Background: Nurses play an important role in identifying, preventing and caring of VTE among cancer surgery patients. Aim: To assess the effect of nursing protocol on nurses’ performance and venous thromboembolism risks among the patients with cancer undergoing surgery. Research design: A quasi-experimental (pre- posttest) research study on (30) nurses who working in surgical oncology department, at Assiut University Hospital, and (60) randomly selected patients with cancer undergoing surgery divided equally in to two groups (study and control). Tools: Three tools were utilized; A structured self-administered questionnaire, observational check list and VTE risk factors assessment scale. Results: The mean score of total nurses' knowledge and practice significantly increased after the intervention nursing protocol. There was a statistically significant difference between both groups regarding venous thromboembolism risks and half of the studied patients had intermediate risk of VTE while two thirds had high risks post application of the nursing protocol. Conclusion: The implementation of the nursing protocol had a significant improvement on nurse’s knowledge and practice in addition to a significantly diminishing of thromboembolism risks among study than control group. Recommendation: Regularly updating and refreshing the nurses’ knowledge and practice are recommended through workshops to minimize the risks of VTE among the patients with cancer undergoing surgery.

Background: Diabetes mellitus constantly changes a patient’s life. Patient’s self care, consisting of daily insulin injections or oral anti-diabetic agents, self monitoring of blood glucose and diabetic diet has an impact on QOL. The aim of the present study was to assess quality of life for patients with type II diabetes mellitus, to develop and implement an educational nursing program for patients with type II diabetes mellitus, to evaluate the effect of applying the educational nursing program on quality of life for patients with type II diabetes mellitus pre and after two months from application of educational program. Methods: The study was conducted in the internal medicine department, internal medicine and diabetes clinic at University Hospital (Assiut–Egypt). Sixty adult patients were divided randomly equally into two groups (study group and control group) thirty for each group. The following tools were utilized for data collection: first tool “Structured patient interview questionnaire sheet”; it included two parts (socio-demographic characteristic and medical data), second tool “World Health Organization Quality of life (WHOQOL-WHO) scale”.

Urinary stone disease is the third most common problem in urology clinics after urinary tract infections and prostate disease. Objectives: evaluate severity of complications of percutaneous nephrolithotomy (PNL) and open surgery for large renal stones. Patients: 150 adult patients with renal stones more than 2 cm were distributed into two equal groups. Group A had PNL and group B had open surgery. Design: Quasi- experimental research design. Setting Assiut Urology and Nephrology Hospital. Tools: (1) Patient assessment sheet and (2) Clavien-Dindo grading system for classification of surgical complications. Results: No significant relation between the both group regarding complications, stone clearance and need for blood transfusion, while mean hospital stays showed significant relation between the both group. As a group (A) stay only 3.7±1.2 days in hospital after operation while group B stay longer time, 6.1±0.53 days after operation.Conclusions: Open renal surgery for large sized stones still has its role in selected cases with stone clearance and complications rates comparable to PNL. Recommendation: The choice between PNL and open surgery for renal stones should be individualized for each patient.

Urinary stone disease is the third most common problem in urology clinics after urinary tract infections and prostate disease. Objectives: evaluate severity of complications of percutaneous nephrolithotomy (PNL) and open surgery for large renal stones. Patients: 150 adult patients with renal stones more than 2 cm were distributed into two equal groups. Group A had PNL and group B had open surgery. Design: Quasi- experimental research design. Setting Assiut Urology and Nephrology Hospital. Tools: (1) Patient assessment sheet and (2) Clavien-Dindo grading system for classification of surgical complications. Results: No significant relation between the both group regarding complications, stone clearance and need for blood transfusion, while mean hospital stays showed significant relation between the both group. As a group (A) stay only 3.7±1.2 days in hospital after operation while group B stay longer time, 6.1±0.53 days after operation.Conclusions: Open renal surgery for large sized stones still has its role in selected cases with stone clearance and complications rates comparable to PNL. Recommendation: The choice between PNL and open surgery for renal stones should be individualized for each patient.

Urinary stone disease is the third most common problem in urology clinics after urinary tract infections and prostate disease. Objectives: evaluate severity of complications of percutaneous nephrolithotomy (PNL) and open surgery for large renal stones. Patients: 150 adult patients with renal stones more than 2 cm were distributed into two equal groups. Group A had PNL and group B had open surgery. Design: Quasi- experimental research design. Setting Assiut Urology and Nephrology Hospital. Tools: (1) Patient assessment sheet and (2) Clavien-Dindo grading system for classification of surgical complications. Results: No significant relation between the both group regarding complications, stone clearance and need for blood transfusion, while mean hospital stays showed significant relation between the both group. As a group (A) stay only 3.7±1.2 days in hospital after operation while group B stay longer time, 6.1±0.53 days after operation.Conclusions: Open renal surgery for large sized stones still has its role in selected cases with stone clearance and complications rates comparable to PNL. Recommendation: The choice between PNL and open surgery for renal stones should be individualized for each patient.

