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Background: Chronic obstructive pulmonary disease (COPD) is a progressive respiratory illness that is a leading cause of morbidity and mortality globally. It has a considerable impact on the patient's capacity to work and quality of life. Dyspnea is one of the most common health issues among those suffering from chronic obstructive pulmonary disease. The study aimed to compare the effect of acupressure versus pursed-lip breathing intervention on dyspnea and pulmonary function among chronic obstructive pulmonary disease patients. Design: This study was carried out using a quasi-experimental design. Sample: A purposive sample of 100 adult patients was selected and divided into two groups, one for acupressure (n=50) and the other for pursed-lip breathing (n=50). Setting: The study was conducted in the Inpatient chest Unit at Beni-Suef University Hospital. Tools of data collection included (1) Patient's demographic questionnaire, (2) Measurement of pulmonary function tests sheet, (3) Measurement of the sensation of breathlessness (dyspnea) by Dyspnea index, (4) The 3-min step test, and (5) Assessment of health status in chronic obstructive pulmonary disease patient questionnaire. Results: It was discovered that, as compared to pre-intervention, there was a significant improvement and increase in forced vital capacity FVC, forced expiratory volume in one second FEV 1, and FEV1 /FVC. More than the acupressure group, the dyspnea index decreased after pursed-lip breathing. The CAT score questionnaire improved both before and after the intervention. Pre and post 3min step test post-intervention, the dyspnea index was much lower. Conclusion: Pursued-lip breathing was found to be beneficial in alleviating dyspnea in COPD patients, but acupressure had just a little effect. The COPD Assessment Test Questionnaire (CAT) score questionnaire, as well as the Dyspnea index in COPD patients, improved. Recommendation: Applying pursed-lip breathing intervention is recommended to control dyspnea and improve ventilatory functions among COPD patients.

Background: A mind map is an educational strategy for breaking down a large amount of information into manageable chunks. The trainer then connects these minor sub notions till the knowledge is fully absorbed. This method can be used in nursing school to help students absorb a huge amount of knowledge. The aim was to evaluate the effect of mind map using on improving nurses' performance regarding infection control at surgical departments. Subjects and method: Design: A quasi-experimental research design was utilized to fulfill the aim of this study. Setting: the study was conducted in Medical-Surgical departments, South Vally University Hospitals. Subjects: A convenient sample technique of a total of 50 nursing staff in the Medical-Surgical department was recruited in the study. There were divided into subgroups about 6 to 7 nurses have attended that used mind mapping as a study tool. Three tools were used for data collection: Tool (1): A structured interview questionnaire which consisted of two parts; part (I) nurses' demographic characteristics; part (II) nurses' opinion regarding the use of the mind map in training. Tool (2): Nurses' knowledge about infection control (pre/post), Tool (3): Observational checklist (pre/post). Results:The study result revealed that there was a highly statistically significant difference and improvement between the pretest and posttest regarding nurses' knowledge and practice. There was a highly statistically significant difference between total knowledge regarding mind mapping & the performance of the nurses. Conclusion: The present study concluded that the mind map strategy used had a positive effect on improving nurses' knowledge & practice in medical-surgical departments. Recommendations: The study recommended that the mind map strategy should be integrated as an effective method of nurses' training.

Bed rest is recommended after cardiac catheterization, this frequently results in back pain, urinary retention, and hemodynamic instability. Aim of the Study: to evaluate the effect of gradual sitting position on recovery parameters and satisfaction of patients' post trans-femoral catheterization. Subjects and method: Quasi experimental pretest-posttest research design. Setting: It was conducted at cardiac catheterization department at El-Mahalla Cardiac Center. A purposive sample of 60 patients, divided equally into study group (received gradual change position from flat to sitting) and control group (who received routine hospital care i.e. flat position for 6 hours). Tool: "patient's assessment sheet" consisted of 4 parts, "Demographic data"; "Clinical data"; "Patient recovery parameters", and "patient satisfaction scale". Results: There was reduction in back pain severity for study group with statistically significant difference p value at ( MC p <0.001 * ) after 4 th and 6 th hours, absent of vascular complications (hematoma and bleeding) for all patients (100%) in both groups and reduced urinary retention in the study group with highly statistically significant difference p value at ( MC p <0.001 * ). The mean level of satisfaction was highly significant p value at (<0.001*) after four and six hours. Conclusion: the gradual change position from flat to sitting position had statistically significant positive effect on recovery parameters including reducing back pain and urinary retention without changes in vital signs, neurovascular status and vascular complications incidence in the study group. Recommendation: Enroll changing of patients position in post cardiac catheterization care.