Editorial

675

Collaboration on Health Issues

Kamran Aziz

676

Unobtrusive Health Hazards - Crimean-Congo Hemorrhagic Fever

Naveed Shuja Rana

Original Articles

677

Iatrogenic Bilateral Ureteric Injuries A Complication during Pelvic Surgeries

Khizar Hayat, Mujahid Alam, Saleem A Jafari, Sajjad Husain

681

Interposition of Omentum, Perivesical Fat, Martious Fat in Management of Lower UT Fistula

Khizar Hayat, Shah Jahan Ur Rehman, Mujahid Alam, Sajjad Husain

686

Satisfaction of Patients after Hospital Stay - A Study from Teaching Hospital of Pakistan

Amjad Mahmood Khan, Arhsad Mahmood, Zardad Khan

689

Delay in Appendicetomy due to Preoperative Imaging Results in Increased Complication Rate

Muhammad Azim Khan, Shoukat Ali, Allah Baksh Parhar, Wasim Ahmad

692

A Study of Morphology of Posterior Condylar Foramen and Its Anatomical Variations in Dry Adult Skulls

Mian Azhar Ahmad, Lal Mohammad Khan Kakar, Ibrahim Khalil, Nawab Moahammad Khan

695

Ischemic Heart Disease in Patients with Type-II Diabetes Mellitus

Saeed Ahmad Khan, Nadeemuddin, Jawed Akhtar Samo

697

Management of Appendicular Mass as an Early Exploration Versus Interval Appendicetomy

Muhammad Azim Khan, Shoukat Ali, Allah Baksh Parhar, Wasim Ahmad

700

Self Directed Learning (SDL), an Effective Method for Teaching Physiology to Medical Students

Sadaf Zia, Farkhanda Jabeen, Komal Atta, Noor Akbar Sial

703

Comparison of Frequency of PDPH in Obstetrical Patients after Caesarean Section under Spinal Anaesthesia with 25 G Quincke (cutting) needle 25 G pencil point needle (non cutting)

Khaleel Ahmad, Muhammad Javed, Maqsood Zahid, Anser Butter, Asiya Taqi, Baber Zameer

708

The Effect of 50% Nitrous Oxide on Postop Nausea-Vomiting in Patients Undergoing Lap. Cholecystectomy

Khaleel Ahmad, Maqsood Zahid, Muhammad Javaid

713

Prevalence of Obesity in Surgical Patients Undergoing Abdominal Surgery at Mayo Hospital Lahore Pakistan

Ammar Rasul, Yar Muhammad, Khalid Masood Gondal, Humayon Siddique, Arun Kumar Karn

716

Frequency of Retinopathy during Interferon and Ribavirin Therapy for Hepatitis C

Shahzad Ahmed Saghir, Muhammad Kamran Rauf, Aijaz Zeeshan Khan Chachar, Khalid Mahmood Anjum

722

High Body Fat and Visceral Fat in Type II Diabetes Mellitus: a review of one hundred patients at FM Hospital

Aijaz Zeeshan Khan Chachar, Nazeefa Javed, Arzinda Fatima, Kashif Saleem, Saleema Qaisera

730

Cage Displacement after anterior Decompression and Interbody Titanium Mesh Cage Placement in Caries Spine

Rafique Ahmad, Ijaz Ahmad, Rizwan Akram, Atiq Uz Zaman, Amer Aziz

734

Frequency and Causes of Failure of Dynamic Hip Screw Fixation for Interochanteric Fracture

Muhammad Amjad, Rizwan Akram, Atiq Uz Zaman, Ijaz Ahmad, Amer Aziz

741

Maternal Anemia is a Risk Factor for Low Birth Weight Babies at Term

Madiha Khalid Mir, Shumaila Yousaf, Ayesha Ilyas, Shabnam Tahir

744

Frequency and Risk Factors for Deep Vein Thrombosis after Orthopaedic Surgery

Tanveer Ahmad, Atiq Uz Zaman, Ijaz Ahmad, Rizwan Akram, Amer Aziz

750

Development Stages of Third-Molar Tooth for Estimation of Chronological Age in Children and Young Adult

Amir Amanullah, Usman Ullah, Sarah Yunus, Abdul Munim

755

A Retrospective Study of Medico Legal Autopsies of Fire Arm Deaths carried Out in AIMC Lahore during 2014

