Journal of Medical and Health Sciences

Vol. 10, Issue 3, JUL – SEP  2016

Website: www.pjmhsonline.com

 

Editorial

675


Collaboration on Health Issues

Kamran Aziz

 

676


Unobtrusive Health Hazards - Crimean-Congo Hemorrhagic Fever

Naveed Shuja Rana

Original Articles

677


Iatrogenic Bilateral Ureteric Injuries A Complication during Pelvic Surgeries

Khizar Hayat, Mujahid Alam, Saleem A Jafari, Sajjad Husain

 

681


Interposition of Omentum, Perivesical Fat, Martious Fat in Management of Lower UT Fistula

Khizar Hayat, Shah Jahan Ur Rehman, Mujahid Alam, Sajjad Husain

 

686


Satisfaction of Patients after Hospital Stay - A Study from Teaching Hospital of Pakistan

Amjad Mahmood Khan, Arhsad Mahmood, Zardad Khan

 

689


Delay in Appendicetomy due to Preoperative Imaging Results in Increased Complication Rate

Muhammad Azim Khan, Shoukat Ali, Allah Baksh Parhar, Wasim Ahmad

 

692


A Study of Morphology of Posterior Condylar Foramen and Its Anatomical Variations in Dry Adult Skulls

Mian Azhar Ahmad, Lal Mohammad Khan Kakar, Ibrahim Khalil, Nawab Moahammad Khan

 

695


Ischemic Heart Disease in Patients with Type-II Diabetes Mellitus

Saeed Ahmad Khan, Nadeemuddin, Jawed Akhtar Samo

 

697


Management of Appendicular Mass as an Early Exploration Versus Interval Appendicetomy

Muhammad Azim Khan, Shoukat Ali, Allah Baksh Parhar, Wasim Ahmad

 

700


Self Directed Learning (SDL), an Effective Method for Teaching Physiology to Medical Students

Sadaf Zia, Farkhanda Jabeen, Komal Atta, Noor Akbar Sial

 

703


Comparison of Frequency of PDPH in Obstetrical Patients after Caesarean Section under Spinal Anaesthesia with 25 G Quincke (cutting) needle 25 G pencil point needle (non cutting)

Khaleel Ahmad, Muhammad Javed, Maqsood Zahid, Anser Butter, Asiya Taqi, Baber Zameer

 

708


The Effect of 50% Nitrous Oxide on Postop Nausea-Vomiting in Patients Undergoing Lap. Cholecystectomy

Khaleel Ahmad, Maqsood Zahid, Muhammad Javaid

 

713


Prevalence of Obesity in Surgical Patients Undergoing Abdominal Surgery at Mayo Hospital Lahore Pakistan

Ammar Rasul, Yar Muhammad, Khalid Masood Gondal, Humayon Siddique, Arun Kumar Karn

 

716


Frequency of Retinopathy during Interferon and Ribavirin Therapy for Hepatitis C

Shahzad Ahmed Saghir, Muhammad Kamran Rauf, Aijaz Zeeshan Khan Chachar, Khalid Mahmood Anjum

 

722


High Body Fat and Visceral Fat in Type II Diabetes Mellitus: a review of one hundred patients at FM Hospital

Aijaz Zeeshan Khan Chachar, Nazeefa Javed, Arzinda Fatima, Kashif Saleem, Saleema Qaisera

 

730

 


Cage Displacement after anterior Decompression and Interbody Titanium Mesh Cage Placement in Caries Spine

Rafique Ahmad, Ijaz Ahmad, Rizwan Akram, Atiq Uz Zaman, Amer Aziz

 

734


Frequency and Causes of Failure of Dynamic Hip Screw Fixation for Interochanteric Fracture

Muhammad Amjad, Rizwan Akram, Atiq Uz Zaman, Ijaz Ahmad, Amer Aziz

 

741


Maternal Anemia is a Risk Factor for Low Birth Weight Babies at Term

Madiha Khalid Mir, Shumaila Yousaf, Ayesha Ilyas, Shabnam Tahir

 

744


Frequency and Risk Factors for Deep Vein Thrombosis after Orthopaedic Surgery

Tanveer Ahmad, Atiq Uz Zaman, Ijaz Ahmad, Rizwan Akram, Amer Aziz

 

750


Development Stages of Third-Molar Tooth for Estimation of Chronological Age in Children and Young Adult

Amir Amanullah, Usman Ullah, Sarah Yunus, Abdul Munim

 

755


A Retrospective Study of Medico Legal Autopsies of Fire Arm Deaths carried Out in AIMC Lahore during 2014

