ABSTRACT
Weight gains due to planned, undesired and unwanted pregnancy by women is on the increase and this has brought a lot of psychological traumas to them. Majority of the women who participated in the study faced psychological truama as an aftermath of the planned abortion carried out leading to weight gain. These psychological truama has brought changes including emotional, hormonal, and physical changes to the women. The aim of this study is to ascertain the Psychological Effects from Weight Gain Following Planned Abortion among Female in Tertiary Institutions in South-South Nigeria. This was a descriptive cross-sectional study involving 250 females. A well-structured questionnaire was administered to participants. The study lasted for a period of 2 months. Exclusion criteria were those females that had not been pregnant. Inclusion criteria were those females that carried out termination of unwanted pregnancy and those who want to gain weight. Data were analyzed with SPSS version 25.0. The results shows that 90.0% of the participants regretted of their action, 80.0% had anxiety, 74.0% had depression, 80.0% developed poor body’s structure, 76.0% were ashamed of your body structure, 82.0% faced social isolation, 84.8% rejected due to poor body structure, 76.0% passed through psychological stress, 80.0% had mood swings and 70.0% had emotional response such as restless, loss, guilt, confusion, relief and grief.

ABSTRACT
Saudi Vision 2030 has remodeled health priorities emphasizing quality, access and equality within care through the nursing leadership. The nursing administrative roles in Saudi Arabia be redefined within the context of the much-needed cultural and policy change, which has been amplified by the current trends in health care. This review investigates the shift of nursing leadership from bedside nursing to executive decision-making within the sociopolitical environment and health care setup in the Kingdom. It addresses issues such as how Vision 2030 and privatization in health care dovetail to influence nursing administration and some challenges faced-such as gender dynamics, professional recognition, and leadership empowerment. Qualitative exploration is undertaken in this review regarding various competencies that nurse administrators should have to become a linking pin between clinical decision and strategic decision making. Policy-driven leadership models should be in place for nurses to meaningfully engage in health governance, finance, and human resource management. The effects of educational programs and mentoring on the executive nursing role were also examined with greater emphasis on cultural competence and adaptive leadership. Our analysis demonstrates that any reforms in Saudi nursing administration should entail reconstructing existing organizational arrangements to put in place a leadership pipeline integrating evidence-based management and culturally sensitive decision making. Saudi Arabia, through empowering nurse leaders as key stakeholders in health policy and institutional governance, would be set to deliver on improving patient care outcomes and operational efficiency. The transformation demands concerted efforts at policy reform and professional development to equip the nursing adequately to meet the challenges of contemporary health care while remaining closely connected to the sociocultural environment.

ABSTRACT
Cervical cancer is one of the leading causes of cancer-related deaths among women globally, particularly in low-resource settings such as Zambia. Despite the availability of free cervical cancer screening services, the uptake remains low. This study explores the knowledge, attitudes, and practices (KAP) regarding cervical cancer screening among women attending Mabumba Rural Health Centre in Mansa District, Zambia. A cross-sectional survey was conducted using structured questionnaires among 110 women aged 18–45 years. Data was analyzed using STATA version 14. The findings revealed that while some women had heard of cervical cancer, knowledge about its causes, risk factors, and screening methods was generally low. Attitudes towards screening varied, with many expressing fear or uncertainty about the procedure. The study also identified multiple barriers to screening, including cultural beliefs, financial constraints, and lack of awareness. The results highlight the need for targeted health education and community engagement initiatives to improve cervical cancer screening uptake in rural Zambia.

ABSTRACT
Introduction: Adolescent Health Services (AHS), also known as Youth-Friendly Health Services (YFHS), aim to meet the unique health needs of individuals aged 10–19. Despite efforts to expand access, utilization remains suboptimal in many settings. This study aimed to determine factors influencing AHS utilization among adolescents in Mbala Township, Northern Zambia. Methods: A descriptive cross-sectional study was conducted among 100 adolescents aged 10–19 years, selected through systematic sampling. Data were collected using a standardized interview schedule and analysed using SPSS version 27. Descriptive statistics summarized participant characteristics. Chi-square tests and binary logistic regression were used to identify factors associated with AHS utilization, with significance set at p < 0.05. Results: While 75% reported having used AHS and 80% had access, only 43% demonstrated good utilization. Knowledge of AHS was high (83%), and 58% held positive attitudes toward their use. Major sources of information included health facilities (46%) and the community (30%). Barriers to utilization included shyness (43%), perceived discrimination by providers (42%), and health worker-related hindrances (73%). Distance to facilities was also a concern, with 50% requiring over 30 minutes to reach care. Utilization was significantly associated with gender (p = 0.031) and education level (p = 0.001). Logistic regression showed that being female (AOR = 1.75, p = 0.031), having secondary education (AOR = 2.90, p = 0.018), and a positive attitude (AOR = 1.84, p = 0.047) were significant predictors of AHS utilization. Conclusion: Despite high awareness and access, effective utilization of AHS in Mbala remains limited, largely influenced by gender, educational attainment, and attitudes. Interventions should focus on promoting youth-friendly services, reducing stigma, and enhancing community and provider engagement to improve adolescent health outcomes.

