Abstract Integration of the health needs of all adolescent into primary health services will package all services together which leads to better health overall. Aims: toconduct a situational analysis of adolescent health needs in Assiut governorate, assess the primary health care facilities anddevelop a design model to integrate adolescent health needs into primary health care settings and assess its effectiveness. Methodology: cross-sectional and quasiexperimental design was used.Sample size was 350 adolescents (175 study and 175 control group) attending two health facilities (urban and rural)which were selected randomly. Three questionnaires were used. Firstly, pre and posttest interview structured questionnaire was used which developed according to evidence –based questionnaires. Secondly, Health care providers’ questionnaire asked question in the same modules of adolescent’s questionnaire. Last one, questionnaireto assess PHC services’ quality as perceived by adolescents. Results: One third of adolescents had moderate level of anxiety. Half of them were suffering from various level of depression. About two thirds of them hadn’t stress.Violence attitude is lower in studied group. The knowledge scores of all modules (mental, reproductive, Nutritional health, smoking / addiction, accidents and violence) were significantly better among adolescents in studied group than control group. The majority of health providers had high level of knowledge.There are high levels of satisfaction among adolescents of most PHC services. Conclusion: Adolescents' knowledge, habits and beliefs were mostly inadequate as regards all modules. After implementation of the program remarkable improvement were achieved in adolescents’ knowledge and practice.

Abstract Integration of the health needs of all adolescent into primary health services will package all services together which leads to better health overall. Aims: toconduct a situational analysis of adolescent health needs in Assiut governorate, assess the primary health care facilities anddevelop a design model to integrate adolescent health needs into primary health care settings and assess its effectiveness. Methodology: cross-sectional and quasiexperimental design was used.Sample size was 350 adolescents (175 study and 175 control group) attending two health facilities (urban and rural)which were selected randomly. Three questionnaires were used. Firstly, pre and posttest interview structured questionnaire was used which developed according to evidence –based questionnaires. Secondly, Health care providers’ questionnaire asked question in the same modules of adolescent’s questionnaire. Last one, questionnaireto assess PHC services’ quality as perceived by adolescents. Results: One third of adolescents had moderate level of anxiety. Half of them were suffering from various level of depression. About two thirds of them hadn’t stress.Violence attitude is lower in studied group. The knowledge scores of all modules (mental, reproductive, Nutritional health, smoking / addiction, accidents and violence) were significantly better among adolescents in studied group than control group. The majority of health providers had high level of knowledge.There are high levels of satisfaction among adolescents of most PHC services. Conclusion: Adolescents' knowledge, habits and beliefs were mostly inadequate as regards all modules. After implementation of the program remarkable improvement were achieved in adolescents’ knowledge and practice.

Background: Adolescence is a stage of rapid changing, adequate nutrition is vital for achieving full growth probable, and any disturbance will occur in this stage may lead to various health problems. Aims: to assess the nutritional status and food habits among adolescents and evaluate the impact of the educational program in primary health care sittings. Methodology: quasi-experimental research design was used. Sample size was 350 adolescents (175 intervention group and 175 control group) attending two health facilities (urban and rural) which were selected randomly. Pre and posttest (immediate and late) interview structured questionnaire was used which included socio-demographic data, anthropometric measurements, hemoglobin level, questions regarding knowledge about nutrition and food habits. Results: more than two fifths (44.4%) of the sample was anemic. The mean body mass index was 21.09±4.6. Obesity was significantly more prevalent in female (13.4%) than male (3.4%).The knowledge scores of nutritional health was significantly better among adolescents in studied group than control group (p value= 0.00). Also their eating and consumption habits had a slightly improvement. Conclusion: After implementation of the program the Adolescents' knowledge and habits had a remarkable improvement.

