Suez Canal University Hospital Research Articles

Work Hazards Training Program and Its Effect on Quality of Work Life and Turnover Intention among Staff Nurses at Suez Canal University Hospital

Work Hazards Training Program and Its Effect on Quality of Work Life and Turnover Intention among Staff Nurses at Suez Canal University Hospital

Risk Factors of Falling among Elderly People in Suez Canal University Hospitals

Risk Factors of Falling among Elderly People in Suez Canal University Hospitals

Nurses’ Knowledge and Practice Regarding Caring of Patients with Tracheostomy in Suez Canal University Hospital

Nurses’ Knowledge and Practice Regarding Caring of Patients with Tracheostomy in Suez Canal University Hospital

Evaluation of Self - Care Practices of Asthmatic Children at Suez Canal University Hospitals.

Evaluation of Self - Care Practices of Asthmatic Children at Suez Canal University Hospitals.

Clinical significance of viral markers testing by ELISA and Individual Donation Nucleic Acid Testing (ID-NAT) for blood screening in blood bank: Single center study in Egypt

Prevention of transfusion-transmitted viral infections and insurance of safe blood transfusion are the main goals of all blood banks worldwide. Despite the high sensitivity and specificity of currently used enzyme linked immunosorbent assay (ELISA) for hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) testing, viral transmission could still occur during the window period. Introducing viral individual donation nucleic acid testing (ID-NAT) can greatly decrease such risk providing an additional layer in securing blood transfusion. We aimed to assess the clinical significance of viral markers testing by ELISA and ID-NAT for blood screening in the Blood Bank of Suez Canal University Hospital. We studied all donations (2132) collected during a two-months period. Blood donor samples were screened by ELISA and ID-NAT tests for HBV, HCV, and HIV. Serological testing results for HCV by ELISA revealed 2,122 (99.5 %) negative donations compared to 2,131 (99.95 %) negative donations by ID-NAT testing. Of the positive ELISA samples, only one was NAT positive. For HBV ELISA testing, 2,115 (99.2 %) donations were negative, also by ID-NAT testing 2,115 (99.2 %) donations were HBV DNA negative. Out of the negative ELISA samples, two samples were ID-NAT reactive donors which were missed by serology assay being in the window period. HIV ELISA testing revealed negative 2,130 (99.9 %) donations while ID-NAT testing showed 2,131 (99.95 %) negative donations and one positive donation. In conclusion, this is the first study carried out in the Suez Canal and Sinai region, Egypt to assess the importance of ID-NAT implementation. The introduction of ID-NAT in blood banks is an effective method for increasing safety of the blood transfusion.

Identification and antibiotic susceptibility patterns of multidrug resistant bacteria causing surgical site infections in Suez Canal University Hospitals in Egypt

Identification and antibiotic susceptibility patterns of multidrug resistant bacteria causing surgical site infections in Suez Canal University Hospitals in Egypt

Assessment of sensitivity of acoustic reflex decay test in diagnosis of patulous eustachian tube

Abstract Background It has long been believed that the patulous eustachian tube is a unique but uncommon condition, with an estimated incidence ranging from 0.3 to 6.6% in the general population. Hearing one’s own voice and breathing, or autophony and aerophony, are the most common symptoms of PET, along with frequent auditory fullness. Aim This study is to establish a standardized protocol for the audiological evaluation of patulous Eustachian tube using acoustic reflex decay test during different breathing tasks. Methods Between January 2022 and December 2022, the ENT department at Suez Canal University Hospitals undertook an observational case-control study. Fifty-two adult patients who present to the Suez Canal University ENT department with complaints of autophony, auditory fullness, or aerophony are diagnosed with patulous eustachian tube dysfunction through endoscopic examination of the tympanic membrane’s synchronized movement with respiration. Results The incidence rate of PET among adults was approximately 3 patients/1000 patients/year. The age of the whole studied group ranged from 20 to 60 years with mean ± SD of 37.4 ± 12.6 years. They included 23 males (44.2%) and 29 females (55.8%). The most common symptom among the studied group was aural fullness (46%), while the least common symptom was aerophony (12%); the most common risk factor among the studied patients was allergy (46.2%), while the least common was radiotherapy (3.9%); 66.7% of the patients with GERD were males, while 66.7% of the patients who lost weight were females; 58.3% of the patients with allergies were females, and also 60% of the patients with thin built were females. In the case group, there is a significant higher change of middle ear compliance in ipsilateral nostril breathing than the mouth breathing and nasal breathing. The sensitivity of the acoustic reflex decay test to diagnose PET with reference to the gold standard test is 88.5% (23/26*100), the specificity is 100% (26/26*100), and the positive predictive value is 100% (23/23*100). Conclusion The sensitivity of the acoustic reflex decay test to diagnose PET with reference to the gold standard test is high, and the specificity is very high with very good diagnostic accuracy.

