Pakistan Journal of Medical and Health Sciences

Journal of Medical and Health Sciences

Vol. 10, Issue 4, OCT – DEC  2016

Website: www.pjmhsonline.com

 

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