Background: Adolescence is a stage of rapid changing, adequate nutrition is vital for achieving full growth probable, and any disturbance will occur in this stage may lead to various health problems. Aims: to assess the nutritional status and food habits among adolescents and evaluate the impact of the educational program in primary health care sittings. Methodology: quasi-experimental research design was used. Sample size was 350 adolescents (175 intervention group and 175 control group) attending two health facilities (urban and rural) which were selected randomly. Pre and posttest (immediate and late) interview structured questionnaire was used which included socio-demographic data, anthropometric measurements, hemoglobin level, questions regarding knowledge about nutrition and food habits. Results: more than two fifths (44.4%) of the sample was anemic. The mean body mass index was 21.09±4.6. Obesity was significantly more prevalent in female (13.4%) than male (3.4%).The knowledge scores of nutritional health was significantly better among adolescents in studied group than control group (p value= 0.00). Also their eating and consumption habits had a slightly improvement. Conclusion: After implementation of the program the Adolescents' knowledge and habits had a remarkable improvement.

Background: Pregnancy is an important time in a woman's life with many complex physiological changes that may occur. These changes may negatively affect their oral health. The study aimed to assess oral health knowledge, attitude and reported practices among pregnant women in Assiut Governorate. Methods: A descriptive cross-sectional study design was used. A structured interview questionnaire was used; included two tools: Tool (I); part (1) personal data, part (2): assessment of knowledge about oral health, part (3): reported practices of oral health and tool (II): included pregnant women attitude toward oral health. Results: the study revealed that: 79.7% of the interviewed women were aged ≤30 years, 82.5% of them were from rural area. Illiterate women represented 33.2% of the studied group. 85.5% of the pregnant women were housewives. Positive attitude toward oral hygiene was significantly higher among urban, educated, working and primigravidae (p=0.007, 0.03, 0.0001 and 0.04 respectively). Practices of daily cleaning of the teeth was higher among urban than rural residents (79.7% versus 46.8% respectively), university educated (89.3%) than other groups, and working women than housewives (84.9% versus 47.1%)with statistical significant difference while neither age nor number of pregnancies affected daily teeth cleaning. Conclusions: Being highly educated, working and of urban residence positively affected both the oral hygiene attitude and practices among interviewed pregnant women.

Background: Pregnancy is an important time in a woman's life with many complex physiological changes that may occur. These changes may negatively affect their oral health. The study aimed to assess oral health knowledge, attitude and reported practices among pregnant women in Assiut Governorate. Methods: A descriptive cross-sectional study design was used. A structured interview questionnaire was used; included two tools: Tool (I); part (1) personal data, part (2): assessment of knowledge about oral health, part (3): reported practices of oral health and tool (II): included pregnant women attitude toward oral health. Results: the study revealed that: 79.7% of the interviewed women were aged ≤30 years, 82.5% of them were from rural area. Illiterate women represented 33.2% of the studied group. 85.5% of the pregnant women were housewives. Positive attitude toward oral hygiene was significantly higher among urban, educated, working and primigravidae (p=0.007, 0.03, 0.0001 and 0.04 respectively). Practices of daily cleaning of the teeth was higher among urban than rural residents (79.7% versus 46.8% respectively), university educated (89.3%) than other groups, and working women than housewives (84.9% versus 47.1%)with statistical significant difference while neither age nor number of pregnancies affected daily teeth cleaning. Conclusions: Being highly educated, working and of urban residence positively affected both the oral hygiene attitude and practices among interviewed pregnant women.

Background: Pregnancy is an important time in a woman's life with many complex physiological changes that may occur. These changes may negatively affect their oral health. The study aimed to assess oral health knowledge, attitude and reported practices among pregnant women in Assiut Governorate. Methods: A descriptive cross-sectional study design was used. A structured interview questionnaire was used; included two tools: Tool (I); part (1) personal data, part (2): assessment of knowledge about oral health, part (3): reported practices of oral health and tool (II): included pregnant women attitude toward oral health. Results: the study revealed that: 79.7% of the interviewed women were aged ≤30 years, 82.5% of them were from rural area. Illiterate women represented 33.2% of the studied group. 85.5% of the pregnant women were housewives. Positive attitude toward oral hygiene was significantly higher among urban, educated, working and primigravidae (p=0.007, 0.03, 0.0001 and 0.04 respectively). Practices of daily cleaning of the teeth was higher among urban than rural residents (79.7% versus 46.8% respectively), university educated (89.3%) than other groups, and working women than housewives (84.9% versus 47.1%)with statistical significant difference while neither age nor number of pregnancies affected daily teeth cleaning. Conclusions: Being highly educated, working and of urban residence positively affected both the oral hygiene attitude and practices among interviewed pregnant women.

