To describe the indications, endoscopic findings and complications of Endoscopic retrograde cholangiopancreatography (ERCP) in a tertiary care hospital. Study Design: Retrospective analysis of data collected from all patients underwent ERCP in the year 2015. Setting: Gastroenterology department, Military Hospital Rawalpindi. Period: From 1st January 2015 to 31ST December 2015. Materials and Methods: The main outcomes were technical success, safety and complications. Results: Total 469 patients underwent ERCP inmilitary hospital Rawalpindi in year 2015. Common bile duct (CBD) cannulation was achieved in 437 (93.1%) patients. CBD stones were found in 182 (38%) and CBD stricture in 79 (16.8%). Sphincteroplasty was needed for extraction of large stones in 13 (2.7%) cases. CBD stricture with co-existing stones above was seen in 25 cases (5.3%). Large stones not amenable to endoscopic extraction were seen in 24 cases (5.1%). Total 25 cases of ampullary growth (5.3%) and 15 cases (3.1%) of CBD leak post cholecystectomy were noted. 6 cases (1.27%) were identified as choledochal cyst with CBD Stones. PD stones with dilated PD identified in 5 cases (1.06%) and post-cholecystectomy CBD clipped in 3 cases (0.63%). 3 cases of displaced PD stent ended up in successful retrieval. 21 cases developed acute pancreatitis (4.4%) out of which 3 were found to have severe pancreatitis having fluid collections. 3 cases (0.6%)had retroperitoneal perforation (2 were managed conservatively and 1 through surgery). 4 cases (0.8%)had significant post procedure bleed requiring re-scope with adrenal injection at bleeding site, and hemostasis achieved. Conclusions: ERCP in Combined Military Hospital Rawalpindi hospital was associated with a high degree of technical success and a low risk of complications.

Breast cancer is the 2nd most common cancer among women. Aim: To determine the level of optimism and spousal support in women with breast cancer. Study Design: Cross sectional study. Methodology: Data was collected using the purposive sampling technique from oncology departments of two public hospitals. Measures for data collection consisted of a demographic information sheet, and three scales including LOT-R (Ay,2009), DCI (Shuja et. al., 2020) and WHO-QOL BREF scale (Saqib,2017). A total of 80 women with a mean age of 35(SD=6.95) participated in the research. Statistical analysis: The collected data was analyzed by using SPSS version 25. Chi square ware applied with P-value< 0.05 as significant. Results: Correlation revealed that optimism had a significant positive relationship with negative dyadic coping and with QOL scales except for Physical Health. All the subscales of DCI had a significant relationship with the subscales of QOL. It was found through HLM that education, socioeconomic status, cancer stage, monthly income, professional status after illness and optimism made a statistically significant contribution. Conclusion: It was concluded that optimism, negative dyadic coping and quality of life has a significant relationship. Likewise, education, socioeconomic status, cancer stage, monthly income, professional status after illness and optimism were found to be the determining factors of quality of life. Keywords: Optimism, Quality of life and Spousal Support.

The aim of this paper is to study the heat transfer enhancement of power-law fluid over a vertical stretching cylinder. The model is governed by partial differential equations (PDEs) which is then converted into a coupled system of non-linear ordinary differential equations (ODEs). Here both velocity and temperature profiles have been constructed for different physical parameters such as, Reynold number, Prandtl number, Eckert number, unsteadiness, mixed convective and magnetic-parameters. The obtained results have been compared with the existing literature that reveals the accuracy of the proposed scheme. Moreover, it has been noticed during the study that the power-law energy is getting enhanced corresponding to these parameters, which can be viewed in graphical simulations. In addition, the numerical computations of local-skin friction coefficient and Nusselt number are tabulated.