Editorial

1079

Compatibility with Environmental changes

Kamran Aziz

Unobtrusive Health Hazards

1080

Stress Induced Diabetes Mellitus in Mother and Foreign Language Speakers

Naveed Shuja Rana

Original Articles

1081

Outcome of Total Thyroidectomy for Bilateral Multinodular Thyroid Disease in tertiary care hospital

Javed Shakir, Salman Mehmmood, Yasser Bilal

1085

Comparative Seropositivity Against Leptospirosis Between Rice and Non Rice Cultivators

Awais Gohar,  M. Athar Khan, Khalid Ismail, Muhammad Noman Tariq

1088

Prevalence of Different Types of age Related Cataract:  a hospital based study

Aamir Ahmed, Tayyaba Gul Malik, Huma Kayani

1091

Left Ventricular Dysfunction in chronically transfused Patients with Thalassemia Major

Uzma Shehzadi, Usman Farooq Dar, Umar Farooq Dar, Amna Zafar Qureshi, Naureen Akhtar

1095

In Per Operative Complication of Phacoemulsification

Shahbaz Aslam, Rao Muhammad Tariq Aslam, Shehzad Manzoor

1097

A Study of Medico Legal Autopsies of Poisonous Deaths carried Out in Allama Iqbal Medical College Lahore during the Year 2015

Tasneem Murad, Sobia Parveen, Amir Naveed, F Sultana, .S.A. Malik, M Mohsin Khan, I Qadir

1100

Histology of Rabbit’s Testes as Influenced by Municipal Waste Water

Amir Amanullah_, Usman Ullah_, Shehla Aman,  Fidaullah Wazir

1105

Outcomes of Hospital Based Therapy to Treat Hepatitis C patients: Study from Local Population of Punjab-Pakistan

Arif Malik, M A Basit Ashraf, M Saeed Qureshi, S Waquar, F Hameed, M Tahir Iqbal, M H Qazi

1110

Hypocalcemia: Underlying Factors in Rural Area

Sadaf Liaqat, Atika Zubair, Tayyaba Noor, Rizwan Waseem

1112

Role of Long Acting β₂ Agonist Salmeterol, in Management of Mild to Moderate Asthmatic Pts

Afshan Abbas, Mohan Perkash Maheshwari, Zameer A. Siddiqui,Reeta Rani Maheshwari

1116

Outcome of Iron Deficiency on the Global School Performance of the Children: A case study from Nowshera, Pakistan

Saima N Mohsin, Mahak Fatima, Muhammad Aasim

1122

Histopathological Findings of Gastric Biopsies in Dyspeptic Patients

Atika Masood, Muhammad Sohail Aslam, Sadaf Waris

1126

Frequency of Hepatitis B&C and Related Risk Factors in Pregnant Women

Romana Latif, Saima Rafique, Maria Ashfaq, Saima Javeed, Tahira Yasmin, Zahida Kalsoom, Attiya Rashid, Muhammad Salim Malik

1129

Bacteria isolated from Blood Cultures of Septicemic children at a teaching Unit

Tahir Mahmood, Naima Javed, Habib Subhani, Farah Amir Ali

1132

Comparison of Open Vs Closed Haemorrhoidectomy in the Management of Haemorrhoids

Khalid Mahmood, Khumair Asif, Muhammad Naim Ashraf, Munir Imran

1135

Correlates of Injection Initiation among Drug Users in Punjab, Pakistan

Muhammad Ali Raza, Rehan Ahmed Khan Sherwani, Shahid Kamal, Muhammad Aftab, M Irfan

1140

Correlation of Serum Visfatin and Interleukin-6 in Obese and Non-Obese Male patients of Coronary Artery Disease (CAD)

Shaheena Naz, Shazia Asim, Sadia Nazir, Zaima Ali

1143

Safety and Efficiency of Endovascular Treatment of Open Versus Endovascular Repair of Abdominal Aortic Aneurysm

Umair Asghar, Abdul Qadir, Ayesha Hanif, Iqra Waheed, Zeeshan Malik

1147

Uterine Leiomyoma in Relation to Insulin like Growth Factor-1

Masooma Talib,  Aamenah Malik, Nadia Mahmood, Maryam Malik

1150

Prognostic Value of Β-2 Microglobulin and Interleukin-6 in Multiple Myeloma

Zulfiqar Ali, Afsheen Akbar, Hooria Aamir, Fauzia Aitazaz

1153

Association of Physical Activity and Satisfaction with Life Among DPT Students

Hafiz Usman Asad, Hafiz Sheraz, Aziz Subhani

1157

Tolerability and Outcome of Inguinal Hernia Repair under Local Anesthesia among elderly male patients high risk for General or Regional Anesthesia

