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.

Background: Cardiopulmonary resuscitation training is mandatory for nursing staff, whereas the ability to respond quickly and effectively to a cardiac arrest situation rests on nursing competence. Aim: to evaluate the effectiveness of structured cardiopulmonary resuscitation training program on nursing' competence. Subjects& Methods: A quasiexperimental design was used to fulfil the aim of the study. Subjects: A convenience sample of 60 critical care nurses who were recruited from critical care units. Study setting: This study was carried out at five critical care units affiliated to Minia University Hospitals, Egypt. Tools of data collection: were; First Tool: "Structured Questionnaire" it consists of (two parts): Part I: Nurses' personal data such as age, and gender; Part II: Nurses' knowledge assessment about resuscitation process and its role in resuscitation, Second Tool: Observational checklist for assessment nurses' performance of resuscitation. Results: There was a highly statistically significant difference in critical care nurses' knowledge and performance pre-and post-structured cardiopulmonary resuscitation training program. also, there was no statistically significant correlation between all personal characteristics for studied nurses and their total performance score pre-and post-structured cardiopulmonary resuscitation training program except in a studied sample's age categories. Conclusion: Improvement was obvious in the level of knowledge and performance of CPR of critical care nurses under study after attending structured cardiopulmonary resuscitation training program. Recommendation: Structured CPR training program should be available to train critical care nurses.

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.

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