Pakistan Journal of Medical and Health Sciences

Journal of Medical and Health Sciences

Vol. 11, Issue 1, JAN – MAR 2017

Website: www.pjmhsonline.com



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Editorial

1




Reorganization of Human Life

Kamran Aziz

Unobtrusive Health Hazards

2




Pollen Allergy? Unobtrusive Health Hazards

Naveed Ahmad Shuja

Original Articles

3




Frequency of Laryngospasm following Extubation with and without Propofol at Extubation in Paediatric Patients Undergoing Tonsillectomy

MazharIqbal, MisbahQayyum, Muhammad Rashid

 

7




Efficacy of B-Lynch for Uterine Atony - Experience in PESSI Hospital Lahore Pakistan

NajmaParveen, RomanaLatif, SaimaArfique, TahiraYasmeen, SadiaChauhdry

 

9




An Analysis of Prevalence and Indications of Caesarean Section in Primigravida

R Latif,SRafique,MAshfaq,TYasmeen,SJavaid, N Perveen A Rasheed,ZKalsoom, M Bashir, S Ch.SMalik

 

12




A study on Post-Dengue Depression

Sajjad Ali, SaimaShaikh, Rehan Anwar Chaudhry

 

14




Hypothyroidism Screening in Menopausal Women

SaimaShaikh, Sajjad Ali, SadiaSajjad

 

18




How does Moslem Community Apply the Tahneek to the babies?

Indrayani M Keb, HimnahKhodijah, NelilMudarris, AgusRahmadi, Anung Al Hamat, Junifar Ali

 

25




Evaluation of Results of Operative Treatment of Hip Dysplasia in Children after walking age

Muhammad Kamran Siddiqui, Muhammad Kamran Shafi, Bashir Qaisrani

 

30




The Knowledge and Practice of Various Contraceptive Methods for Family Planning among Married Males in Down Town Area of Lhr AwaisGohar, Naim Ahmad Nizami, Asif Aziz Lodhi, Muhammad FahimulHaq

 

34




Post-Stroke Delirium: Prognostic Variability between Anterior Circulation Strokes and Posterior Circulation Strokes "SEEK and DESTROY!"

Naurose Ali, Altaf Qadir Khan, Aurangzeb Afzal, Mudassar Abbas

 

38




Dealing with Depression in End Stage Renal Disease, EscitalopramvsNortryptyline

Aurangzeb Afzal, Naurose Ali, Faiqa Zafar, Fainan Ayub, Adnan Zafar, Amjad Lillah

 

41




Diastolic Dysfunction on Echocardiography in patients with End Stage Renal Disease

Aurangzeb Afzal, Abbas Aftab, Azhar Khakwani, Fainan Ayub, Adnan Zafar

 

44




Interaction between Serum Thrombomodulin and Serum CRP Levels in Predicting IHD

Muhammad Akbar Mughal, Muhammad AdilRamzan, Syeda Asiya Parveen

 

48




Intestinal Tuberculosis Still a Diagnostic Challenge for the present day surgeon in our set up

Amna Javed, Falak Sher, Safura Mumtaz

 

51




Comparison of Depressive Symptoms in First Presentation of Schizophrenia with Normal Healthy Subjects: a hospital based study

Ayesha Rashid, Altaf Qadir Khan, Saima Majeed

 

57




Comparison of Microscopy, Culture and Histopathology in the Diagnosis of Onychomycosis.

Muhammad Wajid Khurshid Sipra, Zahid Mehmood Akhtar, Khawar Saeed Jillani

 

61




Comparison of CSF SAI with CSF Glucose and CSF proteins in Bacterial and Viral Meningitis

Najamuddin, Syed RazaJaffar, Fawad Sana, Anwar Magsi

 

64




Determine of Frequency of Local Infection Following Peg Tube Insertion in Cancer Patients

Syed Zohaib Maqbool, Rehan Anwar, Shehzad Bashir

 

68




Morbidity in Thyroid Surgery;Comparison between Muscle Cutting and Without Muscle Cutting

Adnan Maqbool, Ansar Latif, Aslam Iqbal, Faisal Shabbir, Muhammad Qasim Butt

 

71




Outpatients Attendance in a tertiary care hospital; is the referral justified or not?

