Stoma creation has a great impact on patients' health related quality of life. Research aim: To assess the effect of health educational protocol on knowledge, practice and quality of life for two different age groups of colostomy patients. Research design: Quasi-experimental design (pre/post test) was utilized. Sample: Consisting of two different age patient groups with colostomy, the first age group represented middle – aged adults (20 - < 60), the second represented old adults (≥60). Setting: the study was conducted in Oncology Surgical Department and Outpatient Clinic of Oncology Institution at Sohag Hospital, Tools: three tools were utilized. Tool (I): Structured interview questionnaire included demographic & medical history assessment. Tool (II): knowledge & reported practice assessment for patients toward colostomy care. Tool (III): Stoma-Quality of Life Scale. Results: More than half of the patients in first age group (60.0%) had a good level of knowledge & reported practice post one month; while (72.0%) of patient in the second age group had a fair level with statistically significant difference P < 0.05 . Total quality of life mean score of the first age group was higher than second age group post, and follow-up of educational protocol application (74.33±8.14, & 72.47±5.44) compared with the second age group (72.8±9.63, & 70.04±5.65) with statistically significance difference P > 0.05. Furthermore a statistically significant correlation between QOL level and knowledge & reported practice level of patient in both age groups only post one month from protocol intervention (r = 0.123,0.546.) Conclusion: The educational protocol had positive effect on quality of life and increase knowledge & reported practice and for colostomy patients in two different age groups under the study. Recommendation: Studying the risk factors that affect the quality of life in two different age groups under study and the health outcomes of the colostomy patients

Background: Hands are the most common burn injury sites. Appropriate range of motion exercise is essential to ensure good hand functional recovery. Aim: to evaluate effect of physical rehabilitation program based on range of motion exercise on hand joints function among patients with thermal burn Research design: A quasi - experimental (pre / post assessment) design. Setting: the study was conducted in Burn Department, Intermediate Care Room and Burn Outpatient Clinic at the Main Assuit University Hospital. Sample: A purposeful sample of (30) patients, their ages ranged from (20 - 65) years. Tools: tool (1): Patients structured interview questionnaire. Tool (2): Hand Burn Severity assessment scale. Tool (3): Hand contracture severity rating scale. Results: More than half of the patients were males and married (56.7% & 53.3%), (80%) of them had flame thermal burn& (50%) represented by 2nd degree burn with zone A (TBSA). There was a statistical significance difference as regard patients range of motion of mean score of different hand joints mostly in flexion between pre & post (3&6 weeks after program implementation (p < 0.005). Conclusion: significant improvement in hand joints range of motion function among patients with thermal burn post physical rehabilitation program application. Recommendation: using new physical rehabilitation modalities as Smart Glove that can be operated only through active ROM movement for patients with burn hand

Abstract
Background: Adequate understanding and precautionary behaviors are of vital importance to contain the spread of coronavirus disease 2019. Aim: To assess knowledge, attitude and practices of primary schools’ teachers regarding coronavirus disease 2019. Methods: Descriptive research design. Settings: Primary schools included 400 teachers. Tools: Tool (I) part (1): Personal data, part (2): Teacher’s knowledge. Tool (II): Teachers’ attitude toward coronavirus disease2019 and Tool (III): Observational checklist. Results: Illustrated that 70.5% of teachers were had poor score of knowledge, 57.5% had negative attitude toward Coronavirus disease 2019 and 81.25% of them were had unsatisfactory practices. There was statistical significant difference between age, years of experience and place of residence of teachers with the total score of knowledge, there was statistical significant difference between years of experience and residence with total score of attitude. Also there was statistical significant difference between teachers’ age, educational level and years of experience with the total score of practices. Conclusion: Most of the studied teachers had poor score of knowledge and negative attitude toward coronavirus disease 2019 while the majority of them had unsatisfactory practices. Recommendations: Educational and training programs should target schools’ teachers about coronavirus disease 2019.