Vol. 17 No. 11 (2023): Pakistan Journal of Medical & Health Sciences

Published: 2023-11-30

Editorial

Metabesity: The sword with two edges

Muhammad Kashif Shaikh, Syed Zulfiquar Ali Shah, Imran Karim, Shagufta Laila Memon, Shafaq Jabeen, Samar Raza

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Review Articles

A Review on Repurposing of Drug

Aqsa Jannat, Sadia Rafique, Sana Javed, Aamna Habib, Zunaira Afzal

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The Impact of Artificial Intelligence on Cardiovascular Disease Diagnosis: A Review

Ifra Chaudhary, Hassan Anwar

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Articles

Comparison of Tranexamic Acid Versus Calcium Dobesilate (Doxium) for Management of Dysfunctional Uterine Bleeding

Rehana Bibi, Safia Parveen, Asma Naeem, Habiba Noreen, Javeria Tabassum, Amna Yasmin

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Assessment of Portal Vein Thrombosis in Cirrhotic Liver Patients

Muhammad Aslam Rind, Fida Hussain, Maria Nazir, Saleem Rind

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Crisis Management in Professional Basketball Organizations

Fatma Bayram, Dursun Katkat

17
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Frequency of Neonatal Hypothermia in Preterm Infants Wrapped with and without Plastic Bag after delivery

Faiza Pervaiz, Maria Iqbal, Nadia Ejaz, Mahjabeen Akram, Sahar Fatima, Rafia Shoukat

23
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Comparison of Aerobic and Pilates Exercises on Depression and Sleep Quality in Primigravida Females

Amina Batool, Zoobia Kousar, Mariya Tariq, Maryam Saleem,, Nadia Anwer, Javeria Aslam

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Association of Social Media use with Sleep among Physiotherapy Students of Islamabad

Sidra Hanif, Zobia Kousar, Saania Kanwal Khanzada, Hafiza Sumaira Arooj, Dilawaiz Gul, Rabia Naseer

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Frequency of Anterior Inferior Cerebellar Artery Vascular Loops Using CISS Sequence on 3.0T MRI in the Otologic Symptomized Patients

Humaira Riaz, Zainab Riaz, Ania Javed, Fizza Batool, Syeda Sanam Zahra, Sana Afzal Alvi

35
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Effectiveness of Symbiotic in Treatment of Chronic Spontaneous Urticaria: RCT

Muhammad Ali Lal Bux, Talha Laique

38
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Comparison of NEWS2 and CURB65 Score in Predicting Mortality of Hospitalized patients with AECOPD

Neelam Kumari, Aneel Kumar, Raniyah Akhter, Nausheen Saifullah

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Impact of Montelukast on Allergic Rhinitis and Asthma as Emerging New Treatment Option

Muhammad Ali Lal Bux, Talha Laique

44
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Disease-Related Stigma, Emotional Regulation and Depression in Patients with HIV

Fozia Bibi, Saima Majeed, Sadia Nikhet, Bisma Jamil Makhdoom, Ali Burhan Mustafa

47
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Outcome of Olecranon Fracture Treated with Tension Band Wiring Versus Anatomical Locking Plate Fixation

Muhammad Inam, Wajid Rehan, Muhammad Kamran Shafi, Muhammad Afaque Alam, Syed Abdur Rub Abidi, Usman Ali, Tauseef Raza, Abdulakbar

51
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Evaluation Techniques in Medical Education: An Opinion

Attaullah Khan Niazi, Muhammad Muneeb, Muhammad Bilal Moeen-Ud-Din, Sadia Zaheer, Muhammad Mohsin Mahmood, Mohammed Ali, Salik Ahmed Cheema, Yasir Rana, Benazeer Makrani, Saman Qadeer

56
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Role of Healthcare Staff in Promoting Mental Health & Wellbeing in Community

SARMAD JAMAL SIDDIQUI, FAISAL SAIFULLAH JAMRO, SHAHID AHMED, DAULAT RAM, ZAHID ALI SHAIKH, SHAM LAL PRITHIANI

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Frequency, Causes and Pattern of Presentation of Impacted Maxillary Canine, A Clinical and Radiographic Study

SAMERA KIRAN, ASIF NAZIR, FAHAD KHALIQ, MUHAMMAD RAZA ZAHID, AFROZA FAYYAZ, ANOOSH ALISHBAH

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The Socio-cultural Variables Influencing Pakistan’s Perception of the COVID-19 Vaccine

