Editorial

862

Conserved Food Safety

Kamran Aziz

Review Article

863

Genetical Basis of Cleft Lip & Palate : A Review

Mudaser Hussain Abbasi, Haroon Habib, Ali Bhatti

Original Articles

867

Relationship of Myasthenia Gravis with Thymic Pathology

Aamir Mahmood Ijaz; Syed M. Naqvi, Raza Iqbal, H.  Dogar

870

Nutritional Support improves Outcome in surgical patients

Allah Nawaz, Ahsan Khan, Rashid Mansoor, Asad Ali Toor, Ruqayya Khan, Mubashar Shaukat

874

Frequency of Low Serum Zinc Levels in Patients with Cerebral Infarction

Shehla Tabassum, Ghulam Mustafa, Ijaz-Ul-Haque Taseer

878

Outcome of Splenic Injuries in Adult Trauma Population

Nazir Ahmad, Sadaqat Ali Khan, Khalid Javed Abid

881

Frequency of Incus Bone Erosion on Mastoid Exploration in Chronic Suppurative Otitis Media with Middle Ear Cholesteatoma

Mustafa Tajaldeen Adnan, Tarique Khan Abbassi, Mohib Ullah, Abid Rashid, Azhar Hameed

885

Comparison of Causes of Postpartum Haemorrhage Following Vaginal Deliveries and Caesarean Sections in A Tertiary Care Hospital Of Pakistan.

Gulfreen Waheed, Rakhshanda Toheed, Muhammad Mansha, Talha Bin Ayub

890

To Evaluate the Serum Magnesium Level in Hypertensive and Diabetic of Acute M I

Tahir Mahmood Chaudhry, Muhammad Shafiq, Azam Ali, Muhammad Farooq

892

Management of Choledochal Cysts- a 7 year experience

Mazhar Rafi, Zahoor Ahmad Shahzad, Tahir Mehmood, Syed Asif Hussain Shah, Mushtaq Ahmad Malik, Muhammad Saad Zulfiqar, Muhammad Hafiz Adeel Husnain, Muahhad Azeem

897

Postoperative Complications In Emergency Laparotomies At B V Hospital, Bahawalpur

Sohail Hameed Chaudhary, Muhammad Rizwan Hafeez, Sadia Hafeez

901

Role of Co-curricular Activities in Effective Learning, at a local medical college in Lahore

Ayesha Anwar, M Waqar Khan

904

Premenstrual Syndrome in Young Girls in Diagnostic Medical Center

Humaira Akram, Tabassum Firdous

906

Optic Nerve Oligodendropenia, induced by Ethambutol

Muhammad Zubair, Imran Ahmad, Aruna Bashir, Tassaduq H. Sheikh, W Samee, Javeria Malik

911

Comparison of Pattern of Dyslipidemia in Type 1 & Type 2 Diabetes Mellitus

Sohail Bashir Sulehria, A K Awan

913

Role of IMA in Acute Chest pain in Relation with Troponin-I and Total lipids for early diagnosis of MI in Acute Coronary Syndrome (ACS)

Jai Parkash Panjwani, Dial Das, Jagdesh, Muhammed Iltaf, Mukesh K Advani, M Yousif Memon

917

Prevalence of Obesity among senior teaching faculty of an undergraduate medical college

Maham Javed, Razia Chaudhry, Mushal Noor, Khalid Javed Abid

921

Comparison of Outcome between Stapled verses Hand Sewn Intestinal Anastomosis

Afsar A Bhatti, Tanveer Anwer, Sikander H Gondal, M Lateef

925

Paraumbilical Hernias: A comparison between Mesh Hernioplasty and Simple Suture Repair at Arif Memorial Teaching Hospital Lahore

Farhan sadiq, Nadia Khurshid

928

Pain Relief during Positioning for Spinal Anesthesia in patients with Femoral Fracture: A Comparison between Femoral Nerve Block and Intravenous Nalbuphine

Haq Dad Durrani,  Khalid Javed Butt, Abrar Hussain Khosa, Alina Umer, Madiha Pervaiz

933

Role of Triglyceride to High Density Lipoprotein Cholesterol Ratio as a Risk Factor of Coronary Artery Disease in Women

