Background: Stress urinary incontinence (SUI) is the most common urological problem among elderly women that negatively impacting the quality of their life. Aim of the study: Is to evaluate the effect of educational interventions on reducing stress urinary incontinence episodes among elderly women. Research design: Quasi-experimental research design was utilized. Subjects: A purposeful sample of (50) elderly women was selected. Setting: The study was conducted in Geriatric Nursing Home of Ministry of Social Solidarity and in Geriatric Club of The Red Crescent Society at Minia, Egypt. Tools of data collection: Two tools were utilized. First Tool: A Structured questionnaire sheet covered demographic characteristics and medical profile. Second Tool: Is Revised Urinary Incontinence Scale (RUIS).Results: The severity of stress urinary incontinence were declined after implementation of an educational intervention to 8% compared to 24% than before, with a highly statistically significant difference (p=.001). Additionally, there were highly statistically significant differences between (age, education, occupation, and place of residence) and the severity of (SUI). Conclusion: Applying an educational intervention was effective in reducing SUI episodes among elderly women. Recommendations: A continuous education and training should be offered on a regular basis for elderly women to reduce episodes of stress urinary incontinence.

Stress urinary incontinence is an ignored health problem among elderly women. Aim: To evaluate the effect of selective behavioral therapy on stress urinary incontinence and self-esteem among institutionalized elderly women. A quasi-experimental research Design was utilized on a purposive Sample of 50 elderly women residing in three geriatric homes at Minia Governorate, Egypt. Tools: A Structured questionnaire sheet and three scales (Body Mass Index, Revised Urinary Incontinence, and Rosenberg Self-esteem Scales) were utilized. Results: The mean value of stress urinary incontinence severity declined to (4.30+3.38) after 12 weeks of behavioral training sessions compared with (8.20+5.21) before, besides, the mean score of self-esteem among the studied sample was elevated to (15.48±5.75) at posttest with highly statistically significant differences between pre and posttests (p=.000). A negative correlation was found between the severity of stress urinary incontinence and self-esteem. Conclusion: The application of selective behavioral therapy included (Kegel exercise and toilet training) was effective in reducing the severity of SUI and consequently, elevation of self-esteem among institutionalized elderly women. Recommendations: Behavioral training sessions are recommended to be offered regularly for geriatric residents to improve their self-esteem by controlling stress urinary incontinence.

Back ground: Liver cirrhosis is a serious chronic disease, affects most of body systems and reduce patient's quality of life (QOL). It needs a nursing guidelines to be developed according to patient's needs. Aim of this study was to assess educational needs of liver cirrhosis patients, (assessment of QOL domains, liver cirrhosis health problems and complications) to improve their quality of life. Descriptive research design has been used to carry out this study. Patients and methods:The study sample included 50 male and female patients with liver cirrhosis. Setting internal medical department, Minia University Hospital. Structured interview was utilized for data collection. Three tools were utilized for data collection; Tool I-Liver cirrhosis patient's knowledge questionnaire sheet, Tool II-Knowledge assessment questionnaire, Tool III-Chronic Liver Disease Questionnaire. Results: the majority of patients were married, housewives, illiterate, and come from rural areas (82%, 50%, 80%, 88% respectively) and their age ranged between 50 and 59 years, patient's QOL domains mean scores were low with worry, activity, fatigue, abdominal and systemic symptoms. The patient's mean knowledge scores about liver cirrhosis, complications, and diet were also low. Conclusion, continuous education of liver cirrhosis patients is needed to prevent complications of cirrhosis and improvement of health related quality of life.

Background:The individual Behavior-based vulnerability to COVID-19 imposes risk of underestimation without objective evaluation. This study aimed to develop a tool for behavior-based risk of exposure to droplet infection (REDI) during COVID-19 pandemic. Methods: Initial REDI was developed with four domains (precautions for direct droplet infection, precautions for indirect droplet infection, precautions in a shared shelter, and precaution in health facilities), then validated through an online cross-sectional study among 608 non-health facilities' workers/clients (NHF), 201 clients in health facilities during last month (CIHF), and 386 workers in health facilities (WIHF). Results: The final model confirmatory factor analysis indicated a good fit of the model [χ2/df = (1.45-1.86), GFI＝ (0.90-0.96), CFI＝ (0.89-0.96), RMSEA = (0.036-0.048)] among NHF, CIHF, and WIHF with Cronbach's values 0.82, 0.80, and 0.87, respectively. Perceived/measured REDI was 0.28/0.66 (±0.20/0.22) in 72.2% of participants. Conclusion: REDI tool is valid and reliable for COVID-19 behavior-based risk identification.

Background: Deep venous thrombosis is a most prevalent problem for orthopedic surgery patients. Nurses have been shown in the literature to play a significant role in reducing the incidence of deep venous thrombosis. Range of motion exercises increase blood flow to the lower extremities, and early mobilization has been shown to improve outcomes. Nurses are crucial in integrating these activities into their patients' regular care plans. Future research should concentrate on efforts to enhance nursing compliance with this exercise program .Aim of the study: To evaluate the effect of implementing nursing educational protocol on reducing deep vein thrombosis among orthopedic surgery patients. Research design: Quasi experimental research design was utilized to conduct this study (study and control group). Subjects: A purposive sample of 72 patients (36 patients for each group study and control). Setting: This study was carried out in orthopedic department and orthopedic outpatient clinic at Minia University Hospital. Tools of data collection: Demographic and medical sheet, the Autar DVT risk assessment scale and Deep vein thrombosis evaluation sheet. Results: There was a statistical significant difference between study and control groups regarding the occurrence of DVT especially Left limb DVT p.value (0.027*) after application of the nursing educational protocol. There were highly statistically significant differences between study and control groups regarding signs and symptoms of DVT in calf muscle regarding redness, swelling and absence of signs of DVT with p.value (0.012*, 0.001**, and 0.002**) respectively. While in thigh muscle presence of swelling show a statistical significant difference with p.value (0.005**) between the two groups. There was a statistical significant difference between study and control groups regarding the occurrence of DVT especially Left limb DVT p.value (0.027*) after application of the nursing educational protocol. Conclusion: Application of educational protocol was effective in reducing DVT among orthopedic surgery patients. Recommendations: Applying elastic stocking, exercising and range of motion had a positive effect on reducing incidence of DVT among orthopedic surgical patients. The inservice educational training program that illustrates purposes and benefits of applying elastic stocking, exercising and range of motion is very important.