Purpose: To explore the relationships between depression, fatigue and QoL among patients diagnosed with cancer in the West Bank.Method: This was a descriptive, correlational study. 172 patients with lung, breast, colon, prostate and stomach cancer participated in the study. Depression, fatigue and quality of life were assessed for patients who undergoing chemotherapy. All instruments were reliable and valid. Results:The mean score for depression was 22 (SD=8). This indicated that many patients in this study experienced depression. The participants had moderate fatigue 51 (SD=39). The same results were found in quality of life dimensions, as the mean score for functional scales and global health status ranged from 50 to 73 and for symptom scales ranged from 27 to 45. Regarding the correlation, the results showed that there were significant correlation between depression and fatigue and all quality of life dimensions (all p<0.05). Conclusion:Depression and fatigue were significantly correlated with QoL. The impact of depression should be taken into consideration by health care workers when designing or planning interventions to improve QoL for patients with cancer through accurate and early assessment. The moderate fatigue that patients with cancer experienced by the disease or by the treatment should also be taken into account. Each one of the key variables negatively affects QoL in separate. The occurrence of them simultaneously may increase the worse effect on QoL for patients with cancer. Based on that, depression and fatigue should be assessed for each patient with cancer.

Background: Coronavirus Disease 2019 (COVID-19) rapid manifestation and spread have disrupted world norms and affected people's daily activities and life. Many ministries chose mass lockdown protocol as a way to control the virus spread. Though this protocol has shown to be effective in limiting the Virus transmission, it might have a negative impact on the population's psychological status, such as boredom, confusion, psychological stress, anxiety, depression, and physical effects. Objective: This study aimed to find the impact of the COVID-19 pandemic on the Palestinian adults' psychological status by assessing the participant's practices, reports of anxiety and depression during the pandemics Methods: An observational descriptive cross-sectional study was conducted among Palestinian adults in the West Bank, at the occupied Palestinian territories, between July and September 2020. The questionnaire was structured into two domains: the first domain includes nine questions about sociodemographic data. The second consisted of 33 (yes and no) questions evaluating the participant's psychological status. Results: 739 participants with a mean age of 31.76, filled the online questionnaire. Around one-third of respondents revealed having many signs of anxiety, and around 42% of respondents expressed having many signs of depression. Females were significantly more likely to have signs of depression, whereas front-line COVID-19 health care workers were significantly the least likely to have signs of depression and no signs of depression were found among participants with high incomes. Conclusion: COVID-19 pandemic has a negative effect on mental status; most participants have signs of anxiety and depression.

Coronavirus Disease 2019 (COVID-19) caused by a strain of SARS– CoV2. A lot of ministries chose mass lockdown protocol as a way to control the virus spread. One of the lockdown negative consequences is the impact of psychological status which includes a sense of boredom, confusion., psychological stress, anxiety, depression and physical effects. The purpose of this study was to assess and evaluate the effect of COVID-19 pandemic on the psychological status for Palestinian adults, and to establish recommendations in order to promote and maintain psychological well-being during this pandemic. A cross-sectional study was conducted among Palestinian adults, 739 participant with mean age 31.76 filled the on-line questionnaire. Around one-third of respondents revealed having many signs of anxiety and around 42% of respondents expressed having many depression signs. Females were significantly more likely to have many depression signs, while health care workers, those who deal directly with confirmed cases of Covid-19 and who assist in providing health care for a diagnosed Covid-19 patient were significantly less likely to have many depression signs compared to others. Regarding the participants’ income, those with increased income were significantly more likely to have almost no signs of depression compared to others. However, COVID-19 pandemic has a negative effect on the mental status, the majority of participants have signs of anxiety and depression

Electrolytes imbalances are highly prevalent and have shown a high impact on mortality in patients with acute myocardial infarction. These electrolytes imbalance have prognostic value in predicting mortality in patients with acute myocardial infarction. The purpose of this study was to assess the prognostic value of electrolyte imbalances in predicting 1-month mortality among patients with myocardial infarction with and with no ST-elevation. This cohort study was conducted in a referral hospital in the West Bank, Palestine. All patients with confirmed medical diagnosis of acute myocardial infarction and admitted to the medical coronary care unit in the hospital were eligible participants. A convenience sample of 186 participants was obtained. These participants were followed up for 1 month to assess their survival (alive or dead). Demographic and clinical data were recorded by reviewing their health records. The derived data were analyzed using SPSS version 19. About 36% of all patients were found to be hyponatremic, 15% of them have hypokalemia, and 9% of patients had hypocalcemia. There was a significant difference between STEMI and non-STEMI in sodium (t = 4.7, P < .001). A multivariate logistic regression analysis was performed to predict 1-month mortality for patients with myocardial infarction with and with no ST-elevation. The predictors that were found to be significant are sodium (odds ratio [OR] = 0.789, P = .010), calcium (OR = 0.221, P = .014), diastolic blood pressure (OR = 0.933, P = .047), and blood urea nitrogen (OR = 0.821, P = .005). Electrolyte imbalance was highly prevalent among patients with acute myocardial infarction. Hyponatremia and hypocalcemia were present and associated significantly with predicting 1-month mortality. Health care providers should take into consideration the electrolytes of patients with acute myocardial infarction from the first moment of admission and correct them early to maximize the clinical outcomes and survival for patients.

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