Mujahid Ali, AnsarLatif, Rana Mozammil Shamsher Khan, Faisal Shabbir, Muhammad Qasim Butt

 

75




Frequency of Various Types of Cerebral Palsy amongst Children at a Tertiary Care Hospital and Retrospective Etiologic Analysis on the Basis of History, Examination and Laboratory Support

Zulfiqar Ali, Saima Umar, Azher Abbas Shah, Abdul Basit, Afsheen Oneeb, Hafiz Muhammad Irfan

 

80




Effect of Surgical Correction of PectusExcavatum on Pulmonary Function Tests

Aamir Mahmud Ijaz, Syed Muhammad Raza Naqvi

 

83




Screening for Nicotine Dependence and Smoking Behaviour in General Surgical Patients

Raheel Aziz, Bushra Mubarika Butt, Mansab Ali, Amir Usman

 

88




Preoperative Anxiety and Need for Information in General Surgical Patients

Raheel Aziz, Bushra Mubarika Butt, Mansab Ali, Amir Usman

 

93




Outcomes of DesardaVs Lichtenstein Repair for Inguinal Hernia

Ameer Afzal, ShahzadYousaf

 

97




Audit of Maternal Mortality at Aziz BhattiShaheed Teaching Hospital, Gujrat

SyedaShaistaWaheed, M. Naeem Dilawar Kazmi, Sakeena Naeem

 

100




A Descriptive Study to Evaluate the Role of B-Lynch Suture in Controlling PPH

Syeda Shaista Waheed, M. Naeem Dilawar Kazmi, Sakina Naeem

 

102




Effect of Semen Characteristics on Outcome of Intra Uterine Insemination

Ayesha Azam Khan, Naheed Bashir, Raza Akram, Ahmed Mahmood Mazhar

 

105




An experience of Laparoscopic Cholecystectomy from Secondary Care Center of Pakistan

Muhammad Nadeem Aslam, Farooq Butt, Saima Ashraf

 

108




Clinical Presentations of Type II Diabetes

Sarah Shoaib Qureshi, Wasim Amer, Mehreen Farooq, Nasir F Butt, Z Shoaib, S Firdous, Sara

 

111




Frequency of Dyslipidemia in Non Alcoholic Fatty Liver Disease Patients

Muhammad Waqas, NasibUllah Shah, Muhammad Sadiq Achakzai, Ghias-Un-NabiTayyab

 

114




Frequency of ABO and Rh Blood Groups in Patients with Diabetes Mellitus

MunazaJ aved, Muhammad Naeem Akhtar, Shakeel Muzaffar

 

117




Study of Adverse Perinatal Outcome in Patients with Poor Biophysical Profile

Iffat Usmani, Salma Zaman, Sadia Khadim

 

120




Frequency of Acute Blood Transfusion Reactions encountered in patients in a Tertiary Care Hospital

Sadaf Fatima, Asma Rafique, Fatima Tehsin

 

123




Comparison of SubinguinalMicrovaricocelectomy& Retroperitoneal Varicocelectomy in reducing pain

Shahjehan, Ghulam Ghous, M. Asjad Ali, Rana M. Akhtar Khan, SajidHameed, Tanzeel Ur Rehman

 

127




Sexual Functioning and Quality of Life in Female Asthmatics

Khawar A Chaudhry, Nagia Anjum, Sara Amir

 

131




Assessment of Nutritional Status of Anemic Children

Sidra Imtiaz, Khawar A. Chaudhry, Faiza Abbas, Nagia Anjum

 

136




Friendship Concepts among Female Medical Students: A Qualitative Approach

Khawar A Chaudhry, Maryam Amjad, Nagia Anjum, Sidra Imtiaz

 

140




Trends in Development of Various Types of Lung Cancer after Cessation of Smoking

NN Zia, M.A Khokhar, M.N Tabassum, S Qamar ,IQ Tirmizi, M. Qudratullah, M Sabedin, MH. Arshad, A Anwer.

