Pakistan Journal of Medical and Health Sciences

Vol. 10, Issue 2, APR – JUNE 2016

Website: www.pjmhsonline.com

 

Editorial

323

Modular System of Medical Education

Kamran Aziz

 

324

Unobtrusive Health Hazard - Heavy metal toxicity

Naveed Shuja

Original Articles

325

Effect of Obesity on Diabetes Control and Cholesterol Levels-a Retrospective Study in Lahore

Muhammad Imran Hasan Khan, Zohaib Abbas Khan, Salman Shakeel, Hafiz Ehsan Ullah

 

330

Knowledge and Status of Hepatitis B among the Doctors at a Tertiary Care Hospital

Mujeeb Ullah Makki, Robina Tarique, Amina Husnain, M Nauman Arif Jadoon, Shagufta Kunwal Kiran

 

334

Knowledge among Patient’s Siblings Regarding Hepatitis B at a Tertiary Care Hospital, Lahore

Mujeeb Ullah Makki, M Naseer Umer, Robina Tarique, Shagufta K Kiran, M Ahmed, M Nnauman Arif Jadoon

 

338

Evaluation of Post Placental Trans Caesarean / Vaginal Delivery Intrauterine Device (PPIUCD) in Terms of Awareness, Acceptance and Expulsion in Services Hospital, Lahore

Farah Shahbaz, Robina Tariq, Fatima Shahbaz, Tayyaba Tahira, Misbah Javaid, Z Noreen

 

340

A Study of Dietary Patterns in Patients with Angiographically Diagnosed Tripple Vessel CAD

Imran Waheed, Masood Ali Akbar, Syed Moazzam Ali Naqvi, Shahid Amin,  Nadeem Hayat Mallick

 

345

The Comparison of Effects of Ivabradine and Atenolol on Heart Rate and Symptoms

Fida Muhammad, Amir Nazeer, Zia U Rehman

 

348

Comparison of Intravaginal Misoprostol with Dinoprose for Termination of 2nd Trimester Pregnancy

Noreen Huma, Wasema Arif, Saira

 

352

Preferred Instructional Strategies for Gross Anatomy -  A Student Perspective”

Shaista Arshad Jarrral, Muhammad Farooq Afzal

 

355

To Determine Frequency of Dyslipidemia in Primary Hypothyroid Cases of Local Community

Shafat Khatoon, Nighat Jabeen, Muhammad Saqib Habib

 

360

Role of Cathepsin D in Monitoring Breast Cancer Treatment Using Doxorubicin in Combinations with Cyclophosphamide and 5-Fluorouracil

Rukhsana Malik, Muddassara Saqib, Aisha Talat

 

364

Prevalence of Antibiotic Resistance among Pts with Escherichia Coli UTI in a Private Hospital

Sidra Cheema, Shafiq Ur Rehman Cheema

 

368

Dobutamine Stress Echocardiography can Risk Stratify and Prognosticate patients

Shafiq Ur Rehman Cheema, Sidra Cheema

 

371

Early versus Delayed Laparoscopic Cholecystectomy in Acute Cholecystitis

Mustafa Issa Tayeh Mustafa,  Alaa Issa Tayeh Mustafa, Salman Majeed Chy, Rami Issa Tayeh Mustafa

 

374

Study of Histopathological & Physiological Effects of Leflunomide on Kidneys in Male Albino

Shamsa Ijaz, Naveed Akhtar, Nadia Majeed, Anis Fatima, Kanwal Ashal Pal, Suhail Ahmad Memon

 

377

Hospital Waste Management in Teaching Hospitals of Lahore System Assessment
Rakhshanda
Toheed, Talha Bin Ayub, Saba Mumtaz, Abdul Rauf Mehr

 

380

Assessment of Knowledge of Male Animal Handlers Regarding Congo Hemorrhagic Fever

Ayaz Ahmed, Kamran Shahani Baloach Sajid Hameed, A Ali, A Kanwal Z A Qazi style='position:relative;top:-1.0pt;mso-text-raise:1.0pt;letter-spacing:.1pt'>, A S Jamali, M A Lakho

 

383

Prevalence of Anaemia and its Association with Diet among the Adolescent Students

Muhammad Abdul Hafeez, Hafiz Muhammad Rafique, Abdul Wahab Shaikh, Zulfiqar Ali Laghari

