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Objective: The aim of this study is to determine the psychological impact (anxiety, stress and depression) on postgraduate Gynae residents in Pakistan during COVID-19. Study Design: Cross-sectional study Place and Duration: The study was conducted through a questionnaire of Google Proforma which was distributed among the PGRs of Gynae and Obs department of different centres of Pakistan. The study was conducted for nine months during from April 2020 to December 2020. Methods: Total 180 participants (PGRs) were presented in this study. Complete characteristics of the participant were obtained. Postgraduate Gynae Residents from different centers were enrolled in this study. DASS-21 scale was used to measure the severity of anxiety, depression and stress among all participants. Complete data was analyzed by SPSS 24.0 version. Results: Mean age of the participants was 30.24±3.08 years. 109 (60.5%) participants were married and the rest 71 (39.5%) were unmarried residents. Frequency of depression was found among 130 (72.2%) participants followed by anxiety 118 (65.5%), stress found in 105 (58.3%) participants. Conclusion: We concluded in this study that the prevalence of psychological impacts on Gynae residents were significantly higher in terms of mild, moderate and severe intensity. Early detection and prevention of factors i.e. depression, anxiety and stress are necessary in hospitals. Keywords: Post graduate, Gynae residents, COVID-19, Psychological impacts

Chronic Kidney Disease (CKD) prevalence studies has been carried out in various parts of the world including Pakistan. Unluckily, the majority of these studies focused on the urban settings, neglecting the rural areas. current study has found very serious outcomes about CKD prevalence in remote areas. CKD was found gender specificity as well as geo-specificity in prevalence of CKD. PURPOSE: Aim of this study was to assess CKD prevalence in the least accessed and underdeveloped areas of Pakistan. METHODS: The area of study was Bahawalpur Victoria Hospital (BVH). Bahawalpur. The study was carried out between January 1, 2018- December 31, 2019. STATISTICS: All statistical parameters were calculated with the help of MS Office 360, GraphPad Prism 8, and SPSS 16. RESULTS: The most vulnerable locales were hinterland and underdeveloped regions. When we demarcate our studies putting focus on the gender, we found that male gender was more susceptible to the disease than the female one. Quinquagenarians were found to be among those most affected. Whereas octogenarians were among those with the least affected ratio. CONCLUSIONS: We reach the conclusion that since rural areas being the ones most affected, there is dire need to enhance the gambit of research to a higher level.

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