Oxygen is life essential so it is important for nurses who are responsible for oxygen administration to be familiar with its Indications and potential hazards. Aim: To investigate the effect of educational program about oxygen therapy on the nurses' knowledge and nurses' practice. Design: A Quasi experimental research design was used. Setting: The study was carried in pediatric emergency unit at Assuit pediatric University Hospital. Subjects: All available nurses in the emergency department who were (50) nurses. Tools: Two tools were utilized, Tool (1): Structure Interview Questionnaire to assess nurses' knowledge, Tool (2): Nurses' practice observational check list to assess performance. Method: preparatory, implementation and evaluation phases were used to implement study. Results: The total nurses' knowledge mean score improved from (9.080±4.818) before educational program to (19.840±.421) after its implementation, and total nurses' performance mean score improved from (63.0400 ± 7.94101) before implementation of educational program to (97.9200± .39590) after its implementation. There was good improvement with highly significant difference (p<0.001) related to knowledge and practice of educational program. Conclusion: Majority of nurses had a satisfactory level of knowledge and practice toward oxygen therapy after applying educational program. Recommendations: Provide in-service education and training program for nurses regarding oxygen therapy.

Background: Enhanced recovery after cardiac surgery protocol is an evidence-based interdisciplinary process, which has not previously been systematically applied to cardiac surgery. Objectives: The aim of this study was to evaluate the clinical effectiveness of ERAS protocol compared with routine care on the outcomes of patients undergoing cardiac surgery. Methods: This study was conducted between January 2020 and December 2020. A total of 75 patients who underwent cardiac surgery by one surgical team were evaluated for eligibility. Five patients were excluded after the initial assessment; hence, 70 patients were randomly assigned to the ERAS protocol group and control group. Patients in the ERAS group received all elements of the ERAS protocol while patients in control group receive routine care. Tools: Preoperative assessment tool to form base line data, Intra-operative assessment tool to assess Ischemic time, bypass time, and operation time and postoperative evaluation tool to assess the patients' outcome were used in data collection .Results: The duration of ICU stay and duration of mechanical ventilation were significantly shorter in the ERAS group versus control group3.04 ± 0.74, 2.33 ± 0.8), versus (5.82±0.61, 4.64±2.13), respectively; P < 0.001). Post-operative bleeding and re intubation were less in ERAS group versus control group (10 %, 3.33 %), versus (36.67 %, 16.66 %), respectively; P = 0.03).Conclusions: ERAS protocol reduces the length of ICU and for patients undergoing cardiac surgery.

Diabetic coma is a dangerous condition that can lead to unconsciousness and even death. There are three main causes of diabetic coma: diabetic ketoacidosis, severe hypoglycemia and hyperglycemic hyperosmolar state. Aim of the study: This study aimed to assess nurse`s knowledge and practice regarding patients with diabetic coma. Research design: A descriptive research design was utilized in this study.

Background: Healthcare workers are at the forefront of COVID-19 intervention. Unfortunately, due to highly infected patients with novelty of the virus and the unequipped of hospital to deal with the sudden influx of situations. Aim: to describes the health care workers compliance with preventive measures for covid-19 in ICUs. Setting: The study was carried out on intensive care units (trauma=19, chest=15, general =12, post-operative=12 obstetric=22 ICUs). All health care workers received a cumulative training of standard and additional precautions at health care facility. Method: A prospective cross-sectional study design was conducted among 80 HCWs with COVID-19 infection at Assuit University Hospitals within one year. Two tools were utilized to collect data; Each participant was contacted individually by the researchers; the questionnaire was distributed to the participants. Data were collected using a self-administered, valid, structured questionnaire. Results: The high percent of healthcare workers (82.5%) always use alcohol-based hand rub or soap and water after touching a patient, (70%) follow recommended hand hygiene practices, (91.3%) had cough and 68 (85 %) had sore throat. Conclusion and Recommendations: The incidence of infection increase, while HCWs followed infection prevention and control measures. Thus vaccinate all health care workers are recommended. In addition, high-risk HCWs could be assigned duties away.

