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Search Results: 1 - 10 of 479241 matches for " Abdel Aziem A Ali "
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Knowledge and attitudes of female genital mutilation among midwives in Eastern Sudan
Ali Abdel Aziem A
Reproductive Health , 2012, DOI: 10.1186/1742-4755-9-23
Abstract: Background Female Genital Mutilation (FGM) or cutting caries legal and bioethical debates and it is practiced in many developing countries. Methods Random selection of 154 midwives was used for the study during June 2012 and through July 2012 aiming to assess knowledge and attitudes of the midwives towards FGM in Eastern Sudan. Results A total of 157 midwives enrolled in this study. They had been practicing for 3 – 44 years (mean SD 19.2 ± 10.3). More than two third of them experienced practicing FGM sometime in their life (127/157, 80.9%). There was low level of awareness of types of FGM practice since only 7% (11/157) identified the four types correctly. 53.5% (84/157) identified type 1 correctly while 18.5% (29/157), 17.8% (28/157) and 15.9% (25/157) identified type 2, 3 and 4 as correct respectively. While 30 (19.1%) of the midwives claimed that all types of FGM are harmful, 76.4% (120/157) were of the opinion that some forms are not harmful and 7 (4.5%) reported that all types of FGM are not harmful. Likewise while 74.5% (117/157) of the interviewed midwives mentioned that the FGM is a legal practice only 25.5% (40/117) were of the opinion that FGM is illegal practice. The vast majority of the respondents (64.3%, 101/157) have an opinion that FGM decreases the sexual pleasure. More than half (53.5%, 84/157) of the participants affirmed that FGM does not increase the risk of HIV transmission. High proportion of the respondents (71.3%, 112/157) did not know whether or not infertility could complicate FGM. Conclusions Thus a substantial effort should be made to discourage the continuation of FGM practice among midwives in Sudan. This might be achieved by improving knowledge and awareness among the midwives and the community
Factors affecting unmet need for family planning in Eastern Sudan
Abdel Aziem A Ali, Amira Okud
BMC Public Health , 2013, DOI: 10.1186/1471-2458-13-102
Abstract: A community-based cross sectional household survey was conducted to investigate unmet need for family planning and associated factors and total demand for family planning in Kassala, Eastern Sudan between 1st May and 31st July 2012.A total of 812 married women were enrolled in this study. Their mean age and parity was 31.8 (7.3) and 3.4 (1.8) respectively. Ever use of contraception was 25.4% (206/812) and 26.2% (213/812) were currently using contraception. Unmet need for spacing was 15.1% while unmet need for limiting was 0.7%. The pregnant and amenorrheic women whose the pregnancy or birth was unwanted and mistimed were 105 (13%) and 130 (16%) respectively. Using Westoff model the total unmet need was estimated as 44.8%. The total demand for family planning was 71%.In logistic regression model, while age, age at marriage, parity, residence and experience of child death were not associated with total unmet need for family planning, women education < secondary level (OR=7.8; CI=5.6-10.9; P=0.00), husband education < secondary level (OR=1.9; CI=1.3-2.6, P = 0.00) and woman’s occupation; housewife (OR=4.3; CI=2.5-7.2; P=0.00) were associated with the total unmet need.Unmet need for family planning in Eastern Sudan was significantly higher among women with less than secondary education. Also; it is influenced by couple’s educational status and woman’s occupation. The results of this study necessitate the need for the programme managers to take into account the concept of reproductive health education.In the developing countries millions of women in the reproductive age who don’t use contraceptives prefer to postpone or limit their birth. This indicates their failure to take necessary decision to prevent and avoid unwanted pregnancy [1]. Unmet need for family planning is defined as percentage of all fecund women who are married or living in union and thus presumed to be sexually active but are not using any method of contraception, either do not want to have more childre
Use of family planning methods in Kassala, Eastern Sudan
Abdel Aziem A Ali, Duria A Rayis, Mona Mamoun, Ishag Adam
BMC Research Notes , 2011, DOI: 10.1186/1756-0500-4-43