 

145




Knowledge and Perceptions of Medical Students Regarding Antibiotic Use

Kulsoom Tayyab, Iqra Shahzadi, Fatima Mukhtar, Hasnain Ali Shahid, Imran Tahir, Hussnain Gohar

 

150




Type 2 Diabetes and Following Incidence of Breast Cancer in a Group of Diabetic Women

Gul-E-Raana, Rukhshan Khurshid, Shahin Rashid

 

153




Ultrasound Detected Non-Alcoholic Fatty Liver Disease

Wajeeha Imran Andrabi, Mubashir Dilawar, M Ali Rauf, D S Tahir, A Yousaf, S Aleem, K Farooq

 

157




Suspect and Screen by Ultrasound for Non-Alcoholic Fatty Liver Disease in Pre-Diabetic Patients

Mubashir Dilawar, Wajeeha Imran Andrabi, M Ali Rauf, D S Tahir, A Yousaf, S Aleem, K Farooq

 

160




Inferior Turbinate Reduction by Infrared Coagulation - a study on surgical outcome, postopbleeding

ZafarIqbal, Ayesha Choudary, Rizwan Akbar Bajwa

 

163




Effect of Second Hand Smoke Exposure on Serum Estradiol and Progesterone Levels in women

Attiqa Khalid, Hamid Javaid Qureshi, Sadia Nazir, Khalid Pervaiz Lone

 

168




Epidemiological Study of Road Traffic Accidents attending Orthopedic OPD

Razia Chaudhry, Maham Javed, Khalid Javed Abid

 

171




Distribution of Clinico-pathological variants of Ameloblastoma, in a tertiary care hospital of Pakistan

BenishAleem, AfshanHussain

 

174




A Study of Risk Factors of Diabetic Foot Ulcers

Aqeel Ahmad, Khumair Asif, Muhammad Saleem, Huda Abdul Majeed, Hunz Bint-E-Athar

 

177




End To End Urethroplasty in Bulbar Stricture: Long Term Results

Naveed Iqbal. Sajid Mahmood, SaleemAkhtar

 

180




Early Outcomes of Stapled Vs Conventional Hemorrhoidectomy

Muhammad Azam Mengal, Khawaja Farooq Qasim, Fida Ahmad Baloch, Shakeel Akbar, Bilal Elahi

 

184




Role of Antimicrobial Therapy in Post Tonsillectomy Management

Ghazi Mahmood, Muhammad Sadiq, Saima Manzoor

 

187




Frequency of Control of Blood Glucose using Glycated Hemoglobin in patients suffering with Type 2 Diabetes Mellitus Presenting to Mayo Hospital Lahore

Rabia Rathore, Adil Iqbal, Nasir Farooq Butt, Madiha Abbas, Tariq Waseem.

 

191




An Experimental Study to Identify the Effects of Hexavalent Chromium on Skin of Albino Rats

Aneeqa Chughtai, Muhammad Umar, Shahzad Ahmad, Shazia Iqbal

 

193




Primary VS Secondary Closure of Cutaneous Abscesses after Incision and Drainage in Diabetic Pts -

Farrukh Shahzad, Aneeqa Chughtai, Shahzad Ahmad, Muhammad Rashid

 

195




Physiological and Biochemical Role of Nigella Sativa in Hyperlipidemic Albino Rats

Shahzad Ahmad, Aneeqa Chughtai, Rizwana Hussain, Shazia Iqbal

 

197




Bentall Operation, Initial Experience at Rawalpindi Institute of Cardiology

Shahid Khalil, Nadia Maqbool

 

200




Triple Valve Replacement for Rheumatic Heart Disease

Shahid Khalil, Nadia Maqbool

 

203




Frequency of Bleeding Disordersin Teenage Girls Presenting with Menorrhagia

Sobia Mazhar, Sajjad Masood, Haider Ali Bhatti

 

206




Outcome and Patient’s Perception Following Laparoscopic Inguinal Hernia Repair

Farooq Butt, M. Nadeem Aslam, Ayesha Butt

 

209




Changing Pattern of Acute Mastoiditis

Javed Iqbal, Malik Masood Ahmad, Maroof Aziz Khan

 

212




Measure of agreement between Doppler u/s Neck/FNAC for Diagnosis of Cervical Lymphadenopathy

