Body position is known to influence respiratory function in normal subjects & those with respiratory pathology. Its effect on respiratory function after stroke has received little attention. It's generally thought that stroke morbidity is increased by appropriate decision early recovery phase. So the present study was designed to identify changes in arterial oxygen saturation (Sa02) associated with different four positions of the patient in order to detect proper position which maintain the optimal level of Sa02. Quasiexperiment research design was applied in this study. This study was conducted in stroke intensive care unit of neurological department of Assiut University Hospitals. The subjects of this study consist of 60 patients with acute ischemic stroke within 48 hours following mild to moderate and severe stroke. Three tools were included in the study, tool of sociodemographic data, tool of the positions, & tool of the Scandinavian stroke scale. The result of the present study revealed that there was statistical significant difference between Sa02 & blood pressure of the patient before & after the positions. It was found also that total mean of Sa02 during right side, supine & semi sitting positions was nearly equal and that there was statistical significant difference between left position and 3 other positions. So the study recommended the importance of changing patient's positions which improve ventilation & blood pressure. The importance of the use of positions tested CRt. Side, supine & semi sitting positions) in the clinical practice to maintain Sa02 in patients with ischemic stroke.

Body position is known to influence respiratory function in normal subjects & those with respiratory pathology. Its effect on respiratory function after stroke has received little attention. It's generally thought that stroke morbidity is increased by appropriate decision early recovery phase. So the present study was designed to identify changes in arterial oxygen saturation (Sa02) associated with different four positions of the patient in order to detect proper position which maintain the optimal level of Sa02. Quasiexperiment research design was applied in this study. This study was conducted in stroke intensive care unit of neurological department of Assiut University Hospitals. The subjects of this study consist of 60 patients with acute ischemic stroke within 48 hours following mild to moderate and severe stroke. Three tools were included in the study, tool of sociodemographic data, tool of the positions, & tool of the Scandinavian stroke scale. The result of the present study revealed that there was statistical significant difference between Sa02 & blood pressure of the patient before & after the positions. It was found also that total mean of Sa02 during right side, supine & semi sitting positions was nearly equal and that there was statistical significant difference between left position and 3 other positions. So the study recommended the importance of changing patient's positions which improve ventilation & blood pressure. The importance of the use of positions tested CRt. Side, supine & semi sitting positions) in the clinical practice to maintain Sa02 in patients with ischemic stroke.

Body position is known to influence respiratory function in normal subjects & those with respiratory pathology. Its effect on respiratory function after stroke has received little attention. It's generally thought that stroke morbidity is increased by appropriate decision early recovery phase. So the present study was designed to identify changes in arterial oxygen saturation (Sa02) associated with different four positions of the patient in order to detect proper position which maintain the optimal level of Sa02. Quasiexperiment research design was applied in this study. This study was conducted in stroke intensive care unit of neurological department of Assiut University Hospitals. The subjects of this study consist of 60 patients with acute ischemic stroke within 48 hours following mild to moderate and severe stroke. Three tools were included in the study, tool of sociodemographic data, tool of the positions, & tool of the Scandinavian stroke scale. The result of the present study revealed that there was statistical significant difference between Sa02 & blood pressure of the patient before & after the positions. It was found also that total mean of Sa02 during right side, supine & semi sitting positions was nearly equal and that there was statistical significant difference between left position and 3 other positions. So the study recommended the importance of changing patient's positions which improve ventilation & blood pressure. The importance of the use of positions tested CRt. Side, supine & semi sitting positions) in the clinical practice to maintain Sa02 in patients with ischemic stroke.

Ulcerative colitis (UC) refers to a disease in which the lining of the colon becomes inflamed. In patients with Ulcerative colitis, the immune system inappropriately targets the lining of the colon. Most cases are treated at home, which points to the importance of self care in its management. The study aim was to determine the effect of an educational program on ulcerative patients knowledge and self care practices. To conduct this study a sample of sixty in patients with Ulcerative colitis was selected from the tropical medicine department in Assiut University hospital. They were divided into two equal study and the control groups. The study group received an educational program. Data were collected using a patient assessment interview sheet. Pre- post comparisons of patients' knowledge and practice showed statistically significant improvements in the study group but not in the control group, p

Ulcerative colitis (UC) refers to a disease in which the lining of the colon becomes inflamed. In patients with Ulcerative colitis, the immune system inappropriately targets the lining of the colon. Most cases are treated at home, which points to the importance of self care in its management. The study aim was to determine the effect of an educational program on ulcerative patients knowledge and self care practices. To conduct this study a sample of sixty in patients with Ulcerative colitis was selected from the tropical medicine department in Assiut University hospital. They were divided into two equal study and the control groups. The study group received an educational program. Data were collected using a patient assessment interview sheet. Pre- post comparisons of patients' knowledge and practice showed statistically significant improvements in the study group but not in the control group, p

Ulcerative colitis (UC) refers to a disease in which the lining of the colon becomes inflamed. In patients with Ulcerative colitis, the immune system inappropriately targets the lining of the colon. Most cases are treated at home, which points to the importance of self care in its management. The study aim was to determine the effect of an educational program on ulcerative patients knowledge and self care practices. To conduct this study a sample of sixty in patients with Ulcerative colitis was selected from the tropical medicine department in Assiut University hospital. They were divided into two equal study and the control groups. The study group received an educational program. Data were collected using a patient assessment interview sheet. Pre- post comparisons of patients' knowledge and practice showed statistically significant improvements in the study group but not in the control group, p