Muhammad Saad Faisal, Malik Nazar Farid, Mujahid Mahmood

1161

Comparison of On-lay and Sub-lay Mesh Repair of Ventral Abdominal Hernias

Sikander Afzal, Safdar Hussain Baloch, Javeria Usman

1165

Histological Patterns of Oral Squamous Cell Carcinoma in patients of Oral Cancer

Hafiz Muhammad Rafique, Saleem Raza, Barkat Ali, Abdul Wahab Shaikh, M. Abdul Hafeez

1169

Frequency of Dermatophytosis in Karachi

Jai Kirshin Ambwani, Barkat A Kumbher, Mukesh Kumar, A W Shaikh, M Ali Sh,.Ahmed B Shaikh

1171

Comparison of Ant. Knee Pain after Tibia ILN in Patellar Tendon Split & Retraction Insertion

Maqsood Ahmad, Tahir Bashir, Mohammad Aslam

1174

Comparison of CRP levels and Radiological Grading in OA knee

Maqsood Ahmad, Tahir Bashir, Maratab Ali

1177

Efficacy of Crystalloids and Colloids as Preloading Fluids to Prevent Hypotension in Spinal Anesthesia in Elective C-Sections

Huma Saleem,  Tanvir Akhtar Butt, Naila Akhtar, Zubair Ashraf

1182

Efficacy of Intravenous Lidocaine in Preventing Laryngospasm in Children Undergoing Tonsillectomy

Aftab Malik, Tanvir Akhtar Butt, Naila Akhtar, Zubair Ashraf

1187

Maternal Resuscitation- Role of Perimortem Cesarean Delivery (PMCD)

Asma Ansari, Shehla Baqai

1191

Perceptions of Undergraduate Dental Students towards E-Learning in LMDC

Sadia Iqbal, Asma Shafiq, Nedal Iqbal

1194

Abdominal Tuberculosis in Surgical Emergency; One year experience at LG Hospital, Lahore.

Sikandar Hayat Gondal, Ahmad Naeem Akhtar, Amna Javed, Marium Iftikhar Ch., Shoaib Azam, Habiba Shakeel,SidraNoreen, Nazia Zaib, Anam Naz, Noor-ul-Ain,Faiza Zaheer.

1196

Prevalence of Post-Abortion Morbidity in arural community: A Neglected Burden

Rozina Shahadat Khan, Zamarud Khan, Ayesha Humayun¹

1200

Health Care Seeking For Variates Based Categories of Abortion in Dyal Village Lahore

Rozina Shahadat Khan,  Zamarud Khan,^.Sarmad Wahaj Siddiqui

1204

Protection and Effectiveness of Carotid Angioplasty Stenting Compared with Carotid Endarterectomy

Umair Asghar, Abdul Qadir, Ayesha Hanif, Iqra Waheed, Zeeshan Malik

1207

Physician’s Burnout Rate at King Edward Medical University: A Cross Sectional Survey

Hina Aftab, M Athif Akram, Arooj Fatima, Fakeha Rehman, M Zeeshan Sarwar, S A Naqi, Y Saeed

1210

Problems Faced by Female Doctors Regarding Career Development

M Athif Akram, Fakeha Rehman, Maria Rubab, Hina Aftab, M Zeeshan Sarwar, Y Saeed, SA Naqi

1214

To Assess Evaluation System in Public Medical Institutions at Under-Graduate Level

Saira Afzal, Farkhanda Qaiser, Sardar Hasan Ijaz, Humaira Sarfraz, Iqra Saeed, Seemab Sheikh, Iqra Fatima, Komal Malik, Muhammad Asif, Muhammad Bilal

1219

Clinical, Radiological, Radio-isotope and Histopathological findings with Solitary Cold Nodule Thyroid, keeping in view the main outcome measures

Shahid Ghafoor Malik, Asif Manzoor, Arshadullah Afridi

1222

Prevalence of Tuberculosis Among Patients having Diabetes Mellitis; A Cross-Sectional Study

