Pakistan Journal of Medical and

Pakistan Journal of Medical and Health Sciences

Vol. 9, Issue 1, JAN – MAR 2015

Website: www.pjmhsonline.com

 

 

 

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Editorial

1

Anti Virus Therapies

Kamran Aziz

Original Articles

2

Histopathological Spectrum of Surgically Treated Goiters in Muzaffarabad

Raja Ejaz, Sarosh Majid Salaria, Mulazim Hussain Bukhari, Mumtaz Ahmad, Javeria Nosheen, Umer Ejaz

 

5

Evaluation of Blood Reservation and Use for Caesaren Sections in a tertiary maternity hospital

Muzamil Hussain, Muhammad Imran Azeem, Amina Yusaf, Abdul Qayyum

 

10

Laparoscopic Assisted Versus Open Abdominoperineal Resection for Low Rectal Adenocarcinoma

Abdul Mannan Kahn Rao

 

14

Use of Epidural Opioids for Postop Analgesia after Abdominal Hysterectomy

Muhammad Amer, Gulzar Ahmad Malik, Nadia Babar, Abdul Qayyum

 

18

Should We Follow VTE Prophylaxis for Emergency Surgical Admissions?

M. Zahid Akbar Chohan, Javed Malik, Mohammad Basil Rizvi, Fakhar Irfan, Maham Zafar

 

21

Development of a Cost Effective and Efficient Teaching Model for Flexible Cystoscopy

Muhammed Irfan Nazir, Abdul Razzaq Nasir, Muhammad Touseef Asghar, Sabir Hussain

 

24

Thrombocytopenia in Epileptic Patients on Valproic Acid

Muhammad Nasrullah, Khurram Saleem, Mohsin Zaheer, Akmal Faiz Bhatty, Fuad Shafiq

 

26

Is CT Scan Poor Predictor of Complicated Tuberculous Meningitis?

Khurram Saleem, Mohammad Nasrullah, Fuad Shafiq

 

31

Outcome of Locking Compression Plate in Supracondylar Fracture of Distal Femur by Minimally Invasive Plate Osteosynthesis

Adnan Latif Malik, Mudassar Siddique, Noman Shakeel Niazi, Suhail Niaz Khan Niazi

 

34

To Determine the Frequency of Newly Diagnosed DM in Pts of Acute Stroke

Sohail Bashir Sulehria, Muzafar Mustafa Memon, Aruna Bashir

 

37

Serum Triglyceride to HDL Ratio in Patients with Type 2 Diabetes Mellitus in teaching hospital

Muhammad Aamir, Sohail Nasir, Mehreen Farooq, Fatima Mukhtar, Gulsena Masood, Waseem Aamir

 

41

Primary Repair Versus Colostomy in Traumatic Colonic Injuries

Amir Usman, Faizul Hasan, Tahir Hamid

 

44

Status of Modern Contraceptive use among Married Women in Lahore, Pakistan

Mohammad Mohsin Khan,, M. Waqas Khan, Irfan Qadir, Zafar Ali Ch. Mohammad Kamran, Usman Ghanni

 

48

Rising Trends of Smoking in Elementary Students

Raja Ejaz, Sarosh Majid Salaria, Mulazim Hussain Bukhari, Shoukat Dar, Ajaz Ahmed, Umer Ejaz

 

51

Safety and Efficiency of Endovascular Treatment of Carotid Angioplasty Stenting

Imran Hussain, Tariq Hayat Khan, Shamila Afshan

 

55

Serum Lipids and Lipoproteins in Non-Diabetic, and Non-Hypertensive Patients of IHD

Muhammad Shakeel Ahmad, Maria Sreena, Jahanzeb Khan

 

57

Hypertension - Major Risk for Cardiovascular Diseases

Zahid Rafique Butt, Muhammad Zafar Iqbal, Jahanzeb Khan

 

59

Primary Omental Torsion in children; a case series with review of literature

Asad Rauf, Sajid Hameed Dar, Naeem Liaqat

 

62

Frequency of hyperglycemia in pts of polycystic ovaries in Dept. of Gyne., B. V. Hospital,Bahawalpur

Shahnaz Noor, Irum Noor, Masud Ali Ansari

 

66

Retroperitoneal Organ Injuries following Blunt Trauma Abdomen

Irfan Ashraf, Muhammad Ehsan Ul Haq, Umair Ahmed

 

70

Frequency of Spontaneous Bacterial Peritonitis in Liver Cirrhosis Pts with Hepatic Encephalopathy