Khoala Riaz, Shafat Khatoon, Irum Iqbal

 

215




Feeding Practices of Infants and Young Children according to whom Indicators at Children Hospital

Muhammad Imran, Nighat Jabeen, Shafat Khatoon

 

220




Study of Knowledge Attitude and Practices of pts and their Attendants Regarding Hepatitis-B and C

Rana Arslan Mujahid, Aneeq Mujahid, Aayza Mujahid

 

224




Occurrence of Abd Ultrasonographics Findings vs CT Scan in Detection of Abd Visceral Injuries

Naveed Haider, M. Kaleem Qaisarani, Farah Kalsoom

 

227




Clinicopathological Spectrum of Endometrium in Abnormal Uterine Bleeding

SarwatRizvi, Rabia Wajid, Ghazala Saee, Anum Jafri, Rubar Haider

 

230




Pregnancy Lap Ovarian Drilling with Clomiphene resistant Polycystic Ovarian Syndrome

Muhammad Ramzan, Muhammad Arif Siddiq, FarzanaKausar

 

234




Comparison of Diag. Efficacy of Double Contrast Bar.Meal Exam with Endoscopy in Diagnosis of PU

Asim Rahim, Farah Kalsoom, M. Kaleem Qaisarani, M. Mustafa Ali Siddiqui, M. Mohsin Khan

 

237




To study the Visual Outcome and Complications of SICS with IOL implantation

Munir Amjad Baig,Shahid Mahmood, Rubeeya Munir, Sosan Shahid

 

240




Knowledge, Attitude, Practice of Gen.surgeons regarding Paediatric inguinal hernia and hydrocele

AsifIqbal, Asad Sharif, Abeer Asif, Somia Ilyas, TahirAnwer, Naeem Liaqat, Sajid Hameed Dar

 

245




Role of Dietary Pattern in Prevention of Osteoporosis in Post Menopausal Females

Asad Sharif, MakhdoomHussain, SomiaIlyas, AbeerAsif, M Tahir Anwar, Fozia Bashir

 

249




Comparison of Mean Duration of Post-Operative Analgesia in Laparoscopic Cholecystectomy Patients receiving Intra-peritoneal Bupivacaine versus Bupivacaine plus Buprenorphine

Salman Majeed Chaudhary, Shabbir Chohan, Wasif Majeed Chaudhary, Samar Ghufran

 

253




Association of Non Specific Lower Back Pain with Level of Disability among medical students of  Lahore

Syed M. Ali Shirazi, Fahad Tanveer, Sara Ehsan, HiraJabeen, Gulnaz Zaheer, Hafiz Sheraz Arshad

 

256




Anal Fissures - Open Lateral Internal Sphincterotomy

Muhammad Farrukh Aftab, Abdul Manan, ZafarIqbal Malik

 

259




Comparison of Efficacy of FerSul& Iron Polymaltose Complex in Childhood Iron Deficiency Anemiai

Muhammad Amin Sheikh, Muhammad Shah, Muhammad UsamaShakir

 

262




The Assessment of Nutritional Status of Children with Beta Thalassemia Major with Body Mass Index

Muhammad Amin Sheikh, Muhammad Usama Shakir, Muhammad Shah

 

266




Correlation between Serum TSH and Serum Ferritin in patients of Beta Thalassemia Major

M Hassam Rehim, Sajid Mustafa, Syed Khizar Abbas Rizvi

 

270




Comparison of Efficacy of MVA and Treatment in Management of 1ST Trimester Missed Miscarriage

Humaira Shaheen, Misbah Siddique Khosa, Hina Hanif

 

274




Study of IGT in Children of β-thalassemia Major: Experience at Sahiwal Medical College

Syed Khizar Abbas Rizvi, Muhammad Ali Rabbani, Sajid Mustafa

 

277




Comparison between Intravenous Iron and Oral Iron Therapy in Cases of Postpartum Anemia

Moona Razzaq, Muhammad Imran Azam, Muhammad Fakhar Naeem

 

281




Study of Vaginitis in Reproductive Age Group at THQ Hospital Jampur

Moona Razzaq, Muhammad Imran Azam, Muhammad Fakhar Naeem

 

