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Eli Harris
Eli Harris

Sudan Heart Hospital



The hospital has been developed around an empty space, physically and ideally occupied by two enormous mango trees, located at the centre of the site (a plot of land on the banks of the Nile about 20 km from Khartoum). This is a symbolic space from which all the trajectories along which the building grew, were born.




Sudan Heart Hospital



In line with traditional housing structures, the hospital is configured around a hollow space, creating angles, perspectives and sensations that are forever changing and are never monotonous. The hospital's courtyard is a world of its own; an ideal separation between the internal microcosm - bound, protected and protective- dominated by the symbolic figure of the trees, and the external macrocosm- hostile and scorched- that calls for protection.


The hospital's buildings, that "embrace" the courtyard, have been designed in the form of a pavilion. Their reduced height inspires in patients and hospital staff a sense of "homeliness" that is also present in many details and that attempts to reduce the idea of being hospitalised. This is a philosophy that aims to create a cosy space where patients can feel as fully-fledged "subjects" with a right to an often missing respect, rather than mere "objects" of care.


The design of the structure tries to mitigate the sensation of feeling lost and away from home so typical of hospitals; rather it tries to build a working and healing place where proximity between people and spaces is encouraged.


Temperatures often exceed 40C in Sudan for long periods of time, often reaching and exceeding 50C. It is this aspect of the Sudanese climate together with the presence of fine dust generated by the strong desert winds that has led to an in-depth study of the right type of insulation, cooling and filtering technologies. These technologies allow to reduce the energy consumption levels of the hospital while at the same time guaranteeing maximum levels of comfort. Based on the principle of passive mitigation, one of the first measures taken was that of building a highly performing wall made of two layers of bricks separated by an insulating air cavity, with small windows. These windows are closed by highly performing glass panels with low emissions.


In designing the hospital it was important to imagine a "face" that could best represent the philosophy that underpins it. Every detail of the building, as mentioned above, is aimed at making patients and staff feel at home. Above all they are aimed at highlighting the fundamental values of caring and preserving life. The details of the building are therefore the "face" that represents these values. Residing in the hospital will make the patients, and other observers, of any sex, race, colour or belief come together under the common roof of fundamental values such as cohabitation and hospitability.


The average temperature in the Sudan is 29C, and in the hottest months it can reach 45C. In order to cool down the hospital, a number of measures were taken during construction. In addition to this, air conditioners were installed after the building was constructed.


The machines used for this last part of the cooling circuit are called UATs (Units of Air Treatment). There are 8, each one designed for a specific area of the hospital (CPR, surgery, administration, etc).


The state news agency SUNA reported that the President underwent a cardiac catheterization on Wednesday evening with officials quoted as saying he left the Royal Care hospital immediately after the procedure and has resumed his duties.


The decision to use a local hospital by Bashir is likely to be lauded by many who continually criticize African leaders who seek medical attention abroad, partly because of poor medical facilities back home. The most recent leader to seek medical attention abroad was Nigerian president Muhammadu Buhari who flew to the United Kingdom to seek treatment for an ear infection.


The Salam Centre for Cardiac Surgery is a 63-bed cardiac surgery hospital located on the outskirts of Khartoum, Sudan. The private hospital is operated by Emergency, a humanitarian non-governmental organization, and provides all medical care free of charge.[1] It serves over 50,000 patients every year.[2]


The hospital is located approximately 12 miles (19 km) southeast of Khartoum, on the west bank of the Blue Nile.[3] The primary operation provided is heart valve repair or replacement due to damage from rheumatic fever and subsequent rheumatic heart disease, which is caused by untreated group A streptococcal infections (strep throat).[1]


The hospital also prioritizes training local staff members as part of the long-term plan to contribute to capacity building in Sudan, and for the sustainability of the facility.[4] It has been accredited by the Sudanese Medical Specialization Board for training cardiologists, intensive care unit nurses, anesthesiologists, cardiac surgeons, and specialist theatre nurses.[5] As of 2014, the government of Sudan was contributing US$2.5 million to the hospital's annual budget, while the remaining was funded by private donors.[3]