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

 

761


Comparison of Packing & Primary Closure in Surgically Drained Skin Abscesses in Terms of Healing

Syed Adeel Ahmed, Saad Qayyum, Muhammad Afzal, Shahzar Malik, Wajihuddin Butt

 

764


Frequency of Genital Tract Malignancies in Women with Postmenopausal Bleeding

Qamar, Samina, Abdul Samad

 

767


Frequency of Hypertension during Pregnancy

Aamir Nazir, Shahid Abbas, Shehzad Aslam, Syed Sultan Haider, Tayyab Hussnain, Muhammad Khan

 

770


Frequency of Vaginal Candidiasis in Symptomatic Pregnant Women Attending Routine Antenatal Clinic

Bushra Saleem,  Saba Fayyaz Jeelani, Shazia Jang Sher

 

773


24 Hours Urinary Citrate Levels and Frequency of Hypocitraturia among patients with Recurrent Nephrolithiasis

Ahmed Bilal, Abdul Ghaffar, Anusha Ghaffar, M. Rafique

 

778


Efficac of Vasectomy with Internal Tamponade Along with Scleral Buckling vs Vitrectomy with Internal Tamponade with Internal Tamponade in the Management of Complicated Retinal Detachment

Muhammad Awais Ashraf, Asim Mehmood, Ghulam Abbas

 

781


Efficacy of Early Exploration in Appendicular Mass

Safdar Ali Khan,  Manzar Ali, Muhammad Ismail Seerat

 

784


Comparison of Use of Polypropylene with Polydioxanon E for Closure of Midline Abdominal Incisions

Mohammad Sajid Hameed Ansari, Nazar Fareed, Imran Asim

 

787


Frequency of Female Primary Subfertility Factors on Diagnostic Laparoscopy

Shazia Jangsher, Bushra Saleem,. Saba Fayyaz

 

790


Audit of Homicidal Deaths in Multan in Year 2014

Tariq Azher, Asif Jamil Ansari, Farrukh Aziz, Niaz Ahmed Bloch

 

794


Comparative Study Between Clipless (CL) Laparoscopic Cholecystectomy Using Harmonal Scalpel Vs Traditional Cholecystectomy (TM) Using Electrocautery and Titanium Clips

Rab Nawaz Malik,  Amjad Ali,  Muhammad Khalid

 

796


Long Term Outcome of Inguinal Hernia Repair by Lichtenstein Technique

Aqeel Ahmad, Khizar Hayat, Mujahid Alam, Imtiaz Rasool

 

800


Role of Silicone Oil in Retinal Reattachment

Shahbaz Aslam, Shehzad Manzoor, Abid Lateef

 

803


Management of Complicated Retinal Detachment by using Silicone Oil as a Tool

Shahbaz Aslam, Shehzad Manzoor, Abid Lateef

 

806


Decrease in Pain Score after Autologous Blood Injection in patients with Lateral Epicondylitis

Mohammad Noman, Syed Baqir Hussain Jafree, Suhail Niazi, Noman Niazi

 

809


Frequency of Isolated Systolic Hypertension in Elderly Hypertensive

Hina Hussain, Huma Hussain

 

 

813


Variations in the Presentation of Acute Coronary Syndrome

Shehzad Ahmad, Haq Nawaz Alvi

 

816


Frequency of Pericardial Effusion among Patients with Acute St Segment Elevation Myocardial Infarction

Asif Ali, Shehzad Ahmad

 

819


Epidemiological Analysis of Fracture Nasal Bone Experience at a Tertiary Care Hospital

Anees ur rehman. Muhammad Saleem Sheikh. Muhammad Farooq Bhutta

 

823


Frequency of Young Adults and Comparison of High Body Mass Index in Young Versus Old Patients With First Non-St Segment Elevation Myocardial Infarction

Ahsan Ayub, Iftikhar Anwar

 

828


Lipid Profile in Diabetic and Non-Diabetics and its Effects

Syed Muhammad Ahsan Raza, Rakhshanda Jabeen, Fakhar Un Nisa

 

831


Association of Hypertension and Cardiac Enzymes in Diabetic and Non-Diabetics

Rakhshanda Jabeen, Komal Murtaza, Mudassir Shahbaz, Safa Murtaza, Aiman Murtaza

 

834


Prevalence of Nosocomial Infection by Methicillin Resistant Staphylococcus Epidermidis

M Irfan khan, M Faizuddin, Syeda Asiya Parveen, Z Nayyer, Y Masood, W Fatima, M Hashmi,  S Ahmed, S. M. Safdar Ali

