Abstract Background Domestic violence is a global public health concern that negatively affects maternal mental health, parent–child relationships, and child behavioral outcomes. Attachment theory suggests that disruptions in maternal sensitivity and caregiving due to violence can compromise children’s emotional security and development. Aim To evaluate the impact of domestic violence on maternal–child relationship quality and child behavior among pre-school and school-aged children in Egypt. Design Descriptive correlational study.Setting: Maternal and Child Health Center, Assiut, Egypt. Participants A convenience sample of 100 mothers with children aged 3–12 years. Methods Data collection involved a Personal Data Questionnaire, the Severity of Violence Against Women Scale, the Child Behavior Checklist, and the Post-Traumatic Stress Scale for Family Violence. Statistical analyses included Pearson correlation, Chi-square, logistic regression, and ANOVA to examine associations and predictors. Results Most mothers (58%) reported low levels of violence exposure. Severity of violence was strongly associated with maternal post-traumatic stress (r=.648, p<.001) and child behavioral problems (r=.650, p<.001) and negatively associated with mother–child relationship quality (r = –.185, p=.066). Regression analyses indicated that violence significantly predicted maternal PTSD and children’s clinical behavioral concerns, whereas demographic factors such as child age and maternal education moderated mother–child relationship outcomes. Conclusion Exposure to domestic violence adversely affects maternal mental health and children’s behavioral outcomes, potentially compromising the mother–child relationship. These findings underscore the importance of interventions aimed at supporting maternal caregiving sensitivity, promoting secure parent–child attachment, and mitigating the effects of violence on family well-being in the Egyptian context. Keywords Domestic violence, Mother–child relationship, Child behavior, PTSD, Attachment theory, Egypt

Background: Peptic ulcer disease (PUD) is a common gastrointestinal condition, marked by mucosal erosion due to gastric acid and pepsin. It represents a major health risk, especially among elderly patients. Aim: To assess knowledge and reported practices of elderly patients with PUD. Research design: A cross-sectional descriptive research design was used. Setting: This  research was carried out in the Gastroenterology department and outpatient clinics at Aswan University Hospital. Sample: A purposive sample of 100 elderly patients with PUD. Tools of data collection: Three tools were used: Tool I: An interview questionnaire consisted of two parts: First part: Demographic characteristics; second part: Medical history related to PUD. Tool II: Knowledge of elderly patients regarding PUD. Tool III: Practice of elderly patients regarding PUD. Results: 63.0% of the elderly patients were smokers. Epigastric pain 92% and acidity 87% were the most common symptoms. Also, drinking excessive caffeine 81% and smoking 63% were the main predisposing factors. About 67.0% of the elderly had an unsatisfactory knowledge regarding PUD, and 52.0% from them had an unsatisfactory reported practice regarding PUD. Conclusion: The study indicate that one-third of the elderly demonstrated satisfactory knowledge regarding PUD, while nearly half of them had a satisfactory reported practice regarding PUD. A significant positive correlation was observed between knowledge and practice levels. Recommendation: Tailored health education programs should be developed to improve knowledge and promote effective self-practices among elderly patients with PUD.

A Background: Elderly patients are at higher risk of developing deep vein thrombosis compared to younger patients. Patients with multiple risk factors often demonstrate a lower level of self-efficacy, which influences the ability to manage the condition and medication adherence and satisfaction. Aim: to assess anticoagulant treatment satisfaction among elderly patients with deep vein thrombosis at Sohag  University Hospital. Research design: An descriptive cross-sectional research design was used. Setting: This study was conducted in the Vascular Surgical Department and outpatient clinics at Sohag University Hospital. Sample: A purposive sample involved 193 elderly patients. Tools: Two tools were used. 1st tool: Structured interview questionnaire; consisted of 2 parts.  Part (1): demographic data of elderly patients. Part(2): Clinical data. 2nd tool: Anti-Coagulant Treatment Satisfaction Scale (ACTS). Result: 56,5 