Abstract: Across sectional community-based study was conducted during the period February-April 2010 to investigate the use of family planning in Kassala, eastern Sudan. Structured questionnaires were used to gather socio-demographic data and use of family planning. The mean ± SD of the age and parity of 613 enrolled women was 31.1 ± 7 years and 3.4 ± 1.9, respectively. Only 44.0% of these women had previously or currently used one or more of the family planning methods. Combined pills (46.7%) and progesterone injection (17.8%) were the predominant method used by the investigated women. While age, residence were not associated with the use of family planning, parity (> five), couple education (≥ secondary level) were significantly associated with the use of family planning. Husband objection and religious beliefs were the main reasons of non-use of family planning.Education, encouragement of health education programs and involvement of the religious persons might promote family planning in eastern Sudan.High fertility rate and inadequate spacing between births, can lead to high maternal and infant mortality. An estimated 600 000 maternal deaths occur worldwide each year; the vast majority of these take place in developing countries. WHO estimates that 13% of these deaths are due to unsafe abortion. Worldwide, where approximately 50 million women resort to induced abortion, frequently results in high maternal morbidity and mortality [1,2]. Thus, family planning and spacing among births are one of the methods to avoid these deaths. Promotion of family planning and contraceptive use is highly adopted by the international community as one of the strategy to reduce the maternal mortality and to reach the Millennium Development Goals [3-5]. Africa characterized by high rate of lack to contraceptive access reaching 57% and this lack lead to unwanted pregnancies, increased demand to abortion and death related to unsafe abortion [6].In Sudan, the largest African country, there is unac
Use of antenatal care services in Kassala, eastern Sudan
Abdel Aziem A Ali, Mohammed M Osman, Ameer O Abbaker, Ishag Adam
BMC Pregnancy and Childbirth , 2010, DOI: 10.1186/1471-2393-10-67
Abstract: A cross-sectional community-based study was carried out in Kassala, eastern Sudan during September-October 2009. Household surveys were conducted. Structured questionnaires were used to gather data from women who had been pregnant within the last year, or pregnant more than 14 weeks.Out of 900 women investigated for antenatal care coverage, 811(90%) women had at least one visit. Only 11% of the investigated women had ≥ four antenatal visits, while 10.0% had not attended at all. Out of 811 women who attended at least one visit, 483 (59.6%), 303 (37.4%) and 25 (3.1%) women attended antenatal care in the first, second and third trimester, respectively. In logistic regression analyses, while maternal age and residence were not associated with inadequacy of antenatal care (<2 visits), high parity (OR = 2.0, CI = 1.1-3.5; P = 0.01) and husband education ≤ secondary level (OR = 2.4, CI = 1.3-4.2; P = 0.002) were associated with inadequacy of antenatal care.Antenatal care showed a low coverage in Kassala, eastern Sudan. This low coverage was associated with high parity and low husband education.Antenatal care is one of the four pillars initiatives of the Safe Motherhood Initiative; however, its relative contribution to maternal health has been under debate. While many of routine antenatal care procedures have little effect on maternal mortality and morbidity, some of these have been ascertained as beneficial [1,2]. Antenatal care provides advice, reassurance, education, support for the woman on screening programs and detects the problems that make the pregnancy high risk one [3]. There are many socio-economic and cultural factors which act as barriers to the use of antenatal care [4]. Although, it can't be claimed that antenatal care is the only solution for the high maternal and perinatal death in the developing world, but it can help to reach the Millennium Development Goals for the maternal and child mortality [5].Although, World Health Organization recommended four ante
Efficacy of artemether-lumefantrine as a treatment for uncomplicated Plasmodium vivax malaria in eastern Sudan
Abdallah Tajeldin M,Ali Abdel Aziem A,Bakri Mohammed,Gasim Gasim I
Malaria Journal , 2012, DOI: 10.1186/1475-2875-11-404
