Pakistan Journal of Medical and

 

Pakistan Journal of Medical and Health Sciences

Vol. 9, Issue 3, JUL – SEP  2015

Website: www.pjmhsonline.com

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Editorial

789

Compatibility with Environmental Changes

Kamran Aziz

Original Articles

790

Outcome of Austin Moor vs Bipolar Hemiarthoplasty in elderly patients in terms of Harris Hip Score

Mian Muhammad Azhar

 

795

The Anomalous Origin and Course of Coronaries in Tetralogy of Fallot (TOF)

Syed Najam Hyder, Asim Khan, Ali Hasan, Noormah Mehmood

 

798

Laparoscopic Cholecystectomy Outcome: Our Experience

Usman Ismat Butt, Allah Nawaz, Rashid Mansoor Arshad, A Wadood, M Ayyaz, T Fatima, A Chughtai

 

801

Anthropometric Parameters of Central Obesity in Non Diabetic Offspring of Type 2 Diabetics and Non Diabetic Offspring of Non Diabetics

Uzma Zafar, Anser Asrar, Bushra Gohar

 

804

Ghrelin Levels are Negatively Correlated with Waist Circumference in Obese Children/Adolescents

Fauzia Sadiq, Sarwar Bhatti

 

807

Deranged Levels of Renal Parameters after using metal Kushta of Copper in diet of Albino Rats

Hira Kareem, Nadia Naseem, A H Nagi, Romman Ul Haq

 

811

Diagnostic Accuracy of Bronchial Washings in Smear Negative Pulmonary Tuberculosis

Waseem Iqbal, Ayub Latif Khawaja, Abdul Rehman Khan, Umar Farooq Dar, Ujala Nayyer, M Nasir

 

814

Mitral and Aortic Valve Calcification in End Stage Renal Disease Patients

Fahar Adnan, Ayub Latif Khawaja, Azizullah, Muhammad Nasir, Ujala Nayyer, Umar Farooq Dar

 

817

Laparoscopy-Induced Shoulder Pain after Chole.; May Pulmonary Recruitment Manoeuver Help?

Habibullah Ishaqui, Shabab Hussain, Muhammad Tanvir Iqbal, Muhammad Nasir, Umar Farooq Dar

 

820

Knowledge and Practices of GPs regarding Management and Prevention of Dengue Fever

Sajjad Ul Hasan, Waseem Iqbal, Abdul Rehman Khan, Umar Farooq Dar, Ujala Nayyer, M Nasir

 

823

Atrioventricular Blocks in Patients of Acute ST Elevation Myocardial Infarction

Umar Farooq Dar, Fahar Adnan, Azizullah, Muhammad Nasir, Ujala Nayyer

 

826

Uterine Length and Ovarian Volume in Healthy girls of 1-13 years of age

Hafiza Saima Naseem, Azhar Mahmood Javed, Irum Aslam, Maria Zahoor, Sadia Sadiq

 

830

Alcohol Consumption Trends in Various Social Strata

Farah Hanif, Shaukat Ali, Pervaiz Zarif

 

834

Frequency of Low Zinc Levels in Cirrhotic patients with Hepatic Encephalopathy

Abdul Waheed, Sabeen Farhan, Muhammad Arif Nadeem, Tariq Suleman

 

838

Frequency of Ischemic and Hemorrhagic Stroke and Comparison of Low Density Lipoprotein Levels

M Sajid Jehangir, Imran M Khan, Dur Muhammad Khan, Ch. Adnan A Ather, B Mahmood, M. M Jehangir

 

841

Diverting Loop Colostomy in Children with Skin and Muscle Bridge - Our technique

Muhammad Zafar Iqbal, Muhammad Tahir Mahmood, Yasir Maki, Saad Zulfiqar, Shumaila Irum

 

847

To Compare the Outcome of Lobectomy and Isthmusectomy with and without Drain in Thyroid Surgery

Ameer Afzal, Rana Suhail Ahmad, Syed Asghar Ali Naqi

 

852

Knowledge and Awareness of Ebola Virus Disease among Medical Students
Rabiah Mahwish, Amna Khan, Mahnoor Fatima, Maryum Ashfaq, Hassan Waqar Ch, Misbah Zafar

 

856

Histological Changes in Developing Lungs of Albino Mouse on Treatment with Retinoic Acid

Uzma Naseer, Mohammad Tahir

 

860

The use of Brain CT Scan in the Assessment of Coup and Counter Coup injuries of the head

Lal Shahbaz,  Arif Uz Zaman, Reeta Rani, Saqib Basr, Ahmed Ali

 

864

Use of Low Dose Danazol in Luteal Phase Only as Management of PMS and Mastalgia

Shaila Anwar, Nabeelashami, Shaheena Asif

 

