Objective:To determine the prevalence of cognitive disorders in patients suffering from breast cancer receiving chemotherapy treatment in Mayo Hospital Oncology ward. Subjects and methods: A cross-sectional type of study was conducted in Mayo Hospital Lahore from April 2017 to June 2017 in order to know about the effects of chemotherapy on cognitive dysfunction in female breast cancer patients.The study included 55 participants , all of them were receiving chemotherapy at the time the research was conducted. A questionnaire was formulated and got filled. The final data was analyzed with the help of SPSS having version 21 and the descriptive statistics e.g percentage and frequencies were achieved. Results:Different measures to test the cognitive functions of patients were used.The analysis of data demonstrated significant relation between increasing age and deterioration of words registration functions,verbal functions and clock drawing interpretation functions of brain. (p = .001 , p=.015 , p=.006 respectively) .While financial management skills of the patients seemed to be unaffected by chemotherapy ( p =.066).Conclusion :These results of this study clearly showed serious derangement in cognitive functions of the patients receiving chemotherapy for breast cancer.Moreover age and pre-treatment natural cognitive reserve are the important predictors of magnitude of deterioration.

Objectives: To assess the knowledge of dengue disease cause, symptoms, prevention and management in Paramedical students of Independent School of Paramedics. Study Design: Descriptive cross sectional study Setting: Independent School of Paramedics Faisalabad. Period: From February till May 2018. Material & Methods: There were total of 140 paramedical students and all 140 paramedical students of Independent School of Paramedics were selected through convenience sampling technique. Data was collected through self-administered structured questionnaire after taking informed consent from all the participants. Questionnaire was adapted from already published studies. Knowledge of dengue was categorized as adequate (>80%), moderate (60-80%) and inadequate (<60%) depending upon the correct response for a particular question by study participants. Results: Knowledge on the transmission, symptoms of dengue and methods to prevent dengue was found to be adequate that is, 130 (92.9%), 113 (80.7%) and 122 (87.1%) respectively. Knowledge on cause of dengue 16 (11.4%), species of mosquito involved in transmission 30 (21.4%), likely time for mosquito to bite 32 (22.9%), dengue is preventable 77 (55%), and where to refer a dengue patient 77 (55%) was found to be inadequate. Moderate knowledge was found for route of transmission of dengue 109 (77.9%), natural habitat of mosquito 105 (75%) and medication for dengue 90 (64.3%). Conclusion: Overall knowledge on dengue symptoms and dengue prevention was found to be better than knowledge on cause of dengue and dengue management. This necessitates the comprehensive dengue educational program especially for dengue cause and dengue management for the paramedics.

Introduction: Prevalence and severity of depressive illness among the youth are on the rise. Objective: To examine the prevalence and severity of depressive illness among youth coming to the psychiatry outpatient department of District Headquarters Hospital, Sargodha. Material and Methods: This is a descriptive cross-sectional study. The study population includes young people (15-24 years) coming to the Out-patient Department of Psychiatry in District Headquarters Hospital, Sargodha. The duration of the study was from 1st February 2018 to 20th May 2018. 50 patients were selected through the convenience sampling technique. Beck’s depression inventory-II semi-structured questionnaire was used for data collection from people aged 15-24 years coming to psychiatry OPD. The diagnosis was made as per the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V). Informed consent was obtained from all participants. Chi-square applied. P-value of 0.05 taken as cut off value. Results: Depression was present in 64% of the study participants. Among female participants, 77.42% of females while among male participants, 42.11% of males were suffering from depression (P-value=0.012) which shows that there is a significant association between gender and depression. Overall, 50% of the participants were mildly depressed, 34.37% were moderately depressed and only 15.63% were severely depressed (P-value = 0.618). Among depressed, 75% were 20-24 years old and 25% were 15-19 years old. Conclusion: Prevalence of depression is found to be more among women and in the young age group 20-24 years. Therefore, regular psychiatric screening, treatment, and follow-up are recommended in an educational institute for early diagnosis and treatment.

Objectives: This study was designed to evaluate the frequency of postpartum depression in new mothers at a tertiary care hospital in Faisalabad and identify the factors associated with the condition. Study Design: Cross-sectional study. Setting: Obstetrics and Gynecology Department of Independent University Hospital, Faisalabad. Period: Over a period of three months from February 2018 to May 2018. Material & Methods: Included 213 subjects selected through nonprobability purposive sampling patients who had given birth in the last six months were included in the study. The Punjabi version of Edinburgh Postnatal Depression Scale was used to assess for depression. Socio-demographic and medical information was collected on a pre-designed proforma. Data was analyzed using SPSS version 23. Chi square test was applied to ascertain association. Results: Out of the total 213 participants, 33.8% (n=72) of the study sample were suffering from postnatal depression. The socio-demographic profile of the depressed patients showed that most of them were uneducated (84.72%), housewives (77.78%) living with extended families (68.06%). The difference in the number of depressed women among extended and nuclear families was found to be statistically significant (p-value of 0.004). The study also showed that women suffering from postpartum depression were less likely to breastfeed their babies (p-value 0.046). Conclusion: Postpartum depression was identified in more than one thirds of the females included in this study. This high number should raise an alarm for all health professionals. Detection through mandatory screening and early intervention can prevent the adverse consequences this disorder carries for the mother and the child.