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Objective: To determine the frequency and type of anemia based on MCV in diabetic patients. Materials and Methods: A Retrospective descriptive study, done at Peshawar Medical College, Peshawar, and its affiliated teaching hospitals from January 2016 to August 2018. It was a Laboratory and Medical OPD record-based study of 450 diabetic patients presenting to these teaching hospitals. Results: Among 450 diabetic patients, 283(63%) were having anemia (Hb less than 13.5 g/dl in males and 11.5 g/dl in females). Among those who had anemia, 102(36%) had microcytic hypochromic, 176(62%) had normochromic normocytic and 6(2%) had macrocytic anemia on the basis of the mean corpuscular volume of more than 80, 80-95 and 95 fl respectively. Conclusion: More than 60 % of diabetic patients presented with anemia predominantly suffering from normocytic and normochromic anemia. KEYWORDS: Anemia, Diabetes, hemoglobin, MCV, Normocytic and Normochromic anemia.

Multidrug-resistant Escherichia coli have become a main public health distress in Pakistan and many countries, causing failure in treatment with the resultingenormous health burden. The current study was aimed to find the prevalence of E. coli among clinical isolates and their antibiotics susceptibility pattern using standard procedures. The Purpose of the present study to investigate the Prevalence and antibiotic susceptibility pattern of E. coli detected from clinical patients visiting Khyber teaching hospital Peshawar. In this study a total 415 sample were isolated from the patient of Khyber teaching hospital (KTH) Peshawar. The collected samples were processed for identification including Gram staining and biochemical test. Furthermore, the antibiotic susceptibility pattern of all the positive strains of E. coli was tested using selected antibiotic discs by disc diffusion method as per CLSI guidelines 2019.A total of 415 samples, 112 clinical isolates yielded the growth of E. coli using standard procedures. Out of 112 isolates, 52% were recovered from male patients while 60% were females. The positive samples were obtained from urine (58%), pus (14.3%), swab (8.9%), sputum (10.7%), and others 8.0% respectively. The highest sensitive drugs are FOS (99.1%), AK (98.2%), TZP (97.3%), MEM (93.8%), TGC (91.1%), CN (89.3%), SCF (78.6%), DO (65.2%), CT (60.7%), F (49.1%), ATM (27.7%) AMP (23.2%), CAZ (23.2%), CPM (22.3%) , CRO (19.6%) ,CTX (13.4%) and the lowest sensitive drug is CIP which is (7.1%) . The drugs which show high resistance are CIP (92.9%), CTX (86.6%), CRO (80.4%), CPM (77.7%), CAZ (76.8%), AMP (76.8%) , ATM (72.3%) , CT( 39.3%) , DO (34.8%), SCF (21.4%), CN(10.7%),TGC(8.9%), F(8.9%),MEM(6.3%) ,TZP(2.7%),AK (1.8%) ,and the lowest resistance drug is FOS (0.9%).Drug resistance monitoring and the epidemiological analysis of patient data are needed regularly and can be useful for the adequate management of antimicrobial resistance. Key words: Multidrug-resistant, Antimicrobial Resistance, Clinical Isolates, Bacteria, Peshawar

The majority of respondents who took part in a survey were of the opinion that there should be a greater focus placed on behavioural and social sciences within the curriculum of medical schools. This is done to ensure that graduates of medical schools will be able to practise medicine in a manner that is both safe and effective. Despite the fact that behavioural and social sciences make significant contributions to the effectiveness of health care delivery, traditional medical school curricula have not traditionally placed a significant amount of focus on the study of these subjects. This article's objective is to provide the reader with a more in-depth comprehension of the value of social and behavioural sciences in medical education as well as the breadth of their application in a variety of different settings. Additionally, it discusses the areas of social and behavioural sciences that are significant to medicine, as well as the efficacy of incorporating them into the curricula of medical schools in order to educate and train future medical professionals to practise medicine in a manner that is fully informed. Place of Study: Foundation University Islamabad Study Duration: February 2022 to July 2022 Study Design: Empirical research Conclusion: This study examines the importance of teaching future doctors about medicine's social and behavioural aspects. It gives medical school educators the latest information on how to best teach medical students to succeed in the medical industry. Medical educators, administrators, policymakers, and other stakeholders must work together to integrate social and behavioural sciences into medical curricula. Keywords: Medical curriculum's courses, the social and behavioral sciences, and the foundations of medical education.

Objectives: To determine and compare vitamin D status in chronic hepatitis C patients and normal healthy matching controls. Study Design: A case control study. Setting: A private clinic of Peshawar. Period: 1st November 2015 to 31st January 2016. Material & Methods: Fifty clinically normal young adults and fifty non cirrhotic chronic hepatitis C patients were included in the study. Vitamin D was determined by electro chemiluminescence. Student t test was used to analyze the data in SPSS version 21. Results: The mean age of the study population was 30.68+ 5. Vitamin D deficiency was divided into three categories. 21% of the study population had severe vitamin D deficiency, 33% had mild to moderate deficiency and 46% of the study population had normal levels. Females population were more vitamin D deficient as compared to males (p-value

Objectives: To determine whether serum vitamin D levels are correlated with serum levels of alkaline phosphatase or not? Study Design: Case control cross sectional study. Setting: Gastroenterology unit of private teaching hospital in Peshawar. Period: From November 2015-Januaray 2016. Material and Methods: 100 participants meeting the criteria were included in the study. Fifty clinically normal young adults and fifty were non cirrhotic chronic hepatitis C patients were included in the study. Venous blood samples were taken from all the study participants and serum vitamin D levels were determined by Electro-chemiluminescence binding assay (ECLIA) and serum alkaline phosphatase was determined by Photometric Kinetics. Results: patients were divided into two groups on the basis of gender i.e.25 males and 25 females. A correlation between vitamin D and alkaline phosphatase was determined. Alkaline phosphatase was raised in the non cirrhotic chronic hepatitis C patients. Pearson correlation was applied to find out the relation between vitamin D levels and alkaline phosphatase in the two groups which had a significant relationship with a p-value of 0.01. A positive correlation between alkaline phosphatase and parathyroid hormone was found with a p value of