 

387

Comparison of the Efficacy of Intra-Articular Bupivacaine with Intra-Articular Admixture of Bupivacaine and Tramadol in the Immediate Postop Management of Pain after knee Arthroscopy

Agha Momin,  Sibtain Raza,  Amer Aziz

 

392

Medico Legal Autopsies of Mechanical Asphyxial Deaths Carried Out in AIMC, Lahore

Farhat Sultana, Saeed Ahmad Malik, Sobia Amir, Mohammad Mohsin Khan, Irfan Qadir, Kamran Ishaq

 

396

Frequency of Minimal Hepatic Encephalopathy in Cirrhotic Pts with Normal Neurological Exam

Sadaf Yousaf, Sabeen Farhan, Muhammad Arif Nadeem, Sidra Rasheed, Aftab Mohsin

 

399

Frequency of Iron Overload in Patients of Chronic Hepatitis C Undergoing Therapy and Treatment Response in Patients with Iron Overload

Ghulam Abbass, Sabeen Farhan, Muhammad Arif Nadeem, Sidra Rasheed, Aftab Mohsin

 

402

Frequency of Diabetic Nephropathy in Tertiary Care Hospital

Shakil Adil, Sabeen Farhan, Muhammad Arif Nadeem, Sidra Rasheed, Aftab Mohsin

 

405

Comparison of Platelet Counts between H. Pylori infected and non-infected individuals

Muhammad Abbas Raza, Muhammad Haroon Bilaal

 

409

Comparison of Oral Misoprostol with Pge2 Gel for Induction of Labour in Prom at Term with Unfavourable Bishop Score

Ayesha Ilyas, Madiha Khalid Mir, Sadia Hanif

 

413

Maternal Serum Uric Acid Level during Pregnancy: A Biomarker for Preeclampsia

Rukhshan Khurshid, Adina Shamsi, Irum  Fayyaz,  Muddasir Zia

 

416

Isolation and Characterization of Multiple Antibiotic Resistance Streptococci

Aqsa Shafi, Rukhsana Malik, Adina Shamsi, Farida Munnawar, Rukhshan Khurshid,  Asima Malik

 

420

Women’s Knowledge, Attitude, Beliefs and Misconceptions Regarding Breast Cancer in Pakistan

Kiran Siddiqui, Sana Amir Akbar, Hasham Akram Choudhary, Shareen Altaf, Abul Fazal Ali Khan

 

429

Frequency of Pulmonary Arterial Hypertension among patients of liver cirrhosis

Riaz Hussain, Shazia Jamil, Faiza Aslam

 

435

Metformin related Vitamin B12 Deficiency: an important Comorbid Factor in Diabetic patients

Farida Akhtar, Shakeel Ahmed, Rukhsana Malik, Rukhshan Khurshid

 

438

Vitamin D Status in Normal and Disabled School Children

Muhammad Fakhar-Ul-Zaman, Muhammad Akram, Rizwan Asad Khan, Arshad Rafique

 

441

To Assess the Diagnostic Accuracy of Alvarado Scoring System by Placing Variables in Time Scale for the Diagnosis of Acute Appendicitis

Khalid Javeed Khan, Samiha Choudhry, Hina Khan, Aisha Ghaffar

 

445

Serum Resistin Levels in Patients of Hypertension and Coronary Artery Disease

Sobia Niaz, Tanvir Ali Khan Shirwany

 

448

Age-related Cyst Formation in Human Pineal Gland

Ansa Rabia, Nida Qasim Hayat, Shahnila Qadir, Mohammad Tahir4

 

452

Comparison of Intravaginal Misoprostol with Dinoprose for Termination of 2nd Trimester Pregnancy

Noreen Huma, Wasema Arif, Saira

 

455

Role of Probiotics in Prevention of Nectrotizing Enterocolitis in Preterm Low Birth Weight Neonates

Muhammad Hussain, Surriya Jabeen, Riaz Ul Haq Subhani

 

460

Left Ventricular Systolic Dysfunction in Patients with Chronic Kidney Disease

Salman Tahir Shafi, Mohammad Saleem, Roshina Anjum, Wajid Abdulla

 

