Background: Myasthenia gravis is the most prevalent medical disorder related to dysfunction of neuromuscular transmission. It mainly causes fluctuating muscle weakness, fatigability and decreasing activities of daily living. Aim of study: Was to evaluate the effect of education program on fatigue and activities of daily living among myasthenia gravis patients. Study design: A quasi-experimental design was used in the study. Setting: This study was conducted at neurological departments of Benha University Hospitals and Mansoura University. Sample: A purposive sampling was used in the current study and the sample size included (60 patients) with myasthenia gravis. Tool of data collection: (I) Patients' interviewing questionnaire, covering patients' demographic characteristics, medical and surgical history, their knowledge about myasthenia gravis. (II) Myasthenia gravis fatigue scale. (III) Activities of Daily Living, (IV) Myasthenia gravis Manual Muscle Test. Results: There was significantly improvement in patients' knowledge about disease, fatigue score, activities of daily living and manual muscle test post and at follow up compared to pre program where p<0.001. Conclusion: The educational program provided for studied myasthenia gravis patient has significantly increased their knowledge about disease and improved fatigue score, activities of daily living and muscle strength. Recommendation: Replication of this study is recommended on several clinical settings for generalizability of the research results to other hospitals.

Background: Subarachnoid Hemorrhage (SAH) , is hemorrhage into the subarachnoid space the space between the arachnoid membrane and pia membrane around the brain symptoms may include a severe headache vomiting, decreased level of consciousness, fever, and seizures. Aim: This study aimed to test the effect of an educational program on nurses` performance regarding care for patients with subarachnoid hemorrhage. Design: A quasiexperimental design was utilized to conduct this study. Setting: This study was conducted in the neurology unit at Benha University hospitals. Subject: A convenience sample (60) nurses working in neurology unit at Benha University hospitals. Tools: two tools were used in this study; structured interview questionnaire sheet, and observational checklist sheet to evaluate nurses' practice regarding care for patients with subarachnoid hemorrhage. Results: 50% of the nurses under the study were aged 20-30 years old, 66.7% of them were female, 66% of the studied nurses had satisfactory level of knowledge preprogram compared 95% of them had satisfactory level of knowledge post program and 91.6% in follow up, 26.6% of them had good level of practice preprogram compared with 73.3% of them had good level of practice post program and descend to 51.6% of them had good level of practice in follow up. Conclusion: There is positive correlation between nurses` information and skills regarding care for patients with subarachnoid hemorrhage post program. Implementation of educational program has a positive effect on improvement of the nurses` knowledge and practice regarding care for patients with subarachnoid hemorrhage post program than preprogram. Recommendation: Continuous evaluation of nurses' knowledge and practice is essential to identify nurses' needs for implementing educational program regarding care for patient with subarachnoid hemorrhage.

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