Pakistan Journal of Medical and Health Sciences

Pakistan Journal of Medical and Health Sciences

Vol. 10, Issue 1, JAN – MAR  2016

Website: www.pjmhsonline.com

 

 

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Editorial

1

Modular System of Medical Education

Kamran Aziz

Original Articles

2

Role of CT Angiography in Preoperative Vascular Mapping of Potential Renal Donors

Tayyaba Afzal, Salahuddin, Aaliya Haleem

 

6

HCV Prevalence and Its Predominant Genotypes in Sargodha Region of Pakistan

Haroon Riaz, Muhammad Zahid Latif, Muhammad Atif Qureshi, Abdul Rouf, Rahila Nizami

 

11

Maternal and Fetal Short Term Outcome in Breech Delivered Vaginally

Samina Jaddoon, Zulfiqar Ali Khan, Shazia Hanif, Tahira Ashraf

 

15

The Presence of Thyroid Auto-Antibodies is a Risk Factor for Thyroid Dysfunction in Ch Hep. C pts

Khadija Mastoor, Muhammad Imran Ashraf, Khursheed Anwer, Maria Amjad

 

19

Frequency and Presentation of Adnexal Masses

Shahnaz Kouser, Saira Yunus, Nadia Mushtaq

 

22

Effects of Municipal Wastewater on Histology of Rabbit’s Testes

Amir Amanullah, Usman Ullah, Najeeb Ullah, Fidaullah Wazir

 

28

Response of Vertebral Bone Marrow to female hormone 5 days after Injury to Annulus Fibrosus

Wajid Ali Chatha

 

32

Role of oral antibiotics for Secondary Prophylaxis of Porto-Systemic Encephalopathy in Liver Cirrhotic pts

Shahzad Latif, M. Rashid Siraj, Farooq Saeed Khan, Shahid Sarwar

 

37

Antimullerian Hormone as a Marker of Ovarian Reserve

Safia Sultana Munir, Misbah Sultana, Saima Jabeen, Madiha Khalid

 

42

Comparative Efficacy of Crystalloid Preloading and Co-Loading to Prevent S/A Induced Hypotension

Zainab Farid, Raja Mushtaq, Sabiha Ashraf, Khalid Zaeem

 

46

Frequency of Acoustic Neuroma/CP Angle Tumor in Unilateral SNHL

Tariq Enver, Muhammad Ilyas, Rizwan Akbar Bajwa, Wahid Saleem

 

49

Causes/Patterns of Admissions and Deaths at a tertiary care hospital in suburban area of Lahore

Aneela Zareen, Muhammad Jamil Azhar, Muhammad Rizwan Saleem, Muhammad Mahmood Iqbal

 

54

Arterial Oxygen Saturation during Unsedated Upper Endoscopy

Mohamed Aal-Haim, Murad Aamukbel, Muhammad Zubair

 

59

Glyceral Trinitrate is an effective Primary Treatment in Chronic Anal fissure

Aruj Alam, Muhammad Shoaib, Sohail Anjum, Aftab Ahmad

 

63

Correlation of Interleukin-10 with Glasgow Coma Scale in Patients of Stroke

Sana Sabir, Naima Umer, Mohammad Shoaib, Sibgha Zulfiqa4

 

66

Treatment of Tonsillar Remnants by Monopolar Diathermy, a study of safety of technique regarding peroperative bleeding and improvement of patients symptoms

Zafar Iqbal, Rizwan Akbar Bajwa, Muhammad Nadeem

 

68

Antihepatotoxic Activity of Gemmotherapeutically treated Neem and alcoholic extract of Neem

Faiza Aslam, Shazia Jamil, Muhammad Aamer Aslam

 

77

Dengue Deaths: a clinical experience in critical unit

Riaz Hussain, Shazia Jamil, Faiza Aslam

 

80

Accurate Diagnosis of Pulmonary Embolism in ECG Taking CT Pulmonary Angiography

Muhammad Mustafa Ali Siddiqui, Khaliq Mahmmod, Muhammad Mujtaba Ali Siddiqui, Mohammad Mohsin Khan, Sadaf Khan, Sadia Zafar, Nadia Sultan, Zafar Ali Ch, Usman Ghanni

 

86

Demographic Distribution of Firearm Injuries in District Quetta

Zulfiqar Ali Buzdar, Fakhar Uz Zaman, Muhammad Hammad, Mudaser Hussain Abbasi, FUA Mengal

 

89

Iron Deficiency Anemia in Bahawalpur Region of Pakistan:  A Descriptive Study

Saeed Ahmad Malik,  Muhammad  Aurangzeb Saeed Malik, Saadia Aurangzeb Malik

 

92

Physical Activity, Dietary Practices and Body Mass Indices Relationship in type II Diabetics Pts