Urinary stone disease is the third most common problem in urology clinics after urinary tract infections and prostate disease. Objectives: evaluate severity of complications of percutaneous nephrolithotomy (PNL) and open surgery for large renal stones. Patients: 150 adult patients with renal stones more than 2 cm were distributed into two equal groups. Group A had PNL and group B had open surgery. Design: Quasi- experimental research design. Setting Assiut Urology and Nephrology Hospital. Tools: (1) Patient assessment sheet and (2) Clavien-Dindo grading system for classification of surgical complications. Results: No significant relation between the both group regarding complications, stone clearance and need for blood transfusion, while mean hospital stays showed significant relation between the both group. As a group (A) stay only 3.7±1.2 days in hospital after operation while group B stay longer time, 6.1±0.53 days after operation.Conclusions: Open renal surgery for large sized stones still has its role in selected cases with stone clearance and complications rates comparable to PNL. Recommendation: The choice between PNL and open surgery for renal stones should be individualized for each patient.

Urinary stone disease is the third most common problem in urology clinics after urinary tract infections and prostate disease. Objectives: evaluate severity of complications of percutaneous nephrolithotomy (PNL) and open surgery for large renal stones. Patients: 150 adult patients with renal stones more than 2 cm were distributed into two equal groups. Group A had PNL and group B had open surgery. Design: Quasi- experimental research design. Setting Assiut Urology and Nephrology Hospital. Tools: (1) Patient assessment sheet and (2) Clavien-Dindo grading system for classification of surgical complications. Results: No significant relation between the both group regarding complications, stone clearance and need for blood transfusion, while mean hospital stays showed significant relation between the both group. As a group (A) stay only 3.7±1.2 days in hospital after operation while group B stay longer time, 6.1±0.53 days after operation.Conclusions: Open renal surgery for large sized stones still has its role in selected cases with stone clearance and complications rates comparable to PNL. Recommendation: The choice between PNL and open surgery for renal stones should be individualized for each patient.

Background: Hand skin problems are widespread problems among health care members especially nurses.Aims: to determine the prevalence and risk factors of hand skin problems among nurses who are working at surgical departments in Ministry of Health Hospitals. Design: Descriptive cross-sectional study. Setting: This study was carried out at three ministry health hospitals in Assiut government: Al-Eman, Al-Shamlaa and Ophthalmology Hospitals. Sample: A purposive sample of 200 nurses working in surgical and operating room departments at Assiut ministry of health hospitals. Tool: A structured self-administrator’s questionnaire, included demographic characteristic of nurses, history about hand skin problems and risk factors for hand skin problems. Results: More than one third of nurses working from 40-45 hours weekly. More than one quarter of nurses were having hand skin problems and 11.5 % were complaining from hand skin problems less than one year ago. Majority of nurses had a satisfactory level of knowledge about risk factors of hand skin problems. Repeated hand washing is most common risk factors of hand skin problem. Conclusion and Recommendations: About aquarter of nurses have hand skin problems and some of them complained from hand skin problems less than one year ago. Efforts to improve skin condition must focus on improving products and identifying any interactive effects between hand care products and glove materials and brands.

Transurethral cystolithotripsy is the most common way to manage cystolithiasis. Aim of this study: Was to evaluate the effect of implementing nursing preparations on improving patients' pain and satisfaction. Patients and methods Randomized Control Study design saw utilized to conduct this study. This study was carried out in the Urology and Nephrology Assiut University Hospital. A random sample of 60 adult patients of both sexes, the mean age of study group (51.20±11.73) and the mean age of control group (49.36±12.49). Patients were divided into two equal groups (study and control) 30 patients for each. Tools: Tool (I): Patient assessment sheet, tool (II): Pain numeric rating scale and tool (III): patient satisfaction with nursing care quality questionnaire. Results: Statistically significant differences were found between study and control groups post implementing nursing preparations as regard pain level and patients satisfaction. Conclusion: Significant pain improvement and high level of satisfaction were observed throughout implementation of the nursing preparations among the study group.

Transurethral cystolithotripsy is the most common way to manage cystolithiasis. Aim of this study: Was to evaluate the effect of implementing nursing preparations on improving patients' pain and satisfaction. Patients and methods Randomized Control Study design saw utilized to conduct this study. This study was carried out in the Urology and Nephrology Assiut University Hospital. A random sample of 60 adult patients of both sexes, the mean age of study group (51.20±11.73) and the mean age of control group (49.36±12.49). Patients were divided into two equal groups (study and control) 30 patients for each. Tools: Tool (I): Patient assessment sheet, tool (II): Pain numeric rating scale and tool (III): patient satisfaction with nursing care quality questionnaire. Results: Statistically significant differences were found between study and control groups post implementing nursing preparations as regard pain level and patients satisfaction. Conclusion: Significant pain improvement and high level of satisfaction were observed throughout implementation of the nursing preparations among the study group.