Tariq Masood, Amjad Mahmood Khan, Shaukat Ali Khan

1226

Indirect Magnetic Resonance Arthrography in Detection of Rotator Cuff Tears

Wasfa Gul, Iram Amir, Khalid Mahmood

1229

Mean Decrease in HB Level After Intra-Articular Tranexamic Acid Injection in THA

Zulqurnain Shafique, Yasir Mehmood Malik, Safi Ullah

1231

Serum Electrolyte Disturbances in Acute Diarrhea among Children Less Than 5 Years of Age

Habibullah Babar, Sanaullah, Muhammad Rahim

1234

Intraperitoneal Instillation of Bupivacaine: A Technique To Reduce Post-Operative Pain and Duration of Hospital Stay in patients Experiencing Laparoscopic Cholecystectomy

Asiya Shabbir, Shahid Hussain, Muhammad Saleem

1237

The Level of Patient Satisfaction in Follicular Unit Extraction (FUE) Hair Transplant

Zulfiqar Saleem, Muhammad Omer Khan, Sara Inayat

1240

Clinical Presentation and Outcomes of Severe Malaria among Vivax Positive Children Age 2 to 14 Years Admitted in a Tertiary Care Hospital at Quetta

Habibullah Babar, Muhammad Rahim, Sanaullah

1243

Laparoscopic Assisted Appendicectomy Versus Laparoscopic Appendicectomy

Shaukat Ali, Malik Nazar Farid, Asif Nadeem^, Shahid Iqbal

1245

Frequency of Bacterial Contamination on Telephonic Devices in A Hospital Setting

Muhammad Zubair, Sahar Imtiaz, Aizza Zafar, Humera Javed, Hasan Ejaz

1248

Causes of Emergency Obstetric Hysterectomy in A Tertiary Care Center

Lubna Javed, Shazia Haider, Summera Aslam, Maria Zia, Tayyiba Wasim

1252

Efficacy of Combination of UVB and Acitretin Versus UVB Alone in Treatment Of Moderate To Severe Plaque Psoriasis

Ummair Saeed, Rana Sami Ullah Khan², Xu Hui Zou, Jun Ting Tang, Yu Ye Li

1256

Job Satisfaction among Doctors at Jinnah Hospital, Lahore

Maira Ahmad, Sonia Ahmad, Mahina I Baloch, Maham Iqbal, Mahnoor H Malik, Maham N, Ashfaq A

1261

Trans Corneal Three Port Vitrectomy Without Conjunctival Incision

Hussain Ahmad Khaqan, Abdul Hye, Saher Abdul Hye, Hassan Raza Chaudhary, Farrukh Jameel

1264

Frequency of Etiological Agents and the Clinical Outcome of Acute Bacterial Meningitis

Syeda Fatima Sughra Rizvi, Umair Arif, Muhammad Ur Rehman Khan

1268

Frequency of Un-Booked Obstetric Patients and their Outcome

Humaira Shaheen, Misbah Siddique Khosa, Hira Aslam

1272

Breast Feeding Knowledge and Practices in Sialkot

Mazhar Nazir Chattha, Idris Mazhar, Sagheer Ahmad, Ansar Latif, Manzoor Elahi Rai

1276

Study of diabetic ketoacidosis in patients of diabetes mellitus

Mirza Sarmad Majeed, Hafiz Muhammad Kaleem Ullah, Muhammad Usman

1279

Comparison of Development of Thyroid Disorders in patients of Chronic Hepatitis C Being Treated with Interferon Alpha Versus Pegylated Interferon

Muhammad Akram, Sheraz Jamil, Shoaib Luqman

1283

Depression and its Associated Factors in Medical Students: A Cross Sectional Study

Umar Ahsan, Rana Mozammil Shamsher Khan, Ansar Latif, Sobia Hussain

1288

The Effectiveness of Education Based on the Cognitive, Meta-Cognitive and Behavioral Model on Reducing Post-Event Processing in the Patients With Social Anxiety Disorder (SAD)

Afsaneh Shahbazirad, Ezatollah Ghadampour, Firoozeh Ghazanfari, Khodamorad Momeni

1292

Twenty Four Hour Urinary Aberrations in Renal Stone Formers

Muhammad Masood, Abdul Ghaffar, Anusha Ghaffar

1296

Comparison of Dexamethasone Versus Placebo for Management of Bacterial Meningitis

Dur Muhammad Khan, Ch. Adnan Ahmed Ather, Imran Mahfooz Khan

1300

Ultrasound diagnosis and Management of Post-Catheterization Femoral Artery Psudoaneurysm