Muhammad Haroon Bilal, Muhammad Tahir, Naveed Atif Khan

 

73

Management of Acute Pancreatitis at Shalamar Hospital: A two year audit

Khalid Javed Abid, Ahsan Khan, Awais Amjad Malik, Tahir Saleem, Muhammad Arif, Nawaz Ameen

 

76

Outcome Comparison in patients Undergoing Laparoscopic Cholecystectomy Using Low Pressure and Standard Pressure Pneumoperitoneum

Zahid Sattar, M. Kareem Ullah, M. Shabbir Ahmad, S. Bashir, Salman Majeed Ch, Imdad Ahmad Zahid

 

80

Contraceptive Knowledge, Attitude & Practice among Parous Women attending Gynae OPD

Zafar Iqbal Malik, Saima Habib, Muhammad Zia Ur Rehman, Athar Maqbool

 

84

Radiofrequency Ablation (Coblation) Treatment of Inferior Turbinate Hypertrophy

Tahir Rashid, Imran Saeed, Salman Baig

 

88

Role of Vitreous Potassium Level in Postmortem Interval Estimation

Nasreen Akhtar, Riasat Ali, Arif Rasheed Malik, Anila Asghar, Khalid Aziz

 

93

Morphological Effect of Choloroquine on Developing Ovaries of Rats

Anis Fatima, Muhammad Sohail, Javaid Iqbal, Muhammad Zubair, Syed Mustafa Raza Ali Kazmi

 

96

Comparison of Open Pre-Peritoneal Mesh Repair with Lichtenstein Repair in Complex Ing. Hernias

Faizul Hasan, Tahir Hamid, Amir Usman

 

99

Newly Diagnosed Diabetes Mellitus in Patients with Dengue Fever admitted in teaching hospital

Muhammad Aamir, Fatima Mukhtar, Ajaz Fatima, A U Ijaz, Sohail Nasir, Gulsena Masood, Waseem Aamir

 

102

Factors Leading to Non Compliance to Standard Treatment in Asthma Patients

Aamir Waheed, Nayyar Manzoor Elahi, Shamshad Ali, Umar Farooq Dar, M Majid, Hafiz Atta-Ur-Rehman

 

106

Isoniazid Resistance among New Cases of Sputum Smear Positive Pulmonary Tuberculosis

Nayyar Manzoor Elahi, Shamshad Ali, Muhammad Ashraf Ch., Umar F. Dar, M. Safwan Riaz, M Nasir

 

109

Single Incision Laparoscopic Cholecystectomy – An Initial Experience at Mayo Hospital, Lahore

Huma Saeed, Muhammad Rafaih Iqbal, Muhammad Umar Younis, Sanad Saad, M. Nadeem Shafique

 

113

Toxicity Patterns and Outcome of Snake Bite Cases at Nishtar Hospital Multan

Rooh Ul Amin, Sabir Hussain, Mujahid Iqbal, Wajahat Hussain

 

116

Efficacy of Corticosteroids injection in De Quervain Disease

Mustafa Nawaz, Inam Ur Rahim, Innayat Ullah Arain, Uzma N Jillani, Rana Dilawaiz Nadeem, Talat B Khan

 

119

Anxiety and Depression among Medical Students During Exams

Farah Amir Ali, Naima Javed, Farida Manzur

 

123

Apoptotic Activity of Withania Coagulans Methanolic Extract in Cancer Cells Using Rats and Hela Cell Line

Sadia Qureshi, M Tahir Aziz, M H Qazi, Tahira Saqib

 

128

Axillary Lymph Node Status in Breast Cancer a comparative study

M.Zahid Akbar Chohan, Javed Malik, Zeeshan Ahmad, Derek Crawford

 

131

Correlation of Troponin Rapid Test and Severity of Coronary Artery Disease in pts with chest pain

Liaqat Ali, Akmal Faiz, Muhammad Azam

 

136

Insulin Resistance Low Levels of Testosterone and SHBG in male offspring of type2 diabetic parents

Ijaz Anwar, Saqib Sohail, Tahira Saleem

 

141

Frequency and Morphology of IgA Nephropathy in Multiple Centers Lahore

Atika Masood, Munazza Choudary, Fatima Rashid, A.H.Nagi

 

148

Effectiveness of Non operative Treatment in Acute Appendicitis

Tahir Bashir

 

