Minia University Hospital Research Articles

Socio-demographic characteristics of Patients Newly Diagnosed with Multiple Sclerosis in Minia University Hospitals

Socio-demographic characteristics of Patients Newly Diagnosed with Multiple Sclerosis in Minia University Hospitals

Retrospective evaluation of Full endoscopic Transforaminal lumbar discectomy in Minia university hospital

Retrospective evaluation of Full endoscopic Transforaminal lumbar discectomy in Minia university hospital

R1/ Assessment of Risk Factors in Patients Presented With symptomatic Intracranial Arterial Stenosis In Minia University Hospital

R1/ Assessment of Risk Factors in Patients Presented With symptomatic Intracranial Arterial Stenosis In Minia University Hospital

Clinical findings and laboratory parameters associated with CO-RADS classification in children with COVID-19

BackgroundThe aim of this study was to determine whether there are proven associations between CO-RADS categorizations and clinical and laboratory findings in children diagnosed with COVID-19 infection.MethodsThis is a retrospective observational study that includes the clinical and radiological data of pediatric patients who were admitted to both Minia University Hospital and Minia Insurance Hospital with a confirmed diagnosis of COVID-19, detected via reverse transcriptase PCR (RT-PCR) from nasopharyngeal swabs obtained between June 2022 and February 2023. Patients were divided into 5 groups based on the severity of involvement in chest CT.ResultsThis study involved a total of 62 children who were confirmed to have COVID-19 infection. The most commonly observed symptoms in these children were fever (91.9%), shortness of breath (88.7%), and cough (87.1%). In addition, vomiting (24.2%), diarrhea (12.9%), impaired consciousness (11.2%), and convulsions (9.7%) were also reported. Significant differences were observed between CO-RADS classes in relation to patient gender, severity of respiratory distress, presence of cough, occurrence of diarrhea, elevated LDH levels, and prognosis.ConclusionThe CO-RADS classification exhibited positive correlations with inflammatory biomarkers such as total leucocytic count, LDH, D-dimer, serum ferritin, and AST. Conversely, the CO-RADS classification showed negative correlations with ionized calcium levels, hemoglobin, and platelet count.

Malnutrition among Elderly Patients with Selected Chronic Diseases: Screening and Risk Factors at Minia University Hospital

Malnutrition among Elderly Patients with Selected Chronic Diseases: Screening and Risk Factors at Minia University Hospital

Validity of Pleuroscopy in Evaluating Pleural Effusions of Uncertain Etiology at the Cardiothoracic Unit of Minia University Hospital, Egypt.

Pleural effusion is a medical condition where an excessive amount of fluid accumulates in the pleural space. This can be caused by inflammation or malignant growth in the body. Doctors use medical thoracoscopy for both diagnostic and therapeutic purposes. This technique allows them to view the internal pleural surfaces and take biopsies of any abnormal lesions within the pleural cavity. This work aimed to evaluate the diagnostic value of pleuroscopy in patients with undiagnosed exudative pleural effusion. A study was conducted on 61 patients who had undiagnosed exudative pleural effusion and were admitted to the chest department at the cardiothoracic unit of the Minia University Hospital. All patients provided written consent and underwent a complete history and clinical examination. Standard laboratory tests, including routine liver and kidney function tests, a complete blood count, and a coagulation profile, were conducted on all patients, along with chest X-rays. If necessary, a chest CT scan was also performed. Diagnostic thoracentesis was done, and the pleural fluid was analyzed for sugar, protein, and lactate dehydrogenase and sent for bacteriological analysis (Gram stain, culture, and acid-fast bacilli smear) and cytopathological examination. Medical thoracoscopy was performed in cases where an etiological diagnosis was not established. A total of 61 patients with undiagnosed exudative pleural effusions were included. A definitive etiological diagnosis was reached in 58 (95%) patients. In 47 (77%) of the studied group, malignant etiology was confirmed; nine (14.8%) had tuberculous pleurisy, one (1.6%) had empyema, and one (1.6%) had inflammatory/autoimmune pleurisy. A definite diagnosis was not reached in three (5%) patients. The malignant pathology was caused by bronchogenic carcinoma in 20 (42.5%) cases, malignant mesothelioma in 10 (21.3%) cases, metastatic malignant deposits from other organs in six (12.7%) cases, and lymphoma in three (6.5%) cases. No serious adverse events related to the procedure were recorded. The most common minor complications were transient chest pain in 34 (55.7%) patients, followed by surgical emphysema in 10 (16.4%) patients. Pleuroscopy is an effective diagnostic tool for identifying the cause of pleural effusion when it is unclear. It is a minimally invasive and straightforward procedure associated with high diagnostic accuracy and low complication rates.

