Background: Neonatal jaundice is one of the most common problems in neonatal period and the main causes for admissions at neonatal intensive care units and effects on neonates during the first two weeks of life. Aim of this study was to determine the effect of field massage on bilirubin level and stool passage frequency among neonates with hyperbilirubinemia under phototherapy. Research design: quasi-experimental research design was utilized in this study. Setting: Neonatal Intensive Care Unit in Assiut University Children Hospital. Subjects: purposive sampling included 60 neonates with hyperbilirubinemia divided randomly into study and control groups. Tool: Neonatal Assessment sheet included age, gender, birth weight, onset of hyperbilirubinemia, daily total serum bilirubin level, hospital stay and stool frequency. Results indicated that five days of field massage has exceeded number of defecation in the study group and high statistical significant reduction in the level of serum bilirubin in the study group than control group (p<0.001). Conclusion: Field massage with phototherapy in neonates with hyperbilirubinemia was effective in increasing number of stool frequency and reducing total serum bilirubin level. Recommendations: Educational training program should be provided for nurses about field massage as non-pharmacological intervention to reduce serum bilirubin level and increase stool passage frequency.

Background:Choking is an important public health problem for young children. Choking hazards are primarily associated with food, coins, and toys. The comprehensive choking-prevention effort will rely on the education of parents, teachers, and childcare workers. So, this study aimed to: Evaluate the effect of educational Program about first aid and prevention of choking for mothers of preschool-age children. Research Design: Quasi-experimental design was utilized in this study. Subjects: Included a convenience sampling of 200 mothers from outpatient clinics at Assuit university children's hospital. Tools of data collection: Three tools included Personal characteristics of mothers and their children, mothers' knowledge and practices regarding choking first aids and prevention. Results: The majority of the studied mothers (82.5%) had inefficient knowledge score regarding prevention and first aid of chocking while only 17.5% of them had efficient knowledge before mobile education compared to 99.5 % of them had efficient mean knowledge after mobile education. There were statistically significant differences between the mother's knowledge and reported practice pre and post-Mobile-based program application for choking prevention (P value <0.001). Conclusion: Tthe mother's knowledge and reported practices regarding choking prevention were improved after the implementation of the mobile-based program. Recommendations: Health promotion programs through nurses using new educational technology about choking first aid and prevention should be directed to mothers, children's caregivers, and teachers in all pediatric care sittings and nursery schools.

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Background/Objective: Nausea and vomiting (N&V) remain the main side effects associated with cancer chemotherapy. This study determines the effect of acupressure on the control of N&V among children with leukemia receiving chemotherapy.Methods: This quasi-experiment study was conducted at two Pediatric Oncology Departments in South Egypt. Two groups of children with leukemia aging 6-18 years were included from October 2017 till March 2018. The study group (n = 60) received acupressure, while the control group (n = 60) didn’t. All were subjected to socio-demographic and clinical interview questionnaire and Rhodes Index for N&V Likert scale for assessment of frequency, duration, stress and severity of nausea and vomiting.Results: Both groups had similar demographic data, were similar in diagnosis, disease severity, family history of neoplasia, and experienced similar chemotherapy-related side effects. Significant reduction of frequency, distress and severity of nausea and frequency, duration and severity of vomiting in addition to mean scores N\&V scale among children of the study group after application of acupressure when compared to children in the control group.Conclusions: The application of acupressure at P6 in children with acute leukemia who were receiving chemotherapy led to significant reduction in the mean scores of N&V in addition to their frequency, duration and severity within 48 hours from the beginning of chemotherapy in comparison to the control group. Therefore, acupressure techniques showed be used to reduce chemotherapy induced N&V in children with leukemia.

Background: Fatigue is a common side effect of chemotherapy that adversely affects patient ' s sense of wellbeing, activities, relationships and tolerance to treatment. This study aimed to determine the effect of therapeutic massage on fatigue in children with leukemia following chemotherapy. A quasi-experimental research design was used to conduct the study. The study was conducted at