Background: Chronic liver diseases (CLDs) adversely affect the Quality of life since patients frequently have asthenia, incapacitation, pain in various body parts, a sleeping disorder, lack of appetite, insomnia, and complications related to liver cirrhosis. Study Aim: The study aimed to assess the Quality of life among elderly patients with CLDs at El Rajhy liver hospital. Design: This is a descriptive study conducted for this study. The study sample included 385 elderly patients with chronic liver diseases. Setting: The study was carried out in Al-Rajhy Liver Hospital, Assiut University, Egypt. Two tools were utilized; 1 st tool: Structured Interview questionnaire include's personal characteristics and 2 nd tool was: Chronic Liver Disease questionnaire (CLDQ) for assessing patients' Quality of life. Results: Around half of the studied sample had moderate impairment of QOL. There was a relationship between QOL & chronic liver diseases. It has a significant impact on the QOL for elderly patient. Conclusion: Chronic liver diseases have significant negative impact on the QOL among elderly patients in relation to abdominal symptoms, fatigue, systemic symptoms, activity and emotional function. Recommendations: Health educational programs should be initiated to increase knowledge among elderly patients about CLDs and its adverse effects on the elderly quality of life.

Aim: To assess the awareness among glaucoma patients at Upper Egypt Governorate hospitals. Research design: Descriptive cross sectional research design was used in this study Setting: The study was conducted in ophthalmology outpatient clinics (male & female) at Assiut University Hospital & Al-rmad Hospital, Elmina and Sohag Governorate. Subjects: The sample of this study total coverage of glaucoma patients included (1000), the researcher taking the sample during one year, this sample aged 50 years and above. Tool of study: One tool was used in this study include three parts, part I: patient demographic characteristics, part II: medical data, part III: knowledge about risk factors and self-practice regard glaucoma. Results: The most of patients age ranged between 60:80 year, nearly three quarter (74.6%) of them were females, and 80% of them comes from urban areas. The majority of studied sample (84.5%) unaware about glaucoma disease and show statistical significant difference between awareness of them and their education, P≤0.05. Also, there was no significant difference between knowledge of studied sample and their residence.

Background: Chronic Obstructive Pulmonary Disease (COPD) is a common lung disease that interferes with basic functions of elderly breathing. Aim: to assess the respiratory functions among the elderly with COPD on the irk now ledge and practice. Subjects and methods: Descriptive cross sectional research design was used to conduct this study in Chest Departments at the Main Assuit University Hospital. Purposive sample of 169COPD elderly was participated. Three tools were used includes: 1 st tool: Elderly assessment sheet, it includes two parts (Socio-demographic& health history and Bristol COPD knowledge assessment sheet), 2 nd tool: Observational checklists used to assess the practice of elderly: (breathing & coughing exercise, inhaler technique) and 3 rd tool: Respiratory functions assessment sheet used to evaluate the (dyspnea grade, oxygen saturation, respiratory rate and peak flow meter). Results:The main age of studied sample 65.50±5.16 (60-78), 73.4% were male and 70.4% were smokers. The vast majority of studied sample had poor knowledge & practice with impaired in respiratory functions. Conclusion: Vast majority of the studied elderly had poor knowledge & practice which had negative impact on respiratory functions. Recommendations: Health education program for elderly with COPD to improve their knowledge & practice and respiratory functions is very essential to manage their disease.

Injury among elderly people is usually associated with high morbidity and mortality, and is thus a public health concern. It requires longer hospitalization and more extensive medical attention. This study aims to assess the effect of educational program about accidents prevention and first aids on knowledge and practice of elderly. Subjects & method: Quazi-experimental research design was used in this study. The study was carried out at some outpatient clinics at Main Assiut University Hospital on 50 elderly people, were selected through total coverage sample technique. Data were collected using Structure interview questionnaire to test elderly's' knowledge about accidents and to assess the reported practices of elderly` about first aid to all types of accident; fracture, bleeding from cutting, burn, electric shock, suffocation, poisoning and drowning. Results: more than three quarters (78.0%) of the studied elderly aged (60-<70) years, more than two thirds of studied elderly (68.0 %) was females, while more than three quarters of them (76.0%) was illiterate. The majority of studied elderly (96.0%) had unsatisfactory knowledge about accident before the program implementation, while 72.0% of them had satisfactory knowledge about accident after the program implementation. Regarding to elderly reported practice about first aids it was found that, the majority of (94.0%) of studied elderly had satisfactory practice after the program implementation. Conclusion: based on the results of the present study it can be concluded that; there is lack of knowledge among studied elderly regarding accidents and reported practice regarding first aids on pretest, while after the implementation of the educational program the elderly knowledge and reported practice are improved. Recommendations: Encourage multidisciplinary researches in the same study in order to cover large sample in different places.

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