Myocardial infarction (MI) is a world wide life threatening condition. Psycho- social factors contribute significantly to the pathogenesis and expression of myocardial infarction, which includes: Depression, anxiety, personality factors, social isolation and chronic life stress. The aim of the study: Psychological assessment of patients with myocardial infarction. Patients and methods: The study included 119 patients (78 (65.6%) males and 41(34.4%) females). The study was recruited at cardiac outpatient clinic of Assiut University Hospital during one year duration from 1st December 2009 until 30th November 2010. Methods: Each patient was assessed through Symptoms Check list-90-Revised (SCL- 90- R), Beck depression inventory (BDI) and Norbeck social supportive scale. Results: The highest percentage of subjects were males (65.6%), above 50 years old, resided in urban areas, illiterate, with low socio economic state, not working, had acute onset of ischemia, ( had hypertension, diabetes, smoking, obesity, not practice exercise and with family history of MI) as risk factors, also 25.2% had complication of MI, 59.7% with bad social supportive network, according to SCL- 90 –revised symptoms, revealed that high percentage of patients had psychiatric symptoms, 88.2% had symptoms of depression, 90.8% anxiety, 67.2% stress, 65.5% Somatization, 37.8% sensitivity, 37.8% hostility, 42.9% paranoia, 44.5% phobia, 54.6%obsession, 36.1% psychosis. Conclusion and Recommendation: Psychiatric symptoms are very frequent findings in patients with myocardial infarction and have to be detected and managed accordingly.

Psychiatric patients may experience many stressors and these can predispose to infection. Aim of the study: This study aimed to assess acute infections and life events stressors among hospitalized psychiatric patients. Patients and methods: The study subject included 204 patients admitted at the inpatients psychiatric unit of Assiut university hospital during the period from December 2009 to November 2010. Methods: Each patient was assessed through Psychiatric diagnosis was made according to DSM-IV-TR, and clinically screened for acute infection and evaluated for stress through Social Readjustment Rating Scale, . Results: The study results revealed that the majority of sample (68%) aged from (20-40) years old with mean age (30.28), 79.4% of them were in the middle socioeconomic class. 49.5% of studied sample had respiratory tract infection, 12.7% has skin infection, 10.8% has gastrointestinal infection 9.8% urinary tract infection and 14.7% two system affection, 74% of patients had major stress, significantly higher in female (P0.001). Conclusion and Recommendation: The study recommended that establishing training course for psychiatric nurses to improve their performance in early detection, helping in management and prevent spreading of infectious diseases in psychiatric unit.

Psychiatric patients may experience many stressors and these can predispose to infection. Aim of the study: This study aimed to assess acute infections and life events stressors among hospitalized psychiatric patients. Patients and methods: The study subject included 204 patients admitted at the inpatients psychiatric unit of Assiut university hospital during the period from December 2009 to November 2010. Methods: Each patient was assessed through Psychiatric diagnosis was made according to DSM-IV-TR, and clinically screened for acute infection and evaluated for stress through Social Readjustment Rating Scale, . Results: The study results revealed that the majority of sample (68%) aged from (20-40) years old with mean age (30.28), 79.4% of them were in the middle socioeconomic class. 49.5% of studied sample had respiratory tract infection, 12.7% has skin infection, 10.8% has gastrointestinal infection 9.8% urinary tract infection and 14.7% two system affection, 74% of patients had major stress, significantly higher in female (P0.001). Conclusion and Recommendation: The study recommended that establishing training course for psychiatric nurses to improve their performance in early detection, helping in management and prevent spreading of infectious diseases in psychiatric unit.