M. Mustafa Ali Siddiqui, Asim Rahim, M. Mohsin Khan, Khaliq Mahmmod, M. Mujtaba Ali Siddiqui

1303

Study of Prolonged QTc Interval in Liver Cirrhosis Patients with Moderate to Severe Disease

Niaz Muhammad, Jalil Iqbal, Hafsa Riaz

1307

Comparative Study of Efficacy of Magnesium Sulfate and Nifedipine in Suppression of Preterm Labour

Shagufta Tabassum, Uzma Shahzadi, Ammara Khalid

1312

Diagnostic Accuracy of Ultrasonography in Detection of Gastrointestinal Perforation among Patients with Blunt Abdominal Trauma

Farah Kalsoom, Asim Rahim, Muhammad Saleem

1316

Neonatal Complications Associated with Caesarean Section done at First Stage of Labour and at Full Cervical Dilatation

Uzma Shahzadi, Shughtfa Tabassum, Muhammad Sajjad Masood

1320

Effects of Bupivacaine on the Development of the Heart and Kidney of Albino Mice

Naveed Akhter, Mohammad Tahir, Shamsa Ijaz, Khalid P Lone

1324

The Frequency of Port-Site Infection in Laparoscopic Cholecystectomies

Javeria Usman, Abid Janjua, Khalil Ahmed

1327

Laparoscopic Cholecystectomy in Cirrhotic Patients

Khalid Javed Abid, Sadaf Ishaque, Ifrah Naeem, Rizwan Ahmed Khan, Tahir Saleem, Abdullah Tahir

1330

Frequency of Anemia in Patients Presenting to Tertiary Health Care Hospital in Kohat, Pakistan

Muhammad Sajid, Umar Hayat, Muhammad Ashraf, Muhammad Akram, Akhtar Munir

1333

Frequency of Pregnancy Following Laparoscopic Ovarian Drilling in Patients with Clomiphene Resistant Polycystic Ovarian Syndrome

Muhammad Ramzan, Sobia Mazhar, Farzana Kausar

1337

Comparison of Lactose Free With Lactose Containing Formula Milk in the Management of Acute Watery Diarrhoea in Infants

Asma Noreen, Amir Jalal, Qudsia, Rakhshanda Jabeen, Samina Qamar

1340

Most Preferred Anaesthetic Technique for both elective and Emergency Cesarean Sections is Spinal Anaesthesia in a Tertiary Care Hospital

Khalid Javed, Bushra Ejaz, Zahra Ishrat

1344

Comparative Study on Effect of Condense Tannins of Supari and Neem Extract on the Liver Function of Rats

Faiza Aamer, Anila Jaleel, Shazia Jamil, Aamer Aslam

1348

Fetomaternal Outcome in Mild to Moderate Mitral Stenosis

Humaira Bashir, Asma Akhtar, Saira Ayub, Faiza Aamer

1353

Rate of Anxiety and Depression in Cases of Bronchial Asthma

Mujtaba Jaffary, Jawed Akhtar Samo, Syed Waseem Ahmad Mujtaba

1356

Toxic Effect of Nicotine on Leydig Cell Count and Testosterone Levels in Adult Albino Mice and its Protection by Date Palm Pit Powder

Saeed Kanwal, Muhammad Kamran Ameer, Faiza Mehboob

1360

ABO Blood Group Association with Dactylography in Hypertensive Patients

Mudaser Hussain Abbasi, Altaf Hussain, Sono Mal

1363

Hyponatremia in Patients with Bacterial Meningitis and its Association with in-Hospital Mortality

Syed Waseem Ahmad Mujtaba, Mujtaba Jaffary, Sajjad-Ul-Hasan, Inam Ullah, Abu-Raihan Zabd-Ur-Rehman Qureshi, M. Zahid Latif

1367

Effectiveness of Postplacental Intrauterine Contraceptive Device Insertion in Multiparous Women

Sadia Hanif, Uzma Naz, Madiha Khalid Mir

1370

Maternal Mortality Audit One Year Study in Gynae Unit 2 of Services Hospital Lahore

Noreen Rasul, Madiha Rashid, Farah Yousaf, Rubina Sohail

1374

Umbilical Vein Inj. of Misoprostol Vs Syntocinon in normal saline for Treatment of Retained Placenta:

Saira Nazeer, Memoona Rehman, Shabnam Tahir, Khadija Saeed, Asma Gul

1378

Association of Nasal Polyposis with Peripheral Blood Eosinophilia and Fungal Infection