285




Frequency of Recurrent Breast Carcinoma after Modified Radical Mastectomy

Zahid Sattar, Akhtar Mahboob, Bushra Nisar

 

289




Frequency of patients with Abnormal Celiac Serological Marker (Anti-Tissue Transglutaminase IGA) in newly Diagnosed Cases of Diabetes Mellitus-I without Gastrointestinal Tract Symptoms

Sajid Mustafa, Muhammad Ali Rabbani, M Hassam Rehim

 

292




Serum Sodium, Pot. and Calcium Levels in Children 6-59 Months of Age with Severe Ac. Malnutrition

Bilquees Fatima, Muhammad Amin Sheikh, Malik Muhammad Naeem

 

295




Cardiovascular Risk Factors for Acute Stroke

Khalil-Ur Rehman,  Muhammad Asif, Azhar Saeed

 

298




Frequency of Microalbuminuria in Diabetic Patients Presenting to Diabetic Clinic Nishtar Hospital

Nasir Jamal Khan, M. Ikram Farid, Shahzad Alam

 

301




Diagnostic Accuracy of CK19 in the Diagnosis of Papillary Thyroid Carcinoma

Samreen Hameed, Sana Afroze, Huma Aslam

 

305




Clinical Manifestations and Outcome of Acute Organophosphorous Poisoning

Mazhar Ali Naqvi, Muhammad Azhar Shah, Azhar Saeed

 

310




Frequency of Occult Nipple Involvement in Early Stage Carcinoma Breast

Manzar Ali, Ali Akbar, Naveed, Kashif

 

314




Contrast Induced Renal Dysfunction inPatients Undergoing Percutanous Coronary Intervention

Syed Muhammad Aftab Shah, Tanvir Ahmad Bhatti, Wasim Ashraf, Saqib Shafi Sh.

 

319




Profile of Chronic Obstructive Pulmonary Disease (COPD) Patients in UAE - A Cohort of Breathe Study

AttiqueurRehman, Mushtaq Ahmed Jaffer, Kaneez Fatima,, Mobin-Ur-Rehman

 

324




Impairments in Renal Functions in Relation with Obesity

Afsheen Akbar, Zulfiqar Ali, Asma Saeed

Case Reports

328




Double Aortic Arch: An Uncommon Cause of Stridor in an Infant

Mohammad Asjad Khan, Abdul Waheed, Ikram Masood

 

330




Primary Biliary Peritonitis secondary to Gallbladder Perforation: Efficacy of Laparoscopic Treatment

Farooq Butt, M. Nadeem Aslam

Letter to the Editor

332




Physician’s Burnout Rate at King Edward Medical University: A Cross Sectional Survey

Sagarika Kamath, Rajesh Kamath, Brayal D’Souza

Original Articles

333




Behavioural Problems of Tuberculosis Patients as a Cause of Delay in the Diagnosis and Treatment of Tuberculosis among the TB OPD Patients at Institute of Chest Diseases, Kotri

Abdul Sattar Memon, Ghazanfar Ali Sirhindi, Abdul Hakeem Jokhio, Tehmina Anjum Bashir

 

336




Evaluating the Efficacy of RMGIC vs Conventional Glass Ionomer Cement in Terms of Success Rate

Arslan Iqbal, Muhammad Fishan, Rabia Sahar

 

339




Effect of F-75, F-100 and RUTF Supplementation in Children with Severe Malnutrition

Muhammad Ashraf, Shahid Mahmood, Muhammad Afza lChaudhry

 

343




Grades of Adenoidal Obstruction; a comparison of Clinical and radiological Assessment

Asif Manzoor, Arshad Ullah Afridi, Shahid Ghafoor Malik

 

346




Prevalence of Health Hazards Related to Obesity among Business Community of Sukkur City

Ashfaq Hussain Shah, Abdul Sattar Memon, Aijaz Hussain Memon, Tehmina Anjum Bashir

 

349




Laparoscopic Assisted Appendicectomy Versus Laparoscopic Appendicectomy

Muhammad Asif Nadeem, Muhammad Sajid Hameed Ansari, Muhammad Hasnain Iqbal

 