Farhat Sultana, Saeed Ahmad Malik, Sobia Amir, Mohammad Mohsin Khan, Irfan Qadir

761

Comparison of Packing & Primary Closure in Surgically Drained Skin Abscesses in Terms of Healing

Syed Adeel Ahmed, Saad Qayyum, Muhammad Afzal, Shahzar Malik, Wajihuddin Butt

764

Frequency of Genital Tract Malignancies in Women with Postmenopausal Bleeding

Qamar, Samina, Abdul Samad

767

Frequency of Hypertension during Pregnancy

Aamir Nazir, Shahid Abbas, Shehzad Aslam, Syed Sultan Haider, Tayyab Hussnain, Muhammad Khan

770

Frequency of Vaginal Candidiasis in Symptomatic Pregnant Women Attending Routine Antenatal Clinic

Bushra Saleem,  Saba Fayyaz Jeelani, Shazia Jang Sher

773

24 Hours Urinary Citrate Levels and Frequency of Hypocitraturia among patients with Recurrent Nephrolithiasis

Ahmed Bilal, Abdul Ghaffar, Anusha Ghaffar, M. Rafique

778

Efficac of Vasectomy with Internal Tamponade Along with Scleral Buckling vs Vitrectomy with Internal Tamponade with Internal Tamponade in the Management of Complicated Retinal Detachment

Muhammad Awais Ashraf, Asim Mehmood, Ghulam Abbas

781

Efficacy of Early Exploration in Appendicular Mass

Safdar Ali Khan,  Manzar Ali, Muhammad Ismail Seerat

784

Comparison of Use of Polypropylene with Polydioxanon E for Closure of Midline Abdominal Incisions

Mohammad Sajid Hameed Ansari, Nazar Fareed, Imran Asim

787

Frequency of Female Primary Subfertility Factors on Diagnostic Laparoscopy

Shazia Jangsher, Bushra Saleem,. Saba Fayyaz

790

Audit of Homicidal Deaths in Multan in Year 2014

Tariq Azher, Asif Jamil Ansari, Farrukh Aziz, Niaz Ahmed Bloch

794

Comparative Study Between Clipless (CL) Laparoscopic Cholecystectomy Using Harmonal Scalpel Vs Traditional Cholecystectomy (TM) Using Electrocautery and Titanium Clips

Rab Nawaz Malik,  Amjad Ali,  Muhammad Khalid

796

Long Term Outcome of Inguinal Hernia Repair by Lichtenstein Technique

Aqeel Ahmad, Khizar Hayat, Mujahid Alam, Imtiaz Rasool

800

Role of Silicone Oil in Retinal Reattachment

Shahbaz Aslam, Shehzad Manzoor, Abid Lateef

803

Management of Complicated Retinal Detachment by using Silicone Oil as a Tool

Shahbaz Aslam, Shehzad Manzoor, Abid Lateef

806

Decrease in Pain Score after Autologous Blood Injection in patients with Lateral Epicondylitis

Mohammad Noman, Syed Baqir Hussain Jafree, Suhail Niazi, Noman Niazi

809

Frequency of Isolated Systolic Hypertension in Elderly Hypertensive

Hina Hussain, Huma Hussain

813

Variations in the Presentation of Acute Coronary Syndrome

Shehzad Ahmad, Haq Nawaz Alvi

816

Frequency of Pericardial Effusion among Patients with Acute St Segment Elevation Myocardial Infarction

Asif Ali, Shehzad Ahmad

819

Epidemiological Analysis of Fracture Nasal Bone Experience at a Tertiary Care Hospital

Anees ur rehman. Muhammad Saleem Sheikh. Muhammad Farooq Bhutta

823

Frequency of Young Adults and Comparison of High Body Mass Index in Young Versus Old Patients With First Non-St Segment Elevation Myocardial Infarction

Ahsan Ayub, Iftikhar Anwar

828

Lipid Profile in Diabetic and Non-Diabetics and its Effects

Syed Muhammad Ahsan Raza, Rakhshanda Jabeen, Fakhar Un Nisa

831

Association of Hypertension and Cardiac Enzymes in Diabetic and Non-Diabetics

Rakhshanda Jabeen, Komal Murtaza, Mudassir Shahbaz, Safa Murtaza, Aiman Murtaza

834

Prevalence of Nosocomial Infection by Methicillin Resistant Staphylococcus Epidermidis

M Irfan khan, M Faizuddin, Syeda Asiya Parveen, Z Nayyer, Y Masood, W Fatima, M Hashmi,  S Ahmed, S. M. Safdar Ali