866

Effects of Tribulus Terrestris on Sertoli Cells of Prepubertal Albino Rats

Aruna Bashir, M. Tahir, Muhammad Habib ur Rehman

 

870

Thalassemia Major Impact on patients’ Families in Northern Punjab, Pakistan

M. Mustafa Siddiqui, Faiz Ur Rehman, Imran Nazir, M. Mohsin Khan,.Sadia Zafar, Z A Ch, Irfan Qadir

 

875

Evaluation of Allergic Fungal Sinusitis Occurrence in Patients with Nasal Polyps

Abdur Rehman, Faisal Rafiq, Athar Adnan Uppal

 

879

Comparison of outcome of Open excision with Secondary Healing versus Rhomboid Excision with Limberg Transposition Flap in the Management of Sacrococcygeal Pilonidal Disease

Nasir Naseem, Khalid Masood Alam, Muhammad Zafar Mengal, Farah Zubair, Bushra Zubair

 

882

To Identify the Use of Computed Tomography Scan, as a Valid Tool for Diagnosis of Mechanical Gut Obstruction at a Tertiary Care Hospital in Karachi, Pakistan

Shua Nasir, Lal Shehbaz, Saqib Basar

 

885

Late Clinical Manifestations of Foreign Body Nose in Children

Ghazi Mahmood, Muhammad Sadiq, Athar Adnan Uppal

 

888

Family History is an early Predictor of Obesity, Diabetes and Hypertension in adults

Lubna Amer, Rukhsana Kausar, Rakhshan Khurshid

 

892

Study of ABO and Rh-D Blood Groups among the Common people of Multan City

Faiz Ur Rehman, Mohammad Mustafa Siddiqui, Imran Nazir, M Mohsin Khan, S Zafar, Z A Ch, I Qadir

 

897

Gender Variation of Dactylography among the patients of Diabetes Mellitus

Yaser Ameer, Zulfiqar Ali Buzdar, Muhammad Anwar Sibtain Fazli, Mudaser Hussain Abbasi

 

900

Spectrum of Firearm injuries in district Quetta

Abdul Ghani Korai, Shoukat Ali Khan, Pervez Iqbal, Farhan Ul Amin Mengal, Ahmed Tariq

 

903

Epidemiology of Scabies among Primary School Children in Quetta

Malik Muhammad Qasim

 

907

Prevalence of Anemia and its Main Determinants among Primigravidae in Antenatal Population

Rakhshanda Toheed, Talha Bin Ayub, Hafiza Sidra Ali, Saba Mumtaz, Asif Haneef

 

911

Occupational Contact Dermatitis among workers of Small Shoe Making Factories

Shahnaz Rauf, Mariam Ashraf, Abdul Samad, Samina, Abdul Rahman, Rana Muhammad Akhtar Khan

 

913

Medulloblastomas, Presentation at tertiary care hospital

Mohammad Waseem Khan, Safdar H. Malik, Muhammad Sadiq, Shahid Mahmood, Hammad N Rana

 

917

Laparoscopic Subtotal Cholecystectomy in Difficult Cholecystitis - our experience

Liaqat Ali, Tahir Bashir, Shahzad Bashir

 

920

Near Miss Events Frequency and Most Common Causes

Amna Shahid, Sadia Rizwan, Nuzhat Khawaja

 

923

An Experience of Limberg Flap for Pilonidal Sinus

Liaqat Ali, Tahir Bashir, Salman Majeed Chaudhry

 

926

Frequency of Hyperglycemia in Non-Diabetics Presenting with Acute Stroke

Muhammad Fayyaz, Abdul Rasheed, Sidra Saba, Muhammad Saleh Hassan, Zunaira Hussain

 

930

Comparison of Postoperative Asymptomatic Hypocalcaemia in total vs Subtotal Thyroidectomy

Karim Shah Faizi, Abdur Rahim, Asghar Ali

 

934

Comparison of Success Rate of External Dacryocystorhinostomy with and without Mitomycin-C in patients of Chronic Dacryo-cystitis

Rehan Moinuddin Shaikh, Manal Taha Hadrawi, Enam Y Danish

 

937

Comparison between Bromocriptine and Bromocriptine with Clomiphene Citrate in Term of Efficacy for the Treatment of Hyperprolactinaemic Infertility

Humaira Shaheen, Mushtaq Ahmed, Noor Ul Huda Ansari

 

941

Frequency of Mode and Grade of Retroperitoneal Organ Injuries following Blunt Abd. Trauma

Asghar Ali, Abdur Rahim, M. Shahid Rafiq

 

945

Pattern of pediatric eye diseases at King Fahad Armed Forces Hospital, Jeddah

Enam Y Danish, Rehan Moinuddin Shaikh, Manal Taha Hadrawi

 

