The importance of breastfeeding, especially exclusive breastfeeding (EBF) is well established for the infant, the mother and the family. The aim of this study is to assess the knowledge and practices of working mothers regarding breastfeeding and weaning using quantitative and qualitative approaches. The study was conducted in four MCH centers in Assiut city during 2010. Direct interviews were done with 43 working mothers had children aged 4 to 24 months as well as seven FGDs. 69.8% of the mothers were at the age 30 years or less. All the studied mothers knew that the breastfeeding is the best nutritional source for the baby. The majority of the mothers had good knowledge about the advantages of breastfeeding for the child and the mother. 67.4% initiated breastfeeding within the first 30 minutes after delivery. The participants in general were less knowledgeable about exclusive breastfeeding practices. There were some fault practices reported by the participants. There is a need for health education programs, which support and encourage breastfeeding particularly at a primary care level, focusing more on working mothers.

The importance of breastfeeding, especially exclusive breastfeeding (EBF) is well established for the infant, the mother and the family. The aim of this study is to assess the knowledge and practices of working mothers regarding breastfeeding and weaning using quantitative and qualitative approaches. The study was conducted in four MCH centers in Assiut city during 2010. Direct interviews were done with 43 working mothers had children aged 4 to 24 months as well as seven FGDs. 69.8% of the mothers were at the age 30 years or less. All the studied mothers knew that the breastfeeding is the best nutritional source for the baby. The majority of the mothers had good knowledge about the advantages of breastfeeding for the child and the mother. 67.4% initiated breastfeeding within the first 30 minutes after delivery. The participants in general were less knowledgeable about exclusive breastfeeding practices. There were some fault practices reported by the participants. There is a need for health education programs, which support and encourage breastfeeding particularly at a primary care level, focusing more on working mothers.

The present study aimed to investigate the impact of educational program among open heart surgery patients on minimizing the incidence of post operative infections. Data were collected from cardiothoracic surgery department, intensive care unit, and outpatient clinic at Assiut University Hospital. The study was conducted on 60 adult patients with open heart surgery (30 - study group and 30 - control group) who have been selected randomly. Data were collected through: four tools; (cardiac surgery patient needs assessment sheet, cardiac teaching program based on individualized patient needs assessment, cardiac post operative observation checklist sheet, and cardiac post operative wound site infection evaluation sheet). Results of this study concluded that, more than half of the patients in study group 53.3 % were females, 70 % were married, and 40 % their ages ranged from 18 - 29 years. While the majority of the patients in the control group 63.3 % were male, 46.7 % were married, and 33.3 % from 30 - 39 years. Conclusion; Significant differences for improvements throughout educational program phases among study group regarding total score of knowledge and practice about open heart surgery. The study recommended that, pamphlets and simple illustration booklet should be available for patients illiterate to with simple explain how to safely live after open heart surgery. The patients must understand the importance of oral hygiene and visiting a dentist regularly because dental infections can affect the valve prosthetic.

Prophylactic antibiotics have been shown to be effective in reducing the incidence of febrile morbidity associated with cesarean section after labor. However, the relative effectiveness of different single antibiotics has been studied infrequently. Several new broad spectrum antibiotics are now available, and any further benefit from more traditional antibiotics for surgical prophylaxis remains untested. A randomized clinical trial for testing the efficacy of cephalosporin versus Amoxicillin in preventing post cesarean section infection, and to identify the role of health education about wound care in reducing post cesarean section wound infection. This study conducted at emergency unit of the Obstetrics &Gynecological department, Woman's Health Center, Assuit University Hospital, between 2008 to 2009. Women's undergoing emergency and elective cesarean section were recruited into the study and given either drug as prophylaxis. The sample comprised 200 pregnant women. 100 pregnant women received Amoxicillin and the other 100 pregnant women received Cephalosporin as a prophylactic antibiotic. For each group, 50 women received routine hospital wound care and the other 50 women received health education about wound care. Random assignment was done by computer generated tables. Concealed envelopes containing the random number made to be opened after deciding to include the case in the study. the -present study reported that the percent of surgical site infection (SSI) of elective cesarean section was 2.5% (0.5% in Amoxicillin group and 2% in cephalosporin group) with no significant difference between both groups. We can concluded that use of Amoxicillin as a prophylactic antibiotic as effective as Cephalosporin in preventing post cesarean section wound infection. And women that received health education about wound care are less likely to expose to wound infection than those who receive only routine hospital care, in spite that the comparative results are not significant.

