Background: Restless legs syndrome (RLS), is one of several complications that patients on hemodialysis suffer from, it is a neurological sensory motor disorder, causing sleep disturbances, and other problems, which lead to daily functioning impairment. Progressive muscle relaxation is one of the complementary therapies that have been shown to provide benefits, including relieved restless legs syndrome, reducing patients' stress, pain and anxiety. Aim of the study was to evaluate the effects of progressive muscle relaxation on the severity of restless legs syndrome among patients on maintenance hemodialysis. Research design: A quasi experimental (time series) research design was utilized, included control comparison group. Setting: The research was carried out at the hemodialysis unit, Al -Moassat Alexandria University Hospital. Subjects: A purposive sample of 60 adult patients, diagnosed with end stage renal failure on maintenance hemodialysis, and suffering from restless legs syndrome were selected. They were equally divided into two groups of 30 patients. Tools of data collection: Three tools were used for data collection; Hemodialysis patients Structured Interview Schedule (tool I), International Restless Legs Syndrome Severity Rating Scale (tool II), and Restless Leg Syndrome Assessment Sheet (tool III). Results: The severity of restless legs syndrome significantly decreased in the study group, with a percent reduction of 38.89% at the 6 th session and 61.11% at the12 th session, such decrease was not found among the control group patients. In addition to, there was a percent reduction and improvement of sleep pattern, physical activities, emotional well-being and social activities among the study group patients after completion of 12 th PMR session (46.67 %, 57.78 %, 63.33 % ,55.56 % respectively). Conclusion: Progressive muscle relaxation technique had high statistical significant positive effects on severity of restless legs syndrome, improving sleep pattern, physical activity, emotional wellbeing and social activities. Recommendations: Progressive muscle relaxation must be implemented in the therapeutic routine management to help alleviate the severity of restless legs syndrome symptoms among patients on maintenance hemodialysis.

Background: Epilepsy is the most common serious neurological illness worldwide, affecting all age groups. Epilepsy specialist nurses assume a vital role in providing a comprehensive epilepsy education. This will increase patient's knowledge, adherence to management plan improves their self-efficacy to care for themselves, enhance their quality of life, and possibly reduce patient morbidity and mortality rates. Aim: Evaluate the effect of the structured educational package on self-efficacy and drug adherence among epileptic patients. Research Design: Quasi experimental study was used. Setting: This study conducted at outpatient neuropsychiatry clinic Damnhour National Medical institute, El-Boheria governorate, Egypt. Subjects: A convenient sample of 100 epileptic patients, they were randomly assigned into two equal study and control groups. Tools: Three tools were used, tool I "Patient's Sociodemographic and Clinical Data", tool II: "Epilepsy Self-efficacy Scale" used to assess the different aspects of efficacy in the self-management of epilepsy and tool III: "Medication Adherence Scale" it was used to evaluate a specific adherence behavior. Results: There was statistically significant improvement of level of the self-efficacy and the drug adherence after the first and third-month post implementation of the structured educational package. Additionally, it was found a positive significant correlation between self-efficacy and drug adherence between both studied groups. Conclusion: The structured educational package for epileptic patients had a positive effect on increasing the adherence to medications and improves patient's self-efficacy. Recommendation: Engage the structured educational package in treatment plan of epileptic patients' side by the with the traditional treatment.

BackgroundThe widely prevalent condition of the inner ear's vestibular system, which is essential for preserving balance, is known as Benign Paroxysmal Positional Vertigo (BPPV). Epley's manoeuvre and Brandt-Daroff exercises are the two extremely often used manoeuvres for the management of posterior canal BPPV. These maneuvers primarily serve to move debris from the canal to the utricle and to alleviate discomfort. Objective: To assess the effect of Epley's Maneuver and Brandt-Daroff Exercises on decreasing severity and recurrence of benign paroxysmal positional vertigo. Method: A quasi-experimental research design with a pretest-posttest control group was used. Otolaryngology clinic of Matrouh General Hospital, Egypt was the study setting. Eighty adults were randomized to the experimental group (n = 40) and the control group (n = 40). Results: 80 participants were analyzed; the Epley's maneuver and Brandt-Daroff exercises group showed a significantly greater improvement in on the duration and frequency of BPPV, overall vertigo handicap questionaire in the study group at three weeks (p=0.002 * ,0.014*, 0.000 and 95% ) and at six weeks (p=0.000*, 0.001*, 0.000; and 95% CI 3.692 to1.658, 31.430 to -8.326 and11.946 to 6.504) respectively. Conclusions: Application of Epley's maneuver and Brandt-Daroff exercises is feasible and effective in alleviating duration, frequency, and severity of BPPV and its impact on physical activity, emotional wellbeing and social activities. Recommendations: To lessen the duration, frequency, and severity of BPPV, Epley's technique and Brandt-Daroff exercises must be incorporated into the therapeutic routine care.

Background:Brain Gym is an innovative new approach to learning that was drawn from a comprehensive body of research from developmental specialists focused on the role that physical movements played in improving learning capacities. Aim: the study aimed to evaluate the impact of brain gym training on cognitive performance of undergraduate nursing students'. Hypothesis: Undergraduate nursing students who receive the brain gym training exhibit more improvement of their cognitive performance than those who did not receive it. Design: the study followed a quasiexperimental design. Setting: the study was carried out in El-