Synergy model gives nurses a common language for a definition and relation between patients and nurse's needs, so patient with acute coronary syndrome need immediate nurses knowledge in coronary care unit. Aim: the aim of this study is to investigate the impact of Synergy model application on patients with Acute Coronary Syndrome outcomes. Design: a quasi-experimental research design is used in this study. Setting: This study was carried out in the coronary care unit at Sohage University Hospital. Subjects: Sixty critically ill adult patients who are admitted to the previously mentioned setting, and 12 (twelve) number of nurses in coronary care unit. Tool: Synergy model tool which include two parts, Part I: Patients' characteristics, (Stability, Resiliency and Resource availability) Part two: Nurse-Competence (Advocacy moral agency, Caring practice and Clinical judgment). Results: Findings of the current study revealed statistical significance deference in both patient's needs and nurse's knowledge according to Synergy model for level I, level 3, level 5 which determine quality of nurses and the behavior toward the patient. In this study there are highly statistical significance different according to patients needs and nurses knowledge With (P=0.000*), (0.004)*. Conclusion: The synergy model outlines that when patients' characteristics and nurses competencies synergize, optimal patient outcomes are achieved. As the patient is primary focus, optimal outcomes are defined as what patients themselves acknowledged as important.

Background: Altered platelet morphology and function have been reported in patients with diabetes mellitus. They are likely to be associated with the pathological processes and increased risk of vascular disease seen in these patients. We aimed to determine the mean platelet volume (MPV) in diabetics compared to nonediabetics, to see if there is a difference in MPV between diabetics with and without macro and microvascular complications, and to determine the correlation between MPVand fasting blood glucose, glycosylated hemoglobin (HbA1c), patient age, and duration of diabetes, respectively. Methods: We measured MPV in 100 consecutive Type 2 diabetic patients and 50 non diabetic control subjects without known coronary artery disease who had complete blood count, FBG, HbA1c, serum creatinine and ALB/Creat ratio. Statistical evaluation was performed by SPSS for Windows statistics programme using multivariate logistical regression analysis. Results: MPV was significantly higher in diabetics compared to age-and sex-matched nonediabetic healthy controls, significantly higher with complicated DM compared to none complicated DM, and significantly higher with poor glycemic control compared to good glycemic control. Conclusions: Our results show significantly higher MPV in diabetic patients than in the nonediabetic controls. This suggests that platelets may play a role in the micro and macrovascular complications of diabetic patients.PDF created with pdfFactory Pro trial version www.pdffactory.com SOHAG MEDICAL JOURNAL Study of Mean platelet volume in type 2 diabetes mellitusVol. 21 No.

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Background: Acute pulmonary embolism (PE) is a common and potentially lethal form of venous thromboembolism (VTE) which is commonly encountered in clinical practice. Most patients die of this fatal condition usually within the first 1 h of the event with mortality rate reaching nearly 10% during this period .(1)

Background: Systemic Lupus Erythematosus is asystemic disease characterized by multiple system affection,each system affected has apathognomonic features for lupus affection,renal involvement have variable patterns in SLE and tretment vary accordingly. Objective: The objective of this study is to study pattern of renal involvement in Systemic Lupus Erythematosus patients in Sohag University Hospitals. Materials &Methods:This study was performed on 100 patients with SLE who fulfiled the clinical and laboratory criteria of (Modified american colleague of rheumatology for SLE diagnosis-1997) admitted to Sohag University Hospital and those of outpatients clinic were studied by means of a retrospective review of their records, Patients were analyzed according to their clinical symptoms and laboratory profile which included complete blood counts, serum creatinine and electrolytes, ESR, total proteins, 24 hour urinary proteins, creatinine clearance, anti nuclear factor and anti-DNA. Results of renal biopsy which were performed by light microscopy study were revised. Results: The study revealed that class(2) were 46 patients (46%) all of them were females.Class (3) were 36 patients (36%), 33 of them were females, 3 patients were males.Class (4) were 14 patients (14%) all of them were females .Class (5) were 4 patients (4%) all of them were females. According to proteinuria between classes of renal biopsy , 24 h urinary protein was > .5 g in all patients of class 5 (100%) .Class (3) and class (4) the same range (about 92%), class 2 about (84%). Conclusion: Our study in Sohag University Hospitals was in 100 patients revealed that roughly number of rural patients equal to urban patients , also revealed that the most common renal biopsy class is the class (2) in our locality and that the most common symptoms associated with renal involvement is arthritis followed by oral ulceration. Anaemia affect most of our patients in Sohag and thrombocytopenia very common between them , our study show that proteinuria increased markedly by increasing grades of renal biopsy with low response to treatment, this may explained by non compliance of our patients to treatment .