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المقترح - نسخة للطباعة والاطلاع - 1
المقترح - نسخة للطباعة والاطلاع - 1
By
Supervisor
SMSB 2023
TABLE OF CONTENTS
Contents Page
Introduction/ background 3
Literature review 5
Problem statement 9
Rationale / Justification 10
Objectives 11
References 17
Appendix 2 Questionnaire 21
ABBREVIATIONS
CL Cutaneous Leishmaniasis
2
1. INTRODUCTION/ BACKGROUND
3
vary in size, shape, and appearance, resulting in significant scarring if
not promptly treated. Multiple lesions can develop in some cases [2].
Senior general surgery registrars play a crucial role in the diagnosis and
management of cutaneous leishmaniasis. However, limited knowledge
and incorrect attitudes among these healthcare professionals can lead to
misdiagnosis, inappropriate management, and potential complications.
For instance, mistaking cutaneous leishmaniasis for cellulitis or abscess
may result in unnecessary debridement procedures, leading to scarring.
Therefore, assessing the knowledge, attitude, and practice of senior
general surgery registrars regarding cutaneous leishmaniasis is essential
to ensure accurate diagnosis, appropriate treatment, and improved
patient outcomes.
5
2. LITERATURE REVIEW
6
ultimately contributing to better patient care and public health outcomes
in Sudan.
8
3. PROBLEM STATEMENT
The study will provide valuable insights into the education and training
needs of senior general surgery registrars regarding Cutaneous
Leishmaniosis. When identifying areas that require improvement, then,
appropriate measures can be taken to empower these medical
professionals, ensuring that they are adequately equipped to address this
public health concern.
10
5. OBJECTIVES
11
6. MATERIALS AND METHODS
This study will be carried among general surgery registrars in all Sudan
states (the safe states)
The study will be conducted within the period from December 2023 – March
2024. The detailed schedule of different steps of the study will be showed on
the coming parts of this document.
This study will cover senior registrars (whom in the final and semifinal years
in their internship rotation) of general surgery in the study area within the
study time period, as determined by the criteria below:
12
2.5 Sampling
For this study, a total coverage sampling method will be employed due to
the limited number of the target population. The researcher will include all
90 registrars according to the records of the Sudan Medical Specialization
Board/General Surgery Council. This approach ensures that every registrar
is included in the study, providing a comprehensive understanding of their
knowledge, attitude, and practice towards Cutaneous Leishmaniosis. The
total coverage method will minimize sampling errors and enhance the
representativeness of the findings within this specific population.
Epidemiology of
Cutaneous Understanding of CL distribution, patterns,
Leishmaniosis and risk factors.
(CL)
Knowledge
Understanding of clinical manifestations
Presentation and
Dependent and appearances of CL lesions, including
Lesion
variables location, size, type, and associated
Morphology
symptoms (including pain).
13
cutaneous leishmaniasis
The extent of damage felt from incorrect
surgical intervention in the skin lesion,
cutaneous leishmaniasis, when it is
misdiagnosed
Does they treat cases of cutaneous
leishmaniasis when they are identified, or
does he refer them to a dermatologist?
- Data will be entered, cleaned, and analyzed using SPSS version 28.0.
- Written ethical clearance and approval for conducting this research will be
obtained from Sudan Medical Specialization Board ethical committee and
EDC.
- Written consent will be obtained from all study participants before being
involved in the study
2023 2024
Data collection
Data analysis
Writing thesis
15
7.13 Budget for facilities and activities required
Item Cost
Stationeries 3,000
Transportation 5,000
Total 28,000
16
REFERENCES
17
8. El-Mouhdi K, Fekhaoui M, Elhamdaoui F, Guessioui H, Chahlaoui A.
Knowledge and Experiences of Health Professionals in the Peripheral
Management of Leishmaniasis in Morocco (ELHajeb). J Parasitol
Res. 2020;2020:8819704. Published 2020 Sep 15.
