Background: Sleep problems are the most important issues that need attention, cognitive behavioral therapy has positively improved sleep quality among older person. Aim: To evaluate the effect of training program about cognitive behavioral therapy on sleep quality among the older persons. Design: A Quasi-experimental (pre and post-test). Setting: All geriatric clubs in Assiut city. Sample: 81 older person aged from (60 to 70 and more) who complained from sleeping problems. Tools: I. Personal characteristics, II. Comorbidities questionnaire, III. Pittsburgh sleep quality index to measure the quality and patterns of sleep, IV. Epworth sleepiness scale to measure daytime sleepiness and diagnoses sleep disorders, V. Geriatric anxiety scale and VI. Geriatric depression scale. Results: Musculoskeletal problems were most prevalent with 50.6% followed by high blood pressure 48.1%. Epworth sleepiness scale was affected by sex and living status in preprogram P-value= 0.027 and 0.003 while not affected in post-program P-value=0.307 and 0.056; moreover, affected by high blood pressure and pulmonary diseases in pre and post program. Pittsburgh sleep quality index affected by practicing exercise in preprogram P-value=0.019 and wasn’t significance in post program P-value=0.252, it affected by heart diseases in preprogram P- value=0.000 while with pulmonary diseases and diabetes mellitus in post program P-value=0. 042 and 0.007. Conclusion: These results support the use of training cognitive behavioral therapy for improving sleeping quality. Training program about cognitive-behavioral therapy for improving sleep quality is recommended for older adult

Background: Girls with hearing disability continue to undervalue the practice of breast selfexamination, despite Egypt's ever-expanding programs to raise breast cancer awareness. Aim: To evaluate the effectiveness of the training program for girls with hearing disability about breast selfexamination in Assiut City. Research Design: Quantitative research pre/post one group intervention design was applied. Setting: Al-aml school for dumb and deaf girls in Assiut City. Subjects: A convenient sample was used to include 153 adolescent girls with hearing disability. Data collection tools: Two tools were utilized: Tool one: Designed interview questionnaire comprised from three parts: Part (1): Personal data, part (2): Girls’ family history of breast cancer and data about breast selfexamination and part (3): Questions to assess knowledge of girls regarding breast cancer and breast selfexamination. Tool II: Breast self-examination observational checklist. Results: It noticed from the current results that 46% of girls aged less than 18 years, 90.8% from rural area, 71.9% weren’t know about breast self-examination. The girls’ mean of knowledge and practices regarding breast selfexamination was in pre-program 12.28 and 2.26 while it enhanced to be 36.03 and 9.67 with significant improvement after the program application. Conclusion: The training program improved knowledge and practices of breast self-examination among girls with hearing disability. Recommendations: Continuous training program about breast self-examination for girls with special need to increase their awareness regarding early detection of breast cancer.

Abstract People with Systemic Lupus Erythematous need for social support more than others due to Systemic Lupus Erythematous' often caused severe and unpredictable symptoms; also can be affected multiple system. The study aimed to determine the pattern of Social support among Systemic Lupus Erythematous patients; also to identify the risk factors among Systemic Lupus Erythematous patients at out-patient clinics, Assiut university hospital. Patients and methods: The study was conducted in Rheumatology clinic at Assiut university hospital. The total sample size was (104); total coverage technique used in this study. Tools: Two tools were used, first tool: A structured interview questionnaire sheet which included two parts; demographic data and questions regarding risk factors and the second tool; it included Social Support Assessment scale. Results: more than half (55.8%) of patients had high level of social support after disease compared to 39.4% of them had moderate and high level of social support before disease also, Sunlight exposure was the most risk factors among Systemic Lupus Erythematous patients. Conclusion: there was statistically significant differences between total score of social support before and after disease (P value=0.001*). Recommendation: Health education about rheumatologic services for community to early detection, diagnosis and treatment

Background: Injuries among school students are considered as one of the most serious health problems. Aim of this research: To assess knowledge and practice of the school trainers and students' knowledge regarding sports injury and its safety measures Research design: A descriptive design was used in this study. Setting: The study was conducted at four schools; which included all preparatory and secondary sports and military schools at Assiut Governorate. A convenient sample was used. The total number of school trainers and students was (656). Two tools were used (1) Self administrative questionnaire for trainers and students, (2) Trainers observation check list. Results: Finding revealed that more than half of the studied trainers aged more than 40 years and the majority of them were males. 51.1% of the trainers had < 20 years' experience and 33.3% of them were attended training courses about sports injury. Finding cleared that 36.3% of the studied students aged 14 to < 16 years and 79.2% of them were males. There was statistical significant difference between students' personal characteristics and their total score of knowledge. Conclusion: More than half of school trainers had good knowledge regarding to sports injury safety measures and most of trainers had adequate level of practices; while about half of students had poor knowledge regarding to sports injury safety measures. Recommendation: The study recommend establish continuous educational program for trainers and students to improve their knowledge and practices