Editorial

498

Induction of Research Orientation in Medical Students

Kamran Aziz

Original Article

499

Clinical Outcome of Pts with Elevated Cardiac Markers after Percutaneous Coronary Intervention

Muhammad Ammar Rashid, Muhammad Nazim Bashir, Aamir Hussain, Jeetendra Mishra, Lok M Sinha

503

Stress in Medical Students

Seema Daud, Rayyan Zakir Shaikh, Munazza Ahmad, Zain-Ul-Hassan Awan

508

Diagnostic Value of Total Leucocyte Count and C-reactive protein in Acute Appendicitis

Naveed Muzaffar, Safdar Bhatti

510

Histomorphological Changes in Hypertrophied Tonsils In Children

Saima Shahbaz, Shahbaz Mujtaba Ghauri, Samina Shaheen, Attiya Mubarak, Anjum Nasim Sabri

515

Sensorineural Hearing Loss in Chronic Suppurative Otitis Media

Aisha Jan, Shahid Hussain, Muhammad Javed Aslam

518

A Case Control Study for the Identification of Novel Risk Factors Associated with Hepatitis C Viral Infection in Population of Lahore Pakistan

Bilal Munir Ahmad, Nuzhat Navid, Tayyaba Ijaz, Muhammad Hassan Mushtaq, Abdul Majeed Akhter, Jalees Khalid Khan, Mamoona Chaudhry, Azmat Khadija

523

A Survey of Tourniquet Use in Limbs Surgery among the Orthopaedic Surgeons of Peshawar

Faaiz Ali Shah, Khalid Mahmood, Shahab Ud Din, Wali M. Mehsod,A Rehman Qureshi, I U Babar

527

Role of Diagnostic Laparoscopy in Abdominopelvic Pathologies

Muhammad Aslam, Muhammad Aslam Javid, Muhammad Latif Aftab

531

Incidence of Malignant Hematological Disorders in patients with Pancytopenia/bicytopenia

Akhtar Munir, Imran Ud Din, Tahira Atta, Noushad Asim, Fazle Hanan, Muhammad Farooq

533

Frequency of ATT Induced Hepatitis in Newly Diagnosed Pulmonary TB Patients

M Irfan Malik, Hafiza Shafia Naz, Ghias Ul Hassan

536

Normal Triglycerides and normal BP decrease risk of developing Coronary Artery Disease

Ejaz Fatima, Abdul Qudoos, Khalid Niaz, Shah Murad

539

Frequency of Obstructive Pattern of Spirometry in Bronchiectasis Patients

Hafiza Shafia Naz, M Irfan Malik, Javed Iqbal

542

Outcome of Inguinal Hernia Repair under Local Anesthesia

Mujahid Alam, Mansoor Ahmad Qureshi, Muhammad Imtiaz Rasool

545

Histomorphometric Study of Umbilical Cord in Gestational Hypertension & Preeclampsia

Muhammad Yasoob, Zahra Haider Bokhari, Mulazim Hussain Bukhari, Nadia Tazeen, Attiya Khalid

550

Effects of Green Tea (Camellia Sinensis) on Liver Function Tests of Mice on High Fat Diet

Farhana Sajjad, Liaqat Ali Minhas

554

Mid Trimester Termination of Pregnancy in women with previous Caesarean Section: a comparison of Misoprostol, PGF2α and Intra-Cervical Foley’s Catheter Traction

Shamila Ijaz Munir, Shahina Ishtiaq, Shaista Shafiq, Lubna Javed, Tabinda Rana

559

To Find out Maternal and Fetal Outcome of Cardiac Disease in Pregnancy

Shazia Haider, Robina Shaheen

562

Age, Gender and Pattern Distribution of Impacted Third Molar among the Patients Attending Teaching Hospital of Lahore

Rabia Anjum, Nadia Naseem, A.H Nagi

565

Assessment of Different Causes of Haematemesis in Patients with Chronic Liver Disease

M. Saeed-uz-Zaman, M. Azam,M. Aftab

569

Frequency of Contributing Factors in Intramuscular Injection Abscess

Khalid Masood Gondal, Yasir Iqbal, Umair Ahmed Khan

572

Emergence of Vancomycin Resistant Enterococci in Paediatric Patients

Asif Shaheen, Naima Mehdi, Aizza Zafar, M. Zubair, Humera Javed, Saba Kabeer, Saba Abbas, H Ejaz

576

Frequency of Hematological Disorders in Children Diagnosed on Bone Marrow Examination