151

Comparison of Frequency of Clinical Tetany between Truncal Ligation and Peripheral Ligation of Inferior Thyroid Arteries in Subtotal Thyroidectomy

Nasir Naseem, Muhammad Zafar Mengal, Hafiz Muhammad Asif Maqbool

 

154

Percutaneous Peritoneal Drainage for the Management of Intraperitoneal Bladder Perforations

M. Arshad Saleem, Junaid Habib Khan, Yaseen Rafi, M. Younis

 

157

To Study the Frequency of Various Side Effects of Alpha Interferon Therapy during Treatment of Hepatitis C in DHQ Hospital Gujranwala

Farah Sadiq, M. Rabnawaz

 

161

A Study to Know Association of Backpack Weight and Backache in School Going Girls of Lahore

Humayun Mirza, Qasim Zaffar, Muaaz Hussain, Aatika Tahir, M Kaleem, I Mukhtar, Maarij Yousaf, S Khawar

 

164

Comparison of Oral Versus Vaginal Misoprostol For Mid-Trimester Pregnancy Termination

Shabnam Tahir,  Saima Jabeen, Shazia Rasul, Unazza Tayyab

 

169

Effectiveness of Phloroglucinol to accelerate labor in primigravidas at term

Shabnam Tahir, Maimoona Liaqat, Saima Jabeen, Shahzia Rasul

 

173

Bile Bacteriology in Patients Undergoing Cholecystectomy

Muhammad Asad, Hinna Zahid, Aatif Inam, M A Hashmi4, Zafar Malik

 

176

Is Contralateral Inguinal Exploration Justified in a child presenting with unilateral inguinal hernia?

M. Tariq Latif, Naeem Liaqat, Ejaz Ahmed, Sajjid Hameed Dar

 

179

Role of Metformin in Reducing Frequency of 1st Trimester Miscarriage among Pregnant Women with Polycystic Ovarian Syndrome at Nishtar Hospital Multan

Saima Ashraf, Sobia Mazhar, Hajira Masood

 

182

Frequency of Malignancy in Clinically Palpable Solitary Thyroid Nodule, a 2 yrs cross sectional study

Sikandar Hayat Gondal, Inayat Husain Anjum, Rai Ahmad Khan Kharal, Sarah Saleem, Uzair Karim Qaisra

 

185

Comparison of Mean Pain Score by Applying with/without Skin Traction in Patients with Hip Fracture

Zahid Hussain, Sibtain Raza, Nusrat Ali, Agha Momin

 

189

Hodgkin Lymphoma in pts Having Cervical Lymphadenopathy: Experience of DHQ Hospital, Kohat

Arshad Farzooq, Mohammad Nasir, Waseem Muhammad, Mohammad Sadiq

 

191

Diagnostic Accuracy of FNAC in a Breast Lump Using Histopathology as Gold Standard

Khalid Usman, Bushra Nisar, Muhammad Sajid

 

194

To Determine the Frequency of Beta Thalassemia Trait in Siblings of Beta Thalassemia Major pts

Nasir Rashid, Zahid Ibrahim, Muhammad Farooq

 

197

Serum Lipoprotein (A) and Symptomatic Peripheral Arterial Disease in Diabetic Patients

Atta Ur Rehman, Iram Dastagir, Ruhina Akbar, Muhammad Farooq

 

200

Incidence of Primary and Secondary Thyrotoxicosis in Relation to age, sex and Clinical Presentation

Farhan Javaid, Haris Younas*, Hafiz Muhammad Atif

 

202

Frequency of Terlipressin Induced Hyponatremia in Patients of Variceal Bleeding

Hafiz Muhammad Rafiq, Khalid Mahmood Qureshi, Sadia Bashir

 

205

Comparative Study between Outcomes of Traditional Lichenstein and Sutureless Mesh Hernioplasty

Neelam Wajid, Saeed Mahmood, Muhammad Kareem Ullah

 

210

High Tibial Osteotomy-long term Results in Osteoarthritis of knee joint

Mian Muhammad Azahar

 

216

An Epidemiology of Firearm Injuries in District Quetta

Mussarat S Durrani, Shoukat Ali Khan, Riffat Masood, Mudaser Hussain Abbasi, R A Ali Khan, F A Mengal

 

219

Medicolegal Aspect of Burn Victims

Perwaiz Ahmed Makhdoom, Rizwan Zafar Ansari, Yasmin Aamir, Mudaser H. Abbasi, R A Ali, FA Mengal

 

