Background: Hepatitis B virus infection is a serious blood borne disease. The objective was to determine the knowledge, attitude and practice of heath care workers regarding transmission and prevention of hepatitis B virus infection. Method: A cross-sectional, hospital-based study carried out in White Nile State, Sudan. Three hundred eighty five health care workers were selected randomly from thirteen hospitals. Structured questionnaire was used for the interview. Knowledge was tested by 16 variables related to mode of transmission and prevention. Cronbach's Alpha of 16 variables was 0.8. Quartile range was used to identify cutoff points for knowledge levels. Knowledge levels were determined as adequate, moderate and poor. Chi-Square test was used to test the knowledge against workers` characteristics. Result: Education of the workers was significantly associated with knowledge of health care workers about HBV transmission and prevention. Age, sex and marital status were not associated with the level of knowledge. Laboratory technicians and labors have poor knowledge compared to doctors, pharmacist, nurses, midwives and theater operators. More than 80% of health care workers were aware about the availability of protective measures in hospitals. They were significantly practicing sterilizing instruments, wearing gloves and screened the donated blood. The attitude of health care workers after suspicious of being infected had shown that 220 do nothing, 99 consider cautery and 57 believe in voluntary testing. Conclusion: Educated health care workers have adequate knowledge about HBV transmission and prevention and labors were having poor knowledge. Health care workers that aware of available protective measures were sterilizing instruments, wearing gloves and screening the donated blood. The majority of HCWs do nothing after suspicious of HBV infection. Health awareness about hepatitis B virus is needed to target labors, laboratory technicians and other para-medical staff.

Background: Hepatitis B virus infection is a recognized occupational hazard for health care service providers. Aim: To determine hazard of HBV markers across department and occupation, among HCWs in public hospitals, White Nile State, Sudan. Methods: It was a cross sectional study, where 385 HCWs were selected randomly. Close ended questionnaire was used. From each respondent five ml venous blood was obtained, sera was separated and stored at-20° centigrade. Cross tabulation was performed together with Chi-square test. P value ≤ 0.05 was considered statistically significant. Result: Anti-HBcore: department of others (medicine, pediatrics, psychiatry, and ophthalmology) had got highest percentage (68.7%), followed by obs. (17.4%); the least was dentist (1.3%). Regarding occupation nurse got highest percentage (31.7%), followed by labor (27.8%); the least was pharmacist (2.6%). For HBsAg: department of others had got highest percentage of carrier rate (74.2%); followed by obs. (17.7%); the least was pharmacy (1.6%). For occupation, labor got highest percentage (27.4%), followed by nurse (25.8%); the least was pharmacist, nurse and midwife not nurse (1.6%). HBeAg: department of others had got highest percentage (72.4%); followed by obs. (20.7%); the least was surgery (6.9%). For occupation labor got highest percentage (34.5%), followed by doctor and Lab. technician (24.1%); the least was nurse-midwife, and operation assistant (3.5%). P value = 0.001. Conclusion: Statistically there was association between HBV infection and type of department and occupation. The most hazardous department was other (medicine, pediatrics, psychiatry, and ophthalmology). HBsAg and HBeAg were high among laborers as occupation.

Intussusception is defined by Treves in 1899 as invagination of segment of bowel into adjacent segment usually proximal into distal. It’s a common cause of abdominal emergencies especially in children two years of age and younger. It accounts for 1 in 2000 infants and children and results in intestinal obstruction. Post-operative intussusception is one of the rare etiologies of intestinal obstruction that represents 0.01 to 0.25% after laparotomies and 5 -10% of all early postoperative intestinal obstructions. Our case is a ten years old female presented to the National Center for Pediatric Surgery; Gezira state; Sudan; February 2021 complaining of abdominal distention and constipation for 6 days. She had past history of acute appendicitis due to which she underwent emergency opened appendectomy. Her condition started one day after appendectomy. O/E : patient looks ill, febrile, not pale or jaundice; PR:140b/m; RR:25c/m; abdominal examination show: distended abdomen with full flanks, unhealed lanz incision with small amount of pus discharge; no dilated veins or visible peristalsis; hernia orifice were intact; lower abdomen was tense & tender; no palpable mass; DRE: rectum contains impacted hard stool. Emergency explorative laparotomy was done. Findings: Ileocecal intussusception, bowel was healthy and viable. Simple reduction was done. Conclusion and Recommendations: Post-operative intussusception usually associated with bowel ischemia and necrosis which is not consistent with our case. We highly recommended abdominal ultrasonography, CT scan; when there is a high index of suspicion.

End stage renal disease is an irreversible renal damage leading to impairment of renal function and failure of filtration of metabolic wastes from the blood. To determine the socio-demographic characteristics of Sudanese Patients on Hemodialysis at Gezira Hospital for Renal Diseases and Surgery, Gezira State, Sudan; 2018. It was an observational study. Independent variables were socio-demographic characteristics. Dependent variable was hemodialysis. A questionnaire was used to obtain the required data. SPSS version 21 was used for data entry and analysis. Chi square test was used and P-value ≤ 0.05 was considered statistically significant. Sixty two percent of respondents were male. Minimum age was 19 years while maximum age was 70 years. Maximum affected age group was age group (36-45) years; followed by age groups (46-55) and (56-65) years. Minimum age at which disease was diagnosed was 13 years while maximum was 67 years. Regarding residency was as follow: Two percent from East State, 2% from West State, and 96% from Central State. For education: Twenty percent were illiterate, 6.0% Quranic School (Khalwa), 36% primary school, 14% secondary school, 14% university graduate, and 10% had postgraduate certificate. Their occupation was as follows: Twenty percent were labors, 8% were farmers, 6% were employee, 2% were merchants, 4% were students, 24% were households, 2% was from the medical field, 4% were nonemployee and 30% did not identify their occupations. Sixty six percent were married. Male is more prone to heamodialysis than female. Risk for heamodialysis increases with increased age. The married rate is an important factor related to the outcome of ESRD. Low levels of education together with low income level of employment are important factors related to ESRD.

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