Worldwide breast cancer is a leading cause of mortality among women. It is well documented that early detection of breast cancer is accompanied with a better prognosis as regards treatment and survival time. Unfortunately. the early diagnostic procedures . are limited. in developing countries due to many barriers such as poverty, educational and cultural obstacles. This study was conducted to assess knowledge attitude and practices of 126 young female employees « 45 years) about breast self-examination (BSE) in Assiut. An educational training program concerned with BSE was applied after testing their knowledge about BSE and breast cancel Reevaluation of their knowledge and attitude was done Immediately after the program (posttest I) and for another time after one month (posttest II). The results showed that knowledge, attitude and practice of BSE improved markedly after the program (p 0.00 1). There is a very highly significant marked improvement in BSE knowledge and attitude from pretest to post test 1 and II Forgetting may lower the percentages of the responses in the posttest II but still the differences between pre and posttest II is very highly significant (p 0.00 1). A health BSE education program to increase awareness of women and to increase the nurse competence in BSE will be helpful for early detection of breast cancer

Worldwide breast cancer is a leading cause of mortality among women. It is well documented that early detection of breast cancer is accompanied with a better prognosis as regards treatment and survival time. Unfortunately. the early diagnostic procedures . are limited. in developing countries due to many barriers such as poverty, educational and cultural obstacles. This study was conducted to assess knowledge attitude and practices of 126 young female employees « 45 years) about breast self-examination (BSE) in Assiut. An educational training program concerned with BSE was applied after testing their knowledge about BSE and breast cancel Reevaluation of their knowledge and attitude was done Immediately after the program (posttest I) and for another time after one month (posttest II). The results showed that knowledge, attitude and practice of BSE improved markedly after the program (p 0.00 1). There is a very highly significant marked improvement in BSE knowledge and attitude from pretest to post test 1 and II Forgetting may lower the percentages of the responses in the posttest II but still the differences between pre and posttest II is very highly significant (p 0.00 1). A health BSE education program to increase awareness of women and to increase the nurse competence in BSE will be helpful for early detection of breast cancer

Worldwide breast cancer is a leading cause of mortality among women. It is well documented that early detection of breast cancer is accompanied with a better prognosis as regards treatment and survival time. Unfortunately. the early diagnostic procedures . are limited. in developing countries due to many barriers such as poverty, educational and cultural obstacles. This study was conducted to assess knowledge attitude and practices of 126 young female employees « 45 years) about breast self-examination (BSE) in Assiut. An educational training program concerned with BSE was applied after testing their knowledge about BSE and breast cancel Reevaluation of their knowledge and attitude was done Immediately after the program (posttest I) and for another time after one month (posttest II). The results showed that knowledge, attitude and practice of BSE improved markedly after the program (p 0.00 1). There is a very highly significant marked improvement in BSE knowledge and attitude from pretest to post test 1 and II Forgetting may lower the percentages of the responses in the posttest II but still the differences between pre and posttest II is very highly significant (p 0.00 1). A health BSE education program to increase awareness of women and to increase the nurse competence in BSE will be helpful for early detection of breast cancer

Urinary diversion operations (urostomy) patients reqUlre a great deal of emotional and physical adjustment. They usually face many problems such as loss of body function and relationship with others, and change in lifestyle. They need to adapt to the external appliance, stoma alteration in toileting habits, skin irritation problems, infection, and odor problems. Self-care for these patients is considered the most important factor that can minimize the complaints and complications. The aim of this study was to evaluate the impact of nursing intervention among urostomy patients regarding practicing self-care. The sample comprised 100 urostomy patients, divided into two groups: 50 study, and 50 control. For both groups, patients' knowledge about urostomy and related self-care performance were assessed before intervention, immediately after, and after six-months follow-up at outpatient clinic. Data were analyzed using Epi-info 6.04 computer software package. Findings revealed statistically significant improvements in knowledge and performance among patients in the study group, compared to the control group. The study group became more knowledgeable about the definition, function, anatomy, and physiology of urostomy, and in self-care performance. The rates of complaints and complications were found to be lower in the study group than in the control one. The study suggests that urostomy patients should receive their self-care training regarding urostomy during hospitalization. Follow-up at outpatient clinic is highly recommended as well.

Urinary diversion operations (urostomy) patients reqUlre a great deal of emotional and physical adjustment. They usually face many problems such as loss of body function and relationship with others, and change in lifestyle. They need to adapt to the external appliance, stoma alteration in toileting habits, skin irritation problems, infection, and odor problems. Self-care for these patients is considered the most important factor that can minimize the complaints and complications. The aim of this study was to evaluate the impact of nursing intervention among urostomy patients regarding practicing self-care. The sample comprised 100 urostomy patients, divided into two groups: 50 study, and 50 control. For both groups, patients' knowledge about urostomy and related self-care performance were assessed before intervention, immediately after, and after six-months follow-up at outpatient clinic. Data were analyzed using Epi-info 6.04 computer software package. Findings revealed statistically significant improvements in knowledge and performance among patients in the study group, compared to the control group. The study group became more knowledgeable about the definition, function, anatomy, and physiology of urostomy, and in self-care performance. The rates of complaints and complications were found to be lower in the study group than in the control one. The study suggests that urostomy patients should receive their self-care training regarding urostomy during hospitalization. Follow-up at outpatient clinic is highly recommended as well.