Riaz A Javaid, Md Saleem Akhtar, Kashif Ali, M M Khan, Shehryar Bucha, S Hn Kamboyo, Riaz Ali Khan

 

97

Epidemiological Study of Road Traffic Accident Cases

Fakhar Uz Zaman, Zulfiqar Ali Buzdar, Ahmed Tariq, Mudaser Hussain Abbasi, Farhan Ul Amin Mengal

 

100

Frequency of Acanthosis Nigricans in Obese and Non-Obese patients

Malik Muhammad Qasim

 

103

Frequency of Burnt patients in Sandeman Provincial Hospital Quetta

Riffat Masood, Yaser Ameer, Shagufta Shafi, Mudaser Hussain Abbasi, Farhanul Ameen Mengal

 

106

Detection of MecA Mediated Methicillin Resistance in Staphylococcus aureus by Cefoxitin Disc Diffusion Method and Latex Agglutination Test

Faiqa Arshad, Iffet Javed, Sohaila Mushtaq, Saeed Anwer

 

110

Pattern of Anemia in Children in Age Group 1 to 5 Years

Aneela Zareen, Muhammad Rizwan Saleem, Rabia Haq, Tahira Yasmeen

 

114

Pulmonary Function Test among Asymptomatic Rheumatoid Lung Disease Patients

Izaz-Ur-Rahman, Hamid Javaid Qureshi, Bushra Gohar Shah

 

118

Ac Appendicitis, Correlating Histopathological Findings with clinical- is histopathology needed for all?’

Badar Jahan,  Shumaila Najeeb,  Abdul Wahab Shaikh

 

 

 

122

Perception and Attitude towards Research: A Comparative Study among medical and non-medical undergraduate students at University of Lahore

Tazeem Shahbaz, Nazish Masooma, Muhammad Bilal Naeem, Hina Siddiqui, Iqra Nawaz, Z Firdous

 

127

Frequency of Esophageal Varices and Comparison of Serum Albumin levels with and without Esophageal Varices in Patients Presenting with Chronic Liver Disease

Jahanzeb Khan, Aftab Rabbani, Sajjad Ali, Umar Farooq Dar, Hunain Riaz, Ujala Nayyar, Aamir Aslam

 

130

Association between Ischemic Stroke and Raised Serum Gamma-Glutamyl Transferase

Umar Farooq Dar, Sajjad Ali, Ghazanfar Ali Sirhindi, Hunain Riaz, Ujala Nayyar, Aamir Aslam

 

133

The Role of Diagnostic Laparoscopy for Acute Abdominal Conditions

Mohammad Iqbal Adil, Anwar Zeb

 

137

Hirchsprung Disease in Adults & Adolescence

Mohammad Iqbal Adil, Anwar Zeb

 

141

Effects of Gluten- Free Diet on Immunological Assays in Children with Celiac Disease

Tayyaba Noor,  Atika Zubair, Mohammad Afzal Bhatti, Rizwan Waseem

 

143

Mode of Retroperitoneal Organ Injuries Following Blunt Abdominal Trauma

Arifa Akhtar, Zulfiqar Ali Shahid, Wasim Safdar

 

146

Comparative Evaluation Of Osmotic Fragility Test And Hba2 Estimation As The Screening Tests

Nasir Rashid, Muhammad Lutafullah, Rabiya Jamil, Muhammad Farooq

 

148

Electrophoretic Pattern of Alkaline Phosphatase Isoenzymes in Diabetes Mellitus

Nuzhat Navid, Bilal Munir, Sana, Muhammad Farooq

 

150

Nutritional Status and its Effect on Emergency Surgery

Sohail Safdar, Liaqat Ali Khan, Sagheer Ahmed

 

152

Factors Leading to Multidrug Resistant Tuberculosis

Summaira Hassan, Sohail Safdar, Liaqat Ali Khan

 

154

Frequency of Fracture of Hyoid Bone in Various Modalities of Strangulation of Neck

Tariq Azher, Asif Jamil Ansari, Abdul Munaf Saud

 

157

Comparison between Total & sub-total Thyroidectomy in Postop Asymptomatic Hypocalcaemia

Zulfiqar Ali Shahid, Arifa Akhtar, Wasim Safdar

 

159

Cyclosporin Induced Glomerulosclerosis in Developing Kidney

Nahid Tawakal, Shakeela Nazir, Nazia Siddique

 

164

Frequency of in-Patients Hyperglycemia in a medical ward of a Tertiary Care Hospital at Lahore

Muhammad Naeem Afzal, Bilal Mahmood, Usman Khalid, Saleha Asghar, Bilal Hameed, Rabia Anjum, Muhammad Naeem Safdar Chap, Irshad Hussain Qureshi, Kashif Siddique

 