AHMAD ALI, MUHAMMAD NAEEM, GHULAM MUSTAFA, SUFIA AKRAM, AYESHA SHOUKAT, JAVERIA HANIF, SEMA KHAN, AYESHA IMTIAZ, SHEIKH MUHAMMAD AZAM, SAHRISH NAQVI, GHAFOOR AHMAD, MUHAMMAD IMRAN, MUHAMMAD KHALID, HASSAN RAZA JAVED, QASIM RAZA

69
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An Evaluation of the Effectiveness of Pain Management Interventions in the Postoperative Setting

SARMAD JAMAL SIDDIQUI, MOHAMMAD ALI NAPER, ABDUL KALEEM, NAVEED AHMED SHAIKH, EHSANULLAH MALIK, NAZISH

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Frequency of Union in Intramedullary Solid Nailing (SIGN nailing) Via Open Reduction for the Treatment of Fracture Shaft of Tibia

SYED MUHAMMAD TAYYAB HASSAN

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Risk of Hypertension and Diabetes in Patients with Cholecystectomy

HUMAIRA SAMI ULLAH, ABDUL MATIN QAISAR, NIDA, NAZIA AZAM YOUSFANI, MUHAMMAD YAMEEN MANGAN, HUMA SAEED KHAN

81
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Gynaecological Interventions to Improve Outcomes of Preterm Infants

SANIA PIRZADO, YASMEEN KHATOON, SHABANA BANO SOOMRO, KASHF-UL-KHAIR, BUSHRA NOOR KHUHRO, GHULAM FATIMA

84
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Frequency of post operative complications after functional and selective next dissection in patients with squamous cell carcinoma oral cavity

TANNAZA QAYYUM, ASHFAQ-UR-RAHIM, SADIQ ALI, MUHAMMAD NAUMAN, ALI ABU BAKAR, UROOJ KIRMANI, NAVAIRA TARIQ

87
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Comparative Efficacy of Diclofenac Sodium and Gabapentin against Post-Operative Pain as Pre-Emptive Analgesia in Laparotomy

Saud Hussain, Ahmad Ali, Tauseef Jawaid, Atif Ahmed, Wajid Ali, Shaheer Azhar

90
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Evaluation of Efficacy of Arginine Calcium Carbonate Versus Potassium Nitrate Paste in the treatment of Dentinal Hypersensitivity

Zoha Wisal Khan, Sana Ahmad, Ayousha Iqbal, Saad Mansoor, Nida Fatima, Zainab Javed

93
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Epidemiological Patterns and Clinical Consequences of Organophosphorus Poisoning

Javeria Sana Sheikh, Rida Ubaid, Shaista Alam, Pervaiz Mohammad, Mohammed Munib, Younas Khan

96
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Outcome of Spine Fixation for Unstable Fractures at Dorsolumbar Junction including Fractured Vertebrae in Pedicular Screw Fixation

Muhammad Bilal Khan, Ibrar Ali, Abdul Qadir Khan, Ahsan Ul Haq, Abdul Waheed, Abdus Saboor Awan

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Indications and Outcomes of Emergency Obstetric Hysterectomy at Tertiary Care Hospital

Irum Shehzadi, Beenish Salam, Hawa Sardar, Saba Ayub, Bushra Bashir, Shermeen Kousar

103
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Outcomes of Propofol or Thiopental Sodium and Oral Midazolam as an Induction Agent for Day Care Surgery

Fazal Wadood, Mohammad Javed, Umbrin Naz, Shahid Maqsood, Ambareen Sifatullah, Abid Iqbal

106
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Prevalence of Pneumonia Associated with Measles among Infants and Children Hospitalized in Healthcare setups of Pakistan

Saleh Jan, Nusrat Ali, Ansar Hussain, Safia Bibi, Khalil Ahmad, Muhammad Rafiq Khan

109
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Frequency of Iron Deficiency Anemia in patients with Helicobacter Pylori Gastritis

Tarique Ali, Laiq Said Bacha, Fazli Rabbi, Shaista Faheem, Safia Bibi, Nowsherawan

112
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Surgical Outcome of Spine Tumor Surgery

Waheed Alam, Asghar Ali

117
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Opting Biological and Targeted Synthetic Disease-modifying Antirheumatic drugs: Willingness to Pay, Perceptions and barriers among Pakistani Rheumatoid Arthritis Patients

Masem Afzal, Muhammad Faiq, Fahad Aman Khan, Imran Khan, Muhammad Maqsood, Umar Farooq Dar, Muhammad Arslan, Ayesha Kaleem

120
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Abnormal Lipid Profile and its Association with the Type of Disease Modifying Antirheumatic drugs among Rheumatoid Arthritis Patients

Muhammad Tauseef Javed, Muhammad Maqsood, Masem Afzal, Fahad Aman Khan, Imran Khan, Umar Farooq Dar