222

Frequency of Distribution of Leishmaniasis in School going children of Quetta

Malik Muhammad Qasim

 

225

Medicolegal cases of Road traffic accidents in Sandeman (Prov) Hospital Quetta

Farhanul Amin Mengal, Malik M Qasim, Pervez Iqbal, M H Abbasi, RMA Khan, A Iftikhar, SM Ahmad

 

228

Close Reduction and Percutaneous Pin Fixation in Displaced (Type-III) Supracondylar Fractures of Humerus in Children Surgical Outcomes and Comparison with other study

Mian Muhammad Azhar

 

235

Comparative Study of Efficacy of end-to-side with side-to-side Arteriovenous Fistula in Hemodialysis

Muhammad Waqas  Khan, Mohammad Mohsin Khan, Irfan Qadir, Zafar Ali Ch, Hina Liaquat

 

239

A Study Regarding citrus juices effect urolithiasis when comparted to plain drinking water

Mohammad Mohsin Khan, Muhammad Waqas Khan, Irfan Qadir, Zafar Ali Ch, Hina Liaquat

 

243

Significant Preoperative Predictors of Postoperative Outcome in Congenital Diaphragmatic Hernia

Muhammad Kashif Chishti, Muhammad Riazulhaq, Haroon K. Pasha, Mukhtar Hussain

 

246

Comparison of Single Rhomboid vs Double Rhomboid Silicon Band Frontalis Suspension in Terms of Upper Lid Contour in Ptosis Surgery

Muhammad Zafar Ullah, Majid Hussain, M Ajmal Chaudary, Muhammad Imran

 

248

Complications during Haemodialysis

Abrar Ahmad, Muhammad Arshad Qureshi, Arif Rahim

 

250

Admission Source and Mortality in a Pediatric Intensive Care Unit

Asim Khurshid, Ghazi Khosa, Sara Rubab

 

253

Improve Healing in Open Haemorroidectomy With 0.2% GTN

Nur Saeed, Ishtiaq Ahmad, Asim Bhatti, Muhammad Ali Fayyaz

 

256

Frequency of Positive Endometrial Pipelle Biopsies in Patients with Abnormal Uterine Bleeding

Hajira Masood, Saima Ashraf, Muhammad Sajjad Masood

 

259

Frequency of Tubal Spasm During Hysterosalpingography

Shazia Abbas, Abida Malik, Ejaz Ahmed

 

262

Average Age of Menopause and its Climacteric Symptoms in Women of Multan City

Syeda Ali,  Ayesha Uzaima Tarin, Rabia Bhatti

 

265

Audit of Patients Undergoing Obstetrical Hysterectomy for Postpartum Hemorrhage

Farhana Zainab, Syeda Ali, Mehnaz Khakwani

 

268

Effectiveness of Misoprostol in the Prevention of Postpartum Hemorrhage

Nabila Tariq, Mehnaz Khakwani, Rashida Parveen

 

271

Antibiotic Susceptibility Pattern of Gram+ve Organisms Isolated from Nosocomial Infections

Abid Hussain Chang, Raziuddin Ahmed, Fakharuddin, Syed Manzoor Iqbal

 

275

Assessment of circulating biochemical markers and antioxidative status in melasma patients

Arif Malik, Naveed Shuja, Abdul Manan, Naureen Ruby, Mahmood Husain Qazi

 

278

Association of Breech Presentation with Fetal Abnormalities

Najia Riffat, Saema Tehseen, Adil Aleem

 

281

To Detect  Outcome of Proximal Humerus Fractures Treated With a Locking Proximal Humerus Plate

Nasir Ahmed, Tarique Ali Khan, Muhammad Absar Anwar, Ahmed Ali

 

286

Incidence of DM and its Complications in patients Coming to Anesthesia Department

Khalid Javed, Zahra Ishrat

 

290

To determine the frequency of type II diabetes mellitus in hepatitis C+ve and C-ve patients

Sohail Bashir Sulehria, A. Rauf, Muzafar Mustafa Memon

 

293

Comparison of Lower Pole Renal Calculi Clearance after ESWL Lithotripsy with and without percussion, diuresis and inversion manoeuvre

M. Arshad Saleem, Muhammad Younis, Junaid Habib Khan, M Safdar Khan

 

296

Relationship of Oral Clinic-Cytological Mucosal Changes with Oral Hygiene in HIV/AIDS patients

Saima Qadir, Nadia Naseem, A. H. Nagi

 

299

Risk Factors and Acute Complications of Small for Gestational Age Term Newborns

Abdul Ghaffar, Suleman, Perwez Ali

 

301

Prevalence of HBS and HCV in Euthyroid Persons of Southern Punjab—A Hospital Based Study

Rubaida Mahmood, Shahida Parveen, Sidra Kanwal

 

305

Does Value of Alpha Fetoprotein Matter in HCC?