168

The Wounded Healers: a qualitative study of stress in medical students

Seema Daud, Rakhshanda Rizwan Farid, Khawar Mahboob, Qurutulain Ahsan, Ehsanullah Tarin

 

174

Comparison of Risk Factors in Patients with Atypical Chest Pain screened for IH Disease

Anser Asrar, Masood Nizam Tabassum, Uzma Zargam

 

176

Comparison of Side Effects of Tolterodine & Solifenacinsucinate in patients With Urinary Incontinence

Maryam Rana, Iram Mobusher

 

180

Vacuum Assisted Closure: an Important Armamentarium In Wound Management

Ayesha Chaudary, Irfan Ishaq, Ifthikhar Alam, Imran Aslam, Ghulam Qadir Fayyaz

 

183

Comparative Study of Manual Vacuum Aspiration and Dilatation & Evacuation for the Surgical Management of Early Miscarriages: A Randomized Controlled Trial

Rohana Salam, Rakhshanda Neelofer, Palwasha Naserullah

 

186

Totally Extra-Peritoneal (TEP) Versus Tension Free Mesh Repair for Inguinal Hernia

Aqeel Waris, Khalid Javeed Abid, Sadaf Ishaque, Tahir Saleem, Sana Anwer, Anas Ahmad

 

190

Association of Risk Factors of Family Environment with Childhood Obesity

Summaira Hassain, Faryal Waheed, Muhammad Afzal Saqib

 

194

Study of Dyslipidemia in Patients of Liver Cirrhosis Presenting at D.G Khan Hospital

Riaz Ahmed Javid, Sadia Bashir, Khalil Ahmad

 

197

Accuracy of Crown–Rump Length in Determination of Expected Date of Delivery in 1st Trimester

Faroohi Saghir, Sadia Riaz, Kamran Naseem

 

200

Frequency of LV Diastolic Dysfunction among Type-II Diabetics with Non-Alcoholic Fatty Liver

Shahbaz Ahmed Qureshi, Syed Ali Rukh Pirzada, Hafiz Abdul Ghafar Naeem, Masroor Ali Qazi

 

203

Study of Liver and Spleen Injuries in Cases of Blunt Abdominal Trauma

Karim Shah Faizi, Ali Akbar Shah, Muhammad Fareed Ullah 

 

207

Impact of Dyslipidemia on Frequency of Hepatitis C Infection in Type II Diabetics

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

 

210

Comparison between Topical 0.025% Ketotifen Fumarate and Topical 4% Cromolyn Sodium

Muhammad Khalid, Asad Mahmood Khan, Noor Ul Huda Ansari

 

213

Study of Severity of Mitral Valve Stenosis Diagnosed on 2nd  Echocardiography

Muhammad Ajmal Malik, Khalil Ahmad, Muneer Ahmad Siddiquei

 

216

Frequency of stress Hyperglycemia for In-hospital mortality in Acute Coronary Syndrome

Muhammad Ajmal Malik, Sh. Khurram Salam Sehgal, Muneer Ahmad Siddiquei

 

219

Frequency of Factors Leading to Gestational Diabetes

Shazia Tahseen, Saima Qurban, Rana Mazher, Nayyar Sultana, Zahid Mahmood, Tayyaba Majeed

 

222

Frequency of Type of Ocular Trauma in Children

Abdul Ghafoor, Muhammad Waseem, Shaukat Ali Khan

 

224

Frequency of Hypoalbuminemia and Mortality in Acute Ischemic Stroke

Ambreen Butt, Muhammad Rashid Ali, Hina Zameer

 

227

Efficacy of Adding Single Dose of Intermediate Acting Insulin at Bed-Time in Patients Receiving Maximum Doses of Oral Hypoglycemic Agents

Amena Moazzam Baig, Amna Rizvi, Hafeeza Naz

 

230

Frequency of Failed Trial of Labour and its Morbidity in Patients with Previous One Caesarean Birth

Ammara Sana, Amna Kazi, Tayyaba Iqbal, Rakhshan Shaheen Najmi

 

233

Blood Transfusion as a Risk Factor for Hepatitis C in Pregnancy

Amna Aslam, Iram Munawar, Nadia Zahid

 

235

Frequency of Various Etiological Factors Causing Lower GI Bleeding and Importance of Endoscopy

Faryad Hussain, Ghulam Yasin, Arif Zaheer, Agha Shabbir Ali

 

238

Frequency of Vitamin D Deficiency in Women with Breast Cancer

Jahanzeb Khan, Ghazanfar Ali Sirhindi, Hammad-Ur-Rehman Bhatti

 

240

Ulnar Artery Perforator Flap for the Coverage of Electric Injury Defects at Wrist

Kamran Khalid, Waseem Humayoun

 

