This case report emphasizes the importance of long-term follow-up and initial surgical treatment of low-grade ESS and suggests systemic hormonal therapy in case of recurrence.
Autism is currently a hot topic in the field of special education due to the high prevalence ratio of it. It is a highly variable neuro-developmental disorder that first appears during infancy or childhood and generally follows a steady course without remission. Overt symptoms gradually begin after the age of six months, become established by the age of two or three, and tend to continue through adulthood. It differs from any disabilities; the characteristics of autism generate additional stress for the parents and make the life of all the family very hard. Usually, mothers face the stressful challenges of raising a child with autism, they are concerned with their children's communication, education and related services, relationships with professionals and the independence of their children's future. Therefore, the aim of this study was to assess the influence of autism awareness on the psychological wellbeing of mothers caring for their children with autism. A descriptive research design was used. The study was conducted in two settings: the first one was the Special Needs Care Center in the Institute of postgraduate Childhood Studies which affiliated to Ain Shams University and the second one was the outpatient clinic for child psychiatric treatments at El Abassia mental health hospital. Sixty children accompanied by their mothers with certain criteria were recruited in the beginning of June 2015 to the end of August 2015. The study concluded that about two thirds of the studied sample had poor awareness regarding autism and there was a highly statistical significant relation between awareness, stress and psychological wellbeing among mothers of children with autism. The study recommended that media awareness must be increased to aid mothers in prompting tolerance and understanding of autism with a clear explanation. Furthermore, there is a necessity to counseling mothers to enhance their awareness about autism for modifying their behaviors and psychosocial skills.
Background: Breast cancer is one of the most serious diseases affecting physical, psychological and social health of women. Aim: This study aimed to investigate the effectiveness of psycho-educational nursing program on body image, self-esteem and quality of sexual life among women with breast cancer. Research design: A quasi-experimental design one group was utilized in this study. Setting: The study was conducted at the oncology department of Benha Health Insurance Hospital in Benha City, Qaluobia Governorate. Sample: A purposive sample was constituted the study subjects; the sample size was 40 subjects with breast cancer, which carry out (pre/post). Tools of data collection: Four tools used (1): A structured interviewing questionnaire consisting of two parts to assess socio-demographic and clinical characteristics of women with breast cancer. (2): Hopwood Body Image Scale. (3): Rosenberge Self-esteem Scale. (4): Modified WHO Quality of Sexual Life Scale. Results: There were positive highly statistical significant correlations between quality of sexual life among the studied women with breast cancer, their selfesteem and body image in pre / post program implementation. Conclusion: The psycho-educational intervention had a positive effect on improving body image, self-esteem and quality of sexual life among women with breast cancer. Recommendations: Counseling intervention program on coping strategy among women with breast cancer to improve body image, self-esteem and quality of sexual life.
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