Pakistan Journal of Medical and Health Sciences

Pakistan Journal of Medical and Health Sciences

Vol. 7, Issue 1, JAN – MAR, 2013

Website: www.pjmhsonline.com

 

 

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Editorial

1

Planning Health Profession

Kamran Aziz

Letter to the Editor

2

Extensively Drug-Resistant Tuberculosis (XDR TB) in Pakistan: Where do we stand

Afreenish Hassan

Original Articles

3

Association between Bacteriospermia and Abnormal Semen Characteristics

Louis Alekwe, Aiguobarueghian Ihasuyi Osamudiamen, Lewis Ogbevire Aberare

 

7

Types and Outcome of Cardiac Tachyarrhythmias – A Single Cardiology Centre Experience

Zulfiqar Ali, Adnan Hussain Shahid,, Shahid Mahmood, Sohail Tufail, Hammad Rana, Abdul Basit Saeed

 

12

Surgical Repair of Tetralogy of Fallot in Children and Adult Pts: A retrospective analysis of early results

Tariq Waqar. Yasir Khan, Anjum Jalal

 

16

Tuberculosis and Vitamin D Deficiency

Atif Mahmood

 

18

Frequency of Type 2 DM in Patients with Cirrhosis Associated with Chronic Hepatitis C Virus Infection

Sojhla Saleem, Jahan Zaib, Ijaz Hussain Malik

 

22

Transvaginal Sonographic Diagnosis of Ovarian Endometrioma

Ayesha Azam Khan,  Naheed Bashir, Raza Akram, Nabeela Shami, Shaila Anwar, Shaheena Asif, Lubna Abid

 

27

Role of Ultrasound in Outcome of Blunt Abdominal Trauma

Khalid Mahmood Cheema, Muhammad Touseef Asghar, Shahid Mahmood, Abdul Basit Saeed

 

30

Pro-Inflammatory Profile of Extremely Obese Children in a Local Population of Central Punjab, Pakistan

Romana Maqsood Sheikh, Kiran Butt, Hasan Masood Khan, M. Arslan

 

36

Changing Pattern of Bacterial Isolates from Blood Samples in Paediatric ICUs

Mukesh Kumar, M.ohammad Asif Durrani, Saleem A. Kharal, Syed M.Iqbal Chishti, M. Irfan Khan, Fakharuddin

 

39

Visual Outcome after Phacomorphic Glaucoma

Irfan Qayyum Malik, Muhammad Abdul Rehman, Idrees Ahmad

 

42

A Comparison of Propofol Plus Sevoflurane Versus Propofol alone for Laryngeal Mask Airway Insertion

Omar Draz, Yahya Saeed, Iram Alia

 

46

Sexual assault cases reported at Medicolegal Department of Provincial Hospital Quetta

Muhammad Amin Mengal, Mudaser Hussain Abbasi, Asma Saeed, Rana Muhammad Akhtar, Abdul Rehman, Muhmmad Hammad, Haroon Habib, Malik Shahzad Saeed, Erum Abbasi

 

49

Comparison of Postoperative Morbidity in Open and Laparoscopic Cholecystectomy

Hafiz Ghulam Isnain, Muhammad Umair, Arshad Abbas, Allah Nawaz, Mahmood Ayyaz

 

54

Outcome of Pre-existing Corneal Astigmatism after Phacoemusification by Scleral Tunnel Incision

Abdul Majeed Malik, Muhammad Farooq Hyder, Ali Rauf

 

58

Determinants of Lack of Clinical Competence among Senior Medical Students

Asmah Mahmood, Asad Jehangir, Azhar Bashir

 

64

Comparison of High Sensitivity C Reactive Protein in subject with normal and low ankle brachial index

Farah Amir Ali, Rehana Khalil, Naila Perveen

 

67

Incidence of Heparin-Induced Thrombocytopenia in Patients Treated with Unfractionated Versus Low Molecular Weight Heparin after Acute Coronary Syndrome

