Background: With the advent of preventive dentistry and an expanded array of treatment options, the possibility of maintaining oral health throughout the life span has increased. This interdependence between oral health and general well-being further validates the need to explore factors related to the improvement of the oral health status of community-dwelled older adults. Essential to the process of enhancing the oral health status of this segment is the exploration of the numerous variables which must be considered in the development of mobile-based educational program. Thus, the adequate assessment of the health values, literacy, and perception related to the performance of oral hygiene is of upmost importance. Only then effective elder-specific oral interventions could be developed and implemented. Aim: The purpose of this quasi-experimental study was to measure the effect of mobilebased educational program through Bluetooth and WhatsApp Application on the oral health values, dental literacy, and oral self-efficacy among older adults. Setting: The study was conducted in El-Wafaa club of elderly persons affiliated to the Ministry of Social Solidarity. Subjects: A 67-participant, own smart phones, able to download and deal with related software applications, and capable of reading sent messages were operationalized using four specified tools. Tools: These were (1) Developed Demographic and Oral Health Profile for the Older Adults Structured Interview Schedule, (2) Health Literacy in Dentistry Scale (HeLD-short form), (3) Oral Health Values Scale (OHVS), and (4) Geriatric Self-Efficacy Scale for Oral Health (GSEOH). Results: Initially revealed that the higher prevalence of mouth health problems was related to tooth decay (64.2%) and tooth plaque (62.7%). Oral health problems had mostly a negative impact on satisfaction with fluids drinking and mouth appearance (40.3% each). There was a highly statistical positive significant improvement in the older adults' oral-related literacy, values, and efficacy post-program than before. A strong positive significant correlation was proved between the studied variables along the whole implementing periods. Oral health literacy was a predicting / independent factor for both Self-Efficacy and values in each period of interventions. Conclusion: The proposed program succeeded in improving the main studied variables' subscales with different degrees as represented by the mean percent scores, immediately after application that decreased at a 3week follow up of mobile-based oral care implementation but still significant compared with the pre-intervention period. Recommendations: Digital or e-health interventions to prevent or rectify oral problems of older adults should be wide-ranging and multi-faceted to be conducted via the social networks and invest in mobile health clinics. Design a preventive program to target older adults living in Egypt, through increasing access and minimize barriers to treatment for elderly with low financial standard and collecting systematic data on K...

Background: Considerable number of elderly patients still experience preoperative anxiety and poor postoperative anesthesia recovery, despite magnitude advances in laparoscopic management and improved anesthetic techniques, resulted from many improper connotations such as the complexity of anesthesia and surgery, fear of experiencing pain, physiologic response, patient unique characteristics, or being improperly informed. To date, anxiety and recovery in an elderly population undergoing laparoscopic abdominal surgeries have received very little attention and interventional studies with a structured preoperative teaching program addressing such variables are so limited. Teaching elderly patients the appropriate modification of activities and effective use of anxiety-reduction techniques all impact favorably upon their recovery outcome. Thus, the focus of this study is to evaluate the impact of laparoscopic surgery and anesthesia-related educational program on preoperative-associated anxiety and postoperative quality of anesthesia recovery for elderly patients subjected to laparoscopic abdominal surgeries. Methodology: A randomized pretest-posttest and follow-up control group research design was utilized, in two specialized laparoscopic abdominal surgical departments affiliated to Alexandria Main University Hospital, between the first of January to the end of August 2020. We interviewed 86 elderly patients scheduled for elective laparoscopic abdominal surgeries divided randomly into control and intervention groups, for investigating the following study variables: (1) preoperative anxiety (using State-Trait Anxiety Inventory on primary admission and the 2 nd day of admission just before surgery), and (2) postoperative quality of anesthesia recovery (using Quality of Recovery Score-15 in the initial 24-hours post-surgery, before discharge, and on the 7th day follow-up schedule). The proposed Arabic-version instructional program was introduced to the intervention group, then a comparison of the means between the predetermined groups was performed. Results: Degree of anxiety for the intervention group following the instruction scheme proved to be significantly lowered than those in routine hospital care group. The program conduction confirmed to have a statistically significant effect on the intervention group's recovery outcome than those in the parallel group including an amelioration in pain, physical discomfort, physical independence, as well as emotional dimensions, as evidenced by the marked percent improvement through the whole application periods. Conclusion: Preoperative engagement in the interventional informative sessions offers benefits to diminish the level of anxiety through gained knowledge and application of anxiety-relief manipulations in the subjected group. Through practiced skills of discharge self-management, quality of anesthesia recovery proved to be better than those in the control group with a statistically significant discrepancy between them. Recommendations: The pursuit of anxiety and recove...

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Introduction:The number of older adults with Parkinson's disease (PD) in need for supportive care is on the rise all over the world and the Middle East region in specific. While there are spending efforts to expand formal long-term care services to respond to this growing demand, informal care forms the backbone of this disorder. Parkinson's disease is a complex degenerative disorder that leads to cognitive decline and restricted physical abilities, which require eventually a constant care. Caregiving responsibilities are frequently bestowed upon close family members who are often thrown into caring tasks without being prepared and mostly experience the challenges of informal caregiving in association with other life demands which all require a significant amount of energy, dedication, and time-commitment. These responsibilities often become overwhelming and can lead to substantial burden with experience of mental stress and physical exhaustion related to the caring role, which may not be addressed appropriately or therapeutically. The often rapidly deteriorating condition of this disease threatens health promoting activities and sense of coherence of PD family caregivers, as the duration of care is in most cases hardly foreseeable with a challenge of lacking information about the entitlements, benefits, and support services. Related to our study, the tele-support service comprised both virtual communication, practice, and information with face-to-face or in-person meetings with peers of caregivers and the researchers (gerontological nurses and geriatricians). Setting: Conducted in El-Hadara Orthopedic and Traumatology University Hospital, specifically neuropsychiatric outpatient clinic; affiliated to Alexandria University in Alexandria, Egypt. Subjects: 39 primary and secondary PD informal caregivers recruited after fulfilling the inclusion criteria Tools: The following 4 measures were applied: (1) Demographic, caregiving experience, and support needs of caregivers of PD Older Adults Structured Interview Schedule, (2) Zarit Caregiver Burden Interview Arabic Abridged version (ZCBI-A 12 items-short version), (3) Health-promoting lifestyle Profile II -52 items (HPLP-II scale), and (4) Antonovsky Sense of coherence scale-13 items (SOC-13). Results: Family caregivers scored significantly lower on all measures of health promotion and sense of coherence, and higher on burden which were the areas of significant improvement after the application of individualized-based one-to-one interview and telephone counseling combined with group-based videoconferencing in the intervention timeframes. Age, level of education, duration and number of hours spent in caregiving, and caregivers' category are significant predictor variables. Conclusion: In-person tele-support intervention holds considerable promise in addressing efficiently and effectively caregiving challenges and stressors, resources available, and the health-promoting concerns of PD family caregivers where and when assistance is needed. It also contributes to bridging t...

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