http://http://repository.ush.edu.sd:8080/xmlui/handle/123456789/1 2026-06-02T19:59:11Z 2026-06-02T19:59:11Z Imam Awadelkareim Imam, Motwakil Abdelgeyoom Ahmed Elshareef, Awadelkaream Mohammed Salih Korena, Zohair Khalid Noor, Sufian Ahmed.Ali Obeid, Isam Mahjoub Awad Ali, Ahmed http://http://repository.ush.edu.sd:8080/xmlui/handle/123456789/1113 2026-06-02T14:58:57Z 2026-05-31T00:00:00Z

Chronic Kidney Disease Secondary to Urolithiasis in Sudan: Clinical Presentation, Risk Factors and Renal Outcome Imam Awadelkareim Imam, Motwakil; Abdelgeyoom Ahmed Elshareef, Awadelkaream; Mohammed Salih Korena, Zohair; Khalid Noor, Sufian; Ahmed.Ali Obeid, Isam; Mahjoub Awad Ali, Ahmed Background: Chronic kidney disease (CKD) is a major global health burden. Although urolithiasis contributes to a small proportion of end-stage renal disease (ESRD) worldwide, delayed diagnosis and limited access to urological care may increase its impact in low-resource settings. Objective: To assess the clinical presentation, management, and outcomes of patients with CKD secondary to renal stone disease in Khartoum State, Sudan. Methods: A prospective, multicentre, hospital-based cohort study was conducted between April 2016 and April 2018. Adult patients with symptomatic urolithiasis for more than three months and evidence of renal impairment were enrolled. Estimated glomerular filtration rate (eGFR) was assessed at baseline and six weeks after intervention. Data were analyzed using SPSS. Results: A total of 215 patients were included; 64.7% were male, with the majority aged 40–59 years. Most patients originated from regions lacking specialized urological services. Delayed treatment (>3 months after diagnosis) was observed in 79.5%. Emergency intervention was required in 42.3% of cases. Complete stone clearance was achieved in 80%. At six-week follow-up, 51.6% had normal eGFR, while 8.5% progressed to ESRD. Nephrectomy was performed in 10.7%, and mortality was 1.9%. Emergency intervention and incomplete stone clearance were significantly associated with poor renal outcomes. Conclusion: Renal stone disease is an important and potentially preventable cause of CKD in Sudan. Delayed presentation and emergency intervention are associated with worse outcomes, while complete stone clearance significantly improves renal recovery. Strengthening early referral and urological services may reduce progression to ESRD. Keywords: Chronic Kidney Disease, Renal Stone, estimated GFR, Sudan.

2026-05-31T00:00:00Z Imam Awadelkareim Imam, Motwakil Mohammed Saleh Hadi Gahaf, Baker Abdullah Ahmed Mohammed, Muayid http://http://repository.ush.edu.sd:8080/xmlui/handle/123456789/1112 2026-05-19T19:26:56Z 2026-01-01T00:00:00Z