352




Significance of Morphometric Anatomy of Diaphyseal Nutrient Foramen in dried Pakistani Femurs

Muhammad Bakhsh Shahwani, Mian Azhar Ahmad, Lal Mohammad Khan Kakar, Nawab M Khan

 

356




Variations in the Position and Length of the Vermiform Appendix in Pakistani Population

MianAzhar Ahmad, Muhammad Tahir Ali, Nasibullah Zarkoon, Nawab Mohammad Khan

 

362




Frequency of CSF Leakage after Cage Fixation with Anterior Approach in Caries Spine Patients

Eid Muhammad, Safdar Hussain Arain, Mohammad Ishaq

 

365




Hypothyroidism in Children Suffering from Beta Thalasemia Major

HinaSabir, Sana Khalid, Kashan Arshad

 

368




Frequency of Metabolic Syndrome in Hyperuricemia

Hina Zameer, Ambreen Butt, Muhammad Rashid Ali

 

371




The Outcome of Mesh Hernioplasty in Patients with Ventral Hernias

Humera Sadaf Bugti, Khawaja Farooq Qasim, Irshad Ahmad, Muhammad Azam Mengal, Abdullah Makki

 

375




Frequency of Haemorrhagic Complications of Renal Biopsy

Irfan Elahi, Fazal-E-Mateen, Tanzee lAbbasi, Sadia Maqbool

 

378




Efficacy of Prophylactic Low Dose Ketamine and Tramadol for Prevention of Shivering During S/A

Muhammad Akram, Hassan Raza, Syed Musharraf Imam

 

381




Evaluation of the Relationship between the Prevalence of Dental Caries and Age Factor in Dental Pts

Muhammad Mudassar Shakoor, Arslan Iqbal, Muhammad Naveed

 

384




Comparison of Efficacy of Flap Anchoring with Suction Drains After Modified Radical Mastectomy

Muhammad Nadeem, QaimDeen, Khawaja Farooq Qasim

 

387




Helicobacter Pylori-induced Chronic Inflammation Leading to Gastric Mucosal Erosions in Pakistan

Muhammad Sadiq Achakzai, Osama Munir

 

390




Prevalence, Determinants And Treatment Of Depression Among Teenagers In Lahore, Pakistan

Khadija Mastoor, Muhammad Imran Ashraf, Shazana Rana, Waqas Akram, Moon Babar,Yasir Mehmood

 

396




Milligan – Morgan (Open) Haemorrhoidectomy VS Rubber band ligation

Muhamamd Tariq Saeed, Zafar Ali, Sohail Ali Khan

 

401




Emergency Treatment of Paraphimosis by Multiple Needle Puncture Technique in Children

Mohyuddin Kakar, Mobinur Rehman, Ahmad Shah

 

403




Pattern of Presentation and Diagnostic Evaluation of Breast Lumps

Qaim Deen, Shafqatullah, Uzma Intisar

 

406




Comparative Study of Open vs Close Lateral Sphincterotomy in the Management of Ch. Anal Fissure

Rab Nawaz Malik, Irfan Ahmad, Ahsan–Ur-Rehman Khan

 

409




Patient’s Preference Regarding General or Regional Anaesthesia for Elective Cesarean Section

Umaid Hussain, Amna Tahir, Yumna Javaid, Tahir Nazeer, Riaz Hussain

 

411




Disorders in Thyroid Morphology Observed in ESRD Patients on Maintenance Haemodialysis

Syed Rizwan Bokhari, Maria Rizwan Bokhari, Mahjabeen, M Z Khan Assir, H Ijaz Ahmad, S Arsalan Khalid

 

416




Obstetrical Outcome of Teenage Compared with Adult Pregnancies

Saba Fayyaz Jeelani, Shazia Jangsher, Bushra Saleem

 

419




Mean Increase in Amniotic Fluid Index in Pregnant Women After Intravenous Maternal Hydration

Saba Rehan, Nagina

 

423




Frequency of Placenta Previa in Unscarred Uterus at Nishtar Hospital, Multan

Saima Gul Bashir, Samiea Parveen, Samina Mumtaz

 

