Sexual dysfunction is a common problem in women. It extremely affects reproductive health and quality of life. This study aimed to examine the effectiveness of permission, limited information, specific suggestions, and intensive therapy (PLISSIT) based sexual counseling model on sexual dysfunction among diabetic pregnant women. Methods: A quasi-experimental design was utilized at Antenatal Clinic, Mansoura University Hospital, Egypt. A nonprobability purposive sample of 68 pregnant women with diabetes was allocated to either the control group (received routine antenatal care) or intervention group (received PLISSIT based sexual counseling). Data were collected using a structured interview schedule, Pregnancy Sexual Response Inventory (PSRI), and Sexual Quality of Life-Female (SQOL-F). Results: There was no statistical significant difference the total mean scores of PSRI and SQOL-F at baseline assessment between control and PLLIST groups. However, there were highly significant differences in the PSRI (P < 0.0001) and SQOL-F (P < 0.001) scores after implementation of PLISSIT based sexual counseling model among the studied groups. Moreover, the total PSRI score showed direct significant correlation with the total SQOL score before (p = 0.028) and after (p < 0.001) application of PLISST. Conclusion: The PLISSIT-based sexual counseling model has a positive effect on sexual function of pregnant women with diabetes. It improves the quality of their sexual life. Recommendations: The study recommended that, the PLISSIT model of sexual therapy should be integrated into routine antenatal care for pregnant women with diabetes.

Background: Care of patients with burn includes resuscitating fluid and electrolyte in order to reach the balanced level which consider the key components to achieve the optimal outcomes of patient care. Maintaining safety of patients with burn is one aspect of nursing care that involve the accuracy of fluid and electrolyte resuscitation, particularly among patients who needing intensive care. In critical care and departmental settings, nurses respond to the needs of patients with burn utilizing the evidence-based nursing practice. As a result, the nurse needs to be aware of and react accurately to fluid and electrolyte resuscitation among that group of patients. Aim: the aim of the study, was to evaluate the effect of implementing fluid and electrolyte resuscitation educational package on nurses' performance and outcomes of patients with burn. Design: a quasi-experimental research design (pre-and posttest design) was utilize in the current study. Setting: The study was carried out at Mansoura University Hospitals' Plastic and Reconstructive Burn Center. Subjects: A convenience sample of 45 nurses who are working in burn department and ICUs in the previously mention setting, A convenient sampling of 45 Patients that had been admitted to the burn departments and ICUs were included in the study subject. Results: according to the current study finding complications of fluid and electrolyte imbalance reduced post educational package implementation compared to the baseline data with significance p-value (0=006). As well, the nurses knowledge scoring level and the observed practices scores were improved than they had been before, with highly statistically significant differences. Conclusion: The implementation of fluid and electrolyte resuscitation educational package had positive effect on improving nurses' performance with satisfactory outcomes among patients with burn. Recommendation: Educational package should be applied for all nurses to optimize their performance on fluid and electrolyte resuscitation among patients with burn.

Background: Thyroid disease and sexual dysfunction are common conditions that can have a harmful effect on Sexual function and depression among reproductive age women. Recent reports have documented an increased prevalence of sexual dysfunction among patients with thyroid disorders. Aim of Study: Assessing sexual function and depression among reproductive age women with hyperthyroidism. Methods: A total of 44 women with clinical hyperthyroidism and 44 age-matched healthy women controls were included in the study. Design: A comparative descriptive design was utilized. Setting: The study was conducted at surgical wards and outpatient clinic at Mansoura university hospital and Alazhar university hospital New Damietta. Tools: Three data collection tools were used: Tool 1, socio-demographic questionnaires, Tool II A Female Sexual Function Index (FSFI) questionnaire for sexual status ,Tool III, the Beck Depression Inventory (BDI) for psychiatric assessment. Results: The mean total FSFI scores were (23.54±10.76) in the hyperthyroidic group and (31.16 ± 11.65) in the control group (P < 0.000). Desire (P < 0.030), arousal (P < 0.000), lubrication (P < 0.002), orgasm (P < 0.000), satisfaction (P < 0.001), and pain (P < 0.006) domain scores were also significantly lower in women with hyperthyroidism. The mean scores of BDI for hyperthyroidic patients was significantly greater than the score for the control group (P <0.000).Conclusion: The hyperthyroidic women had sexual dysfunction and depressive symptoms compared to age matched women in the control group. There were a strong association between clinical hyperthyroidism and female sexual dysfunction. Increases depressive symptoms also were associated with hyperthyroidism and female sexual dysfunction. Recommendation: Availability of a simple and guided instruction booklet for all women with hyperthyroidism to provide all the necessary information, in particular for sexual dysfunction and depression.

Background: COVID -19 pandemic affected the global population, and infection is a high risk among nurses in surgical units. Because is particularly prevalent in healthcare settings, nurses' educational institutions must take steps to safeguard themselves and others during the outbreak by preventing COVID -19 and caring for infected COVID -19 patients. This study aimed to evaluate the effect of instructional guidelines regarding covid-19 on nurses' knowledge and practices in the surgical unit. Design: A quasi-experimental design was used.

Women who have had a mastectomy for breast cancer deal with two significant issues: the fact that they have cancer and the loss of their physical attractiveness. Following a mastectomy, an appropriate breast prosthesis can help to improve body image and quality of life while also reducing emotional stress. Aim: To evaluate the effect of instructional guidelines on knowledge, practices, and self-esteem regarding external breast prosthesis (EBP) among post-mastectomy women. Subjects and method: Design: A quasi-experimental research design was utilized to attain the study's goal. Setting: the study was conducted in Fayoum Oncology Center's Inpatient and Outpatient clinics Fayoum Governate/ Egypt. Subjects: A total of 100 post-mastectomy women were selected from previous settings based on convenient sampling. Four tools were used: Tool (I) women' structured interviewing questionnaire, it included two parts: (a) demographic characteristics of post-mastectomy women; (b) post-mastectomy women ' medical data, Tool (II) post-mastectomy women ' knowledge regarding external breast prosthesis, Tool (III) post-mastectomy women ' practice regarding external breast prosthesis (pre/post), and Tool (IV) self-esteem scale (pre/post). Results: The study's findings demonstrated that there was a statistically significant improvement in post-intervention knowledge, practice, and self-esteem than pre-intervention among postmastectomy women. Conclusion: The results of the study concluded that the instructional guidelines were effective in improving knowledge, practice, and self-esteem regarding external breast prosthesis among post-mastectomy women. Recommendations: It recommended raising awareness of the post-mastectomy women about external breast prosthesis during follow-up by incorporating this information in their care and follow-up.