Ayesha Khalid, Tooba Fateen, Amber Atif Khan

583

Morphological Changes in Umbilical Cord in Pregnancy Induced Hypertension (PIH) with respect to Severity of the Disease

Muhammad Yasoob, Mulazim Hussain Bukhari, Zahra Haider Bokhari, Nadia Tazeen, Attiya Khalid

591

Frequency and Related Clinical Features of Polycythemia in Full Term Newborns in Whom Cord Clamping was Delayed

Faryad Hussain, Arif Zaheer, Cdre Arshad Mahmood, Agha Shabbir Ali, Fatima Tahir

595

Comparison of Feto-Maternal Complications in Booked and Unbooked Females Presenting at Time of Delivery in Sir Ganga Ram Hospital, Lahore

Farzana Latif, Rehana Ayub, Kiran Javaid

600

Functional Outcome of Transpedicular Screw Fixation in Burst Fractures of Thoracolumbar

Muhammad Saeed Akhtar, Muhammad Hanif, Raza Elahi Rana, Shahzad Azhar, Kazi M. Saeed

603

Surgical Audit of patients reported to E.N.T Unit 1 Mayo Hospital/KEMU Lahore from 2013 -2014

Muhammad Awais Samee, Shahzad Omer Farooq,  Azhar Hameed, Sajid Iqbal Sheikh

606

Restoration of Posteromedial Cortex with Additional Antiglide Plate in Bicondylar Tibial Plateau Fracture Fixation: Radiographic and Clinical Outcome

Raza Elahi Rana, Muhammad Saeed Akhtar, Muhammad Hanif, Kazi Muhammad Saeed

609

Intra-retinal Cotton Wool Spots and Their Relation to Epiretinal Membrane Contraction and Induced Retinal Distortion

Khalid Waheed

612

Evaluation of Neutrophil Gelatinase Associated Lipocalin, As A Biomarker of Renal Injury in Type 2 Diabetic Patients

Mahnoor Khan, Nakhshab Choudhry, M Fahim Ul Haq, S. Jahan, S. Mahmood, S. Sarmad, R. Yasmin

616

Frequency of Microalbuminuria in Patients with Metabolic Syndrome

Muhammad Mubashir Latif, Sadia Zafar

619

Comparison of Monopolar with Bipolar Diathermy in Patients Undergoing Tonsillectomy

Muhammad Yusuf Saleemi, Muhammad Tariq, Manzoor Ahmed

622

Frequency of Improved Functional Outcome in Patients with Lumbar Disc Prolapse Treated with Caudal Epidural Steroid Injections

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

625

Management of Iatrogenic Lower Ureteric Injury Following Gynaecological Surgery

Qadeer Ahmad Tariq, Mazhar Abbass Haidry, Naveed Anwar

628

Surgical Management of Vesicovaginal Fistula

Qadeer Ahmad Tariq, Sarfaraz Ahmad, Mazhar Abbass

631

Treatment of Volar Barton's Fractures of the Distal Radius with T-buttress Plates

Muhammad Nasir Ali, Amjad Tahir, Zulfiqar Ahmed

635

Diagnostic Accuracy of NCCT Scan with DWI MRI Taking it as a Gold Standard in Detection of Acute Ischemic Stroke

Noreen Rasheed, Saira Hamid, Fouzia Rani

638

Frequency of Placenta Previa with Previous Caesarean Section

Qurat-Ul-Ain, Rehana Ayub, Hafiza Saima Naseem

640

Dermatological Disorders being Overlooked among patients admitted in S. Z. Hospital, Lahore

Riffat Naseem, Safoora Aamir, Qazi Tufail

644

Isolation and Antimicrobial Susceptible Pattern of Bacterial Pathogens from Ear, Nose and Throat of Paediatric Patients

Saba Kabeer, Aizza Zafar, Naima Mehdi, Muhammad Zubair, H. Javed, A. Shaheen, S. Abbas, H. Ejaz

648

Comparison of Induction and Expectant Management of Prelabour Rupture of Membranes at Term for Maternal Outcome

Sadaf Maqbool, Afshan Saeed Usmani, Bushra Bano

652

Comparison of Veress Needle and Direct Trocar Insertion in Establishing Pneumoperitoneum for Laparoscopic Cholecystectomy

Muneer Imran, M.Zahid Chohan, Zahid Mehmood, Khalid Mehmood, Khumair Asif

655

Carcinoma of Breast: Role of Hormone Therapy Pre-Menopausal Women According to Receptors Status in Adjuvant Setting