Abstract: Background Artemisinin-based combination therapy (ACT) is the treatment of choice for uncomplicated Plasmodium falciparum malaria in most areas of the world, where malaria is endemic, including Sudan. However, few published data are available on the use of ACT for treatment of P. vivax malaria. Methods This study was conducted at a health centre in Kassala, eastern Sudan, from October to December 2011. Patients with uncomplicated P. vivax malaria received artemether-lumefantrine (AL) tablets (containing 20mg artemether and 120 mg lumefantrine) and were monitored for 28 days. Results Out of the 43 cases enrolled in this study, 38 completed the 28-day follow-up. Their mean age was 25.1 years (SD: 1.5). On day 3 following AL treatment, all of the patients were afebrile and aparasitaemic. By day 28, all 38 patients exhibited adequate clinical and parasitological responses to AL treatment. The cure rate was 100% and 88.4% for the per protocol analysis andfor the intention to treat analysis, respectively. Mild adverse effects (nausea, vomiting, abdominal pain, dizziness and/or rash) that resolved spontaneously were observed in four (10.5%) of the patients. Conclusion AL combination therapy was fully effective for treatment of P. vivax malaria in the study in eastern Sudan. Trial registration Trial. Gov: NCT01625871
Test-retest strength reliability of the Electronic Push/Pull Dynamometer (EPPD) in the measurement of the quadriceps and hamstring muscles on a new chair  [PDF]
Mikhled F. Maayah, Mohammad D. Al-Jarrah, Saad S. El Zahrani, Ali H. Alzahrani, Emad T. Ahmedv, Amr A. Abdel-Aziem, Gopichandran Lakshmanan, Nabeel A. Almawajdeh, Muhsen B. Alsufiany, Yaser O. M. Abu Asi
Open Journal of Internal Medicine (OJIM) , 2012, DOI: 10.4236/ojim.2012.22022
Abstract: Background: Test-retest strength reliability of the Electronic Push/Pull Dynamometer (EPPD) in the measurement of the extensor and flexor muscles on a new constructed chair. The objective of the study was to assess reliability of Electronic Push/Pull Dynamometer in the measurement of the knee flexion and extension at 90° and 60° on a new constructed chair. The aims of the author: To assess reliability of Electronic Push/Pull Dynamometer in the measurement of the knee flexion and extension at 90° and 60° on a new constructed chair. Design: A test-retest reliability study. Subjects: One hundred healthy students male and female (mean age, 21y). Methods: Maximum isometric strength of the quadriceps and hamstring muscle groups was measured using the EPPD were recorded at 60° and 90° for 3 trials on 2 occasions. Reliability was assessed with the Intraclass correlation coefficient (ICC), mean and standard deviation (SD) of measurements, and smallest real differences were calculated for the maximum and for the mean and work of the 3 repetitions. Results: Mean strength ranged from 50.44 kg for knee flexion to 55.76 kg for knee extension 50.44 kg to 61.98 kg at 90° hip flexion. Test-retest reliability Intraclass correlation coefficients (ICCs) ranged from 0.85 to 0.99. ICCs for test-retest reliability ranged from 0.780 to 0.998. Conclusions: The results of the reliability study indicate that the EPPD in reliable dynamometer to use in determining lower limb muscle force production. It can be used to measure disease progression and to evaluate changes in knee extension and flexion strength at the individual patient level.
Synthesis, Reactions and Antimicrobial Activity of Some New 3-Substituted Indole Derivatives  [PDF]
Asmaa S. Salman, Naema A. Mahmoud, Anhar Abdel-Aziem, Mona A. Mohamed, Doaa M. Elsisi
International Journal of Organic Chemistry (IJOC) , 2015, DOI: 10.4236/ijoc.2015.52010
Abstract: Reaction of indole-3-carboxaldehydes 4 with hydrazine derivatives and different substituted acid hydrazides afforded the corresponding hydrazine derivatives 5a-c and acid hydrazide derivatives 7-11 respectively. Condensation of indole-3-carboxaldehydes 4 with phenacyl bromide and thiourea gives 1,3-thiazol-2-amine derivative 18. On the other hand, reaction 4 with 3-acetylchromene-2-one afforded chalcone derivative 19. Compound 4 undergoing Knoevenagel condensation with cyanoacetamide, ethyl cyanoacetate, benzimidazol-2-ylacetonitrile, rhodanine-3-acetic acid, 2,3-dihydropyrimidin-4-one derivative and 2,4-dihydropyrazol-3-one afforded the compounds 20a,b, 22, 23, 27 and 28 respectively. The structure of the newly synthesized compounds has been confirmed by elemental analysis and spectra data. The antimicrobial activities of the some newly synthesized compounds were measured and showed that most of them have high activities
Large inclusion cyst complicating female genital mutilation
Abdel Aziem AbdAllah Ali,Abdalla Ali Mohammed,Awadia Khojali Mohammed Ali
Clinics and Practice , 2011, DOI: 10.4081/cp.2011.e121
Abstract: We report a case of an inclusion cyst, resulting from female genital mutilation (FGM), which enlarged to such a degree that it restricted the patient’s movement. This report aims to raise the awareness of the medical community to the dangers that arise from a common remote complication of FGM.
