Background and objective: Sexually Transmitted Diseases are a major health problem that affects mostly young people. The aim of the study was to assess the effect of providing educational sessions about Sexually Transmitted Diseases on knowledge and attitude of secondary school students. Methods: A quasi-experimental research design was used in carrying out the study. The study was conducted at four governmental public secondary schools in Zagazig City, 367 secondary school students from the previously mentioned settings were included in the study. Two tools were used to collect necessary data: Tools (I): An interview questionnaire sheet; It was consisted of two parts: Part (A) entailed questions pertaining to socio demographic characteristics of the students, while part (B) included questions regarding student's knowledge about sexually transmitted diseases. Tool (II): It was intended to assess student's attitude toward sexually transmitted diseases. Results: Pre, post and follow up students' knowledge and attitude tests after sessions implementation revealed highly statistically significant improvement in students' knowledge and attitudes (p < .001), which justified the research hypothesis. Conclusions: The educational sessions significantly brought out improvements in the knowledge and attitudes of adolescent students regarding sexually transmitted diseases. The study recommended an educational program about all types of sexually transmitted diseases to be included into the secondary school curriculum and media enlightenment campaigns about these diseases should also be emphasized.

Background: A clinical pathway is an integrated care plan designed with the required and time-bound care by the multidisciplinary team to shorten the period of hospitalization, for example, enhance cost-effectiveness, patient outcome, and degree of satisfaction. Aim: To assess the effect of clinical pathway implementation on nurses' performance and maternal outcome among postnatal mothers with vaginal delivery. Design: The study was conducted using a quasi-experimental prepost-test and post-test design with one group. Settings: This study was applied in the postnatal department affiliated with Zagazig University Hospital. Sample: This study involved a purposive sample of 100 postnatal mothers and 50 maternity nurses. Data collection tools: Demographic data assessment sheet for the nurses, Assessment knowledge questionnaire of nurses regarding clinical pathway and clinical pathway checklist, complication assessment rating scale, satisfaction rating scale. Results: Maternal nurses' knowledge of all components of the postpartum clinical pathway improved after the intervention, as evidenced by higher knowledge and performance scores for nurses' improvement than pre-intervention. This difference between pre and post-implementation of the clinical pathway was statistically significant. In addition, the postnatal mothers with vaginal delivery satisfaction have improved in the clinical pathway group compared to the control group. Conclusion: it was concluded that using clinical pathways had a positive impact on maternity nurses' performance and the satisfaction of postpartum mothers who had vaginal deliveries post-implementation compared to pre-implementation. Recommendations: To enhance nurses' performance, a postpartum care training program for maternity nurses should be implemented, based on the clinical pathway.

Background:The major cause of death in both industrialized and developing nations is congenital abnormalities, which pose a public health risk. Aim: To investigate the effect of video-assisted counseling program on pregnant women's knowledge and practice towards congenital anomalies. Design: Quasi-experimental design (pre-post) was used to achieve the aim of this study. Setting: This study was applied in the antenatal clinic at Zagazig University Hospital. Sample: A purposive sample of 70 pregnant women (one group pretest and posttest) who attending the antenatal clinic and detected fetal anomalies. Four tools were used for data collection: (1) A structured interviewing questionnaire, (2) Pregnant women knowledge assessment sheet, (3) Pregnant women attitude assessment sheet and (4) Pregnant women practice assessment sheet. Results: This study found a highly significant difference between study participants' knowledge, attitudes, and practices about congenital anomalies before and after a video-assisted counseling program. Conclusion: Their knowledge, attitude, and practice have all improved as a result of the implementation of a video-assisted counselling program for pregnant women with congenital anomalies. Recommendation: ongoing counseling programs regarding congenital anomalies during pregnancy to all pregnant women, and replication of the study with a large sample size to further settings.

Howida ragab (3) , Nabila salem Mohamed (4) (1,4) Assistant professor of obstetrics and gynecological nursing, faculty of nursing Zagazig university.(2) Lecturer of obstetrics and gynecological nursing, faculty of nursing sohag university. 3lecturer of obstetrics and gynecological nursing, faculty of nursing Zagazig university