122
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A Multimodal Diagnostic Approach to Liver Mass, Including Clinical, Radiological and Pathological Parameters

Faisal Rahman, Mubasher Ahmad, Nosheen Khurram, Fareeha Naseer Syed, Ayesha Kamran, Rukhsana Gulzar, Rida Fatima

124
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Assessment of Liver Steatosis and Fibrosis in Newly Diagnosed Acromegaly: An Integrated Approach Utilizing Quantitative Ultrasound, Histological Analysis and Biochemical Markers"

Saira Saleem, Mubasher Ahmad, Wajeeha Imran Andrabi, Fareeha Naseer Syed, Ayesha Kamran, Rukhsana Gulzar, Rida Fatima

129
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Frequency and Histopathological Characteristics of Malignant Tumors Reported at Tertiary Care Hospital

Saima Gulzar, Huma Khaliq, Noor Us Sabah Ahmed, Sobia Anwar, Iram Kehkashan Khurshid, Navid Qureshi, Muhammad Zeeshan

134
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Analgesia after Lower Abdominal Surgery in Children Treated with Caudal Bupivacaine Versus a Bupivacaine-Tramadol Combination

Ghulam Murtaza Shaikh, Muhammad Muazzam Butt, Mohsin Riaz Askri, Eram Shahzadi, Shumyala Maqbool, Syed Imtiaz Ali Zaidi

137
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Analyzing the Biochemical Alterations and Histopathological changes in Oxidative Stress-Induced Tissue Damage. A Study on Antioxidant Therapeutic Interventions

Fahmida Khatoon, Aaisha Qadir, Kiran Memeon, Rubina Shafi, Masud Ali Ansari, Qandeel Abbas Soomro, Muhammad Nasir Shahbaz, Arslan Shuja

141
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Efficacy of Antibiotic Prophlaxis in Preventing Surgical Site Infections: A Review of Current Practices and Emerging Alternatives in General and Plastic Surgery

Asghar Ali, Javed Iqbal Khan, Hafiz Waqas Ahmed, Tanveer Sadiq Ch, Mufassar Nishat, Sumaira Otho

146
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Maternal and Fetal Outcome in Cardiac Patients a Cross-Sectional Study at Tertiary Care Setting

Zareena Begum, Asma Ghani, Ahmad Fawad, Hafiza Nida Mumtaz, Shazia Firdos Chohan, Naureen Ghani

148
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Assessment of Cognitive Function among Pregnant Women with Anemia in the Early and Late Trimester of Pregnancy

Bibi Sajida, Monica Punshi, Nigar Hashmi, Asia Raza, Komal Zahra, Nargis Gulab, Sadaf Ijaz

152
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Short-Term Effects on Tear Film Following Cosmetic Botulinum Toxin Injections in Healthy Individuals

Sandia Bhojwani, Naveed Ahmad Khan, Sarfraz Ahmad, Asadullah Awan, Masroor Ahmad Baloch, Sadaffasih, Zill-E-Huma Tariq, Fahim Ullah

156
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Molecular Detection of T. Gondii DNA by Polymerase Chain Reaction in Blood Samples of Pregnant Women Attending Tertiary Care Unit in Islamabad, Pakistan

Naila Rafique, Nida Basharat Khan, Nosheen Nabi, Sidra Nosheen Kiani, Sidra Sheikh, Sabah Kaleem

159
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Socioeconomic, Genetic, and Dietary Risk Factors of Ischemic Heart Disease in Pakistan. A Multicenter Case-Control Study

Aamir Siddique, Shoaib Ahmed Zia, Zeeshan Ghous, Salma Kadir, Shameem Bhatti, Muhammad Bilal Moeen-Ud-Din

162
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A Comparative Study of Obstetric Outcome of Patients with Pregnancy Induced Hypertension

Ammara Mansoor, Tahira Akhtar, Ayesha Naeem, Samia Shafiq, Arifa Inayat, Firdous Ara

166
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Association of Omega-3 Fatty Acid Levels with Cardiovascular Disease Risk Factors and Metabolic Syndrome among Adults

Fatima Inayat, Atiq Ahmad, Sadaf Hammad, Muhammad Ikram, Muhammad Naveed, Muhammad Anas Ahmed

169
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Clinical Spectrum and Radiological Evaluation of Urinary Tract Infections in Children

Irshad Ahmad, Abdul Basit Niazi, Jaweria Razzaque, Muhammad Ikram, Misbah Munir, Wajeeha Imran Andrabi

172
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A Systematic Review on the Impact of Helicobacter Pylori Eradication on Gastrointestinal and Extra-Gastrointestinal Diseases

