This issue of the year is a busy one with papers from the region covering various topic of interest to the health care professional. Hussein, et al., did a cross-sectional study to assess family practitioners' attitudes toward and awareness of evidence-based medicine in Egypt. There was a 100% response rate most of the participants were females 91 (68.9%), aged between 30-39 (73.3 %), and worked in mixed urban and rural settings (53.3%). Most physicians welcomed or strongly welcomed the use of EBM (54.1% and 38.2% respectively). Moreover, 97% of the respondents agreed that EBM is useful or extremely useful. The authors concluded that Egyptian family physicians generally have a good attitude towards EBM, however their general knowledge about it is still insufficient.

Zafar et al., did a systematic review of studies on progesterone's usage in the cure of nicotine craving was undertaken. The authors used the Boolean search approach and searching key terms (i.e. progesterone AND treat*, drug addiction AND withdrawal, smok*, nicotine), screened the title, abstract and full-text for data extraction during June 2021. A search in the PubMed, NIH, Elsevier, Scopus, Web of Science, Google Scholar, and Science Direct databases was performed. The authors concluded that in the majority of instances, 200mg was administered, and favorable outcomes were obtained. Although there were no major side effects observed, a few moderate side effects such as breast tenderness were reported in a few individuals. As a result, progesterone therapy helps to alleviate nicotine withdrawal symptoms, lowers smoking intensity, and treats smoking addiction in both men and women.

Alfaifi, et al., did a cross-sectional study among healthcare worker at Prince Mohammed bin Nasser Hospital. A total of 352 were included in the study. Data was collected through a self-administered questionnaire pertaining to socio-demographic characteristics and the depression anxiety stress scale 21-item questionnaire. The aim was to assess the prevalence and determinants of depression, anxiety, and stress among healthcare workers at Prince Mohammed bin Nasser Tertiary Hospital in Jazan City during the COVID-19 pandemic. The authors concluded that there was a considerable prevalence of depression, anxiety, and stress among healthcare workers during the COVID-19 pandemic, especially among those who experienced the death of a relative from COVID-19 and those who had a chronic disease.

Alateeq, et al., did a cross-sectional study conducted among the Saudi adult population. The aim to determine the relationship between the number of hours spent daily on social media and the Irritable Bowel Syndrome (IBS) symptoms in Saudi adults. Eight hundred ten participants completed the survey (59.8% females vs. 40.2% males). The most common age group was 20 to 29 years (58.1%). The authors concluded that consistent with the literature, there was a high prevalence rate of IBS among the adult population living in Saudi Arabia. This study also demonstrated that the duration of social media use and the number of hours of screen time were not independently accounted for as predictors of IBS. Further research is needed to establish the link between IBS and the use of social media in our region.

Khalid et al., did a cross-sectional web-based study in Taif, Saudi Arabia. A self-administered questionnaire was used to collect the participants' socio-demographic characteristics, employment status, medical history, awareness, and knowledge about VV. SPSS was used to analyze the results. ?This study aimed to investigate the ?prevalence & awareness of VV among teachers ?and ?the general population of Taif city and find out the correlation ?and differences between teachers and ?other Taif residents with ?VV along with socio-demographic characteristics.?
A total of 1754 individuals (993 females) participated in the study. The authors concluded that the prevalence of VV in the current study is comparable to previous studies. Many significant modifiable VV risk factors were identified. The participants' awareness and knowledge about VV reasons, symptoms, and prophylactic measures were not adequate in some aspects. Increasing the general population's awareness about VV using simple methods is warranted in an attempt to reduce the prevalence of VV and its complications.

Alsahafi , et al., did a cross-sectional study on surgeons of all specialties at King Abdulaziz University Hospital, Jeddah city. The objective is to measure the knowledge and awareness of nutritional screening and support among surgeons in Makkah province, and to define their approach toward its implementation. Only 25.4% of the participants were screening all patients for their nutritional status, 39.8% were screening only who appear undernourished by inspection. The authors concluded that their findings indicated that the nutritional knowledge levels of surgeons, in the field of clinical nutrition was not satisfactory.To improve nutritional care in hospitals, effective nutrition training and ongoing education for all staff must be prioritized.

Mohsen et al., reviewed retrospectively the records of 40 consecutive patients with 40 displaced, supracondylar fractures of the humerus treated between January 2019 and December 2020, in Aden. To describe the patients' condition and to evaluate the treatment and the outcome.
The total study patients were 40 patients. Twenty-one (52.5%) were males and 19 (47.5%) were females. The age of the patients ranged between 2 to 10 years and the mean age was 6.6 ± 2.1 years. Twenty-four (60%) had the fracture on the right arm, and 16 (40%) had on the left arm. All the patients underwent surgery within 24 hours of injury. The mean time was 8.1 ± 4.5 hours.
There were 11 (27.5%) cases of once trial reduction, 14 (35%) of twice trial reduction and 15 (37.5%) of three times trial reduction. The average removal of K-wires was 3.55 weeks. Twenty-six (65%) patients were treated by III lateral K-wires fixation and 14 (35%) were treated by crossed K-wire fixation. The authors concluded that the delay in surgical treatment may cause a number of complications.

Saleh, et al., report a case of acute hemolytic anemia in a 30-year-old Saudi male after receiving Semaglutide injection. A 30-year-old Saudi male with G6PD deficiency presented to the Emergency Department of Aseer Central Hospital, Abha City, Saudi Arabia with acute onset of yellow discoloration of the eyes, palpitation, mild backache, fatigue, and dark urine. The symptoms started one day after receiving the second dose of Semaglutide injection. The authors concluded that G6PD deficiency should be considered in all clinical settings, and the hemolytic conditions that can possibly be precipitated by drugs not well known to cause hemolysis. Screening of newborn infants to early detect G6PD deficiency is highly recommended, especially in those with positive family history of G6PD.

Alturkstani et al., looked at the Impact of the COVID-19 Pandemic on Makkah City's Health Programs Performance. Coronavirus (covid-19) is an viral illness caused by a recently discovered coronavirus that began in the Chinese city of Wuhan in December 2019.(1) The impact of this globally pandemic affects all aspects of social, psychological, economic, and health.(1,2) The Saudi preventive health programs for Community health services to increase awareness and decrease preventable diseases. This study aimed to assess the impact of the COVID-19 pandemic on key performance indicators of health programs at Makkah Al-Mukarramah City.

Alotaibi, et al., did a cross-sectional study to examine the public knowledge and their fears about using topical corticosteroids in 2022. A total of 1,889 people participated in the study. Around half of the study participants (46.2%) reported using topical corticosteroids. The vast majority (88.8%) reported that topical corticosteroids effectively managed their dermatological condition. Approximately half (47.1%) reported worrying about side effects when using topical corticosteroids. The authors concluded that phobia about topical corticosteroids is a common problem that warrants further investigation. It affects patients' compliance with corticosteroid therapy, which ultimately will result in worsening their clinical outcomes. Healthcare professionals should focus on education on topical corticosteroids and correct any misconceptions about this group of medications.

Abdulrahman, et al., did a cross-sectional study targeted