Background: Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Chest computed tomography (CT) plays an essential role in the evaluation of COVID-19. This retrospective study aims to determine and compare the pulmonary changes in Iraqi patients with COVID-19 disease across the first two weeks after onset of symptoms using computerized tomography (CT) scan. Ninety-six patients with COVID-19 disease were enrolled in this study. Patients were divided into two groups according to the duration of symptoms (the first group has been scanned within the first week of presentation while the second group has been scanned in the second week). Results: The CT findings in the first and second group were as follows: ground glass opacity (GGO) were 94.3% vs. 88.5%, consolidation were 25.7% vs. 34.6%, broncho vascular thickening were 18.6% vs. 7.7%, crazy paving appearance were 15.7% vs. 3.8%, tree-in-bud appearance were 4.3% vs. 10.7%, pulmonary nodules were 5.1% vs. 7.7%, and bronchiectasis were 5.5% vs. 7.7%. Pleural effusion and cavitation were seen only in the first group (2.9% and 1.4% respectively). The distribution of CT changes across the two groups were as follows: bilateral changes were 85.7% vs. 100%; central distribution were 11.4% vs. 11.5%; peripheral distribution were 64.3% vs. 42.3%, and diffuse (central and peripheral) distribution were 24.3% vs. 46.2% while multilobar distribution were 70% vs. 80.8%. Conclusion: The type, extent, and distributions of pulmonary manifestations associated with COVID-19 infection are significantly different between the two groups who have been scanned in different stages of the disease.

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Objectives: To assess the attitude of doctors with regard delivering bad news to patients and breaking bad news protocols. Methods: This is a cross sectional (descriptive study) done in Iraq from first of November 2020 to end of May 2021 involved 500 doctors ( periodic resident, senior resident, general practitioner and specialist doctors in different specialties ) working in different hospitals, primary health care centers and private clinics in Iraq, they are selected randomly. A self – administered questionnaire design in addition to online data collection, by using modified questionnaire and link sent to different online ways (whats app, viber, facebook, telegram ). Results: Out of 500 respondents doctors there were 329 (65.8%) females, 171 (34.2%) males. Regarding to attitude of doctors in breaking bad news 268 (53.6%) of doctors were need a structured protocol in breaking bad news and 280 (56%) doctors need training for breaking bad news. The SPIKES protocol is the most preferred protocol by doctors about (75.6%). Conclusion: High percentage of  participants doctors(63%) did not know any protocol in breaking bad news and about (43%) of them rated themselves had good ability in delivering bad news. The SPIKES protocol is the preferred protocol by doctors.

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