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Background: Homelessness is a global phenomenon with considerable variations. Substance Abuse and Violence are significant problems among homeless youth, compared to the general population. Aim: This study aims to assess Substance Abuse and Violence  among Homeless Youth  in Fayoum Governorate. Study Design: : A descriptive research design was used for conducted this study. Setting: The study was conducted in Fayoum Governorate especiallly the greatest streets with the aid of  Atfal Bala Maawa mobile units.Sample: Convenience sample was used in this study  to collect data for about 3 months..Tools: Tool I:- Demographic characteristics of homeless youth, homeless youth knowledge regarding violence, homeless youth knowledge regarding substance abuse. Tool II:- Youth Risk Behavior SurveyResults: The presenting study showed that, 55.0% of homeless youth poor knowledge regarding violence, 30% of them had average knowledge, 15% of them had good knowledge regarding violence, 45.0% of  the homeless youth poor knowledge regarding substance abuse, 35% of them average knowledge and 20% of them had good knowledge regarding substance abuse, 92.8% of them carring weapon, 71.5% of them hadn't physically forced to sexual assualt, 78.5% of them trying cigarette smoking. 14.2% of them trying drinking alcohol, 35.7% of them trying using marijuana during homeless youth life.

Background: Elderly patients have osteoarthritis pain who suffering from sleep latency, difficulty maintaining sleep, sleep fregmentation and early morning are all symptoms of poor sleep. Aim: This study aims to assess sleep quality in elderly patients diagnosed with osteoarthritis. Study Design: : A descriptive research design was used for conducted this study. Setting: The study was conducted at the orthopedic outpatient clinic of Fayoum General Hospital. Sample: A purposive sample was used in this study and included 169 of elderly patients diagnosed with osteoarthritis (demographic characteristics, past and present medical history and patients’ knowledge about osteoarthritis). Tool II: Two standardize tools; Part I- Pittsburgh Sleep Quality Index  to assess sleep quality. Part II- The Visual Analog Pain Scale to assess pain severity. Results: the presenting study showed that, (90.9%) of patients with osteoarthritis were found to have poor sleep quality, 80% had unsatisfactory knowledge, 92.9% of females were having poor sleep more than men. 60 % of patients had severe pain (VAS > 7). 55.7% of patients had sleep latency, 59.2% had short sleep duration. Statistically significant relation between total knowledge, sleep quality and pain  with p value (p=0.001*).