Majid Shah, Brekhna Shah, Kashmala Shah, Safa Shah

175
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Salivary Biomarkers CYFRA 21-1 and MMP9: Predictive Indicators of Disease Progression in Oral Squamous Cell Carcinoma

Waqar-un-Nisa, Moomal Aslam Khan, Faiza Agha, Shumaila Khan, Sara Fatima, Padma Rathore

179
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Sexual Function after Staged Penile Urethroplasty with Oral Mucosal Graft: A Single-Center Prospective Analysis

Amir Taimur Khan, Hazratullah, Hamza Khan Shahbazi, Syed Muhammad Haider, Moath Ahmad Abdullah Almuradi, Muhammad Aness Iqbal

183
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Early Detection of Primary Open Angle Glaucoma Using Optical Coherence Tomographic Ganglion Cell Layer Thickness

Aqsa Saleem, Syed Ahmad Hassan Waqas Subzwari, Syed Shujaat Ali Shah, Saira Bano, Hamna Iqbal, Sareen Ahmad

187
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Patient Satisfaction in Lumbar Decompression Surgery under Spinal Anesthesia: A Prospective Study

Rashada Farooqi, Aftab Ahmed, Fazal Wadood, Mewat Shah, Mashhood Alam Khan, Muhammad Mehboob Alam

190
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Impact of Standardized Gestational Diabetes Screening on Maternal and Neonatal Health

Tahir Angez Khan, Zul-E-Huma, Muhammad Usman, Mumtaz Ali Lakho, Robina Qadeer, Naureen Ghani

194
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Challenges and Innovations in Left Main and Bifurcation Stenting

Muhammad Ejaz, Atif Ahmed Khan, Syed Hur Hussain Hamdani, Uzair Aslam, Tayyab Mahmood, Muhammad Fayaz

198
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Assessment of the Functional Outcomes Associated with Tension Band Wire (TBW) Treatment for Patella Fractures at Bolan Medical and Teaching Hospital, Quetta

Aman Ullah Khan, Abdul Hameed, Abdul Khaliq, Attiq Ur Rehman, Irfan Adil, Abdul Ghafoor

203
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Comparative Evaluation of Immediate Versus Delayed Antibiotic Prescription in Pediatric Acute Otitis Media

Irshad Ali, Arzoo Akram, Salman Ahmed Niaz Mangrio, Abdul Ghafoor, Misbah Munir, Javed Iqbal

207
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Community-Based Assessment of the Prevalence of Metabolic Syndrome and Its Association with Biochemical Markers Among Rural and Urban Populations in Pakistan: A Comparative Study

Ayesha Javaid, Saima Iram, Salman Ahmed Niaz Mangrio, Uneeba Syed, Masud Ali Ansari, Bushra Anwer

210
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The Role of Serum Uric Acid as a Biomarker for Early Detection of Metabolic Syndrome in Middle-Aged Pakistani Adults: A Cross-Sectional Study

Shafaq Nazia, Arshad Ali, Faroz Khan, Muskan Lohana, Bedarbakhat Khan, Tariq Hussain

214
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Association of β-Thalassemia and its Types with ABO and Rh Blood Groups in Pakistan

Waqar Mushtaq, Saadia Anwar, Safwan Ahmad, Kiran Kanwal, Shafaq Aziz, Inamullah Khan

217
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Outcomes Comparison of Direct Stenting versus Pre Dilation in Percutaneous Coronary Intervention

Sajjad Ali, Iftikhar Ahmed, Farman Ullah, Muhammad Owais Khan, Muhammad Kashif Iltaf

221
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The Management of Lower Ureteric Stones: A Comparison of Silodosin and Extracorporeal Shock Wave Lithotripsy with Regard to Efficacy and Safety

Zakir Hussain Rajpar, Kashifuddin Qayoom Soomro, Shoukat Ali Mughal, Syed Azhar Hussain, Aijaz Shaikh, Afhan Qayoom Shaikh

225
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Assessment of the Characteristics of Domestic Violence Presenting to Emergency Department in a Tertiary Care Hospital in Pakistan

Rabail Altaf, Pushpa, Mansoor Ali, Haya Afzal, Muhammad Ayob, Pardeep Kumar

228
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Comparison of Superficial Surgical-Site Infection Rates between Primary and Delayed Primary Wound Closure in Open Appendectomy for Gangrenous or Perforated Appendicitis

Aliya Hashmi, Farhana, Sheema Memon, Muhammad Shahid Farooq, Asma Shauket, Muhammad Iqbal

