Abstract: Nutrition during pregnancy can influence the health of the mother and her newborn. Nutritional education is essential to enable antenatal mothers to understand the knowledge of nutrition to develop effective strategies to reduce malnutrition and encouraging healthier dietary behaviors. The study aimed to evaluate the effect of an educational program regarding specific nutrition for pregnant women at outpatient clinic in women’s health hospital, Assiut University. Subjects and Methods: A Quiz-experimental pre and post-test research design was used in this study. Setting: the study was conducted at the outpatient clinic in women's health hospital, Assiut University Sample: Quota sampling used in this study; the total number of pregnant women was 108. Tools of the study: which contained three tools; tool I: Socioeconomic scale developed by Abd-Eltwab, 2012, tool II included obstetrical data and tool III nutritional sheet which contained questions to assess women's knowledge about specific nutrition during pregnancy. Results: there was a statistically significant difference between the level of pregnant women’s knowledge of pre and post-test (0.000*) with mean ± SD 13.75 ± 9.66 on pre & on post-test became 38.75 ± 7.30 respectively. Conclusion: Education program leads to significant improvement in pregnant women’s knowledge regarding specific nutrition during pregnancy. Recommendation: Continuous health education programs to improve pregnant women’s knowledge toward specific nutrition 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 medications during 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 pregnancy and 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 Background: Hearing impairment is a partial or total inability to hear, may occur in one or both ears. In children hearing problems can affect the ability to learn spoken language and result in loneliness. Aim of the study: assess knowledge and attitude of nurses regarding Newborn Hearing Impairment and screening at Health Centers and clinics in Assiut City. Subjects and Methods: Descriptive cross-sectional design was used. A Total coverage sample of 235 nurses has participated. Tool 1: A structured self-administered questionnaire, it included three parts, Part one: personal data, Part two: questions related to attending training course regarding newborn hearing screening, Part three: knowledge about Newborn Hearing Impairment (NHI) and screening. Tool 2: It included two scales, Part one: Attitude assessment scale about NHI, and Part two: Attitude assessment scale about Newborn Hearing Screening. Results: 34.5% of nurses had poor knowledge, and 69.4% of them had a positive attitude regarding NHI, while 68.9% had a negative attitude against newborn hearing screening. There is a statistically significant difference between the score of nurses’ knowledge and their age. Conclusion: Deficit in nurses’ knowledge regarding newborn hearing impairment and screening; and fluctuation in their attitude between negative and positive. Also, there were statistically significant differences between the level of nurses’ attitude about newborn hearing screening, their age, and years of experience. Recommendations: in-service training programs should be developed and implemented for nurses

Abstract Background: Cancer Prostate has been a major public health issue worldwide. The men are often diagnosed in the late stages of the disease. Increase the level of perceptions among men helps to detect and diagnostic measures early. Aim of the study: To assess perception of men's about Cancer Prostate at Main University Hospital - Assiut Governorate. Design: Descriptive research design. A convenient sample was used, the sample were included 1500 patients up to forty years who attendance in outpatients clinics, within 6 months. The study included two tools; the first tool was interview sheet to assess (a) demographic data (b) Men's perception about cancer Prostate , and the second tool was Respondents' of prostate screening testing scale . Results: More than three-fifths of the participants had low perception of cancer Prostate. Conclusion: There was a positive correlation between perceptions, & responding screening to Cancer Prostate. Recommendations: Health education programs to increase the knowledge of people regarding cancer Prostate and the importance of periodical examinations of cancer Prostate over age forty for early detections and health promotion in all its aspect

Abstract Background Stress and dissatisfaction are common issues among patients undergoing in vitro fertilization (IVF). The process of IVF can be emotionally and psychologically challenging, leading to stress, anxiety, and depression in patients. This can be exacerbated by factors such as the length of infertility, the uncertainty of the outcome, and the fnancial burden of treatment. Additionally, the physical demands of the treatment, the side efects of medication, and the fear of failure can contribute to dissatisfaction and emotional strain in IVF patients. This pre-post intervention study design aimed to evaluate the efect of a health education program on knowledge, stress, and satisfaction among 100 infertile women undergoing IVF attending the Woman’s Health Hospital’s infertility outpatient clinic and IVF unit at Assiut University. Knowledge and stress were measured by women’s knowledge about IVF and the perceived stress scale, respectively. The satisfaction was measured using the Scale of Patient Satisfaction about IVF. Results There is a marked improvement in the knowledge of infertile women, with a signifcant reduction in their stress levels after the health education program. Furthermore, the satisfaction scores of the women who participated in the program improved signifcantly. Conclusion The health education program demonstrated a positive impact on knowledge, stress levels, and satisfaction among infertile women undergoing IVF. These fndings highlight the positive impact of the program on the participants and emphasize the importance of continuous educational programs regarding IVF to improve knowledge, decrease stress levels, and increase their overall satisfaction with the treatment

