The Chronic obstructive pulmonary disease (COPD) is a chronic disorder affecting the lung efficiency and causing respiratory disturbances as shortness of breath, cough. It highly combined with psychological distress and numerous sleeping disturbances. Aim: The aim was to assess the quality of sleeping among Patients with Chronic Obstructive Pulmonary Disease. Setting sample: Purposeful sample composed of 185 patients selected from the outpatient Clinics at Kafrelsheikh Chest Hospital. Tool: 1 st Tool: interview questionnaire tool, This tool was 3 main parts: Part 1: personal demographic profile, Part 2: Medical data sheet, Part 3: Physical examination sheet. 2 nd Tool: The Pittsburgh Sleep Quality Index (PSQI). 3 rd tool: Assess factors affecting the sleep quality. 4 th Tool: Depression, Anxiety and Stress Scale (DASS-21). Results: The results revealed that 71.4% of the study were male, 76.8% had unsatisfactory quality of sleep, 48.1% of patients' sleep was affected by daily life habits 68.6% of the patients had extremely severe level of stress. There were statistically significant associations between quality of sleep and Physiological factors, Environmental factors, Meals, Daily Life Habits. Statistically significant correlation between quality of sleep, and their anxiety, stress, and depression level was revealed. Conclusion: The majority of patients with COPD had an unsatisfactory level of sleep. There was a highly statistically significant difference between quality of sleep score and factors affecting sleeping, physical examination, and psychological distress. Recommendations Conduct educational programs for patients with COPD to improve their quality of sleeping, physiological changes, factors enhance sleeping and psychological distress related to disease.

Ulcerative colitis is a chronic inflammatory disease affecting the colon, and its incidence is rising worldwide. The pathogenesis is multifactorial, involving genetic predisposition, epithelial barrier defects, and environmental factors. Aim: The aim was to evaluate the effect of Life style Modification on Patients with Ulcerative Colitis.. Setting sample: A purposive sample, A quasi-experimental (pretest posttest) research design was adopted for the current study. Fifty-seven patients with ulcerative colitis were enrolled in this study in gastrointestinal out-patient clinic at Kafre El sheik University Hospital. Tools: Structured patient interview questionnaire and Healthy lifestyle questionnaire tools were used to collect the data. Results: The study results revealed that (56.1 %) of the study participant were male whereas (43.8%) were female. The results revealed that total knowledge scores of patients' post-interventions were improved than that of their pre-scores, in addition to increase the total score of healthy lifestyle adherence after the study interventions and follow-up compared to pre intervention with highly statistically significant differences between them at p < 0.001. Conclusion: Lifestyle modifications can be effective in improving selected outcomes for patients with ulcerative colitis. Recommendations: Replication of the study on larger probability sample selected from different geographical areas in Egypt is recommended to more generalizable data.

Context: Leprosy remains a leading cause of peripheral neuropathy and disability globally despite the extensive efforts to reduce the disease burden. It is associated with social stigma, and the patients sometimes suffer social discrimination because it often leads to visible physical deformities. Aim: The present study aimed to evaluate the effect of educational program on the health consequences of patients with leprosy. Methods: The study was conducted at outpatient clinics in Dermatology Hospital affiliated to the Ministry of Health and population. A quasi-experimental (pre/post-test) design was used on a purposive sample of 72 leprosy patients. Four tools were used to collect the data for this study: A structured interviewing questionnaire, a patients' reported practices checklist, an attitude assessment scale for patients with leprosy, and health consequences assessment questionnaire for patients with leprosy.   Results: The current study reveals a significant improvement in the patients’ knowledge, reported practice, and attitude toward leprosy. A significant improvement in health consequences (problems and needs) after education compared with the preintervention level. An association between the total knowledge, practice, and attitude after health education was significant (p<0.001). An association between the mean and standard deviation of knowledge, practice, and attitude before and after the health education program was significant (p<0.001). Conclusion: Educational program had a remarkable effect on improving patients' knowledge, practice level, patient attitude, and health consequences (problems and needs) of leprosy. The study recommended applying educational programs for patients with leprosy in different health care settings focusing on prevention from disabilities.