Detection of biofilm among uropathogenic Escherichia coli clinical isolates in Suez Canal University Hospitals

Detection of biofilm among uropathogenic Escherichia coli clinical isolates in Suez Canal University Hospitals

Ovarian reserve after dienogest therapy versus laparoscopic cystectomy for unilateral endometriomas: A randomized clinical trial

Objective: To assess the effect of Dienogest versus surgical management of endometriomas on ovarian reserve. Methods: This randomized clinical trial was conducted at Suez Canal university hospital from November 1st, 2020, to July 31st, 2022. We recruited patients with endometriomas according to particular inclusion and exclusion criteria. The study population was allocated into two groups: group one received Dienogest, and group two had laparoscopic cystectomy. Eligible patients were subjected to history and examination to evaluate pelvic pain using the Biberoglu and Behrman score and the visual analogue scale. Ultrasound examination was done to diagnose ovarian endometrioma and its diameter. Ovarian reserve was evaluated by the antral follicle count and serum anti-mullerian hormone. After 3 months, patients were reevaluated regarding cyst diameter, antral follicle count, pain scores, and the anti-mullerian hormone. The primary outcome measure was to evaluate the ovarian reserve before and after intervention in both groups. Results: The antral follicle count and anti-mullerian hormone increased significantly after Dienogest therapy and decreased significantly after surgical excision ( p < 0.001). Only induration was significantly decreased in the medical treatment group ( p < 0.001). Both management options resulted in a noticeable reduction in the visual analogue scale scores in each group individually. Conclusion: Dienogest rescued ovarian reserve in women with endometriomas.

Comparative Study between Eight Plate and Staples in the Management of Angular Knee Deformities in Children Older than 3 Years Attending Suez Canal University Hospital

Comparative Study between Eight Plate and Staples in the Management of Angular Knee Deformities in Children Older than 3 Years Attending Suez Canal University Hospital

Comparison between Intubated Video Assisted Thoracoscopic Surgery and Awake Video Assisted Thoracoscopic Surgery in Management of Recurrent Pleural Effusion in Suez Canal University Hospitals

Comparison between Intubated Video Assisted Thoracoscopic Surgery and Awake Video Assisted Thoracoscopic Surgery in Management of Recurrent Pleural Effusion in Suez Canal University Hospitals

Assessment of Anterior Chamber Depth and Angle width among Patients undergoing Cataract Surgery in Suez Canal University Hospital in Ismailia City

Assessment of Anterior Chamber Depth and Angle width among Patients undergoing Cataract Surgery in Suez Canal University Hospital in Ismailia City

Assessment of lateral malleolus weber C fractures’ outcomes in patients undergoing syndesmosis-only fixation versus syndesmosis and fibular fixation