 

838


Knowledge about Hospital Waste Management among Final Year Medical Students of a teaching hospital, Lahore

Humayun Mirza, Muhammad Sami Abbas, Kanwal Saeed, Mohsin Riaz, Nida Maryam

 

841


Comparison between the effects of Captopril and Lisinopril on Bradykinin-induced contraction in tracheal smooth muscle of guinea pig

Javaria Arshad Malik, Waqar Ahmed Siddiqui, Sehrish Zafar

 

846


Awareness of Mothers Regarding Concept and Management of Diarrhea in Children of Kasur

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

 

851


Frequency of Zinc Deficiency in Exclusively breast fed infants presenting in a Tertiary Care Hospital

Zulfiqar Ali, Ahmed Imran Khan, Saima Umar, Azher Abbas Shah, Afsheen Oneeb

 

855


Histological Effects of Ribavirin on Adult Ovary of Albino Rat

Hafiz Moeen-Ud-Din, Saima Shahbaz, Samina Shaheen

 

859


Age and Gender Distribution in patients with Temporomandibular joint ankylosis attending teaching hospitals

Benish Aleem, Nadia Naseem, A. H. Nagi

 

862


Comparison of Outcome of Local vs Spinal Anesthesia in Mesh Inguinal Hernioplasty w.r.t. pain & hospital stay

Muhammad Zafar Mengal, Farah Zubair, Bushra Zubair, Yaseen Rafi, Khalid Javed Abid

 

866


Detection of Alpha Thalasemia in Cord Blood in Bahawalpur Region

Saeed Ahmad Malik, Muhammad Aurangzeb Saeed Malik, Saadia Aurangzeb Malik

 

870


Gender Difference in Depression and Suicidal Ideation of medical students

Maarij Yousaf, Seema Daud, Mian M. Shafique

 

874


A Study of Various Causes of Indirect Hyperbilirubinemia in Neonates

Saeed Ahmad Malik, Muhammad Aurangzeb Malik,  Saadia Aurangzeb Malik

 

882


Histopathological Spectrum of Testicular Tumors a Single Center Experience

Saira Rathore, Zonaira Rathore, Afia Sarwar, Rabia Butt

 

886


Accuracy of FNA Cytology for Detection of Palpable Breast Lesions

Zonaira Rathore, Afia Sarwar, Saira Rathore, Rabia Butt

 

890


Comparison of Early Outcome between pts of open Appendectomy with/without Drain for Perforated Appendicitis

Mustafa Issa Tayeh Mustafa, Salman Majeed Chaudhry, Rami Issa Tayeh Mustafa

 

894


Assessment of Nutritional Status One Month after Complete Denture Therapy

Muhammad Waseem Ullah Khan, Aliya Fatima, Asif Ali Shah

 

898


Frequency of Depression among Hospitalized Pregnant Females for Obstetrics Risk

Saima Ghaffar, Sarwat Rizvi, Ghazala Saeed, Syed Muhammad H. Jafri, Anum Jafri, Rubar Haider

 

902


Magnitude of Hepatitis C Virus Infection among Asymptomatic Pakistani children

Rashid Zia, Itaat Ullah Khan Afridi, Humera Rafiq, Ghazanfar Ali Sheikh, Fatima Abbas

 

905


Frequency of Left Ventricle Diastolic Dysfunction in Asymptomatic Type II Diabetic Patients

Maham Nasir, Syed Najam Hyder, Ali Hassan

 

909


Frequency of Types of Ventricular Septal Defect in Cardiology Department of the Children Hospital, Lahore

Namrah Shahid, Syed Najam Hyder, Ali Hasan

 

913


Infant of Diabetic Mother Immediate Problems and Outcome

Shazia Imdad, Surriya Jabeen, Sajida Yasmeen, Riaz Ul Haq Subhani

 

916


The Common Reasons of HIV/AIDS in patients and the Clinic Morphological Features of HIV/AIDS

Riaz Ul Haq Subhani, Surriya Jabeen, Sajidda Yasmeen, Shafqat Husnain

 

919


The Risk Factors for Left Ventricular Hypertrophy in Patients of Stage IV Chronic Kidney Disease

Poonum Khalid, Muhammad Khurram Saleem, Samina Ali Asgher

 

923


Vesicovaginal Fistula- Still a Major Problem in Rural Areas of Punjab

Shaherzad Sohail, Lubna Riaz Dar, Khalid Ismail

 

925


Association of the Level of Glutamic Acid & Iron With Severity Of Hypoxic Ischemic Encephalopathy in neonates