Background: For adult patients with prolonged mechanical ventilation (PMV≥7 days), weaning success is an important prognostic factor in patients requiring prolonged mechanical ventilation. Weaning failure has been attributed to various factors. The aim: of the study was to identify factors contributing to long term mechanical ventilation. A Descriptive research design was adopted to conduct this study. The study was conducted in the intensive and trauma care units at Assuit university. A convenient sample: of sixty adult male and female patients admitted to mentioned settings and connected to MV. Tools: Tool one: socio-gemograghic data and clinical data, Tool two: weaning criteria scale, Tool three APACHE II score Tool four: Neurological assessment by using FOUR score. Results: the most common risk factors delay weaning were cardiovascular (66%) and neuromuscular (54.2%). Conclusion: a highly statistically significant relation was found regarding to factors as age, length of ICU stays, RSBI, PH, hemoglobin, WBCs, platelets count and respiratory rate. Recommendations: 1-good monitoring of the cardiovascular assessment with cardiologists 2-the weaning indexes have some limitations, related to study population 3-integration with other departments should be morely supported.

Burn rehabilitation is comprehensive, complex and requires a multidisciplinary approach to optimize the patient's physical and psychosocial recovery related to burn. Aim: the study was made to evaluate the effect of lower limb rehabilitation on burn injured patients' outcomes (joint flexibility and muscle strength) during emergency phase. Design: a quasi-experimental design, study design was used to achieve the objectives of the study. Setting: The present study was conducted in burn unit at Assuit general hospital and Assuit university hospital. Subjects: purposive sample of 60 adults patients (males and females), they were divided into two equal groups (study and control). Tools: Patient assessment tool, joint flexibility assessment and muscle strength assessment. Results: This study was successed in minimizing muscles contracture to (6.67%) of study group versus (30.00%) of control group. Conclusion: Implementing the lower limb rehabilitation during emergency phase significantly improved the burn injured patient's outcomes (joint's flexibility and muscles strength). Recommendation: Rehabilitation exercises should be done as early as possible for patients with burn injury during emergency phase.

Background: The incidence of perioperative complications and mortality related to anesthesia increased and involved multiple factors so, The aim of the present study is to assess of predisposing risk factors and complications for patients during anesthesia. Descriptive research design was used to conduct this study. Sitting: The study was conducted in the operating room for emergency care units at Assuit university Hospital. Sample: One hundred adult male and female patients admitted to mentioned settings and complain of risks or complications from anesthesia. Tools: Tool one: demo geographic data and general physical and medical data, Tool two: risk factors sheet, Tool three Assessment sheet of complications during anesthesia. Results: the most common risk factors of anesthesia were hypothermia 43%, hypotension 79%. Common complication were hypothermia in general anesthesia78%, and hypotension in spinal anesthesia 65%. Conclusion: a highly statistically significant relation was found regarding to risk factors as upper respiratory tract infections, renal impairment and the obesity, and the main complication was hypothermia. Recommendations: provide health teaching for patients before surgery and good preoperative preparation.

COVID-19 pandemic has impacted the delivery of regular services, which might have an impact on pregnant women's use of antenatal care (ANC). Aim: Assess barriers to regular antenatal follow up among pregnant women during corona virus pandemic Design: Descriptive exploratory cross sectional research design. Setting: The study was carried out at two MCH centers from Assuit city and three villages from Assuit district. Sample: 350 pregnant women. Study tool: A structured interview questionnaire. Results: There was statistically significant difference between urban and rural in relation to distance and transportation problems, lack of income, lack of awareness about ANC& Fear of getting Covid-19 infection with p-value .001, .005, 005 respectively. Conclusion: Fear of getting Covid-19 infection, distance and transportation problems and lack of income are the most common barriers to irregular attendance of ANC visits duringCovid-9 Pandemic Recommendations: Community awareness campaigns for women regarding importance of antenatal care through various mass media