The hospital was the first facility in the African Network of Medical Excellence, an initiative by Emergency and several African countries to build and integrate specialized medical centers of excellence across the continent to address regional health needs. Through the Regional Program, which conducts screening missions in neighboring countries to identify people in need of medical care, the Salam Center has treated patients from over 30 different countries.[6]


Designed by Studio TAMassociati, the hospital was built out of recycled shipping containers and uses leading climate control technology to insulate, heat and cool the facility, while a solar farm powers the lights and water-heating system;[7] the building won the Aga Khan Award for Architecture in 2013.[8]


Critics have raised the issue that the millions of dollars that have been poured into the hospital could be better used to improve basic health services which are desperately needed in the area, rather than advanced surgery.[3]


Akad, for her part, told Anadolu Agency that the Health Ministry was providing heart patients with special support, including hundreds of free open-heart surgeries -- along with free drugs -- provided this year alone.


According to the Gazette story on his receiving the Aurora Prize, he operates in defiance of government restriction on humanitarian aid in the country, and government planes have bombed his hospital.


Rheumatic heart disease (RHD) remains a leading cause of morbidity and mortality in Sub-Saharan Africa despite widely available preventive therapies such as prophylactic benzathine penicillin G (BPG). In this study, we sought to characterize facilitators and barriers to optimal RHD treatment with BPG in Sudan.


Surveys were subsequently administered during that hospital admission or after clinic appointments by Sudanese medical students or physician trainees in English or Sudanese Arabic depending on participant preference.


Family support was revealed as a facilitator of treatment adherence in focus groups, with many participants noting that family members helped with treatment costs, transportation and lodging associated with referral hospital visits, while providing emotional support. This contrasts somewhat with the survey data, which suggested that 89% of respondents self-reported strong family support, even though the adherence rate in that cohort was 32%.


The positive experiences of RHD patients at referral hospitals can also serve as a template for local medical facilities providing care for RHD patients. Though many of the inadequacies of local facilities were not limited to RHD care, these centers can use this information to improve the perception of care quality by those in their communities, for example through the establishment of RHD Centers of Excellence, as has been done elsewhere in sub-Saharan Africa [57]. Moving forward, a comprehensive approach to RHD control, such as the SUR I CAAN program adopted in Sudan, can offer a practical model for addressing this multifactorial issue resource-limited settings [58].


Background & Aim: Post-operative care of the cardiac surgery patient is challenging that changes can occur rapidly. The preoperativecondition of the patient as well as intra--operative events should be considered in post-operative care. It is essentialfor the nurse to anticipate the possible complications so that appropriate interventions are initiated in a timely manner in orderto ensure a positive outcome for the patient. The aim of this study was to assess nurse??s knowledge and practice in ICU workingregarding post-operative care for patient with open heart surgery in the first 24 hours at Sudan Heart Center.Method: A descriptive cross-sectional hospital base study was conducted in Sudan Heart Center during period extended fromDecember 2012 and ended by the June 2013. It involved 39 ICU nurses staff chosen by Epi info program version 7. Data werecollected by using structured designed self-administrating questionnaire closed ended questions and check list and analyzing byStatistical Package for Social Sciences (SPSS) program version 20.Result: It was found that 4.20% was poor, 12.5% fair, 83.3% was good knowledge of participants?? regarding post-operative carefor patient with open heart surgery in the first 24 hours. And the result showed that 32% fair practice, 19% poor practice, and49% have good practice of participants?? regarding post-operative care for patient open heart surgery in the first 24 hours. Thereare factors such as the level of qualification, years of experience, does not significantly affect the level of knowledge. This studyalso showed that these factors affecting the level of practice of nurses and intensive care unit on nursing care after open-heartsurgery after the first 24 hours with the exception of years of experience that affect the level of skills.Conclusion: Most nurses found to have good knowledge about post-operative care for patient with open heart surgery in thefirst 24 hours but fair practice is high than knowledge. It is necessary to be aware of such measures. Without this practice,nursing knowledge and patient care are not of high standards. The study recommends the applying knowledge into practiceis more valuable it enhances to demonstrate evidence-based practice and nurses needs more training about practice moreknowledge about the topic of practice. 041b061a72


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