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Introduction: Dysphagia is characterised as having trouble digesting food from the mouth to the stomach. It is the sensation of the hindrance of food when it’s passing from the mouth through the oesophagus. Dysphagia can be caused due to or pharyngeal or oesophageal etiologist. Objective: To determine the physician perception about speech-language pathologists' role in dysphagia. Methodology: To achieve this goal, the researcher surveyed physicians including otolaryngologists, neurologist and gastroenterologists about their perception about the involvement of SLP in the management of dysphagia. A cross-sectional survey was conducted in Lahore, Pakistan. Data for the study was collected from the public and private hospitals and clinics by convenient sampling technique. 97 Doctors completed a questionnaire created by the researcher that had two sections, each of which captured the participant's demographics, closed ended questions regarding physician’s perception (15 items). Results: The results depict that 40.2% of physicians thinks that speech and language pathologist rarely become a part of the team when patient reports difficulty during Preparatory and Pharyngeal phase of swallowing with the mean±SD = .92 ± .909. While 37.1% of the physician thinks that SLPs frequently becomes a part of team when patient complaints about voice alternations with the mean±SD = 2.43 ± 1.117, 53.6% of the physician thinks that SLPs frequently becomes a part of team when patient complaints about Drooling with the mean±SD = 2.59 ± .887, 53.6% of the physician thinks that SLPs frequently becomes a part of team when patient complaints about Poor tongue movements with the mean±SD = 2.74 ± .916 , 50.5% of the physician thinks that SLPs frequently becomes a part of team when patient complaints about asymmetrical facial musculature with the mean±SD = 2.97 ± .847. Practical Implication: The field of speech and language pathology has the main domain of dealing with dysphagia patients but the physicians have yet to understand the scope of speech language pathologists and the role they play in the diagnosis and management of dysphagia, this research will serve to point out the gap of knowledge and awareness of the physicians and the areas that need to be addressed to narrow this gap and increase patient care quality. Conclusion: This study concluded that most of the physicians had insufficient knowledge about the involvement of Speech and language pathologist in the multidisciplinary team for the management of dysphagia. Keywords: Speech and language pathologist, Dysphagia, Swallowing disorders, Feeding disorder.

In women of reproductive age bacterial vaginosis is a most common polymicrobialdisease and is the leading reason for vaginal discharge in this age group. Additionally itis further linked with sizeable disease burden of community problem in terms of infectiouscomplications. Clindamycin vaginal cream and metronidazole vaginal gel are effective in themanagement of vaginal infections caused by multi bacteria. Objectives: To compare thetherapeutic efficacy of Metronidazole vaginal gel and clindamycin vaginal cream as modality oftreatment for bacterial vaginosis. Study Design: Randomized control trial. Setting: Departmentof Obstetrics and Gynaecology, Unit-3 Jinnah Hospital Lahore. Period: Six months from 02-05-2011 to 01-11-2011. Material & Methods: A total of 300 patients were included in this study.They were divided into two groups. Group A received metronidazole vaginal gel (5 g dailyfor 7 days) while group B administered with clindamycin vaginal cream (5g daily for 7 days).Results: Mean age of the patient was observed 34.3+3.5 and 32.9+ 2.1 years in group –A andB respectively. Vaginal discharge was absent in 104 patients (69.3%) from group A and 127(84.7%) from group-B. Absence of clue cells on microscopy revealed in 112 patients (74.7%)from group A and 137 patients (91.3%) from group B. Absence of amine odour found in 116patients (77.3%) of group A and 134 patients (89.3%) of group B. Significant difference wasfound between two groups with p value of 0.006 in respect of efficacy. Conclusion: Clindamycinvaginal cream is more effective in comparison to Metronidazole vaginal gel for the treatment ofbacterial vaginosis.