Health team members continue to be at elevated risk of occupational exposure to a number of blood-borne and air-borne infectious diseases, compared to the general population. Universal precautions are protective behaviors designed to prevent the spread of blood-borne disease. The aim of this study was to measure health team compliance with universal precautions in _ the burn department in Assiut University Hospital, and to identify the barriers that might underlie any noncompliance. Across-sectional analytic research design was utilized in this study the tools were utilized for data collection, interview questionnaire form and observation check list. The sample of this study consisted' of all health team members working in the burn department (dressing and hydrotherapy room) at Assiut University Hospital. They were 18 physicians, 46 nurses, and 1-6 housekeepers. More than half of the nurses and physicians, 52.2%, and 66.7% respectively, were in the age group 20 to less than 30 years, while the majority of housekeepers were 4(} years old or more (75.0%). Almost all nurses (95.7%) had a diploma degree, and only two (40.3%) had a bachelor degree in nursing and the remaining had a master degree. The majority (88.9%) had less than jive years of experience. Most Housekeepers (87.5%) had ten or more years of experience. Health team members in the buns department had deficient knowledge and poor compliance to Universal precaution, especially the Housekeepers. this study concluded and recommended that conduct specialized in-service training programs in universal precautions. These should be in the form of interactive programs compatible with adult learning principles, and in which health team members practice role-play to demonstrate how they could protect themselves from hazardous occupational exposure. Also, supplies should be provided insufficient quantities, but taking into consideration of the limited resources of the country. Further studies are suggested to investigate the psychosocial and organizational factors that correlate with deficient practices, and to assess the relationship between wOl"k organization factors and workplace injuries and occupational illness.

Ulcerative colitis (UC) refers to a disease in which the lining of the colon becomes inflamed. In patients . with ulcerative colitis, the immune system inappropriately targets the lining of the colon. Most cases (Ire treated at home, which points to the importance of self-care in its management. This study aim was to determine the effect of an educational program on ulcerative colitis patients' knowledge and self-care practices. To conduct tit is study a sample of sixty in patients with ulcerative colitis was selected from the tropical medicine department in Assiut university hospital. They were divided into two equal study and the control groups. The study group received an educational program. Data were collected using a patient assessment interview sheet. Pre-post comparisons of patients' knowledge and practice showed statistically significant improvements in the study group but not in the control groups, p

Ulcerative colitis (UC) refers to a disease in which the lining of the colon becomes inflamed. In patients . with ulcerative colitis, the immune system inappropriately targets the lining of the colon. Most cases (Ire treated at home, which points to the importance of self-care in its management. This study aim was to determine the effect of an educational program on ulcerative colitis patients' knowledge and self-care practices. To conduct tit is study a sample of sixty in patients with ulcerative colitis was selected from the tropical medicine department in Assiut university hospital. They were divided into two equal study and the control groups. The study group received an educational program. Data were collected using a patient assessment interview sheet. Pre-post comparisons of patients' knowledge and practice showed statistically significant improvements in the study group but not in the control groups, p

Ulcerative colitis (UC) refers to a disease in which the lining of the colon becomes inflamed. In patients . with ulcerative colitis, the immune system inappropriately targets the lining of the colon. Most cases (Ire treated at home, which points to the importance of self-care in its management. This study aim was to determine the effect of an educational program on ulcerative colitis patients' knowledge and self-care practices. To conduct tit is study a sample of sixty in patients with ulcerative colitis was selected from the tropical medicine department in Assiut university hospital. They were divided into two equal study and the control groups. The study group received an educational program. Data were collected using a patient assessment interview sheet. Pre-post comparisons of patients' knowledge and practice showed statistically significant improvements in the study group but not in the control groups, p

Nutritional support for trauma and critically ill patients has been advocated to promote immune system recovery and to prevent as much tissue break down and nutritional deficit. The present study aiming to assessment of the parenteral nutrition on the immune system of patient with multiple trauma. Compare the effect of early parenteral nutritional and conventional hospital diet 0" the nutrition and ·immunology markers in trauma patients. A convenient sample of 40 severely traumatized patients within 8 hours after trauma they were enrolled sequentially into conventional (n = 20) and total parenteral nutrition (n= 20) groups (TPN). Criteria for subject inclusion were, age 18· 45 years, Injury severity score (ISS) 20-40 score. Tools of data collection, four tools were utilized to collect data pertinent to the study. These tools were, nutritional assessment sheet, trauma scales and (APACHE) score (checklist), parenteral nutrition plans, evaluation tool which includes (Anthropometric measurement, Laboratory studies Immunological parameters). Total parenteral nutritional has positive impact for trauma patients on anthropometric measurement, (weight loss, TSF and MAC) which was observed at the end of therapy (7th day) for the conventional group while there were no changes for the same parameters in TPN group. As regard, laboratory tests, there were significantly increase in the values of total serum protein and albumin among patients of the TPN group after the end of therapy at (7th day) .As regard immune function, it was found that the mean values of (IL-lO, lL-6 , CD8) were significantly dropped in the TPN group after the end 0'£ therapy as compared to the admission. Also there were significantly increase in the values of complement C3, lOA, CD4, and CD4/CD8 ratio among patient of the TPN group at (7th day). Establishment and implement of standardized protocol of parenteral nutrition support using nutritional screening and physical assessment forms, for the critically ill patients.