Abstract:Medications use during pregnancy has always created a challenge in antenatal care due to the potential fetal risk associated with the use. The study aimed to estimate prevalence and assess attitude regarding non-prescribed medications among pregnant women attending Maternal and Child Health Care centers in Assiut City. Subjects and Methods: Design:Descriptive cross-sectional design. Setting:the current study conducted in two Maternal and Child Health Care centers.Sample: 368 pregnant women. Tool of the study: structured interview questionnaire which contained two parts: part (I): Socioeconomic scale, current gynecological and obstetric history and questions regarding using of non-prescribed medications during pregnancy (previous and current); part (II): Medications use attitude scale.Results:60.9% of pregnant women were aged from 5 to 40 years, 33.4% had secondary level of education and 79.1% of them were housewife.Also the findings observed that there was a statistically significant difference between taken non-prescribed medicationsduring the previous and current pregnancy (p=0.002). Conclusion:More than half of the pregnant women used non-prescribed medications during previous pregnancy while less than one fifth of them used it during the current pregnancyand the majority of them had positive attitude regarding medications use.Recommended: Health education campaigns through mass media should be addressing pregnant women to educate them about unsafe use of pharmaceutical products during pregnancy.

Abstract:Medications use during pregnancy has always created a challenge in antenatal care due to the potential fetal risk associated with the use. The study aimed to estimate prevalence and assess attitude regarding non-prescribed medications among pregnant women attending Maternal and Child Health Care centers in Assiut City. Subjects and Methods: Design:Descriptive cross-sectional design. Setting:the current study conducted in two Maternal and Child Health Care centers.Sample: 368 pregnant women. Tool of the study: structured interview questionnaire which contained two parts: part (I): Socioeconomic scale, current gynecological and obstetric history and questions regarding using of non-prescribed medications during pregnancy (previous and current); part (II): Medications use attitude scale.Results:60.9% of pregnant women were aged from 5 to 40 years, 33.4% had secondary level of education and 79.1% of them were housewife.Also the findings observed that there was a statistically significant difference between taken non-prescribed medicationsduring the previous and current pregnancy (p=0.002). Conclusion:More than half of the pregnant women used non-prescribed medications during previous pregnancy while less than one fifth of them used it during the current pregnancyand the majority of them had positive attitude regarding medications use.Recommended: Health education campaigns through mass media should be addressing pregnant women to educate them about unsafe use of pharmaceutical products during pregnancy.

Abstract:Medications use during pregnancy has always created a challenge in antenatal care due to the potential fetal risk associated with the use. The study aimed to estimate prevalence and assess attitude regarding non-prescribed medications among pregnant women attending Maternal and Child Health Care centers in Assiut City. Subjects and Methods: Design:Descriptive cross-sectional design. Setting:the current study conducted in two Maternal and Child Health Care centers.Sample: 368 pregnant women. Tool of the study: structured interview questionnaire which contained two parts: part (I): Socioeconomic scale, current gynecological and obstetric history and questions regarding using of non-prescribed medications during pregnancy (previous and current); part (II): Medications use attitude scale.Results:60.9% of pregnant women were aged from 5 to 40 years, 33.4% had secondary level of education and 79.1% of them were housewife.Also the findings observed that there was a statistically significant difference between taken non-prescribed medicationsduring the previous and current pregnancy (p=0.002). Conclusion:More than half of the pregnant women used non-prescribed medications during previous pregnancy while less than one fifth of them used it during the current pregnancyand the majority of them had positive attitude regarding medications use.Recommended: Health education campaigns through mass media should be addressing pregnant women to educate them about unsafe use of pharmaceutical products during pregnancy.

Abstract: Coronary artery bypass grafting (CABG) is a common surgery to treat coronary artery disease. It involves a section of a vein or an artery to create a connection (or bypass) between the aorta and the coronary artery beyond the obstruction. Aim: This study aimed to assess nurses' knowledge and practice regarding patients undergoing coronary artery bypass grafting, to develop nursing care standards for coronary artery bypass grafting on patient's outcome, and to evaluate the effect of implementing nursing care standards on nurse's knowledge, practice as well as on patient's outcome. Methods: Quasi-experimental research design was utilized to conduct this study, the study was carried out cardiothoracic surgery department, post operative intensive care unit, and operating room at Assiut University Hospital. Sample: A convenient sample included (38) nurses and (40) patients who had CABG (20) patients pre and (20) patients post implementing nursing care standards aged from 18-65 years from both sexes. Tools: a) pre/post structured interview sheet. b) pre/post observation checklist sheet. c) Cardiac surgery patient's assessment sheet. d) Construction of nursing care standards booklet. Results: The first and second hypotheses were supported as a good improvement in the mean knowledge and practice scores were found post implementation of nursing care standards. The third hypotheses were supported as postoperative complications were reduced post nursing care standards implementation. The fourth hypotheses were supported as a positive relationship was found between nurses` knowledge and practice scores immediately post nursing care standards implementation. Conclusion: Improving nurses` knowledge and practice can favorable affect the incidence of coronary artery bypass graft surgery patient's complications. Recommendations: in-service training programs and refreshing courses must be applied to improve nurse's knowledge which will reflect into their practice while working with patients.