Shafique Ahmed, Shehzad Ahmad, Mohammad Kashif

 

70

Comparison of Development of Pre-Eclampsia in Second and Third Trimester in Obese versus Non-Obese Pregnant Women

Nadia Zaman, Nergis Taj, M. Zia-Ur-Rehman, Ehsan Ullah, Naheed Fatima

 

73

Efficacy of Intravenous Octreotide in Prevention of Early Variceal Rebleed after Sclerotherapy

Asif Maqbool, Imran Mahfooz Khan, Ch. Adnan Ahmed Ather

 

76

Feto Maternal Outcome in Patients with Eclampsia at a Tertiary Care Hospital

Nadeem Shahzad, Uzma Yaqoob, Asif Hanif

 

80

Evaluation of Lipid Profile in Patients of Primary Hypothyroidism Visiting Cenum

Azam Ali, Abdus Sattar, Abdul Hameed, Muhammad Farooq

 

83

To Determine Mean Reduction in Homocysteine Levels in pts with Type 2 DM on Vitamin B12 Therapy

Sheeba Farhan, Sayyada Humaira Masood, Nahida Baigam

 

87

Early Cholecystectomy Vs Delayed Cholecystectomy for Gall Stone Pancreatitis

Arshad Abbas1, Muhammad Umair*, Hafiz Ghulam Isnain, Irfan Javaid, Mahmood Ayyaz

 

90

Unmet Need of Family Planning among Married Women

Abdul Rahman, Tahira Arshad, Habib Akhtar, Mansoor Ali, Irshad Soomro

 

93

Ovarian Tumors in Adolescent females, an Experience at Nishtar Hospital, Multan

Huma Quddusi, Asiya Nawaz Alvi, Ejaz Masood

 

95

Frequency of Extrapulmonary Tuberculosis in Patients With Cervical Lymphadenopathy

Nadar Khan, Naseemulhaq, Zahid Islam, Arshad Saeed Awan, Ashfaqurihman, Niamatullah

 

100

Frequency of Retinal Reattachment and Improvement in Visual Acuity in Case of Rhegmatogenous Retinal Detachment with Inferior Breaks Undergoing Pars Plana Vitrectomy

Shamsullah Bazai, Saifullah Tareen, Muhammad Afzal Mandokhel, Shaban Khan Kakar

 

104

Management of Congenital Idiopathic Club Foot with Ponseti Technique at GMMMC Sukkur

Zulfiqar A. Soomro, Zamir A. Soomro, Saeed A.. Samo

 

108

Maternal Risk Factors Associated With Low Birth Weight

Aasma Naeem, Zill-E-Huma, Uzma Afridi

 

111

Morphological Changes in Aorta and Coronary Arteries of Albino Rats Fed on Palm Kernel Oil and Nigella Sativa

Zafar Iqbal, Abdul Sattar,, Sajjad Haider, Muhammad Tayyab, Naseer Ahmed Chaudrhy

 

114

To Test the Applicability of Modified Ahuja Criteria in Early Diagnosis of TB Meningitis in Children

Shamayal Mandokhel, Shamsullah Bazai, Ishaque Shaikh

 

117

Total Iron Binding Capacity (TIBC) and Transferrin Saturation as Indicators of Iron Status in Breastfed and Bottle Fed Infants

Sajjad Haider, Tariq Afzal, Zafar Iqbal

 

120

Prevalence of Various Types of Cancers in Industrial Population

Abdul Matin Qaisar, Hussain Farooq, Shamayal Mandokhel

 

123

Management of Segmental Tibial Defect with Intercalary Bone Transport by Ilizarov Method

Zulfiqar A. Soomro, Zamir A. Soomro, Saeed A. Samo

 

127

Effect of Thyroid Hormone Replacement Therapy on Lipid Profile in Primary Hypothyroidism

Azam Ali, Abdus Sattar, Amir Muhammad, Abdul Hameed, Muhammad Farooq

 

