Abstract Abstract: Background: Lumbar discectomy surgery is one of daily spine surgery performed. Patients complain from poor postures and/or movements that have exposed the spine to an activity to which it is not accustomed. Aim: The aim of this research was to study the effect of applying a nursing rehabilitation guide on outcomes of patients undergoing lumbar discectomy. Design: A quasi – experimental research design. Setting: orthopedic surgery department, and outpatient spine clinic at Assiut University Hospital. Subject: Purposive sample of thirty adult patients undergoing lumbar discectomy. Study tools: Three tools were utilized in this study included; structured interview questionnaire sheet include three parts; 1. Patient sociodemographic characteristics data tool, 2. Patient knowledge assessment tool, 3. Patient assessment sheet. Results: Result of current study showed a highly statistically significant improvement in patient knowledge post education than pre education at P level <0.001**, also showed improvement in patient physical state post education than pre education at P level <0.001**. Conclusion: The present study revealed that providing patients with a guide detailed with instructions for improving their knowledge was of great value and actually improves health state for those patients. Recommendations: From the present study we recommend that; providing copies of the nursing rehabilitation guide in the orthopedic department and clinic to be readily available for all patients planned to undergo lumbar discectomy, the present study be replicated on larger study populations for generalization of the results. Key words; Lumbar Discectomy, Patient outcomes, Rehabilitation

Abstract:
Food safety continues to be a concern of consumers and a focal point of the food industry and regulatory
agencies. For over a century, developments in food production and new control philosophies have contributed to 
food safety systems in most developed countries to be efficient in the prevention of food borne diseases. The
elderly are at particular risk of food borne illnesses because of their weaken immune systems, decrease in
stomach acidity and intestinal peristalsis. The aim: to assess the practices of the elderly people and their
caregivers about food safety. Setting: The present study was carried out at Assiut city (urban) and Assiut district (rural) in Assiut governorate. Design: descriptive cross sectional research design. The subjects were 10% of the total number of the elderly people from every area was selected randomly who aged 60 years and above and their caregivers involved in the study. The total number of the studied elderly was 720 (340 from urban and 380 from rural areas) and their caregivers (135 subjects). Results: nearly the total subject from the urban elderly (97.1%)and the majority of rural elderly (86.3%) did not know the temperature of the refrigerator, more than two fifths (44.7%) of the urban and more than one fifth (20.3%) of the rural elderly defrosting product in tape water.
Conclusion: the elderly and their caregivers (urban and rural) were followed incorrect defrosting practices,
incorrect hygiene of the kitchen counter, lack of knowledge regarding refrigeration temperature.
Recommendations: the information about food safety should be disseminated through mass media, television.,
newspapers and magazines at regular periods, establishment of an information center to help and guide the
public especially mothers to maintain their practices regarding food safety.
Key words: food safety, defrosting , kitchen counter.

Abstract
Heart failure patients require comprehensive care that involves drugs controlling and intentensive. Health teaching about the significance of suitable nutrition, consistent exercise, symptoms control, and fluid checking. This study aimed to assess compliance to therapeutic regimen among elderly patients with heart failure in Assiut City hospitals. Subjects and method: Descriptive research design was conducted. The total sample size was 280 elderly patients by using software EPI /Info, version 3, 3 who were selected by quota from 3 outpatients in Assiut City. Two tools were used; first, structured interview questionnaire, and heart failure compliance questionnaire scale. Results: it was found 59.3% of elderly patients were male, with a mean age as 65.10 ± 6.12, 56.1% had poor knowledge scores, 66.8% were non-compliant with measuring weight and 58.9% and 53.9% respectively of them were non-compliant with avoiding drinking excessive fluid and following a low sodium diet. Also, illustrated significant relation among all items of compliance with patients' knowledge except compliance with medication. Conclusion: More than half of studied elderly patients had poor knowledge scores and this was correlated with non-compliance to therapeutic regimen among elderly patients. Recommendations: More studies should be implemented to assess patient's compliance and health education program for elderly about importance of compliance to therapeutic regimen.
Keywords: Therapeutic, Regimen, Compliance & Elderly Patients With Heart Failure.

Background: One in 10 elderly people worldwide have kidney disease, according to the first detailed global report on care delivery for kidney disease, family caregivers of hemodialysis patients experience high levels of burden. Aim of the study to assess family caregivers' burden of hemodialysis elderly patients Subjects and method: This study included 83 family caregivers were participated in the study. Descriptive research design carried out in the present study for hemodialysis patients' family caregivers within all hemodialysis units at Assiut city. Convenient sample are used in this study by total coverage technique. An interview questionnaire designed by the researchers after reviewed the related literature; it was structured into three parts: Part (1): Care givers personal data and properties, Part (2): Caregivers knowledge about CKD, Part (3):Zarit Sh Caregiver Burden Scale that used to assess caregivers' burden.. Results: Only 1.2% of caregivers had mild burden& 71.1%had severe burden. Conclusion: it is concluded that there was a high percent of studied caregivers had severe burden, also 38.6% of them had good knowledge. Recommendations: Involving family caregivers counseling and coping mechanisms regarding hemodialysis elderly patients to decrease burden's level.
Key words: Hemodialysis, Elderly, Family Caregivers & Burden.