Background: During an epidemic, an associated rise in mental health concerns is usually observed. The impact of the ongoing COVID-19 pandemic and lockdown on mental health of adults residing in Nigeria is unknown. The current study attempts to determine the prevalence of psychological distress among adult residents in Nigeria and explore any potential risk factors. Methodology: An online survey developed with Google form was distributed to willing respondents using social media platforms between the time period of 24th of April to 30th of May 2020. Kessler psychological distress scale was used to assess for prevalence of mental health morbidity. Results: Overall, 815 adults responded to the survey, of which 344 (42.2%) were males and 471 (57.8%) females with a Male: Female ratio of 1:1.4. Overall, the top 3 sources of information on facts concerning COVID-19 were television (28.1%), WhatsApp (16.5%) and health care providers (14.3%), while the least source of information was the Nigerian Center for Disease Control (NCDC) (0.8%). 47.3% of the respondents had psychological distress: medium risk (41.4%) and high risk (5.9%). Significant predictors include age, occupation, income, working status, and perception of how likely the respondent believe that he or she can be infected with the disease. Conclusion: A high prevalence of psychological distress was detected among adults living in Nigeria. This calls for an urgent review of the existing national protocol on the management of COVID-19 to include strategies and programs that will promptly detect and address the mental health needs of at-risk populations.

Continuous positive airway pressure (nCPAP) is widely used in neonatal units both as a primary mode of non-invasive respiratory support and post-extubation. 1 Despite increased uptake of non-invasive ventilation, time on oxygen therapy and oxygen requirement at 36 weeks CGA is higher than before. 2 In contrast to mechanical ven-How to cite this article: Ezeh NI, Eyo TJ, Gurusamy K. EBNEO commentary: Weaning from CPAP using high-flow is non-inferior to using CPAP alone in very preterm infants. Acta

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Figure 2 Ranking of the greatest challenges faced by HCPs when treating patients with FD (n=5 HCPs)Conclusion Findings from this survey indicate a high symptom burden of FD in adolescents, which also places burden on their caregivers. While current treatments help to alleviate symptoms, disease burden remained high post-treatment. There is a need for additional FD treatment options which are more manageable and have less impact on adolescent quality of life.