948

Hemaccel as a Cheaper Alternative to Human Albumin for Plasma Expansion during Paracentesis
Muti Ullah Khan, Ikram Ur Rahim, Muhammad Latif

 

951

Comparison of Operative/Postop Complications of Plastibell with open technique in circumcision

Khalid Mahmood, Khumair Asif, Munir Imran

 

954

Complications of Laparoscopic Cholecystectomy at surgical unit II Shalamar Hospital Lahore

Khalid Javed Abid, Rizwan Ahmad Khan, Muhammad Nawaz Amin, M Tahir Saleem, Mehreen Fatima

 

957

Positive Predictive Value of X-Ray PNS 450 in Ch. Maxillary Sinusitis Taking Antral Washout as GS

Arshadullah Afridi, Abdur Rehman, Faisal Rafiq

 

962

Comparison between Mass Closure and Layered Closure in Major Abdominal Laparotomies

M Amjad Khan, Naz Akhtar, Majeed Ullah Buzdar

 

966

Pre-Labour Rupture of the Membranes at Term with Unfavourable Cervix

Fouzia Gul Farhan, Sadia Nazir, Farida Kakar

 

969

Association of First Urinary Tract Infection in Children with Urinary Tract Abnormalities

Habibullah Ishaqui, Syed Liaquat Ali Khan, Fazal Mohammad

 

972

Outcome of Posterior Urethral Valves in Public Sector Hospital: Challenges in Management

Asif Abbasm, Muhammad Kashif, Naveed Anwar, Mukhtar Hussain, Muhammad Aslam, Sajid Rasheed

 

976

Comparative Study of Recurrent Nasal Polyps in various treatment modalities

Athar Adnan Uppal, Ghazi Mahmood, Abdur Rehman

 

979

Comparison between Effect of Bupivacaine and Bupivacaine With Dexamethasone on Duration of Analgesia in Spinal Anaesthesia for Elective Caesarean Section

Muhammad Aatir Fayyaz, Ali Ammar Khan, Rao Liaqat Ali

 

983

Frequency of Malignancy in Solitary Thyroid Nodule

Naz Akhtar. Majeed Ullah Buzdar, M Amjad khan

 

986

Difference in Plaque Removal from Buccal & Lingual Surfaces of Teeth by Manual Brushing

M. Pervaiz Iqbal, M. Ismail Siddiqui, Lubna Kausar, M. Javed Iqbal

 

989

Prophylactic Antibiotics for Tonsillectomy

Sherbaz Hussain Khosa, Shakil Ahmad, Ejaz Rahi

 

992

Blood Safety and Donation Knowledge, Attitude and Practice (KAP) among 1st Year Medical Students

Humayun Mirza, Fatima Khan, Faiqa Jabeen Naeem, Bilal Ashraf

 

995

Fetomaternal Outcome Following Diagnosis of Oligohydramnios at Term

Sadia Bashir, Arif Siddiq, Tanvir Jahan

 

997

Primary Repair Versus Ileostomy In a Single Typhoid Perforation of Ileum

Ahmad Raza Nsar, Tahir Hamid, Muhammad Rizwan Saleem, Mansab Ali

 

999

Use of Harmonic shear vs Titanium clips in Laparoscopic Cholecystectomy: Experience in Nawaz Sharif Social Security Teaching Hospital Lahore

Safdar Hussain Baloch, Sikander Afzal, Tahir Hamid

 

1002

Frequency of Dermatitis Medicamentosa in patients of Eczema

Lubna Islam, Muhammad Nadeem, Waheed Ahmad*, Atif Hasnain Kazmi

 

1006

Frequency of Vaccinated Children among Measles Cases coming to a tertiary care hospital

Ahmad Nayyar, Gul Mian Sarfraz

 

1008

Operative Management in Liver Trauma

Husnain Haider, Yaseen Rafi, Muhammed Qasim Butt

 

1011

Efficacy of Intra Articular Hyaluronic Acid versus Arthroscopic Debridement in Terms of Improvement in Pain Score in Kellgran -Lawrence Grading II & III  Osteoarthritis of Knee Joint

Kamran Saeed, Sajjad A Khan, Iftikhar Ahmed

 

1016

Women Diagnosed with Endometriosis Possess High Body Mass Index Compared to Controls

Sadia Nazir, Khalid P Lone, Gulfam Ahmad

 

1019

The Benefits of Steroids Therapy in Surgical Extraction of Mandibular Third Molar

Mirza Abdul Rauf

 

1021

Association and Risk of Autism in Relation to Parental Age (40 Years)

Aniqa Haider, Lubna Riaz, Tasleem Jehan, Sohail Shehzad

 

1024

Conversion Disorder: A Comparison of Rural Versus Urban Population

Shehriyar Zafar, Altaf Qadir Khan, Ayesha Rashid

 