Samina Qamar, Safdar Khan, Abbas Khokhar, nukhbatullah awan, raana akhtar, Aliya muzaffar

1381

Comparison of Pain with Propofol Lipuro and Propofol mixed with Lidocain at the time of Anaesthesia

Khurum Ejaz, Tahir Nazeer, Mohsin Zahoor, Amna Tahir, Riaz Hussain

1384

Comparison of Serum Ferritin with Carbohydrate Antigen 15-3 (CA 15-3) in Breast Cancer patients

Maira Mahmood, Muhammad Fahimul Haq, Naim Ahmad Nizami, Shuma Akram, Nakhshab Ch, Riffat Yasmin

1390

Comparison of Gallbladder Perforation During Dissection From Liver Bed in Patients Undergoing Monopolar Electrocautery With Those Undergoing Ultrasonic Dissection during Lap. Cholecystectomy

Asiya Shabbir, Shahid Hussain

1393

Association between Non-Alcoholic Fatty Liver Disease (NAFLD) and Raised Carotid Intima-Media Thickness (CIMT)

Hafsa Riaz, Jalil Iqbal, Umair Arif

1397

Frequency of Tooth Decay in Diabetic and Non-diabetic individuals because of Dental Plaque

Amer Shoaib, Mubashar Ul Hassan, Rizwana  Hussain, Kanwal Firdous

Survey Report

1399

Survey Report to Assess Pt Satisfaction with Performance of Hospital for Service Quality Improvement

Humayun Mirza, Muhammad Ismail, Zafar Iqbal Sheikh, Hanzla Rasheed

Brief Report

1403

Efforts Exerted in Achievement of Outputs in Sub Healthcare Sector Characterizing Specialties’ Likely to Integrate Into Measurable Outcome in Healthcare Sector

Hira Maqsood, Habib Ur Rehman, Mirza Kashif Baig

Original Articles

1406

Immunoglobulin E level in response to Formaldehyde Exposure in Gross Anatomy Laboratoryat King Saud University Riyadh Saudi Arabia

Iqra Vohra, Mohammad S Vohra, Mohammed E Alqahtani, Mohammed H Alahmar, Abdullah S Mirza, Abdullah S Alzahrani,  Naif A Alajji, Khalid S Alkraida, Zahid A Kaimkhani

1411

Study of Resistant Hypertension in Cases of Hypertension

Hafiz Muhammad Kaleem Ullah, Mirza Sarmad Majeed, Muhammad Usman

1414

Comparison of Healing Rate between Surgical and Nonsurgical Management of Acute Anal Fissure

Usman Hafeez, Mazhar Choudhry, Sidra Khan

1417

Role of Rifaximin in Preventing the Recurrence of Hepatic Encephalopathy in Patients with CLD

Niaz Muhammad, Muhammad Asadur Rehman Khan, Arif Hussain

1421

Comparison of Efficacy of Metformin Versus Pioglitazone in patients with Polycystic Ovarian Syndrome

Moona Razzaq, Nasma Wabasa, Hira Aslam

1425

Epidemiology of Pediculosis among Primary School Children

Malik Muhammad Qasim, Jahangir Zaib, Pervez Iqbal

1430

Obstetric Hysterectomy and its Associated Maternal Morbidity and Mortality

Sobia Mazhar, Farhana Haider, Abeera Malik

1433

Patterns of Spirometry in pts of Ch.Hepatitis C While on Conventional Interferon and Ribavirin Treatment

Mahwish Nida, Khurram Saleem, Faisal Amin Baig, Munaza Javed, Atif Masood

1437

Comparison of Intra-Operative Blood Loss by Blunt Versus Sharp Expansion of the Uterine Incision at Lower Segment Cesarean Delivery

Moona Razzaq, Fahad Razaq, Adil Irshad

1441

Comparison between Intramedullary Nailing (IMN) and Minimally Invasive Plate Osteosynthesis (MIPO) Technique in Distal Tibia Fractures in Term of Union

Muhammad Imran, Mohammad Ishaq, Lal Mohammad Khan Kakar

Case Reports

1445

Renal Tubular Acidosis Type 1 with Nephrocalcinosis, Osteomalacia, Sub Nephrotic Proteinuria and Subclinical Sjogren’s Syndrome - A Case Report

Aurangzeb Afzal, Bilal Shahid, Aizazmand

1448

Complete Compound Sagittal Foot Division

Rafik Abu-Ramadan, Ibrahim Ali Farahat Saad, Zulfikar Ali Qureshi