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Background: Body position generally effect on respiratory and stroke disease. Stroke morbidity increased by inappropriate position during the early recovery phase. Aim: To evaluate the effect of changing selected body positions on oxygen saturation among patients with acute stroke. Research design: Quasi-experiment research design applied in this study. Sitting: the study carried out at the stroke intensive care unit of the Neurological Department of Aswan University Hospitals. Sample: 60 patients with acute stroke within 24- 48 hours following mild to moderate and severe stroke allocated a randomized sequence of four positions. One hour spent in each position. SaO2 was recorded each15 minutes by pulse oximetry with a finger probe. Tools of data collection: structured interview questionnaire sheet, Glasgow Coma Scale, the Scandinavian stroke scale, and oxygen saturation monitoring record. Results: mean score of SaO2 at 2nd 15 min, 3rd 15 min, 4th min, and mean SaO2 of one hour at the semi-sitting position was higher than different positions (Supine position, Right side position, and Left side position) with statistically significant differences with p-value .008, .05, .002, and .019 respectively, the semi-sitting position was the best position of all position. Conclusion: the study finding concluded that the semi-sitting position is the best position than other positions in improving oxygen saturation after one hour from positioning among stroke patients. Recommendation: use a semi-sitting position and implicate this positioning strategy in the future to improve arterial oxygen saturation in acute stroke patients.

Background: Insomnia disorder is a public health concern and is often considered a normal aging phenomenon. Aim of the study: evaluating the effect of sleeping instruction on reducing insomnia among the elderly. Design: A quasi-experimental design. Settings: conducted at sleep disturbance outpatient clinic in Aswan university hospital g a structured interview questionnaire & Athens insomnia scale Results: The designed sleep hygiene program had statistically significant improvement in elderly knowledge and practices. Indeed, there was no statistically significant correlation between elderly’ sleep hygiene and Athens insomnia scale as sleep latency, sleep duration, sleep efficiency, sleep disturbances, and day time dysfunction at the pre and post-intervention phases at P < 0.05.Conclusion: The designed sleep hygiene program don in this study had statistically significant improvement in elderly knowledge and practices and reducing insomnia. Recommendations: Design an awareness Program regarding insomnia among the elderly to enhance sleep by emphasizing the importance of sleep hygiene practice.

Background: Breast cancer is the most common type of cancer in Egyptian women and although incidence rates are not as high as in the west, yet breast cancer mortality is considerably worse. The nurse plays a critical role in the early detection and prevention of breast cancer. Aim of the study: To assess factors associated with delayed diagnosis of woman breast cancer. Research design: A descriptive exploratory research design. Sample: Purposive sample of 100 women diagnosed with late-stage of breast cancer. Setting: The study was carried out in the surgical inpatient ward and outpatient clinic, chemotherapy and radiation inpatient therapy wards at Aswan oncology cancer institute. Tools of data collection: Structured interview sheet developed by researchers and had two tools, First Tool: covered 2 parts: 1st part: Sociodemographic characteristics; 2nd part: Medical history, Second Toolcovered by 2 parts 1st part Knowledge about risk factor and screening test of breast cancer.: 2nd part factors related to women and health care system delay. Study Duration: During the period of four months from the beginning of February 2018 to the end of Mai 2018. Results: The study results revealed that the most common factors that delay diagnosis of breast cancer were lack of awareness of breast cancer (95%), fear of disease & treatment adverse effects (53%). Also, statistically a highly significant (P