Sohag University Research Articles

Prevalence and Severity of Temporomandibular Joint Disorders Among Sohag University Medical Students: A Questionnaire Study

Prevalence and Severity of Temporomandibular Joint Disorders Among Sohag University Medical Students: A Questionnaire Study

Anatomical single bundle anterior cruciate ligament reconstruction using the hamstring tendon graft to restore knee function in patients with sport injury, falling trauma or road traffic accident

The purpose of this study was to evaluate the effect of anatomic single bundle ACL reconstruction using the hamstring tendon to restore knee function in patients with anterior cruciate ligament (ACL) injury. This was a prospective study with 30 patients (3 women and 27 men, aged 20-40 years) who underwent the arthroscopic single bundle ACL reconstruction using semi-tendinosus and gracilis autograft fixed with an interference screw with anatomical femoral tunnel placement at the Orthopaedic Surgery Department of Sohag University Hospital. All patients were followed up at 2 weeks, 6 weeks, 3 months and 6 months to assess their progress in the rehabilitation program and to address any complications. They were examined preoperatively for knee stability and associated injuries (i.e., meniscal injury), knee X-ray and MRI. All patients were assessed using the Lysholm score, the IKDC score, the Lachman score, and the pivot shift score preoperatively and six months postoperatively, and the results were compared. For data analysis, we used the Statistical Program for the Social Sciences (SPSS). Our study showed highly statistically significant differences between the preoperative and postoperative Lysholm scores, the IKDC score, the Lachman score, and the pivot shift score in favor of the postoperative scores (p < 0.001**). Anatomic single bundle ACL reconstruction using the hamstring tendon is an effective technique for restoring knee function and in patients with deficient ACL.

Outcome of Treating Urinary Bladder Cancer in Sohag University Hospital

Outcome of Treating Urinary Bladder Cancer in Sohag University Hospital

Postoperative analgesic effect of hyaluronidase versus dexamethasone as additives to bupivacaine in transversus abdominis plane block for inguinal hernia repair: prospective, randomized, and double-blinded controlled study

Background Inguinal hernia repair is associated with severe postoperative pain. Transversus abdominus plain block has been proved to provide effective analgesia for somatic lower abdominal pain. Several adjuvants have been added to local anesthetic to improve the quality of analgesia. This study compares the additive effect of hyaluronidase versus dexamethasone to improve the quality of analgesia of transversus abdominus plain block for inguinal hernia repair. Patients and methods This prospective, randomized, controlled, and double-blind study was carried out in Sohag University Hospital between November 2020 and February 2021. Seventy-five participants scheduled for inguinal hernia repair were included and randomly assigned into control, hyaluronidase, and dexamethasone groups. Exclusion criteria were neurological, psychiatric, neuromuscular, cardiovascular, pulmonary, renal, hepatic disease, alcoholism or drug abuse, pregnancy or lactating women, and patients receiving adrenoceptor agonist or antagonist therapy or chronic analgesic therapy, patients with morbid obesity, coagulopathy, and known allergy to study medications, and sepsis surgical scar at the site to be operated upon and those who refuse. We targeted from this study to assess time to first analgesia, consumption of morphine, and visual analog scale at rest and during physical activity. Also, we targeted to assess heart rate, noninvasive blood pressure, SpO2%, and adverse effects (nausea and vomiting, respiratory depression). Results Our study showed comparable analgesic efficacy for hyaluronidase versus dexamethasone with longer time to the first request of analgesia, less morphine consumption, and less side effects compared with these two groups to the control group. Conclusion Adding hyaluronidase or dexamethasone to bupivacaine not only prolonged the duration of analgesia and decreased the consumption of opioids but also decreased the incidence of adverse effects.

Isolation of Gram-Negative Organisms Causing Nosocomial Catheter Associated Urinary Tract Infection and Detection of Fosfomycin Effect on Multi-Drug Resistant Strains in Sohag University Hospital

Isolation of Gram-Negative Organisms Causing Nosocomial Catheter Associated Urinary Tract Infection and Detection of Fosfomycin Effect on Multi-Drug Resistant Strains in Sohag University Hospital

Knowledge, Perception, Practice, and stress level regarding COVID-19 among health care workers in Sohag University Hospital

Knowledge, Perception, Practice, and stress level regarding COVID-19 among health care workers in Sohag University Hospital

Trends and Outcome of Aggressive Fascial Space Infections.