Bone Marrow Examination Findings Among Sudanese Patients During the Sudanese Armed Conflict (April 2023 to February 2025) Imam Awadelkareim Imam, Motwakil; Mohammed Saleh Hadi Gahaf, Baker; Abdullah Ahmed Mohammed, Muayid Abstract Background: Armed conflict in Sudan has severely disrupted healthcare delivery, and access to diagnostic services. Despite the increasing burden of hematological disorders, data on bone marrow examination (BME) findings in such settings remain limited. This study aimed to characterize the spectrum of BME diagnoses in Sudanese patients during a period of ongoing conflict. Methods: A retrospective cross-sectional study was conducted at Al-Mek Nimer University Hospital, including 291 patients who underwent bone marrow examination (aspiration and trephine biopsy) between April 2023 and February 2025. Data were analyzed using SPSS. Results: Hematological malignancies accounting for 64.6% of cases. Leukemia was the most common diagnosis (38.8%), particularly chronic lymphocytic leukemia (17.2%), acute lymphoblastic leukemia (11.7%), and chronic myeloid leukemia (10.3%). Non-malignant conditions represented 35.4% of cases, mainly reactive marrow changes (17.5%) and megaloblastic anemia (7.2%) being the most frequent. Most patients were aged 41–60 years (29.9%), with a slight male predominance (52.9%). Geographically, most cases originated from River Nile State (52.9%) and Khartoum State (33%). A notable proportion of patients were unemployed (58.8%), suggesting socioeconomic vulnerability. Conclusion: There is high burden of advanced hematological malignancies and reactive marrow patterns likely due to delayed access to care during conflict. Bone marrow examination remains essential diagnostic tool in resource-limited settings. Strengthening mobile diagnostic services, promoting early screening among high-risk groups—particularly the elderly and unemployed—and implementing micronutrient supplementation programs may help reduce morbidity and improve outcomes in conflict-affected populations. Keywords: Bone Marrow Examination, Hematological Malignancies, Reactive Marrow Conflict Settings, Sudan Abstract Background: Armed conflict in Sudan has severely disrupted healthcare delivery, and access to diagnostic services. Despite the increasing burden of hematological disorders, data on bone marrow examination (BME) findings in such settings remain limited. This study aimed to characterize the spectrum of BME diagnoses in Sudanese patients during a period of ongoing conflict. Methods: A retrospective cross-sectional study was conducted at Al-Mek Nimer University Hospital, including 291 patients who underwent bone marrow examination (aspiration and trephine biopsy) between April 2023 and February 2025. Data were analyzed using SPSS. Results: Hematological malignancies accounting for 64.6% of cases. Leukemia was the most common diagnosis (38.8%), particularly chronic lymphocytic leukemia (17.2%), acute lymphoblastic leukemia (11.7%), and chronic myeloid leukemia (10.3%). Non-malignant conditions represented 35.4% of cases, mainly reactive marrow changes (17.5%) and megaloblastic anemia (7.2%) being the most frequent. Most patients were aged 41–60 years (29.9%), with a slight male predominance (52.9%). Geographically, most cases originated from River Nile State (52.9%) and Khartoum State (33%). A notable proportion of patients were unemployed (58.8%), suggesting socioeconomic vulnerability. Conclusion: There is high burden of advanced hematological malignancies and reactive marrow patterns likely due to delayed access to care during conflict. Bone marrow examination remains essential diagnostic tool in resource-limited settings. Strengthening mobile diagnostic services, promoting early screening among high-risk groups—particularly the elderly and unemployed—and implementing micronutrient supplementation programs may help reduce morbidity and improve outcomes in conflict-affected populations. Keywords: Bone Marrow Examination, Hematological Malignancies, Reactive Marrow Conflict Settings, Sudan

2026-01-01T00:00:00Z عوض الكريم على احمد, حسن محمد عثمان عبدالرحمن, ناصر http://http://repository.ush.edu.sd:8080/xmlui/handle/123456789/1075 2026-02-21T18:21:10Z 2026-01-01T00:00:00Z

تاريخ التعليم الثانوي األكاديمي-دراسة حالة محليتي شندي والمتمة-والية نهر النيل-السودان (3691م-9136م) دراسة تاريخية توثيقية عوض الكريم على احمد, حسن; محمد عثمان عبدالرحمن, ناصر تتناول هذه الورقة تاريخ التعليم الثانوي األكاديمي بمحليتي شندي والمتمة، في الفترة ما بين العامين )3691م-9136م(. وتهدف للتوثيق والبحث في نشأة وتطور التعليم الثانوي فيهما. بنيت الورقة على المنهج التاريخي اسة الحالة ومنهج در ، واعتمدت في وسائلها على مجموعة من اجع ذات الصلة، المصادر والمر وتسعى لتحليل العوامل المؤثرة في انتشار التعليم الثانوي بالمحليتين، في ظل األنظمة السياسية المتعاقبة التي حكمت البالد، من خالل ثالثة محاور تناقش نشأة وتوسع التعليم الثانوي، والسياسات الحكومية و اكة الشر بين الدولة والمجتمع في مجال التعليم. انتهت الورقة إلى جملة من النتائج، كان أهمها أن اكة الشر بين الدولة والمجتمع، ساهمت وبقدر كبير في انتشار التعليم الثانوي العالي في المنطقة. أوصت الورقة بصياغة سياسة تعليمية للمحليتين، تأخذ في االعتبار التوزيع السكاني، والكثافة، والحاجة الفعلية، لضمان عدالة توزيع المدارس الثانوية، وتقليص الفجوة التعليمية بين األرياف والمدن. كلمات مفتاحية: التعليم الثانوي، محلية المتمة، محلية شندي، المدارس الثانوية العليا. التوسع التعليمي

2026-01-01T00:00:00Z عوض الكريم على احمد, حسن بابكر محمد أحمد علوب, هاشم حسن عوض الكريم على, حسن عوض الكريم على http://http://repository.ush.edu.sd:8080/xmlui/handle/123456789/1074 2026-02-21T15:38:28Z 2025-01-25T00:00:00Z

تاريخ الأندية بمدينة شندي 1930-1969 عوض الكريم على احمد, حسن; بابكر محمد أحمد علوب, هاشم; حسن عوض الكريم على, حسن عوض الكريم على

2025-01-25T00:00:00Z