838

Knowledge about Hospital Waste Management among Final Year Medical Students of a teaching hospital, Lahore

Humayun Mirza, Muhammad Sami Abbas, Kanwal Saeed, Mohsin Riaz, Nida Maryam

841

Comparison between the effects of Captopril and Lisinopril on Bradykinin-induced contraction in tracheal smooth muscle of guinea pig

Javaria Arshad Malik, Waqar Ahmed Siddiqui, Sehrish Zafar

846

Awareness of Mothers Regarding Concept and Management of Diarrhea in Children of Kasur

Muhammad Akram, Muhammad Fakhar Ul Zaman, Arshad Rafique, Rizwan Asad Khan

851

Frequency of Zinc Deficiency in Exclusively breast fed infants presenting in a Tertiary Care Hospital

Zulfiqar Ali, Ahmed Imran Khan, Saima Umar, Azher Abbas Shah, Afsheen Oneeb

855

Histological Effects of Ribavirin on Adult Ovary of Albino Rat

Hafiz Moeen-Ud-Din, Saima Shahbaz, Samina Shaheen

859

Age and Gender Distribution in patients with Temporomandibular joint ankylosis attending teaching hospitals

Benish Aleem, Nadia Naseem, A. H. Nagi

862

Comparison of Outcome of Local vs Spinal Anesthesia in Mesh Inguinal Hernioplasty w.r.t. pain & hospital stay

Muhammad Zafar Mengal, Farah Zubair, Bushra Zubair, Yaseen Rafi, Khalid Javed Abid

866

Detection of Alpha Thalasemia in Cord Blood in Bahawalpur Region

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

870

Gender Difference in Depression and Suicidal Ideation of medical students

Maarij Yousaf, Seema Daud, Mian M. Shafique

874

A Study of Various Causes of Indirect Hyperbilirubinemia in Neonates

Saeed Ahmad Malik, Muhammad Aurangzeb Malik,  Saadia Aurangzeb Malik

882

Histopathological Spectrum of Testicular Tumors a Single Center Experience

Saira Rathore, Zonaira Rathore, Afia Sarwar, Rabia Butt

886

Accuracy of FNA Cytology for Detection of Palpable Breast Lesions

Zonaira Rathore, Afia Sarwar, Saira Rathore, Rabia Butt

890

Comparison of Early Outcome between pts of open Appendectomy with/without Drain for Perforated Appendicitis

Mustafa Issa Tayeh Mustafa, Salman Majeed Chaudhry, Rami Issa Tayeh Mustafa

894

Assessment of Nutritional Status One Month after Complete Denture Therapy

Muhammad Waseem Ullah Khan, Aliya Fatima, Asif Ali Shah

898

Frequency of Depression among Hospitalized Pregnant Females for Obstetrics Risk

Saima Ghaffar, Sarwat Rizvi, Ghazala Saeed, Syed Muhammad H. Jafri, Anum Jafri, Rubar Haider

902

Magnitude of Hepatitis C Virus Infection among Asymptomatic Pakistani children

Rashid Zia, Itaat Ullah Khan Afridi, Humera Rafiq, Ghazanfar Ali Sheikh, Fatima Abbas

905

Frequency of Left Ventricle Diastolic Dysfunction in Asymptomatic Type II Diabetic Patients

Maham Nasir, Syed Najam Hyder, Ali Hassan

909

Frequency of Types of Ventricular Septal Defect in Cardiology Department of the Children Hospital, Lahore

Namrah Shahid, Syed Najam Hyder, Ali Hasan

913

Infant of Diabetic Mother Immediate Problems and Outcome

Shazia Imdad, Surriya Jabeen, Sajida Yasmeen, Riaz Ul Haq Subhani

916

The Common Reasons of HIV/AIDS in patients and the Clinic Morphological Features of HIV/AIDS

Riaz Ul Haq Subhani, Surriya Jabeen, Sajidda Yasmeen, Shafqat Husnain

919

The Risk Factors for Left Ventricular Hypertrophy in Patients of Stage IV Chronic Kidney Disease

Poonum Khalid, Muhammad Khurram Saleem, Samina Ali Asgher

923

Vesicovaginal Fistula- Still a Major Problem in Rural Areas of Punjab

Shaherzad Sohail, Lubna Riaz Dar, Khalid Ismail

925

Association of the Level of Glutamic Acid & Iron With Severity Of Hypoxic Ischemic Encephalopathy in neonates