Background: Odontogenic infections are common and self-limiting in most cases; however, they can lead to severe consequences, considerable morbidity and can even be fatal despite modern medical therapy. Patients and Methods: This retrospective study included patients with severe deep fascial space infections treated in the Maxillofacial Surgery Unit, General Surgery Department, Faculty of Medicine, Sohag University, Sohag Governorate, Egypt, and the Department of Oral and Maxillofacial Surgery, King Fahd Specialist Hospital (tertiary referral center), Burayda City, Qassim Province, Saudi Arabia, from June 2017 to June 2022. Results: This study included 296 patients, 161 (54.4%) males, 135 (45.6%) females. The fifth decade of life was the most common vulnerable age group. Forty-three percent of patients had diabetes mellitus, 26.6% were hypertensive, and 13.3% were on long-term steroid therapy. In 83% of patients, the offending tooth was identified but in 17% of patients no dental cause was identified. The lower third molar tooth was most commonly involved. Sixty-nine (23.3%) patients had submandibular space infections. Fifty-three (17.9%) patients had canine space infections. Thirty (10.1%) patients had submasseteric space infection. Twenty-eight (9.5%) patients had submental space infections. Twenty-three (7.8%) patients had combined infection of the submasseteric, submandibular, and pterygomandibular spaces, whereas 19 (6.4%) patients presented with Ludwig's angina. Conclusions: Odontogenic infections are common. The submandibular space is the most commonly affected single space. These infections could lead to lethal complications in immunocompromised patients, especially patients with diabetes mellitus. These infections require urgent surgical intervention to decrease hospital stays and avoid potentially lethal complications.

The promising role of different imaging diagnostic modalities for percutaneous transcatheter device closure of secundum atrial septal defect in pediatrics in sohag university hospital

The promising role of different imaging diagnostic modalities for percutaneous transcatheter device closure of secundum atrial septal defect in pediatrics in sohag university hospital

Study of Pulmonary Hypertension in Patients with Primary Myelofibrosis in Sohag University Hospital

Study of Pulmonary Hypertension in Patients with Primary Myelofibrosis in Sohag University Hospital

Comparison between laparoscopic versus open appendectomy in morbid obese patients

Purpose To evaluate the laparoscopic approach advantages for the management of acute appendicitis in morbidly obese patients. Methods A prospective study included all morbidly obese patients who had presented to the emergency department at Sohag University Hospitals and were diagnosed with acute appendicitis between the 1st of June 2022 and the 31st of January 2023. All those patients were invited to participate in the research by randomization. The authors informed patients and their first-degree relatives about both techniques, signed a consent form for participation in the study. The authors categorized them into two groups; laparoscopic approach (group I) and open approach (group II). Comparisons were based on operative time, intraoperative complications, length of hospital stay, postoperative complications, and time until return to normal daily activities. Results The study enrolled 64 patients: 33 had a laparoscopic appendectomy, and 31 had an open appendectomy. The groups were similar in terms of clinicopathologic characteristics. The operating time was significantly shorter for Group I patients than Group II (Group I, 49.09±16.21 min vs. Group II, 68.03±15.78 min; P value less than 0.05). Regarding the length of hospital stay, twenty-six patients (78.8%) were discharged within the 1st 24 h in the laparoscopic group versus 17 patients (54.8%) in the open group (P value 0.041). The time until return to the routine daily work was significantly shorter in the laparoscopic group (11.27±2.6 days) than in the open group (17.23±4.8 days) (P value less 0.05). Four postoperative complications were reported in the study population: wound complications (infection, seroma formation), residual abdominal abscess, paralytic ileus, and thromboembolic complications (Deep venous thrombosis and pulmonary embolism). Group II had a statistically significant higher complication rate (32.3%) than Group I (9.09%) (P value 0.007). Conclusion Laparoscopic appendectomy had superior clinical outcomes than an open appendectomy in morbidly obese patients. In addition to minimal invasiveness and better cosmetic results, it has a great advantage as a diagnostic and therapeutic tool in morbidly obese patients with suspected appendicitis. It is also a safe and feasible approach with a low rate of complications with a well-trained expert surgeon.

Prevalence of Duane Retraction Syndrome in Sohag University Hospital

Prevalence of Duane Retraction Syndrome in Sohag University Hospital

Prenatal Diagnoses of Congenital CNS Anomalies

Background: Congenital anomalies affecting the central nervous system are among the most prevalent. The most common central nervous system anomalies are neural tube defects, which affect roughly 1-2 of every 1000 newborns. Objectives: We detect the accuracy of ultrasound to diagnose CNS abnormalities. Patients and Methods: Descriptive cross-sectional study on 567 patients coming for antenatal care at Sohag Governorate undergoing mid anatomical scan between September 2021 and December 2022. After getting approval from the ethical committee at Sohag University and written consent from each woman. Clinical or post-natal neuroimaging using computed tomography or magnetic resonance imaging validated the prenatal diagnosis in situations where pregnancy progressed and the fetus survived. The total number of miscarriages, stillbirths, and infant deaths was recorded. Results: Diagnostic accuracy of ultrasound in diagnosis of congenital neurological anomalies: 2D&3D US had 100% sensitivity and 100% specificity with positive predictive value 100% and negative predictive value 100% in all parameters. Conclusions: Based on these findings, we can say that ultrasonography is useful for detecting and diagnosing some defects of the fetal central nervous system.