Response of Growing Rabbits to Feed Restriction and Some Additives on Performance, Carcass and Hepatic Gene Expression under Egyptian Summer Conditions
S.A. Yassein,Sekena H. Abdel-Aziem,El-Mallah G.M.,Nagwa A. Maghraby
Journal of Agricultural Science , 2011, DOI: 10.5539/jas.v3n2p45
Abstract: This work aimed to study the response of growing female NZW rabbits to quantitative feed restriction (FR) at 60% of ad-libitum applied and the effect of adding either copper sulfate (CuSO4) and/or sodium bicarbonate (NaHCo3) to drinking water on performance and hepatic expression of apolipoprotein (apoA1), lipoprotein (cholesteryl ester transfer protein CETP, hepatic lipase HL) and insulin-like growth factor-I (IGF-1) during the summer period. Over the fattening period, rabbits fed AL during RES period (28-49 day of age) were significantly higher in most growth performance (GP) than RES-group, but all hepatic expression of genes tested decreased in feed restrictions group when compared to control on the other hand, adding either CuSO4 or NaHCo3 to drinking water slightly insignificant increase the expression of all the tested gens. When RES. rabbits fed freely after restriction (49-84 days of age). Logically, feed intake (FI) was significantly increased for AL group during FR period while, it was nearly similar, but FCE was more favorable for RES group throughout the whole period. Also, performance index (PI) was significantly higher for RES-groups. All values of carcass traits were significantly affected by FR. However, adding either CuSO4 or NaHCo3 to drinking water decreased GP during FR period. It can be concluded that FR had no significant effect on GP and slight decrease in gene expression for IGF-1 and lipoprotein gens, so it can applied FR to produce at slaughter age, rabbits with the same LBW of rabbits fed AL. Also, CuSO4 or NaHCo3 in drinking water is more practical to alleviate of heat load under the summer condition of Egypt.
Hypoglycaemia and severe plasmodium falciparum malaria among pregnant sudanese women in an area characterized by unstable malaria transmission
Aziem A Ali, Elhassan M Elhassan, Mamoun M Magzoub, Mustafa I Elbashir, Ishag Adam
Parasites & Vectors , 2011, DOI: 10.1186/1756-3305-4-88
Abstract: A hospital-based study was carried out to assess the pattern of severe P. falciparum malaria among pregnant women at the Kassala and Medani maternity hospitals, which are located in areas of unstable malaria transmission, in eastern and central Sudan, respectively. Pre-tested questionnaires were used to gather socio-demographic, clinical and obstetrical data. Suitable tests were performed for clinical and biochemical investigations.Among 222 pregnant women diagnosed with malaria at the two hospitals, 40 (18.0%) women at mean (SD) gestational age of 29.3 (6.7) weeks fulfilled one or more of the WHO criteria for severe P. falciparum malaria. These were hypoglycaemia (14; 35.5%), severe anaemia (12; 30%), hypotension (10; 25%), jaundice (9; 22.5%), cerebral malaria (6; 15%), repeated convulsions (4; 10%), hyperparasitaemia (4; 10.0%) and more than one manifestation (9; 22.5%). While the mean (SD) presenting temperature was significantly lower for women presenting with hypoglycaemia [38.2(0.6) versus 38.8(0.7) °C, P = 0.04], other clinical and biochemical characteristics were not significantly different among women with different manifestations of severe P. falciparum malaria.Preventive measures for pregnant women such as insecticide-treated bednets and chemoprophylaxis may be beneficial in areas of unstable malaria transmission. Early detection and prompt treatment of severe malaria, especially in pregnant women with hypoglycaemia, are needed.Malaria in pregnancy is a major public health problem in tropical and subtropical regions of the world. In Africa, millions of women living in malaria-endemic areas become pregnant each year [1,2]. Malaria in pregnancy contributes to significant maternal and perinatal morbidity and mortality. Each year, more than 500,000 women die during pregnancy or childbirth [1]. Severe malaria is a medical emergency associated with high mortality, especially in cases with multiple organ dysfunction [3]. Cerebral malaria and severe malarial ana
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