Tahira Durrani, Mohammad Aamir, Mariyah Hidayat

936

Biosurfactant Production by Pseudomonas aeruginosa Strains on 3ml of inoculum size

Yaser Ameer, Shoaib Asif, Pervez Iqbal,  Haroon Habib, Mudaser Hussain Abbasi, Mian Abdur Rasheed, Salahuddin, Sanval Ahmed Warriach, Heena Awais

940

A Comparative Study between Lichenstein and Sutureless Inguinal Mesh Hernioplasty

Sikander H Gondal, Tanveer Anwer, Afsar A Bhatti

945

The Linkage of Gum Disease with Oncogenesis of Breast Tumor in Pakistani Women

Ayesha Anwar, Fatima Anwar, Saira Anwar, Muhammad Waqar Khan

948

Pharmacological Management of Postpartum Hemorrhage By Giving P/R Misoprostol after Failure of Syntocinon

Shaista Anjum, Neelam Sarfraz, Muhammad Sajjad Masood

951

Excretion of Urinary IgG as a Diagnostic Factor in Overt Diabetic Nephropathy using Oral Hypoglycemic Drugs

M. Mustafa Ali Siddiqui, Muhammad Irfan Qadir Khan, Mohammad Mohsin Khan, Rukhshan Khurshid, M. Zamir Ahmad, Zafar Ali Ch

955

Etiology and the Outcome of Hospital Acquired Acute Renal Failure (HAARF)

Ghulam Fareed, Akmal Hussain, Aftab Jameel, Moeen Akhtar Malik, Abdul Hayee, Asad Hussain, Ahmed Malik

959

Prevalence of Anemia in Pregnant Women in Central Punjab

Muhammad Akram Chaudhary, Humaira Akram, Amna Mubeen

962

Comparison of Morphological Changes in Placentae fom Pre-Eclamptic Pregnancies and Normal Pregnancies

Abdullah Khilji, Syed Meesam Iftikhar Rizvi

966

Correlation between Thyroid Function Tests and Lipid Profile in Primary Hypothyroidism

Azam Ali, Abdus Sattar, Tahir Mahmood Chaudhry, Mmuhammad Farooq, Muhammad Nadeem

969

Hematological Changes and Presenting Complaints in Malaria Positive Subjects

Shaista Mobeen, Akhtar Muneer, Muhammad Farooq, Zahid Ibrahim

971

Inlay Myringoplasty Using “Butterfly” Cartilage Technique: A Study at KIMS, Kohat

Arshad Farzooq, M. Khalid Qayum, Akhtar unir

972

Effect of Type of Feeding on Duration of Hospital Stay in Acute Bronchiolitis

Abdul Ghaffar, Athar Razzaq, Fauzia Waqar, Abdusattar, Muhammad Farooq

976

Assessment of Glucose Tolerance Test to Evaluate Diabetes in 1^o relatives of diabetics

Arif Malik, Muhammad Saeed Qureshi, Mahwish Arooj, Nadia Bashir, Saima Zaheer, Sara Zahid, Abdul Manan, Ijaz Ahmad, Ejaz Rasul, Mahmood Husain Qazi

979

A Comparative Study of Metabolic and Antioxidative Response of Salbutamol Therapy in Asthmatic and Non Asthmatic Athletes in Punjab

Tariq Tahir Butt, Muhammad Saeed Qureshi, Mahwish Arooj, A Malik, A Manan, Mahmood H Qazi

982

Role of Un-Loader Bracing in the Management of Medial Compartment Knee Osteoarthritis

Noman Shakeel Niazi, Suhail N Khan Niazi, Syed Baqir Hussain Jafree, Khalid N K Niazi, M Iqbal

986

Frequency of QTC Prolongation in Chronic Liver Disease

Sohail Bashir Sulehria,  A. Ghafoor, M. Rauf,  M.S. Zafar

989

Rate of Depression among Hepatitis C Patients Treated with Interferon Alpha and Ribvirin

Saeed Akhtar, Muneer Azhar, Azra Yasmeen

992

Comparison between Efficacy of Early & Delayed Umbilical Cord Clamping in Preterm Infants