426




Frequency of Pre-Eclampsia in Obese Patients

SamieaParveen, SaminaMumtaz, SaimaGul Bashir

 

429




Role of Amniotic Fluid Index in the Management of Pregnancy Beyond 40 Weeks

SaminaMumtaz, SaimaGul Bashir, SamieaParveen

 

432




Outcome of Using Hybrid Ilizarov External Fixator in Treatment of Schatzker Tibial Plateau Fractures

Shah Nawaz, Sher Afghan, Rizwan Lodhi

 

435




Mean Decrease in Endothelial Cell Lost With Peroperative Topical Application of MMC in Pterygium Surgery

Tanvir Abbas, Asad Aslam Khan, Sardar M Ali Ayaz Sadiq

 

438




Risk Factors for Development of Obesity in Children

Wajiha Rizwan, Tariq Bhatti

 

441




Diagnostic Accuracy of Serum C-Reactive Protein Levels for the Diagnosis of Acute Appendicitis

Ahmad Raza Nsar, Summayah Niazi, Aftab Ahmad Soomro

 

444




Evaluation of the role of short term application of topical steroids in wound healing

Zulfiqar Saleem, Muhammad Omer Khan, Muhammad Nadeem, Zahid Akber Chohan

 

447




Excision of Dorsal Wrist Ganglia Under Local Anesthesia with Adrenaline without Tourniquet, and with Evacuation of The Cyst During Dissection for The Ease and Completeness of the Excision

Zulfiqar Saleem, Muhammad Omer Khan, SafdarHussain Arain, ZahidAkber Chohan

 

450




Maternal Mortality: A Multi-centre Study

Salma Zaman, Iffat Usmani, Ayesha Naeem

 

453




Management of Dentinal Hypersensitivity Using Fluoride Application and Dentine Bonding Agent: a Clinical Study to Explore the Best Outcome in Getting Relief from Pain Associated with Hypersensitivity

Muhammad Mudassar Shakoor, RafiaTayab, Muhammad Ammar Riaz

 

456




Unavailability of Av Fistulas at The Initiation of Haemodialysis In Pakistan- Limitations and Implications

Syed Rizwan Bokhari, Syed Arsalan Khalid, Mahjabeen, Maria Rizwan Bokhari, Hafiz Ijaz Ahmad

 

460




Etiological Causes of Respiratory Distress Syndrome in Full Term Neonates Presenting within 24 Hours of Life

Maryyam Nisar, Hina Sabir, ZubairAhad, Muhammad Ibrahim Ishaq

 

463




Comparison of Efficacy of Misoprostol and Dinoprostone in Inducing Labour at Term Cases

MamoonaFayaz, HumairaTabassum, Shumaila Zia

 

466




Clinical Features of Colorectal Carcinoma

Qaim Deen, Muhammad Nadeem, Khalid Azim

 

468




Vitamin D Deficiency During Pregnancy in Primigravid Females

Salma Zaman, Farrukh Bashir, MunawarAfzal

 

471




The Role of Nitazoxanide in Combination with Interferon and Ribavirin in The Treatment of Genotype 3 Hepatitis C Among Patients with Type 2 Diabetes Mellitus

Amena Moazzam, Madiha Fida, Shaista Nazeer, Ali Atif, Faisal Masud

 

475




Prevalence of Celiac Disease and Role of Anti-Tissue Transglutaminase Antibodies in Different Types of Intestinal Damage in Celiac Disease According to Marsh Classification

TahreemKashif; Ayesha Kashif, Zertaj Kashif, Aneela Arooj

 

478




Comparison of Mal-Union Between Titanium and Stainless Steel Elastic Nail Fixation of Pediatric Femoral Fractures

Shahid Mahmood, Zulfiqar Ali, Nadeem Ahsan

 

482




Frequency of Union in Cases of Subtrochanteric Femora L Fractures Treated by Fixation with Dynamic Condylar Screw System

Shahid Mahmood, Zulfiqar Ali, Muhammad Iqbal Mustafa

 

486




Study of Skull Fracture Pattern in Cases with Head Injury by Blunt Force

Tariq Azher, AsifJamil Ansari, Zameer Ahmad