Background. The internet addiction has numerous physical and psychological effects on health of the student's faculty.

Background Foot ulceration is an important health issue associated with significant levels of disability, pain and financial expense for those affected. Furthermore, foot ulcers can become life threatening when complicated by infection and might result in amputation when lesions don"t heal. Aim:-. Screen the occurrence of diabetic foot ulceration among people at high risk. Subjects and methods Prospective (cohort) study at Port Said city, 300diabetic patients were screened and followed twice, after three and six months. Three tools were used for data collection. Diabetic patient knowledge schedule, diabetic foot examination checklist, and foot ulcer checklist assessment. The patients were examined for presence of diabetic peripheral neuropathy , autonomic neuropathy ,sensory deficit , peripheral vascular disease , foot deformity , skin and nail problems. Patients were graded using (The international consensus on diabetic foot risk category 1999), according to their risk category. Results:-The following variables were significant risk factors with occurrence of diabetic foot ulcerations: previous foot ulcer, peripheral neuropathy, autonomic neuropathy, presence of other diabetic complications, retinopathy, diabetes duration and mean age group (53.14 ± 9.20). Ulcerations occur in 7.3% of studied sample after three and six months. Assessment of foot perception using monofilament had the best sensitivity. Peripheral neuropathy was observed in (27.3%) ,peripheral vascular disease was diagnosed in (40%) of studied sample , foot deformity (10.3%) .Recommendations .All patients with diabetes should be screened at least annually for evidence of risk factors for foot ulceration including neuropathy and vascular disease. Foot screening programs that identify those feet at risk should to be taught to all health care professionals involved in the care of the diabetic patient. Conclusion:-previous foot ulcer, peripheral neuropathy, autonomic neuropathy, presence of diabetes complications, retinopathy , mean age group (53.14 ± 9.20) and long duration of diabetes were significant risk factors related to occurrence of diabetic foot ulceration

Background Neuropathy is the greatest source of morbidity associated with diabetes, affecting up to 50% of those with long-standing disease, and pain as a symptom of neuropathy may be seen in as many as one third of all patients with diabetes. Aim:-The aim of this study was screen the occurrence of peripheral neuropathy among diabetic patients. Subjects and methods The design used for conduction of this study was prospective (cohort) study). Subjects:-A total 300 adults diabetic patients. Tools of data collection:-Tool I Diabetic patient knowledge scaduale, Tool II Diabetic foot examination checklist. It contained two items. General examination Highet , weight , BMI , heart rate , blood pressure, specific foot examination, diagnosis of diabetic peripheral neuropathy using neuropathy symptoms score (NSS),neuropathy disability score (NDS),Pressure perception using 10gm Semmes Winston monofilament on10 sites in two feet and sensory assessment Results:-. The patients who had ≥ 3in total score of neuropathy symptoms score (NSS) were 23%, (10.3%) had total score ≥6 in neuropathy disability score. Loss of protective sensation was common in (11.0%) of patients. The total patients diagnosed with neuropathy (Abnormal with one of these three parameters) were 27 .3 % of studied sample. Also the study reveals that assessment of foot pressure perception using 10gm monofilament had the best sensitivity. Conclusion based on the findings it was concluded that diabetic peripheral neuropathy was diagnosed in one third of studied sample ,10gm monofilament had the best sensitivity Recommendations .All patients with diabetes should be screened at least annually for presence of diabetic