Epilepsy is a manifestation of brain neural hyper excitability. It is a symptom complex eNS disorder of a variety underlying etiologic causes. Seizures occun'ing across the spectrum of age, gender, race, and economic background. The aim of the study was conducted to investigate the impact of counseling program for adolescent and adult epileptic patients and their family also implement and evaluate the out come of a counseling program for the families and epileptic adolescent and adult. The study was carried out in epileptic out patient clinic of Assiut University Hospital. The design is descriptive design (pre, post, and follow up after six months). The total of epileptic adolescent and adult 100 and 50 families of epileptic patients. Two tools were used to collect data 1- Questionnaire sheet to assess family and epileptic adolescent and adult knowledge and care for epileptic. 2- Structured observations check list to assess family performance during se izures. 46% of male and female epileptic adolescent and 43% ranged from 18-40 years of male and female epileptic adult. Overall 20% ranged from 40-50 years. The occupation and education were associated significantly with epileptic adolescent and adult knowledge. This difference was statistical significant. On the other hand, there was significant decrease in the trend of total prevalence of epilepsy due to environmental, hereditary and trauma. The study recommended: Establish a counseling health team to guide the family of the epileptic adolescent and adult health education to effect significant on patients knowledge, performance related to care of epilepsy and recommended to conduct an applied training program on care of epileptic adolescent and adult to the nurses to educate them for every epileptic patients.

Epilepsy is a manifestation of brain neural hyper excitability. It is a symptom complex eNS disorder of a variety underlying etiologic causes. Seizures occun'ing across the spectrum of age, gender, race, and economic background. The aim of the study was conducted to investigate the impact of counseling program for adolescent and adult epileptic patients and their family also implement and evaluate the out come of a counseling program for the families and epileptic adolescent and adult. The study was carried out in epileptic out patient clinic of Assiut University Hospital. The design is descriptive design (pre, post, and follow up after six months). The total of epileptic adolescent and adult 100 and 50 families of epileptic patients. Two tools were used to collect data 1- Questionnaire sheet to assess family and epileptic adolescent and adult knowledge and care for epileptic. 2- Structured observations check list to assess family performance during se izures. 46% of male and female epileptic adolescent and 43% ranged from 18-40 years of male and female epileptic adult. Overall 20% ranged from 40-50 years. The occupation and education were associated significantly with epileptic adolescent and adult knowledge. This difference was statistical significant. On the other hand, there was significant decrease in the trend of total prevalence of epilepsy due to environmental, hereditary and trauma. The study recommended: Establish a counseling health team to guide the family of the epileptic adolescent and adult health education to effect significant on patients knowledge, performance related to care of epilepsy and recommended to conduct an applied training program on care of epileptic adolescent and adult to the nurses to educate them for every epileptic patients.

Epilepsy is a manifestation of brain neural hyper excitability. It is a symptom complex eNS disorder of a variety underlying etiologic causes. Seizures occun'ing across the spectrum of age, gender, race, and economic background. The aim of the study was conducted to investigate the impact of counseling program for adolescent and adult epileptic patients and their family also implement and evaluate the out come of a counseling program for the families and epileptic adolescent and adult. The study was carried out in epileptic out patient clinic of Assiut University Hospital. The design is descriptive design (pre, post, and follow up after six months). The total of epileptic adolescent and adult 100 and 50 families of epileptic patients. Two tools were used to collect data 1- Questionnaire sheet to assess family and epileptic adolescent and adult knowledge and care for epileptic. 2- Structured observations check list to assess family performance during se izures. 46% of male and female epileptic adolescent and 43% ranged from 18-40 years of male and female epileptic adult. Overall 20% ranged from 40-50 years. The occupation and education were associated significantly with epileptic adolescent and adult knowledge. This difference was statistical significant. On the other hand, there was significant decrease in the trend of total prevalence of epilepsy due to environmental, hereditary and trauma. The study recommended: Establish a counseling health team to guide the family of the epileptic adolescent and adult health education to effect significant on patients knowledge, performance related to care of epilepsy and recommended to conduct an applied training program on care of epileptic adolescent and adult to the nurses to educate them for every epileptic patients.

This research lunched to determine to what extent decentralization influences nurses autonomy, job satisfaction, and organizational commitment. There are studies which show that decentralization decision making increases productivity, improves moral, increases favorable attitudes, and decrease absenteeism. Decentralization of decision making is often facilitated by participative management strategies whereby individuals thought the organization are given more information, knowledge, and power. This research was conducted in inpatients units Assuit University Hospitals and number of head nurses participated in the study. Data were collected through a questionnaire form including three different tools. The results of the present study revealed that the mean score of head nurses organizational commitment and job satisfaction was and low as regarding to decentralization. There was a direct effect of decentralization on organizational commitment. Decentralization was the only significant predictor of autonomy. Managers should diagnose the organizational situation and select the decision making level that will best meet the organization needs. When determining the optimal degree of decentralization organization, top management needs positive attitudes toward decentralization, they need competent personnel to whom they delegate authority and access information necessary for decision making.