Advance directive is a legal document that allows people to accept or decline medical interventions and to appoint surrogate decision makers if they become incapacitated. Advance directives often do not neatly address all the specific medical situations and may require interpretation. There are many limitations of advance directives that can lead to irreversible medical errors. The goal of this article is to share my experience and discuss different scenarios related to the case.

Background: Depression is a major source of distress and can have a profound impact on the quality of life and consider leading cause of death and morbidity. Early treatment and identification of depression reduces the burden on caregivers and family member along with medical costs. About 3% of the global population proved to be affected by depressive disorders currently according to global statistics. People are most likely to develop their first depressive episode between the ages of 30-40. There is a second, smaller peak of incidence between ages of 50-60 years. Objectives: The main goal of this study is to determine the prevalence of depression in people living in Dubai, United Arab Emirates. Methodology: Community based-study was conducted in 2019 with the use of a cross-sectional, multistage, stratified, cluster random sample. Families were visited and interviewed at their homes. Data was collected by adapted tool from the World Health Survey and developed by WHO. 2532 families were interviewed by approximately 100 well trained data collectors 25 nurses. Results: The present study showed that the prevalence of depressive disorder among Adults aged 18 and above was 2.1 %. This fluctuates between 2.3% for females and 2% for males. The estimated number of adults who were affected by depressive disorder was 54,733 who age 18 years and above. Out of all clients having depressive disorder, only 19% were diagnosed. While approximately 81% did not realize that they were suffering from a depressive disorder. The results show the depression prevalence was 4.7% for local clients compared to 2% for non-local clients. Conclusions: Depression tends to adversely impact individual’s quality of life. Males are less likely to suffer from depression than females and UAE nationals more than expatriate. Depressive disorders among Dubai population is not uncommon, in spite of revealing the lowest level of global depressive rating, it does reflect significant public health implications which necessitate effective containment strategies.

Background: Colostrum is yellow to orange color, thick and sticky first milk produced by the mammary glands which was universally recommend to feeding for every newborn. It has Laxative effect and contains bioactive immune factors which protect a neonate against a variety of infections and allergic diseases. Globally, around 5.6 million children died before reaching their fifth birthday, of those, 2.6 million (46%) died in the first 30 days of life. Approximately 7000 newborns died every day, most of which occurred within first 7 days after birth, with about 1 million dying on the first day and close to 1 million dying within the next 6 days in 2016. Various factors can effectively reduce neonatal mortality to greater levels early initiation of Colostrum feeding and exclusive breastfeeding for the first 6 months of life is one of them which prevent around 20% newborn deaths and 13% under-five deaths. Even those few studies conducted on Colostrum feeding in Ethiopia there is no sufficient information in our study area. There for this study will try to fill the information gaps and serve as implementation guide and reference for stake holder and other researchers. Objective: To assess knowledge, attitude and practices of colostrum feeding among postnatal mothers in Harar Town governmental Hospital Harar, Eastern Ethiopia 2019. Methods and Material: Health facility based cross sectional study was condcted on 306 women attending delivery service in Harar Town Jugal and Hiwot Fana Specialized university Hospitals. Sample was allocated proportionately and study participant was selected by systematic random sampling. Collected and checked data were entered in to Epi Data software version 3.02 and exported and analyzed using SPSS version 21. Mean value were used to classify as good or Poor knowledge, altitude and practice on colostrum feeding. Finding was summarized and presented in different forms of diagrams and tables and statement. Result: The overall prevalence of good knowledge, altitude and practice on this study was 96 %, 89 % and 70 % respectively. Majority 65.5 % and 94 % of the mother replied that colostrum feeding is important for growth and development of baby and it protect disease from their new born. Few 8% provide other than colostrum after birth due to different reasons. Conclusion and Recommendation: Even if the overall prevalence of good knowledge. Altitude and practice was higher on this study few clients does not now initiation time of breast and also provide other substance instead of colostrum and discard it due to fear of abdominal cramp and their believed that it was not clear. Therefore responsible bodies and stake holders need to work for alleviating such misconception and information gaps.