doi:10.1155/2020/8819704
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Appendixes
Sudan Medical Specialization Board
Council of Dermatology and venereology
Appendix 1: Arabic version of formal consent
والمواقف والممارسات تجاه مرض الليشمانيا الجلدي بين نواب الجراحة العامة في السنوات االخيرة من التدريب في السودان2023 ،
الغرض
تقييم المعرفة والمواقف والممارسات تجاه مرض الليشمانيا الجلدي بين نواب الجراحة العامة في السنوات االخيرة من التدريب في
السودان2023 ،
المشاركة في هذا البحث اختيارية ،وسيتم التعامل بإجراءات منظمة لحفظ خصوصية المعلومات التي ستدلون بها اجابة على االسئلة
في االستبيان المرفق كاستخدام ارقام تسلسلية فقط وعدم تسجيل البيانات الشخصية المباشرة مثل االسم ورقم الهاتف والعنوان المفصل
الخ)
المخاطر
وجب التنبيه لعدم وجود مخاطر تقع على المشاركين في البحث بعد اذن الجهات المعنية ،بما يحقق الفائدة المرجوة في تحسين
اجراءات ونتائج المعالجة والوقاية للمرضى بشكل اكثر جودة ونتائج اكثر صحة ،وتحسين التعاون وعمل الفريق بين المختصين في
معالجة المرض
الفوائد
المشاركة واالنسحاب
وللجميع الحق في االنسحاب متى ما أرادوا ذلك ودون ابدا اسباب وال يؤثر ذلك على تلقيك للخدمة
د .افاق التهامي عبدالرحمن محمد ،نائب اخصائي االمراض الجلدية والتناسلية
تلفون
19
Appendix: Sudan Medical Specialization Board
Council of Dermatology and Venereology
Assessment of Knowledge and Awareness of Internal Medicine
Registrar about Cutaneous Manifestation of Viral Hepatitis, in
Sudan 2023
Demographic Characteristics:
1. Age … years
2. Gender
a. Male
b. Female
Professional Characteristics:
3. Years of Rotation
a. R3
b. R4
4. Have you received any training in dermatology or have you encountered any
cases of Cutaneous Leishmaniosis (CL) before?
Knowledge assessment
b. A bacterial infection
c. A viral infection
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d. A fungal infection
a. On exposed areas of the body, such as the face, arms, and legs
21
b. On covered areas of the body, such as the trunk and back
Answer: a. On exposed areas of the body, such as the face, arms, and legs
d. No associated symptoms
22
Attitudes:
a. Extremely important
b. Important
c. Neutral
a. Very serious
b. Somewhat serious
c. Neutral
d. It has no impact
16. When you identify cases of CL, do you treat them or refer them to a
dermatologist?
23
Practice
Investigations
17. What are the diagnostic tests and procedures routinely used to confirm CL
infection?
Answer: a. Scraping a small sample of skin from the lesion and examining it
under a microscope for the presence of Leishmania parasites
19. What do serological tests, such as the indirect fluorescent antibody test (IFAT)
and the enzyme-linked immunosorbent assay (ELISA), detect?
24
20. What do PCR assays do?
Clinical Diagnosis
22. What should clinicians consider when making a clinical diagnosis of CL?
Answer: a. The patient's travel history, exposure to sandflies, and the presence
of skin lesions consistent with CL
23. What should physical examination include when making a clinical diagnosis
of CL?
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a. A thorough examination of the skin, with particular attention to the
location, size, and appearance of any lesions
24. How can laboratory findings support the clinical diagnosis of CL?
Histopathology Diagnosis
25. How can histopathological examination of skin biopsy samples confirm the
diagnosis of CL?
26. How can histopathology help to differentiate CL from other skin conditions
with similar clinical presentations?
Treatment
27. What factors determine the appropriate treatment approaches for CL?
28. Which medications are considered the mainstay of treatment for CL?
b. Antibiotics
c. Antifungals
d. Antivirals
29. When can local therapies, such as cryotherapy, heat therapy, and topical
antileishmanial ointments, be employed?
27
30. What role do supportive measures, such as wound care and pain management,
play in CL treatment?
28