Editorial

The Right Stuff

Naureen Rahat Hashmi

Original Articles

509

Influence Factors on Mortality Rates at Punjab District Level

Muhammad Khalid, Christian Lorenz, Madiha Amjad

517

Diagnostic Evaluation of Patients Presenting with Bleeding Per Rectum by Sigmoidoscopy

Sabeen Farhan, Muhammad Arif Nadeem, Tariq Suleman, Aftab Rabbani, G Abbas, Ishtiaq Bokhari

519

Pregnancy Outcome in Women with Prosthetic Heart Valves

Adiba Akhtar Khalil, Sobia Mohyuddin, Khurram Akhtar

525

Colonsoscopy - An Annual Audit of Cases at Medical Unit III Services Hospital Lahore

Sabeen Farhan, Muhammad Arif Nadeem, Tariq Suleman, M  Naeem Afzal, Gh. Abbas, Ishtiaq Bokhari

528

Determinants of Gynaecological Emergencies at Surgical Floor of Mayo Hospital, Lahore

Muhammad Shahid Mehmood, Syed Asghar Naqi, Khalid Masood Gondal

532

Bacteriological Analysis of Drinking Water from Services Hospital Lahore and Services Institute of Medical Sciences Lahore

Faria Malik, Javeria Saleem Cheema, Muhammad Saeed Anwar

536

Relationship of Ankle Brachial Index with Age, Body Mass Index, Smoking and Lipid Profile

Farah Amir Ali, Abdul Shakoor Memon, Azhar Iqbal

541

Adenosine Versus Verapamil for the Treatment of Supra-ventricular Tachycardia: Randomized Comparative Trail

Rehan Riaz , Jeetendra Mishra, Safquat Hussain, Lok M Sinha

544

Outcomes of Laparoscopic Cholecystectomy in the elderly v/s young patients

Mohammad Adnan Nazeer, Maratab Ali, Khalil Ahmed, Rizwan Saleem, Mansab Ali, Bilquis Suleman

547

Morphological Changes in Cerebellum of Albino Mice by giving lead: An experimental study

Muhammad Munir Ahmed, Rahat Sarfraz, Mamoona Naheed, Saeed Ahmed, Z Ibrahim, Muhammad Farooq

549

Efficacy of Naltrexone in Preventing Relapse in Opioid Dependent Patients

Sadaf Rashid, Fatima Saleem, Sarah Hanif, Haider Imam, Syed Muhammad Omer, Muhammad Farooq, Abbas Ali Waris, Maryam Haroon Rashid

552

Comparison of two diagnostic methods for detection of H pylori i.e. Gastric biopsy by H&E & Giemsa and serum anti H pylori antibodies

Rasheed Ahmed Soomro, Abdul Khaliq Abro, Ikram Din Ujjan, Zahid Ibraheem, Muhammad Farooq

555

Sero-epidemiology of HBV Infection in Northern Sindh: A Population Based Study

Javed Ahmed Phulpoto, Abdul Khaliq Abro, Altaf Ahmed Shaikh, Jahan Zaib Abro, Zahid Ibrahim, Muhammad Farooq

558

Comparison of Helicobacter Pylori Infection among Male and Female at LUMHS, Hyderabad

Rasheed Ahmed Soomro, Abdul Khaliq Abro, Ikram Din Ujjan, Jahan Zaib Abro, Zahid Ibrahim, Muhammad Farooq, Tariq Zulfiqar

560

Bleeding Disorders among a Group of Patients

Nazeefa Javed, Ayesha Ehsan, Saleema Qaisra

564

Screening for Hepatitis B & C in a surgical ward

Muhammad Rafaih Iqbal, Yaseen Rafi, Haroon Rafi Ul Islam, Khalid Javed Abid.

