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Background: The first assessment of the calcaneus suspected fractures is performed with conventional radiography. Modern calcaneal fracture classification systems depend mainly on computed tomography (CT) because of its threedimensional nature, rather than on two-dimensional plain radiography as was used previously. The aim of this study was to assess Digital X ray imaging versus computed tomography for evaluation of calcaneal fractures. Patients and methods: This study was conducted Benha University Hospitals on 30 patients with isolated calcaneal trauma and was diagnosed radiologically by plain x ray and CT to have calcaneal fractures. lateral view images was obtained to measure the Böhler's angle, the angle of Gissane, the inclination angle and the facet height. Each angle was measured by two different interpreters (a senior radiologist and a resident) in order to verify accuracy Results: there was a statistically significant difference between Digital X-ray and CT images finding in Intraarticular Fractures and total fructures. there was a a statistically significant difference in (The Bo¨hler's angle , The angle of Gissane and The facet height The angle of Gissane) and no statistically significant difference in (The inclination angle) Conclusion: CT scanning is a valuable noninvasive common technique and has gained use in identifying the diagnosis, classification, and treatment planning of extraarticular and intra-articular calcaneal fractures

Background: Psoriasis is a common, chronic, immune-mediated disease manifested mainly as skin lesions and extracutaneous comorbidities associated with systemic inflammation. Typical skin manifestations of psoriasis include erythematous, indurated, and scaling plaques that are painful, itchy, and have a burning sensation. Fungi as Malassezia and Candida albicans have been implicated in the pathogenesis of psoriasis. Aim of work: is to study the association between the presence of different fungal growth and psoriasis. Patients and Methods: This study was carried out on a total of 30 patients clinically diagnosed to have psoriasis, attending the outpatient clinic of the Dermatology and Andrology Department of Benha University Hospital, from April 2019 to July 2020. All patients were subjected to complete history taking, general examination, and dermatologic examination to confirm the diagnosis. An informed consent approved by the Research Ethics Committee at Faculty of Medicine Benha University was taken from all individuals before being enrolled in this study. From the lesions, scales were collected by gentle scraping, examined microscopically for detection of any fungal growth using 10% potassium hydroxide (KOH) and then cultured on Sabouraud's Dextrose Agar (SDA) with and without cyclohexamide and Dixon's medium for identification of any fungal growth. Results: The mean age of patients was 38.3, twenty patients were males and 15 patients reported to be smokers. Only seven patients had positive family history. Most patients had gradual onset and course of exacerbation and remission. Twenty two cases of psoriasis showed positive KOH and culture for fungal growth. 10 cases were positive for Aspergillus, 7 for Candida, 4 for Malassezia, and only one case for Dermatophytes. Conclusion: Fungal infection may play a role in the pathogenesis of psoriasis, its prevalence is still a matter of debate and its exact role is in need for more research to be revealed.

Background; Critically ill children have a high incidence of malnutrition on admission to the pediatric intensive care unit and low metabolic reserves. The aim of this study was to assess nutritional support to pediatric critically ill patients admitted to Pediatric Intensive Care Unit (PICU) and its correlation with their outcome as regarding to need for mechanical ventilation, acquired infection, metabolic complications, and mortality. Methods; This study was conducted on 75 pediatric critically ill patients admitted to PICU, 25 patients were supported by enteral nutrition. 25 patients with inadequate enteral nutrition were supported by complementary parenteral nutrition and 25 patients were supported by total parenteral nutrition due to their contraindications to EN.All included patients were subjected to full history taking, thorough clinical examination , laboratory investigations were done :complete blood picture, serum electrolytes (Na, K, Ca, Po4 and Mg), renal functions, liver functions, serum albumin and C reactive protein. Results; only 73.3% of patients in enteral nutrition group and 83.3% of complementary parenteral nutrition reach target calories on discharge from PICU in contrast to total parenteral nutrition group as all patients reach target caloric requirements on discharge from PICU.There were significant higher prevalence of metabolic complication, need of mechanical ventilation, mortality and higher mean values of length of hospital stay among high malnutrition risk cases. Conclusion; achievement of target caloric requirements during PICU stay improves outcome as regard need for mechanical ventilation, length of hospital stay and mortality, regardless of route of nutritional support.