1027

Role of Magnesium Sulphate in Patients Presenting with Tetanus

Javed Iqbal, Muhammad Abdal, Muhammad Irfan Anwar

 

1030

Frequency of Disturbed LH to FSH Ratio In Teenage Girls with Primary Amenorrhea

Jovariah Aziz, Quddsia Tanveer, Nagina Bibi

 

1033

Serum Prolactin Levels in Patients of Major Depressive Episode with Dissociative Symptoms

Omer Jalal, Salim Jehangir, Najam Akhtar

 

1036

Comparison of Outcome of Laryngeal Mask Airway (LMA Classic) and I-Gel Devices in Patients Undergoing General Anaesthesia in Elective Surgeries

Shahid Rasool Dar, Riaz Hussain, Tahir Nazeer, Amna Tahir

 

1039

Maternal and Socioeconomic Risk Factors for Protein Energy Malnutrition Under 5 Years

Rizwan Asad, Aniqa Haider, Neelam Arshad, Sohail Shehzad

 

1043

Root and Canal Morphology of Human Primary Molars in a Local Population of Southern Punjab:

Sher Muhammad, Rehman Shahid, Muhammad Ismail Siddiqui

 

1048

Client Satisfaction Regarding Family Planning Services in Reproductive Center at Jinnah Hospital

Farah Rehman, Abdul Rehman Janjua, Humera Shahzad

 

1051

Effects of Garlic (Allium Sativum) on the Weights of Liver in Albino Rats

Asma Siddique, Javaid Iqbal, Muhammad Ali Sheikh

 

1055

Prospective Randomized Study for Pain outcome after Modified Kugel Mesh vs Lichtenstein Repair

M. Azeem, Zia Ullha, Saif Ullha Goraya

 

1061

Haemoglobin Electrophoresis Pattern in Normal Siblings and Beta Thalassemia Trait Siblings of Beta Thalassemia Major Patients

Nasir Rashid, Muhammad Jawad Anwar, Rabiya Jamil*, Zahid Ibrahim, Muhammad Farooq

 

1063

Hepatic Profile in the Patients receiving hepatitis treatment

Syed Muhammad Ahsan Raza, Fakhar-un-Nisa, J. Rakhshanda

 

1065

Outcome of patients Undergoing Lap. Chole. with Previous Upper and Lower Abdominal Surgery

Hina Bukhari, Imran Aslam, Khalid Masood Gondal

 

1069

Surgical Audit of patients operated in ENT Mayo Hospital Lahore over a period of one year

Mohibullah Mushwani, Muhammad Naeem, Shafia Sheikh, A Ibrahim, A Mustafa, H Faitma, M A Khan

 

1073

Frequency of Low Bone Mineral Density and Osteoporosis in Children with β Thalassemia Major

Fouzia Ishaq ,Asma Anwar, Mazher Iqbal

 

1077

Complications in Patients of Acute/Chronic Renal Failure during Haemodialysis

Nazir Ahmad, Kashif Sardar, Mohammad Humayun

 

1080

Responsible Factors for Fistula Failure in End Stage Renal Disease

Syed Liaquat Ali Khan, Habibullah Ishaqui, Fazal Mohammad Mandokhail

 

1083

Early Versus Late Clamping of the Umbilical Cord in Full-term Neonates

Kaleem Akhter Malhi, Farida Kaka, Mushtaq Jaffar

 

1086

Surgical Outcome of Meningioma of Brain Tumours

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

 

1088

Demographic and Clinical Profile of Patients with Complicated Unsafe Abortion

Aalia Tayyba, Gul-e-Raana

 

1092

Endometriosis: Frequency and Correlation between Symptomatology and Disease Stage

Aalia Tayyba, Gul-e-Raana

 

1096

Clinical and Haematological Characteristics of Haemoglobin H Disease

Asma Rehman, Suhaib Ahmed, Muhammad Usman

Case Reports

1099

A Case of Anti-MuSK Positive Myasthenia Gravis

Kah Chuan Lim, Chiou Perng Lee, Fan Kee Hoo, Wan Aliaa Wan Sulaiman, Hamidon Basri

 

1101

A Rare Case of Childhood Arteritis

Faiza Farooq, Farooq Azam

 

1104

Referral from a Teaching Hospital to Another

Sajid Iqbal Sheikh, Maroof Aziz Khan, Shahzad Omer Farooq

Original Articles

1107

Determination of Frequency of Stroke Patients with Delayed Hospital Presentation and Causative Factors

Rashid Imran, Ayesha Aslam, Ahsan Nauman

 

1110

Role of Zinc Supplementation in Treatment of Pneumonia

Muhammad Rashid Ayub, Nabeela Rashid, Naveed Akbar, Maria