Abstract: Coronary artery bypass grafting (CABG) is a common surgery to treat coronary artery disease. It involves a section of a vein or an artery to create a connection (or bypass) between the aorta and the coronary artery beyond the obstruction. Aim: This study aimed to assess nurses' knowledge and practice regarding patients undergoing coronary artery bypass grafting, to develop nursing care standards for coronary artery bypass grafting on patient's outcome, and to evaluate the effect of implementing nursing care standards on nurse's knowledge, practice as well as on patient's outcome. Methods: Quasi-experimental research design was utilized to conduct this study, the study was carried out cardiothoracic surgery department, post operative intensive care unit, and operating room at Assiut University Hospital. Sample: A convenient sample included (38) nurses and (40) patients who had CABG (20) patients pre and (20) patients post implementing nursing care standards aged from 18-65 years from both sexes. Tools: a) pre/post structured interview sheet. b) pre/post observation checklist sheet. c) Cardiac surgery patient's assessment sheet. d) Construction of nursing care standards booklet. Results: The first and second hypotheses were supported as a good improvement in the mean knowledge and practice scores were found post implementation of nursing care standards. The third hypotheses were supported as postoperative complications were reduced post nursing care standards implementation. The fourth hypotheses were supported as a positive relationship was found between nurses` knowledge and practice scores immediately post nursing care standards implementation. Conclusion: Improving nurses` knowledge and practice can favorable affect the incidence of coronary artery bypass graft surgery patient's complications. Recommendations: in-service training programs and refreshing courses must be applied to improve nurse's knowledge which will reflect into their practice while working with patients.

Abstract: Coronary artery bypass grafting (CABG) is a common surgery to treat coronary artery disease. It involves a section of a vein or an artery to create a connection (or bypass) between the aorta and the coronary artery beyond the obstruction. Aim: This study aimed to assess nurses' knowledge and practice regarding patients undergoing coronary artery bypass grafting, to develop nursing care standards for coronary artery bypass grafting on patient's outcome, and to evaluate the effect of implementing nursing care standards on nurse's knowledge, practice as well as on patient's outcome. Methods: Quasi-experimental research design was utilized to conduct this study, the study was carried out cardiothoracic surgery department, post operative intensive care unit, and operating room at Assiut University Hospital. Sample: A convenient sample included (38) nurses and (40) patients who had CABG (20) patients pre and (20) patients post implementing nursing care standards aged from 18-65 years from both sexes. Tools: a) pre/post structured interview sheet. b) pre/post observation checklist sheet. c) Cardiac surgery patient's assessment sheet. d) Construction of nursing care standards booklet. Results: The first and second hypotheses were supported as a good improvement in the mean knowledge and practice scores were found post implementation of nursing care standards. The third hypotheses were supported as postoperative complications were reduced post nursing care standards implementation. The fourth hypotheses were supported as a positive relationship was found between nurses` knowledge and practice scores immediately post nursing care standards implementation. Conclusion: Improving nurses` knowledge and practice can favorable affect the incidence of coronary artery bypass graft surgery patient's complications. Recommendations: in-service training programs and refreshing courses must be applied to improve nurse's knowledge which will reflect into their practice while working with patients.

