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Mahmmoud Fadelallah Eljack M, Elnaiem W, Abdelwahed AE, Hasabo E, Abbas AA, Ahmed AS, Jobran AW, AbdAlla Mohamed MT, Muhalil MG, Jagran Idris LM, Bakour RK, Eltaib Elseed LZ, Al Komi O, Mugibel TA, Nour AB, Ibrahim H, Owish Sukar KA, Ahmed FMT, Elkhazin Mohamed Ali KS, Hussien Mohamed Ahmed KA. Fear of a new pandemic: perception and prediction of monkeypox among the middle east general population. Ann Med Surg (Lond) 2023; 85:5908-5918. [PMID: 38098587 PMCID: PMC10718370 DOI: 10.1097/ms9.0000000000001415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Accepted: 10/09/2023] [Indexed: 12/17/2023] Open
Abstract
Background Monkeypox is a zoonotic disease caused by the monkeypox virus, an Orthopox virus. The 2022 monkeypox outbreak provoked fear among the public. Public awareness about the disease could be an important factor in its control. The authors conducted this study to assess the perception and prediction of monkeypox among the Middle East public. Methods This cross-sectional study was conducted in August 2022. Data were conveniently collected from eight Middle Eastern countries using an online self-administered questionnaire distributed through educational and social media platforms. Statistical analysis was conducted using R software. Results Approximately 11 016 individuals participated in this study. The participants' overall knowledge score indicated poor knowledge about monkeypox. Most of the participants knew the causative organism (66.7%). However, numerous participants were not aware of the disease mode of transmission, symptoms, complications, and vaccination. Participants' awareness was mostly gained from social media (61.8%). The majority predicted acquiring monkeypox when protective measures are not taken (72.7%), progression to a pandemic with economic consequences (50.8 and 52%, respectively), and the ability of the Ministry of Health to control the epidemic (51.5%). Conclusion In the Middle East, public knowledge about monkeypox is poor. Raising awareness about monkeypox would be of benefit in controlling the epidemic. This study constitutes evidence upon which health education programs could be designed.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | - Omar Al Komi
- College of Medicine, Sulaiman Alrajhi University, Albukayriah, Al-Qassim, Saudi Arabia
| | | | - Alshareef B. Nour
- Faculty of Medicine, Wad Medani Collage of Medical Sciences, Wad Medani
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A Ibrahim EA, Mohamed RH, Abbasher Hussien Mohamed Ahmed K, AbdAlla Mohamed MT, Fadelallah Eljack MM. Sydenham Chorea in Sudan; Presentation Panorama. Neuropsychiatr Dis Treat 2023; 19:1657-1663. [PMID: 37525848 PMCID: PMC10387241 DOI: 10.2147/ndt.s417326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Accepted: 07/25/2023] [Indexed: 08/02/2023] Open
Abstract
Introduction Sydenham's chorea (SC) is the most common form of acquired chorea in childhood, it is considered a neurological complication of streptococcal pharyngitis. In this study, we aimed to determine the clinical pattern, association of Sydenham's chorea with other manifestations of acute rheumatic fever, and the laboratory findings of Sydenham's chorea among Sudanese patients. Methods A prospective cross-sectional study involving fifty patients of various ages diagnosed with Sydenham's chorea and followed up at The National Center for Neurological Sciences from January 2017 to November 2019. Data were obtained after patients' consent through personal interviews or personal review of patients' records via a structured questionnaire composed of demographic data, symptoms, co-morbid illness, risk factors, physical examination, and related investigations. Results About 50 patient was enrolled in this study with a median age of 13.7 years. Females were (n=35) (70%) and (30%) (n=15) s were males. Generalized chorea was seen in 33 (66%) and hemichorea in 17 (34%) patients. Weakness (38%) and hypotonia (46%) were common, such as behavior change (44%), dysarthria (70%), gait change (18%), and deterioration of handwriting (12%). Arthritis occurred in (36%), carditis in 30 (60%), both arthritis and carditis in 18 (36%), and pure chorea in 14 (28%). Erythema marginatum and subcutaneous nodules were not observed in our patients. Only 13 patients (26%) gave a history of pharyngitis. Conclusion Sydenham chorea is more common in young female Sudanese, with a familial predominance and a tendency towards mitral valve disease. All pediatric Patients with chorea should be screened for Sydenham's chorea.
