Objective: To see the implementation of designed strategy for uninterrupted supply of HIV treatment at time of COVID-19 Pandemic along with the knowledge and preventive practices regarding COVID-19 among HIV positive patients to have baseline data for future interventions to control HIV-COVID-19 syndemic. Study Design: Cross sectional study. Place and Duration of Study: HIV Center at Benazir Bhutto Shaheed Hospital, Karachi Pakistan, from Mar to May 2020. Methodology: 100 patients who visited the center for medicines were interviewed. Participants were inquired about the availability of Antiretroviral Therapy (ART) during lockdown, discontinuity in treatment suffered during this pandemic, their preventive behaviour against COVID-19, most adopted prevention and source of information for this behavior. Results: Among all the participants 72% have achieved viral suppression. As far as multi month dispensing was concerned 10% received ART for one month, 64% for 2 months and 18% for 3 months as per the strategy devised by Pakistan AIDS control in collaboration with UNAIDS. Out of 11% developed symptoms but later on tested negative on PCR test. Most commonly adopted personal protection adopted was face mask among 68% participants followed by hand washing and social distancing. All the participants were of the opinion that they received sufficient information regarding COVID-19, its prevention and mode of spread. The source of information was TV 60%, HIV center 30% and both TV and HIV center 10%. Conclusion: It was found that all the patients got uninterrupted supply of anti-retroviral medicines. Despite sufficient knowledge regarding disease they couldn’t comply with........

Background: Unintentional injuries among children cause a large burden of mortality and morbidity. Environmental factors play an important role in causing these injuries. The mortality rate from unintentional injuries in low income countries is nearly double than in the high income countries.Objectives: To assess frequency of unintentional household injuries among children and mothers' health seeking behavior in different types of injuries.Methods: It was a descriptive cross sectional study conducted in Military Hospital Rawalpindi from September 2015 to February 2016. A total of 116 mothers were interviewed having at least one child less than 12 years of age who has had sustained any household injury in last three months. A structured questionnaire was used for the study covering various aspects of the injury sustained and their health seeking behavior, after taking verbal consent from the participants. Collected data was analyzed using SPSS 22. A p < 0.05 was considered significant for a result.Results: Of all the 116 participants, 68(58.6%) were males and 48(41.4%) were females with 36(31%) from rural and 80(69%) from urban area of residence .Mean age of the children was 5.74±2.78.Most common injuries suffered in order of decreasing frequency were fall related injuries 48(41.4%), cuts/wound/bruises 41(35.3%), burns 18 (15.5%),choking 8(6.9%) and poisoning 1(0.9% ).Most of the injuries were sustained at evening time 44(37.9%) and mostly 78(67%) when the child was not accompanied by an adult.. As far as, management is concerned 48(41.4%) of the injuries were managed at home rest taken to some health facility.Conclusion: The most common accidental household injuries were falls. Most of the injuries were managed at home adequately but in case of severe injuries mothers seek help from a hospital or nearby clinic.

Objective: To assess the psychosocial impact of acne and to evaluate the quality of life in relation to severity of symptoms among young adults. Study Design: Cross-sectional – analytical study. Place and Duration of Study: Outpatient Department, Pak Emirates Military Hospital, Rawalpindi, from Sep 2018 to Feb 2019. Methodology: We included 300 individuals visiting the hospital and their quality of life was assessed using Acne quality of life Index questionnaire. Data was analyzed using SPSS-23. Results: Total scores were calculated for three domains of Quality of life in patients with Acne i.e. Self-perception, Emotional well-being and Social life. Out of these three domains, Social Life was most affected by acne (mean score 15.61 ± 7.37out of a total of 30) and Self-Perception was seen to be least affected (mean score 16.90 ± 8.20). There was a strong positive co-relation between the increasing severity of symptoms and impact on Self Perception (r=-0.58, p<0.01), between severity and Impact on Social life (r=-0.581, p<0.01) and between severity of symptoms and Impact on emotional well-being of the patients (r=-0.551, p<0.01). A significant difference was seen between the two genders with reference to the impact on “Social Life”, the meanscore for Males being 13.96 ± 7.55 while that for Females being 17.29 ± 6.81 (p<0.01). Conclusion: Acne has significant impact on the quality of life of patients treated by primary care physicians. The severity of symptoms had strong positive correlation with self-perception, social and emotional domains.