Exposure to pesticides may result in abnormal glucose metabolism, increasing risk of diabetes. The study was to investigate the relationship between maternal and infants residential pesticides exposure and the onset of diabetes in these infants. Both the diabetic infants and the control groups were recruited from the Outpatient Clinic for Diabetic children and Well Baby Clinic, Assiut University Children Hospital. The study included 72 infants divided into 2 groups study group (40 diabetic infants) and the control group included (32 infants). A structured questionnaire sheet was designed to collect data about mothers and their infants. The study showed that there was statistically significant difference considering the items of no consanguinity among parents of infants in the study group compared to those in the control group (52.5 % Vs. 40.6%, respectively P ≤ 0.02.).The percentage frequency of maternal exposure to residential pesticides was significantly higher for the patients group in comparison to the control group. (65% Vs. 31.2%, respectively, P- value 0.0001).Similarly, the percentage frequency of the diabetic infants exposed to residential pesticides was significantly higher than that for the control group. (47% Vs. 28.1%, respectively, P – ≤ 0.01). Moreover, the percentage frequency of exposure of infants to residential pesticides per week was significantly higher among the study group in comparison to their partners in the control group. P- ≤ 0.0001. In conclusion: Exposure of infants to residential pesticides both during pregnancy and after birth may be considered as a risk factor for developing diabetes mellitus in these infants. The study recommended that, further studies are needed to study the relationship of exposure to residential pesticides for developing diabetes by using the biochemical markers to detect the level of metabolites of these pesticides in these populations.

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Background: Children and adolescents with diabetes are at a greater risk for emotional and behavioral problems. Aim of the study was to assess behavioral, emotional and social difficulties of diabetic children and examine the association of these difficulties with demographic and disease related variables. Subjects and method: A cross sectional study of 423 diabetic children attended Sidy Galal health insurance outpatient clinic in Assuit city – Egypt was conducted. A similar number of healthy children matched for age, sex and socioeconomic status were included in the study as a control group used for comparison. Strength and Difficulty Questionnaire (SDQ) was used as a screening tool. The SDQ is a screening instrument consisting of five separate 5-item subscales for emotional symptoms, conduct problems, hyperactivity-inattention, peer problems, and prosocial behavior. Results: Most of diabetic children (92.9%) were in the abnormal group of the total score compared to 20.6% of the controls. In all SDQ subscales except prosocial, diabetic children had significantly higher percentages of abnormal indices than in controls (p value 0.001). Emotional, hyperactivity and conduct problems were significantly associated with age and sex of the child. Prolonged duration of illness was significantly associated with peer relationship problems. Glycemic control was not a significant risk factor for any problem. Conclusion: Many of diabetic children had behavioral and psychosocial problems. Age and sex of the child and duration of the disease were important determinants for these problems. Recommendation: Diabetic children need to be screened by psychologist and social worker to identify and manage any behavioral or emotional problems.

Quality of life as an individuals, perception of his/ her position in life in the context of the culture and value systems in which he /she lives and in relations to their goals expectations standards and concerns. This study was the first geographical location which helps such group of patients to describe changes in quality of life of patients with chronic heart failure undergoing permanent artificial pacemaker. Descriptive re- search design was adapted to conduit the study on 80 patients whit pacemaker implantation in coronary catheterization lab., at Assiut university Hospital. A structural interview sheet was developed for data collection to assess the quality of life among patients with permanent pacemaker. The tool content modified was done and translated into Arabic by researchers. Descriptive statistics calculated were frequency, percentage, chi-square and p-value. In the present study the patients characteristics, regarding age the majority of patients were in the age between 40-65 years although the majority of them were female and unskilled. 93.75% of total study patients were living in the rural areas 53.75% of them reported it as less them 6 months but 46.25% of them as more than 6 months. No significant relation was observed between patients education and self-concepts, although between patients psycho-logical assessment and duration of pacemaker implantation but there was a significant difference between patients occupation and physical activity.

Sleep disturbance is very common in patient with end stage renal disease (ESRD) on dialysis. ESRD patients reports a significantly poor subjectively quality of sleep in comparison to the general population.(ll the most frequently reported complaints are insomnia, restlessness syndrome, sleep disordered breathing and excessive daytime sleeplessness (EDSi2 ) The aim of this study was to assess the quality of sleep among patients with end stage renal disease (ESRD) undergoing hemodialysis unit of Assiut University hospital. The sample of study include 108 patients with end stage renal disease (ESRD) undergoing hemodialysis both male and females. A structural interview questionnaire sheet was used, it include sociodemographic, Pittsburgh sleep quality index (PSQI) (Buysse et aI, 1989) was translated into Arabic in order to assess the quality of sleep among patient with ESRD undergoing hemodialysis. The PSQI is useful in identifYing good and poor sleepers. A global PSQI score 75 indicate that a person is (poor sleeper). The results. The mean total and subtotal good and poor scores of PSQI, the mean total score were (34.3%) were good sleepers and (65.7%) were poor sleepers. Various strategies should be recommended to improve sleep. Sleep medication, anemia correction more frequent dialysis and assessment sleep.