130

Misoprostol for Second Trimester Pregnancy Termination in Women with Prior Caesarean Section

Iram Mobusher

 

133

Comparison of Maternal & Fetal Outcome in Instrumental Delivery: Vacuum vs Forceps Vaginal Delivery

Nazish Khalid, Sumaira Asif

 

137

Comparative Study of Anti Hypertensive Drugs

Zamir A Siddiqui, Syed Muhammad Masood Ali, Erum Ashraf

 

140

Efficacy of Colour Doppler Ultrasound in Diagnosis of Malignant Cervical Lymphadenopathy

Saulat Sarfraz, Sarfraz Latif

 

142

Ligation of Inferior Thyroid Artery to Avoid Hypocalcaemia after Thyroidectomy

Umair Azam, Niu Jun, Hammad Ali Asghar, Niu Yang, Znair Azam, Shabir Alam, Muhammad Zubair, Haroon Mujahid, Masood Munawar

 

146

Analytical Study of Corneal Endotheliitis in 26 patients

Asad Muhammad, Xinyi Wu, Hammad Ali Asghar, Li Ying Chao

 

150

Diagnostic Efficacy of Magnetic Resonance Imaging in Evaluation of Injured Knee

Saulat Sarfraz, Shafique Ahmed

 

155

Frequency of Atrioventricular Nodal Reentrant Tachycardia and Atrioventricular Reciprocating Tachycardia in patients with Paroxysmal Supraventricular Tachycardia

Muhammad Mudassar Qayyum, Jeetendra Mishra, Ambreen Khan, Aftab Yunus, Lok M Sinha

 

158

Conventional Sinus Surgery for Nasal Polyp: Intra Nasal Polypectomy Vs Trans Antral Ethmoidectomy

Shahbaz Mujtaba, Bakht Aziz, Mohibullah Mushwani, Azhar Hameed

 

162

Complications & Contributing Factors Leading to Induced Miscarriages by Untrained Persons

Nazish Khalid, Rehana Kanwal

 

165

Fetomaternal Morbidity Associated with Multiple Repeat Caesarean Deliveries

Rabia Adnan, Fatima Waheed, Tayyaba Majeed

 

169

Effect of Different Concentrations of Bupivacaine on Level of Subarachnoid Block

Tahir Hameed Dar, Riaz Hussain, Tahir Nazeer, Muhammad Younis, Muhammad Aslam Asim, Maqsood Ali

 

172

Screening of Jail inmates for HIV and Tuberculosis

Shaukat A Shah, Momina Ali, Mushtaq Ahmad, Umar Hamadan

 

176

Clinical Profile of Patients Hospitalized for Infective Endocarditis

Shafique Ahmed, Shehzad Ahmad, Anwar Ul Hasan

 

180

Seroprevalence of Hepatitis C Virus in General Population of Balochistan, Pakistan

M. Alam Mengal, Ferhat Abbas, M. Amin Mengal, Mohammad Hanif, M. Ali, Ghulam S. Pirkarni, Zafar Ahmad

 

185

Role of Chemotherapy in Tuberculosis of Spine

Zakir Ali Shah, Uzma Arif, Muhammad Naseer Babar Khan, Asim Bilal

 

188

C Reactive Protein levels are Elevated in the Third Trimester in Preeclamptic pregnant Women

Zaima Ali, Saima Zaki,  Ambreen Tauseef, Ayesha Akmal

 

191

Metabolic Syndrome in Patients with Type II Diabetes Mellitus

Syed Ghazanfar Mehdi

 

194

Endometrial Thickness Measurement by TVS Predicts Pregnancy Rates

Ayesha Azam Khan, Naheed Bashir, Raza Akram, Nabeela Shami, Shaila Anwar, Shaheena Asif, Lubna Abide

 

197

Post Operative Functional Outcome of Modified Tension Band Wiring in Patients with Transverse Fracture of Patella

Attique Ur Rehman Qureshi

 

