Most internally displaced persons (IDPs) live in low-income countriesexperiencing a war; their psychosocial health has not been well addressed. Objectives: To findout the prevalence of anxiety and depression in internally displaced persons (IDPs). Design:A randomized cluster sampling, case-controlled study. Period: 10th April 2009 to 10th July2009. Setting: This study was conducted at Kacha Ghari camp and Sheikh Yaseen camp forIDPs. Patients and Method: A total of 220 cases (those whom were exposed to traumaticexperiences) were selected through cluster random sampling. 220-matched controls (thosewhom were not exposed to traumatic experiences) were selected same day using the samesampling method. Both sexes were included. Socio-demographic information was obtainedfrom IDP- information form. Anxiety and depression was assessed using Hopkins symptomschecklist – 25 (HSCL-25). SPSS version -17 was used for statistical analysis. Chi square testwas applied for group comparison to calculate statistical significance. Results: More thanhalf of the participants (60 %) in this study were in age group between 18 to 38 years. 55 %of the population were females. Majority of participant were married (86% - 90%) and wereuneducated (74% - 90%) belongs to lower socio-economical class. The total Scores and theDepression Scores on Hopkins symptoms checklist – 25 (HSCL-25), were significant high incase group than in control group with the P values of 0.04 and 0.05 respectively. Discussion:Trauma and torture leaves a permanent scar on the survivors. It has physical, psychological andsocial squeals. Hopkins Symptoms Checklist-25 is intended to provide primary care physicians,mental health practitioners and other health care providers with an instrument for detectinganxiety and depression in torture and trauma victims. Conclusions: Besides being displacedfrom their residence exposure to trauma come out to be the important causative factor increating psychological disturbance among internally displaced persons.

Objectives: To determine the impact of acne on the quality of life of the patients. Study Design: A descriptive study. Place & Duration of Study: The study was conducted in the Department of Dermatology, Bahawal Victoria Hospital & Quaid-e-Azam Medical College, Bahawalpur April, 2017 to June, 2017. Subjects & Methods: The sample consisted of 50 out-patients (41 Females, 9 Males) with Acne. They were interviewed and results were analysed from the entries in a Performa. Dermatology Life Quality Index (DLQI) was administered as outcome measure. Results: Among 50 patients, there were 41(82%) were female, 27(54%) were 21-25 years age group, 44(88%) belonged to urban area, 28(56%) single and 25(50%) students. In assessing the quality of life, 34(68%) patients had extremely large impact on their quality of life after Acne. Conclusions: We concluded that acne had an extremely large impact on quality of life of majority of patients. Management of acne must include the impact of acne on the patient's quality of life.

Introduction: Melasma is an acquired, chronic, recurrent symmetricalhypermelanosis which is characterized by brown patches of variable darkness on sun exposedareas of the body primarily on the face.1,2 Melasma is more common in Asians and in peoplewho live in locations that receive high intensity UV radiation.3,4 Melasma is a skin disease thatsignificantly affects social and emotional wellbeing of the patients as well as their Quality of Life(QoL). Objectives: To find out the impact of melasmaon quality of life of the patients. StudyDesign: It is a descriptive study and the sample (patients), were selected through convenientsampling. Place and Duration of study: The study was conducted in the department ofpsychiatry & Dermatology department of Bahawal Vicortoria Hospital, Bahawalpur from July toDecember 2016. Material and Methods: Hundred patients having melasma including 11 malesand 89 females from both departments were included in the study. Two questionnaires wereapplied for measuring target variables, these were (i) Dermatology Life Quality Index to assessthe effect of melasma on quality of life (DLQI) and (ii) Melasma Area Severity Index (MASI) todetermine the severity of melasma. Results: The study included 100 patients of which 89 werefemales while 11 were males. Mean age of the patients was 27+6. Regarding the educationalstatus of patients, the majority (36%) were graduates and 16% had a Masters degree. Of thesepatients, 53% were unmarried while 47% were married. Mean DLQI was slightly higher forfemale patients (13.48) as compared to male patients (12.82). Mean MASI was also higherin females (15.26) as compared to males which was (14.39). Conclusions: Melasma causessignificant negative impact on quality of life especially in women.

Objectives: To determine the different levels of drug non-adherence in patients suffering from Depression. Design: A casecontrolled study. Place and Duration of Study: Hayatabad Medical Complex Peshawar, From February 2008 to August 2008. Patients and Method: 50-Cases were selected from the out patient department with the DSM-IV diagnosis of major depressive disorder, 50- non psychotic patients were selected as controls. Both sexes were included. The basic socio-demographic characteristics and the clinical profile of all the patients were collected. The level of drug non-adherence was recorded at week 4, week 8 and week 12. SPSS version 15 was used for statistical analysis. The applied method for group comparison was the Chi-square test. Results: The age in mean was 33.78 ± 11.30 for the sample and 30.65 ± 9.40 for control group. 38% of these patients were males and 62% females. 58% were married and uneducated from lowersocio-economical class. 70% of the study group and 59% of control group received treatment. The rates of non adherence were statistically not significant at week 4. However, at week 8 and week 12 the rates of non adherence were statistically significant with the p values of less than (0.001) respectively. Discussion: Rates of non-adherence with psychotropic / antidepressants are difficult to summarize because they varywith setting, diagnosis, severity of illness and type of adherence difficulties. Drug non-adherence is a serious clinical problem and it has direct effects on illness management and prognosis. Conclusions: The available evidence suggests that the outcome for patients who vary medication doses without consulting a professional is poor.

Objective: To verify the association of various risk factors with Post Traumatic Stress Disorder in adults among Internally Displaced Persons of Bajour and Swat. Design: Case Control studyPlace and Duration of study: Conducted on adult males and females among internally displaced persons, selected from the IDPs Camp in Peshawer and the IDPs visiting Psychiatric setting at Hayatabad Medical Complex, Peshawer from 1 st of May to 15 th of June, 2009. Materials and methods: Cases selected among the respondents through a screening questionnaire, suffering from PTSD. The controls were those respondents which screened out negative from the questionnaire for PTSD but were from the same camp. A total of 208 cases & equal number of controls were enrolled in the study. The statistical analysis was done in a stepwise manner (Uni-variate analysis, bi variate analysis, Logistic regression) using SPSS version 17. Results: The results show that the factors significantly associated with PTSD were Exposure to Injury (OR=19.