Abstract Up to 50% of chronic heart failure patients suffer from lower urinary tract symptoms; urinary frequency, urgency, and incontinence are extremely bothersome, while nocturnal symptoms may disrupt sleep and quality of life. The medications are used to treat heart failure may also indirectly provoke or exacerbate urinary symptoms. Aim of the study: to determine the prevalence of Lower Urinary Tract Symptoms among chronic heart failure patients and its impact on their quality of life. Patients and methods: Cross-sectional research design was utilized in this study. The study sample was composed of two hundred adult patients attending cardiac outpatient clinics male and female; at Assuit University Hospital. Tools: Data collected by utilizing the designed interview questionnaire sheet that included demographic data, assessment of lower urinary tract symptoms and World health organization quality of life scale. The study was done in a period of sex months from November 2017 to April 2018. Results: The results revealed that 72% of the patients have nocturia and 70% of them suffering from frequency urination and urgency followed by 48%, 44%, & 41% of patients suffering from double voiding, intermittent flow of urine, and urinary incontinence respectively; While 38% & 27% of them have hesitancy, and a weak flow stream. In the relationship between quality of life and urinary tract symptoms, there was a strong correlation (r=0.89) and statistically significant difference at p. value <0.01. Conclusion: Lower Urinary Tract Symptoms have a great effect on the quality of life among patients with chronic heart failure. Recommendation: Chronic heart failure patients should be provided with sufficient information about lower Urinary Tract Symptoms and how to cope with it to improve their quality of life

Background: Diabetic patients with poor health behaviors are at greater risk for a range of adverse health problem. Diabetes foot problems can be avoided by practicing self-care. Study aim: evaluate the impact of health intervention about foot self-care behavior among adult and elderly diabetic patients'. Subjects and Methods: Quasiexperimental design pre and late posttest was applied in Internal and the outpatient clinic at main Assiut university hospital. The sample size: This study included purposeful sampling, with a total of 80 diabetic participant. Data collection tools: Interviewing questionnaire included personal characteristics, medical data, Diabetic Foot Self-care behavior scale and Health Intervention through International Working Group Diabetic Foot. Results: Mean ±SD of Diabetes Mellitus duration was 10.7 ±8.2 years, significance difference between the total score of foot self-care behavior in pre and late posttest with a mean ± SD (42.8 ±6.96 and74.04±29.11) respectively. Also, between selfcare behavior of the studied sample and their knowledge level in pre & late posttest (P. value= 0.061 & 0.001) respectively Conclusion: Health intervention have a positive significant impact on the studied sample self- care behavior regarding diabetic foot. Recommendations: Provision of comprehensive foot care and intervention for diabetic patients with foot ulcers in order to avoid complications.

Background: Pregnancy is one of the most anticipated moments in women's lives. However, biological and physiological changes cause a lot of discomfort. Pilates exercise one of the fastest-growing modalities of exercise relief and welfare to these women. Aim of the study: Evaluate the effectiveness of Pilates exercise program during pregnancy on maternal outcomes in maternal and child health care centers at Assiut City. Setting: The study was carried out in two maternal and child health care centers which selected randomly namely El-waledia and Gharb Elbald health care centers. Methods: A Quasi experimental research design (pre and posttest) and Purposeful sample were utilized in this study; A total of 53 pregnant women. Tools of the study: Interviewing questionnaire; it included three tools: Tool I: divided into three parts: personal data, medical and obstetrical history, current pregnancy and labour data. Tool II: Visual Analogue scale to assess back and leg pain. Tool III: Revised Urinary Incontinence Scale. Results: 50.9% of studied sample aged ≥30 years old, 73.6%, and 45.1% of them were multigravida and primipara respectively. 69.8% didn’t practice exercise and the mean ±SD of gestational weeks was (27.23 ± 2.18).There was statistically significant relation between leg pain, urinary incontinence before and after exercise (P value=0.000) among studied sample. Conclusion: The Pilates exercise program had significant effect on improving maternal outcomes. Recommendations: Health care providers should encourage pregnant women to engage in physical activity including Pilate's exercise which have been shown more benefits for most women

Background: Consumption of fast foods has become a hallmark of modern urban and semi- urban life style that have many adverse effects on health. Aim: To assess knowledge and attitudes of students toward fast food in Assiut university. Subject and Method: a descriptive cross sectional research design was used. The study conducted at four faculties of Assiut University among 1217 students who were selected by simple random sample. Tools: In this study utilized three tools for gathering data: the first tool; a structured self-administered questionnaire which included socio-demographic characteristic scale, knowledge and consumption of fast food, the second tool; attitude toward fast food and the last tool; anthropometric measurements. Results: It was found that 63.3% of studied students were males and 52.9% of them with middle socioeconomic class. Also the study cleared that 91.9%from students having fast food, whereas a positive correlation between total score of student’s knowledge and attitude toward fast food with statistical significant difference between having fast food, knowledge and attitude. Conclusions: the outcome of present study concluded that lack of students' knowledge and had positive attitude about fast food. Recommendation: Periodic health education programs regarding effects of fast food on health

Background: Pregnant women's fear and anxiety about COVID-19 are increasing which reducing the social performance and quality of life. Aim: explore the relation between psychological problems, fear and anxiety, with COVID-19 pandemic and the quality of life among pregnant women. Design: Descriptive research design. Setting: The study carried out in the antenatal out-patients clinic at Women' Health Hospital, Assiut University. Sample: Included 350 pregnant women. Tools: Four tools were used; Tool (1): Structured interviewing questionnaire, Tool (2): Fear of COVID-19 Scale (FCV-19S). Tool (3): COVID-19 Anxiety Scale (CAS) and Tool (4): Pregnant women's quality of life questionnaire. Results: 55.4% and 45.7% of mothers aged 25-30years and had secondary education respectively. 45.4% of them had low fear level of COVID 19. While, 26.9% of the pregnant women; were had high anxiety level. Conclusion: There were positive correlation between fear and anxiety about COVID 19 and pregnant women quality of life. There were statistical significance differences between pregnant women educational level, occupation, residence and gestational age with their quality of life. Recommendations: Further researches should be conducted to implement intervention program to alleviate the level of fear and anxiety about COVID-19 to improve pregnant women quality of life