463

Maternal Mortality Audit one year study in Gynae Unit 2 Services Hospital Lahore

Noreen Rasul, Madeeha Rashid, Farah Yousaf, Rubina Sohail

 

467

Comparison of Outcome of Myringotomy with and without ventilation tube in glue ear

Jawad Ahmad, Bilal Hussain, Mazhar Iftikhar

 

471

Diagnostic Accuracy of Conventional MRI with Diffusion Weighted Imaging (DWI) in Detection of Cryptorchidism Taking Diagnostic Laparoscopy as Gold Standard

Mahwish Zahra, Azhar Mehmood Javed, Afshan Noreen, Hira Bushra, Umama Saeed, Muhammad Amin

 

475

Hypolipidemic Effects of Nigella Sativa in Albino Rats

Rafique Ahmad Shahid, Khalil Ur Rehman Bhatti, Iqbal Javed, Saira Farhat

 

478

Diagnostic Accuracy of Color Doppler Ultrasound in Antenatal Diagnosis of Morbidly Adherent Placenta, taking Operative Findings of Caesarean Section as Gold Standard

Dania Khalid,  Afshan Noreen,  Azhar Mehmood Javed, Mehwish Zahra, Mehreen Gul, Afshan Shakir

 

482

To Evaluate Various Precipitating Factors for Diabetic Ketoacidosis

Shafait Ali Rana, Wasim Ahsan Malik, Momin Ali Babar

 

486

Knowledge and Practices of General Practitioners Regarding Management and Prevention of Dengue

Aftab Rabbani, Tahir Mahmud, Syeda Farhana J Shah, Umar Farooq Dar, Ammar F Dar, Usman F Dar

 

489

Comparison of Hemorrhoidectomy Using Bipolar Diathermy Versus Harmonic Scalpel

Hassan Shoukat, Mubashir Iqbal, Shafqat Ullah, Amina Mirza, Umar Farooq Dar, Usman Farooq Dar

 

492

Outcome of Minimally Invasive Plate Osteosynthesis for Distal Femoral Fractures

Tariq Iqbal, Naeem Mahmood Mughal, M. Bakhsh Shahwani, Usman F Dar, Umar Imtiaz, Umar Farooq Dar

 

495

Illizarov Hybrid External Fixation for Schatzker V and VI Tibial Plateau Fractures

Naeem Mahmood Mughal, Tariq Iqbal, M Bakhsh Shahwani, Usman F Dar, Umar F Dar, Umar Imtiaz

 

498

Prevalence of Intestinal Stoma Formation in the Management of Abd. Surgery in emergency deptt.

Ansar Latif, Faisal Shabbir, Kamran Hameed

 

503

Comparison of Manual Vacuum Aspiration with Electrical Vacuum Aspiration

Drakhshan Nauman, Nadia Saif, Uzma Siddique, Naheed Jamal Faruqi

 

507

Association of Decrease Na +/K+- ATPase activity with Diabetes mellitus Type 2

Muhammad Humayoun, Ambreen Khalid, Naim Ahmad Nizami

 

510

Does Postoperative Immobilisation Improve Sensory Recovery following Isolated Digital Nerve Injury?

Rafi Iqbal Farkhad, St O’ Sullivan, M O’shaughnessy

 

513

A Review on Common Bacteria Causing Urinary Tract Infection

Saeed Ahmad Malik, Aurangzeb Saeed Malik, Saadia A Malik

 

518

Hepatic Injuries in Blunt Trauma Abdomen

Gazala Firdous, Khalid Javeed Abid

 

523

Frequency of Chronic Venous Insufficiency in Obese and Non-Obese patients

Malik Muhammad Qasim, Altaf Hussain, Jahangir Zaib, Mudaser Hussain Abbasi Muzzamil Liaquat Ali

 

526

Prostatic Diseases Common Cause of Morbidity in Adult Males

Afia Sarwar, Zonaira Rathore, Saira Rathore, Rabia Butt

 

530

Evaluation of B-Lynch Technique an Alternative of Hysterectomy in Arresting Massive PP Hemorrhage

Abida nasreen, Jamila M. Naib

 

534

Outcome of Early Versus Delayed Stoma Closure

Amna Shahab, Muhammad Aqil Razzaq, Muhammad Mudassar Mahmood

 

538

Outcome of Early Versus Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis

Muhammad Aqil Razzaq, Amna Shahab, Muhammad Mudassar Mahmood

 

