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Abstract Background Quality sleep is vital for well-being, especially for healthcare workers facing high risks of fatigue and burnout. Sleep deprivation impairs cognitive and motor functions, contributing to medical errors. Addressing sleep disorders among healthcare professionals is crucial for enhancing patient care. Tailored interventions are needed to support their well-being and improve healthcare outcomes. Objective To evaluate the effect of Sleep Quality and its Deprivation on Sudanese Healthcare Professionals amidst conflict in Sudan. Methods A cross-sectional online survey of Sudanese doctors was conducted using convenience sampling. The questionnaire covered sleep quality, daytime sleepiness, and psychological well-being. Pilot testing ensured questionnaire clarity. Data collection utilized Google Forms distributed through social media and professional networks. A minimum sample size of 384 was calculated. Statistical analysis included descriptive statistics and various tests for significance. Data were securely stored and analyzed using SPSS and R software. Results Among 649 participants, 404 (62.2%) were women, with a mean age of 30.34 years. Most were single (434, 66.9%). General practitioners constituted the largest professional group (267, 41.1%), followed by registrars/residents (142, 21.9%). Participants took an average of 43.70 minutes to fall asleep and slept an average of 5.90 hours per night. According to the PSQI, 300 (46.2%) reported mild sleep disturbance, 287 (44.2%) moderate, 42 (6.5%) severe, and only 20 (3.1%) normal sleep. The ESS revealed 285 (43.9%) with lower normal daytime sleepiness, 188 (29.0%) with higher normal, and various levels of excessive daytime sleepiness. Stress levels varied, with 398 (61.3%) reporting normal stress, while anxiety ranged from 248 (38.2%) normal to 148 (22.8%) extremely severe. Conclusion This study emphasizes the importance of addressing sleep quality, mental health, and performance challenges among Sudanese healthcare professionals. It highlights the need for hospitals to implement measures enabling more time off, adequate sleep, and reduced on-call service days. Healthcare workers must recognize the significance of these factors for their well-being and patient care quality. The research outcomes can raise awareness about the necessity of regulating healthcare practitioners' working hours and ensuring adequate sleep.

BACKGROUND: Postpartum depression (PPD) is a major and common mental health problem complicating maternal status after delivery, mainly associated with maternal suffering and altering the mental status for both herself and her offspring. It is a complex condition results mainly from a mix of physical, emotional, and behavioral changes happens to women after giving birth. The interactions between chemical, social, and psychological variables factors especially in newly mothers experience are probably responsible for initiation and ranges of postpartum depression. METHODS: This study will be conducted via Cohort – analytical study design based on retrospective database in the last 3 years from current day, will be conducted from Taha Baasher hospital medical records, a psychiatry department. The process started from October 2021. We used scientifically structured questionnaire as a tool to collect data from registered patient’s data with approval from Alzaiem Alazhari University. RESULTS: Total of 79 cases have been studied in order to analyze the most prominent data they might have role in developing causes or risk factor of postpartum depression. The percentage of different parameters manly young age 62.5%, education of primary school 41.3%, with high percentage of positive family history of mental illness and previous history mental illness, 42.1% and 32.9% respectively. The majority of the cases have Moderate symptoms 53.8%, while 27.5% were Severe. The risk of patients was classified into homicidal 3.8% and suicidal were 7.7%. The final diagnosis of the cases was psychosis 76.5% and only 23.5% was depression. Treatment by drugs only was about 97.5%. CONCLUSION: Total of 79 cases have been studied in order to analyze the most prominent data they might have role in developing causes or risk factor of postpartum depression. The percentage of different parameters manly young age 62.5%, education of primary school 41.3%, with high percentage of positive family history of mental illness and previous history mental illness, 42.1% and 32.9% respectively. The majority of the cases have Moderate symptoms 53.8%, while 27.5% were Severe. The risk of patients was classified into homicidal 3.8% and suicidal were 7.7%. The final diagnosis of the cases was psychosis 76.5% and only 23.5% was depression. Treatment by drugs only was about 97.5%.

BACKGROUND: Migraine is a common neurological disorder with significant psychiatric co-morbidities and impact on quality of life. Medical students routinely have triggers, notably stress and irregular sleep, which are typically associated with migraine. The present study aimed to assess the effect of the psychiatric co-morbidities of migraine on medical university students. METHODS: We conducted a descriptive cross-sectional study at Khartoum University on 356 students chosen by a multi-stage stratified sampling for the batch and gender, followed by a simple random sampling using self-administered questionnaires. Our survey consisted of the Patient Health Questionnaire 4-item (PHQ-4) to examine the effect of the psychiatric co-morbidities of migraine on medical students at Khartoum University. Migraine diagnosis was made according to ID Migraine. We analyzed the data using SPSS Software version 26. RESULTS: The participants included 63.8% females and 36.2% males. The age of the participants ranged from 17–26-year-old, with the majority between 20-23 years old. Additionally, 73.6% of the students were caffeine consumers, and 6.5% were smokers. In addition, 66% of medical students confirmed having two or more general headaches during the past three months. The prevalence of migraine was 27.25% in the whole study group. According to the PHQ-4 scoring system, (36%) had mild psychological distress (score: 3-5), (28.9%) reported severe distress (score: 9-12), while (24.7%) and (10.3%) reported moderate (score: 6-8) and none (score: 0-2) psychological distress, respectively. There was a significant association between the intensity of migraine without medications and the psychological status of the patient (P

BACKGROUND: Percutaneous nephrolithotomy generally is safe, effective, and associated with a few but specific complications. However, the definition of complications of PCNL and their management still lacks consensus. PCNL is the first-line approach for large, multiple, and inferior calyx renal stones according to the European Association of Urology (EAU) guidelines. We aimed to evaluate the Technique, Outcome, and Complication of percutaneous Nephrolithotomy at Al-ribat Urology Center (Omer Sawi Hospital). METHODS: A prospective, institutional-based cross-sectional study was used to investigated all patients presented to the study area with renal stones during the period from November 2019 to January 2020 in Al-Rebat Hospital. . A total of 28 patients were enrolled using multi-stage sampling. The researcher completed a validated questionnaire consisting of several sections to assess outcomes and complications of percutaneous nephrolithotomy. RESULTS: the study assessed the outcome of PCNL among 28 patients. The study found that the mean size of stones recorded was 1.25 cm, and the stones were on the left and right kidneys in 53.6%, and 46.4% respectively. Stones present by a percentage of 10.7%,28.6%, and 53.6% in the upper and lower calyx and pelvis respectively. The stones were rounded in 78.6% and staghorn in 21.4%. the stone was single in 53.6% and multiple in 46.4%. all operations were done under fluoroscopy guidance. Patients were supine in 25% and prone in 75% of the operations. The mean operative time was 27.9 minutes calculated from puncture time does not include retrograde and positioning. In addition to that 57.1% of the patients had nephrostomy tubes and double J. 92.9% of the patients were stones-free at the end of the operation. Injury to the surrounding organs did not occur. Mild bleeding occurs in 10.7% of the patients, in which blood transfusion was necessary. Extravasation of fluid occurs in 10.7%. Fever occurs in 42.9%. Most of the patients stay for 1 day postoperatively 57.1%. CONCLUSION: This study demonstrated that PCNL is a safe elective, minimally invasive surgical modality with good outcomes and lower incidences of major complications.