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Background: Myasthenia gravis is the most prevalent medical disorder related to dysfunction of neuromuscular transmission. It mainly causes fluctuating muscle weakness, fatigability and decreasing activities of daily living. Aim of study: Was to evaluate the effect of education program on fatigue and activities of daily living among myasthenia gravis patients. Study design: A quasi-experimental design was used in the study. Setting: This study was conducted at neurological departments of Benha University Hospitals and Mansoura University. Sample: A purposive sampling was used in the current study and the sample size included (60 patients) with myasthenia gravis. Tool of data collection: (I) Patients' interviewing questionnaire, covering patients' demographic characteristics, medical and surgical history, their knowledge about myasthenia gravis. (II) Myasthenia gravis fatigue scale. (III) Activities of Daily Living, (IV) Myasthenia gravis Manual Muscle Test. Results: There was significantly improvement in patients' knowledge about disease, fatigue score, activities of daily living and manual muscle test post and at follow up compared to pre program where p<0.001. Conclusion: The educational program provided for studied myasthenia gravis patient has significantly increased their knowledge about disease and improved fatigue score, activities of daily living and muscle strength. Recommendation: Replication of this study is recommended on several clinical settings for generalizability of the research results to other hospitals.

Background: Today, at one time or another, everybody's career reaches a point where further hierarchical development is limited. Head nurses have to face the fact that they have to remain longer than expected in the same place and become plateaued with various negative work outcomes such as career dissatisfaction, job dissatisfaction, and turnover. So, the study aim to determine the effect of career plateau on head nurses career and job satisfaction and turnover intentions at Main Mansura University Hospital .Subjects and Methods: A descriptive design was used in this study and the convenient sample was used that conducted on 98 head nurses working at Main Mansoura University Hospital by using two tools as: Career Plateau Questionnaire to assess career plateau .Career Satisfaction, Job Satisfaction and Turnover Intention Questionnaire to assess Career Satisfaction, Job Satisfaction and Turnover Intention . Results: There was no significant correlation between career plateau and career, job satisfaction and turnover intention among head nurses (n=98). The mean score of total career plateau was highest (41.18±3.65), and the mean score of total career satisfaction (13.60±4.39) and job satisfaction (56.64±12.16) was lowest, but the mean score of total turnover intention (9.41±2.63) was highest. Recommendation: Create a real plan to improve the careers of the head nurses to reduce the career plateau. Identify and manage the factors that create positive attitudes towards increasing head nurse effectiveness, collaborative management and recruitment.