541

Frequency of Birth Defects and Associated Risk Factors

Abida Nasreen, Jamila M. Naib2, Muhammad ibrar

 

544

Evaluation of Maternal Outcome in Pre-Eclamptic Toxemia at Altitude >5000 feet With Pet

Shazia Saeed,  Zardad Khan,  Rohana Salam,  Ashfaq Ahmad

 

548

Mean Serum Calcium and Lipid Profile in Patients with Gallstone Disease in Southern Punjab

Humara Gul, Muhammad Ayub, Arifa Akhtar

 

552

Maternal Outcome in Persistent Occiput Posterior position during second stage of labor at term

Nayyer Sultana, Abida Riaz, Shazia Tehseen, Muhammad Awais Akram, Zahid Mahmood, Tayyaba Majeed

 

555

Comparison between Proximal Femoral Nail Antirotation and Dynamic Condylar Screw in the Management of Unstable Proximal Femur Fractures in Term of Mean Union Time

Muhammad Saleem Akhtar, Haroon Ur Rehman Gillan, Kashif Raza Khan

 

559

Comparison of Frequency of Healing in patients with Acute Anal Fissure Undergoing Lateral Internal Sphincterotomy Versus Medical Management with GTN 0.2% Cream

Arifa Akhtar, Humara Gul, Muhammad Ayub

 

562

Frequency of Impaired Glucose Tolerance Test in Children with Beta Thalassemia Major

Iftikhar Ahmad Bhatti, Asma Akbar, Ayaz Ali Qureshi

 

565

CT Patterns of Peritoneal Metastasis in Patients with Abdominopelvic Malignancy

Faroohi Saghir, Sadia Riaz, Kamran Naseem

 

568

Dyslipidemia in Type 2 Diabetes Mellitus in normal and Underweight Patient

Riaz Ahmed Javed, Azizullah Bhatti, Muhammad Roh Ul Amin

 

571

Frequency of Hypoalbuminemia in patients with Ischemic Stroke

Riaz Ahmed Javid, Azizullah Bhatti, Munir Ahmad Azhar

 

574

Comparison between Pioglitazone &Metformin in Terms of Efficacy with Polycystic Ovarian Syndrome

Iram Chaudhry, Sadaf-Un-Nisa, Shams-Un-Nisa

 

578

Comparison between the Efficacy of Intra-Lesional Triamcenolone and Combination of Triamcinolone

Kashif Ali, Farhatullann Tayyaba, Hassan Mahmood Tabassum

 

582

Effect of Obesity on Diabetes Control and lipids profile in both genders, a comparative study

Humaira Shaukat, Shazia Akbar, Amer Shoaib, Kanwal Firdous

 

585

A Comparative Study of Hemoglobin Levels in the blood of male and Female Individuals

Shazia Akbar, Amer Shoaib, Fariha Ashraf, Kanwal Firdous

 

587

Screening of HBsAg and Anti-HCV from Tertiary Care Hospital of Lahore

Aalia Hameed, Mateen Izhar, Akbar Ali, Fazal-E-Bari, Irshad Ahmed

 

590

Comparison of Side Effects of Solifenacin Vs Tolteridine in Patients with Urinary Incontinence

Fauzia Butt, Nazia Badar, Maryum Rana

 

594

To Determine the Outcome of Stillbirth and Risk Factor of Stillbirth babies

Razia Ashraf, Rabia Noor, Ashraf Zia, Sumera Zeb

 

597

Unusual Mechanism of Knee Ligaments Injury

Rafik Abu-Ramadan, Zulfikar Ali Qureshi, Saleem Majidi

 

600

Causes of Primary Postpartum Haemorrhage after Vaginal Delivery

Shakila Manzoor Ahmed, Amna Aslam, Rubina Kausar

 

603

Prevalence of Odontogenic Sinus Tracts among Dental Patients and its Oral Surgery Management

Muhammad Safdar Baig, Muhammad Zahid, Jamil Ahmad Shaheen, Riaz Ahmed Bhutto

 

608

Association of C-Reactive Protein Levels With Periodontitis and Type II Diabetes Mellitus

Awais Anwar,  Abdul Matin Qaisar, Shazia Akbar

 

