Background: Depression is an important health problem due to its prevalence and associated consequences. The life time prevalence of depression ranges between 10 to 21 % in population. According to the precipitation of the WHO, depression is estimated to become the second leading cause of dysfunction by the year 2020. Among medical students, academic stressors include the volume of material to be learned, academic performance and evaluation (examinations and continuous assessments). Method: A cross-sectional study was conducted and the total of 300 Medical students from 18 to 25 years to age participated in this study. Students in this study were undergraduate students. Duke health profile were given to the students. Data analysis was done by using Chi square test. Results: 300 students from fourth year and final year were recruited for the study. Mean anxiety score was 35.4 SD + 19.9 with minimum score of 0 and maximum score of 99.6. Mean depression score was 35.9 SD + 21.8 with minimum score of 0 and maximum score of 100. Mean anxiety depression score was 28.8 SD + 33.8 with minimum score of 0 and maximum score of 100. Mental score was compared among medical students, 47.4% of fourth years and 34.2% of had severe mental stress (Score 75 -100), Anxiety score was compared among medical students, 2.6% of fourth years and 3.4% of had severe anxiety (Score 75 -100), Depression score was compared among medical students, 3.9% of fourth years and 5.5% of had severe depression (Score 75 -100), 14.9% of fourth years and 18.5% of had moderate depression (Score 50 -75). Conclusion: Anxiety score showed a little female predominance. Depression among medical students of fourth year was little more as compared to the final year students. Depression was more among male students than female students.

No abstract

Objective: To determine the diagnostic accuracy of NIHSS score for predicting in-hospital mortality among patients of ischemic stroke taking in-hospital mortality as gold standard. Material & Methods: The present cross-sectional study was carried out from May 2020 to November 2020 at Medicine Department, Services Institute of Medical Sciences Lahore. A total of 142 patients aged 30-70 years of both sex with ischemic stroke patients as per-operational definition of duration ?24 hours were enrolled. Patients of hemorrhagic stroke, cardiac disease and CRF were excluded. After taking informed consent, NIHSS score was evaluated in each patient and in hospital mortality will be noted. All patients were followed by the researcher herself and in hospital mortality was noted. Results: Mean age was 53.5+9.2 years with74 (52.11%) females. Mean disease duration was 6.8+1.7 hours and mean NIHSS score was 24.3+7.1. NIHSS score was evaluated in each patient and found 75 True Positive while 06 False Positive. In the 61 NIHSS score negative patients, in-hospital mortality was seen in 06 (False Negative) while 55 (True Negative) did not have in-hospital mortality (p-value <0.001). The Specificity, Sensitivity, Negative Predictive Value (NPV), Positive Predictive Value (PPV) and diagnostic accuracy of NIHSS score to predict in-hospital mortality among patients of ischemic stroke taking in-hospital mortality as gold standard was 92.59%, 90.16%, 92.59%, 90.16% and 91.55% respectively. Conclusion: Diagnostic accuracy of NIHSS score in predicting in-hospital mortality in ischemic stroke patients is quite high.