Although the reaction over and over into the medical center center can be compared, no prehospital lifesaving interventions are attempted en-route. A coordinated work by the ambulance solutions, hospitals while the federal government tend to be harmful for a swift functioning of a trauma system. High neutrophil to lymphocyte has a good impact on mortality in individuals with coronary artery illness. Goal of the research was to learn the regularity of in medical center death in severe coronary problem and high neutrophil to lymphocyte ratio. This study ended up being carried out in cardiology device, Khyber Teaching Hospital Peshawar from 28th May to 27th November 2019. All patient with ACS and high neutrophil to lymphocytes ratio (NLR >4.7), of age 40-70 yrs . old and both genders had been contained in the study. All those with infection/sepsis, hematological conditions, past history of coronary artery diseases hereditary risk assessment , using of immunosuppressed were excluded through the research. Mean age ended up being 55.61±6.65 many years, Mean BMI had been 25.25±4.32 kg/m2, Male had been 130 (70.3%) and female had been 55 (40.0%), Diabetes ended up being contained in 111 (60.0%) and non-diabetics were 74 (40.0%), Hypertension was present in 122 (65.9%), Smoking history was positive in 81 (43.8%). ≤45 years of age had been 15 (8.1%) and >45 years of age had been 170 (91.9%). Of BMI ≤27.00 had been 126 (68.1%) while >27.00 were 59 (31.9%). The mortality price was 14.6% (27) in hospital. Only diabetes ended up being significant associated with death (p value <0.05). The sex, BMI, Hypertension, age and smoking didn’t show significant difference in mortality (p-value >0.05). There is higher level of in hospital death in client with large neutrophil to lymphocytes proportion. The mortality rate further increases as soon as the patients is diabetic patients. Additional studies tend to be recommended to reject or further improve this outcome.There is higher rate of in medical center death in patient with large neutrophil to lymphocytes proportion. The mortality rate further increases as soon as the patients is diabetics. Additional researches are advised to decline or further enhance this result. In the past few years there’s quick development in technology and therefore tremendous innovations in diagnostic imaging. It has increased our capability to identify illness and monitor response to therapy in a fashion that was not previously feasible. In comparison with earlier times, there is also less complicated availability of these diagnostic imaging modalities in our hospitals. Consequently, easy and regular availability harbour the risk of injudicious use of these examinations too. This research is conducted to understand the views of specialists about it. This cross-sectional descriptive research had been conducted in Ayub healthcare Institute MTI from March 2021 to July 2021. The information was collected through a self-administered unknown questionnaire. A complete of 250 clinicians participated in the study with 54% men. Majority of all of them (n=140) 56% answered that consultants on circular and on task in OPD choose unique radiological investigations for the customers. Many of them (90per cent, n=225) were conscious of radiation hazards in CT, X-rays and fluoroscopy . Medical care workers (HCWs) working on frontlines in COVID-19 pandemic are highly vulnerable to deteriorating real and psychological state. The standard of lifetime of healthcare employees plays an important role in their skilful distribution of work. Our research evaluates their quality of life (QOL) during COVID-19 pandemic to ensure appropriate measures is taken to boost their wellbeing. A complete of 362 HCWs participated in the study. The mean scores of actual, emotional, personal connections, environmental domains were 60.7 (±17.40), 59.70 (±17.30), 67.90 (±17.90), and 58.20 (±18.40) correspondingly. Medical center in which the participants see more were wo the federal government to just take needed activities to safeguard the well-being of the anchor of the healthcare system. ST elevation myocardial infarction (STEMI) is one of the leading reasons for morbidity and death. Any delay in reperfusion treatment therapy is involving bad effects. This study Environmental antibiotic was done to learn the major grounds for delayed presentation to thrombolytic therapy. This cross-sectional research ended up being performed in the Coronary Care Unit (CCU) of Ayub Teaching Hospital, Abbottabad from March 2019 till Summer 2020. A complete of 120 identified STEMI customers later for thrombolysis treatment and admitted when you look at the CCU were most notable research. Non-probability convenience sampling strategy ended up being utilized. Data had been analysed utilizing SPSS version 16.0. The mean age the clients was 61.6±1.07 many years. Many were married (111), unemployed (85) and existed in cities (69). The most crucial cause of delayed presentation of STEMI patients to thrombolytic treatment had been because of the attribution of signs by customers with other conditions/diseases (57.5% CI48.53-66.47), attempted self-treatment (50.8% CI 41.76-59.91), misdiagnosis of symptoms (50%, CI40.92-59.08), living in a location a long way away from any hospital (45%, CI35.48-53.60) and dilemmas of transportation (37%, CI28.17-45.78). The early arrival of patients to medical care center over time is crucial in diseases like STEMI. There could be many reasons for delayed presentation of clients to thrombolytic treatment but the most important ones had been attribution of symptoms by customers to other diseases, attempted self-treatment, misdiagnosis of signs, and issues of transportation.