Israr Ul Haque, Shamail Zafar, Waseem Iqbal, GUHassan, Mehrin Farooq, Bilal Nasir, M Javed, GN  Tayyab

 

308

Benign Early Repolarization on Electrocardiogram

Ikram Ur Rahim, Inam Ur Rahim, Muti Ullah Khan

 

311

Desarda Technique for Inguinal Hernia Repair, a multicenter experience

Shehzad Bashir, Muhammad Omar Afzal, Yaseen Rafi

 

314

A Prospective Analysis, of Maxillofacial Injuries in Patients Reporting to a tertiary care hospital

Mussarat Saleem Durrani

 

318

Role of Intrauterine Blood Transfusions in Management of Rh-Isoimmunized Pregnancies

Bushra Meraj, Iram Mobusher, Sadia Waheed, Mamoona Waseem, Yasmin Rashid

 

321

To Find Out Differential CT Scan Diagnosis for Cirrhotic and Malignant Ascites

Muhammad Arif Uz Zaman, Drreeta Ran2, Muhammad Absar Anwar, Fazal Baksh

 

325

Association of Alterations in Mucin  in Transition Zone with Histological Grade of Colorectal Ca

Muneeza Khalid, Farheen Fatima, Muhammad Rashid Siraj, Naila Atif, A.H  Nagi, Aisha Nisar, Abdul Aziz

 

330

Outcome of Therapy with Mycophenolate Mofetil in Membranoproliferative Glomerulonephritis

Naureen Akhtar, Farkhanda Hafeez, Shahida Iftikhar

 

334

Levels of Glycated Albumin and C-Reactive Protein as Risk Markers of Coronary Artery Disease

Farkhanda Ghafoor, Amber Malik, Saima Naz Mohsin, Saulat Siddique

 

338

Percutaneous Fixation of 5th Metatarsal Fracture by 4.5mm Cannulated Steel Screw

Kamran Saeed, Nisar Ahmad, Kashif Rasool

 

341

Complication of Measles among amitted patients in Balochistan

Mobin-Ur-Rehman, Mushtaq Ahmed Jaffar, Shamyal Moundokhel

 

344

Outcome of Tibial Shaft Fractures Treated by Close Intramedullary Nail

Omer Khalid Farooq, Inam-Ur-Rahim, Mustafa Nawaz, Zahid Akbar, Faisal N Hussain, Talat B Khan, N Ali

 

347

In-Hospital Functional Outcome after Acute Ischemic Stroke

Muhammad Wazir Ali Khan

 

351

Knowledge, Attitude and Practice (KAP) Survey of Type 2 Diabetes Mellitus

Muhammad Uthman, Zia Ullah, Nasib Ullah Shah

 

356

Crooked Nose and its Management- Our Experience

Sarfraz Latif, Rizwan Ullah Chattha, Zia Qazi, Sabhi Ahmad

 

360

Coexistence of Hypertension in Type 2 Diabetes Mellitus Patients (Co-tension-D2 study)

Muhammad Uthman, Abdul Matin Qaisar, Awais Anwar, Zia Ullah

 

364

Frequency Assessment of Osteoporosis in Patients of Liver Cirrhosis

Najam-Us-Sehar Saeed, Muhammad Asif Gul, Adnan Salim, Altaf Alam, Anwaar Ahmad Khan, Kashif Malik

 

367

Correlation between Quality of Life and Positive and Negative Symptoms of Schizophrenia

Sumira q. Bokhari, Qambar M. Bokhari, Azra Mariam, Rabia Majeed

 

371

Effect of Preoperative Ketamine Gargles on Postop Sore throat after Oral Endotracheal Intubation

Muhammad Ashraf Zia, Fakiha Sheikh, Sajjad Raza Kazmi, S. Mahmood Shah, Razia Ashraf

 

375

Efficacy of Intra-peritoneal Bupivacaine for Analgesia in Early Postop Period After Lap Chole

Nisar Ahmed, Riaz Hussain, Tahir Nazeer

 