To compare HBV DNA values in HBeAg positive and negative female patients suffering from chronic hepatitis B of child bearing age. Study Design: Cross sectional study. Setting: Hospitals attached to Peshawar Medical College, Peshawar after taking ethical approval from the institution’s ethical board. Period: October 2014 to March 2015. Materials and Methods: Blood samples were collected from 100 chronic hepatitis B females of child bearing age. Quantitative HBeAg was done by ELISA and HBV DNA values were estimated by PCR. The data obtained was statistically analyzed by using the Statistical Package for the Social Sciences (SPSS) version 17 and statistical significance between the variables was calculated using Fisher’s exact test. Results: The mean age of the sample was 28.69±6.83 years. A positive correlation (p=0.000) was found in HBeAg positive status and younger age group females (17-30). 84 cases were HBeAg negative but 42/84 had high levels of circulating Hepatitis B virus (2000 IU/ml). Conclusion: The present study established a positive association between HBeAg positive status and high HBV DNA values. However a statistically positive association was observed between HBeAg negative patients and high HBV DNA values (HBV DNA ≥2000IU/ml). Objective: To compare HBV DNA values in HBeAg positive and negative female patients suffering from chronic hepatitis B of child bearing age. Methodology: This cross sectional study was conducted from October 2014 to March 2015 in Hospitals attached to Peshawar Medical College, Peshawar after taking ethical approval from the institution’s ethical board. Blood samples were collected from 100 chronic hepatitis B females of child bearing age. Quantitative HBeAg was done by ELISA and HBV DNA values were estimated by PCR. The data obtained was statistically analyzed by using the Statistical Package for the Social Sciences (SPSS) version 17 and statistical significance between the variables was calculated using Fisher’s exact test. Results: The mean age of the sample was 28.69±6.83 years. A positive correlation (p=0.000) was found in HBeAg positive status and younger age group females (17-30). 84 cases were HBeAg negative but 42/84 had high levels of circulating Hepatitis B virus (2000 IU/ml). Conclusion: The present study established a positive association between HBeAg positive status and high HBV DNA values. However a statistically positive association was observed between HBeAg negative patients and high HBV DNA values (HBV DNA ≥2000IU/ml). Key Words: Hepatitis B virus, HBeAg, HBV DNA

BACKGROUND : Since the pandemic of SARS-CoV-2 began, our understanding of the pathogenesis and immune responses to this virus has continued to evolve. It has been shown that this infection produces natural detectable immune responses in many cases. However, the duration and durability of immunity and its effect on the severity of the illness are still under investigation. Moreover, the protective effects of antibodies against new SARS-CoV-2 variants still remain unclear.To assess the incidence and associated demographic features of SARS-CoV-2 infection in anti-nucleocapsid IgG-positive and anti-nucleocapsid IgG-negative healthcare workers.This prospective longitudinal cohort study was conducted in Peshawar Medical College group of hospitals of Prime Foundation. Anti-nucleocapsid IgG sero-positive and anti-nucleocapsid IgG sero-negative healthcare workers were followed for a period of 6 months (from 1 Aug 2020 to 31 Jan 2021), and the incidence of SARS-CoV-2 was confirmed by RT-PCR.A total number of 555 cohorts were followed for a period of 6 months; of them 365 (65.7%) were anti-nucleocapsid-negative (group A) and 190 (34.3%) were anti-nucleocapsid-positive (group B) healthcare workers. The mean age of the study cohort was 33.85 ± 9.80 (anti-N (-), 34.2 ± 10.58; anti-N ( +), 33.5 ± 9.50). The median antibody level in anti-nucleocapsid-positive HCWs was 15.95 (IQR: 5.24-53.4). Male gender was the majority in both groups (group A, 246 (67%), group B, 143 (48%)) with statistically significant difference (P 0.05). Majority of the HCWs were blood group B in both groups (34% each). None of the 190 anti-nucleocapsid-positive HCWs developed subsequent SARS-CoV-2 re-infection, while 17% (n = 65) HCWs developed infection in anti-nucleocapsid-negative group during the 6-month follow-up period.In conclusion, none of the anti-nucleocapsid-positive HCWs developed SARS-CoV-2 re-infection in this study, and the presence of IgG anti-nucleocapsid antibodies substantially reduce the risk of re-infection for a period of 6 months.

Background: Health care workers (HCWs) are exposed to high risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection due to close contact with infected patients in hospital. The objective of this study was to estimate the seroprevalence and to identify the exposure risk of various subgroups among HCWs to prioritize them for early vaccination. Methods: This was a multicentre cross-sectional study conducted between 15 and 29 June 2020. A total of 987 HCWs were recruited randomly from two major tertiary-care hospitals of Peshawar city, Pakistan. The HCWs included doctors, nurses, paramedics and hospital support staff. The US Food and Drug Administration (FDA)–approved kit was used for the detection of SARS-CoV-2 antibodies. Results: Overall, 310 (31.4%) HCWs were seropositive for SARS-CoV-2 antibodies (95% confidence interval, CI: 28.5–34.4). Seroprevalence was higher in males (33.5%) and in age group 51–60 years (40.9%). Seropositivity increased with increasing age from 8.3% in age group ⩽20 to 40.9% in 51–60 years of age group ( p Conclusion: Overall, our results concluded that nursing and paramedical staff are at higher risk and should be vaccinated on priority.