To evaluate the effect of prenatal counselling on compliance for health promotion and pregnancy outcomes we conducted an experimental randomized control study on a sample of 86 teenage pregnant women attending the maternal and child health centre in Elkhosos village, Egypt. Data were collected pre-counselling, post-counselling and after delivery. At the post test, women in the study (counselling) group showed statistically significantly greater knowledge and compliance of health promotion (P < 0.001) than women in the control group. In the study group, 90.7% were full term at labour compared with 41.9% in the control group; 88.4% of the women in the study group had normal vaginal delivery compared with 76.7% of those in the control group. The health condition in 90.7% of the study group neonates was classified as good compared with only 46.5% in the control group. Only 9.3% of the study group babies had low birth weight compared with 32.6% of the control group babies (P = 0.008). Effet des conseils prénatals sur l'observance de recommandations et sur l'issue des grossesses d'adolescentesRÉSUMÉ Afin d'évaluer l'effet des conseils prénatals sur l'observance des recommendations favorisant une bonne santé et sur l'issue des grossesses, nous avons mené une étude contrôlée, randomisée et expérimentale sur un échantillon de 86 adolescentes enceintes consultant au centre de santé maternelle et infantile du village d'Elkhosos (Égypte). Des données ont été recueillies avant et après l'offre de conseils, puis après la naissance. Lors de l'évaluation suivant l'offre de conseils prénatals, les femmes du groupe à l'étude (conseils) montraient des connaissances favorisant une meilleure santé statistiquement plus importantes et étaient plus nombreuses à les appliquer (P < 0,001) que les femmes du groupe témoin. Dans le groupe à l'étude, 90,7 % ont mené leur grossesse à terme contre 41,9 % dans le groupe témoin ; 88,4 % des femmes du groupe à l'étude ont accouché par voie basse contre 76,7 % dans le groupe témoin. L'état de santé des nouveau-nés du groupe à l'étude a été jugé satisfaisant pour 90,7 % d'entre eux contre seulement 46,5 % dans le groupe témoin. Seuls 9,3 % des enfants du groupe à l'étude présentaient un faible poids de naissance contre 32,6 % des enfants du groupe témoin (P = 0,008).

Background: Asthma is the widespread health problem and most common chronic disease among children. Developing self-care skills related to children with asthma forms a basis for nursing care. Orem’s self-care model is one of the most comprehensive self-care theories that provide a good clinical guide for planning and implementing the principles of good self-care.The Aim of this study: was to determine the effect of asthma educational package based on Orem’s self-care model on the development of self-care activities of children with asthma.Subjects and Methods: a quasi-experimental study conducted on a purposive sample of 106 children with bronchial asthma in pediatric outpatient clinic at Zagazig University hospital. The research tools used in this study were demographic characteristics of studied children. Asthma triggers inventory, asthma knowledge questionnaire, asthma self-management questionnaire, asthma Self-Efficacy regarding self-management of asthma, medication adherence, and inhaler technique observation checklist and health instruction guidelines.Results: the results showed that after the training intervention self-efficacy, asthma management, adherence of asthmatic children to medications were significantly increased (p > 000). The study findings concluded that the asthma education program improved all aspects of self-efficacy and activities of asthma management after program implementation.Conclusion: the educational program based on Orem’s self-care model successfully improves the performance of inhaler use. The study indicates that self-care activities were efficient among children with asthma after implementation of program.Recommendations: it suggested to conduct Orem’s self-care model for children with bronchial asthma and to replicate the study in many settings to support its effectiveness.

Background: Each year, schools all over the world suffer from disasters, ranging from small to large damaging disasters that affect children safety and health. Teachers play significant roles in child protection. Therefore, teachers' training is very important for effective school disaster management. Aim: This study aims at evaluating the effectiveness of educational guidelines on school teachers' knowledge and skills regarding disasters and first aid management of school children. Methods: Quasi-experimental design utilized for conducting the study. Purposive sample of 59 school teachers from Mostafa Kamel preparatory school and Emad Ali Kamel primary school, Cairo Egypt was allocated. Data were collected through demographic data, school teachers' first aid and disaster management knowledge, observation checklist for first aid and disaster management. Results: The study revealed that, regarding knowledge, 18.6% of teachers had satisfactory first aid knowledge pre intervention; meanwhile post intervention was 66.1%. For practice, 59.3% of them gained adequate first aid practice after implementation of program, while pre intervention only 10.2% of them had. Also 1.7% of them had satisfactory disaster management knowledge and practice pre intervention, meanwhile post intervention 61% of teachers got with statistical significant difference pre and post intervention. Positive correlation found (p > .000) among demographic characteristics, school teachers' knowledge and practice of first aid and disaster management. Conclusions: The study concluded that a disaster management and first-aid training program for school teachers improved their knowledge and practice. Recommendation: Implementation of this program is highly recommended for all school teachers to enhance their knowledge and practice regarding disaster and first aid management. Further research needed to assess the impact of such programs on school health safety and child health.

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Background: kidney transplantation is the best method of treatment for improvement of renal functions in patients with end-stage renal failure. The main aims of patient education following renal transplantation are to help patients acquire the required skills for daily living without problem and to help patients cope with physiological and psychosocial problems. Purpose: The aim was to evaluate effect of patient education on knowledge, coping strategies, quality of life and self efficacy of kidney recipient patients. Subjects and methods: Quazi Experimental design was utilized for conducting the study. Purposive sample of 50 patients undergoing kidney transplantation were included in the study at center Giza outpatient clinics for kidney ( Prof. Dr.