Department of Community Medicine

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    The Effect of Postpartum Home Visits Training Program on Knowledge and Practice of Village Midwives In Aldalanj Locality in Southrn Kurdofan State
    (University of Khartoum, ) Kagygy, Saeeda Alsadeg Mohammed ; Mohamed Ali Awad Elkarim ; Community Medicine
    Background: Women and care providers pay great attention to pregnancy and labour, while postpartum period has been scarcely cared of. Maternal complications and neonatal morbidity have been commonly observed in the postpartum period. Home visits by skilled midwife will help in detect and manage problems as early as possible. Design: Aquiz- experimental pre-post test. Setting: Study was conducted in Aldalanj city , Altocma Alboog, Alfarshayya, Almalahya, , Cawannas, Akludor and Angarko villages. Objective: To study the effect of postpartum home visits training program on knowledge and practice of village midwives. Methods: A total of 37 village midwives were randomly assigned, two tools were used to collect data structured interviewing questionnaire and observational check list. Data were analyzed by using statistical package for social sciences. Result: Results have shown that the great majority of midwives had poor score of knowledge related to the health problems experienced by the mother during postpartum period in the pre test (78.3%), which was significantly improved in post test (86.4%) with a highly statistical significant differences( P>0.00 (and more than two thirds (62.2%) of midwives had poor score of knowledge related to advices provide to the mother regarding breast engorgement, while these percentages changed to (86%) in the post test. Furthermore more (78.3%) of midwives had poor score of knowledge concerning dangerous signs that appear to the newborn during postpartum period in pre test, while this percentages change to (89.1%) in the post test. Conclusion: Midwives had high score of knowledge in the post test compared with pre test. Hence it was interpreted that postpartum home visits training program was effective.
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    Case Records and Colimentaries
    (University of Khartoum, ) Hamad, Elmubarak Elbashir ; Awad Mohamed Ahmed
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    Mid Level Supervision and The Performance of Primary Health Care Workers
    (University of Khartoum, ) Omer, Mustafa Abubaker ; -
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    Anterioposterior Relationship of the Maxillary Central Incisors to the Forehead in a Sample of Sudanese Young Adults
    (University of Khartoum, ) Alnageib, Saria Ibrahim Abdelbasit ; Shaza Kamal Abass ; Orthodontics
    Background: Orthodontic diagnostic methods have been developed to help clinician better treat the patient to esthetically pleasing and harmonious profile as well as optimal functional occlusion. Traditionally, facial profiles have been evaluated using lateral cephalometrics and repose soft-tissue analysis, which have their drawbacks. The aim of this study is to evaluate and compare the anterioposterior relationship of the maxillary central incisors to the forehead in a sample of Sudanese young adults. Materials and Methods: This was a descriptive analytical study that included 114 lateral profile photographs of adults with good facial harmony (33 males and 81 females) as control group and 134 lateral profile photographs of adult patients seeking orthodontic treatment (34 males and 100 females) as study group. The photographs were taken under standard conditions with the subjects in posed smile with the maxillary incisors clearly visible. The images were resized and the reference lines were drawn to measure the anterioposterior position of the maxillary central incisors to the forehead as well as forehead inclination. Results: The forehead inclination was more upright in males than females and on comparing the data statistically, no significant difference was observed between the control and the study groups in forehead inclination (p=0.602). In the control sample, 51.8% had maxillary central incisors positioned ahead of glabella, 26.3%posterior to the FFA point, 21.9% between the FFA point and glabella. The position of the maxillary central incisors was strongly correlated with forehead inclination (P=0.000).In the study sample, 51.5% had maxillary central incisors positioned ahead of glabella, 29.1% between the FFA point and glabella, 19.4% posterior to the FFA point. The position of the maxillary central incisors was strongly correlated with forehead inclination (P=0.000).The difference between the mean for anterioposterior maxillary incisor position was statistically significant (P= 0.040). Conclusion: The forehead can be used as an important landmark for anterioposterior maxillary central incisors positioning for Sudanese young adult seeking improved facial harmony.
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    Alcoholism in Khartoum Province
    (University of Khartoum, ) salih, omer albaghir ; ali M.Fadi