Mothers' Knowledge and Attitude Regarding Acute Diarrheal Disease at Outpatient Clinic ,Assiut University Children's Hospital *Amel A. Mohamed,** Khalid I.El Sayh, *Safaa A.M. Kotb, *Neama M .El Magrabi *Community Health Nursing ., Faculty of Nursing., Assuit University ** Pediatrics Medicine ., Faculty of Medicine., Assuit University Abstract: Background: Diarrhea occurs world wide and causes 4% of all deaths. It is most commonly caused by gastrointestinal infections which kill around 2.2 million people globally each year, mostly children in developing countries. In 2008, Egypt prevalence of diarrhea in children aged under five years who receiving Oral Rehydration Solution is 28.4 %. Aim of the study was to assess mothers' knowledge and attitude regarding management of acute diarrhea .Subject and Method: cross sectional study was used. It included 600 randomly selected mothers from Assiut University Children's Hospital during 2012. Data Collection from mothers through two tools; first tool was interview questionnaire sheet. It consisted of two parts; first part included Socio-demographic data and the second part mothers' knowledge about diarrhea. The second tool included likert scale to assess mothers' attitude towards diarrhea. Results: The mean age of mothers ± SD was 26.08 ± 5.401, with no significant relation between mothers' age and their knowledge regarding diarrhea . As regards level of education, it was observed that about than two fifth (40.7%) of mothers were illiterate, while only 9.3% of them were high education. 57.8 % of mothers had satisfactory knowledge of about diarrhea. While, 86.2% of them had positive attitude towards diarrheal disease. Conclusion: There was a significant difference between mothers' knowledge and their education level. Also, there was a significant difference between numbers of diarrheal episodes and type of feeding. Recommendations: It is very important to provide good sanitation and improvement of housing conditions especially in rural areas.

Depression, anxiety, stress and poor quality of life are often psychological consequences of living with cancer. Cancer patients face the double challenge of learning to manage the physical as well as psychological effects of cancer. Previous studies suggested that depression and poor quality of life have been associated with cancer. This study aimed to assess psychological symptoms and Quality of life among patients with colorectal cancer. A descriptive research design was used to assess 151 patients diagnosed as colorectal cancer attending oncology outpatient clinic for the oncology department during a six months period. The study was carried out at out patient clinic of the oncology department at Assiut University Hospital and South Egypt Cancer Institute. Four tools were utilized to measure the variables of the study; the demographic data questionnaire, socioeconomic status scale, Quality of life (QOL) scale and Symptoms Check List (SCL-90-Revised). Results of the study: Females represent 64.2% of patients and males, 35.7% of patients, 78.8% of patients were illiterate or read and write, 81.4% were married, 76.8% of patients didn’t work. Most of the patients were living in rural areas 80.8% the vast majority of studied group were at middle level of socioeconomic status , 65.56% of patients have moderate quality of life most of them have cancer colon, less than half of those patients have loss of appetite . More than half of them have weight loss. More than half of them didn’t have colostomy. Less than half of the them have received chemotherapy. A little high percent of patients have somatization 32.45%, patients with hostility was 27.81%, patients have anxiety represent 9.27% of patients ,depression was 8.6%, high percent moderate quality of life patients have somatization ,depression, anxiety, hostility, phobia. The study recommend that: liaison psychiatric nurse should be available to deal with psychiatric problems of patients.

Depression, anxiety, stress and poor quality of life are often psychological consequences of living with cancer. Cancer patients face the double challenge of learning to manage the physical as well as psychological effects of cancer. Previous studies suggested that depression and poor quality of life have been associated with cancer. This study aimed to assess psychological symptoms and Quality of life among patients with colorectal cancer. A descriptive research design was used to assess 151 patients diagnosed as colorectal cancer attending oncology outpatient clinic for the oncology department during a six months period. The study was carried out at out patient clinic of the oncology department at Assiut University Hospital and South Egypt Cancer Institute. Four tools were utilized to measure the variables of the study; the demographic data questionnaire, socioeconomic status scale, Quality of life (QOL) scale and Symptoms Check List (SCL-90-Revised). Results of the study: Females represent 64.2% of patients and males, 35.7% of patients, 78.8% of patients were illiterate or read and write, 81.4% were married, 76.8% of patients didn’t work. Most of the patients were living in rural areas 80.8% the vast majority of studied group were at middle level of socioeconomic status , 65.56% of patients have moderate quality of life most of them have cancer colon, less than half of those patients have loss of appetite . More than half of them have weight loss. More than half of them didn’t have colostomy. Less than half of the them have received chemotherapy. A little high percent of patients have somatization 32.45%, patients with hostility was 27.81%, patients have anxiety represent 9.27% of patients ,depression was 8.6%, high percent moderate quality of life patients have somatization ,depression, anxiety, hostility, phobia. The study recommend that: liaison psychiatric nurse should be available to deal with psychiatric problems of patients.