Abstract: Coronary artery bypass grafting (CABG) is a common surgery to treat coronary artery disease. It involves a section of a vein or an artery to create a connection (or bypass) between the aorta and the coronary artery beyond the obstruction. Aim: This study aimed to assess nurses' knowledge and practice regarding patients undergoing coronary artery bypass grafting, to develop nursing care standards for coronary artery bypass grafting on patient's outcome, and to evaluate the effect of implementing nursing care standards on nurse's knowledge, practice as well as on patient's outcome. Methods: Quasi-experimental research design was utilized to conduct this study, the study was carried out cardiothoracic surgery department, post operative intensive care unit, and operating room at Assiut University Hospital. Sample: A convenient sample included (38) nurses and (40) patients who had CABG (20) patients pre and (20) patients post implementing nursing care standards aged from 18-65 years from both sexes. Tools: a) pre/post structured interview sheet. b) pre/post observation checklist sheet. c) Cardiac surgery patient's assessment sheet. d) Construction of nursing care standards booklet. Results: The first and second hypotheses were supported as a good improvement in the mean knowledge and practice scores were found post implementation of nursing care standards. The third hypotheses were supported as postoperative complications were reduced post nursing care standards implementation. The fourth hypotheses were supported as a positive relationship was found between nurses` knowledge and practice scores immediately post nursing care standards implementation. Conclusion: Improving nurses` knowledge and practice can favorable affect the incidence of coronary artery bypass graft surgery patient's complications. Recommendations: in-service training programs and refreshing courses must be applied to improve nurse's knowledge which will reflect into their practice while working with patients.

It is a catastrophe for any child the death of one or both parents. Children may feel with depression, hopelessness, loneliness, anger, confusion, helplessness, anxiety and a fear of being alone. This study aimed to assess psychological aspects among children and adolescents of orphanages at Assiut City. Subjects and method: A descriptive research design used to conduct this study. A purposive sample was used. The present study included 120 subjects. Setting: The study was conducted at Lillian Trasher, Dar El Hanan, and Dar El Safa. Tools of study included demographic data, multidimensional child and adolescent depression scale (MCADS) and child behavior checklist (parent form). Results of the study: Three fifth of studied orphans (60%) in the age group from (12-17years old).Also 65% of studied orphans were males., there were statistically significant relations between age and most of depressive symptoms; also the most predominant problems were aggression, anxiety/depression and attention problem whereas thought problem was the least and internalizing behavioral problems were higher than externalizing behavioral problems (37.5% versus 34.2%). Conclusion: most orphans had different psychological problems and the prevalence of psychological problems/symptoms was more in adolescence age than child ages.Recommendation: Psychosocial counseling program can be designed and administered to orphan children and adolescents to improve depressive symptoms and their psychological status.

It is a catastrophe for any child the death of one or both parents. Children may feel with depression, hopelessness, loneliness, anger, confusion, helplessness, anxiety and a fear of being alone. This study aimed to assess psychological aspects among children and adolescents of orphanages at Assiut City. Subjects and method: A descriptive research design used to conduct this study. A purposive sample was used. The present study included 120 subjects. Setting: The study was conducted at Lillian Trasher, Dar El Hanan, and Dar El Safa. Tools of study included demographic data, multidimensional child and adolescent depression scale (MCADS) and child behavior checklist (parent form). Results of the study: Three fifth of studied orphans (60%) in the age group from (12-17years old).Also 65% of studied orphans were males., there were statistically significant relations between age and most of depressive symptoms; also the most predominant problems were aggression, anxiety/depression and attention problem whereas thought problem was the least and internalizing behavioral problems were higher than externalizing behavioral problems (37.5% versus 34.2%). Conclusion: most orphans had different psychological problems and the prevalence of psychological problems/symptoms was more in adolescence age than child ages.Recommendation: Psychosocial counseling program can be designed and administered to orphan children and adolescents to improve depressive symptoms and their psychological status.

It is a catastrophe for any child the death of one or both parents. Children may feel with depression, hopelessness, loneliness, anger, confusion, helplessness, anxiety and a fear of being alone. This study aimed to assess psychological aspects among children and adolescents of orphanages at Assiut City. Subjects and method: A descriptive research design used to conduct this study. A purposive sample was used. The present study included 120 subjects. Setting: The study was conducted at Lillian Trasher, Dar El Hanan, and Dar El Safa. Tools of study included demographic data, multidimensional child and adolescent depression scale (MCADS) and child behavior checklist (parent form). Results of the study: Three fifth of studied orphans (60%) in the age group from (12-17years old).Also 65% of studied orphans were males., there were statistically significant relations between age and most of depressive symptoms; also the most predominant problems were aggression, anxiety/depression and attention problem whereas thought problem was the least and internalizing behavioral problems were higher than externalizing behavioral problems (37.5% versus 34.2%). Conclusion: most orphans had different psychological problems and the prevalence of psychological problems/symptoms was more in adolescence age than child ages.Recommendation: Psychosocial counseling program can be designed and administered to orphan children and adolescents to improve depressive symptoms and their psychological status.