568

Prevalence of Hepatitis B and C in a Peripheral Hospital - Ghurki Trust Hospital, Lahore

Rahila Ijaz, Sarwar  Bhatti, Samiullah

570

The Frequency of Benign & Malignant Breast Lesions at a Tertiary Care Hospital in Lahore

Mohammad Adnan Nazeer, Khalil Ahmed, Maratab Ali, Mansab Ali, Rizwan Saleem, Bilquees Suleman

573

The Efficacy of Prophylactic Combination Therapy using Ephedrine IV alongwith fluid Preload as Compared to Fluid Preloading alone or IV Ephedrine alone in Prevention of Maternal Hypotension during Spinal Anesthesia for Caesarean Section

Syed Musharraf Imam, Amjad Iqbal Chaudhry, Shabbir Hussain

577

Sensorineural Hearing Loss seen in Siblings of Consanguineous Marriages at Multan

Waqas Jehangir, Muhammad Javed Iqbal, Aleem Ul Haq Khan, Tehseen Iqbal

580

Efficacy of Streptokinase on ST Segment Elevation MI in Diabetic and Non-Diabetic

Ahmad Hasan, Syed Husnain Bashir, Zeeshan Ghous

583

Outcome of Preexisting Corneal Astigmatism by Incision at Steep Axis in tertiary care hospital

Abdul Majeed Malik, Farooq Haider, Ali Rauf

586

Detection of Islet Cell Cytoplasmic Antibodies in 1^st Degree Relatives of Type-1 Diabetic Pts

Misbah Ul Majeed, Muhammad Tayyib, Zahid Ibrahim, Muhammad Farooq, Allah Ditta, Saeed Ahmad

588

Histopathological study of Helicobacter Pylori bearing Gastric Biopsies for Gastric Lesions

Mulazim Hussain Bukhari, Samina Qamar, Shahbaz Ahmad Qureshi, Malik Maqsood Anwar

594

Comparison of BAK free Travatan with BAK Preserved Xalatan in Terms of Ocular Surface Disease in Glaucoma patients in our population

Tariq Pervaiz Khan, Mohammad Farooq Haider

598

Maternal Outcomes of Pregnancy Induced Hypertension

Rizwana Tareen, Mujeebullah Tareen, Mobin-Ur-Rehman, Binav Shiestra

601

Haematological Changes in Malaria in Balochistan

Shamayal Mandokhel, Mohammed Ahmed, Attique-Ur-Rehman, Binav Shreshta

605

Clinical Spectrum of Rheumatic Fever in Balochistan

Rizwana Tareen, Mobin-Ur-Rehman, Mujeebullah Tareen, Binav Shiestra

610

History of Paediatrics in Pakistan

Mobin-Ur-Rehman, Rizwana Tareen, Attique-Ur-Rehman Zubari, Binav Shreshta

613

Frequency of Maternal Complications in Pregnancy with Cardiac Disease

Khadija Waheed, Nazia Sajjad, Uzma Riaz, Sara Ejaz,Mmisbah Malik

616

Role of Leg Lengthening and Foot Stabilization on Gait in Single Leg Postpolio Paralytic Pts

Aftab Alam Khanzada, Jugdesh Kumar, Abdul Rehman Qureshi, Syed Muhammad Awais

620

Maternal and Fetal Complications Associated with full term Breech Delivery in Sandeman Provincial Hospital, Quetta

Maryam Shoaib, Uzma Afridi, Zill-E-Huma,^, Sohail Tareen

623

Etiology of Female Infertility in age group 20-35 yrs- study based on Laparoscopic findings

Nighat Sultana, Zill-E-Huma, Maryam Shoaib

626

Comparison of Use of Metoclopramide Alone and in Combination with Dexamethasone for Prevention of Post Operative Nausea and Vomiting in Laparoscopic Cholecystectomy

Muhammad Amer, Shahab Uddin, Furukh Rasheed

629

Comparison of Limbal Conjunctival Autograft with Conventional Bare Sclera Technique in the Prevention of Recurrence of Pterygiul

Iftikhar Ahmed, Munir Ahmed, Waqar Ahmed

632

Frequency of Asymptomatic Peripheral Disease in Patients of Metabolic Syndrome

Atif Masood, Khurram Saleem, Ayub Latif Khawaja, Muhammad Naeem Amin, Munibullah Mirza, Sajjid S Butt, Najeebullah, Sadia Iqbal, M. Atif, Amber Saleemi, Sana Humayun, M Shiraz Khan Sadiq

637

Studies to evaluate effect of Seeds of Mirabilis Jalapa on Blood Clotting & Bleeding time in Rabbit

Muhammad Anis Alam, Syed Muhammad Shamim, Syed Muhammad Masood Ali, S. Humaira Masood

640

Prevalence of Blood Borne Diseases (Hepatitis B&C)& Strategy to Protect Health Care Workers

Faizah Abdul Qayyum, Khalid Mahmood, Muhammad Rashid Siraj

644

Treatment of Tibial Nonunion in Paget's disease by Illizarov Distraction Osteogenesis