378

A Comparative Role of Thyroid Hormones in Mother and Foreign Language Speakers

Naveed Shuja, Abdul Manan2 Arif Malik, Samina Batool, Fakhra Ijaz, Rubina Rashid

 

381

Broken Bones and Blind Eyes: Ocular and Orbital Injuries in Craniofacial Trauma

Tayyaba Gul Malik, Muhammad Khalil, Khalid Farooq

 

386

Outcome of Early Neonatal Morbidity in Meconium Aspiration Syndrome

Faryad Hussain, Arif Zaheer, Irfana Ishaq Sindhu

 

389

Bacterial Pathogens in Neonatal Sepsis and Their Sensitivity to Antibiotics

Farhan Zahoor, Adeel Riaz, Mansoor Mazari

 

392

Effect of Mode of Delivery on Perinatal Outcome in Breech Presentation

Shazia Haider

 

396

Maternal Complications in Patients Undergoing Emergency Cesarean Section

Safia Perveen, Alina Shirazi, Anum Saleemi, Samreen Ijaz

 

398

Clinical Lesions of Oral Mucosa in Type 2 Diabetes Mellitus

Wali Dad, Nadia Naseem, Maryam Rashid, A.H Nagi

 

401

Improved Healing in Open Haemorroidectomy With 0.2% GTN

Muhammad Rizwan Anwar, Asim Bhatti, Noshad Akbar

 

404

Maternal Mortality: A Challenge For Achieving MDG

Saira Yunus, Shahnaz Kauser, Amtullah Zarren

 

407

Patterns of Bowel Injuries and its Management Outcomes in Unsafe Abortion

Muhammad Ashraf, Muhammad Rafaih Iqbal, Amaar Talib

 

410

Frequency and Patterns of Bronchiectasis in Patients with Chronic Obstructive Pulmonary Disease

Nayyar Manzoor Elahi, Shamshad Ali, M Ashraf Chaudhary, Umar Farooq Dar, M Safwan Riaz, M Majid

 

413

Transdermal Nitroglycerine in Management of Preterm Labour

Nasreen Akhtar, Shazia Saeed, Ashfaq Ahmed

 

415

Prevalence of Glaucoma after Cataract Surgery in Children

Muhammad Zafar Ullah, Majid Hussain, Muhammad Ajmal Chaudary

 

417

Assessment of the Role of Eruca Sativa Oil (Taramira Oil) in the Treatment of Painful Diabetic Peripheral Neuropathy and its Comparison with Conventional Treatment

Faisal Iqbal, Waseem Ahsen, Momin Ali Babar

 

423

An Experience with the Use of Biothesiometer in Diabetics at a Tertiary Care Centre

Nazeefa Javed, Syed Adnan Hussain Shahid, Saleema Qaisra

 

427

Upper Complete Denture Base Retention Constructed Through Closed Mouth Impression Technique

Wasif Ali Khan, Atiq-Ur-Rehman, Syed Murtaza Raza Kazmi

 

430

Protective Effect of Vitamin C on Body Weight of Albino Rats with Lead Toxicity

Mujahid Akbar Mamoun, Hafiz Syed Mohammad Tariq Ali Rizvi, Sajid Muneer Qazi

 

434

To Compare the Triangular Flap to Envelop Flap for the Removal of Impacted Mandibular Last Molar

Mirza Khan Tareen, Jhanger Hamad, Syed Mohammad Saleem, Saeed Ahmad

 Special article

437

A Simple and Effective Technique to Close Neck Incisions Using Superglue

Muhammad Suleman Farooq, Syed Asghar Naqi

 Original articles

442

Outcome of Single Injection Volar Subcutaneous Block in Hand Surgery

Riaz Ahmed Khan Afridi, Tariq Masood, Mohammad Tahir

 

445

Hyperprolactinemia as a Cause of Subfertlity in Women

Khadija Waheed, Nazia Sajjad, Farida Kakar

 

448

Effects of Hydroxyprogesterone Caproate on the Weights of Developing Adrenal Glands in Albino Rats

Javaid Iqbal, Mohammad Suhail, Anees Fatima

Case Reports

451

Primary Cutaneous Mucoepidermoid Carcinoma of Thigh

Huma Saeed, Muhammad Umar Younis, Muhammad Rafaih Iqbal

 

454

Largest Reported Pseudocyst of Spleen: A Case Report and Review of Litaerature

Kiran Siddiqui, Hasham Akram Ch, Zeeshan Zafar Hashmi, Abul Fazal Ali Khan