232
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Drug Coated Balloon only Angioplasty Outcomes in Non-diabetic and Diabetic Patients with De Novo Small Coronary Vessels Disease

Muhammad Israr, Quratulain, Huma Naeem Tareen, Asma Hameed, Tufail Ijaz, Muhammad Rehan Khan

236
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Challenging Traditional Fasting Protocols with New Data on Carbohydrate-Loaded Clear Fluids up to 2 Hours before Surgery

Roheena Wadud, Jawad Hameed, Amna Batool

240
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Effect of Telemedicine Follow-Up on Neonatal Outcomes: A Pre-Post Intervention Study

Hafiz Zeekash Ur Rehman Malik, Ammar Haider Gondal, Muhammad Tauseef Rauf, Bushra Tariq, Waqar Mushtaq, Muhammad Shahzad

244
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Pulmonary Tuberculosis in Dermatological Patients on High-Dose, Long-Term Steroid Therapy

Kalsoom Aslam, Farooq Azam Khan, Hafsa Usman, Kausar Masoom, Syed Ehsanullah, Abdul Qayum Khan

247
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Prevalence, Risk Factors, and Maternal Outcomes of Polycystic Ovary Syndrome (PCOS) in Reproductive-Age Women. A Cross-Sectional Study

Areeba Ayub, Sajida Imran, Afshan Mushtaq, Moizza Aziz, Fouzia Jan, Hanana Hameed

250
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Association Between Early Postpartum Counseling and Breastfeeding Success Rates: A Cross-Sectional Study

Fouzia Jan, Nadia Munir, Hanana Hameed

254
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A Cadaveric Study of Anatomical Variations in the Course and Branching Pattern of the Median and Ulnar Nerves in the Palm

Sitwat Amna, Sabahat Zulfiqar, Afifa Waseem, Nimrah Fahim, Uzma Ali, Aneela Ahsan

258
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C-Reactive Protein Levels in Preeclampsia Singleton Pregnant Women and Their Outcomes

Umbreen Fatima, Abdullah Shamshad, Hafiz Muhammad Qamer, Maria Dhahri, Muhammad Faheem Siddiqui

261
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Comparative Efficacy & Safety of Intralesional Verapamil versus Intralesional Triamcinolone Acetonide as First-Line Therapy for Treating Hypertrophic Scars & Keloids

Sarah Zaka, Wardah Rehmat, Sara Ishaq, Nadia Saman, Kashif Ali, Ijaz Hussain Shah

264
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Evaluation of Postoperative Pain Following Desarda vs. Lichtenstein Mesh Repair in Inguinal Hernia Surgery

Muhammad Waseem Anwar, Abbas Hassnain Kazmi, Khalid Ibrahim Akhtar, Irfan Nabi Khan, Eishah Qanita, Abdul Wali Khan

268
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A Comparative Assessment of Designs of Hairline Patterns in Patients Undergoing Hair Transplant

Kamal Uddin Khan, Farzana Abdullah

271
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Correlation between Estrogen Metabolites and Antioxidant Defense Systems in Premenopausal and Postmenopausal Women. A Clinical Study

Hanana Hameed, Aaisha Qadir, Tariq Hussain, Arifa Inayat, Nosheen Sikandar Baloch, Azhar Ijaz

274
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Comparative Outcomes of Intravenous Hydrocortisone Versus Dexamethasone in Pediatric Patients Presenting with Croup

Nadia Hassan, Anam Raheel, Asia Shafiq, Asma Nazar

280
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Comparative Diagnostic Accuracy of Low-Dose CT Kub and Conventional CT in Detecting Renal and Ureteric Calculi

Marya Anwar, Slaohouddin Asadullah, Sadia Ashraf, Mehwish Imtiaz, Nabeela Awan, Fatima Khawar

283
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Effectiveness of Rotavirus Vaccine in Reducing Hospital Admissions for Acute Diarrhea in Children Under 5 years of Age

Sehar Ansari, Shahjahan Anwar, Ahmad Yar, Sana Jamil, Sobia Shah Alam, Aamir Sohail

286
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Amniotic Membrane Transplantation (AMT) Success Rate in Non-Healing Corneal Ulcers

Mehak Fatima, Maha Sehar, Muhammad Sarfraz

289
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Comparison of Patients’ Outcome Having Anterior Wall Myocardial Infarction with & without Right Bundle Branch Block Undergoing Primary Percutaneous Coronary Intervention in Terms of Major Adverse Cardiovascular Events at 30-Days Follow-up

Muhammad Ayaz Arshad, Muhammad Ahsan Fareed, Maham Riaz, Tariq Saleem

293
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Early Pain Outcome of Open Lumbar Discectomy Versus Endoscopic Lumbar Discectomy