Mian Mohammad Azhar, Dror Paley, John E Herzenburg

648

Health Effects from Exposure to Sulphates and Chlorides in Drinking Water

Muhammad Tariq Bashir, Salmiaton Ali, Adnan Bashir

653

Spinal Anesthesia in Preeclamptic Parturients

Atif Hanif Chaudhary

657

Protective Role of Vitamin C on Renal Morphology and Functions in Streptozotocin Induced Diabetes in Albino Rats

Prof. Muhammad Faseeh Nisar, M. Ahmed Mukhtar, Mariyah Hidayat

662

Treatment of Open Book Pelvic Fractures: Comparison between Internal and External Fixation

M Akbar, Rana Muhammad Arshad, Muhammad Hanif, Raza Elahi Rana

666

Management of Thyroglossal Duct Cyst

Qaisar Khan, Fazal-I-Wahid, Mohammad Javaid, Amir Hamza, Iftikhar Ahmad Khan

669

Protective Role of Melatonin and Insulin in Streptozotocin induced Nephrotoxicity in Albino Rats

Mariyah Hidayat, Prof. Amir Ali Shoro, Anjum Naqvi

675

Efficacy of 3-Snip Posterior Rectangular Punctoplasty in the Treatment of Acquired External Punctal Stenosis

Iftikhar Ahmed, Waqar Ahmed, Munir Ahmed

679

HBA1C: Practical Use in Primary Health Care in Our Set Up

Bilal Bin Younis, Shahid Naqqash, Mahoor Masood, Fawad Hassan Khan, Sana Naz

683

Outcome of Pre-Existing Corneal Astigmatism by Incision at Steep Axis in a tertiary care hospital

Abdul Majeed Malik, Farooq Haider, Ali Rauf

686

Use of Ankle-Brachial Index as a Predictor of Severity of Atherosclerosis in Control, High Risk Asymptomatic and Symptomatic Individuals

Bilquis Akhtar, Qurrat Ul Ain Siddiq, Amna Tahir, Sibgha Zulfiqar

692

Frequency of Low Calcium Intake, A Risk Factor for Development of Metabolic Syndrome and Type 2 Diabetes Mellitus in Pakistani Women

Maimoona Ghias, Somia Iqtadar, Sajid Abaidullah

696

Preoperative Dexamethasone Reduces Nausea and Vomiting After Lap. Cholecystectomy

Amer Riaz Bhutta, Bahzad Akram, Azhar Bashir, Atif Pervez, Ejaz Iqbal, Fara Hassan, M.A. Cheema

700

Post Tonsillectomy Pain: Role of Single Intraoperative Dose of Dexamethasone

Muhammad Ismail Khan, Muhammad, Kamran Iqbal

703

Frequency and Etiology of Different Types of Nasal Bones Fracture Reporting at a Tertiary Care Centre, Lahore

Rizwan Akbar Bajwa, Farrukh Mehmood, Shamsul Jalil

710

Comparison of post-surgical astigmatism induced by phacoemulsification through 2.75mm incision on steep axis versus scleral tunnel incision

Abdul Majeed Malik, Muhammad Farooq Hyder, Tariq Shakoor, Abdul Rafe, Omar Zafar, Ali Rauf

713

Dermatoglyphics Pattern in Patients with Coronary Heart Disease

Muhammad Amin Mengal, Mudaser Hussain Abbasi, Rana Muhammad Akhtar Khan, Yasir Ali Bhatti,  Haroon Habib,  Muhammad Hammad, Rizwan Ahmed

716

Monostotic Fibrous Dysplasia of Thoracic Spine

Mian Mohammad Azhar, Francis Denis

721

Para-Umbilical Hernias, Mesh versus Non-Mesh Repair

Suhail Anjum, Imran Saeed, Saima Nazir

724

Increasing HbA1C Level; a Prognostic Indicator of Increased Thirty Days Mortality in Patients of ST-Segment Elevation in Myocardial Infarction

Shafique Ahmad, Shehzad Ahmad, Mohammad Kashif

727

Post Tonsillectomy Complications and Role of Antibiotics

Farrukh Mehmood, Rizwan Akbar Bajwa, Khawar Awais Butt

730

Pralidoxime treatment and serum cholinesterase levels  as predictor of  Outcome in patients  of Acute Organophosphate Poisoning

