In this issue a good reviews from Qatar and Saudi Arabia dealing with important issue for the nursing field in addition to research papers from Turkey, Lebanon and Australia.

Al Nassar., looked at the Extent of Childhood Obesity and the Scope of School-Based Health Promotion Interventions in Saudi Arabia through a Review of Literature. The author stressed that Childhood obesity is a concerning trend and represents one of the most significant challenges to public health worldwide. Childhood obesity in Saudi Arabia has become a significant concern for scholars and healthcare professionals. An extensive amount of research has been conducted to identify the most effective interventions to prevent childhood obesity in light of its prevalence, health consequences, and associated costs. Studies indicate that identifying and addressing obesity-related behaviours can be valuable for developing and implementing effective interventions and prevention measures to mitigate childhood obesity in Saudi Arabia. It has been shown that obesity-related behaviours can be changed through school-based health promotion interventions. Therefore, the present review summarises the current evidence on childhood obesity, including its prevalence, health consequences, and obesity-related behaviours in children and adolescents in Saudi Arabia. In addition, it aimed to determine the scope of school-based health promotion efforts in Saudi schools to reduce childhood obesity.

Hersi , looked at Barriers and Facilitators of Palliative Care for Adult Heart Failure Patients: Integrative Review. Heart failure (HF) patients usually experience symptoms such as dyspnea, tiredness, cognitive impairment, and pain. Those symptoms contribute to a decline in physical functioning and a limitation in their ability to do their daily tasks. Palliative care (PC) is crucial for people with HF because it focuses on improving the quality of life and can reduce symptoms and improve function. Qatar aims to introduce PC services for adult patients with HF. Objective: This integrative review aims to investigate the barriers, facilitators, and the outcomes to the provision of palliative care among adult patients with HF. Methods: Whittemore and KnafI's framework guided this integrative review. Using three databases, twenty (n=20) peer-reviewed articles, published between 2011 and 2022, were included in the integrative review. The Mixed Methods Appraisal Tool was used to assess the quality of these articles. The data was then extracted and thematically analyzed before being synthesized. Results: The barriers, facilitators, and outcomes of providing PC services to individuals with HF were identified from the perspectives of patients, healthcare providers, and healthcare organizations. Conclusion: Gaining a comprehensive understanding of these barriers, facilitators, and outcomes associated with providing PC services to adults with HF is central for the effective implementation of such services for this patient population in Qatar.

Dr Bahjat , discussed the conflict issues in Ghaza. He stressed that While the bombing of Gaza and the resulting loss of civilians continues, I urge the international community to stop the war now, protect civilians (including health-care workers), lift the 16-year blockade on Gaza immediately, and allow international aid to enter Gaza to support the health-care system that has already collapsed.

Helvaci, et al., discussed the Atherosclerotic background of digital clubbing in sickle cell diseases. They studied 222 males and 212 females with similar mean ages (30.8 vs 30.3 years, p>0.05, respectively). Beside digital clubbing (14.8% vs 6.6%, p<0.001), smoking (23.8% vs 6.1%, p<0.001), alcohol (4.9% vs 0.4%, p<0.001), transfused red blood cells (RBCs) in their lives (48.1 vs 28.5 units, p=0.000), disseminated teeth losses (5.4% vs 1.4%, p<0.001), chronic obstructive pulmonary disease (COPD) (25.2% vs 7.0%, p<0.001), ileus (7.2% vs 1.4%, p<0.001), cirrhosis (8.1% vs 1.8%, p<0.001), leg ulcers (19.8% vs 7.0%, p<0.001), coronary heart disease (CHD) (18.0% vs 13.2%, p<0.05), chronic renal disease (CRD) (9.9% vs 6.1%, p<0.05), and stroke (12.1% vs 7.5%, p<0.05) were all higher, and autosplenectomy (50.4% vs 53.3%, p<0.05) and mean age of mortality were lower in males, significantly (30.2 vs 33.3 years, p<0.05). The authors concluded that the hardened RBCs-induced capillary endothelial damage initiates at birth, and terminates with multiorgan failures even at childhood. Parallel to digital clubbing, all of the atherosclerotic risk factors or consequences including smoking, alcohol, disseminated teeth losses, COPD, ileus, cirrhosis, leg ulcers, CHD, CRD, and stroke were higher, and autosplenectomy and mean age of mortality were lower in males which can not be explained by effects of smoking and alcohol alone at the relatively younger mean age. So autosplenectomy may be a good whereas male gender alone may be a bad prognostic factor, and digital clubbing may have an atherosclerotic background in SCDs.

Abdulrazak Abyad
Chief Editor