Introduction: Airway management is a core stone and remains a challenge of every anesthetist. Visual control may facilitate tracheal intubation. Rigid video-laryngoscopes are emerging among the devices suggested as alternatives to direct laryngoscopy. Among the many alternative devices to choose for tracheal intubation, semi-rigid fibrescopes and lighted stylets can alternate rigid laryngoscopy in endotracheal intubation. Aim of the work: The aim of the study was to clarify the efficacy and hemodynamic responses associated with tracheal intubation using trachlight technique (blind object) compared to SensaScope technique in patients subjected to elective surgery. Patients and methods: Thirty patients were randomly allocated to either the trachlight (TL) or Sen-saScope (SS) group, (15 patients in each group). All endotracheal intubations were performed after induction of general anesthesia. Evaluation of technique, performance, duration of intubation, number of attempts at intubation, success rate of intubation with each device, hemodynamic changes [heart rate (HR), mean arterial blood pressure (MAP)] and oxygen saturation (SpO 2) were recorded. Results: The duration of the intubation procedures was shorter in the SS group (64.86 ± 54.166 s) than in the TL group (68.53 ± 50.89 s) but without statistical significance, while no significant difference in the numbers of intubation attempts between the two groups. HR and MAP showed transient increase without statistical significance between both groups.

Background: Maternal mortality & morbidity are key indicators of women's health globally. ICU admission rate represents as indicator of sever maternal morbidity. The aims of this study were to assess the hospital based rates of maternal morbidities and mortalities in ICU and to estimate indicators of ICU admission. Subject and methods: This study was done in ICU at Woman's Health Hospital, Assiut University. The convenient sample calculated statistically and was 200 women. Three tools were utilized for data collection; Patient socio-demographic data, Indicators for ICU admission and statistical sheet about maternal morbidity and mortality rates for one year. Results: This study revealed that ICU admission rate was (6.08%) and maternal mortality rate was (0.18%). The obstetric critically ill women participated in this study were most of them (68%) admitted for obstetric indications, (18.5%) had mixed obstetric with non-obstetric indications and the rest (13.5%) had non-obstetric indications only. Conclusions: Obstetric causes particularly hypertensive disorders and obstetric haemorrhages are common causes of ICU admissions and maternal mortality. Recommendations: Early diagnosis and proper treatment of high risk obstetric patient to reduce ICU admission rate and maternal mortality.

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Background: In-Vitro Fertilization (IVF) can be affected by both physical and psychological stressors that affect endocrine axis and the reproductive system through immunosuppression. In any society, attention to physical and mental health status is considered as the guarantee for community health in the coming years. One of the issues that trouble the mental health of some people is infertility.The aim of the study is to determine the physical and psychological factors affecting outcomes of women undergoing IVF. Setting, this study conducted at IVF unit, woman"s health hospital, Assiut University. Methods: Sample size included 100 women under IVF treatment, a predictive correlational research design was used, Tools: Three tools, included interview questionnaire, Hamilton Anxiety Rating Scale and Hamilton depression Rating Scale. Results: There are statistical significant differences between IVF outcomes and women"s age, physical health problems and psychological stress. Conclusion: physical factors such as women"s age, weight, female factors and psychological stressors such as anxiety and depression play a vital role in success of IVF outcomes. Recommendations: Educating women at the beginning, in infertility centers on the impact of physical and psychological factors that can affect management is effective part of nurses and physicians active role and larger studies are still required.