Background: Older adults are at higher risk for fire-related injuries and deaths than younger people due to their impaired physical and sensory functions. A fire safety programs should be developed for older adults and their family caregivers to prevent fire-related accidents. Aim of this study is to evaluate the effect of a home fire safety program on fire safety knowledge and behavior of community-dwelling older adults and their family caregivers. Design: A quasi-experimental research design was used (one-group pretest-posttest). Setting: The study was conducted in five community clubs for community-dwelling older adults in Alexandria namely; El-Saada, El-Hanan, El-Wafaa, El-Hayia Wl-Amal, and El-Wedad clubs. Subjects Purposive sample was composed of two subjects; older adults and their family caregivers were selected based on specific criteria. Results: There was a statistically significant effect of home fire safety program on the level of knowledge of both older adults and their family (P = 0.001). Also, there were a significant effect of the program on the reported home fire safety behavior for older adults and their family caregivers (P = 0.0001). Conclusion: There were improvements in home fire safety knowledge and behavior of the community-dwelling older adults and their family caregivers after the application of a home fire safety program. Recommendations: Home fire safety programs should be disseminated to the older adults and their family caregivers in various settings. Encouraging the involvement of home fire safety programs in the mandatory fire safety curriculum in the educational system.

Background: Consumption of unnecessary hidden sugars is an important public health concern because it may lead to various health problems. A multi-pronged approach has to be taken to addressing the issue of "hidden" sugars in processed food. The aim of this study is to determine the effect of a hidden sugar guidance program on the young and older adults' knowledge and consumption pattern. Design: The study followed a quasi-experimental research design (one group pre-test post-test) Setting: two settings were used to carry out the study; El Waffa club for the older adults, and two faculties at Alexandria University for young adults namely; Faculty of Art and Faculty of Science. Subjects: a convenience sampling technique was used to select the study subjects; they included two groups; young adult undergraduate students, and older adults aged 60 years or more. Results: There was an improvement in the total score of knowledge regarding hidden sugar of the young and older adults after the implementation of the program with a statistically significant difference (P = 0.0001). There was also an improvement in the total score of the consumption pattern of the hidden sugar of the young and older adults after the implementation of the program with a statistically significant difference (P = 0.001). Conclusion: The hidden sugar guidance program had a significant effect on the young and older adults' knowledge and consumption pattern of hidden sugar. Recommendations: Community based awareness programs should be developed and implemented to inform the public about the risks of overconsumption of hidden sugars, raise awareness, and support both young and older adults to change their eating behaviors.

Background: chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide. Dyspnea has considered the most common health problem among patients with COPD; nonpharmacological management of dyspnea decreases its grade. Aim: to evaluate the effect of acupressure versus pursed lip breathing techniques on physiological parameter and dyspnea grade among patient with COPD. Design: A quasi-experimental design was utilized. Sample: It included 80 adult patients and divided into two groups as a group (1) acupressure group (n=40) and group (2) pursed lip breathing techniques (n=40). Setting: the study was conducted at the chest unit at Alexandria main university hospital. Tools: (1) socio-demographic data questionnaire, (2) Modified medical research council scale (MMRC), and (3) physiological parameter. Results: There was a decrease in dyspnea grade post-pursed-lip breathing group more than acupressure group and there was a statistically significant difference between two groups about dyspnea by the end of the 4th week and respiratory rate & oxygen saturation. Conclusion: Pursed-lip breathing was effective therapy for patients with COPD to improve dyspnea, physiological parameter, and oxygen saturation, while acupressure has a minimal significant effect on dyspnea grade. Recommendation: Prospective study should be designed to determine the stability of the effect of acupressure to control dyspnea.

Elder abuse may increase the vulnerability of older adults to diseases and decrease their general health status, Addressing this issue is important for promoting quality of life of older adults. Aim: the aim of the study was to identify the relationship between abuse experience and quality of life of community dwelling older adults. Setting: The study was carried out in the outpatient clinics in the Shark EL-Madina hospital in Alexandria, Egypt (medical, hepatology, and cardiology). Subjects: The study included, one hundred older adults aged 60 years and above, able to communicate effectively, and accept to participate in the study Tools: three tools were used in this study; the socio-demographic and clinical data structured interview schedule, LEIPAD Quality of Life Questionnaire, and the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST). Results: the majority of the study subjects who reported abuse experience were females, widows, housewives and illiterate. Poor quality of life was noted among females, widows, and illiterate. The majority of the abused older adults had one or more medical problems, and use of an assistive device. There is no a statistically significant difference between elders' abuse experience and their quality of life. Conclusion: A positive relationship was found between the abuse experience of the studied older adults and their quality of life, however no a statistical significant relation. Recommendations: In-service training programs should be planned by the gerontological nurse and offered to the caregivers of older adults, health care professionals, and social service workers both in the community and in institutional settings, focused on the detection and prevention of elder abuse. Raising awareness of the general public and the responsible authorities via mass media about the importance of this problem.

Background: European Food Safety Authority (EFSA 2015) reported that moderate daily caffeine consumption at levels up to 400 mg/day do not raise safety concerns and not associated with adverse effects in healthy adult population. While, high levels of caffeine consumption have been linked to a variety of illnesses such as cancer, heart disease, and diabetes. Despite these findings, there remains a gap in research relating to whether caffeine consumption adversely affects one"s wellbeing as measured by overall self-rated health. Aim: The aim of this study was to determine the association of caffeine consumption and self-rated health among young and older adults. Settings: Four faculties in the Alexandria University which are Faculty of Commerce, Education, Dentistry and Pharmacy & Six clubs for older adults in Alexandria namely; El-Saada, El-Wafaa, El-Hayia Wl-Amal, El-Omr El-Zahaby, El-Hanan and El-Wedad club. Subjects:Eight hundred college students in 1 st, 2 nd, 3 rd & 4 th grades, &150 older adults. Tools:(1)Young and Older Adults" Characteristics Structured Questionnaire Sheet, it includes three parts; sociodemographic & life style, anthropometric measurements & self-rated health.(2)Young and Older Adults" structured Questionnaire Sheet, it includes two parts; Knowledge & awareness and caffeine consumption. (3) Focus Group Discussion Guide. Results: Both groups of young and older adults consume high level of total caffeine /day, which may contribute to increased percent of caffeine toxicity and withdrawal symptoms. There is a statistically significant difference between them p = 0.042. The main sources of caffeine consumption among both groups were tea, coffee and medications. Higher caffeine consumption among young and older adults is associated with poor self-rated health. Conclusion: There is an association between caffeine consumption in both groups and their self-rated health. Poor level of knowledge regarding caffeine was observed in the higher consumers for both groups. Caffeine consumption is also associated with poor lifestyle as smoking, lower tendency to exercise regularly, irregular sleeping habits, overweight and obesity. Recommendations: Awareness program and education is needed to correct the misconceptions college students and older adults have regarding certain aspects of caffeine, to reduce its use and mitigate potential harms.