Amer Ullah Malik, Khurram Shahnawaz, Adeel Riaz

996

Risk Factors and Frequency of Asymptomatic Bacteriuria during Pregnancy

Aalia Tayyba, Gul- E- Raana

999

Changing Trends of Presentation in Colorectal Carcinoma

Ashfaq Ahmad, Ameer Afzal,  Hafiz Muhammad Asif, Abhishek Chaudary,  Khalid Masood Alam, Ali Azim Khawaja, Muhammad Azim Khawaja

1003

Six Months Audit of Precipitating Factors for Diabetic Ketoacidosis Mayo Hospital, Lahore

Khurram Saleem, Ayub Lateef Khawaja, Atif Masood, Kamran Khalid Butt

1007

Knowledge of Vaccination in  Community: A Contributing Factor for Vaccination in Children

Jamal Anwer, Muhammad Saleem, M.I.Babar, Zubair

1011

Blunt Trauma Abdomen: Pattern of Abdominal Visceral injuries in children at Sheikh Zayed Medical College, Rahim Yar Khan

Mazhar Rafi, Zahoor Ahmad, Syed Asif Hussain Shah, Hafiz Muhammad Adeel Husnain

1014

Prevalence of Vitamin A Deficiency among Children <6 Years of Age Living in Urban Slums

Nabila Khalid, Muhammad Ishaque Channar, Arshad Wahab Shah, Abdul Rahman

1020

Prevalence Acute Respiratory Infections among children <5 years living near Brick Kilns

Mansoor Ali, M Ishaque Channar, A Wahab Shah, A Rahman, Rozina Khalid, Siham Sikandar

1024

Contraception Necessitate and Millennium Development Goals

Arshad Wahab Shah,  Abdul Rahman, Muhammad Ishaque Channar

1029

Assessment of Knowledge, Attitude and Practices of Biomedical Waste Management among Staff of a Secondary Care Hospital in Narowal

Tahira Arshad, Asma Shabbir, Muhammad Imran Asghar, Attiya Arshad, Fauzia Zahid Ali Khan, Humuyan Rashid Rathor, Samiya Naeemullah, Saba Afzal

1038

Comparison between Sublingual and Vaginal Misoprostol for Labor Induction at Term

Aalia Tayyba, Mehreen, Nosheen

1042

Five Years Follow up of Canal Wall Down Mastoidectomy for Cholesteatoma

Shahid Hussain, Muhammad Javed Aslam, Shahzad Ali, Muhammad Iqbal Hussain Butt

1045

Dental Diseases in Diabetes

Wasim Amir, Sarah Shoaib Qureshi, Sohail Nasir, Huma Shakir, Gulsena Masud Khan

1049

Bronchoscopy: A Modern Tool in the Diagnosis of Pulmonary Infections

Aamir Mahmud Ijaz, Syed Muhammad Raza Naqvi, Iqbal Husain Dogar

1053

Open versus Minicholecystectomy: Comparative Prospective Randomized Controlled Trial in the Management of Cholelithiasis

Tanveer Anwer, Afsar A Bhatti, Sikander H Gondal

1058

Prevalence of Coronary Artery Anomalies and variants in Jinnah Hospital, Lahore

Ahmad Hasan, Fahar Adnan, Adeel Arif, Zeeshan Ghous, Zubair Akram

1063

A Comparison of Fetal Outcome in Pregnant Women with Fetal Growth Restriction in Normal & Abnormal Umbilical Artery Doppler

Humaira Akram, Tabassum Firdous

1066

Femoral Neck Anteversion: Gender Wise Variation in Our Society

Waliullah Khan, Malik Javed Iqbal

1070

Early Radiological Diagnosis of Chronic Sinusitis Prevents Complications

Asim Iqbal, Basma Khan, Manzoor Ahmed

1077

Gestational Diabetes: Effect on gross Morphology of Human Placenta and Birth Weight

Sadaf Parvez Hussain, Zia Ul Islam

1082

Comparison between Honey and Povidone-Iodine / Normal Saline Dressing for Management of Wagner’s Grade I & II Diabetic Foot Ulcers

Ehsan-Ur-Rehman, M Omar Afzal, Asad Ali, Abu-Rehan Zabd-Ur-Rehman Qureshi, M Rashid

1086

Frequency of Correctly Estimated Size of ETT with New Age Base Formula in Children Requiring General Anaesthesia with ETT

