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Abstract Objective: This study explores the impact of inadequate sleep on blood pressure levels among the population of Zakho district’s, Kurdistan Region, highlighting the unique cultural, economic, and geographical factors contributing to these conditions. Methods: This case-control study involved 1038 participants aged 18–65 years, divided into two groups. 527 cases, who have inadequate sleep <7 hours (n = 262), <6 hours (n = 194), <5 hours (n = 71). and 511 control who have an adequate amount of sleep of 7-9 hours. The study assessed sleep quantity through self-reported sleep duration using an interview questionnaire. Blood pressure was measured three times (with at least a one-minute interval between each reading) using a standard mercury sphygmomanometer and a properly sized cuff. The American Heart Association defines healthy and unhealthy blood pressure ranges. Chi-square and t-tests were used to examine the relationship between sleep duration and hypertension. Results: The prevalence of all stages of hypertension was significantly higher in the case group than in the control group (P = 0.0001) (Table 5). Stage I: 151(58.3% case), 108(41.7% control). Stage II: 106(60.92% case), 68(39.08% control). Hypertensive crisis: 5(100% case), 0(0% control). With the Exception of elevated blood pressure which was more prevalent among the control group: 129(60), than case group 86(40%). Among those with normal blood pressure, the prevalence was also higher in the control group; 206(53.51% control), 179(46.49% case). Conclusion: The study indicates that inadequate sleep durations increase the risk of hypertension. Improving sleep habits could prevent hypertension. Further research is needed in Zakho district to establish the relationship between sleep duration and hypertension. Addressing sleep disturbances can improve public health, especially among high-risk populations. Keywords: Sleep, hypertension, cardiovascular, systolic BP, diastolic BP

Patient’s satisfaction is a central element in the evaluation of health care services and it's an important indicator for measuring the quality of services and regarded as a component of performance improvement. The aim of present research was to measure patients’ satisfaction about health services in Zakho's hospital. Methodology: Descriptive study was conducted in Zakho's hospital. 248 patients were selected from Zakho general hospital, maternity hospital and emergency hospital in Zakho city which are the only hospitals that can receive inpatients in discrete. A validated questionnaire was used to measure patients’ satisfaction about health services by interviewing them on day of discharge. Results: the results of present study in Zakho’s hospitals (Zakho General Hospital, Emergency Hospital and Maternity Hospital) showed moderate level of satisfaction with health services that provided to them as overall results were (3.56 out of 5). With highest level of satisfaction in Zakho general hospital and lowest level in emergency hospital. Conclusion: the results indicate the need for further efforts should spend to overcome weakness and barriers for provision of better quality of services and enhance better satisfaction. the results also suggest that serious and effective pains are necessary to increase patient's satisfaction in Emergency hospital.