Background: Coronary artery disease is the umbrella term for a spectrum of diseases caused by myocardial ischemia decreasing blood supply to the heart muscle. Self-efficacy is a vital modifiable personal resource affecting rehabilitation adherence, and disease outcomes such as health-related quality of life among people with cardiovascular disease. Aim: To evaluate the effect of digital cardiac rehabilitation program on self efficacy of patients with coronary artery diseases. Subjects and method: Design: A quasi-experimental research design was used. Setting: The study was conducted at the cardiology unit and outpatients' clinics at El Nasr Insurance Hospital in Hehwan city. Subjects: A Purposive sample of (100) adult patients diagnosed with coronary artery disease, was selected and equally divided into study & control groups, (50) patients for each one. Tools for data collection: It included 1) a structured interviewing questionnaire, 2) cardiac self-efficacy scale, and 3) cardiac exercise self-efficacy scale. Results: Majority of the patients in the study group had satisfactory knowledge level , had high cardiac self efficacy, and practice exercise self efficacy post rehabilitation program implementation. Conclusion: There was a statistically significant difference between the study and control groups concerning knowledge, cardiac selfefficacy, and cardiac exercise self-efficacy post, and follow-up rehabilitation program implementation. The results of the current study supported the hypothesis that digital cardiac rehabilitation programs affect positively patients' knowledge and cardiac self-efficacy. Recommendations: Future researches are required to develop and refine interventions to improve patient's compliance to treatment and prevent further deterioration of cardiac self-efficacy.

Purpose: This study was conducted to radiographically evaluate the effect of two different superstructure CAD/CAM fabricated materials, on crestal bone loss around immediately loaded implant. Materials and Methods: A total of twelve healthy patients having mandibular bilateral missing first molars with acceptable bone volume were selected based on specific inclusion and exclusion criteria, each patient received a CAD/CAM monolithic zirconia, in one site, while the other site received a CAD/CAM Enamic superstructure, in 48 hours after implant insertion. Implants and abutments were examined for stability, gingival and periodontal health prior to crown cementation. Radiographic evaluation was done immediately at the time of crown cementation then at 6 and 12 months. Results: Marginal bone loss was measured at two points, the most buccal crestal bone, and the most lingual crestal bone. Radiographic results showed no significant difference regarding mean MBL between Zirconia and Enamic on 6 and 12 months. Conclusion: Immediate loading of a single mandibular molar implant with the final restoration seem to be a reliable technique when certain parameters are respected. Type of implant superstructure material has no significant influence on the bone supporting the implant within the time period of this study.

Osteoarthritis (OA) is a progressive disease of the joints. Knee osteoarthritis (KOA) is the most common form of osteoarthritis and a leading cause of pain and impaired function. Revulsive compresses are techniques used to reduce pain and related KOA effects. Aim: Evaluate the effect of revulsive compresses on knee associated symptoms and pain severity among patients with knee osteoarthritis. Design: A quasi-experimental design was utilized. Setting: The study was conducted at the Orthopedic and Rheumatology Outpatient Clinics of El Nasr Insurance Hospital in Helwan. Sample: A purposive sample of 60 adult patients with knee osteoarthritis. Tools: Four tools were used including; A Structured Interviewing Questionnaire, Knee injury and Osteoarthritis Outcome Score (KOOS), Pain Disability Index (PDI) & Numeric Pain Rating Scale. Results: Mean age of studied patients were 47.4 ± 10.04, 70% complained of pain, swelling and movement restriction. There was a highly statistically significant difference in total KOOS scores post intervention as compared to pre intervention. There was a highly statistically significant difference among studied patients pre and post intervention total pain disability index (p-value = 0.00). There was a statistically significant reduction with improvement in the total mean score of pain severity level post intervention of revulsive compresses . Conclusion: Revulsive compresses had a positive and significant effect in reducing the knee osteoarthritis symptoms and pain level of patients. Recommendations: Revulsive compresses should be recommended as a nursing intervention protocol during the care of patients with knee osteoarthritis.

No abstract

Background: Fluid balance monitoring is part of a nurse's scope of practice. Because fluid balance was calculated incorrectly, every patient management decision was influenced by incorrect fluid balance information. Aim: assess the effect of hybrid educational program on nurses' performance regarding caring of patients with fluid and electrolytes imbalance in Critical Care Units. Design: A quazi experimental design. Setting: The study was conducted at the critical care units at El Hussein university hospitals. Subjects: A purposive sample of (35) nurses. Data collection tools: Nurses' structured self-administered questionnaire and nurses' practices observational checklist. Results: the present study revealed that, more than half of the nurses had got unsatisfactory level of performance (knowledge & practice) regarding care of patients with fluid and electrolytes imbalance in critical care units at pre hybrid educational program implementation (57.10% and 54.30% respectively). Meanwhile, the majority of the study sample had got statistically significant improvement in their knowledge and practices regarding care of patients with fluid and electrolytes imbalance in critical care units at post hybrid educational program implementation (94.30% and 91.40% respectively). While this improvement lowered slightly post 3 months at follow up. Conclusion this study concluded that the hybrid educational program implementation for nurses" in the critical care unit was effective in improving their level of knowledge and practices regarding care of patients with fluid and electrolytes imbalance. Recommendations: Continuous evaluation of nurses" knowledge and practice is essential to identify their needs while caring for patients with fluid and electrolytes imbalance.