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Control of Blood Pressure and Complication Presence in Khartoum State, Sudan

Open Journal of Internal Medicine 2023年第4期13卷 381-394页

作者： Nisreen A. A. Ahmad Maha M. bilal Ziryab Z. M. Elmahdi Tayseer Abdelmotalib ahmed Taha Tamadur A. Abdelrahman Rowa Abdelmonem Sidig Hamadto Sahar M. B. Elnour Minstery of Health Kariba Health Center Wad Madani Sudan Family Medicine Department Najran University Najran Saudi Arabia Emergency Department Sheikh Khalifa Medical City Abu Dhabi United Arab Emirates Dhaman Health Assurance Hospitals Company Kuwait City Kuwait Diabetes Specialized Centre Port Sudan Sudan Sudan Medical Specialization Board Khartoum Sudan

Background: Hypertension is a common chronic disease and an important public health problem. The prevention of complications depends on hypertension control. Aim: To assess blood pressure control, complication presence, and their influencing factors. Methods: This cross-sectional study was conducted on patients with hypertension attending a private medical facility, a governmental facility, and a primary health care center in Khartoum, Sudan, between September 2022 and February 2023. Statistical Package for Special Sciences version 25 was used for data analysis;frequency and percentage were used to describe the qualitative variables. A chi-square test was used for co-relation analysis;a P-value ≤ 0.05 was considered statistically significant, and the confidence interval was 95%. Results: The study included 250 participants;55.6% were males. Their age was 58.77 ± 6.80 years, and they had hypertension for 10.7 ± 8.51 years. The duration of the disease was 10.7 ± 8.51 years. Systolic blood pressure was 127.1 ± 11.3 mm hg, and diastolic blood pressure was 81.6 ± 7.1 mm hg. Of the participants, 76.4% had controlled hypertension, while 27.6% had complications due to hypertension. Controlled blood pressure was associated with females, age group 40 - 60 years, normal waist circumference, and high adherence level (P ≤ 0.05). The presence of complications was associated with males, participants older than 60 years, and a low adherence level (P ≤ 0.05). Conclusions: In Sudan, the level of control is good;nonetheless, not all patients achieve it. Availability and access to treatment facilities and medications should be improved. Proper patient counseling should be offered, as well as continuous care.

关键词： Hypertension Blood Pressure Control Complications

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An Approach to Optimize Multi-family Residence HVAC Systems Using Digitalization

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Management Studies 2023年第4期11卷 185-201页

作者： bilal Faye Osman ahmed Andrew Rodger Pacific Northwest National Laboratory(PNNL) USA AceIoT Solutions USA

As mentioned by National Geographic(2017),70%of world’s population is expected to live in large apartment buildings by ***,buildings in cities generate 30%of world’s greenhouse gas emission or GHG(National Geographic,2017).Major urban centers are committed to reducing greenhouse gases by 80%by 2050(IEA,2021).However,achieving such goals in rental properties is not *** are hesitant to use high-efficiency technologies because,typically,tenants pay the utilities ***,that situation is rapidly *** example,New York City like other US cities,is considering a carbon cap on all large buildings(Local Law 97,2019).That means landlords will pay a carbon penalty if the building’s carbon footprint exceeds certain threshold no matter who uses that *** Pacific Northwest National Laboratory(PNNL)has received funds from DOE(US Department of Energy)with the collaboration of a commercial partner to address emerging energy efficiency market opportunity in multi-family or rental housing as discussed *** has partnered with a large national real estate owner in order to test a novel energy optimization method at a rental property in Tempe,*** using a seamless-integrated method of acquiring building’s operating data,the optimization approach essentially resets setpoints of different energy consuming equipment such as chillers,boilers,pumps,and ***-driven optimization approach is pragmatic and easily transferrable to other *** authors shall share the problem background,technical approach,and preliminary results.