Ghazanfar Ali Sirhindi, Kamran Roudini, Abdul Matin Qaisar

659

Frequency of Postpartum Haemorrhage in induced Versus Spontaneous Labour

Shahzadi Saima Hussain, Tanveer Shafqat

662

To Determine the Efficacy of Inhaled Corticosteroids Compared to Montelukast in Reducing Exacerbation in Uncontrolled Asthma in Children 6 Months to 5 Years

Nazish Jehan, Mobin Ur Rehman, Muhammad Hussein Zarkoon

667

Incidence of Post Dural Puncture Headache (PDPH) in Comparison with 23, 25 and 27G Needles

Aneel Aslam, Adeel Aslam, Shirjeel Chaudhry, Abdul Qayum

670

Neostigmine as an Adjunct to 0.5% Lignocaine improves the quality of Anaesthesia and Analgesia in intravenous regional anesthesia

Syed Aftab Haider, Muhammad Waseem Rabbani, Muhammad Aatir Fayyaz

673

Comparing the Effect of LMA Insertion and ETT Intubation to Induce General Anaesthesia on IOP

Muhammad Waseem Rabbani, Syed Aftab Haider, Muhammad Aatir Fayyaz

676

Intestinal Stomas – Various Complications and their Management

Irfan Ahmad, Arifa Akhtar, Ahsan-Ur-Rehman Khan

678

Maternal and Fetal Outcome in Teenage Pregnancy

Shagufta Tabassum,  Shumaila Tabassum

681

Role of Partial Inferior Turbinectomy in Patients with Chronic Hypertrophic Rhinitis

Sherbaz Hussain Khosa,  Ali Hussaain Sheikh, Muhammad Amer Nadeem

684

Association of Multi-Nodular Goitre with Different Age Groups of Women

Hurriat Afzal, Andaleeb Aftab, Sumairah Ashfaq

687

Rhomboid excision with Limberg Flap a novel treatment for Sacrococcygeal Pilonidal Sinus

Faisal Shabir, Bahzad Akram Khan, Muhammad Azeem Mian

691

Quality of Life of Patients with Tuberculosis a Case Control Study

Asif Hanif, Ijaz Nasir, Ambreen Butt, Usman Javed Iqba, Tahira Ashraf

694

Subjective Assessment of Obturator Functioning in patients with Hemimaxillectomy

Muhammad Waseem Ullah Khan, Asif Ali Shah, Aliya Fatima, Asif Hanif

698

Quantification of Satisfaction Level of Female Clients about maternal health services rendered at MCH Centers of City District Govt. Lahore

Rukhsana Mirza, Iffat Naheed, Malik Shahid Shaukat, Seema Imdad, Muhammad Naeem,  Muhammad Umar Farooq,  Faisal Mushtaq. Samia Malik

702

Adenosine Deaminase as a Diagnostic Aid to Ascertain TB Etiology of Pleural Effusions

Muhammad Usman Anwa, Sarah,  Adnan Afzal, Muhammad Umar Kamal

706

Grand Multiparity and its Obstetrical Complications at Bahawal Victoria Hospital Bahawalpur

Talat Parveen, Tayyaba Iqbal, Tasneem Kausar

709

To Detect Outcome of Pregnancy in Advanced Maternal Age among Pakistani Women

Saima Shabbir, Masooma Zahid, Aamna Qazi

713

Use of Antibiotic Prophylaxis in Low-Risk Laparoscopic Cholecystectomy is unnecessary

Abdul Jabbar Mirani, Sunil D Suchdev, Altaf H. Jatoi, Abdul Haseeb, S. Idrees, S Muneeb Younus

717

Efficacy of Intra-Articular Steroid Injection in the Management of Primary Frozen Shoulder

Mudassar Siddique,  M Saeed Akhtar, Noman Shakeel Niazi, Adnan L. Malik, Hassan Ali,  Sl N K Niazi

720

Incidence and Aetiology of intramuscular Injection Abscess

Zahid Akbar, Khalid Nizami, Fatima Ahmad, Mahmood Alam

723

Experience with Levocarnitine in Reducing Frequency of Intradialytic Hypotension

Waqar Ahmed, Rizwan-Ul-Haq, Mateen Akram, Ahad Quyyum, Abad-Ur-Rehman, Saqlain Haider