Sadiq Hussain, Ameer Ahmad, Mazhar Faiz Alam, Ehsan Ullah, Asma Shaukat

733

Results of Early Interlocking Intramedullary Nailing in Fractures of Femoral Shaft

Syed Baqir Hussain Jafree, Adeel Hamid, Rashid Saeed

737

Device Associated Infections in Intensive Care Units in a Tertiary Care Hospital

Faria Malik, Ghazala Jaffery, Mohammad Saeed Anwar

742

Antibiotic Prophylaxis for Preventing Surgical Site Infection after Coronary Artery Bypass Graft: Prospective Randomized Comparative Study

Lok M Sinha, Aftab Yunus, Shafqat Hussain, Mulazim Hussain

746

Detection of Antinuclear Antibodies in Childhood Rheumatic Diseases

Samia Naz, Asma Mushtaq, Attia Bari, Hafiz Talha Qayyum, Amnah Maqsood, Tahir Masood

749

Carbapenem Resistance among Enterobateriaceae, a New Challenge

Naima Mehdi, Mateen Izhar, Nadia Aslam, Rabbia Mehdi

752

Risk Factors Associated With Uterine Rupture

Misbah Malik, Jamshed Feroze, Nagina Rashid

755

Measles in Children: Still a Problem Today

Asma Mushtaq, Samia Naz, Attia Bari, Tahir Masood

759

Outcome of Continuous Versus Interrupted Method of Episiotomy Stitching

Rubina Iqbal, Ayesha Intsar, Samina Khursheed, Shehneela Zafar

763

Rectal Prolapse-Simplest Management by Using Ekehorn and Rectopexy

Khalid Maqsood, Rashid Ayub, Nabila Rashid, Muneer Imran

766

Prevalence of Helicobacter Pylori in Dyspeptic Patients Presented in Nawaz Sharif Social Security Hospital Multan Road Lahore

Sadaf Farzand, Syed Naeem Dilawar Kazmi, Faiza Khan

769

Cheiloscopic Variation among the Students of Avicenna Medical College Lahore

Mudaser Hussain Abbasi, Muhammad Amin Mengal, Rana Muhammad Akhtar, Haroon Habib, Muhammad Hammad, Yasir Ali Bhatti, Rizwan Ahmed, Erum Abbasi

773

Aplastic Anaemia of Childhood: Marked Cytopenias

Rabia Nadeem, Nisar Ahmed

776

To Assess the Nutritional Status of Primary School Children in an Urban School of Faisalabad

Saima Batool, Aneela Shaheen, Rabeya Rehman, Sobia Qamar, S.Muhammad Ahsan Raza, Rakhshanda Jabeen, Fakhar-Un-Nisa

779

Frequency of Modifiable Risk Factors at the Time of Myocardial Infarction and at Twelve Months Follow Up

Shafique Ahmad, Shehzad Ahmad, Mohammad Kashif

783

Filling the Gaps in Cleft Palate Surgery

Asad Rauf, Tariq Latif, Nayyar Sultan, Sajid Hameed Dar

786

Correlation of Clinical and CT Scan diagnosis of Stroke

Maliha Hameed, Tariq Aziz, Jamshed Feroze

789

A Health Outcome Appraisal based on Quality of Life Measures in Pts of Gastroesophageal Reflux Disorder Receiving Treatment with a Proton Pump Inhibitor and a Prokinetic Agent

Ayub Latif Khawaja, Khurram Saleem, Israr Ahmad, Usman Mohsin

Case Reports

794

Sinonasal Teratocarcinosarcoma: Management and Literature review

Tahir Rashid, Salman Baig, Imran Saeed, Zayed Mahasin

797

Acute Appendicitis Leading to Small and Large Bowel Obstruction

Azhar Bashir, Mehmood Ul Haq Farooqi, Faisal Shabbir, Amer Riaz Bhutta, Atif Pervez, Ejaz Iqbal,Fara Hassa,MA Cheema

800

Review of Surgical Decompression of Three Cases of Ossified Ligamentum Flavum Causing Myelopathy

Muhammad Hanif, Rana Muhammad Arshad, Muhammad Tariq Sohail

804

A Case of Twin to Twin Transfusion Syndrome

Asifa Abbas, Aliya Safwan, Javeria Amin

Original Article

807

Acute Myocardial Infarction: Clinical Variability among Hospitalized Patients

Shafique Ahmad, Shehzad Ahmad, Mohammad Kashif