Asifa Ashraf, Sana Sabir, Tahir Usman

928

Glucose Tolerance and Serum Total Triglycerides Status In Diabetic Related Pregnant Women

Tahir Usman, Asifa Ashraf, Shmyla Hamid

931

Comparison of Fetal Outcome in Booked Versus Non-booked Patients in Term Singleton Breech Presentation

Nasira Bibi,  Nighat Jabeen, Shafat Khatoon, Tahira Khalid

936

To Determine Frequency of Occult Hepatitis B virus Infection in Chronic Hepatitis C patients

Shafat Khatoon, Muhammad Saqib Habib, Kamran Munawar, Nighat Jabeen

939

Diagnostic Accuracy of MRI in Perianal Fistula Taking Surgical Findings as Gold Standard

Saher Ishfaq, Muhammad Adeel Qamar, Mehreen Zaman, Mujeeb Ullah Makki

942

Practices among Patient’s Attendants towards Hepatitis B Prevention at a Tertiary Care Hospital, Lahore

Shagufta Kunwal Kiran, Mujeeb Ullah Makki, Irfan Iqbal Khan

945

The Significance of Proteinuria and its Associations in Patients Having Acute Renal Failure

Khurram Danial, Asifa Khurram, Kamal Ahmed, Saqib Khan

949

Vitamin D Deficiency among Pre-Menopausal Women Attending OPD with Generalized Body Aches and Pains

Farid Ahmad Toor, Umar Farooq Dar, Naeem Mahmood Mughal, Muhammad Majid, Syed Hunain Riaz

952

North American Symptomatic Carotid Endarterectomy Trial High Grade Carotid Artery Stenosis in 1^st Isch Stroke

Waseem Iqbal, Noor-Ul-Arfeen, Muhammad Azhar Shah, Umar Farooq Dar

955

Pre-Operative Use of Dexamethasone in Reducing Vomiting and Hospital Stay in Pts Undergoing Lap. Chole.

Humaira Alam, Sara Iqbal, Sidrah Riaz, Umar Farooq Dar

959

Mean Serum Uric Acid Levels in Type 2 Diabetics with and without Diabetic Peripheral Neuropathy

Umar Farooq Dar, Mujtaba Hasan, Naima Umar, Usman Saleem Raza

962

Early Virological Response in Hepatitis C Patients with Insulin Resistance

Naima Umar, Umar Farooq Dar, Mujtaba Hasan, Usman Saleem Raza

965

Frequency of Undiagnosed Diabetes Mellitus and its Short Term Complication in Hyperglycemic Pts of Acute MI

Samara Siddique, Talha Munir, Ch. Adnan Ahmed Ather, Sahira Aaraj

969

Outcome of Primary Repair in Traumatic Colonic Injuries

Zulfiqar Ali Shahid, Muhammad Afzal Sajid, Humara Gul

972

Study of Accuracy of Intraocular Pressure measured by non-contact Tonometer

Mohammad Dibaji, Rehan Moinuddin Shaikh

975

Comparison of Efficacy between I/V Ondansetron and Intravenous Lidocaine on Propofol Induced Vascular Pain

Farrukh Ayub, Inam Ul H Aq, Muhammad Asim Ghauri

979

Comparison between Oral Nifedipine alone Vs Oral Nifedipine plus Progesterone as Tocolytic Agent

Shams Un Nisa, Iram Chaudhry, Hina Hanif

983

Drug Resistance Pattern in Pulmonary Tuberculosis Patients Coming to Pulmonology Ward BVH Bahawalpur

Muhammad Waseem, Maryam Rafiq, Muhammad Rauf Ul Hassan

987

Descriptive Analysis of Pleomorphic Adenoma of Salivary Glands at Pathology Department of KEMU Lahore

Zahid Mahmood Akhtar, Wajid Khurshid, Saeed Ahmad, Hassan Saeed, Filza Saeed, Rabia Kanwal

990

Frequency of Abnormal GTT in Children with Beta Thalassemia Major

Jamal Anwer, Masood Iqbal Baber, Kifaat Ullah Niazi

994

Comparison of Mean Duration of 1^st & 2^nd Stage of Labour in Term Primigravida with and without Phloroglucinol

Bilqees Ara, Ashba Anwar, Rohana Salam

998

To Calculate the Frequency of Post-transfusion lung injury in neonates

Amer Ullah Malik, Ammara Naeem, Humayun Iqbal Khan

1001

Knowledge of Primary School Children about Personal Hygiene in Government School, Asal Suleiman, Lahore

