The Egyptian Journal of Hospital Medicine最新文献

{"title":"The Valuable Microbiological Role of Vaginal and Cervical Swabs in The Management of Persistent and Recurrent Reproductive Tract Infections (RTIs)","authors":"Heba E. Hashem, Z. H. Ibrahim, Adel M. Nada, Wafaa O. Ahmed, Heba Ezzat","doi":"10.21608/ejhm.2024.348921","DOIUrl":"https://doi.org/10.21608/ejhm.2024.348921","url":null,"abstract":"Background: Reproductive tract infections (RTIs) are a frequent medical condition that can lead to serious health issues such as infertility and newborn infections if it is not treated promptly. Objective: This study aimed to determine the risk factors, demography, causative pathogens, and prevalence of RTI in women who are reproductively aged. Subjects and methods: A prospective study was conducted among women who attended Maternal-Child Health Clinics. Vaginal/cervical swabs were examined, and relevant data were retrieved and then statistically analyzed. 295 women were included in the study with a median age of 25.2 years. Results: At the time of the study, 84% of the patients were married. Overall, 42% of cases had Trichomonas vaginalis , 23% had Neisseria gonorrhea, 18% had bacterial vaginosis, 9% had Candida infection, and 22% of cases with symptoms had normal flora growth. Although the true frequency of mixed vaginal infections may be higher, only 15.6% of cases were reported to have them. Married women frequently had RTIs, and many of them also used IUDs. Conclusion: In Middle Eastern nations, RTIs are highly prevalent among married women. Neisseria gonorrhea and Trichomonas vaginalis were the most frequently found bacteria in the current study. It has been shown that there was a poor correlation between the symptoms and certain types of laboratory-confirmed infections. This underlines the significance of laboratory testing as a key diagnostic tool for accurate RTI diagnosis and highlights the difficulty of diagnosing RTIs based solely on clinical judgment.","PeriodicalId":22467,"journal":{"name":"The Egyptian Journal of Hospital Medicine","volume":"66 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140778276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Parental Knowledge, Attitudes and Practice Towards Antibiotic Use in Egyptian Pediatric Community, Qalyubia","authors":"Mohammad Amin, Aly El-Din","doi":"10.21608/ejhm.2024.343370","DOIUrl":"https://doi.org/10.21608/ejhm.2024.343370","url":null,"abstract":"Background: Wrong and too much use of antibiotics are key causes of the worldwide issue of resistance to them. In Egypt, the number of parents not knowing the correct way to use antibiotics for kids is growing. This mistake can cause an increase in infections resistant to antibiotics. Aim: The purpose of this study is to measure what Egyptian parents know and think about antibiotics for kids, and what they do about it. This can help find misunderstandings and things missed. These findings can then be used to teach parents. Subjects and Method: This cross-sectional observational study was conducted at Abou Al Monagga Central Hospital, Qalyubia, Egypt, in December 2023. We gathered this info from 240 parents at Hospital's Pediatric Clinics. Results: Initial research shows a big hole in what parents know about when and how long to give antibiotics for kids' infections. Lots of parents like to decide for themselves when to use antibiotics or use ones they have left over, without asking a doctor. Parents' feelings about antibiotics are different. Some think they're a fast fix for colds and the flu, even though these are caused by viruses. Behavior shows a worrisome amount of not sticking with the antibiotics schedule. This leads to unfinished treatments and possible resistance. Conclusion: There's a big need for special educational plans. They should better parent understanding and thinking related to kids’ antibiotics use. By fixing wrong ideas and increasing obedience to given treatments, we can lessen incorrect antibiotic use.","PeriodicalId":22467,"journal":{"name":"The Egyptian Journal of Hospital Medicine","volume":"24 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140522525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Serum Zinc Level in Patients with Pattern Hair Loss (A Case-Controlled Study)","authors":"Noura Hussein, Abbas Mahmoud, Moussa, Amal Wagdy, Abdelaziz Hawas, Mohammed Fawzy El-Kamel","doi":"10.21608/ejhm.2024.337734","DOIUrl":"https://doi.org/10.21608/ejhm.2024.337734","url":null,"abstract":"Background: Although androgenetic alopecia affects both males and females, trace elements may play as crucial impact. Objectives: To evaluate serum zinc in patients with pattern hair loss (PHL) and to compare the findings with normal controls. Patients and Methods: This study is a cross sectional observational case control study conducted at outpatient clinic of Dermatology, Andrology and STDs Department, Mansoura University hospital in the period between May 2022 and May 2023. The study included 100 subjects, divided into two groups: the first consisted of 50 patients (Male and female) with pattern hair loss and the second was 50 subjects (control group). The serum zinc assay was done for all participants. Results: The mean