Abstract Background Domestic violence is a global public health concern that negatively affects maternal mental health, parent–child relationships, and child behavioral outcomes. Attachment theory suggests that disruptions in maternal sensitivity and caregiving due to violence can compromise children’s emotional security and development. Aim To evaluate the impact of domestic violence on maternal–child relationship quality and child behavior among pre-school and school-aged children in Egypt. Design Descriptive correlational study.Setting: Maternal and Child Health Center, Assiut, Egypt. Participants A convenience sample of 100 mothers with children aged 3–12 years. Methods Data collection involved a Personal Data Questionnaire, the Severity of Violence Against Women Scale, the Child Behavior Checklist, and the Post-Traumatic Stress Scale for Family Violence. Statistical analyses included Pearson correlation, Chi-square, logistic regression, and ANOVA to examine associations and predictors. Results Most mothers (58%) reported low levels of violence exposure. Severity of violence was strongly associated with maternal post-traumatic stress (r=.648, p<.001) and child behavioral problems (r=.650, p<.001) and negatively associated with mother–child relationship quality (r = –.185, p=.066). Regression analyses indicated that violence significantly predicted maternal PTSD and children’s clinical behavioral concerns, whereas demographic factors such as child age and maternal education moderated mother–child relationship outcomes. Conclusion Exposure to domestic violence adversely affects maternal mental health and children’s behavioral outcomes, potentially compromising the mother–child relationship. These findings underscore the importance of interventions aimed at supporting maternal caregiving sensitivity, promoting secure parent–child attachment, and mitigating the effects of violence on family well-being in the Egyptian context. Keywords Domestic violence, Mother–child relationship, Child behavior, PTSD, Attachment theory, Egypt

Background: Peptic ulcer disease (PUD) is a common gastrointestinal condition, marked by mucosal erosion due to gastric acid and pepsin. It represents a major health risk, especially among elderly patients. Aim: To assess knowledge and reported practices of elderly patients with PUD. Research design: A cross-sectional descriptive research design was used. Setting: This  research was carried out in the Gastroenterology department and outpatient clinics at Aswan University Hospital. Sample: A purposive sample of 100 elderly patients with PUD. Tools of data collection: Three tools were used: Tool I: An interview questionnaire consisted of two parts: First part: Demographic characteristics; second part: Medical history related to PUD. Tool II: Knowledge of elderly patients regarding PUD. Tool III: Practice of elderly patients regarding PUD. Results: 63.0% of the elderly patients were smokers. Epigastric pain 92% and acidity 87% were the most common symptoms. Also, drinking excessive caffeine 81% and smoking 63% were the main predisposing factors. About 67.0% of the elderly had an unsatisfactory knowledge regarding PUD, and 52.0% from them had an unsatisfactory reported practice regarding PUD. Conclusion: The study indicate that one-third of the elderly demonstrated satisfactory knowledge regarding PUD, while nearly half of them had a satisfactory reported practice regarding PUD. A significant positive correlation was observed between knowledge and practice levels. Recommendation: Tailored health education programs should be developed to improve knowledge and promote effective self-practices among elderly patients with PUD.

A Background: Elderly patients are at higher risk of developing deep vein thrombosis compared to younger patients. Patients with multiple risk factors often demonstrate a lower level of self-efficacy, which influences the ability to manage the condition and medication adherence and satisfaction. Aim: to assess anticoagulant treatment satisfaction among elderly patients with deep vein thrombosis at Sohag  University Hospital. Research design: An descriptive cross-sectional research design was used. Setting: This study was conducted in the Vascular Surgical Department and outpatient clinics at Sohag University Hospital. Sample: A purposive sample involved 193 elderly patients. Tools: Two tools were used. 1st tool: Structured interview questionnaire; consisted of 2 parts.  Part (1): demographic data of elderly patients. Part(2): Clinical data. 2nd tool: Anti-Coagulant Treatment Satisfaction Scale (ACTS). Result: 56,5 

Organizational agility and ambidextrous leadership foster flexibility, creativity, and collaboration, which are essential for preparing nurses to embrace change. This study aimed to examine the impact of organizational agility and ambidextrous leadership on nurses’ readiness for change. Using a descriptive correlational design, data were collected from 348 nurses at Al-Rajhi and Heart Hospitals affiliated with Assiut University through validated scales on organizational agility, ambidextrous leadership, and readiness for change. Results showed that ambidextrous leadership had the strongest positive effect on nurses’ readiness for change (β = 0.570, p < 0.001), followed by organizational agility (β = 0.205, p < 0.001). In conclusion, this study underscores the pivotal role of ambidextrous leadership and organizational agility in enhancing nurses’ readiness for change. By fostering adaptive leadership behaviors and agile organizational practices, healthcare institutions can cultivate environments that promote innovation and facilitate effective change implementation. Therefore, strengthening these dimensions among nursing leaders is essential to sustain continuous improvement and ensure the success of healthcare reform initiatives. Training programs to enhance ambidextrous leadership skills among nurse leaders are recommended to balance exploratory and exploitative behaviors and drive readiness for change.