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Determining the quality of students learning is an ongoing challenge to all nursing students. Aim: The aim of this study was to assess students' perception, stress, and anxiety experienced by nursing students during OSCE, for the 1 st and 4 th year nursing students. Method:-A descriptive exploratory research design was used for this study. This study was conducted at Faculty of Nursing, Assiut University, Egypt. A total of 451 undergraduate nursing students were enrolled in this study. First year (n=312) and 4 th year (n=139). Three tools were used to collect data in this study: Tool one: OSCE questionnaire sheet to test perception of the nursing students during OSCE. Tool two: perceived stress scale (PSC) and Tool three: State and Trait Anxiety Inventory. Results: There was agreement among students that exam were fair, covered a wide area of knowledge, but needs more time each station. No significant differences between 1 st and 4 th year nursing students were found regarding the level of stress and anxiety. There was significant negative correlation between anxiety state, total anxiety, and stress with nearly most of OSCE attributes. Conclusion: nursing students viewed OSCE as an objective assessment for nursing practical courses. It covered a wide range of knowledge; the majority of the students viewed the examination as fair.

Background/Objective: Nausea and vomiting (N&V) remain the main side effects associated with cancer chemotherapy. This study determines the effect of acupressure on the control of N&V among children with leukemia receiving chemotherapy.Methods: This quasi-experiment study was conducted at two Pediatric Oncology Departments in South Egypt. Two groups of children with leukemia aging 6-18 years were included from October 2017 till March 2018. The study group (n = 60) received acupressure, while the control group (n = 60) didn’t. All were subjected to socio-demographic and clinical interview questionnaire and Rhodes Index for N&V Likert scale for assessment of frequency, duration, stress and severity of nausea and vomiting.Results: Both groups had similar demographic data, were similar in diagnosis, disease severity, family history of neoplasia, and experienced similar chemotherapy-related side effects. Significant reduction of frequency, distress and severity of nausea and frequency, duration and severity of vomiting in addition to mean scores N\&V scale among children of the study group after application of acupressure when compared to children in the control group.Conclusions: The application of acupressure at P6 in children with acute leukemia who were receiving chemotherapy led to significant reduction in the mean scores of N&V in addition to their frequency, duration and severity within 48 hours from the beginning of chemotherapy in comparison to the control group. Therefore, acupressure techniques showed be used to reduce chemotherapy induced N&V in children with leukemia.

Background/Objective: The role of sucrose and/or non-nutritive sucking (NNS) has been evaluated for relieving procedural pain in newborn infants with satisfactory results however there was a controversy regarding the synergestic effect of their combination.}Methods: This quasi-experimental study was conducted in the neonatal intensive care unit in Assiut University Children Hospital including 120 preterm neonates who were divided into 4 groups (20 neonates each). Control group received routine hospital care; sucrose group received oral sucrose solution (OS); pacifier group received pacifier; and last group received oral sucrose solution and pacifier during painful procedures. All were assessed regarding socio-demographic and clinical data in addition to application of Premature Infant Pain Profile (PIPP) scale to assess the levels of pain and mean pain scores pre and post-intervention.Results: The 4 groups were similar regarding soci-demographic and clinical data. The application of the OS and/or pacifier, led to significant improvement of the levels of pain and reduction of the mean score of pain among preterm neonates during painful procedures. In addition, combined pacifier and OS was superior to OS alone and comparable to pacifier alone regarding their effect on the reduction of pain level and mean score of pain.Conclusions: OS and pacifier are effective as pain reliever during painful procedures among preterm neonates. Combined OS and pacifier is superior to OS and pacifier alone.

Background: Endometriosis is recognized as the 'disease of young girls' because it seems to be more common in young girls. Early diagnosis is greatly essential to receive appropriate treatment and avoid complications. Aim of the study: to evaluate severe dysmenorrhea for early recognition of endometriosis among adolescent girls. Subject and Methods: Crosssectional descriptive design was used in this study. The study included 571 adolescent girls from 4 representative elementary schools in Assiut city. A structured Questionnaire was developed by the investigators and included four parts: Part I: demographic data; Part II: menstrual pattern: Part III. Pain history including: a. pain characteristics. b. Menstrual pain associating symptoms: c. Pain level: using of Horizontal Visual Analog Scale (VAS) 0-10 points. Part IV: finding of Transabdominal ultrasound (AUS) for those with severe dysmenorrhea. Field work: The study passed through three phases including assessment, implementation, and follow up phases with a period of 7 months. Results: the majority of the girls were between the age of 13-14 years. According to VAS, severe dysmenorrhea was reported in 68 girls (15%). Positive ultrasonography findings suggestive of endometriosis were reported among 57.4% of girls who had severe dysmenorrhea. The majority (71.2%) of those girls with severe dysmenorrhea responded to hormonal treatment while 28.2% not responded. There was a positive correlation between number of symptoms associating dysmenorrhea and the pain level. Conclusions and recommendations: Moderate and severe dysmenorrhea are common among adolescent. Those girls who had severe dysmenorrhea and more than five symptoms associating dysmenorrhea might be suspected to have endometriosis. Further large scale study is essential with the use of more informative investigations as MRI and laparoscopy to gain accurate estimate of the prevalence of the disease and its types.