Riffat Saeed, Naseem Ali Sheikh, Iram Qamar, Abdul Bari, Muhammad Nauman Ahmad

1090

Electrolyte Imbalance Associated with Aminoglycosides - An Experimental study

Muhammad Zahid, Shakeel Ahmed, Shahzad Anjum

1094

Private Public Mix Working Model of a Teaching Hospital, Benefits for the Organizations and End users

Muhammad Zahid Latif, Intzar Hussain, Rahila Nizami, Umar Farooq , Haroon Riaz

1097

Knowledge, Awareness and Practices about Dengue Fever among University Students

Ujala Nayyar, Umar Farooq Dar, M Zahid Latif, Razi Haider, Tahir Mahmud, Rahila Nizami

1101

Response to Interferon Therapy in HCV Patients in Private Clinic

Syed Ifthikhar Ali Shah, Naveed Sharif, Muhammad Subhan, Faridullah Shah

1106

Age Estimation from Medial End of Clavicle by X- Ray Examination

Abdul Mateen, Hakim Khan Afridi, Arif Rasheed Malik, Khalid Aziz

1109

Audit of Thoraco-Abdominal Injuries in Road Traffic Accidents in Larkana – Autopsy Study

Zawar Khichi, Hakim Khan Afridi, Abdul Mateen, Ghulam Qadir Kahiri

1113

Outcome Of Nasolacrimal Probing Without Syringing In Congenital Nasolacrimal Duct Obstruction Under Inhalational  Anaesthesia in Infants of 6-12 Months of age

Iftikhar Ahmed, Zubair Saleem, Waqar Ahmed

1118

Role of Azithromycin in the Treatment of Typhoid Fever in Children

Adeel Riaz, Amer Ullah Malik, Farhan Zahoor

1121

Comparison between Dilatation & Curettage and Pipelle’s Endometrial Sampling for Safer Evaluation in Postmenopausal Bleeding Women

Amna Shahid, Bushra Phool, Sitwat Yasmeen

1125

Efficacy of Intravenous Iron Therapy on Mean Rise in HB (Hemoglobin) Level in Children not Responding To Oral Iron Therapy in Iron Deficiency Anemia

Awais Arshed, Jawad Jalil, Faisal Basheer

1128

Comparative Analysis of Antioxidant Potential of Sargassum Sp and Lyengaria Sp

Ghazala Butt, Ejaz Hussain, Abdur Rehman

1130

The Efficacy of Intralesional Measles, Mumps, Rubella (MMR) Antigen in Treatment of Common Warts

Riffat Naseem, Safoora Aamir

1134

One Year Review of Cases of Ovarian Malignancy at Fatima Memorial Hospital, Lahore

Rubina iqbal, afshan r. K. Hussain, ayesha intsar

1137

Comparison of Efficacy of Continuous Versus Interrupted Suturing Technique in Episiotomy

Sadaf-Un-Nisa, Shamas-Un-Nisa, Mehar-Un-Nisa

1140

Validity of Upper Gastrointestinal Bleeding Etiology Score for Determining Variceal Bleeding by Doing Esophagoduodenoscopy as Gold Standard

Syed Ghazanfar Mehdi, Aamer Hussain

1143

In Vitro Activity of Piperacillin/Tazobactam against Pseudomonas Species in Paediatric Population

Talha Mannan, Aizza Zafar, Naima Mehdi

1147

Frequency of Perinatal Mortality in Women with Twin Gestation

Talat Parveen, Nusrat Shaheen, Tasneem Kausar

1150

Comparison of Outcome between Vaginal and Abdominal Hysterectomy

Talat Parveen, Tasneem Kausar, Tayyaba Iqbal, Asia Batool

1154

Frequency of Barriers for Non-Using of Contraception in Multigravida Women Attending A Tertiary Care Hospital

Uzma Shahzadi

1157

Oesophageal Foreign Bodies: How common is the problem?

