Progressive muscle relaxation (PMR) therapy is considered one of the alternative therapies used for reducing pain intensity and fatigue. Dysmenorrhea is primary or secondary on the base of the absence or presence of pathology. The study aimed to assess the effect of progressive muscle relaxation technique on pain intensity and fatigue associated with primary dysmenorrhea among female adolescents. Design: A quasi-experimental research design was utilized to achieve the aim of this study. Setting: The study was conducted in two governmental secondary schools in Port Said City. Subjects: A purposive sample consisting of 150 female adolescents was recruited using a multi-stage sample technique in this study. Three tools used for data collection are: Tool (I): A self-administered questionnaire, Tool (II): A modified Behavioral Pain Scale, Tool (III): A fatigue assessment scale, and Tool (IV): Dysmenorrheal duration assessment sheet. Results: No statistically significant differences were noticed between the study and control groups concerning their all demographic characteristics. Results of the present study revealed that statistically significant differences were detected between the study and control groups regarding their pain intensity post-intervention. A significant reduction in fatigue scores in the study group as compared to the control group post-intervention (p-0.0001). Conclusion: Progressive muscle relaxation technique had a positive effect on reducing pain intensity and fatigue among female adolescents with primary dysmenorrhea. Recommendations: Progressive muscle relaxation technique should be used as a non-pharmacological method because it is a systematic technique to reduce pain intensity and fatigue among female adolescents with primary dysmenorrhea.

Overweight and obesity are risk factors for the development of chronic diseases with at least 2.8 million adults dying each year as a result of being overweight or obese. Aim: Determine the effect of educational intervention based on the health belief model among high-risk undergraduate nursing students for obesity. Research design: A quasi-experimental research design pre-post-test was utilized in this study. Settings: The study was conducted at the Faculty of Nursing at Mansoura University. Subjects: A purposive sample composed of 160 undergraduate nursing students who are at high risk for obesity was included. Tools of data collection: Tool (I): A Self-administered questionnaire, was composed of 4 parts, part one: Undergraduate nursing students' data, and part two: Undergraduate nursing students' knowledge regarding obesity. Part three: Undergraduate nursing students' self-reported practices regarding healthy food and regular exercise. Part four: The effects of obesity on undergraduate nursing students' lifestyle assessment sheet. Tool (II): The health belief model assessment sheet. Tool (III): Anthropometric measurement to detect body mass index. Results: Revealed that more than two-fifths of undergraduate nursing students were in obesity class1, and two-fifths were in obesity class II. There was a highly significant difference between undergraduate nursing students' knowledge & their practices regarding obesity, healthy food, and exercises pre & post-educational intervention based on the health belief model. Conclusion:The study concluded that educational intervention based on the health belief model has a positive effect on improved knowledge and practices among high-risk undergraduate nursing students for obesity. Recommendations: The study suggested that the educational intervention based on the health belief model should be integrated into care among high-risk undergraduate nursing students for obesity. Conducting routine screening by measuring body mass index for undergraduate nursing students who are at high-risk for obesity.

Background: Workers in quarries who engage in the excavation, cutting, and crushing of stones or rocks are exposed to various hazards, including noise, falls, dust, and explosions. Aim: The study aimed to propose guidelines for preventive measures toward occupational health hazards for quarries workers. Study design: A descriptive analytical study was utilized to conduct this study. Subject: A purposeful sample consisted of 302 male workers in limestone quarries. Setting: This study was conducted in the quarries of Tourah affiliated to Tourah Portland Cement Company in south of Cairo. Tools: Composed of 3 tools.: I tool: An interviewing questionnaire form. II tool:Observational Check list about compliance of personal protective equipment. III tool: Medical record. Results:59.9% of workers their aged ranged from 25˂ 40 years old, 51.0% work 7 to 8 hours a day, the most common occupational health hazards were dust pollution, noise pollution, and weather hotness, while 83.1% of them complained of wounds, and 70.5% body pain, also 72.8% of them diagnosed with musculoskeletal diseases. 49% chronic bronchitis and 44.4% silicosis while the workers who compliance with personal protective equipment represent only 18.2% of total workers. Conclusion: The study demonstrated the existence of a statistically significant relationship between exposure to occupational hazards and compliance with personal protective equipment and statistically significant relationship between workers' knowledge and practices towards prevention of occupational hazards and the incidence of work injuries among them with p value ˂ 0.001. Recommendation: Activating the proposal guideline for preventive measures toward occupational health hazards to raise awareness of quarry workers.

Background: Tele-rehabilitation" means delivery of rehabilitation care services via a number of technologies to older adults Post COVID which characterized with lung impairment, decrease activities of daily living, risk of depression, anxiety, and poor quality of life. Aim: The study aimed to evaluate the effectiveness of tele-rehabilitation program for older adults post COVID-19. Study design: A quasi-experimental design was used to conduct this study. Subject: A purposeful sample consisting of 112 older adult posts COVID-19. Setting: This study was conducted in the Ain Shams University Specialized Hospital El Obour, Egypt. Tools: Self-reported electronic questionnaire was designed in Arabic language to collect data through Microsoft form which consisted of 5parts to assess demographic data, activities of daily living, quality of life, depression, and anxiety level. Results:41.1% of the studied sample ranged between 65: ˂ 70 years, 93.8% of them suffered of comorbidity, 87.5% suffered of breathlessness, 50.9% were dependent, 63.4% experienced poor quality of life, 18.8% of them suffered from severe depression and 22.3% severe anxiety, preprogram intervention which significantly improved post program implementation. Also, there were positive correlation between rehabilitative care practices post COVID-19 and activities of daily living, and quality of life while negative correlation with depression and anxiety level with p value < .001. Conclusion: The study proved that the tele-rehabilitation program for older adult post COVID-19 was effective to optimize functioning of activities of daily living and which lead to improve independence level, and maximize quality of life, further, to relieve anxiety and depression. Significantly with p value ˂ 0. 001. Recommendation: Further research to identify obstacles that have been associated with applications of tele-communication technology, more home-based programs, and enhancing the resilience of older adults to cope with stresses of COVID-19.