Asifa Ashraf, Sana Sabir, Tahir Usman

 

928


Glucose Tolerance and Serum Total Triglycerides Status In Diabetic Related Pregnant Women

Tahir Usman, Asifa Ashraf, Shmyla Hamid

 

931


Comparison of Fetal Outcome in Booked Versus Non-booked Patients in Term Singleton Breech Presentation

Nasira Bibi,  Nighat Jabeen, Shafat Khatoon, Tahira Khalid

 

936


To Determine Frequency of Occult Hepatitis B virus Infection in Chronic Hepatitis C patients

Shafat Khatoon, Muhammad Saqib Habib, Kamran Munawar, Nighat Jabeen

 

939


Diagnostic Accuracy of MRI in Perianal Fistula Taking Surgical Findings as Gold Standard

Saher Ishfaq, Muhammad Adeel Qamar, Mehreen Zaman, Mujeeb Ullah Makki

 

942


Practices among Patient’s Attendants towards Hepatitis B Prevention at a Tertiary Care Hospital, Lahore

Shagufta Kunwal Kiran, Mujeeb Ullah Makki, Irfan Iqbal Khan

 

945


The Significance of Proteinuria and its Associations in Patients Having Acute Renal Failure

Khurram Danial, Asifa Khurram, Kamal Ahmed, Saqib Khan

 

949


Vitamin D Deficiency among Pre-Menopausal Women Attending OPD with Generalized Body Aches and Pains

Farid Ahmad Toor, Umar Farooq Dar, Naeem Mahmood Mughal, Muhammad Majid, Syed Hunain Riaz

 

952


North American Symptomatic Carotid Endarterectomy Trial High Grade Carotid Artery Stenosis in 1st Isch Stroke

Waseem Iqbal, Noor-Ul-Arfeen, Muhammad Azhar Shah, Umar Farooq Dar

 

955


Pre-Operative Use of Dexamethasone in Reducing Vomiting and Hospital Stay in Pts Undergoing Lap. Chole.

Humaira Alam, Sara Iqbal, Sidrah Riaz, Umar Farooq Dar

 

959


Mean Serum Uric Acid Levels in Type 2 Diabetics with and without Diabetic Peripheral Neuropathy

Umar Farooq Dar, Mujtaba Hasan, Naima Umar, Usman Saleem Raza

 

962


Early Virological Response in Hepatitis C Patients with Insulin Resistance

Naima Umar, Umar Farooq Dar, Mujtaba Hasan, Usman Saleem Raza

 

965


Frequency of Undiagnosed Diabetes Mellitus and its Short Term Complication in Hyperglycemic Pts of Acute MI

Samara Siddique, Talha Munir, Ch. Adnan Ahmed Ather, Sahira Aaraj

 

969


Outcome of Primary Repair in Traumatic Colonic Injuries

Zulfiqar Ali Shahid, Muhammad Afzal Sajid, Humara Gul

 

972


Study of Accuracy of Intraocular Pressure measured by non-contact Tonometer

Mohammad Dibaji, Rehan Moinuddin Shaikh

 

975


Comparison of Efficacy between I/V Ondansetron and Intravenous Lidocaine on Propofol Induced Vascular Pain

Farrukh Ayub, Inam Ul H Aq, Muhammad Asim Ghauri

 

979


Comparison between Oral Nifedipine alone Vs Oral Nifedipine plus Progesterone as Tocolytic Agent

Shams Un Nisa, Iram Chaudhry, Hina Hanif

 

983


Drug Resistance Pattern in Pulmonary Tuberculosis Patients Coming to Pulmonology Ward BVH Bahawalpur

Muhammad Waseem, Maryam Rafiq, Muhammad Rauf Ul Hassan

 

987


Descriptive Analysis of Pleomorphic Adenoma of Salivary Glands at Pathology Department of KEMU Lahore

Zahid Mahmood Akhtar, Wajid Khurshid, Saeed Ahmad, Hassan Saeed, Filza Saeed, Rabia Kanwal

 

990


Frequency of Abnormal GTT in Children with Beta Thalassemia Major

Jamal Anwer, Masood Iqbal Baber, Kifaat Ullah Niazi

 

994


Comparison of Mean Duration of 1st & 2nd Stage of Labour in Term Primigravida with and without Phloroglucinol

Bilqees Ara, Ashba Anwar, Rohana Salam

 

998


To Calculate the Frequency of Post-transfusion lung injury in neonates

Amer Ullah Malik, Ammara Naeem, Humayun Iqbal Khan

 

