No abstract

Granuloma Umbilical from major problem in neonates and young infants. It is reported frequently by mothers as continuous leakage of secretion at umbilicus site following cord separation. Delayed management of granuloma, it remain oozing and causes persistent irritation for long period reach weeks. Several management modalities were performed for umbilical granuloma including; using cook salt, ligation of the granuloma, cauterization chemically with silver nitrate or copper sulphate, electro-cauterization, cryocauterization and excision surgical . Aim of the study: Evaluate mother knowledge and performance regarding using of cook salt for management of infants with granuloma umbilical. Subject and Methods: Research Design: A quasi-experimental research design was used Setting: The study was conducted at outpatient pediatric department of Tanta and Menoufia University Hospital. Tools: Two tools were used: Structure interview schedule was developed by the researcher included three parts: Tool I: Biosocial data of infants and their mother, mothers' knowledge and reported practice was evaluated by using observational check list about cook salt use for umbilical granuloma. Tool II: Guideline reported educational intervention for the mothers Results: Infants with granuloma showed complete resolution after course of cook salt treatment. Conclusion: Using of cook salt for management umbilical granuloma is costeffective, simple curative and safe mode of treatment which can be performed by mothers at home. Recommendation: Using of cook salt as a treatment modality should be more encouraged by the health staff.

The current Corona virus (COVID-19) pandemic has impacted and changed lives on a global scale since its emergence and spread from China in late 2019. It has caused millions of infections and thousands of deaths worldwide. However, the control of this pandemic still remains unachievable in most countries including Egypt, despite the application of some strict preventive and control measures for pandemic. The aim of the study was to assess perceptions and performance of nurses working at pediatric care units towards the COVID-19 crisis. Subjects and method: A conveniences sampling composed of 80 nurses using a quasi-experimental research design. Two tools were used: sociodemographic characteristic of nurses, structured interview, perception and nurses' performance using observational check list. The results revealed that after implementation of the educational program significant improvement in nursing perception and decrease in practice in second wave. Conclusion: nurses have a good knowledge and perceptions and all of the nurses were sure that face mask protect against infection and effectively apply standard infection control measures, while in second wave nurses have good knowledge and they were not strictly apply standard precaution effectively. Recommendation; it was recommended that nurses should continuously provision of infection control, personal protective equipment and the importance periodic of training of all health care workers on proper infection control measures.