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Affiliation(s)
- Etedal Ahmed A Ibrahim
- Department of Medicine, Al-Neelain University, Khartoum, Sudan
- Department of Neurology, The National Centre for Neurological Sciences, Khartoum, Sudan
| | - Rogia Hussein Mohamed
- Department of Medicine, Latifa Hospital for Women and Children, Dubai, United Arab Emirates
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Eljack MMF, Ahmed FMT, Hasabo EA, Alfatih M, Ahmed KAHM, Elnaiem W, Mohamed MTA, Ahmed A, Hamood FMM, Hajhamd AAI, Ahmed RMM, Mansoor AFAB, Ahmed EM, Eisa YMEA, Taha NYM, Ahmed ME, Alnour AAD, Tayfour DOA, Mohammed LM, Ahmed EAZE, Tajeldeen S, Abdelrasoul MA, Balla IMM, Fadl HAO, Ahmed TAH, Yousif A, Abdulrazique QA, Sabri M, Dafalla HN, Alrahaman MF, Mohamed FRG, Ahmed AMOB, Alrabee NHK, Elbannan Elhassan Mohamed Ali M, Ali MM, Ibrahim AAA, A Wahaballah A, Elbagir M, Alkhier EA, Ahmed MA, Mustafa A, Altigany AK, Elaagib A, Almakey Y, Altayeb IKM, Humida G, Mohamed MHA, Ali ATM, Ahmed OMM. The educational value of ward rounds as a learning and teaching opportunity for house officers, medical officers, and registrars in Sudanese hospitals: a multi-center cross-sectional study. BMC Med Educ 2023; 23:426. [PMID: 37291568 DOI: 10.1186/s12909-023-04404-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/16/2022] [Accepted: 05/26/2023] [Indexed: 06/10/2023]
Abstract
BACKGROUND Ward rounds are a cornerstone in the educational experience of junior doctors and an essential part of teaching patient care. Here, we aimed to assess the doctors' perception of ward rounds as an educational opportunity and to identify the obstacles faced in conducting a proper ward round in Sudanese hospitals. METHOD A cross-sectional study was conducted from the 15th to the 30th of January 2022 among house officers, medical officers, and registrars in about 50 teaching and referral hospitals in Sudan. House officers and medical officers were considered the learners, while specialist registrars were considered the teachers. Doctors' perceptions were assessed using an online questionnaire, with a 5-level Likert scale to answer questions. RESULTS A total of 2,011 doctors participated in this study (882 house officers, 697 medical officers, and 432 registrars). The participants were aged 26.9 ± 3.2 years, and females constituted about 60% of the sample. An average of 3.1 ± 6.8 ward rounds were conducted per week in our hospitals, with 11.1 ± 20.3 h spent on ward rounds per week. Most doctors agreed that ward rounds are suitable for teaching patient management (91.3%) and diagnostic investigations (89.1%). Almost all the doctors agreed that being interested in teaching (95.1%) and communicating appropriately with the patients (94.7%) make a good teacher in ward rounds. Furthermore, nearly all the doctors agreed that being interested in learning (94.3%) and communicating appropriately with the teacher (94.5%) make a good student on ward rounds. About 92.8% of the doctors stated that the quality of ward rounds could be improved. The most frequently reported obstacles faced during ward rounds were the noise (70%) and lack of privacy (77%) in the ward environment. CONCLUSION Ward rounds have a special value in teaching patient diagnosis and management. Being interested in teaching/learning and having good communication skills were the two major criteria that make a good teacher/learner. Unfortunately, ward rounds are faced with obstacles related to the ward environment. It is mandatory to ensure the quality of both ward rounds' teaching and environment to optimize the educational value and subsequently improve patient care practice.
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Affiliation(s)
| | | | | | - Mohammed Alfatih
- Faculty of Medicine, University of Alzaiem Alazhari, Khartoum, Sudan
| | | | - Walaa Elnaiem
- Faculty of Medicine, University of Khartoum, Khartoum, Sudan
| | | | - Alaa Ahmed
- Faculty of Medicine, University of Khartoum, Khartoum, Sudan
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Hiba Awadelkareem Osman Fadl
- Department of Haematology, Faculty of Medical Laboratory Sciences, AL-Neelain University, Khartoum, Sudan
- Department of Medical Laboratory, Sudanese Medical Research Association, Khartoum, Sudan
| | | | - Abdalla Yousif
- Faculty of Medicine, University of Red Sea, Port Sudan, Sudan
| | | | - Mohammed Sabri
- Faculty of Medicine, Omdurman Islamic University, Khartoum, Sudan
- Department of Physiology, Omdurman Islamic University, Khartoum, Sudan
| | | | | | | | | | | | | | - Monia Mukhtar Ali
- Faculty of Medicine, University of Alzaiem Alazhari, Khartoum, Sudan
| | | | | | - Mohammed Elbagir
- Faculty of Medicine, University of Alzaiem Alazhari, Khartoum, Sudan
| | | | - M A Ahmed
- Faculty of Medicine, University of Dongola, Dongola, Sudan
| | - Alamin Mustafa
- Faculty of Medicine, University of ALNeelain, Khartoum, Sudan
| | | | - Amna Elaagib
- Faculty of Medicine, Omdurman Alahlia University, Om Durman, Sudan
| | - Yahya Almakey
- Faculty of Medicine, Alribat National University, Khartoum, Sudan
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