Risk Factors of Diabetic Foot Ulcers in Diabetes and endocrinology Unit in Minia University Hospital

Risk Factors of Diabetic Foot Ulcers in Diabetes and endocrinology Unit in Minia University Hospital

Association Between SARS-CoV-2 Infection and Cardiovascular Disease in Children and Adolescents: A Cross-sectional Study

Background: The 2019 global coronavirus pandemic is triggered by severe acute respiratory syndrome due to corona virus 2 (SARS-CoV-2). This infection can cause myocardial damage, arrhythmias, acute coronary syndrome, and venous thromboembolism. Objectives: The objective of this study is to provide a comprehensive description of the cardiac manifestations observed in children who have been admitted to the pediatric intensive care unit as a result of SARS-CoV-2 infection. Methods: The current prospective cross-sectional study included patients from Minia University Hospital's pediatric intensive care unit (PICU) isolation unit from April 2022 to April 2023. The study comprised 80 patients divided into two groups: Group I included 46 Corona Virus Induced Disease (COVID-19)-positive patients with cardiac complications. Group II consisted of 34 patients with COVID-19 infection but without cardiac complications. Results: The frequency of cardiac complications was 41.3% (33 children) with arrhythmias and 9% (3 children) with SVT by electrocardiography (ECG), whereas 31.3% of children had myocardial dysfunction (EF < 50%, FS < 25%) on echocardiography (ECHO). In comparison, 7.5% had bundle branch block (BBB). Conversely, 1.3% had pancarditis, and 3.8% had first-degree A-V block. Conclusions: More data is needed on COVID-19's cardiovascular effects on children. We found that acute COVID-19 hospitalized children should have cardiac exams and cardiovascular monitoring. COVID-19 infection in children often impairs systolic function, and arrhythmia may arise in COVID-19 individuals.

Study of mineral and bone disorders in Minia University Hospital dialysis patients

Study of mineral and bone disorders in Minia University Hospital dialysis patients

High Prevalence of Subclinical Hypothyroidism in Chronic Kidney Disease patients caused by Diabetes and Hypertension at Nephrology & Urology Minia University Hospital

High Prevalence of Subclinical Hypothyroidism in Chronic Kidney Disease patients caused by Diabetes and Hypertension at Nephrology & Urology Minia University Hospital

Prevalence of Microorganisms Associated with Preterm Premature Rupture of Membranes in Minia University Hospital. Prospective Study

Prevalence of Microorganisms Associated with Preterm Premature Rupture of Membranes in Minia University Hospital. Prospective Study

Epidemiology of urinary stones in children Attending Minia University Hospital for Urology

Epidemiology of urinary stones in children Attending Minia University Hospital for Urology

Risk of Paediatric Urolithiasis among Children Attending Minia University Hospital for Urology

Risk of Paediatric Urolithiasis among Children Attending Minia University Hospital for Urology

Effect of cognitive behavioral therapy on depressive symptoms among patients undergoing hemodialysis

Background Hemodialysis (HD) patients are extremely likely to have depression, which is known to have several negative effects and a low quality of life. Aim To evaluate the effect of cognitive behavioral therapy (CBT) on depressive symptoms among patients undergoing HD. Methods A quasi-experimental (pre-post-test and follow-up) research design was utilized to carry out this study, A sample of 60 patients with CRF who were receiving HD was chosen as a purposeful sample, study was conducted at The Kidney Dialysis Unit at Minia University Hospital for Urology and Nephrology, Study tools: Tool I: Structured Interview Questionnaire: which was comprised of two portions: Part one: Socio-demographic data sheet: Part two: Medical Data Sheet: Tool II: the Beck Depression Inventory scale. Results 100% of the studied sample had extreme depression at the pre-CBT comparison to 38.30% had mild mood disturbance and 61.70% of them had borderline clinical depression at post CBT respectively, while 43.20% of the studied patients had a moderate level of depression at follow-up of CBT. There is a statistically significant relation between depression and sex, age as well as marital status respectively. Conclusion Patients receiving HD can enhance their emotional wellbeing by implementing CBT approaches such behavioral activation, and cognitive restructuring. Recommendations CBT is a useful strategy for HD patients to reduce their depressive symptoms. Healthcare providers can improve their patients’ mental state and general well-being by applying CBT for routine care provided to these patients.