1001


Knowledge of Primary School Children about Personal Hygiene in Government School, Asal Suleiman, Lahore

Farah Rehman, Abdul Rehman Janjua, Nadeemuddin, Humera Shahzad

 

1004


Perception and Interest of Medical Students Regarding Basic Medical Science Subjects

Khalid Javed, Khursheed Anwar, Faiza Aamir

 

1008


Determinants of Oral Submucus Fibrosis among Oral & Dental Surgery Patients at B V Hospital, Bahawalpur

Muhammad Safdar Baig, Muhammad Saleem Sheikh, Sultan Muhammad Wahid

 

1012


To Determine the Various Clinical Conditions Presenting with Bleeding per Rectum at Tertiary Centre in Quetta

Mohyuddin Kakar, Mobeen Ur Rehman, Mushtaq Ahmed Jaffer

 

1016


Diagnostic Accuracy of FNAC in cases of Thyroid Nodules while taking histopathology as Gold Standard

Muhammad Ayub, Muhammad Afzal Sajid, Zulfiqar Ali Shahid

 

1019


Effect of Shilajit on Obesity in Hyperlipidemic Albino Rats

Mudassara Saqib, Rukhsana Malik ,Samina Kausar

 

1024


Prognostic Predictive Value of Mannheim Peritonitis Index in Secondary Peritonitis: A Prospective Study

Saleem Arif, Talat Waseem, Javaid-Ur-Rehman Ashraf

 

1028


A Comparative Role of Oral and Parental Anti-Diabetic Agents in Diabetic patients with Acute MI

Kanwal Firdous, Maria F.Siddiqui, Naveed Shuja

 

1031


To Determine the Diagnostic Accuracy of Gallbladder Wall Thickness and Presence of Pericholecystic Fluid in Predicting the need for Conversion of Lap. Cholecystectomy to Open Chole in patients with Cholelithiasis

Tariq Jaffer Qureshi, Areej Umber Khan, Asma Ashfaq, Khalid Javed Abid

 

1035


Foetomaternal Outcome in Pregnant Women with Heart Disease

Ayesha Seemab, Bushra Bano, Asia Parveen, Zohra Khanum

 

1039


Early Versus Delayed Laparoscopic Cholecystectomy in Acute Cholecystitis

Nasir Naseem Akhtar, Ahmad Fawad, Khalid Masood Allam

 

1044


Frequency of Complications of Spinal Anaesthesia for Caesarean Delivery

Afroz Ashraf Rana, Rehana Ayub, Aquila Fazil, Nomia Saqib

 

1047


Limitations to Intravenous Thrombolytic Therapy in Acute Ischemic Stroke in Our Settings

Athar Iqbal, Syed Arslan Haider, Syed Adeel Raza Kazmi

 

1050


Frequency of Raised HbA1c in Patients Presenting With Ischemic Stroke

Syed Arslan Haider, Athar Iqbal, Syed Adeel Raza Kazmi

 

1053


Gender Difference in Depression and Suicidal Ideation of medical students

Maarij Yousaf, Seema Daud, Mian M. Shafique

 

1057


Methicillin Resistant Staphylococcus Aureus Prevalence of Nasal Carriage among Healthy MBBS Students of Continental Medical College, Lahore

Arslaan Javaeed, Shafqat Husnain Khan, Riaz-Ul-Haqsubhani, Sanniya Khan Ghauri, Shah Jahan

 

1060


Effect of Clomiphene Citrate on Rectus Femoris Histology and Spermatogenesis in rats

Sidra Afaq, Mohammad Tahir, K.P Lone, Waqas Latif

 

1065


Self Directed Learning (SDL), an Effective Method for Teaching Physiology to Medical Students

Sadaf Zia, Farkhanda Jabeen, Komal Atta, Noor Akbar Sial

Case Report

1068


Rumsay Hunt Syndrome in Pregnancy

Saema Tehseen, Adil Aleem, Najia Riffat

Original Articles

1070


Diagnostic Accuracy of Biophysical Profile in Preterm Fetuses with Intrauterine Growth Restriction for Diagnosis of Birth Asphyxia

Bilqees Ara, Shakila Manzoor Ahmed, Ashba Anwar

 

1073


Role of Optical Coherence Tomography in Early Diagnosis of Open Angle Glaucoma: An Experience

Shaukat Ali Khan, Khalid Mehmood, Hashim Imran, Sarfraz Ahmed Mughal

 

1076


Surgical Site Infection in Open Versus Laparoscopic Appendectomy

Muhammad Mudassar Mahmood, Amna Shahab, Muhammad Aqil Razzaq