Background: perioperative morbidity and mortality are significant public health concerns due to their influence on patients' short-and long-term survival as well as the use of healthcare resources. The aim of this study research was to evaluate the effect of Enhanced Recovery Pathway application on perioperative outcomes among women undergoing gynecological oncology operations. Methods: A comparative quasi-experimental research design was used on a convenient sample of 112 women diagnosed with gynecological malignancy. The study group (56) got perioperative routine hospital care along with the implementation of an enhanced recovery pathway, and the control group (56) received perioperative routine hospital care only at the gynecology/ obstetrics and operating room of gynecological departments in Suez Canal University and Oncology Institute hospitals in Ismailia city. Tools: (T1) a structured interview questionnaire, (T2) assessment record for women undergoing gynecological oncology operations, (T3) Visual Analogue Scale. Results: There was a statistically significant difference between the studied groups; women who underwent gynecological oncology operation in the study group were significantly likely to experience less pain score, decrease in length of hospital stay, early postoperative bowel mobility with p-value (0.001,0.004,0.010 respectively) and decrease incidence of postoperative complications. Conclusion: As a result of the study's findings, women undergoing gynecological oncology surgery experienced fewer postoperative complications and better postoperative outcomes. Recommendation: Apply enhanced recovery pathway applications, which were successful for women following gynecological oncology surgery, to speed up recovery at the study sites and other healthcare facilities.

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Introduction: The COVID-19 pandemic has rapidly become a major worldwide health problem. Understanding the negative psychological sequalae on working physicians either front liners or not, can reserve psychological resilience for future disease outbreaks. Aim of the study: to explore the degree of anxiety and perceived stress in junior and mid senior physicians working at Cairo University Hospitals amid the COVID 19 pandemic. Methodology: This was an online based cross-sectional study done from April to May 2021. A total of 208 physicians working at Cairo University hospitals were asked to fill in Google forms including sociodemographic and clinical data beside two reliable tools to assess anxiety using the generalized anxiety disorder questionnaire (GAD) and perceived stress using the perceived stress scale (PSS). The individual domains and the total scores were calculated then compared with the different sociodemographic and clinical characteristics. Results: Most of the participants were females (66.3%), single (66.8%), not previously infected with COVID-19 (63.5%) and not included in the care of COVID 19 patients (64.9%). The mean GAD total score was 8.99±5.58 with 57.7% of the participants suffering mild to moderate anxiety. The mean PSS score was 20.76±5.3 with 80.3% found to have moderate stress. Except for the relation between gender and perceived stress (p value= 0.003), and the relation between psychiatric illness and perceived stress (p value=0.026), there was no statistical significance between anxiety and perceived stress from one side and sociodemographic and clinical data from the other side. Conclusion: Anxiety and perceived stress among physicians during the COVID-19 pandemic is considered high regardless of the different sociodemographic and clinical characteristics. Key words: COVID-19 pandemic, anxiety, perceived stress, physicians