Death rate of patients with liver cirrhosis is 41.6% in Egypt. It is important to assess the nutritional status of this group of patients because these patients suffer from protein-calorie malnutrition. Aim: Assessment of nutritional status in patients with liver cirrhosis in Assiut university hospital.Patient and Methods: 60 adult patients with liver cirrhosis as a study group were conducted at Tropical Medicine and Gastroenterology Department at Assiut University hospital. Tools utilized for data collection were :( I) patient assessment and (II) nutritional assessment. Results: The main causes of patients with liver cirrhotic were HCV and HBV infection. Malnutrition was prevalent in 85% of patients. The most common malnutrition risk factors were dry mouth, taste alteration, food intolerance, multiple medications and the presence of ascites. Conclusions: the majority of patients with decompensated liver cirrhosis were malnourished regardless the etiology of liver cirrhosis. Identifying the patients that are approaching the state of malnutrition by simple and easily applied methods is necessary in order to provide nutritional support. Recommendations: Nutritional support and regimen, advice and guidelines by dietitian should be undertaken for all cirrhotic patients to prevent the occurrence of complications of malnutrition and improve clinical outcome.

Death rate of patients with liver cirrhosis is 41.6% in Egypt. It is important to assess the nutritional status of this group of patients because these patients suffer from protein-calorie malnutrition. Aim: Assessment of nutritional status in patients with liver cirrhosis in Assiut university hospital.Patient and Methods: 60 adult patients with liver cirrhosis as a study group were conducted at Tropical Medicine and Gastroenterology Department at Assiut University hospital. Tools utilized for data collection were :( I) patient assessment and (II) nutritional assessment. Results: The main causes of patients with liver cirrhotic were HCV and HBV infection. Malnutrition was prevalent in 85% of patients. The most common malnutrition risk factors were dry mouth, taste alteration, food intolerance, multiple medications and the presence of ascites. Conclusions: the majority of patients with decompensated liver cirrhosis were malnourished regardless the etiology of liver cirrhosis. Identifying the patients that are approaching the state of malnutrition by simple and easily applied methods is necessary in order to provide nutritional support. Recommendations: Nutritional support and regimen, advice and guidelines by dietitian should be undertaken for all cirrhotic patients to prevent the occurrence of complications of malnutrition and improve clinical outcome.

Death rate of patients with liver cirrhosis is 41.6% in Egypt. It is important to assess the nutritional status of this group of patients because these patients suffer from protein-calorie malnutrition. Aim: Assessment of nutritional status in patients with liver cirrhosis in Assiut university hospital.Patient and Methods: 60 adult patients with liver cirrhosis as a study group were conducted at Tropical Medicine and Gastroenterology Department at Assiut University hospital. Tools utilized for data collection were :( I) patient assessment and (II) nutritional assessment. Results: The main causes of patients with liver cirrhotic were HCV and HBV infection. Malnutrition was prevalent in 85% of patients. The most common malnutrition risk factors were dry mouth, taste alteration, food intolerance, multiple medications and the presence of ascites. Conclusions: the majority of patients with decompensated liver cirrhosis were malnourished regardless the etiology of liver cirrhosis. Identifying the patients that are approaching the state of malnutrition by simple and easily applied methods is necessary in order to provide nutritional support. Recommendations: Nutritional support and regimen, advice and guidelines by dietitian should be undertaken for all cirrhotic patients to prevent the occurrence of complications of malnutrition and improve clinical outcome.

Death rate of patients with liver cirrhosis is 41.6% in Egypt. It is important to assess the nutritional status of this group of patients because these patients suffer from protein-calorie malnutrition. Aim: Assessment of nutritional status in patients with liver cirrhosis in Assiut university hospital.Patient and Methods: 60 adult patients with liver cirrhosis as a study group were conducted at Tropical Medicine and Gastroenterology Department at Assiut University hospital. Tools utilized for data collection were :( I) patient assessment and (II) nutritional assessment. Results: The main causes of patients with liver cirrhotic were HCV and HBV infection. Malnutrition was prevalent in 85% of patients. The most common malnutrition risk factors were dry mouth, taste alteration, food intolerance, multiple medications and the presence of ascites. Conclusions: the majority of patients with decompensated liver cirrhosis were malnourished regardless the etiology of liver cirrhosis. Identifying the patients that are approaching the state of malnutrition by simple and easily applied methods is necessary in order to provide nutritional support. Recommendations: Nutritional support and regimen, advice and guidelines by dietitian should be undertaken for all cirrhotic patients to prevent the occurrence of complications of malnutrition and improve clinical outcome.

Abstract:Stroke is a leading cause of disability. The study aimed to: assess musculoskeletal complications for immobilized stroke patients. Methods: Descriptive research design carried out in AssiutUniversityhospital.It included30 patientsconducted at neurological departmentsatAssiut University Hospital. Tools:Data collected by using three tools; Firsttool: part I;includedSociodemographic patient characteristics, part II;assessment of the past and present health history, second toolincluded: Assessment of patient's knowledge regarding stroke and musculoskeletal complications resulting from immobility,while the third toolincluded patient’s assessment for the musculoskeletal complications. The main results of present study The incidences of musculoskeletal complications in studied sample were higheramong the stroke immobilized patient and hadunsatisfactory knowledge regarding to stroke. It concluded that:The majority of store immobilized patients after prolonged immobilization suffer from sever musculoskeletal complications and had unsatisfactory knowledge. It was recommended that:the exercise programme should be applying early as possible as from at time of admission to the hospital.