Muhammad Usman Anwar, Talha Abbas, Nabeel Choudhary, Rida Zahid, Adeel-Ur-Rehman, Mohammad Faheem Shaikh

297
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Treatment and Prognosis of Upper Tract Urothelial Cancer

Muhammad Asif, Safiullah, Muhammad Shahid Bhatti, Ghulam Mujtaba, Syed Muhammad Hassan Akhtar, Naveed Ahmed Shaikh

300
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Role of Antioxidants in Helicobacter pylori Infection among patients with Cirrhosis: A Cross-Sectional Observational Study

Muhammad Yaseen, Muhammad Faisal Rashid, Farooq Ahmad Malik, Sanjay Kumar, Zahra Masood, Muhammad Usama

303
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Prevalence and Radiological Evaluation of Work Related Musculoskeletal Disorder in Upper Extremity: Anatomical Insight and Public Health Implications of Wrist Pain

Saba Sharif, Solmaz Masood, Hira Bushra, Naheeda Perveen, Rafia Irum, Faiza Waseem

307
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Assessing the Role of Community-Based Screening in Early Detection of Hepatocellular Carcinoma in Hepatitis B and C at a Tertiary Care Hospital

Ayesha Javaid, Anila Riyaz, Bilal Masood, Muhammad Tariq Hamayun Khan, Mumtaz Lakho, Zahida Shaikh

311
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Impact of Obesity on Female Reproductive Hormones and Ovulatory Function. A Clinical and Biochemical Evaluation of Endocrine Disruption in Women of Reproductive Age

Hanana Hameed, Sajjad Ul Hasan, Muhammad Naveed Najeeb, Maha Sajjad, Sajida Imran, Abdul Wadood Shah

315
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Assessing Emotional Intelligence, Workplace Stress, and Health Outcomes in Clinical Postgraduate Trainees: A Study in Lahore’s Tertiary Care Hospitals

Syed Ahmed Mahmud, Fatima Aslam Shaikh, Sadia Chaudhary, Ahmed Foad Saeed, Aysha Foad Saeed, Qurrat Ul Ain Fatima

319
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Assessment of the Efficacy of Virtual Reality Rehabilitation in Stroke Patients

Faisal Nabi Depar, Ata Ur Rehman, Tauseef Raza, Adnan Mahmood, Saeed Taj Din

325
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Prevalence of ESBL-Producing Klebsiellaisolated from Burn Wound Infections in a Tertiary Care Burn Hospital in Peshawar

Zubeda Irshad, Mahnoor Khan, Rabbia Mahboob

328
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Comparative Diagnostic Accuracy of Digital and Conventional Radiography in the Detection of Bone Fractures

es Mahwish Zahra, Ifrah Ata Hashmi, Hafiz Muhammad Amir Jamil, Nooshin Akhtar, Hira Bushra, Rafia Irum

331
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The Effect of Hormonal Status on the Results of Aromatase Inhibitor Maintenance Following Adjuvant Chemotherapy for High-Grade Serous Ovarian Cancer (HGSOC)

Bibi Sajida, Huma Aslam, Nosheen, Bushra Rashid, Ayesha Samad Dogar, Nargis Gulab, Rakhshinda Inam Khan

334
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Prevalence of Hypothyroidism in Diabetic Foot Ulcer Patients

Sana, Muhammad Sami

337
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The Burden of Thalassemia Major in Punjab, Pakistan: A Cross-Sectional Analysis from Sargodha with Focus on Gynecology Parameters

Muhammad Hassam Rehm, Abdul Rauf, Irsa Zulfiqar, Asma Ali, Aftab Nazir, Qamar Zehra

341
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Achieving Natural Aesthetics in Brow Hair Transplantation: Challenges and Solutions

Kamal Uddin Khan, Farzana Abdullah

345
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Diagnostic Accuracy of Serum Procalcitonin in Early Onset Neonatal sepsis: A tertiary care experience

Hafsah Naz, Saman Zafar, Neelam Iqbal, Perwez Ali, Arshia Ijaz, Ammara Ijaz Rana

348
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Pediatric Early Warning Score in Predicting Length of Stay in Hospital

Syed Bilal Hussain Shah, Hibba Kokab, Muhammad Rafay Jeelani

351
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Correlation Between High-Sensitivity C-Reactive Protein (HS-CRP) and Severity of Coronary Artery Disease in Diabetic Patients

Muhammad Zahid Ali Raza, Aamir Siddique, Shaoib Ahmed Zia, Tayyab Mohyuddin, Arslan Aslam Chahudhary, Faiza Altaf