Farah Rehman, Abdul Rehman Janjua, Nadeemuddin, Humera Shahzad

1004

Perception and Interest of Medical Students Regarding Basic Medical Science Subjects

Khalid Javed, Khursheed Anwar, Faiza Aamir

1008

Determinants of Oral Submucus Fibrosis among Oral & Dental Surgery Patients at B V Hospital, Bahawalpur

Muhammad Safdar Baig, Muhammad Saleem Sheikh, Sultan Muhammad Wahid

1012

To Determine the Various Clinical Conditions Presenting with Bleeding per Rectum at Tertiary Centre in Quetta

Mohyuddin Kakar, Mobeen Ur Rehman, Mushtaq Ahmed Jaffer

1016

Diagnostic Accuracy of FNAC in cases of Thyroid Nodules while taking histopathology as Gold Standard

Muhammad Ayub, Muhammad Afzal Sajid, Zulfiqar Ali Shahid

1019

Effect of Shilajit on Obesity in Hyperlipidemic Albino Rats

Mudassara Saqib, Rukhsana Malik ,Samina Kausar

1024

Prognostic Predictive Value of Mannheim Peritonitis Index in Secondary Peritonitis: A Prospective Study

Saleem Arif, Talat Waseem, Javaid-Ur-Rehman Ashraf

1028

A Comparative Role of Oral and Parental Anti-Diabetic Agents in Diabetic patients with Acute MI

Kanwal Firdous, Maria F.Siddiqui, Naveed Shuja

1031

To Determine the Diagnostic Accuracy of Gallbladder Wall Thickness and Presence of Pericholecystic Fluid in Predicting the need for Conversion of Lap. Cholecystectomy to Open Chole in patients with Cholelithiasis

Tariq Jaffer Qureshi, Areej Umber Khan, Asma Ashfaq, Khalid Javed Abid

1035

Foetomaternal Outcome in Pregnant Women with Heart Disease

Ayesha Seemab, Bushra Bano, Asia Parveen, Zohra Khanum

1039

Early Versus Delayed Laparoscopic Cholecystectomy in Acute Cholecystitis

Nasir Naseem Akhtar, Ahmad Fawad, Khalid Masood Allam

1044

Frequency of Complications of Spinal Anaesthesia for Caesarean Delivery

Afroz Ashraf Rana, Rehana Ayub, Aquila Fazil, Nomia Saqib

1047

Limitations to Intravenous Thrombolytic Therapy in Acute Ischemic Stroke in Our Settings

Athar Iqbal, Syed Arslan Haider, Syed Adeel Raza Kazmi

1050

Frequency of Raised HbA1c in Patients Presenting With Ischemic Stroke

Syed Arslan Haider, Athar Iqbal, Syed Adeel Raza Kazmi

1053

Gender Difference in Depression and Suicidal Ideation of medical students

Maarij Yousaf, Seema Daud, Mian M. Shafique

1057

Methicillin Resistant Staphylococcus Aureus Prevalence of Nasal Carriage among Healthy MBBS Students of Continental Medical College, Lahore

Arslaan Javaeed, Shafqat Husnain Khan, Riaz-Ul-Haqsubhani, Sanniya Khan Ghauri, Shah Jahan

1060

Effect of Clomiphene Citrate on Rectus Femoris Histology and Spermatogenesis in rats

Sidra Afaq, Mohammad Tahir, K.P Lone, Waqas Latif

1065

Self Directed Learning (SDL), an Effective Method for Teaching Physiology to Medical Students

Sadaf Zia, Farkhanda Jabeen, Komal Atta, Noor Akbar Sial

Case Report

1068

Rumsay Hunt Syndrome in Pregnancy

Saema Tehseen, Adil Aleem, Najia Riffat

Original Articles

1070

Diagnostic Accuracy of Biophysical Profile in Preterm Fetuses with Intrauterine Growth Restriction for Diagnosis of Birth Asphyxia

Bilqees Ara, Shakila Manzoor Ahmed, Ashba Anwar

1073

Role of Optical Coherence Tomography in Early Diagnosis of Open Angle Glaucoma: An Experience

Shaukat Ali Khan, Khalid Mehmood, Hashim Imran, Sarfraz Ahmed Mughal

1076

Surgical Site Infection in Open Versus Laparoscopic Appendectomy

Muhammad Mudassar Mahmood, Amna Shahab, Muhammad Aqil Razzaq