Abstract:Stroke is a leading cause of disability. The study aimed to: assess musculoskeletal complications for immobilized stroke patients. Methods: Descriptive research design carried out in AssiutUniversityhospital.It included30 patientsconducted at neurological departmentsatAssiut University Hospital. Tools:Data collected by using three tools; Firsttool: part I;includedSociodemographic patient characteristics, part II;assessment of the past and present health history, second toolincluded: Assessment of patient's knowledge regarding stroke and musculoskeletal complications resulting from immobility,while the third toolincluded patient’s assessment for the musculoskeletal complications. The main results of present study The incidences of musculoskeletal complications in studied sample were higheramong the stroke immobilized patient and hadunsatisfactory knowledge regarding to stroke. It concluded that:The majority of store immobilized patients after prolonged immobilization suffer from sever musculoskeletal complications and had unsatisfactory knowledge. It was recommended that:the exercise programme should be applying early as possible as from at time of admission to the hospital.

Abstract:Stroke is a leading cause of disability. The study aimed to: assess musculoskeletal complications for immobilized stroke patients. Methods: Descriptive research design carried out in AssiutUniversityhospital.It included30 patientsconducted at neurological departmentsatAssiut University Hospital. Tools:Data collected by using three tools; Firsttool: part I;includedSociodemographic patient characteristics, part II;assessment of the past and present health history, second toolincluded: Assessment of patient's knowledge regarding stroke and musculoskeletal complications resulting from immobility,while the third toolincluded patient’s assessment for the musculoskeletal complications. The main results of present study The incidences of musculoskeletal complications in studied sample were higheramong the stroke immobilized patient and hadunsatisfactory knowledge regarding to stroke. It concluded that:The majority of store immobilized patients after prolonged immobilization suffer from sever musculoskeletal complications and had unsatisfactory knowledge. It was recommended that:the exercise programme should be applying early as possible as from at time of admission to the hospital.

Abstract:Stroke is a leading cause of disability. The study aimed to: assess musculoskeletal complications for immobilized stroke patients. Methods: Descriptive research design carried out in AssiutUniversityhospital.It included30 patientsconducted at neurological departmentsatAssiut University Hospital. Tools:Data collected by using three tools; Firsttool: part I;includedSociodemographic patient characteristics, part II;assessment of the past and present health history, second toolincluded: Assessment of patient's knowledge regarding stroke and musculoskeletal complications resulting from immobility,while the third toolincluded patient’s assessment for the musculoskeletal complications. The main results of present study The incidences of musculoskeletal complications in studied sample were higheramong the stroke immobilized patient and hadunsatisfactory knowledge regarding to stroke. It concluded that:The majority of store immobilized patients after prolonged immobilization suffer from sever musculoskeletal complications and had unsatisfactory knowledge. It was recommended that:the exercise programme should be applying early as possible as from at time of admission to the hospital.

Stroke is a leading cause of disability. Aim: the first assess patient’s knowledge and practice regarding musculoskeletal complications resulting from immobility. The second evaluate the effect of applying for an exercise programme on stroke immobilized patients’ knowledge and practice. Patient methods: 60 patients conducted at neurological departments at Assiut University Hospital. . Tools: Data collected by using three tools; Tool Ι: Patient's health needs assessment sheet: part 1; A- included Sociodemographic patient characteristics, B- socio-demographic scale, according to Fahmy and Al-sherbeny (1983), part 2; assessment of the past and present health history, part 3; patient’s Assessment for the musculoskeletal complications, Part 4: Assessment of patient's knowledge and practice regarding musculoskeletal complications resulting from immobility and importance of these exercises, Tool II-Musculoskeletal assessment sheet: Part 1; by Ashworth scale ,1964, Part 2; Scandinavian stroke scale,1991. Results: The incidences of musculoskeletal complications in the study sample were lesser than the control group and having higher mean score knowledge regarding stroke. Conclusions: providing a successful physical exercise programme for stroke patients was much more effective on the outcome of patients than those patients in the control group who received routine hospital care. Also, the mean score level of knowledge of the study group patients in the time of follow-up was higher than the mean score level of knowledge of control group patients who didn’t receive the exercise programme. Recommendations: the exercise programme should be applying early as possible as from at the time of admission to the hospital.

Stroke is a leading cause of disability. Aim: the first assess patient’s knowledge and practice regarding musculoskeletal complications resulting from immobility. The second evaluate the effect of applying for an exercise programme on stroke immobilized patients’ knowledge and practice. Patient methods: 60 patients conducted at neurological departments at Assiut University Hospital. . Tools: Data collected by using three tools; Tool Ι: Patient's health needs assessment sheet: part 1; A- included Sociodemographic patient characteristics, B- socio-demographic scale, according to Fahmy and Al-sherbeny (1983), part 2; assessment of the past and present health history, part 3; patient’s Assessment for the musculoskeletal complications, Part 4: Assessment of patient's knowledge and practice regarding musculoskeletal complications resulting from immobility and importance of these exercises, Tool II-Musculoskeletal assessment sheet: Part 1; by Ashworth scale ,1964, Part 2; Scandinavian stroke scale,1991. Results: The incidences of musculoskeletal complications in the study sample were lesser than the control group and having higher mean score knowledge regarding stroke. Conclusions: providing a successful physical exercise programme for stroke patients was much more effective on the outcome of patients than those patients in the control group who received routine hospital care. Also, the mean score level of knowledge of the study group patients in the time of follow-up was higher than the mean score level of knowledge of control group patients who didn’t receive the exercise programme. Recommendations: the exercise programme should be applying early as possible as from at the time of admission to the hospital.