Background: Premarital examination is one of the health promotion activities that provided in the maternal and child health service programs. This aimed to early detection of any health problem and treatment, Preparation for marriage; providing family life education.The community health nurses play an fundamental role in providing pre marital care services that include assess hereditary risk, provide information, and appropriate helpful counseling.The study aimed to: To assess students' knowledge and attitude toward premarital examination. Subjects and Methods: Descriptive cross sectional research design was used in this study. Multistage random sample was used in this study.The study was conducted in 4 randomly selected secondary schools .The total number of sample was 879 students. Two tools were used in this study the first tool included personal characteristics and student's knowledge , while the second tool lickert scale toward premarital examination. Results: regarding knowledge 66.0% of studied students had poor score of knowledge while 50.4% of them had negative attitude toward premarital examination. Conclusion: A significant gap in student's knowledge regarding premarital examination, while about half of them had positive attitude ,also there is positive Correlation between total score of students knowledge and attitude about premarital examination. Recommendation: Conducting counseling sessions with social workers in schools to convey information to students about premarital examination

Autism is a neurological disorder characterized by qualitative impairments in social interaction, qualitative impairments in communication, and restricted repetitive, stereotyped patterns of behavior, interests, and activities. Autistic Spectrum Disorders (ASDs) are relatively common without known etiology can be found in 80-90% of cases. The study aimed to evaluate the effect of a parent-focused intervention for autistic children on parenting stress at Assiut City. Subjects and methods: The study was Quasi-experimental research design. It was conducted in all autism centers at Assiut city which includes 7 centers and included 73 parents who agreed to participate in this study selected by convenient sample; this sample included 47 mothers and 26 fathers. The study included three tools: - a structured interview sheet, parents’ knowledge assessment about autism, and parenting stress scale. The main results of the study indicated that there was highly statistically significant differences between mothers’ and fathers’ knowledge about autism (P-value = 0.000) in pre, immediate post-test and follow-up. Moreover there was highly statistically significant difference between Parental stress scale for mothers and fathers in pre-test and immediate post-test respectively (P-value= 0.000 *& 0.002*) while no statistically significant difference between pre-test and follow-up respectively (P-value= 0.152 & 0.417). The study Concluded that there was improvement of parents’ knowledge about autism in immediate post-test and follow up; moreover the parents’ stress level was decreased in immediate post-test than pre-test while the stress level again slightly increase during follow up test. The study recommended that: Nursing staff should play a much greater role in supporting parents and providing them with important information through pediatrics clinics, Maternal and Child Health Centers (MCH), and others

Background and aim: Knee osteoarthritis considered as a foremost cause of disability globally, with a substantial societal impact and an increasing financial burden on healthcare systems. School teachers estimated as one of the professions with a high frequency of occupational musculoskeletal illnesses. The study aimed to assess knowledge and associated risk factors of knee osteoarthritis among school teachers. Subjects and Method: Descriptive cross-sectional design. Setting: Nine schools representing 10% of the total Assiut City schools which selected randomly. Sample: Total of 749 teachers. Study tools: Two tools were used; Tool (I): Five parts; personal data, chronic diseases, data of knee pain, risk factors of knee osteoarthritis and school teachers knowledge. Tool (II): Knee Injury and Osteoarthritis Outcome Score scale. Results: It found that 42.6% aged 40 -< 50, 56.9% female and 80.2% were overweight and obese, 51.3% of teachers suffering from knee pain and 70.2% had poor knowledge which affected by age, educational level, residence and years of experience. As well as, pain and symptoms subscales of Knee Injury and Osteoarthritis Outcome were significantly linked with age, sex and body mass index. Conclusion and recommendations: There were deficient of knowledge about knee osteoarthritis. Furthermore, the most significant risk factors were age, female sex, urban residence, body mass index more than or equal 25 (kg/m2 ), married status, presence of chronic diseases, education and family history. It was recommended that health education program about knee osteoarthritis should be provided for school teachers.

Background Occupational hazards are the major source of morbidity and mortality among the factory workers owing to exposure to many hazardous situations in their daily practices. Aim This study aimed to identify the relation between the occupational hazards and quality of life (QOL) among fertilizer factory workers in Assiut City. Participants and methods A descriptive study design was used. The study was conducted in a fertilizer factory. This factory was located in the west of Assiut (Manqbad Center). The sample size was 362 workers selected by convenient sampling. The study includes two tools: tool I had interview questionnaires and included three parts − part 1 included personal data, part 2 had past and present medical history, and part 3 had questions to assess occupational hazards − whereas tool II comprised QOL questionnaire. Results The study revealed that more than half of workers did not know the problems of noise, whereas more than half of them knew accident exposure is one of the problems of inadequate lighting, and most workers mentioned that bad ventilation caused respiratory problems. Most workers noticed that the accidents or injuries and respiratory problems are considered the problems occurring owing mechanical and chemical hazards exposure, respectively. Moreover, more than half of the workers had moderate level of QOL. Conclusion The study concluded that there was statistically significant difference between QOL and workers’ complaints (skin problems and allergy symptoms, poisoning, headache, nausea and vomiting, fainting, osteoporosis, and anemia). Moreover, there was statistically significant difference between QOL of workers and physical (noisy and ventilation), mechanical, and chemical hazards. The study recommends that regular medical checkups for workers and more research studies regarding occupational hazards must be done

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