Background The COVID-19 pandemic has caused unprecedented stress and fear throughout the world. Aims To evaluate the psychological effects of the COVID-19 pandemic on the Saudi public, and to examine the performance of the Arabic version of the Four-Dimensional Symptom Questionnaire (4DSQ) scale. Method We conducted an online questionnaire-based cross-sectional survey of a sample of the Saudi public. Results The study included 347 participants, who reported significantly higher levels of distress, depressive symptoms, anxiety symptoms and somatisation compared with a normative sample. Females scored higher in terms of somatisation, depression and anxiety symptoms, and distress. Obtaining COVID-19 information from friends and relatives was associated with higher levels of somatisation, depression and anxiety symptoms, and distress. Cronbach's alpha was 0.93 for the distress scale, 0.88 for the depression scale, 0.88 for the anxiety scale and 0.86 for the somatisation scale. Conclusions Levels of psychological distress were high among the Saudi public during the COVID-19 pandemic. We found high reliability for the Arabic version of the 4DSQ scale. However, three items did not conform to the four-factor structure, namely, item 1: ‘During the past week, did you suffer from dizziness or feeling light-headed?’, item 20: ‘During the past week, did you suffer from disturbed sleep?’ and item 46: ‘During the past week did you ever think I wish I was dead?’.

Highlights : Emergency department need essentisl careful assessment as it deal with acute, urgent health situations so should have high skilled well trained staff. Aims : Study involves assessing the emergency nurse's knowledge, attitude, and practice regarding the practical obstacles that impede nurses from working in the Emergency Departement and taking necessary measures to resolve them. Material and Method :The current study was a cross-sectional study conducted upon (400) nurses. Questionnaire form to assess nurses' knowledge, attitude, and practice in Mosul's teaching hospitals / Iraq related to working in the Emergency Departement. The acceptability score was established at 61.2 mark / 85%; less than this limit was considered unsatisfied as degree 85% (61.2 marks) was considered as acceptable. The data were surveyed applying the (SPSS version 25) descriptive and inferential statistics. Result : The study showed that there were statistically significant differences in the level of knowledge. The mean ± S.D of the knowledge was (33.15 ± 11) . The mean of practice was (23±9). The majority of nurses was in the accepted level 196 (49%) and statistically highly significant P-value was 0.01. Attitude answering questions show high agreement on questions (Number of the good training staff is essential in the emergency department? , and Handwashing is necessary before preparation and administration? ) with answers percentage are [ 96.25% and 93.75% respectively]. The difference between nurses was highly significant p-value was 0.001. Conclusion :This study concluded that the awareness or knowledge of nurses is satisfactory with the level of attitude and practice with respect to Emergency Department

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Objective: The present study's objective is to determine the prevalence of nonalcoholic fatty liver among obese adults in Mosul City, Iraq. Methodology: A prospective study design was applied to achieve the present study's objectives for November 1, 2019, to March 1, 2020. The total sample size was 225. All subjects were selected purposively from outpatient clinics at Al-Salam Teaching Hospital, Ibn Sina Teaching Hospital, and Mosul General Hospital. Results: Among obese adults, the prevalence of NAFLD is 68%; among the 225 patients examined herein,153 had NAFLD. Parameter comparisons between NAFLD and without NAFLD subjects and indicated the mean BMI was (38.8±4) Kg/m2 and (34.1±2.4) Kg/m2, respectively. WC was (106.6±3.9) cm in the NAFLD group and (102.7±3.3) cm in the subject without the NAFLD group. The mean triceps skinfold thickness was (3.8±1.4) cm in the NAFLD group and (2.9±0.9) cm in the subject without the NAFLD group. All parameters had high significance. Recommendations: Further studies on large populations are needed to facilitate the generalization of the current findings. Keywords: Fatty Liver, Nonalcoholic, Mosul