Background: Physical activity and lifestyle are influenced by a number of things. The lockdown imposed by the coronavirus disease (COVID19) has limited student activity and altered their daily routine. Accordingly, obesity is a huge public health issue that has negative consequences for both physical and mental health. Aim: to find out association between stress and obesity among female student during COVID 19 pandemic at health colleges in Qassim university, kingdom Saudi Arabia. Subject and methods: A cross-sectional study was carried out from 15 October to December 2020. A total of 425 female students at health colleges (Medical, Nursing, Pharmacy, Medical laboratory) at Qassim university, KSA responded to the self-administered online survey. Two instruments, namely factors upshifting body weight and stress and the anthropometric, measurements, were used. Statistical tools such as frequency, percentage, were used for the descriptive analysis. Results: Most of student's suffered stresses with the major sources are academic, financial or economic, relationship, and future /career growth source. Also, there are a statistically significant relation was found student's sociodemographic data and their body mass index mainly in items related to age and marital status . Furthermore, there are statistically significant relations were found student's body mass index and all items related to their dietary habits during stress (p <0.000). Conclusion & recommendations: Students need for receive regular; periodic in-service dietary program contains methods of coping with stresses which indirectly added stressor on student's psychological status and indirectly affect their dietary habits and behavior. There is an evident necessitate for designed curriculum in the colleges regarding benefits of physical activity and eating patterns in health colleges. Further studies are needed to study the coping strategies that influence university students' eating behavior with the study stressors.

The aim of this quality improvement practice project was to improve noted delays in the time to antibiotic administration in paediatric febrile neutropenic patients seen at King Faisal Specialist Hospital and Research Centre (KFSH&RC), Saudi Arabia. Larrabee’s 6-step Model for Change of evidence-based practice guided the project. Clinical audit, nursing knowledge survey, comprehensive literature and international clinical guideline review were used to identify and design a clinical care pathway for paediatric febrile neutropenic patients at KFSH&RC. Post-implementation clinical audit showed a reduction in time to antibiotic administration and increased self-efficacy and knowledge among nursing staff in relation to managing the care of febrile neutropenic patients. This reflects similar improvements seen internationally in other centres following the introduction of a clinical pathway. This nursing led practice change was the first of its kind for KFSH&RC. It demonstrated that with support from key stakeholders, Larrabee’s model for evidence- based practice change can be used for introducing a nurse-led clinical care pathway in Saudi Arabia. Highlights •A new clinical care pathway introduced in Saudi Arabia improved time to antibiotic administration in paediatric febrile neutropenic patients. •Implementing a nurse-led clinical care pathway increased nurses’ confidence with managing children with febrile neutropenia and the skills and knowledge related to the accessing and delivering medication via central access devices •With key local stakeholder support evidence-based change frameworks such as that proposed by Larrabee can be used to improve nursing management in Saudi Arabia.

The body mass index (BMI) is commonly used in the assessment of obesity and overweight; however, its use in the diagnosis of adverse effects of obesity is questioned. This study aims to explore the agreement between the BMI and the calculated body fat percentage (BF%) in detecting obesity-induced ventilatory abnormalities. We carried out a cross-sectional study on a random sample of 150 healthy male students, aged 17 to 25, with a mean age of 20.8 ± 2.6 years. We measured the BMI, BF%, and pulmonary function of each participant. The students were classified into overweight-obese and normal groups based on the BMI and the BF% results. The Chi-square test was performed to analyze differences between the groups. About one-fifth of all participants had a fat mass ≥ 20%, among which 90% fulfilled the BMI definition of overweight and obesity (p < 0.05). The comparison between the two BF% groups showed that 20% of the overweight-obese group had a significant reduction in FEV1 (p= 0.025, Relative Risk= 3.00, 95% Confidence Interval= 1.13-7.99), and 23% of them had a significant reduction in FVC (p= 0.012, Relative Risk= 3.11, 95% Confidence Interval= 1.26-7.68). The changes in FEV1/FVC were statistically insignificant. The effects of the BMI categories on the dynamic lung volumes were statistically insignificant. The direct estimation of BF% is better than the calculation of BMI in the diagnosis of obesity-induced abnormalities in lung function. The use of BMI as an indicator of obesity in population health studies should be avoided.

Background: Practicing in trauma unit can strengthen nurses’ knowledge about the association of past trauma and the impact of trauma on the patient’s current mental illness. An aim of this debate is to avoid potentially re-traumatizing a patient during their episode of care. This educational discussion can provide nurses with content that describes the interplay of neurological, biological, psychological, and social effects of trauma that may reduce the likelihood of re-traumatization. Although multidisciplinary environments, the translation into clinical practice by nurses working in emergency departments (EDs) is unknown. However, before ED nurses can begin to practice, they must first be provided with meaningful and specific education about their role. Therefore, the aim of this debate was to evaluate the role and emergency management skills of ED nurses. Methods: This debate was conducted as exploratory research with a descriptive study design. Quantitative data were collected with an 18-item pre-education and post-education questionnaire. Results: A total of 34 ED nurses participated in this education discussion. There was meaningful change (p < 0.01, r ≥ 0.35) in 9 of the 18-items after discussion. The debate was based on the perceived effectiveness to evaluate the role and emergency management skills of ED nurses. Conclusion: Emergency department nurses became more informed of the interplay of trauma on an individual’s mental health. However, providing care to trauma patients in an ED setting was a considerable challenge primarily due to time constraints relative to the day-to-day. ED environment and rapid turnover of patients with potentially multiple and complex presentations. Despite this, nurses played a good role to reduce the likelihood of re-traumatization.