Mothers’ Perception toward their Children who Suffering from Cerebral Palsy at the Pediatric Outpatient in Minia University Hospital

Mothers’ Perception toward their Children who Suffering from Cerebral Palsy at the Pediatric Outpatient in Minia University Hospital

Red cell distribution width as a prognostic marker for complications of community-acquired pneumonia in children: a comparison with Proadrenomedullin and Copeptin

BackgroundCommunity-acquired pneumonia (CAP) is the most common leading cause of morbidity and mortality in children; so, early identification of patients with CAP, who are at risk of complications or high mortality, is very critical to identify patients who need early admission to the intensive care unit.Purpose of the studyTo explore the prognostic value of Red Cell Distribution Width (RDW), Proadrenomedullin and Copeptin in the prediction of complicated CAP in children.Methods99 children were enrolled in the study, which was done at the Pediatric Department of Minia University Hospital. Measurement of serum Proadrenomedullin, Copeptin, and RDW was done to all participating children in the first 24 h of admission. Assessment of the severity of CAP was done using the Pediatric Respiratory Severity Score (PRESS).ResultsThe values of RDW, Proadrenomedullin, and Copeptin were significantly higher in the complicated CAP group than in the uncomplicated one (P value < 0.01). There were significant positive correlations between RDW and Proadrenomedullin with PRESS (r 0.56 for both). For the prediction of complications, RDW at cutoff point > 17.4, has 77.7% of sensitivity and 98.6% of specificity, followed by Pro ADM at cutoff point > 5.1 nmol/L, of 74% of sensitivity and 90.2% of specificity. For the prediction of mortality, RDW at cutoff point > 17.4 has 81.25% of sensitivity and 89.16% of specificity.ConclusionThe RDW is a reliable predictor of poor outcomes in pediatric CAP.

Serum and Ascitic D-Dimer in Cirrhotic Patients with Spontaneous Bacterial Peritonitis in Minia University Hospital

Serum and Ascitic D-Dimer in Cirrhotic Patients with Spontaneous Bacterial Peritonitis in Minia University Hospital

Outcome of patients poisoned with corrosive substances in Minia University Hospital: retrospective study

Outcome of patients poisoned with corrosive substances in Minia University Hospital: retrospective study

Effect of chronic skin disease on female sexual function (FSF) among married Egyptian women

Background Female sexual dysfunction (FSD) is a term used to describe various sexual problems, such as low desire or interest, diminished arousal, orgasmic difficulties, and dyspareunia. Objectives The aim of the present study was to determine the effect of chronic skin disease on female sexual function among married Egyptian females as well as the prevalence of FSD among them and its effect on their husbands. Patients and methods The study was conducted on 300 sexually active married Egyptian women attending the Dermatology Outpatient Clinic of Minia University Hospital and Kom Elshokafa Clinic (Alexandria). All women were asked to fill out the female sexual function index sheet using the Arabic validated translated version of it. Those with FSD were asked about its effect on their husbands. Results We reported that 234 (78%) women with chronic skin disease had sexual dysfunction. Despite dysfunction being more common among those who had skin disease, compared with nondysfunction, it was not statistically significantly different among most skin diseases. There was a positive correlation between female’s age and percentage of dysfunction. It was found that only 15.9% of those with FSD showed an effect on their partners in the form of decreased libido. Limitations Limitations include the lack of a control group; the standardization of data, which may not be representative of the community, as they related to specific areas; and being a cross-sectional hospital-based study. Conclusion Our study revealed a high prevalence of FSD (78%) among Egyptian married women with chronic skin disease in both Minia and Kom Elshokafa (Alexandria) districts. However, it was not statistically significantly different among most skin diseases, with affection of only 15.9% of their partners.

Multidrug resistance in proteus species isolated from outpatients with urinary tract infections in Minia university hospitals, Egypt

Multidrug resistance in proteus species isolated from outpatients with urinary tract infections in Minia university hospitals, Egypt