Patients and doctors tell the BBC of worsening conditions as clashes continue in Khartoum.
Patients in Sudan are trapped in hospitals without electricity and water, the BBC has been told, while others needing medical care are being evacuated, as fighting continues for a third day.
The father and daughter managed to safely flee the area. Faheem told the BBC that she is doing well and they hope to return to see a doctor in a couple of weeks for a follow up visit, if possible. "We heard the sounds of bombardments and gunshots," Ashraf, who is accompanying his injured relative to a Sudanese hospital tells the BBC.
"The hospital is confronted with a pressing challenge: the disruption of water and electricity supply, which is putting the remaining patients in a precarious position." Many hospitals in close proximity to the army headquarters in Sudan's capital, Khartoum, have been the hardest hit. Across social media, videos verified by the BBC show people evacuating one hospital, as gunshots ring out in the background. At another, a health worker can be seen trying to reassure patients about oxygen supplies running low, as a woman can be heard shouting for assistance in the background.
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Associations of combined physical activity and body mass index groups with colorectal cancer survival outcomes - BMC CancerBackground Physical activity and BMI have been individually associated with cancer survivorship but have not yet been studied in combinations in colorectal cancer patients. Here, we investigate individual and combined associations of physical activity and BMI groups with colorectal cancer survival outcomes. Methods Self-reported physical activity levels (MET hrs/wk) were assessed using an adapted version of the International Physical Activity Questionnaire (IPAQ) at baseline in 931 patients with stage I-III colorectal cancer and classified into ‘highly active’ and’not-highly active’(≥ / | 18 MET hrs/wk). BMI (kg/m2) was categorized into ‘normal weight’, ‘overweight’, and ‘obese’. Patients were further classified into combined physical activity and BMI groups. Cox-proportional hazard models with Firth correction were computed to assess associations [hazard ratio (HR), 95% profile HR likelihood confidence interval (95% CI) between individual and combined physical activity and BMI groups with overall and disease-free survival in colorectal cancer patients. Results ‘Not-highly active’ compared to ‘highly active’ and ‘overweight’/ ‘obese’ compared to ‘normal weight’ patients had a 40–50% increased risk of death or recurrence (HR: 1.41 (95% CI: 0.99–2.06), p = 0.03; HR: 1.49 (95% CI: 1.02–2.21) and HR: 1.51 (95% CI: 1.02–2.26), p =0.04, respectively). ‘Not-highly active’ patients had worse disease-free survival outcomes, regardless of their BMI, compared to ‘highly active/normal weight’ patients. ‘Not-highly active/obese’ patients had a 3.66 times increased risk of death or recurrence compared to ‘highly active/normal weight’ patients (HR: 4.66 (95% CI: 1.75–9.10), p = 0.002). Lower activity thresholds yielded smaller effect sizes. Conclusion Physical activity and BMI were individually associated with disease-free survival among colorectal cancer patients. Physical activity seems to improve survival outcomes in patients regardless of their BMI.
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Khartoum has exploded into open warfareTwo rival Sudanese armies are fighting for control of the capital—and the country
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Sudan: Dramatic before-and-after images show impact of deadly clashesScroll across the top image below to see Sudan's Khartoum International Airport before and after the fighting, as airstrikes and shelling intensify in parts of the capital.
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Sudan: Three UN aid workers among 97 killed as crisis talks under way'The gunfire and explosions have been relentless.' Crisis mediation is under way to de-escalate the armed violence in Sudan after at least 97 people were killed and 365 injured. Sky's YousraElbagir shares the latest with us. 📺 Sky 501 / YouTube
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