ahmed, Nahla Ahmed Mohammad Abdelrahman, Mosab Nouraldein Mohammed Hamad
SAR J Med | Pages : 60-67
DOI : 10.36346/sarjm.2022.v03i05.001
Background: The fifth Millennium Development Goal aims for a decrease in maternal mortality and universal access to high-quality reproductive health care. Every year, around a third of a million women die as a result of pregnancy-related complications. Three-quarters of these deaths might have been avoided. One of the most important markers of mother and child health care is the Maternal Mortality Ratio. One of the most significant aims of the national family welfare program is to reduce maternal fatalities are thought to be preventable. Objective: The study's focus is to document, investigate, and report the events and circumstances behind maternal fatalities, as well as to study maternal deaths in River Nile State in order to identify the maternal mortality rate and causes of death. Methodology: This is a hospital and community-based research that took place from January to December 2018 at River Nile State. Information on every maternal death was obtained using a questionnaire which was filled out and rechecked to completely cover State, and then analyzed using SPSS version 20. Results: The overall number of live births was 25988, with 29 incidents of maternal death. 112/100000 live births was the death rate. 27 of the patients (93%) died in a hospital, whereas two instances (7%) died at home. Obstetric hemorrhage was the leading cause of maternal death in seven cases (24.1%), followed by hypertensive disorders in seven cases (24.1%), sepsis in four cases (17.2%), indirect obstetric causes in three cases (10.3%), embolism (PE & AFE) in three cases (10.3%), unclassified causes in four cases (13.7%), and abortion in one case (3.4 %). The bulk of the cases were delayed at home (14 cases, 48.3%), with 10 cases (34.4%) having no delay and five (17.2%) being delayed in reaching hospitals. Unfortunately, 19 instances (65.5%) died as a result of preventable causes. Conclusion: In 2018, the maternal death rate in River Nile State was 112/100,000 live births, which was higher than in the previous report. Maternal fatalities were mostly caused by hemorrhage, hypertensive diseases, and sepsis. The bulk of deaths were postponed until they reached their final destination.
SAR J Med | Pages : 57-59
DOI : 10.36346/sarjm.2022.v03i04.003
In the present work aqueous fruit peel extract of Punica granatum was evaluated for its Anthelmintics activity against earthworm at three different concentrations (25, 50, 100 mg/ml). The Antihelmintic activity of extract was comparable with Marketed allopathic drugs (i.e. Piperazine citrate, Albendazole, Ivermectin, Levamisole- 25, 50, 100 mg/ml). 2% v/v Tween 80 in water was taken as a normal control. Marketed allopathic drugs concentrations were prepared using 2% v/v Tween 80. Antihelmintic activity was evaluated by considering the time required for mobility, paralysis and death of worms by the prepared extracts and marketed allopathic drugs concentrations. The data were found statistically significant by using one way ANOVA (P< 0.001).
Farh Ahmed Elhassan Mohamed, Ihab Babiker Abdulrhman, Ghanem Mohammed Mahjaf, Mosab Nouraldein Mohammed Hamad
SAR J Med | Pages : 51-56
DOI : 10.36346/sarjm.2022.v03i04.002
Background: Beginning in December 2019, the 2019 novel coronavirus disease (COVID-19) has caused a pneumonia epidemic that began in Wuhan, China, and is rapidly spreading throughout the whole world. Nutrition support has become one of the important treatments for severe and critical patients. Objective: To assess the adequacy of nutritional support in COVID-19 patients receiving oxygen support. Methods: A multicenter prospective study enrolled 88 COVID-19 patients receiving oxygen support in Fedail Hospital, Albaraha Hospital, Aliaa Hospital, and Royal Care Hospital during the period from January to April 2021. Data regarding demographics, comorbidities, types of oxygen therapy, vital signs, laboratory investigations, methods of nutrition support, estimated calorie achievement, and outcomes were collected. Nutritional adequacy was assessed by using the Nutritional Risk Screening-2002 (NRS- 2002) test. Results: Among 88 patients, 50(56.8%) were males and 38(43.2%) were females; their mean age was 67±11 years. CPAP (n=28; 32%) and mechanical ventilation (n=27; 27%) were the main types of oxygen therapies. Estimated calories were achieved in only 36(40.9%) of patients and failure to the achievement of estimated calories was commonly due to hypoxia (n=33; 37.5%) and poor appetite (n=23; 26.1%). About 66(75%) patients were adequately nourished, 16(18.2%) were at risk of malnutrition, and 6(6.8%) patients were malnourished. The mortality was significantly associated with malnutrition (P. value= 0.000), and parental feeding modes (P. value= 0.000), and underweighted BMI (mean= 17.8 kg/m2; P. value= 0.000). Moreover, multi-organ failure was significantly correlated with risk of malnutrition (P.value= 0.000), NG feeding (P. value= 0.000) and overweighed BMI (mean= 28.8 kg/m2; P. value= 0.000). Additionally, mortality and multi-organ failure were significantly correlated with hypoalbuminemia among our study subjects (P. value= 0.001). Conclusion: The rates of malnutrition and risk of malnutrition were 6.8% and 18.2% among COVID-19 patients who received oxygen therapy, respectively. Inadequacy of nutritional support or failure in the achievement of estimated calories among our study subjects were commonly due to hypoxia and poor appetite. Mortality was significantly associated with malnutrition, parental feeding modes, and underweighted BMI. Furthermore, multi-organ failure was significantly correlated with the risk of malnutrition, NG feeding, and overweighed BMI. Both, mortality and multi-organ failure were correlated with hypoalbuminemia.
Tarig Mohammed Ahmed, Amna Abdalmaged H. Amar, Fatima Abdalkareem Osman, Hind Tarig I. Yousif, Ghanem Mohammed Mahjaf, Mosab Nouraldein Mohammed Hamad
SAR J Med | Pages : 47-50
DOI : 10.36346/sarjm.2022.v03i04.001
Background: CVA is the loss of brain function due to a disturbance in the blood supply of the brain. This disturbance is due to either ischemia or hemorrhage. Aim: To study the major risk factors & presentation among patients with stroke in Atbara teaching hospital. Methodology: Cross-sectional descriptive hospital based study was conducted in Atbara teaching Hospital from February 2021 to April 2022. The data was collected by interviewing the patients through a closed-ended questionnaire and analyzed by using the statistical computerized program SPSS. Results: In our study, we found that 86.2%of study group their age group was more than 51years and most of them are males, 73.1% of them had a hemiplegic weakness, 60.8% of them had a transient ischemic stroke,90% had an ischemic stroke, 66.9% with one attack of stroke,77.7% of them have a chronic illness,53.1%have diabetes,63.8% have hypertension,28.5% of them have ischemic heart disease,23.8%have atrial fibrillation,11.5% have the valvular disease, 35.4 % of them are smokers and 6.9% are drinking alcohol. Conclusion: The study concluded that stroke increased with age above 51 years old and most commonly in males. The most common risk factor is HTN, DM, and heart disease. The common risk bad habit in strokes patients are smoking.
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