The effect of deep tissue massage application on post cesarean women’s pain and anxiety

Background: The most frequent post-cesarean consequences include pain and anxiety which is uncomfortable for women and has increased the use of natural remedies such as deep tissue massage. Aim: To investigate the effect of deep tissue massage on post-cesarean women's pain and anxiety. Design: A quasi-experimental design was utilized to accomplish this study. Setting: The study was conducted at the postpartum department at Sohag University Hospital. Subjects: Included 100 post-cesarean women of a convenient sample assigned into two equal groups study and control) were enrolled in the previously selected setting. Tools: I: Demographic and obstetric assessment sheet, II: Visual Analogue Scale, and III: State-Trait Anxiety Inventory. Results: a highly statistically significant difference was found in post-cesarean women's pain and anxiety between the two groups p<0.01. Conclusion: Deep tissue massage application has a vital role in reducing post-cesarean women's pain and anxiety. Recommendations: Deep tissue massage is recommended to be applied for post-cesarean women to reduce post-cesarean pain and anxiety.

Validation of the diagnostic accuracy of neutrophil to lymphocyte ratio (NLR) and mean platelet volume (MPV) in cirrhotic patients with spontaneous bacterial peritonitis

BackgroundSpontaneous bacterial peritonitis (SBP) is a significant complication among cirrhotic patients with ascites and is associated with high mortality. Early diagnosis and treatment of SBP are crucial, as they are associated with better outcomes and lower mortality. The neutrophil-to-lymphocyte ratio (NLR) and mean platelet volume (MPV) are routine, inexpensive, easily measured markers readily obtained from a complete blood count (CBC). Several studies have addressed the diagnostic role of NLR and MPV in patients with SBP but with different cutoff values, sensitivity, and specificity. Therefore, we conducted this study to validate the clinical utility of NLR and MPV in diagnosing SBP.MethodsThis study included 332 cirrhotic patients with ascites who were admitted to Sohag University Hospitals in Egypt between April 2020 and April 2022. Of these patients, 117 had SBP, and 215 did not. Both NLR and MPV were measured in all patients, and the ability of NLR and MPV to diagnose SBP was assessed using the receiver operator characteristic (ROC) curve analysis.ResultsNLR and MPV were significantly elevated in patients with SBP compared to those without SBP (P < 0.001). At a cutoff value of 5.6, the sensitivity and specificity of the NLR in detecting SBP were 78% and 81%, respectively. In contrast, MPV, at a cutoff value of 8.8 fL, had a sensitivity of 62% and a specificity of 63%. The combination of NLR and MPV did not provide significant additional diagnostic value beyond only using NLR.ConclusionAlthough NLR and MPV allow the detection of SBP, the NLR has higher clinical utility and is superior to MPV in diagnosing SBP.

Effect of different levels of irrigation and micronutrient fertilization on productivity of Seewy date palms By A. T. Abo-El-Ez, M. R. Gad-Elkarim, M. A. Hussien and I. A. Ismail Hort. Dept., Fac. of Agric., Sohag University, Egypt.

Effect of different levels of irrigation and micronutrient fertilization on productivity of Seewy date palms By A. T. Abo-El-Ez, M. R. Gad-Elkarim, M. A. Hussien and I. A. Ismail Hort. Dept., Fac. of Agric., Sohag University, Egypt.

Weaning Outcomes among Mechanically Ventilated Patients at Sohag University Hospital: Burn’s Wean Assessment Program Versus Routine Method

Weaning Outcomes among Mechanically Ventilated Patients at Sohag University Hospital: Burn’s Wean Assessment Program Versus Routine Method

Prevalence of Legionella Among Pneumonia Patients &amp; Environmental Water Sample at Sohag University Hospital

Prevalence of Legionella Among Pneumonia Patients &amp; Environmental Water Sample at Sohag University Hospital

Prognostic Significance of Red Blood Cell Distribution width (RDW) in Critically ill Paediatric Patients at Sohag University Hospital

Prognostic Significance of Red Blood Cell Distribution width (RDW) in Critically ill Paediatric Patients at Sohag University Hospital

Cognitive decline in patients of breast cancer at Sohag University Hospital

Cognitive decline in patients of breast cancer at Sohag University Hospital

Pattern and Outcome of Acute Aluminium Phosphide Intoxicated Cases at Sohag University Hospitals: Special Consideration to Paraffin Oil as a Supportive Treatment

Pattern and Outcome of Acute Aluminium Phosphide Intoxicated Cases at Sohag University Hospitals: Special Consideration to Paraffin Oil as a Supportive Treatment