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Background: Noncommunicable chronic diseases (NCDs) are multifaceted, and the health implications of the COVID-19 pandemic are far-reaching, especially for NCDs. Physical distancing and quarantine can lead to the poor management of NCDs because the visual tracking of them has been replaced with medical digital technology, that is, smartphone apps. This study aimed to explore medical digital technology applications for NCDs for follow-up during the COVID-19 pandemic. Methods: The participants in this study were 400 adult patients with NCDs; they were selected by systematic random sampling. A descriptive cross-sectional design was used. The study was conducted in the outpatient department of Yanbu General Hospital and primary-care health centers in Yanbu Al-Baher, Al-Madinah Al-Munawwarah, in the Kingdom of Saudi Arabia. The tools used in this study were a structured questionnaire to collect the sociodemographic characteristics of the patients and their health history, an NCD questionnaire to assess follow-up of the patients during the COVID-19 pandemic, and a medical digital technologies questionnaire to explore the medical digital technology applications. Results: The mean age of the patients was 47.32 ± 14.362 years, and 62.8% of them were female and 372 were male. Of the patients, 69.2% and 57.5% had been diagnosed with diabetes mellitus and hypertension, respectively; 52.4% were followed up monthly, and 29.75% used medical digital technology applications such as Tabeby Online to monitor their health. Furthermore, 71.75% and 75.5% of the patients used the Sehhaty and Tawakkalna medical digital applications, respectively. Overall, 38.7% of the patients were satisfied with using medical digital technology applications used for follow-up during the COVID-19 pandemic. Conclusions: The study concluded that the services that use networks, smartphones, and medical digital technology applications on the Saudi Ministry of Health website and mobile applications to improve the quality of the health-care system, and that provide health services for noncommunicable or communicable diseases, are not effective. This is because the patients lack awareness of these services, with most of the chronic patients being elderly with lower levels of education and computer literacy.

Osteoporosis is a global health and economic burden. It is a major chronic health condition that affects women more than men and it is incurable disease. Postmenopausal women are among those at greatest risk of osteoporosis, but any one of either gender or any race can develop this disease. Effective disease management ultimately lies in the hands of the individual patient, who must take responsibility for key health behaviors related to bone health. One behavior modification strategy that has proven effective to osteoporosis is self-management. The self-management program for osteoporosis, choices for better bone health, helps to educate people about the disease and to promote behavioral strategies for maximizing bone health. Telenursing bridges the access gap to specialized osteoporosis care in remote areas. Improving coordination of investigations, access to allied health members, and future initiatives may improve morbidity and mortality related to osteoporosis in this population. Mobile health (m-Health) interventions hold promise to effect engagement in health behavior change related to calcium and vitamin D intake, balance, core and leg strength, and physical activity.

Background:Deep vein thrombosis (DVT) is one of the causes of maternal morbidity and mortality. During pregnancy, and after caesarian section surgery the risk of DVT increases by five-ten times than the other time. It can be prevented through practising of calf muscle pump exercise and following preventive measures as early ambulation.The purpose of the study:was to evaluatethe effect of calf muscle pump exercise and preventive measures on the prevention of deep vein thrombosis (DVT)and its manifestationsamong a postpartum cesarean section. Method: A quasi-experimental design was used to fulfil the purpose of the study. Sample: A purposive sample of(200)post-partum women after cesarean section (study and control groups) wererecruited. Setting:The study was carried out atante-natal and post-natal wards of Menoufia University HospitalatShebin El-Kom city at Menoufia Governorate, Egypt.Instruments: Five instrumentswere used by the researchers; (1) An interviewing questionnaire;(2) Author DVT risk assessment scale;(3) Women’s knowledge assessment questionnaire;(4) Calf muscle pump exercise and preventive measures questionnaire, and (5)DVTand its manifestations questionnaire.Results:The mean age of the control and thestudygroups were (25.16±5.41) and (25.59 ± 5.92) years old respectively.There were highly statistically significant differencesbetween the study and the control groups regarding the level of knowledge, calf muscle pump exercise, preventive measures after the intervention (P

Trauma injury is the leading cause of mortality and hospitalization worldwide and the leading cause of potential years of productive life lost. Hypercatabolism after trauma may lead to acute protein malnutrition that ultimately results in multiple organ failure. Therefore, nutritional support is an essential component of the care of critical trauma patients for optimizing outcomes. Evidence-based practice improves the quality of care through patient-centered care, the utilization of patient resources, provider resources and experiences, current research and scientific information. The main objective; of this study was to assess and evaluate the effect of evidence-based enteral nutrition (EN) protocol on complications prevention among trauma patients. The research hypothesis; evidence-based enteral nutrition protocol will prevent complications among trauma patients. The study subjects consisted of 50 adult patients diagnosed with trauma and divided equally into two groups; control group who received the routine hospital nutrition and study group who received evidence-based enteral nutrition protocol at the Intensive Care Unit (ICU) El-Minia University Hospital. The tools of data collection were; 1) Assessment sheet, it includes two parts, 1st part included socio-demographic data of the patient. 2nd part included five items that cover medical data, 2) Evidence-based enteral nutrition protocol, and 3) Evaluation sheet, it includes two parts, 1st part included the laboratory investigations. 2nd part covers the vital signs. Results: This study revealed that the majority of the control group less than thirty years old compared to study group equal or more than forty years old. There are statistically significant differences regarding mouth condition, severe infection, and nutritional assessment, among study and control groups. The result also revealed that the highest percent regarding the time of start enteral feeding and body positioning were among the study group. Conclusion: Evidence-based enteral nutrition protocol had significantly prevention of complications among trauma patients. Recommendation: Hospital should be following evidence-based enteral nutrition protocol to prevent complications among trauma patients at intensive care unit.

Background Osteoarthritis (OA) is the most common rheumatic disease of the knee and causes uncontrolled pain and disability. It affects millions of people across different races at different ages and of both sexes. Daily physical exercise is the first line of management for women with early OA to maintain muscle strength, physical fitness, and overall health. Aim The aim of the study was to evaluate the impact of physical exercise on the activities of daily living in women with early OA. Participants and methods A quasiexperimental design ‘time-series’ was used to achieve the objectives of the study. A total of 46 women were recruited from the outpatient clinic of El-Demerdash University Hospital. Tools of data collection Three tools were developed and used by researchers to collect the data: (a) a structured interview questionnaire; (b) scale of daily living activities; and (c) a physical exercise questionnaire for women with OA. The women performed exercises at the rate of one session per week for a period of 1 month in the presence of researchers, who clarified any queries. Results The women were aged 43–65 years, with a mean age of 41.8±14.67 years. There are significant differences regarding pain intensity, degree of difficulty, and need for assistance after practicing physical exercises. Conclusion A regular exercise program improved the daily living activity levels of women with early OA. There was also a significant improvement in pain, knee flexion, muscle strength, and functional capacity after practicing physical exercise. Recommendation Nurses have an active role in raising awareness about the importance of physical exercise in the treatment of early OA. Hospitals should implement a plan of action to include exercise in early OA treatment for women.