BACKGROUND:A key component in the management of chronic obstructive pulmonary disease (COPD) patients is pulmonary rehabilitation (PR), the corner stone of which is exercise training.AIM:This study aims to evaluate the effect of a two-months, home-based PR program with outpatient supervision every two weeks, on exercise tolerance and health-related quality of life (HRQL) using Arabic-translated standardized generic and specific questionnaires in COPD patients recently recovered from acute exacerbation,DESIGN:Randomized clinical trial.SETTING AND SUBJECTS:A total of 39 COPD patients who recovered from acute exacerbation were randomly allocated either a two-month home-based PR program in addition to standard medical therapy or standard medical therapy alone in the period between July 2008 and March 2009.METHODS:Pulmonary function tests (PFTs), six-minute walk distance (6-MWD) test, Arabic-translated chronic respiratory disease questionnaire-self administered standardized format (CRQ-SAS) and quality of life scale Short Form (SF-36) were compared between 25 patients with moderate to severe COPD who underwent a two-month PR program (group 1) and 14 COPD patients who did not (group 2).RESULTS:Group 1 showed significant improvement in the 6-MWD, and HRQL scores at two months compared with the usual care patients in group 2 (P less than 0.05). Improvement in both CRQ-SAS and SF-36 scores were statistically significant and comparable in group 1.CONCLUSION:The supervised, post discharge, two-month home-based PR program is an effective non pharmacological intervention in the management of stable patients with COPD. The 6-MWD is a simple, inexpensive and safe test to assess physical and functional capabilities among COPD patients. HRQL can be measured in patients with COPD either by disease-specific tools that have been specifically designed for use in patients with respiratory system disorders or by generic HRQL tools that can be used across populations with a variety of medical conditions. The Arabic-translated CRQ-SAS is a new tool for assessment of Arabic-speaking patients with chronic respiratory diseases.

SCSS has shown promise in predicting successful extubation in TBI.

Background: Acute pancreatitis is the inflammation of the pancreas that results in auto-digestion by its own pancreatic enzymes. The educational program is considered to be an important means to provide nurses with theoretical and technical information needed to acquire skills and competencies necessary to continually improve nursing practice. Objective: Theaim of this study was to evaluate effectof educational program on nurses 'performance regarding patients with acute pancreatitis. Design: A quasi-experimental research design was used to conduct this research. Setting: The study was conducted in intensive care unit at Assiut University Rajhy Hospital for Liver. Subjects: All available nurses about 40 nurses. Tools: Data were collected using: tool1 nurse's knowledge assessment questionnaire, tool II nurse's observation checklist. The Results revealed that majority of the nurses their age less than 40 years old, with mean age of 25.98±6.46, female, where about 52.5% of study nurses had married. The majority of nurses had unsatisfactory total knowledge pre education program. It improved immediately post education program. Conclusion: The study concluded that the education program lead to significant improvement in nurses' knowledge and practice about acute pancreatitis. Recommendation: Continues educational nursingprogram about care of acute pancreatitis patients.

Background: Aim of the study was to assess the nurses' performance regarding fluid, electrolytes and acid base imbalances for pediatrics and neonates. Research design: A descriptive research design was used. Setting this study was carried out in the paediatric and neonate intensive care at Assuit university paediatric hospital .Study sample consisted of all available nursing staff (130) nurses above mentioned setting.Tools were utilized for data collection: First tool nurses knowledge assessment tool, Second tool Nurses practice assessment tool. Results: The result of this study found that the majority of studied nurses were at the age group of 25 to < 30, females, married, and 58.5% were secondary school of nursing. Nearly half (47.7%) of studied nurses were having poor level of knowledge regarding fluid, electrolytes and acid base imbalances, and more than half(69.2%) of studied nurses have good level of performance, there were statistically significant difference between knowledge and practice of studied nurses regarding fluid, electrolytes and acid base imbalances. Conclusion: The general score of nurse poor level of knowledge and good level of practice regarding fluid, electrolytes, and acid base imbalances. Recommendations Provide in-service training programs for nurses to improve their performance regarding fluid, electrolytes and acid base imbalances.

Background:The nurse is involved with the care of the trauma patient from arrival in the emergency department to follow-up in the trauma clinic. Chest injuries can be penetrating or the blunt type, depending on the nature and severity of the causative impact. The aim of this study was to assess nurses' performance regarding care of Chest Trauma patients at Trauma Emergency Unit. Design: Descriptive research designs were utilized in this study. Setting: This study was carried out in the emergency trauma unit at an assuit university hospital. A sample: of this study were all available nurses working in the emergency trauma unit at assuit university hospital (40). (Tools) two main tools used in this study Tool I: -(( Nurses Knowledge Questioner )) . Tool II: (( Nurses Practice observation checklist ) Results: the result revealed Level of nurses Knowledge regards total score that the majority of the nurses (70%) had an unsatisfactory Level total scores about chest trauma. The present study also revealed Nurses practice about chest trauma; that the majority of the nurses (95%) had an unsatisfactory. Level total scores about chest trauma. There was no a ststistical significant difference between nurses' Knowledge and practice. The Conclusion the majority of the nurses was having an unsatisfactory level regarding nurses' knowledge and practice. There was no a ststistical significant difference between nurses' Knowledge and practice. Recommendations: Regular continuous educational program plan about chest trauma Encouraging nurses to attend national and international congresses, seminars, symposia, and workshops regularly about chest trauma.