关键词： HVAC optimization IoT digitalization multi-family housing commercial buildings

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Incidence and Outcomes of Surgical Site Infections after Adult Cardiac Surgery: A Single-Center Experience

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World Journal of Cardiovascular Diseases 2023年第11期13卷 764-779页

作者： Ibraheem H. Alharbi Hasan I. Sandogji ahmed M. Shabaan Khaled M. Sayed bilal A. Rahmani Mohamed A. Elmetwali Nouf A. Lami Thikra S. Alkhalaf Shyelene T. Utuanis Ayman R. Abdelrehim Cardiology Department Madinah Cardiac Center Madinah Saudi Arabia Cardiac Surgery Department Madinah Cardiac Center Madinah Saudi Arabia Cardiothoracic Surgery Department Faculty of Medicine Suez Canal University Isma&iumllia Egypt Infection Prevention and Control Department Madinah Cardiac Center Madinah Saudi Arabia Clinical Nurse Unit Cardiac Surgery Department Madinah Cardiac Center Madinah Saudi Arabia Cardiothoracic Surgery Department Faculty of Medicine Menoufia University Menoufia Egypt

Background: Surgical site infections (SSIs) remain a challenging medical problem, especially in cardiac surgery patients. There is a lack of studies evaluating the rate of and outcomes of SSIs following cardiac surgeries in Saudi Arabia. Aims: This study aimed to determine the incidence of SSIs after adult cardiac surgeries that were done in Madinah Cardiac Center, Saudi Arabia. Further, to identify the outcomes and risk factors contributing to death among surgical site infection patients. Methods: This was a 6-year, single-center, retrospective cohort study that included 93 consecutive patients who underwent adult cardiac surgery between August 2016 and August 2022. All adult patients aged 18 years or older who had clinical evidence of postoperative surgical wound infection were included. Preoperative, operative, and postoperative data (early and late) were collected from medical records. Microbiological culture reports and clinical outcomes were also recorded. Results: The study revealed a 9.1% (93/1021) incidence rate of SSIs. Of the 93 patients with SSIs, 60 had superficial incisional infections and 33 had deep infections with incidence rates of 5.9% and 3.2%, respectively. In-hospital mortality due to SSI was recorded in 4 out of 93 patients with an incidence rate of 4.3%. There was a significant association between the in-hospital mortality and the type of SSIs (p = 0.014). All non-survivors had deep SSIs. The type of cardiac surgery also showed a significant association with the in-hospital mortality (p = 0.017). Furthermore, the median duration of antibiotic administration was significantly longer in the non-survivors than in the survivors (72.5 vs 17, respectively, p Conclusions: In conclusion, the incidence of surgical wound infections following cardiac surgery is not low (9.1%);of which 3.2% were deep infections. The in-hospital mortality rate after treatment of SSIs was fortunately low (4.3%), and all non-survivors had deep SSIs. The non- survivors showe

关键词： Surgical Site Infection Cardiac Surgery Mortality Risk Factors Outcomes

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Value of Shoulder MRI in Cancer Patients Presenting with Shoulder Related Symptoms

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Journal of Health Science 2019年第5期7卷 320-325页

作者： bilal Mujtaba Sameh Nassar ahmed Taher Felicia Wang Kundan Rao John E. Madewell Rizwan Aslam Kevin McEnery Department of Diagnostic Radiology UT MD Anderson Cancer CenterHoustonTexas 77030USA

Nonspecific shoulder pain is common presentation among elderly patients and patients with a history of cancer. The major concern of shoulder pain in cancer patients is the development of metastases. MRI of the shoulder is the most commonly used imaging modality for assessment of suspected soft tissue pathologies associated with the shoulder pain. In this study, we try to examine the role of shoulder MRI in elderly patients with a history of cancer presenting with nonspecific shoulder complaints for assessment of metastases.

关键词： Shoulder MRI malignancy retrospective analysis

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Control of Blood Pressure and Complication Presence in Khartoum State, Sudan

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Open Journal of Internal Medicine（内科学期刊） 2023年第4期

作者： Nisreen A.A.Ahmad Maha M.bilal Ziryab Z.M.Elmahdi Tayseer Abdelmotalib ahmed Taha Tamadur A.Abdelrahman Rowa Abdelmonem Sidig Hamadto Sahar M.B.Elnour

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Incidence and Outcomes of Surgical Site Infections after Adult Cardiac Surgery:A Single-Center Experience

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World Journal of Cardiovascular Diseases（心血管病） 2023年第11期

作者： Ibraheem H.Alharbi Hasan I.Sandogji ahmed M.Shabaan Khaled M.Sayed bilal A.Rahmani Mohamed A.Elmetwali Nouf A.Lami Thikra S.Alkhalaf Shyelene T.Utuanis Ayman R.Abdelrehim

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