Today, lumbar herniation discs, are a prevalent problem with a sign of lumbar and foot pain in society. Previous studies show that patient education and follow-ups are important, therefore, this study aimed to evaluate the effect of applying an educational program for Patients Undergoing Lumbar Discectomy on Knowledge and Self-Care Activities.

Background: The higher the energy level, the more efficient body. The more efficient body, the better feel and the more will use talent to produce outstanding results. Breathing exercise is one of the yogic techniques that can produce different physiological responses in healthy individuals. Aim: determine the effect of the application of an alternate nostril breathing exercise on fatigue and sleep quality pattern among nursing students enrolled in the Faculty of Nursing, Alexandria University, Egypt. Design: A quasi-experimental design was used to conduct this study. Subjects: A simple random sample of 100 volunteers of first-year nursing students enrolled in the winter semester of 2019 (males and females). Tools: Two tools were used to collect the necessary data for the present study. The tool I: Alternate nostril breathing assessment and tool II: Iowa Fatigue Scale. Results: indicated that regular practice of alternate nostril breathing increases parasympathetic activity. Participants experienced decrease levels of fatigue and improving the quality of sleep pattern. The majority of participants agreed that work drains their energy every day, that they never have enough time between classes to recover their energy, and that they dread waking up to another day of work. Conclusion: Implementation of alternate nostril breathing exercises helped in decreasing nursing students' fatigue levels before, during, and after their practice. Also, it improved the quality of sleep patterns. Recommendations: Apply the proposed protocol of alternate nostril breathing techniques. The developed colored illustrated booklet regarding the alternate nostril breathing has to be distributed to the newly enrolled nursing students each year. As well as fatigue in nursing students needs further study including the application of the alternate nostril breathing exercises that address chronic and acute fatigue and promote recovery.

Vitiligo has more than a 3000year history, it affected quality of life and led to greater stigmatization of affected patients. Nowadays, in a more holistic view of management a decisive factor to understand the impact of diseases and improve the quality of nursing care. Researchers must be aware of how some diseases affect different aspects of patients' lives and how successful management may improve patients' quality of life Aim: Assess quality of life of patient with vitiligo Material & Methods: Design A descriptive design was used. Setting: Mina Elbasel dermatology hospital. Alexandria, Egypt. Subjects: A convenience sample of 100 patients Tools for data collection: Two tools were used for data collections Tool1: of patient with vitiligo assessment questionnaire, to determine sociodemographic characteristic, and clinical data, Tool 2: vitiligo life quality interview questionnaire to assess the quality of life in patient with vitiligo. Results: Majority of the studied patient sometimes had difficulty with sun exposure, had challenges at their school or work, felt uncomfortable when asked questions about their disease, felt embarrassment from vitiligo, issues with their partner, avoided physical contact with others or shared them, and they had family issues, felt isolated and had problems in their sexual relations. Also, there were a statistically significant correlation between quality of life for patients under study and their vitiligo in relation to their sex, occupation, level of education and marital status, disease duration and their family history.Conclusions: Quality of life should be considered as one of the important outcome measures of management in patients with vitiligo. Recommendations: Nurses should develop strategies to provide an effective educational program for patients with vitiligo 'to enhance their quality of life

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