Department of Surgery

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Now showing 1 - 5 of 12
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    Vulval mycetoma: A rare cause of bladder outlet obstruction
    (University of Khartoum, 1998) Ahmed Hassan Fahal
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    Anxiety and Depression among a Sample of Disfigured Orofacial Cancer Patients at Khartoum Teaching Dental Hospital
    (university of khartoum, ) Al Bdour, Zakaria Mahfouz ; Elneel Ahmed Mohamed
    Background: Patients treated for orofacial cancer have rarely been investigated for psychological morbidity. To address this problem, this study was conducted to estimate the relative prevalence of anxiety and depression in a sample of disfigured Sudanese patients with orofacial cancer. The main objectives of this study is to find the prevalence of anxiety and depression among facially disfigured patients and to study some of their common predictors namely the age, gender and the education level, and to analyze their relationship. Methods: Descriptive Cross sectional hospital-based study. Psychometric data were collected from a series of 51 disfigured orofacial cancer patients by questionnaires at Khartoum Teaching Dental Hospital over five months period from Nov.2016-March2017. The Hospital Anxiety and Depression Scale were used. Data that collected from the patients included the name, age, gender, and the patient’s educational level. Results: 41.2% of patients exhibited symptoms of psychiatric disturbance; 21.6% were anxious, and 19.6% were depressed. Anxiety was reported in 9.7% of males and in 40% of females. Depression was reported in 6.5% of males and in 40% of females. Anxiety and depression where seen most among young patients of age group 18-29 years (28.6%). Among all patients who are anxious the illiterate category scored the highest level with 45.5% while among the depressed ones the category of elementary education scored the highest level with 50%. Conclusion: The finding of this study showed that anxiety and depression are common among Sudanese patients with facial disfigurement. Women who are disfigured by orofacial cancer are at greater risk for psychosocial dysfunction, therefore screening for anxiety and depression should be a part of routine clinical evaluation for all patients particularly the females who should receive a greater attention in terms of evaluation and treatment.
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    Clinical Aspects of Hydronephrosis in Sudanese Patients
    (University of Khartoum, ) Nasr, Abdelrahman Hassan ; - ; surgery
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    The Effect of Relaxation Technique Combined with Cognitive Behavioural Therapy on Spiritual Well Being among Females Following Kidney Transplantation in Khartoum State 2015
    (University of Khartoum, ) Nour, Safa Mohammed Mohammed ; Mohamed Toum Musa MD ; Surgery
    Background: Spiritual well-being is one of the fundamental concepts in chronic diseases which create meaning and purpose in life and is an important approach in promoting general health and quality of life. The objective of this study was to assess the effect of relaxation technique compound with cognitive behavioural therapy (CBT) on spiritual well-being among females who had kidney transplantation. Patients and methods: This was an interventional study conducted at Sudanese Kidney Transplant Association Hospital, during (October 2014 – October 2015).Twenty one married women with renal transplantation were included. Spirituality was assessed by functional assessment of chronic illness therapy- spirituality version 12 (FACIT-sp 12) which composed of physical, social, emotional and functional well-being. The score of well-being ranged from 56-100 concerning the all components of (FACIT-sp 12). Married women were selected because there was a question about sexual life. Results: The age of the study population was 18 to 65 years. The effect of the interventional program on the physical well-being showed that p values were found to be in the pretest-posttest (p= 0.01),in posttest-follow-up (p= 0.00) and pretest follow-up (p= 0.00) . However, the effect of the interventional program on social well-being showed p values in the pretest-postest (P= 1.00),in posttest-follow-up (P= 0.10) and pretest-follow-up (P= 0.10) . Moreover, the effect of the interventional program on emotional well-being revealed significance of (p value=0.05) in the pretest-posttest versus posttest-follow-up in which (p value =0.03),and pretest-follow-up (p value= 0.24). On the other hand, the effect of interventional program on functional well-being showed significant improvement (p value =0.04) of pretest-posttest, (p value = 0.00) in posttest-follow-up and even more in pretest-follow up (p value= 0.00). Conclusion: The relaxation technique compound with cognitive behavioral therapy had positive effect on spiritual well-being among females with kidney transplantation. There was statistically significant relation between spirituality and age but, there was insignificant relation between spirituality, income, and level of education.