Objective: The purpose of the current study was to evaluate the anxiety among the undergraduate dentistry students during the COVID-19 pandemic. It also aimed to find out their stress management strategies. Methods: A total of 809 undergraduate dentistry students of Sindh and Balochistan contributed to this web-based cross-sectional study. A validated e-questionnaire created using Google form were distributed among the dental college student through social media. Spss 22 was used for statistical analysis. Results: Significantly higher number of females and private college students were the participants. Majority of the students are dissatisfied with the online education and no significant difference is present among private and public sector dental college (p >0.05). Moderate to severe level of anxiety among both gender is prevalent. Praying and recitation of the holy book is the most common couping strategy followed by sleeping, talking to friends and family. Conclusion:- Psychological sessions should be arranged to improve the mental health of future dental surgeons. Government need to re-evaluate its policies towards the health care system and administration and teaching faculties should focus to upgrade their skill concerning e-learning

Background: Lack of serum vitamin D3 is related to PD (Parkinson's disease). Currently a valid place for vitamin D3 deficiency in Parkinson disease (PD) has been anticipated. The aim of present research was to evaluate insufficiency of D3 (vitamin) in subjects with PD (Parkinson's disease). Many of physiological functions connected with higher risk of illness are maintained by vitamin D, which also plays significant task in pathogenesis of calcium homeostasis and skeletal ailments. It forecasts hazard of persistent ailments like malignancy, CVS conditions, and T2DM. Continuous insufficiency of this vitamin may lead to PD. Method: This was a cross sectional study. Conducted at People's Medical College Hospital, Nawabshah during period of Jan. 2014-Dec. 2016, the sample size of 243 subjects clinically diagnosed as PD was enlisted. Inclusion criteria were all male and female subjects aged >50 years, clinically diagnosed Parkinson's disease enlisted in research. Results: In 151 (62.1%) subjects, vitamin D3 levels were <30 ng/ml while in 92 (37.9%) subjects, vitamin D3 values were normal (30-150 ng/ml) (p = 0.000). Conclusion: Considerably low levels of vitamin D3 were seen in Parkinson's disease. Our information sustains a legitimate part of vitamin D insufficiency in PD.

Objectives: It’s very common that patients with psychiatric illness visit other specialties and in a survey it was found to hold a percentile of 15% to 30% of all primary care consultations. This study is designed to assess psychiatric patients who present in Clinic with ENT symptoms but result in no disease. Study Design: Cross-sectional study. Setting: ENT OPD of People Medical College, Nawabshah. Period: 1ST Jan 2019 to 31ST Jan 2019. Material & Methods: We selected a total sample of 320 patients who presented with ENT diseases where we excluded patients with organic diseases and studied those who didn’t show any clinical sign of organic diseases. The registered patients were evaluated by psychiatrist. Results: It was observed that out of 320 patients 180 patients were having psychiatric problem and those patients were advised to visit psychiatrist and take follow up on month end. Out 0f 180 patients 140 patients visited ENT OPD twice and 110 patients got relief in one visit. Conclusions: We found that conducting a cross-sectional survey using GHQ-12 helped us in detecting psychiatric patients presenting with unexplained diseases in ENT Clinics however to reach more accuracy in results, further tools can be utilized .We also believe doctors at all specialty clinics need to give more attention to their diagnosis and assist patients to open up to them and not to feel embarrassed.

Background Bipolar disorder is a source of marked disability, morbidity and premature death. There is a paucity of research on personalised psychosocial interventions for bipolar disorder, especially in low-resource settings. A pilot randomised controlled trial (RCT) of a culturally adapted psychoeducation intervention for bipolar disorder (CaPE) in Pakistan reported higher patient satisfaction, enhanced medication adherence, knowledge and attitudes regarding bipolar disorder, and improvement in mood symptom scores and health-related quality of life measures compared with treatment as usual (TAU). Aims The current protocol describes a larger multicentre RCT to confirm the clinical and cost-effectiveness of CaPE in Pakistan. Trial registration: NCT05223959. Method A multicentre individual, parallel-arm RCT of CaPE in 300 Pakistani adults with bipolar disorder. Participants over the age of 18, with a diagnosis of bipolar I or II disorder who are currently euthymic, will be recruited from seven sites: Karachi, Lahore, Multan, Rawalpindi, Peshawar, Hyderabad and Quetta. Time to recurrence will be the primary outcome assessed using the Longitudinal Interval Follow-up Evaluation (LIFE). Secondary measures will include mood symptoms, quality of life and functioning, adherence to psychotropic medications, and knowledge and attitudes regarding bipolar disorder. Results This trial will assess the effectiveness of the CaPE intervention compared with TAU in reducing the time to recurrence for people with bipolar disorder currently in remission in Pakistan and determine the effect on clinical outcomes, quality of life and functioning. Conclusions A successful trial might lead to rapid implementation of CaPE in clinical practice, not only in Pakistan, but also in other low-resource settings, including those in high-income countries, to improve clinical outcomes, social and occupational functioning, and quality of life in South Asian and other minority group patients with bipolar disorder.

Viral hepatitis C is a type of illness, which is transmitted to patients by different methods in world. Here we will identify the different common risk factors for transmission of viral hepatitis C in our setup. Aim of study was to determine frequency of various risk factors in HCV positive patients. This study was cross sectional and conducted Department of Medicine PMC Hospital at Nawabshah. Duration of this study was one year from April 2016 to March 2017. After taking informed written consent, 243 diseased persons with positive anti Hepatitis C Antibodies were incorporated in this research. Frequency of variables i.e. Hepatitis C virus risk factors and different other demographic results was collected on preformed proforma. In total of 243 subjects there were 165 (67.9%) male and 78 (32.1%) females respectively. Most of the subjects have more than one risk factor. 19 (7.8%) had history of blood and blood products transfusion. IV drug abuse was detected in 08 (3.3%). Homosexuality and heterosexuality were observed in 14 (5.8%) and 12 (4.9%) subjects respectively. History of dental procedure was seen in 31 (12.8%). 228 (93.8%) had history of needle pricking in different ways. History of different surgical procedures was observed in 33 (13.8%). Calculated Mean and Standard Deviation for age was 39.2 ± 10.3 years. It was concluded that proper implementation of precautionary measures should be carried out for every human being to reduce burden of HCV illness in far near future.