Background: Pregnancy is an important time in a woman's life with many complex physiological changes that may occur. These changes may negatively affect their oral health. The study aimed to assess oral health knowledge, attitude and reported practices among pregnant women in Assiut Governorate. Methods: A descriptive cross-sectional study design was used. A structured interview questionnaire was used; included two tools: Tool (I); part (1) personal data, part (2): assessment of knowledge about oral health, part (3): reported practices of oral health and tool (II): included pregnant women attitude toward oral health. Results: the study revealed that: 79.7% of the interviewed women were aged ≤30 years, 82.5% of them were from rural area. Illiterate women represented 33.2% of the studied group. 85.5% of the pregnant women were housewives. Positive attitude toward oral hygiene was significantly higher among urban, educated, working and primigravidae (p=0.007, 0.03, 0.0001 and 0.04 respectively). Practices of daily cleaning of the teeth was higher among urban than rural residents (79.7% versus 46.8% respectively), university educated (89.3%) than other groups, and working women than housewives (84.9% versus 47.1%)with statistical significant difference while neither age nor number of pregnancies affected daily teeth cleaning. Conclusions: Being highly educated, working and of urban residence positively affected both the oral hygiene attitude and practices among interviewed pregnant women.

Background: Thyroidectomy is the surgical removal of a partial or complete thyroid gland in case of hyperthyroidism, thyroid cancer and goiter. The aims of this study: were to eveluate effect of designed nursing guidelines on minimizing postoperative complications for patients undergoing thyroidectomy through the following; 1) assess patients' knowledge and practice about thyroidectomy, 2) design nursing guidelines , 3) evaluate the effect of applying these guidelines on minimizing postoperative complications for patients undergoing thyroidectomy. Patients and method: This study was conducted in the general surgery department and outpatient surgery clinic at Assiut University Hospital. A convientent sample of 60 adult patients of both sexes, their ages ranged between 20 - 65 years old and were divided into two equal groups (study and control) thirty patients for each. Tools: Patient assessment sheet and thyroidectomy complications evaluation sheet. Results: there was statistically significant difference between the study and control groups regarding knowledge and practice scores, wound healing and other thyroidectomy complications. Conclusion: implementation of the designed nursing guidelines in the management of patients undergoing thyroidectomy had improved patients' outcomes: significantly increased level of knowledge and practice scores, and decreased overall postoperative complications rate. Recommendation: Providing a written instruction booklet about perioperative care for thyroidectomy is of great importance for the patients.

Background: Thyroidectomy is the surgical removal of a partial or complete thyroid gland in case of hyperthyroidism, thyroid cancer and goiter. The aims of this study: were to eveluate effect of designed nursing guidelines on minimizing postoperative complications for patients undergoing thyroidectomy through the following; 1) assess patients' knowledge and practice about thyroidectomy, 2) design nursing guidelines , 3) evaluate the effect of applying these guidelines on minimizing postoperative complications for patients undergoing thyroidectomy. Patients and method: This study was conducted in the general surgery department and outpatient surgery clinic at Assiut University Hospital. A convientent sample of 60 adult patients of both sexes, their ages ranged between 20 - 65 years old and were divided into two equal groups (study and control) thirty patients for each. Tools: Patient assessment sheet and thyroidectomy complications evaluation sheet. Results: there was statistically significant difference between the study and control groups regarding knowledge and practice scores, wound healing and other thyroidectomy complications. Conclusion: implementation of the designed nursing guidelines in the management of patients undergoing thyroidectomy had improved patients' outcomes: significantly increased level of knowledge and practice scores, and decreased overall postoperative complications rate. Recommendation: Providing a written instruction booklet about perioperative care for thyroidectomy is of great importance for the patients.