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Background: Leprosy, is a chronic infectious illness caused by Mycobacterium leprae which, also known as Hansen's disease, which consider a major health problem globally and in Egypt. Aim: The study aimed to enhance self-care program for patients with leprosy grade 2 in Abu Zaabal Leprosy Colony. Study design: To perform this study a quasiexperimental design was used. Subject: A purposive sample composed of 85 patients with age ranged from 25: 60 years and diagnosed as G2Ds. Setting: This study was conducted at Abu Zaabal Leprosy Colony. Tools: It was composed of two-tools. First tool: An interviewing questionnaire to assess socio-demographic characteristics of patients, their knowledge, practices, and health problems. Second tool: An observational checklist: to assess patients' independence level of daily living activities. Results: The findings of this study revealed that 76.5% of the study participants had unsatisfactory knowledge about leprosy before program implementation and improved to 92.9% post program and 84.7% at follow up as well the practices were inadequate before program and enhanced for 94.1% post program and 89.4% at follow up with significant statistical relations between patients' knowledge/practices and their independence level, social, and psychological health problems as well as their age, gender, and educational level, through program implementation phases (P< .0001). Conclusion: The self-care program had improved patients' knowledge and practices related to leprosy, which affected in a positive impact on restoring their health and improving their independence level. Recommendation: The study recommended that, publication, and dissemination of self-care program in all leprosy colony and any health care services to raise awareness about leprosy and its prevention.

Parasitic infestation represents a major cause of morbidity and mortality in school children all over the world. Health habits make children especially vulnerable to parasitic infections. Aim: To evaluate effect of health habits' modification program on health status for school children with parasitic infestation in rural areas Study Design: A quasi-experimental design was used to conduct this study. Setting: This study was conducted at Toukh Comprehensive Clinic affiliated to Health Insurance in Qalubia Governorate Subjects: A purposeful sample of 105 school children was included in this study. Tools: Three tools I. An interviewing questionnaire, for school children was divided into five parts; to assess demographic characteristics for school children and their modified risk factors, knowledge, attitude, and health habits II. Observational checklist to assess school children practices. III. Medical records of school children's health status. Results: Revealed that 59% of school children had poor total health habits pre program implementation, while it was modified to become 61% and 84.8% had good total health habits through post program implementation and follow up respectively compared to 41% in pre program implementation with a highly statistically significant difference (P< .0001). Conclusion: The study concluded that there was statistically significant efficacy of the modification program on improving the health habits for school children and their knowledge, attitude, and practices related to parasitic infestation. As well, the program had evident effect on restoring school children's health status and preventing parasitic complications in addition to enhancing scholastic achievement through program implementation phases (P< .0001). Recommendations: The study recommended that periodical health education about prevention of parasites is necessary to raise school children's awareness about health habits and improve personal and environmental hygienic measures at school time.

Background: Workers in quarries who engage in the excavation, cutting, and crushing of stones or rocks are exposed to various hazards, including noise, falls, dust, and explosions. Aim: The study aimed to propose guidelines for preventive measures toward occupational health hazards for quarries workers. Study design: A descriptive analytical study was utilized to conduct this study. Subject: A purposeful sample consisted of 302 male workers in limestone quarries. Setting: This study was conducted in the quarries of Tourah affiliated to Tourah Portland Cement Company in south of Cairo. Tools: Composed of 3 tools.: I tool: An interviewing questionnaire form. II tool:Observational Check list about compliance of personal protective equipment. III tool: Medical record. Results:59.9% of workers their aged ranged from 25˂ 40 years old, 51.0% work 7 to 8 hours a day, the most common occupational health hazards were dust pollution, noise pollution, and weather hotness, while 83.1% of them complained of wounds, and 70.5% body pain, also 72.8% of them diagnosed with musculoskeletal diseases. 49% chronic bronchitis and 44.4% silicosis while the workers who compliance with personal protective equipment represent only 18.2% of total workers. Conclusion: The study demonstrated the existence of a statistically significant relationship between exposure to occupational hazards and compliance with personal protective equipment and statistically significant relationship between workers' knowledge and practices towards prevention of occupational hazards and the incidence of work injuries among them with p value ˂ 0.001. Recommendation: Activating the proposal guideline for preventive measures toward occupational health hazards to raise awareness of quarry workers.

Background; Neuropathy is a chronic condition among older adults where neuropathic pain has an effect on function and quality of life. Neuropathic pain underlies an estimated 30-65% of the activity seen at hospital pain clinics. In severe cases of chronic pain, the health-related quality of life is ranked as worse than other pain conditions, heart failure, or even cancer. Aim of study: The study is aimed to assess quality of life for older adults with neuropathy. Study design: Descriptive exploratory design was utilized to assess the quality of life for older adults with neuropathy. Setting: The study was conducted at Internal Medicine in El Demerdash hospital affiliated to Ain Shams University Hospitals. Sample: A purposive sample was used to the conducted study and was estimated 218 older adults with neuropathy. Tools: Three tools were used: interviewing questionnaire, medical records and neurological examination scale. Result: There was 38% of older adult had satisfactory knowledge about the neuropathy diseases, 77.5 % of them had poor level of practices, 34.9 % of older adults suffer from poor quality of life and 69.3% of them had not achieved their health needs. 77.1 % of older adults their quality of life was highly affected negatively according to physical health aspects, 40.4% of them affected psychologically, 53.2% of them had highly negative effect by spiritual aspects, and socioeconomically effect on 40.8% of them, also, the older adults suffered from complication of neuropathy as skin ulcer for 61.9%, falling to the ground for 36.7%, addiction to painkillers for 32.1%, insomnia for 23.4%. Conclusion: There were no significant differences between total knowledge and sociodemographic characteristics. There was insignificant relation between total older adults 'knowledge about neuropathy and Quality-of-life. The majority of older adults were poor level of practices. Finally, most of older adult's unachieved health needs. Recommendations: further studies to provide nursing intervention about rising patients' awareness toward prevention of neuropathy and improving QOL.