244

A Craniometric Study of Adult Dry Skulls in South Punjab

Muhammad Ilyas Anjum, Shagufta Kanwal, Muhammad Ikrash Anjum

 

247

Frequency of Raised Intraocular Pressure (IOP) after ND:YAG Laser Posterior Capsulotomy

Muhammad Waseem, Abdul Ghafoor, Shams Ullah Bazai

 

250

Compare the Functional Outcome of Dynamic Compression Platting and Locked Intramedullary Nailing for Primary Surgical Fixation of Non-Pathological Fractures of Humeral Shaft in adults

Mazhar Mehmood, M.Abdul Rehman Yaseen, Shafiq Farooq

 

253

Frequency of Nocturnal Enuresis in Rural Areas of Sialkot

Mazhar Nazir Chatta, Nayyar Ahmed, Mian Sarfraz Gul

 

256

Social Barriers Affecting Initiation of Antenatal Care in Pregnant Women at DHQ Hospital Sahiwal

Safia Perveen, Alina Shirazi, Anum Saleemi

 

258

Outcome of One Stage Surgical Correction of Developmental Dysplasia of Hip (DDH) in Children

Salik Kashif, Bahadar Ali Khan, Sana Ullah, Ihsan Ullah

 

262

Perinatal Outcome in Pregnancy Complicated by Obstetric Cholestasis

Shaherzad Sohail, Lubna Raiz Dar, Sadaf Munawar

 

265

Complete Chordae preservation during Mitral Valve Replacement, in patients with Rheumatic Mitral Regurgitation with LVESD 50mm. A Single Center prospective randomized study

Sharjeel Abbas, Aftab Yunus, Waseem Riaz, Madiha Iqbal, Zafar Tufail, Junaid Fayyaz Khan

 

270

Frequency of Gut Injuries in Unsafe Abortion

Sadia Hina, Umair Ahmed Khan, Hadia Hina, Misbah Muneer, Khalid Masood Gondal

 

273

Maternal Outcome In Women With Threatened Miscarriage

Rozina Naurin, Shazia Tahseen, Rubina Naurin,, Nayyer Sultana, Zahid Mahmood, Tayyaba Majeed

 

276

Outcome of Patients with Acute Oliguria after an Acute Gastroenteritis Episode

Tariq Pervez, Salahuddin Qureshi, Nasib Ullah Shah

 

278

Maternal Outcome in Obese and Non-Obese Women

Sarah Asif, Sara Ejaz, Khadija Waheed

 

281

Tooth Morphology and Aesthetics While Smiling in Accordance to Golden Proportion

Sher Muhammad, Rehman Shahid, Muhammad Ismail Siddiqui

 

285

Outcome of Modified Grahm Patch Omentopexy in the Management of Perforated Duodenal Ulcer

Viqar Aslam, Shabab Hussain,, Shahid Rahman, Sajjad Muhammad Khan, Muhammad Sherose Khan, Waheed Alam

 

288

Comparison of Steri Strip VS Suture Closure of Facial Lacerations

Amir Ali, Aqeel Safdar, Asif Rasheed, Maheen Qasim

 

291

Frequency of Visual Improvement after Traumatic Cataract Surgery

Muhammad Khalid, Muhammad Rizwan, Mohammad Imran Nawaz Khan

 

294

Frequency of Pancytopenia in Malarial patients, a clinical study

Awais Anwar, Humaira Shaukat, Hasan Akbar Khan, Amana Nadeem, Kanwal Firdous

 

296

A comparative study of Creatine Kinase-MB and Troponin levels among diabetic and non diabetic  patients with Acute MI

Awais Anwar, Hasan Akbar Khan, Samra Hafeez, Kanwal Firdous

 

298

Comparison of Postdural Puncture Headache in Median and Paramedian Approach under Spinal Anesthesia in Cesarean Section

Afshan Nisar, Jodat Saleem, Saqib Hussain, Khalid Bashir

 

302

Types of Congenital Anomalies among Families of Medical Students

Razia Chaudhry, Maham Javed, Khalid Javed Abid

Reproduced

307

Evaluation of the Current Trends in the Antimicrobial Susceptibility Patterns of Typhoid Salmonellae

Sadia Ikram, Shagufta Hussain, Aliya Aslam, Muhammad Dilawar Khan, Ishtiaq Ahmed

Case Report

313

Gossypiboma; As A Case of Intestinal Obstruction

Sadaf Ishaque, Khalid Javeed Abid, Sana Anwer

Original Articles

317

The Prevalence of Significant Pathology in Women Presenting With Abnormal Uterine Bleeding

Samina Asghar, Anum Homayun, Faryal Awan, Ali Awan

 

320

The Future of Postplacental Intrauterine Contraceptive Device (PPIUCD) in Pakistan

Samina Asghar, Anum Homayun, Faryal Awan