Abstract Introduction Ankle fractures were associated with syndesmosis injuries, so it is very important to gain accurate anatomical reduction of the ankle mortise and good fixation of the disrupted syndesmosis. Aim Aim of this study was to assess lateral malleolus Weber C fractures’ outcomes in patients undergoing syndesmosis-only fixation versus syndesmosis and fibular fixation. Subjects and methods The present study was designed as a randomized controlled clinical trial study that included all patients presenting to the emergency room at Suez Canal University hospital after an ankle twisting injury causing lateral malleolus Weber C fracture. Results Patients who had performed syndesmosis-only were found to have significantly higher tibiofibular clear space (AP and mortise views) at 6 months only compared to those who had syndesmosis and fixation. Also, There was no statistically significant difference between syndesmosis-only and syndesmosis with fixation groups in regard to medial clear space, incidence of soft tissue infection, delayed union, Complex regional pain syndrome or all items of OMAS scale. Conclusions There was a significantly stability and nearby functional outcomes with a minimally invasive technique in the group managed by syndesmosis-only fixation and the group managed by syndesmosis and fibular fixation. The results are optimistic regarding the benefits of syndesmosis-only fixtion in patients with lateral malleolus Weber C fractures. However, more confirmatory studies need to be done.

Effects of internal limiting membrane peeling versus non-internal limiting membrane peeling during vitrectomy for diabetic tractional retinal detachment on postoperative macular thickness, foveal contour, and formation of epiretinal membranes

Aim To investigate the impact of internal limiting membrane (ILM) peeling during vitrectomy for diabetic tractional retinal detachment (TRD) on postoperative central macular thickness, foveal contour, and creation or reformation of epiretinal membranes. Methods In a randomized trial, patients aged 40–65 years old with TRD were recruited from the outpatient clinic in Suez Canal University Hospital from August 2020 to February 2022. Patients were randomized into two groups: group 1 did vitrectomy with ILM peeling, while group 2 did vitrectomy without ILM peeling. At 1, 3, and 6 months after surgery, optical coherence tomography (OCT) was carried out to investigate the central macular thickness (CMT), foveal contour, and epiretinal membrane’s presence. For categorical variables, the Chi-squared test or Fisher’s exact test was performed, while the Student’s t-test was used to assess differences in continuous data. Results Thirty-two patients (16 in each group) completed the required follow-up. There was no significant difference between both groups concerning the affected eye (P=1.00). There was no statistically significant difference regarding the CMT recorded via optical coherence tomography at any point of follow-up in the two groups (P=0.289). Also, there was no statistically significant difference regarding the presence of foveal depression at any point of follow-up in the two groups (P=0.680). On the other hand, the percentage of patients who showed no presence of epiretinal membranes in the ILM peeling group was statistically significant when compared with the non-ILM peeling group (P<0.001). Conclusions ILM peeling decreases the incidence of epiretinal membrane proliferation following diabetic vitrectomy.

Relationship of Adiponectin and High-Sensitivity CReactive Protein with Left Ventricular Dysfunction among Patients Undergoing Coronary Angiography

Background: Decreased levels of adiponectin (APN) and elevated levels of high-sensitivity C-reactive protein (hs-CRP) have been found as predictors of left ventricular dysfunction and cardiovascular events. Therefore, this study aimed to assess the relationship of APN and hs-CRP with the severity of left ventricular dysfunction among Egyptian patients undergoing coronary angiography (CAG).
 Methods: A cross-sectional study was conducted among 100 Egyptian patients who underwent clinically indicated CAG at Suez Canal University Hospital in Ismailia - Egypt, from May 2009 to December 2010. The left ventricular ejection fraction (LVEF) scoring system was used to assess left ventricular function based on echocardiographic findings. Pearson correlation was used to determine the relationship of APN and hs-CRP levels with echocardiographic LVEF score, and analysis of variance (ANOVA) was used to compare clinical and biochemical parameters among patients according to left ventricular function at P-value <0.05.
 Results: The mean hs-CRP level had a significant weak negative correlation with the mean HDL-cholesterol level (r = -0.222; P = 0.048), while the mean APN level had a significant weak negative correlation with BMI (r = -0.269; P = 0.007) but a significant weak positive correlation with the mean hs-CRP level (r = 0.215; P = 0.031) and a significant moderate positive correlation with the mean HDL-cholesterol level (r = 0.302; P = 0.002). Left ventricular function in patients undergoing CAG was normal in 34 (34%), mildly impaired in 41 (41%) patients and moderately impaired in 25 (25%), with significantly different mean hs-CRP levels among the three groups (P = 0.025) that increased from normal to moderately impaired left ventricular function. However, there was no statistically significant difference in left ventricular function according to the mean level of APN.
 Conclusion: The hs-CRP level is negatively correlated with HDL-cholesterol, while APN is negatively correlated with BMI and hs-CRP but positively correlated with HDL-cholesterol in Egyptian patients undergoing CAG. The hs- CRP level correlates with the severity of left ventricular dysfunction. However, left ventricular function does not appear to correlate with APN levels.

