Background: Sleep problems are the most important issues that need attention, cognitive behavioral therapy has positively improved sleep quality among older person. Aim: To evaluate the effect of training program about cognitive behavioral therapy on sleep quality among the older persons. Design: A Quasi-experimental (pre and post-test). Setting: All geriatric clubs in Assiut city. Sample: 81 older person aged from (60 to 70 and more) who complained from sleeping problems. Tools: I. Personal characteristics, II. Comorbidities questionnaire, III. Pittsburgh sleep quality index to measure the quality and patterns of sleep, IV. Epworth sleepiness scale to measure daytime sleepiness and diagnoses sleep disorders, V. Geriatric anxiety scale and VI. Geriatric depression scale. Results: Musculoskeletal problems were most prevalent with 50.6% followed by high blood pressure 48.1%. Epworth sleepiness scale was affected by sex and living status in preprogram P-value= 0.027 and 0.003 while not affected in post-program P-value=0.307 and 0.056; moreover, affected by high blood pressure and pulmonary diseases in pre and post program. Pittsburgh sleep quality index affected by practicing exercise in preprogram P-value=0.019 and wasn’t significance in post program P-value=0.252, it affected by heart diseases in preprogram P- value=0.000 while with pulmonary diseases and diabetes mellitus in post program P-value=0. 042 and 0.007. Conclusion: These results support the use of training cognitive behavioral therapy for improving sleeping quality. Training program about cognitive-behavioral therapy for improving sleep quality is recommended for older adult

Background: Girls with hearing disability continue to undervalue the practice of breast selfexamination, despite Egypt's ever-expanding programs to raise breast cancer awareness. Aim: To evaluate the effectiveness of the training program for girls with hearing disability about breast selfexamination in Assiut City. Research Design: Quantitative research pre/post one group intervention design was applied. Setting: Al-aml school for dumb and deaf girls in Assiut City. Subjects: A convenient sample was used to include 153 adolescent girls with hearing disability. Data collection tools: Two tools were utilized: Tool one: Designed interview questionnaire comprised from three parts: Part (1): Personal data, part (2): Girls’ family history of breast cancer and data about breast selfexamination and part (3): Questions to assess knowledge of girls regarding breast cancer and breast selfexamination. Tool II: Breast self-examination observational checklist. Results: It noticed from the current results that 46% of girls aged less than 18 years, 90.8% from rural area, 71.9% weren’t know about breast self-examination. The girls’ mean of knowledge and practices regarding breast selfexamination was in pre-program 12.28 and 2.26 while it enhanced to be 36.03 and 9.67 with significant improvement after the program application. Conclusion: The training program improved knowledge and practices of breast self-examination among girls with hearing disability. Recommendations: Continuous training program about breast self-examination for girls with special need to increase their awareness regarding early detection of breast cancer.

Abstract People with Systemic Lupus Erythematous need for social support more than others due to Systemic Lupus Erythematous' often caused severe and unpredictable symptoms; also can be affected multiple system. The study aimed to determine the pattern of Social support among Systemic Lupus Erythematous patients; also to identify the risk factors among Systemic Lupus Erythematous patients at out-patient clinics, Assiut university hospital. Patients and methods: The study was conducted in Rheumatology clinic at Assiut university hospital. The total sample size was (104); total coverage technique used in this study. Tools: Two tools were used, first tool: A structured interview questionnaire sheet which included two parts; demographic data and questions regarding risk factors and the second tool; it included Social Support Assessment scale. Results: more than half (55.8%) of patients had high level of social support after disease compared to 39.4% of them had moderate and high level of social support before disease also, Sunlight exposure was the most risk factors among Systemic Lupus Erythematous patients. Conclusion: there was statistically significant differences between total score of social support before and after disease (P value=0.001*). Recommendation: Health education about rheumatologic services for community to early detection, diagnosis and treatment

Background: Injuries among school students are considered as one of the most serious health problems. Aim of this research: To assess knowledge and practice of the school trainers and students' knowledge regarding sports injury and its safety measures Research design: A descriptive design was used in this study. Setting: The study was conducted at four schools; which included all preparatory and secondary sports and military schools at Assiut Governorate. A convenient sample was used. The total number of school trainers and students was (656). Two tools were used (1) Self administrative questionnaire for trainers and students, (2) Trainers observation check list. Results: Finding revealed that more than half of the studied trainers aged more than 40 years and the majority of them were males. 51.1% of the trainers had < 20 years' experience and 33.3% of them were attended training courses about sports injury. Finding cleared that 36.3% of the studied students aged 14 to < 16 years and 79.2% of them were males. There was statistical significant difference between students' personal characteristics and their total score of knowledge. Conclusion: More than half of school trainers had good knowledge regarding to sports injury safety measures and most of trainers had adequate level of practices; while about half of students had poor knowledge regarding to sports injury safety measures. Recommendation: The study recommend establish continuous educational program for trainers and students to improve their knowledge and practices

