The study aimed to assess quality of life among children with cancer in Gaza Strip and the factors influencing their life conditions. A descriptive, analytic, cross-sectional study include 122 children with cancer whose age was between 7 to 18 years. Data collected at El Ranteesy Specialized Pediatric Hospital and European Gaza Hospital data collected by using the Pediatric Quality of Life Inventory (PedsQL 4.0 generic core scale). Participants were interviewed by the researcher and completed the questionnaire which focused on quality of life included five domains. The result showed that most of the participants have a medium level of quality of life with the mean score was 52.53%. The social function domain got the highest score with equaled (60.98%), physical function domain (52.94%), the school function domain (48.85%), and the lowest domain was emotional function domain with equaled (47.13%). Finding showed that gender, age, hospital, participants' residence, participants' father level of education, participants' mother level of education, diagnosis years for the current disease, and family history of cancer not statically significant difference in the quality of life. Providing psycho-oncology services in ministry of health together with medical treatment, anxiety reduction measurement, provide program that can enhance the level of quality of life, and psychosocial support schedule for children and their families. Finally, guiding the society of how children with cancer treated through improve the awareness and educational campaign and encourage the skills of communication for healthcare givers.

Conclusions: PTMD is a severe metabolic complication. It had serious impact on cardiovascular complications that can influence graft and patient survival .Early identification and treatment of PTMD may improve outcomes .

End Stage Renal Disease (ESRD) is an important cause of morbidity and mortality globally. Understanding the risk factors of ESRD can help identify preventive strategies. This study aimed to determine the risk factors of ESRD among patients undergoing hemodialysis in the governmental hospitals in Gaza Strip. Retrospective-hospital based-case control study was conducted on patients with ESRD, at Ministry of Health Hospitals at the time of study in 2014 (N = 264), proportional stratified random sample used for sample selection (n = 132) cases matched with sex, age, and locality to 132 control were chosen. Data was collected using a questionnaire including socio-demographic, medical history, and life style and additional data were obtained from medical record. The results showed that the most common risk factors associated with ESRD were hypertension (42.4% versus 20.5%) and diabetes mellitus (28% versus 16.7%). Kidney stone (21.2% versus 4.5%), urinary tract infection (65.9% versus 27.3%) and glomerulonephritis (19.7% versus 6.1%) follow it. For medications analgesic drug formed among cases and controls (22% versus 9.1%). For smoking it was (47.7% versus 23.5%), obesity (41.7% versus 34.1%), anxiety (17.4% versus 6.1%). For low activity (48.5% versus 28%), primary educational level (95.1% versus 39.4%), low household income (76.5% versus 59.1%), family history (70.5% versus 47.7%). A multiple logistic regression controlling for age, gender, and location showed that significant predictors of ESRD were hypertension, glomerulonephritis, and obesity. In conclusion, the study suggests that most of the identified risk factors are preventable by easy ways as screening of highly risk people and encourage health life style.

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