726

A Study of Myeloperoxidase and Lipid Profile in Obese Individuals

Fauzia Zubair Nagi, Tahira Naseem, Riffat Yasmin

730

Efficacy of Dexamethasone – Ephedrine Combination in Prevention of Postoperative Nausea and Vomiting in Laparoscopic Cholecystectomy

Raza Farrukh, Faiqa Qurban, Salman Athar, Waseem Sadiq Awan, Makhdom Ahmed Aziz Jilani

734

Negative Appendectomy Rate: The Imaging Impact

Naveed Muzaffar, Safdar Bhatti

736

Role of Exogenous 17-β Estradiol in injured Intervertebral Disc

Wajid Ali Chatha, Muhammad Yunus Khan, Liaqat Ali Minhas

741

Hypospadias Repair: an overview of 131 cases

Tariq Ahmad, Ata Ur Rehman

744

Early Childhood Achalasia Cardia: a local experience

Muhammad Naeem Ashraf, Muhammad Shahbaz Bakht Kayani, Muhammad Nazim Khan

747

Frequency of Thrombolysis and Comparison of Pericardial Effusion in Myocardial Infarction patients with and without Thrombolysis

Sohail Bashir Sulehria, K. Shaukat, M. M. Memon, A. K. Awan

750

Failure of Streptokinase Therapy in Diabetic and Non-Diabetic Patients Presenting with ST Elevation Myocardial Infarction

Sohail Bashir Sulehria, M. Nabeel, A. K. Awan

753

Contraceptive Decision Making in Females Visiting OPD of Obs. & Gynae Nishtar Hospital Multan

Hafiza Saima Naseem, Khadija Khalil, Shahida Aziz, Maria Zahoor

757

Frequency of Metabolic Syndrome in Patients with Acute Ischemic Non-Embolic Stroke

Hafiz Abdul Ghaffar Naeem, Azfar Farogh, Muhammad Hassan

760

Effect of Aloe Vera Extract and Ciprofloxacin on the pH of Urine in Proteus Mirabilis Induced Urinary Tract Infection in Albino Rats

Shazia Asim, Munazza Ahmad, Salman Iftikhar, Kanza Ahmad

766

Aetiology and Clinical Profile of Spontaneous Pneumothorax in Adults

Muhammad Rauf-Ul-Hassan, Naveed Sharif*, Liaqat Dogar

769

Comparative Efficacy of Sevelamer Hydrochloride Versus Calcium Acetate on Bone Biomarkers in patients with End Stage Renal Disease on Hemodialysis

Waqar Ahmed, Rizwan-Ul-Haq, Mateen Akram, Sami Khan, Saqlain Haider, Abad-Ur-Rehman

772

Management of Dry Socket:  Hydrogen Peroxide as an irrigant

Mirza Abdul Rauf, Aqsa Kamal, Sumair Farooq

774

Post Spinal Headache (PDPH), Spinal Headache, Spinal Needle

Khalid Rafique, Muhammad Saeed, Iftikhar A.Chaudhry, S Mahmood, M Tamur, T Sadiq, A Qayyum

778

Early Vs Interval Cholecystectomy in Acute Cholecystitis an experience at GTTH Lahore

Saquib Zahur, Shaukat Rabbani, Syed Imran Hussain Andrabi, Hasnat Ahmad, Abdul Majeed Chaudry

782

Rhomboid Excision with Limberg Transposition Flap in the Management of Sacrococcygeal Pilonidal Sinus - A Reliable Surgical Technique 

Shaukat Rabbani, Saquib Zahur, Syed Imran Andrabi, Khalid Mahmood, Hasnat Ahmad, A M Chaudhry

786

Frequency of dyslipidemia and mean lipid profile in liver cirrhosis

Shahid Irfan, Haris Younas, Waqar Ahmed

789

Hepatitis B and C: Knowledge, attitude and Perception of medical students at LM&DC, Lahore

Tazeem Shahbaz, Syed Mohsin Raza, Zain Manzoor, Ahmad Jamshid

Case Reports

794

A Rare Indication of Splenectomy - A Case Report

Mariam Salim, Khalid Javed Abid, Tahir Saleem Chaudhry, Abdul Qayyum

798

Firearm Injury to the face with bullet lodged in the nose

Azhar Hameed, Sajid Iqbal Sheikh, Mohibullah Mushwani

801

A Variation in the Formation of the Median Nerve in a female cadaver

Hafiz Moeen-ud-Din, Khalid Mumtaz, Nosheen Omer, Muhammad Suhail