Background: Restless legs syndrome (RLS), is one of several complications that patients on hemodialysis suffer from, it is a neurological sensory motor disorder, causing sleep disturbances, and other problems, which lead to daily functioning impairment. Progressive muscle relaxation is one of the complementary therapies that have been shown to provide benefits, including relieved restless legs syndrome, reducing patients' stress, pain and anxiety. Aim of the study was to evaluate the effects of progressive muscle relaxation on the severity of restless legs syndrome among patients on maintenance hemodialysis. Research design: A quasi experimental (time series) research design was utilized, included control comparison group. Setting: The research was carried out at the hemodialysis unit, Al -Moassat Alexandria University Hospital. Subjects: A purposive sample of 60 adult patients, diagnosed with end stage renal failure on maintenance hemodialysis, and suffering from restless legs syndrome were selected. They were equally divided into two groups of 30 patients. Tools of data collection: Three tools were used for data collection; Hemodialysis patients Structured Interview Schedule (tool I), International Restless Legs Syndrome Severity Rating Scale (tool II), and Restless Leg Syndrome Assessment Sheet (tool III). Results: The severity of restless legs syndrome significantly decreased in the study group, with a percent reduction of 38.89% at the 6 th session and 61.11% at the12 th session, such decrease was not found among the control group patients. In addition to, there was a percent reduction and improvement of sleep pattern, physical activities, emotional well-being and social activities among the study group patients after completion of 12 th PMR session (46.67 %, 57.78 %, 63.33 % ,55.56 % respectively). Conclusion: Progressive muscle relaxation technique had high statistical significant positive effects on severity of restless legs syndrome, improving sleep pattern, physical activity, emotional wellbeing and social activities. Recommendations: Progressive muscle relaxation must be implemented in the therapeutic routine management to help alleviate the severity of restless legs syndrome symptoms among patients on maintenance hemodialysis.

Background: cholelithiasis is considered one of the most common digestive tract diseases and constitutes an important health problem in the developed countries. Objective: Assess nurses' knowledge regarding the perioperative care of patients with cholelithiasis undergoing laparoscopic cholecystectomy, assess nurses' practices regarding the perioperative care of patients with cholelithiasis undergoing laparoscopic cholecystectomy, and propose perioperative care guidelines for patients with cholelithiasis undergoing laparoscopic cholecystectomy. Settings: This study was conducted in two settings namely;

Low back pain negatively impacts nurses' quality of life. Educational interventions have minimal side effects compared to other interventions that can decrease nurses' pain intensity and improve their quality of life. Aim of the study: To identify the effects of educational nursing interventions on pain and quality of life among nurses with low back pain. Setting: This study was conducted at medical and surgical units of Alexandria Main University Hospital, Egypt. Subjects: The study subjects comprised a convenience sample of 50 nurses with low back pain. Tools: Three tools were used: Tool (1) Nurses' Knowledge Structured Interview schedule: to assess nurses' educational needs related to Low Back Pain. Tool (II) Nurses' Pain Numeric Rating Scale: to assess nurses' levels of low back pain. Tool (III): The World Health Organization Quality of Life-brief (WHOQOL-BREF) questionnaire. to assess QOL of the participants. Results: The mean age of the studied nurses was 40.94 ± 9.50 years. The majority of them were either overweight or obese with a mean body mass index (28.25 ± 3.54). High statistically significant difference was detected in nurses' LBP levels between pre and post application of the educational nursing interventions, with mean percent reduction in LBP levels post interventions (46.0 ± 21.31). High statistically significant differences were detected between nurses' overall QOL at pre, and post application of the educational nursing interventions, with mean percent improvement score in overall QOL (19.49 ± 13.76). Conclusion: Significant positive effects on pain reduction, and QOL improvement among the studied nurses post interventions were detected. Statistically significant associations between body mass index and both of mean percent reduction of pain levels, and mean percent improvement of QOL post interventions. Recommendations: Other studies to examine other effects of the educational nursing interventions in a longer duration to find out long-term effects, on nurses with LBP, are recommended.

Background: Meniere's disease is a rare disorder of the inner ear that causes dizziness, vertigo and balance problems. Some people have several attacks of Meniere's disease in a short period of time, while other people only have an attack every few months or years. The aim of this study was to assess the quality of life of patients with Meniere's disease.