200

Frequency of Depression and Anxiety among cancer patients and their determinants – a study at Oncology Units of Public and Private Sector, Tertiary Care, Hospitals of District Lahore

Muhammad Umair

 

204

Therapy Induced Anemia in Patients with Chronic Hepatitis C Receiving Combination Therapy of Pegylated Interferon Alpha and Ribavirin

Syed Ghazanfar Mehdi, Karim Shah Faizi, Rao Saad Ali Khan

 

207

Unfavorable Effects of Pre-eclampsia on the Morphology of the Placenta

Muhmmad Zia-Ur-Rehman, H. Muhammad Fareed Ullah, Nergis Taj,,Zaffar Iqbal Malik, Ehsan Ullah

 

212

Comparison of Early Versus Delayed Laparoscopic Cholecystectomy: Choosing the Best

Karim Shah Faizi, Ishfaq Ahmed, Hamad Ahmad

 

216

Use of Statins in Unstable Angina and their Effect on Recurrent Hospital Admissions

Shafique Ahmed, Shehzad Ahmad, Anwar Ul Hasan

 

219

Role of Intravitreal Avastin (Bevacizumab) in Anterior Segment Iris Neo- Vascularization (INV) and Neovascular Glaucoma (NVG) in our population

Tariq Pervaiz Khan,, Fakhar Humayun

 

223

Viral Load & Genotype are the Major Determinants of SVR in Chronic Hepatitis C Patients of Azad Kashmir, Pakistan

Muhammad Murtaza Bukhari, Muhammad Arif Nadeem, Muhammad Irfan, Amjad Mahmood, Tariq Masood

 

227

Diagnostic Accuracy of 1.5 Tesla MRI in the Diagnosis of Meniscal Tears of Knee Joint

Uzma Arif, Zakir Ali Shah, Muhammad Aamir Khan, Mubashir Ijaz, Hamid Qayum

 

231

Comparison of Two Techniques of Interlocking Intramedullary Nailing in Fractures of Tibia

Syed Baqir Hussain Jafree, Adeel Hamid, Rashid Saeed, Nusrat Ali

 

236

Efficacy of Lignocaine / Propofol Vs Ketamine/Propofol Mixtures in reducing pain on Injection of Propofol 1% at the time of induction

Nasrullah Khan, Tariq Masood Tipu, Saadia Tariq, Muhammad Rashid Khan

 

239

Comparison of Oral Misoprostol for Induction of Labour in Primigravidas and Multigravidas

Sadiqa Batool

 

243

Reliability of Fine Needle Aspiration Cytology in Patients with Palpable Breast Lumps

Muhammad Rizwan Anwar, Nur Saeed, Muhammad Khawar Shahzad

 

247

The Outcome of VSD Repair in Older Children and Adults

Tariq Waqar, Yasir Khan, Anjum Jalal

 

251

Effect of Type 1 Diabetes Mellitus on Bone Status of Children

Amna Tahir, Muhammad Shoaib, Bilquis Akhtar, Ambreen Khalid, Adeela Shahid, Hamid Javaid Qureshi

 

254

Prevalence of Persistent Low Back Pain in Patients Undergoing Spinal Anesthesia in Orthopedic Surgery

Hafiz Muhammad Asim, Muhammad Shahid Ismail

 

258

Knowledge, Attitude & Perception of Dengue among First Year Medical Students

Humayun Mirza, Hasan Raza, Rubina Bashir

 

264

Cord Around Neck and its Fetal Implication

Farukh Bashir, Zill-e-Huma, Pakeeza Aslam, Rizwana Naz

Case Reports

268

A Case of Bilateral Arytenoid Keratosis – Our Experience

J Doudu, E H Qureshi, Y Saleem

 

270

Extramedullary Plasmacytoma Presenting with Acute Abdomen

Ali Abid Naazar, Mary Theophilus

 

272

A Case of Small Bone – Giant Cell Tumor; with an Overview of Giant Cell Tumor our Regional Idiosyncrasy?

Ambereen A Imran