611

Comparison of Outcome of Lateral Sphincterotomy with Anal Advancement Flap in  Anal Fissure

Shahid Hussain, Asiya Shabbir

 

614

Routine Histopathology of Surgically Resected Gallbladder - A multicenter surgical audit

Badar Jahan, Shumaila Najeeb, Momina Khadija Abbasi, Barkat A Dahar, M Anas Bin Fazal, Ahmed B Shaikh

 

617

Association between Depression and Cardiovascular Risk Factors in Pts of Acute Coronary Syndrome

Haq Nawaz Alvi, Shahzad Ahmad

 

620

Prevalence of Depression in Patients of Acute Coronary Syndrome

Haq Nawaz Alvi, Shehzad Ahmad

 

622

Exercise Induced Seasonal Serum Cortisol Changes in Male students of SIMS Lahore

Jawad nawaz, Faheem Mahmood, Mahnoor Khan, Mudassar Ali, M Fahimul Haq, U Nisar, T A Khan Shirwani

 

625

To Determine the Frequency of Meconium Aspiration Syndrome in Infants and its effects & treatments with relevance to Pneumothorax and Sepsis

Irfana Ishaq Sindhu, Surriya Jabeen, Sajida Yasmeen

 

628

Antenatal Diagnosis of Anencephaly to Determine the Prevalence and its Correlation with Folic Acid Deficiency by Using Peripheral Blood Picture in District Poonch, Azad Kashmir

Muhammad Akhtar, Quratul Ain Qaiser, Ansar Latif

 

631

Comparison of Early Outcome between Modified Limberg and Karydakis Flap Procedures in Patients with Sacrococcygeal Pilonidal Sinus

Khalid Javeed Khan, Aaisha Ghaffar, Samiha Choudhry, Khalid Irshad

 

635

Obstetric Outcome in Preeclampsia: One Year Experience at a Tertiary Care Hospital

Quddsia Tanveer, Jovariah Aziz, Anees Fatima

 

638

Frequency of Uterine Scar Dehiscence in Patients of Previous One C-Section Having Scar Tenderness

Maimona Ashraf, Naheed Waris

 

641

Diagnostic Superiority of FNAC Technique and FNNAC in Thyroid Lesions

Zahid Mahmood Akhtar, Muhammad Saqib Hussain, Saeed Ahmad, Hassan Saeed, Filza Saeed

 

643

Evaluation of Sodium Pumps Activity in Patients of Lahore City Suffering from Diabetes Mellitus Type 1

Muhammad Humayoun, Ambreen Khalid, Maria Mahmood, Sarwar Hussain

 

646

Comparison of Single versus Four Port Laparoscopic Cholecystectomy

Ghulam Sarwar, Mir Abid Jan, Tanveer Hameed Sheikh

 

649

Comparison of Blood Loss between Harmonic Scalpel and Monopolar Electrocautry in Modified Radical Mastectomy

Ghulam Sarwar, Tanveer Hameed Sheikh, Muhammad Nadeem

 

652

Frequency of Hyperprolactinemia in Female Infertility

Iram Chaudhry

 

654

Interrelationship of Circulating Biochemical Markers and Response of Lutein in Rats Receiving Carbon Tetrachloride (CCl4) to Induce Hepatic Injury

Abdul Basit, Muhammad Saeed Qureshi, Shazia Ashraf, Sulayman Waquar, Zohaib Rana, Danish Masood, Arif Malik

Case Reports

 

658

Gangrenous Cholecystitis – A Case Report

Sana Anwer, Said Umer, Tahir Saleem, Khalid Javeed Abid

 

661

Irreducible Fixed Intussusception Causing Small Gut Obstruction

Anas Ahmad,  Sadaf Ishaque, Khalid Javed Abid, Rizwan Ahmad Khan

Original Articles

664

Most Common Cause of Intestinal Obstruction in our Set Up

Liaqat Ali Zia, Ajmal Farooq, Imran Amin, Ali Raza

 

667

Extramucosal Single Layer Versus Double Layer Continuous Intestinal Anastomosis - A Comparative Study

Liaqat Ali Zia, Ajmal Farooq, Imran Amin

 

670

Comparative Study between Sublay and Onlay Technique of Repairing Ventral Abdominal Hernia

Liaqat Ali Zia, Ajmal Farooq, Imran Amin