Intracranial Hypertension Care Guidelines Patients on Critical Care Nurses' Knowledge and Practices at Suez Canal University Hospital

Intracranial Hypertension Care Guidelines Patients on Critical Care Nurses' Knowledge and Practices at Suez Canal University Hospital

Assessment quality of life among women with rheumatoid arthritis at Suez Canal University Hospital

Assessment quality of life among women with rheumatoid arthritis at Suez Canal University Hospital

Effect of an Educational Intervention Program on Improving Self Care Practices of Asthmatic Children

Background: Asthma is the most common chronic disease of childhood, it is a chronic inflammatory disorder of the airways characterized by recurrent reversible airway obstruction leads to airway hyper reactivity, which causes the airways to narrow. The present study aimed to evaluate the effect of an educational intervention program on improving self-care practices of asthmatic children. A quasi experimental study was utilized. The study was conducted at pediatric Emergency Department and pediatric Outpatient Clinic at Suez Canal University Hospitals. The study subject included purposive sample of school aged children (40) with their accompanying mothers. Two tools were used; A structured interview questionnaire sheet, and observational checklists to assess children's knowledge and self-care practices regarding bronchial asthma. Results: Regarding knowledge and self-care practices of the studied children about bronchial asthma, the results showed that all children had unsatisfied knowledge and self-care practices pre-test that improved at post and follow up intervention phase where most of them had either satisfied level or partial satisfied level. The study concluded that implementation of the educational intervention program improved knowledge of the studied children about bronchial asthma, enhanced self-care practices, reduced frequency of asthmatic attack and reduced school absence days. The study recommended continuous educational intervention program based on actual need assessment for improving self-care practices of asthmatic children.

Studying Prevalence of Thoracolumbar Spine Fractures in Trauma Patients During One Year at Suez Canal University Hospitals

Studying Prevalence of Thoracolumbar Spine Fractures in Trauma Patients During One Year at Suez Canal University Hospitals

Effect of Nursing Intervention Program for Parents Caring of Children with Autism Regarding to their Daily Activities

Background: Caring for children with Autism spectrum disorder regarding their daily activities is challenging for parents. Aim: This study aimed to assess the effect of nursing intervention program for parents caring of children with autism regarding to their daily activities. Design: A quasi-experimental design used in the present study one group (pre\ posttest). Setting: The study was carried out in Children and Adolescent Psychiatric Outpatient Clinics in Suez Canal University Hospital (SCUH) & Outpatient Clinic for children psychiatric treatment at Abbasia Mental Health Hospital affiliated to General Secretariat of Mental Health and Addiction in Cairo governorate. Subjects: Study subjects included all available (50) parents have autistic children from the mentioned settings. Tool: A Structured Interview questionnaire included three parts; Part 1: Socio-demographic characteristics of parents, Part 2: Characteristics of the studied children with autism, Part 3: Assessment of parents’ knowledge & Part 4: Assessing the parents’ reported practice regarding to self-reliance during their children daily activities. Results: revealed that more than two thirds, (68%) of parents were mothers. More than two thirds (78%) of father's age was ranged from 30-50 years. More than two thirds (88%) of studied parents’ identification of autism, causes, predictors and symptoms of autism and management of autism post program implementation compared to preprogram Conclusion: there was a statistically significant improvement in total knowledge about autism of the parents caring of children with autism pre and post program implementation. Recommendations: Replication of the same study on larger probability sample at different geographical locations for data generalizability.