Muhammad Javaid, Fazal I Wahid, Naseemul Haq, Qaisar Khan, Nadar Khan, Isteraj K Shahabi

1160

Magnetic Resonance Imaging (MRI) Findings in Spinal Tuberculosis

Amber Goraya, Uzma Habib, Aysha Anjum

1164

Diagnostic Accuracy of Magnetic Resonance Imaging for Localizing Testes in Cases of Cryptorchidism

Smeera Ahmad, Nadia Sultan, Ashfa Ameer

1167

To Compare the Efficacy of Beta Agonist Ritodrine and Calcium Channel Blocker Nifedipine in the Management of Preterm Labour

Memoona Ali, Muhammad Arshad Hussain, Hani Gull Qaisrani, Muhammad Arshad Chohan

1170

Role of 1^st Trimester Ultrasonography in Detecting Fetal Abnormalities versus 20 Weeks Scan in High Risk Women

Hani Gull Qaisrani, Muhammad Arshad Hussain, Memoona Ali, Gull Hani Qaisrani, Sarwat Rizvi

1174

Management of Trigeminal Neuralgia

Sayed Shah, Lal Rehman, Nazir Ahmed, Muhammad Anwar Chaudhry

1177

Ultrasound for the Diagnosis of Acute Appendicitis: A Hospital Based Study

Sadaf Arooj, Mahwash Mansoor, Iram Amir

1181

A Big Headache

Sayed Shah, Lal Rehman, Nazir Ahmed, Muhammad Anwar Chaudhry

1184

Clinical Findings and Diagnosis of Cholesteatoma

Asghar Ullah Khan, Qaisar Khan, Naseer Ahmed, Inayat Ullah, Muhammad Farooq Khan

1190

Rationale of Antibiotic Therapy after Surgical Removal of Asymptomatic Impacted Mandibular Last Molar

Mirza Khan Tareen, Jahanger Hhamad, Nasrullah Mengal, Riaz Ahmad Warraich

1192

Celiac Disease: Clinical, Endoscopic and Histological Profile

Dilaram Khan, Adnan U Rehman, Sher Rehman

1199

Effect of instilling 1 Liter normal saline into the peritoneal cavity after laparoscopic cholecystectomy on post-op pain relief: a randomized controlled trial

Wasim Hayat Khan, Irfan Javed, Mubasher Farhan, Tehreem Fatima, Abdulwadood, Awais Amjad Malik, Kamal H, Akhter N.

1202

Rate of Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy; A Retrospective Analytical Study.

Wasim Hayat Khan, Abdulwadood, Irfan Javed, Mubashar Farhan, Tehreem Fatima, Arshad Abbas, Akhter N, Kamal H.

1204

Frequency of Hyponatraemia in Hepatic Encephalopathy in Chronic Liver Disease at Mayo Hospital, Lahore

Sohail Bashir Sulehria, M. S. Zafar, M. Rauf, A. Ghafoor

1207

Urological Complications with and without Double J Stenting Renal Transplant patients - A single center experience

Muhammad Rafiq Zaki, Mujahid Hussain, Murtaza Hiraj, Mohammad Asif

1210

Seven Years Experience of Surgical Management of Vesicovaginal Fistula at Regional Centre in Khyber Pakhtoon Khwa (KPK)

Tanveer Shafqat, Shandana Bawar, Khawaja Fawad Pervez

1214

Ear, Nose and Throat Foreign Bodies: An analysis of 150 cases

Muhammad Said, Fazal I Wahid, Muhammad Kamran

Case Reports

1217

The Methods Employed in Diagnosis and Treatment of a Rare Cholecystoduodenal Cutaneous Fistula

Alaa Issa  Tayeh Mustafa,  Abdul Majeed Chaudhry

1221

Fronto Ethmoid Osteoma- Case Report

Sajid Iqbal Sheikh, Azhar Hameed

1224

Unusual Sacrococcygeal Teratoma (SCT) With Accessory Penis, Anorectal Malformation, Bifid Scrotum, Bilateral Inguinal Hernias and Hypospadias

Mazhar Jam, Zahoor Ahmad Shahzad, Tahir Mehmood, Mushtaq Ahmad, Syed Asif Hussain Shah, Hafiz Muhammad Adeel Husnain, Muhammad Azeem, Mehrozia Hassan, Nida Shahid, Zunair Azam, Muhammad Saleem

1227

Recurrent Acute Colonic Pseudo-Obstruction due to Electrolyte Disturbances

Ali Abid Naazar, Mark Smith