ABSTRACT
Background: Psychological stress is the body's natural response to physical or emotional pressure, leading to the release of hormones like cortisol and adrenaline. While stress can sometimes be beneficial by enhancing focus and decision-making, prolonged stress can negatively impact mental and physical health. To reduce its effects, practicing exercise, relaxation techniques, and effective time management is recommended. Objective: To Evaluate nurse’s knowledge Among Psychological stress in pediatric department and Nursery intensive care unit Methods: This descriptive cross sectional hospital-based study design to assess stress among nurses in the pediatric department and NICU at Almak Nimr Hospital in period extended from "December to February 2025" purposive sampling technique was used, with a sample size of 38 nurses. Data were collected using a closed-ended questionnaire designed by the researchers. The questionnaire consisted of 18 questions finally the data was analyzed by statistical package for social solution (SPSS) version 18 then the data represents in form tables and figures. Results: The results of present study clarified that less than half (48%) of the study group experienced stress due to workload, (16%) due to a lack of medical resources, (10%) due to dealing with critical cases, and conflicts with colleagues and patients, (16%) indicated that all the mentioned factors contributed to their work-related stress. Also about Impact of anxiety or stress affect the quality of professional performance more than half (52%) of study group had moderate impact, (16%) of study group had significant impact, (32%) of study group had minor impact. And about dealing with psychological stress the result showed that the majority (84%) of study group had poor knowledge, only (2%) of study group had good knowledge, and (14%) of study group had fair knowledge. Conclusion: The result concluded that the nurses knowledge regarding physical health effect of stress is (82%)

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Background: While current information on uterine fibroid (UF) includes mostly quantitative approaches, there is limited information known about women’s personal experiences and symptoms of UF described in their own words. Objective: This study explored the understanding of symptoms experienced by women diagnosed with UF and the burden of the disease on their quality of life. Methods: This was a qualitative exploratory study. Purposive sampling was used to select 10 women diagnosed with UF between March and April 2022. The study used semi-structured interviews, guided by the common-sense model of illness, during which they described UF symptoms they experienced and the different ways in which UF affected their life before presenting at the hospital. Thematic analysis, as described by Braun and Clark was used for data analysis. Results: Seven symptoms of UF experienced by participants emerged: menorrhagia, chronic pain, dysmenorrhea, abdominal bloating, pelvic pressure, pelvic mass and micturition difficulty. The burden of UF was felt across six areas of life: psychological, social, physical, socioeconomic/financial, employment and sexual life. Conclusion: The results reported in this current study illustrate that participants consider the burden of UF to be too much.

ABSTRACT
Introduction: Magnesium Sulphate (MgSO4) is the first-line treatment for severe pre-eclampsia and eclampsia, conditions that contribute significantly to maternal and fetal mortality worldwide. Despite its availability in Zambia, gaps in knowledge and competency among healthcare providers may hinder its effective use. This study aimed to assess the competence of nurses and midwives at Kapiri Mposhi District Hospital in the administration of MgSO4. Methods: This was a cross-sectional study where 100 respondents participated in the study. Participants were randomly selected. A structured questionnaires and checklists were used to collect data. Statistics Package for Social Sciences computer software package version 23.0 was used to analyze data. Chi square tests was used to test the significance of the association between Knowledge on administration of MgSo4, Competence in MgSo4 administration, among nurses and midwives at Kapiri Mposhi District Hospital. A 95% confidence interval and P value of 0.05 were used to ascertain the degree of significance. Multivariate binary logistic regression model to determine predictors of practices and need for information was also used. Result: On analyzing the dependent variables, majority, 71% demonstrated competence in MgSo4 administration. More than half 69% of respondents had knowledge on MgSO4 administration and 58% were trained. However, 31% lacked knowledge, and 29% were either unskilled or had limited skills. Almost all (92%) of the respondents confirmed MgSO4 being readily available in the department while 73.9% of respondents actively used it. Associated barriers to utilization included fear of side effects and lack of mentorship. Conclusion: Lack of knowledge was the main reason associated with lack of competence in MgSo4 administration among 29% of nurses and midwives regardless of the period of being in service. Particular attention should therefore be given to ensuring that nurses and midwives undergo train