Objective Adequate sleep is integral to better mental health and facilitates students’ learning. We aimed to assess sleep quality among medical students and to see whether it was associated with their mental health (e.g., depression, anxiety, and stress) and academic performance. Results A total of 206 responded, and 95 of them had complete data on demography, lifestyle, academic performance, sleep quality (Pittsburgh Sleep Quality Index), and mental health (Depression Anxiety Stress Scales). The prevalence of poor sleep was 63.2%; it was higher among students who were physically inactive and had more screen time. Poor sleepers demonstrated higher academic performance than sufficient sleepers (p = 0.04). The prevalence of depression, anxiety, and stress were 42%, 53%, and 31% respectively. Sleep quality was significantly associated with depression (p = 0. 03), anxiety (p = 0.007), and stress (p = 0.01).

IntroductionFew studies have estimated screen time among Arab adolescents, and no studies, to date, have published data on addiction to video games or Internet games among Arab adolescents. This study aimed to assess the prevalence of addiction to video games and its correlation with mental health in a sample of expatriate high school students from the Al-Qassim region of Saudi Arabia.MethodsThe survey was conducted in 2016 among 276 students enrolled in ninth through twelfth grades in the International Schools in Buraidah, Al-Qassim. Students who returned signed consent forms from their parents filled out a self-administered questionnaire that included validated scales on addiction to video games, general health, and lifestyle.ResultsThe proportion between the sexes and the schools were roughly equal. Around 32% were overweight or obese, 75% had screen time ≥ 2 h/day, and 20% slept < 5 h/night. Sixteen per cent (16%) were addicted to video games and 54% had psychological distress. Addiction to video games was strongly associated with psychological distress (OR = 4.1, 95% CI = 1.80, 9.47). Other significant correlates were female gender, higher screen time, and shorter sleep hours.ConclusionsThe proportion of students with psychological distress was high. Future studies should investigate other potential correlates of distress such personal traits, family relations, and academic performance.

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Aims We aimed to (a) determine the prevalence of depression, anxiety and stress among expatriate nurses in Saudi Arabia, and (b) assess how dissatisfaction with salary, workload and teamwork, individually and in combination, was associated with those conditions. Background Prevalence estimates for depression, anxiety and stress among nurses are higher than those in the general population. Available data on the mental health of expatriate nurses are limited. Methods Expatriate nurses (n = 977) from governmental hospitals completed an electronic survey on demography, lifestyle, job factors, depression, anxiety and stress (assessed with DASS‐21 scale). Multinomial logistic regressions were used for analyses. Results Dissatisfaction with workload and teamwork was significantly associated with both mild/moderate and severe depression in adjusted models. Dissatisfaction with workload was significantly associated with both anxiety and stress, but teamwork was not. There was a significant dose–response relationship between the number of domains of dissatisfaction and depression, anxiety and stress (p for trend was < 0.001). Conclusions Dissatisfaction with salary, workload and teamwork is associated with depression, anxiety and stress in expatriate nurses. Implications for Nursing Management Hospital and nursing administrators should identify specific aspects related to workload and teamwork and offer solutions to reduce mental health distress among nurses.

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Abstract.Moringa peregrina which is one of the most valuable and economically important medicinal species in the Egyptian desert has become one of the most endangered trees due to unmanaged grazing and over-collection. The present study aims to provide ecological assessment of the species and to investigate whether progeny from the remnant fragmented populations show reduced fitness. Sixteen sites containing a total of 197 trees were sampled upon survey of Wadis in South Sinai, where vegetation parameters and associated species were recorded. Variation in edaphic factors, phenotypic traits, germination, and early life-history fitness were assessed and analyzed. The results indicated that M. peregrina has narrow distribution and grows on cliffs and at the base of hills (300 -800 m a.s.l.) with very rugged topography. Almost all the reproductive trees grow on south facing slopes and crevices of metamorphic rocks. The study clearly showed that the studied populations have very low early stage fitness estimated as an index of maternally affected life-history characters. The study suggested that the deteriorated environmental circumstances have affected negatively the fitness of maternal plants in small populations and the performance of their offspring. It concluded that direct protection is urgently needed to stop further deterioration of the populations and to improve their number and size.