Pakistan is among the countries affected during the period of Covid-19 pandemic. A high prevalence of psychological distress was observed among the general population as well as doctors in this outbreak. Aims & Objectives: This research was conducted to study the relationship of psychological resilience, burnout and secondary traumatic stress among doctors in COVID-19 pandemic. It also identified the mediating effect of burnout between the relationship of psychological resilience and secondary traumatic stress. Patients and Method: It is a descriptive study with purposive sampling strategy and correlational research design. The sample comprised of 100 doctors from two hospitals of Lahore between September 2020 to February 2021. Participants age range was between 25-40 years. Data was collected by using the following tools, The Brief Resilience Scale (Smith et al., 2008), Secondary Traumatic Stress Scale (Bride et al., 2004), and Oldenburg Burnout Inventory (Halbesleben & Demerouti, 2005). Results: Results have signified a negative relationship of psychological resilience with secondary traumatic stress and burnout. Burnout has a significant positive relationship with secondary traumatic stress. Moreover, both subscales of burnout (i.e. disengagement and exhaustion) emerged as mediators in the relationship between one subscale of secondary traumatic stress (i.e. intrusion) and psychological resilience. Conclusion: It is concluded that psychological resilience has a significant negative relationship with burnout and secondary traumatic stress. Future researches can design emotional coping strategies and should try to promote programs that can help doctors to enhance resilience so it helps them combat their stress and burnout. Keywords: Psychological resilience, Covid-19, Secondary traumatic stress, burnout

Background: Polycystic ovary syndrome is the most common disorder among women. Globally 2.2% to 26 % of the women suffers from this syndrome. Illness perception change the coping strategies and attitude towards illness. Psychological distress is assumed to be significantly influenced by coping strategies and illness perception. Aim: The present study aimed to investigate the relationship among illness-perception, coping strategies and psychological distress among PCOS women. Methods: A sample of n=90 females with age range of 20 to 35 years (M= 26.3, SD=3.3). Through probability sampling strategy. Illness perception questionnaire (Broadbent et al., 2006), brief coping scale (Carver, 1997) and psychological distress scale (Kessler et al., 1992) measures were used. Findings: The results were analyzed through Pearson Product Moment Correlation and Multiple hierarchical regression tests which shows significant relationship among psychological distress and one dimension of brief coping (problem focused coping), whereas shows significant positive and negative relationship with illness perception dimensions Practical Implication & Conclusion: Findings implies that high psychological distress would be due to high perception of illness. Women uses problem focused coping strategies more readily cope the stress in illness and experienced less psychological distress in polycystic ovary syndrome. So this review helps the clinicians in reducing distress among PCOS women. Keywords: Illness perception, Coping Strategies, Psychological distress, polycystic ovary syndrome

The purpose of the study was to assess the association among depression, dyadic adjustment, psychological wellbeing and sleep disturbances. Research has shown that depression dyadic adjustment and sleep disturbances have a considerable impact on psychological wellbeing. The sample for the study included 798 married couples who were selected through purposive sampling technique. Data collection was done through Beck Depression Inventory, Pittsburg Sleep Quality, Diener Psychological Wellbeing and Dyadic Adjustment Scale. Data analysis was done using Pearson Product Moment Correlation, MANOVA and Mediation Analysis. The findings showed a significant negative association between depression and psychological wellbeing and dyadic adjustment. Moreover, depression was positively associated with higher scores on sleep disturbances. It was also found male partners differed significantly in comparison to females with regard to psychological wellbeing, depression and dyadic adjustment. Moreover, sleep disturbance significantly mediated the association between depression and psychological wellbeing. Keywords: depression, psychological wellbeing, dyadic adjustment, married couples

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Background: Mechanical ventilation is frequently used in pediatric patients to ensure adequate gas exchange, improve respiratory distress, and to resolve pulmonary or other disorders. Monitoring of various parameters which are invasive, while patient is on mechanical ventilation it is fundamental to observe the progress of patient’s condition. We conducted this study to observe if PaO2/FiO2 and the ratio of SPO2 /FiO2 can be used interchangeably, we can have option for lesser invasive parameter. Aim: To determine the correlation of PaO2/FiO2 with SPO2 /FiO2 ratio in children on mechanical ventilation. Methods: A Cross-sectional study, Non-probability and purposive sampling. The study conducted at The Children’s hospital and the Institute of Child Health, Lahore from 04-10-2017 to 03-06-2018. Informed consent was obtained. Arterial blood gas sampling for calculation of PaO2/FiO2 ratio and simultaneous recording of SPO2 for measurement of SPO2/FiO2 ratio was done. The data collected was analysed on S.P.S.S (Statistical Package for Social Sciences) version 22. Results: In this study 30 patients on mechanical ventilation were enrolled with mean age of 58.55±5 months. There was male predominance. (M: F ratio 2:1). This study showed a strong positive correlation of the PaO2/FiO2 with SPO2/FiO2 that is r=0.603. Conclusion: According to our study noninvasive SpO2/FiO2 ratio (PFr) can reliably be used in place of PaO2/FiO2 ratio(SFr) in children on mechanical ventilation as a strong correlation was observed between them. The advantage is invasive arterial sampling can be replaced by non-invasive pulse oximetry for oxygen saturation. Key words: Mechanical Ventilation, Pediatric ICU, SPO2/FiO2, PaO2/FiO2