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Diabetes mellitus continues to grow in global prevalence and to consume health care resources. One of the key areas of morbidity associated with diabetes is the diabetic foot. Many cohort prospective studies considered that 5.07/10g Semmes Weinstein Monofilament test is a significant predictor of loss of protective sensation, peripheral diabetic neuropathy, future ulcer and likely lower extremity amputation. This study aimed to predict the diabetic foot ulcer risk using sensory monofilament test. Methods: Quasi-experimental design was conducted at Benha University Hospitals. Purposive sample of 60 diabetic patients admitted to medical department, Benha University Hospitals with inclusion criteria: Patients' age ranges from 21-60 years, intact foot skin, exclusion criteria: Patients with diabetic foot ulcer & anticipatory reaction. Data were collected using three tools I)"Structured Questionnaire" which includes 2 parts: part I: "Socio demographic data"& patient`s life style. Part II: Medical data. Tool II) "Neurovascular Foot Assessment Sheet" which includes 2 parts; part I "Sensory assessment sheet'. Part II: "foot assessment sheet". Tool III) "foot Ulcer Assessment Sheet" for 2 nd and 3 rd assessment. Results loss of protective sensation has increased from one quarter to more than one third after six months for RT& LT feet using sensory monofilament test, one fifth of sample were high risk group for diabetic foot, after six months. One sixth of diabetic foot ulcer risk group had foot ulcer. Conclusion: Semmes Weinstein Monofilament is an evidence based procedure used in identifying loss of protective sensation, diabetic neuropathy consequently diabetic foot ulcer risk. Recommendations: Instruct patients to use 5.07/10g nylon Semmes Weinstein Monofilament to test their feet for neuropathy & recommendations for nurses to use the test in outpatient clinics as a routine procedure.

Asthma has a profound impact on all aspects of a patient's life. Nursing safety practice has an important role on maintaining health, preventing complications. The aim of this present study was to safety nursing practice establish, implement and evaluate the effect of implementing teaching modules for patient with bronchial asthma on at Mansoura University Hospitals. A quasi-experimental research design was used in this study on a subject: 50 nurses; 25 nurses at Mansoura University Hospital (Chest Unit & Chest ICU), and 25 nurses at Emergency Hospital (Outpatient Department and ICU) were recruited. Two tools were used to collect data; bronchial asthma safety nursing performance observation checklist and bronchial asthma safety nursing practice knowledge assessment in addition to the teaching modules of bronchial asthma nursing care developed by the researcher based on the result of the nurses' performance. The result In pre-Implementation phase, only 18% of nurses had adequate total correct knowledge and less than one third (32%) of the nurses achieved done correctly level of practice regarding safety practice care of patients with bronchial asthma. While, post-Implementation, the majority of the nurses had adequate total correct knowledge and done correctly level of practice regarding care of patients with bronchial asthma (94%& 96%) respectively. There was extremely highly statistically significant relation between nurses, level of practice and their knowledge. Study concluded that, implementing teaching modules about bronchial asthma care was effective and there was significant relation between nurses, performance before and after implementing teaching modules about safety practice for bronchial asthma. The present study recommended, in-service educational programs and update of guidelines for nurses regarding care safety practice of patients with bronchial asthma should be available.

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