Publications by authors named "H Hosny"
Introduction: Older patients with Late onset epilepsy (LOE) provide a special set of difficulties for both the treating doctors and the patients.
Objectives: To address the characteristics and treatment outcomes of LOE in a cohort of Egyptian population at a tertiary center and to assess factors affecting seizure freedom in this age group.
Methods: From December 1, 1995, to November 30, 2020, we analysed all patients with newly diagnosed epilepsy above the age of 50 at Cairo University's neurology department.
Limited guidelines exist regarding osteoporosis prevention in the general population. Despite being a subject of controversy, the majority of research suggests that decreased vitamin D levels correlate with increased bone turnover, that is, an important risk factor for osteoporosis development. In most guidelines, daily vitamin D supplementation is recommended.
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- Early diagnosis and proper management of epilepsy are crucial, yet Egypt faces significant challenges in healthcare practices, leading to poor outcomes for patients.
- A group of Egyptian experts used a modified Delphi method to develop a nationwide consensus on epilepsy diagnosis and treatment after reviewing recent literature and guidelines.
- Out of 278 statements discussed, a strong agreement was reached on 256, aiming to enhance the quality of care and improve treatment outcomes for those living with epilepsy in Egypt.
Successful Late Repair of Truncus Arteriosus: A Single Center Experience.
World J Pediatr Congenit Heart Surg
July 2024
Truncus arteriosus is a rare congenital heart defect resulting from the failure of the truncus arteriosus to divide during fetal development. It leads to a single outflow tract from the heart and, if left untreated, can be fatal. Late presentation and repair can also increase the risk of pulmonary hypertensive crises, which can lead to morbidity and mortality after repair.
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- The study focuses on periprosthetic fractures (PPFs) around the knee, examining patient demographics, fracture types, and treatment methods to assess their effect on in-hospital mortality.
- A total of 420 patients from a larger database were analyzed, revealing a 6.4% mortality rate; key risk factors included higher ASA grades, peripheral vascular disease, rheumatic disease, and fractures associated with loose implants.
- Management type did not significantly affect mortality, but surgical interventions led to longer hospital stays and increased likelihood of further surgeries compared to non-operative treatments.