serum zinc level in the cases group was 75.36±19.29 and 71.73±20.19 in the control group, with no statistically significant difference between the two groups (p= 0.360). Low zinc levels were found in 56% of cases and 60% of controls, with no significant difference between the two groups (p= 0.685). There was no significant variation in serum zinc levels across the different degrees of hair loss in either male or female patients. The best cutoff point of serum zinc level to identify patients with PHL was less than 68.85. This value showed mild sensitivity and specificity with no significant value (p= 0.261). Conclusion: Zinc deficiency cannot be viewed as a direct etiologic component in the development of androgenic alopecia and not all androgenic alopecia patients may benefit from obtaining nutritional supplements. There is disagreement on the function of supplementing with zinc.","PeriodicalId":22467,"journal":{"name":"The Egyptian Journal of Hospital Medicine","volume":"237 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139636238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Original versus Accelerated Ponseti‏ ‏‏‏Techniques in Treatment of Congenital ‎‏‎Talipes Equinovarus","authors":"","doi":"10.21608/ejhm.2024.343361","DOIUrl":"https://doi.org/10.21608/ejhm.2024.343361","url":null,"abstract":"","PeriodicalId":22467,"journal":{"name":"The Egyptian Journal of Hospital Medicine","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140520301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Arteriovenous Access Placement on Estimated Glomerular Filtration Rate in Diabetic, Non-Diabetic Chronic Kidney Diseases Pre-Dialysis Stage 5","authors":"Shaimaa Mostafa, ELMetwally L. ELShahawy, Mohamed E. Ibrahim, Salma Essam, Eldin Abdelaziz, Ahmed E. Mansour","doi":"10.21608/ejhm.2024.341822","DOIUrl":"https://doi.org/10.21608/ejhm.2024.341822","url":null,"abstract":"Background: Chronic kidney disease (CKD) represents a significant and often deteriorating condition that can lead to the ultimate need for hemodialysis due to end-stage renal disease. In patients with CKD, creating arteriovenous access (AVA) is a routine surgical procedure. Objective: This study aimed to explore how AVA surgery affects the estimated glomerular filtration rate (eGFR) in both diabetic and non-diabetic CKD patients at pre-dialysis stage 5, emphasizing the timing and impact on renal functionality. Patients and Methods: A prospective cohort study was conducted on 100 CKD patients who underwent AVA surgery. These patients were divided into diabetic and non-diabetic groups for comparison. Comprehensive clinical evaluations, lab tests, and subsequent appointments were conducted for thorough analysis. Results: In the diabetic cohort (Group 1), there was a notable reduction in eGFR, decreasing from 11.05 ± 0.81 mL/min/1.73 m² one month prior to AVA formation to 10.00 ± 0.43 mL/min/1.73 m² three months afterward (p < 0.001). There was also an increase in serum creatinine from 6.03 ± 0.96 mg/dL to 6.80 ± 0.99 mg/dL (p < 0.001), and urea levels escalated from 211.15 ± 33.6 mg/dL to 237.85 ± 34.78 mg/dL (p < 0.001). Conversely, in the non-diabetic cohort (Group 2), a meaningful reduction in eGFR was observed, from 12.07 ± 0.87 mL/min/1.73 m² before AVA formation to 11.84 ± 0.52 mL/min/1.73 m² after three months (p = 0.004). Conclusions: The findings indicated that the insertion of AVA in patients with stage 5 CKD pre-dialysis, especially those with diabetes, significantly decreased eGFR, accompanied by rises in serum creatinine and urea levels.","PeriodicalId":22467,"journal":{"name":"The Egyptian Journal of Hospital Medicine","volume":"59 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140520104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Multidetector CT in Preoperative Evaluation of Periampullary Neoplasms","authors":"Dalia Ibrahim Aggour, Ahmed Nabil Sallam, Muhamed Ahmed Magdy Abdelhamid, Heba Ahmed Abdehalim","doi":"10.21608/ejhm.2024.341818","DOIUrl":"https://doi.org/10.21608/ejhm.2024.341818","url":null,"abstract":"Background: The phrase \"periampullary tumours\" refers to tumours that arise in the periampullary area, which is 2 cm around the ampulla of Vater and comprises the pancreas, duodenum, common bile duct distal section and ampulla of Vater. Using the proper staging procedures is critical for properly identifying patients who may benefit from major surgical interventions. One useful test is Multi-Detector Computed Tomography (MDCT), which provides precise diagnosis, staging, operability evaluation and postoperative follow-up. The most significant surgical step is the first assessment of tumours to identify resectable masses from those with growing vascular encasement. Objective: This study aimed to evaluate the preoperative resectability of periampullary tumors using MDCT accuracy in comparison to operative data. Materials and Methods: A cross sectional study comprised 40 individuals with suspected periampullary malignancies (27 men and 13 women). Using a contrast-enhanced pancreatic protocol, we performed 128-slice MDCT of abdomen on the patients. The intraoperative results and the preoperative CT were evaluated for diagnostic accuracy regarding the