Abstract : Persons with disabilities represent a significant portion of the world’s population and are part of every community. They find that information on reproductive health is often inaccessible to them. many young people with disabilities do not receive even basic information about how their bodies develop and change as they mature. Aim of the study: evaluate the impact of health education program on knowledge of blind and deaf adolescent girls about Reproductive Health in Assiut Governorate. Subjects and methods: The study was Quasi-experimental research design. It was conducted in Al Noor school for blind and Al Amal School for deaf girls in Assiut Governorate. The total studied sample was 80 girls. Tools of the study: a structured interview sheet was used which divided to two parts: part (1) included students' socio-demographic data and menstrual history of disabled girls, part (2) included questions to assess disabled girls’ knowledge about reproductive health. Post-test was done immediately and after 3 months to assess the impact of the program. Results: 36.2% of the studied sample their ages ranged from 16-18 years and (42.5%) of them were secondary school. 91.2% mentioned menstruation as one of their changes during adolescence also, (83.8%) of them mentioned breast growth. All the studied sample (100%) has poor knowledge regarding to reproductive health in pre test while their knowledge improved in post test to 58.8%. There was highly statistically significant difference between disabled girls' knowledge and type of disability in follow-up test (P= 0.000*). Conclusion: All the studied girls have poor knowledge in pre test while after implementation the education programe their knowledge were improved. The study recommended that: Continues health education programs should be implemented for increasing awareness of them about reproductive health.

Background: Persons with disabilities represent a significant portion of the world’s population and they are part of every community. They find that information on reproductive health (RH) is often inaccessible to them. Aim: evaluate the impact of an educational program about RH for blind and deaf adolescent girls. Methods: it was Quasi-experimental research design which conducted in Al Noor and Al Amal Schools in Assiut Governorate. The total sample was 80 girls. Tools: it included three tools: - a structured interview sheet, to assess disabled girls’ knowledge and attitudes towards RH and an observational checklist (using doll) to assess practice related perineal care. Results: All the studied sample (100%) has poor knowledge regarding to RH in pre test while their knowledge improved in post test to 58.8%. Regarding to perineal care, all of the studied sample (100%) carried out all steps of perineal care except three steps which include the correct direction for cleaning the perineum, while their practice improved in post and follow up test. Conclusion: All the studied girls have poor knowledge in pre test while after implementation the education programe their knowledge were improved (P= ≤ 0.001). Recommendation: Continues health education programs should be implemented for increasing awareness of them about reproductive health.

Premarital care is considered a public health measure as it is the essential part of primary and preventive care. Premarital care (PMC) is a worldwide activity aiming to diagnose, treat unrecognized disorders, and reduce transmission of diseases to couples. Aim of this study: This study aimed at assessing Knowledge, Attitudes and Practices among Prospective Couples about Premarital Health Care, In El-Minia City. Methods and Materials: A Descriptive research design was adopted to conduct this study. A systematic random sample was conducted among 500 prospective couples. The present study was conducted in Premarital Health Care Clinics (PMHCs) of main Maternal and Child Health Center (MCHc) related to Directorate of Health Affairs of El-Minia city. Data collected by using: structured interviewing sheet to assess the Knowledge and practice of the prospective couples about premarital health care & personal inventory to assess attitude toward premarital health care. Results: The study revealed that the majority of both prospective couples agreed to do premarital investigations. There was highly significance difference between both groups as regards the importance of premarital screening. Also, there was good knowledge and positive attitudes about premarital healthcare between both prospective couples. Regards to practice, this study revealed that female study participants take more care and practice than male participants do. Recommendations: More researches on young age group's knowledge, attitudes and beliefs about new life, responsibility and couples roles need to be done. More attention should be given to people at risk related to consanguineous marriage.

Pregnancy and the transition to parenthood involve major psychological and social changes in future parents. These changes have been linked to an increase in anxiety rates and depression symptoms. The aim of the study: was to investigate the prevalence, degrees and risk factors of antenatal depression and anxiety among pregnant women attending El-Eman Specialized Hospital, for antenatal care.