Background: Premarital examination is one of the health promotion activities that provided in the maternal and child health service programs. This aimed to early detection of any health problem and treatment, Preparation for marriage; providing family life education.The community health nurses play an fundamental role in providing pre marital care services that include assess hereditary risk, provide information, and appropriate helpful counseling.The study aimed to: To assess students' knowledge and attitude toward premarital examination. Subjects and Methods: Descriptive cross sectional research design was used in this study. Multistage random sample was used in this study.The study was conducted in 4 randomly selected secondary schools .The total number of sample was 879 students. Two tools were used in this study the first tool included personal characteristics and student's knowledge , while the second tool lickert scale toward premarital examination. Results: regarding knowledge 66.0% of studied students had poor score of knowledge while 50.4% of them had negative attitude toward premarital examination. Conclusion: A significant gap in student's knowledge regarding premarital examination, while about half of them had positive attitude ,also there is positive Correlation between total score of students knowledge and attitude about premarital examination. Recommendation: Conducting counseling sessions with social workers in schools to convey information to students about premarital examination

Autism is a neurological disorder characterized by qualitative impairments in social interaction, qualitative impairments in communication, and restricted repetitive, stereotyped patterns of behavior, interests, and activities. Autistic Spectrum Disorders (ASDs) are relatively common without known etiology can be found in 80-90% of cases. The study aimed to evaluate the effect of a parent-focused intervention for autistic children on parenting stress at Assiut City. Subjects and methods: The study was Quasi-experimental research design. It was conducted in all autism centers at Assiut city which includes 7 centers and included 73 parents who agreed to participate in this study selected by convenient sample; this sample included 47 mothers and 26 fathers. The study included three tools: - a structured interview sheet, parents’ knowledge assessment about autism, and parenting stress scale. The main results of the study indicated that there was highly statistically significant differences between mothers’ and fathers’ knowledge about autism (P-value = 0.000) in pre, immediate post-test and follow-up. Moreover there was highly statistically significant difference between Parental stress scale for mothers and fathers in pre-test and immediate post-test respectively (P-value= 0.000 *& 0.002*) while no statistically significant difference between pre-test and follow-up respectively (P-value= 0.152 & 0.417). The study Concluded that there was improvement of parents’ knowledge about autism in immediate post-test and follow up; moreover the parents’ stress level was decreased in immediate post-test than pre-test while the stress level again slightly increase during follow up test. The study recommended that: Nursing staff should play a much greater role in supporting parents and providing them with important information through pediatrics clinics, Maternal and Child Health Centers (MCH), and others

Background and aim: Knee osteoarthritis considered as a foremost cause of disability globally, with a substantial societal impact and an increasing financial burden on healthcare systems. School teachers estimated as one of the professions with a high frequency of occupational musculoskeletal illnesses. The study aimed to assess knowledge and associated risk factors of knee osteoarthritis among school teachers. Subjects and Method: Descriptive cross-sectional design. Setting: Nine schools representing 10% of the total Assiut City schools which selected randomly. Sample: Total of 749 teachers. Study tools: Two tools were used; Tool (I): Five parts; personal data, chronic diseases, data of knee pain, risk factors of knee osteoarthritis and school teachers knowledge. Tool (II): Knee Injury and Osteoarthritis Outcome Score scale. Results: It found that 42.6% aged 40 -< 50, 56.9% female and 80.2% were overweight and obese, 51.3% of teachers suffering from knee pain and 70.2% had poor knowledge which affected by age, educational level, residence and years of experience. As well as, pain and symptoms subscales of Knee Injury and Osteoarthritis Outcome were significantly linked with age, sex and body mass index. Conclusion and recommendations: There were deficient of knowledge about knee osteoarthritis. Furthermore, the most significant risk factors were age, female sex, urban residence, body mass index more than or equal 25 (kg/m2 ), married status, presence of chronic diseases, education and family history. It was recommended that health education program about knee osteoarthritis should be provided for school teachers.

Background Occupational hazards are the major source of morbidity and mortality among the factory workers owing to exposure to many hazardous situations in their daily practices. Aim This study aimed to identify the relation between the occupational hazards and quality of life (QOL) among fertilizer factory workers in Assiut City. Participants and methods A descriptive study design was used. The study was conducted in a fertilizer factory. This factory was located in the west of Assiut (Manqbad Center). The sample size was 362 workers selected by convenient sampling. The study includes two tools: tool I had interview questionnaires and included three parts − part 1 included personal data, part 2 had past and present medical history, and part 3 had questions to assess occupational hazards − whereas tool II comprised QOL questionnaire. Results The study revealed that more than half of workers did not know the problems of noise, whereas more than half of them knew accident exposure is one of the problems of inadequate lighting, and most workers mentioned that bad ventilation caused respiratory problems. Most workers noticed that the accidents or injuries and respiratory problems are considered the problems occurring owing mechanical and chemical hazards exposure, respectively. Moreover, more than half of the workers had moderate level of QOL. Conclusion The study concluded that there was statistically significant difference between QOL and workers’ complaints (skin problems and allergy symptoms, poisoning, headache, nausea and vomiting, fainting, osteoporosis, and anemia). Moreover, there was statistically significant difference between QOL of workers and physical (noisy and ventilation), mechanical, and chemical hazards. The study recommends that regular medical checkups for workers and more research studies regarding occupational hazards must be done