355
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Evaluating Synergistic Nephroprotective Effect of Parsley Extract and Ramipril in a Rat Model of Gentamicin-Induced Nephrotoxicity

Eisha Akram, Sadia Lodhi, Ayesha Aftab, Abdul Azeem, Anum Usman, Ayesha Sarwar, Ahsanullah Mirbahar

359
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Diagnostic Utility of Qualitative MRI and T2 Relaxometry in Hippocampal Assessment for Temporal Lobe Epilepsy

Sajida Majeed, Farooque Ahmed Haidari, Fareed Khan, Aimal Khan, Binish Zaidi, Farzeen Arshad

363
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Comparative Outcome of Cesarean Hysterectomy Versus Myometrial Resection among Patients of Morbid Adherent Placenta

Shazia Ashraf, Hina Khalil, Afshan Batool, Zain-Ul-Abideen

366
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Outcomes of Uterine Artery Ligation Versus Internal Iliac Artery Ligation in Controlling Intractable Postpartum Hemorrhage

Sohaila Ameen, Rabia Razaq, Zareena Begum, Shahzada Amir Ahmed Babar, Aakif Yousaf, Mahpara Shaukat

369
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Assessment of Early Microvascular Changes in the Eye and Ear in Patients with Metabolic Syndrome: A Cross-Sectional Study

Rehan Moinuddin Shaikh, Allah Bux Mushtaq, Ahsan Qureshi, Jamshad Ahmed, Junaid Hussain, Anwar Ul Haq

372
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Pelvic Pathologies in Primary Infertility: A Diagnostic Laparoscopy Study of 106 Patients

Shabnam, Zarina Khan, Parveen Azam, Shahida Karamat, Qamoos Razzaq, Jamshed Khan

376
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Assessment of Coronary Artery Calcification in Chronic Kidney Disease Patients Using Multislice CT Correlation with Serum Phosphate Levels

Muhammad Tayyab, Pardeep Sainani, Nabeela Saeed, Muhammad Irshad Khan, Shoukat Ali, Muhammad Ahmad Raza Butt

379
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Association of Serum Inflammatory Cytokines with Left Ventricular Diastolic Dysfunction in Type 2 Diabetes Mellitus: A Clinical and Community-Based Cross-Sectional Study

Nomira Waheed, Javed Khurshed Shaikh, Muhammad Hashim Kalwar, Azal Jodat, Anam Arshad, Razwan Ashraf

383
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Evaluation of Percutaneous Peritoneal Drainage in High-Risk Patients with Perforated Peritonitis

Muhammad Hamayun Khan, Aftab Hussain, Aftab Alam, Aziz Ur Rehman, Iram Bashir, Sohaib Mohammad Khan

387
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Impact of Polycystic Ovary Syndrome (PCOS) on Female Fertility and Metabolic Health

Sobia Hamza, Durre Shawar, Sana Gul, Ambareen Haaris

390
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Comparison of Perioperative Safety and Recovery Profiles between Low-Pressure and Standard-Pressure Laparoscopic Cholecystectomy

Muhammad Asjad, Abdul Ghaffar Arain, Luqman Ali Bajwa, Nauman Ali, Mohammad Ali Naper

393
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Exploring the Relationship Between Sleep Disturbances and Suicidal Ideation in Individuals with Post-Traumatic Stress Disorder (PTSD): A Cross-Sectional Study

Zahid Khan, Saqib Khalil, Seema Sharafat, Tariq Ali, Ijaz Aziz, Momin Khan

397
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Morphometric Analysis of the Human Femur, Correlations with Age, Sex, and Stature in a Pakistani Population

Zaffar Iqbal Malik, Ahmad Yar, Muhammad Faisal Khan, Rabia Rauf, Sibtain Raza

401
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Outcome of Stapedotomy in the Treatment of Otosclerosis in a Tertiary Care Hospital: A Retrospective Study

Aria Masoom, Abdul Manan Khan

405
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Biomechanical Comparison of Locking Versus Non-Locking Plates in Distal Femur Fractures

Khawand Bakhsh, M Aslam Mengal, Muhammad Tariq Hasani

408
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Comparative Evaluation of Mammography and Ultrasound in Detecting Breast Masses in Women Under 40 Years

Reena Kumari Sunil, Aisha Asim, Farah Saleem, Aisha Taj, Mahwash Mansoor, Sheema Memon

411
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Comparative Evaluation of Problem-Based Learning and Traditional Teaching Methods in Enhancing Preventive Health Strategies Among Medical Students