Organizational agility and ambidextrous leadership foster flexibility, creativity, and collaboration, which are essential for preparing nurses to embrace change. This study aimed to examine the impact of organizational agility and ambidextrous leadership on nurses’ readiness for change. Using a descriptive correlational design, data were collected from 348 nurses at Al-Rajhi and Heart Hospitals affiliated with Assiut University through validated scales on organizational agility, ambidextrous leadership, and readiness for change. Results showed that ambidextrous leadership had the strongest positive effect on nurses’ readiness for change (β = 0.570, p < 0.001), followed by organizational agility (β = 0.205, p < 0.001). In conclusion, this study underscores the pivotal role of ambidextrous leadership and organizational agility in enhancing nurses’ readiness for change. By fostering adaptive leadership behaviors and agile organizational practices, healthcare institutions can cultivate environments that promote innovation and facilitate effective change implementation. Therefore, strengthening these dimensions among nursing leaders is essential to sustain continuous improvement and ensure the success of healthcare reform initiatives. Training programs to enhance ambidextrous leadership skills among nurse leaders are recommended to balance exploratory and exploitative behaviors and drive readiness for change.

Abstract
Background Internet addiction (IA) is a behavioral condition characterized by impaired impulse control. Although it
does not involve substances, it shares features with other behavioral addictions such as pathological gambling. This
study aimed to examine the relationships among emotional intelligence (EI), internet addiction, and psychological
well-being (PWB) among university nursing students.
Methods A descriptive correlational research design was employed with a stratified sample of 335 students from
the Faculty of Nursing at Assiut University. Ethical approval was obtained from the Faculty’s Ethics Committee (IRB
number: 1120250980). Data were collected using a demographic questionnaire, the Trait Meta-Mood Scale, the
Internet Addiction Test, and Ryff’s Psychological Well-Being Scale.
Results Students with higher EI scores demonstrated higher mean ranks of IA (mean rank = 173.24) as well as higher
mean ranks of PWB (mean rank = 183.81). Correlation analyses revealed weak but statistically significant associations
among the three variables (r ≈ 0.15–0.29). Specifically, EI was positively correlated with both PWB and IA, while IA was
negatively correlated with PWB.
Conclusion Nursing students demonstrated relatively high EI, moderate levels of IA, and moderate to high well-
being range based on the scale cutoffs. Although the associations between EI, IA, and PWB were statistically
significant, the effect sizes were small, limiting their practical significance. The negative relationship between IA
and PWB is consistent with prior literature, underscoring the potential adverse effects of excessive internet use on
students’ mental health. While integrating EI training into nursing education may be beneficial, the findings should be
interpreted cautiously due to the weak correlations observed.
Clinical trial number Not applicable.
Keywords Emotional intelligence, Internet addiction, Psychological well-being, Nursing students

Abstract
Background Opioid use is a growing concern worldwide with high relapse rates and psychiatric comorbidities.
Emotional intelligence (EI) has been associated with positive health outcomes, yet limited research exists on EI-based
interventions for opioid use disorders. The study aimed to assess EI levels among individuals with opioid addiction
and implement an EI program to reduce addiction severity and relapse rates, as well as examine potential factors that
contribute to enhancing EI.
Methods A quasi-experimental study assigned 40 males with opioid use disorder into an intervention group
receiving a 2-week EI program (n = 20) and a control group (n = 20). Healthy comparison group (without opioid use
disorder) (n = 20) was also included. Measures including the Emotional Intelligence Scale, Personality Inventory for
DSM-5, Symptom Checklist-90-Revised (SCL-90-R), Addiction Severity Index, and Advance Warning of Relapse (AWARE)
questionnaire were used to assess the groups at baseline,2 weeks and 3-month follow-up in patients with opioid use
disorder.
Results The healthy group exhibited lower scores on disinhibited personality subscales, maladaptive personality
traits, and SCL-90-R subscales than the opioid addiction groups at baseline. The EI intervention group displayed
substantial increases in EI subscale scores at the second and third follow-up assessments compared to the
control group. At AWARE scale follow-up, all control group patients had relapsed, versus only one patient in the EI
intervention group.
Conclusions Participants with opioid addiction demonstrated lower baseline EI and higher rates of psychiatric
symptoms and maladaptive personality traits than healthy group. A brief EI intervention led to significant EI increases
and lower relapse rate versus standard treatment alone.
Keywords Opioid, Emotional intelligence, Psychiatric comorbidities, Relapse, Addiction