vascular involvement of the tumor and the resectability of masses. Results: Forty individuals with periampullary cancer were enrolled in the research between January 2022 and June 2023. Five of them were deemed incurable as follows three cases of substantial vascular invasion shown on the CT scans, one case of invasion of surrounding organs and hepatic metastasis, and one case of hepatic metastasis. Following the surgical procedure, 70% of the cases were resectable overall. With a 75% diagnostic accuracy, the sensitivity and specificity of MDCT for tumor resectability were 90% and 22% respectively. By using MDCT, vascular invasion could be identified with a sensitivity of 56% and specificity of 100%. Conclusion: When evaluating periampullary carcinomas preoperatively, MDCT has a high sensitivity but a low specificity. The low precision of the CT scan in identifying vascular invasion is the cause of the poor specificity.","PeriodicalId":22467,"journal":{"name":"The Egyptian Journal of Hospital Medicine","volume":"64 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140525463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge of Cervical Cancer and Human Papilloma Virus among Medical Students in Suez, Egypt","authors":"Ahmed Sewidan, Ahmed Yasser Shokry, Mohamed Ramadan, Hany Mahmoud, Abd Elhamid, Phone No","doi":"10.21608/ejhm.2024.341346","DOIUrl":"https://doi.org/10.21608/ejhm.2024.341346","url":null,"abstract":"Background: Healthcare professionals, particularly the younger medical students, can be very helpful in advising patients on how to prevent or treat human papilloma virus (HPV)-related cervical cancer (CC). However, it is frequently noted that medical students, who provide first-line support for managing patients, have a poor awareness of CC and HPV. Objective: To evaluate medical students' awareness and knowledge on cervical cancer by testing their understanding of clinical diagnosis and screening, risk factors, human papilloma virus, and other related topics in Suez, Egypt. The purpose of the study is to shed light on how this information might improve community awareness of cervical cancer. Subjects and Methods : An organized online survey was used to conduct an observational cross-sectional study on people's knowledge of HPV and cervical cancer. 92 medical students from Suez University participated in the study. Results : Of the total, 81.5% of the students were aware of the connection between the human papilloma virus and its role in cervical cancer; 93.5% knew it is sexually transmitted; 87.0% knew an HPV infection may not cause any symptom; 87.0% had heard of an HPV vaccine; and 41.3% believed that girls as young as 15 years old could receive it. Conclusion : An acceptable degree of awareness and understanding regarding HPV, cervical cancer, and HPV vaccine was found in our study. We discovered that increasing knowledge of the etiology of cervical neoplasia, the availability of the HPV vaccine, and its preventive efficacy is positively impacted by medical education.","PeriodicalId":22467,"journal":{"name":"The Egyptian Journal of Hospital Medicine","volume":"28 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140518722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Risk Factor of Patellofemoral Pain and Knee Pain in Great Cairo Obese Population","authors":"Mohamed Abdelalim Aboelhassan, Omaima M. Ali Kattabei, Mohamed Abdelhalim Khaddah, S. Elkady","doi":"10.21608/ejhm.2024.341823","DOIUrl":"https://doi.org/10.21608/ejhm.2024.341823","url":null,"abstract":"Introduction: The gradual development of diffuse anterior knee pain is characteristic of patellofemoral pain (PFP), which is made worse by activities that put stress on the patellofemoral joint, such as running, stair climbing, and squatting. While 23% of the overall population has PFP, athletes can have a prevalence of 35%. Objectives: To identify the prevalence and potential risk factors of patellofemoral pain as well as knee pain in the heavily obese people living in Cairo. Subjects and methods: This study was carried out in Great Cairo, Egypt. The SNAPPS questionnaire was utilized. 910 participants were male and female young adults, ranging in age from 18 to 40. Results: The prevalence of PFP was shown to be 42.4%. Males had a prevalence of 42.2% for PFP and females 42.6%. With 127 individuals reporting knee pain, the overall prevalence of the condition was determined to be 14%. In males, 17.3% of the population experienced knee pain, while in women, it was 11.9%. Chi-squared test revealed that all risk factors (body mass index, job, marital state and age) were significantly linked with prevalence of patellofemoral (p-value<0.05) and knee pain (p-value<0.05) except gender that was insignificantly associated with patellofemoral pain (p-value=0.46). Conclusions: Obese people living in Cairo, Egypt, had a relatively significant incidence of PFP and knee pain. People under the age of 40 had a greater incidence of PFP and knee pain in comparison with those in older age groups.","PeriodicalId":22467,"journal":{"name":"The Egyptian Journal of Hospital Medicine","volume":"36 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140526813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac MRI Findings in Symptomatic Post Covid Patients with Suspected Myocarditis","authors":"Hager I Allam, M. H. Sabra, Khaled E Elrabbat, Abd El-Moneum","doi":"10.21608/ejhm.2024.344772","DOIUrl":"https://doi.org/10.21608/ejhm.2024.344772","url":null,"abstract":"Background: Cardiovascular magnetic resonance (CMR) imaging, considered the gold standard for myocarditis diagnosis, presented conflicting results on the prevalence of COVID-19-associated myocarditis. Objective: This study aimed to describe CMR findings in patients with active COVID-19 infection within three months of infection and who had suspected acute myocarditis. Patients and Methods: This was a multi-center cross-sectional study that comprised adult patients with COVID-19 and clinical suspicion of associated myocarditis. Evaluation encompassed history, clinical examination, laboratory investigations, ECG, echocardiography, and CMR using the revised Lake Louise Criteria 2018 for myocarditis diagnosis. Participants (n=100) were divided into three groups based on CMR findings (Group I (n = 6); no myocarditis, Group II (n = 63); suspected myocarditis, and Group III; proved myocarditis. Notably, Group III (n = 31) exhibited distinct characteristics. Results: A multivariate analysis showed that chest pain, ferritin levels, and LAVI significantly predicted proved myocarditis after adjusting the other confounding factors. Conclusions: Active COVID-19 infection within three months showed a high prevalence of suspected and proved myocarditis, with specific characteristics in the proved myocarditis group.","PeriodicalId":22467,"journal":{"name":"The Egyptian Journal of Hospital Medicine","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140521049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systemic Review of Community-Based Interventions for Preventing Chronic Diseases in Preventive Medicine Practice: Review Article","authors":"S. Alhuwayfi, Abdulrahman Alwakeel, Ahmad Saud Alhuwayfi, Aram Alhuwayfi","doi":"10.21608/ejhm.2024.336533","DOIUrl":"https://doi.org/10.21608/ejhm.2024.336533","url":null,"abstract":"Background: Community-based interventions are methodical endeavors carried out at the community level to elevate health status and mitigate risk factors. These interventions entail the collaboration of community members, local organizations, and medical professionals to foster awareness of health, facilitate modifications in behavior, and create conducive conditions. They frequently encompass a wide array of tactics, including educational programs, modifications in lifestyle, and alterations in the environment. Community-based interventions have a vital role in preventing chronic diseases in the realm of preventive medicine. Objective: This review article aimed to through the light on the importance of the community-based interventions for prevention of chronic diseases. Methods: The search was performed on scientific databases including the Cochrane Central Register of Controlled Trials (CENTRAL) of the Cochrane Library, Elsevier, National Library of Medicine (Pubmed), Frontiers, Research Gate, Scopus, Pubmed Central (PMC), and Google Scholar. The search for this article utilised many medical subject headings such as \"prevention,\" \"community-based intervention,\" \"chronic diseases and mortality,\" \"prevention of morbidity,\" \"education intervention and diabetes,\" and \"education in young adults,\" among others. The main strategies encompass health education and awareness campaigns, initiatives to promote physical activity, programs focused on nutrition, efforts to help individuals quit smoking, programs for screening and early detection, collaborations between communities, advocacy for policy changes and environmental modifications, social support programs, telehealth services and technology-based interventions, and customization based on cultural factors. English-language peer-reviewed research ensures the maintenance of academic rigor and comprehensive incorporation of intellectual contributions. The analysis incorporated research conducted between 2010 and 2023. Research conducted in languages other than English, for which translations are not available, was excluded. Conclusion: Evidence has shown that community-based therapies are successful in improving metabolic control, reducing diabetic secondary complications, and optimizing glycemic control in persons with Type 2 diabetes mellitus. Research has shown that peer support was successful in improving diabetes management and dietary behaviors, especially in geographically isolated regions. Research demonstrated that interventions implemented within communities proved to be efficacious in diminishing the prevalence of cardiovascular illnesses and managing hypertension. Nevertheless, these interventions encountered obstacles such as logistical, socio-cultural, sustainability and measurement and evaluation of difficulties that must be resolved to ensure their long-term viability and effectiveness.","PeriodicalId":22467,"journal":{"name":"The Egyptian Journal of Hospital Medicine","volume":"26 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140520571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}