Shagufta Haider, Muhammad Azhar Khan, Qaiser Masud Sheikh, Jamshad Ahmed, Ahsan Qureshi, Abdul Wadood Shah

415
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Radiological Evaluation of Bone Mineral Density in Diabetic Patients with Chronic Musculoskeletal Pain: A Cross-Sectional Study

Aisha Asim, Salman Habib Abbasi, Saima Begum, Muhammad Asad Khan, Ratan Kumar Ramani, Kaneez Fatima

419
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Comparative Analysis of Zinc Levels in Patients with Chronic Leg Ulcers and Healthy Individuals: A Cross-Sectional Study

Sajad Ahmad, Afzal Khan, Sadia Dilawer, Akhtar Zaman, Tahir Angez Khan, Javed Iqbal Khan

423
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To Assess Role of Circulating Micro RNAs in Aplastic Anemia Patients

Sumera Abbasi, Vershia Kanwal, Muhammad Sarwar Khan, Syeda Ghazia Nazim, Kiran Memon, Raima Kalhoro

426
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Histopathological Spectrum and Clinical Correlation of Gastrointestinal Mucosal Biopsies in Patients with Chronic Diarrhea. A Cross-Sectional Study

Sheema Khan, Muhammad Zubair, Muhammad Adnan Masood, Ahmad Jawad Awan, Saim Sattar, Aisha Aziz

431
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Diagnostic Accuracy of Ultrasound in Detecting Choledocholithiasis in Patients with Obstructive Jaundice: A Comparative Study with MRCP as Gold Standard

Amina Hameed, Zainab Zahid, Khadija Nasir, Zahid Saeed, Jahangir, Irshad Ahmad

435
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Impact of Radial Compared to Femoral Access on Major Bleeding and Mortality in ACS Patients Undergoing PCI

Ahsan Ali, Sardar Bilal Mehboob Abbasi, Muhammad Akram Khan, Madia Ayaz Malik, Shumaila Israr, Muhammad Ali Zaib Khan, Effat Zahrah

437
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Impact of High-Volume Fat Removal on Physical and Psychological Parameters in Obese and Overweight Females

Muhammad Usman, Romana Mehwish, Amna Riaz, Shahid Mukhtar

441
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A Randomized Controlled Trial Comparing Three-Port and Four-Port Laparoscopic Cholecystectomy for Acute Cholecystitis

Zahid Saeed, Muhammad Usman Aslam, Raza Akram, Azizullah Khan Sherani, Sheikh Qais, Muhammad Faheem Anwar

444
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Frequency of Metabolic Syndrome in Case with Ischemic Stroke

Hafiz Rahman, Kamran Ahmad, Junaid Raqib, Sultana Shaheen, Mohammad Imran Younus

447
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Frequency of Umbilical Port Site Infection after Cholecystectomy: A Single Centre Cross-Sectional Study

Bezan Baloch, Saleem Javed, Azizullah Khan Sherani, Muhammad Idrees Achakzai, Mehmood Ali, Saiqa Rafiq

451
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The Impact of PSA Screening on Pharmacological Management in Asymptomatic Men and Those with Lower Urinary Tract Symptoms

Nadeem Akhtar Korai, Abdul Basit Niazi, Syed Raza Abbas, Anum Ashraf, Usman Saeed, Muhammad Shakeel Anjum

454
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Clinical Spectrum and Outcome in Children Presenting with Empyema Thoracis in Tertiary Care Hospital: Role of Intrapleural Streptokinase

Sadia Qasim, Tahira Aslam, Afsheen Batool Raza

458
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Antibiotic Sensitivity and Resistance Patterns in Complicated Urinary Tract Infections

Ghazala Shaheen, Sami ur Rahman, Sajid Malik, Muhammad Akhtar, Hassan ur Rahman Khan, Aftab Hussain Khan

462
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Association of Serum Calcium with Resting Heart Rate and Blood Pressure in Healthy Adults

Zahid Habib Qureshi, Abida Jaffar, Khawar Younas, Bakhtawar Farooq, Khujasta Gul, Ejaz Hussain Sahu

466
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Comparing Betadine and Clotrimazole for Otomycosis Treatment: A Study of Clinical Efficacy and Recurrence Rates

Mehmood Ullah, Naveed Ahmed, Muhammad Iqbal, Ikram Ullah, Jamshed Khan, Wajih Ud Din Shinwari

470
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Outcomes of Trabeculectomy with Mitomycin C in Glaucoma Patients: A Study on the Mean Change in Intraocular Pressure in 200 Patients

Iftikhar Ul Haq Tareen, Ghazala Tabassum, Muhammad Rafiq, Mohammad Afzal Khan, Anwar Ul Haq

472
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