Pakistan Armed Forces Medical Journal (PAFMJ)

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Pakistan Armed Forces Medical Journal (PAFMJ) is bi - monthly medical journal published by Army Medical College, Rawalpindi, Pakistan. The Pakistan Armed Forces Medical Journal follows "CC BY NC creative commons" licensing https://creativecommons.org/licenses/by-nc/4.0/. PAFMJ is an open access journal and is included in Directory of Open Access Journals (DOAJ).

Online ISSN : 2411-8842
Print ISSN : 0030-9648

The journal is recognised by Higher Education Commission (HEC) of Pakistan and is Indexed and abstracted in Scopus.

Covered by: Google Scholar

Current Issue

Vol 72 No 4 (2022): August

Published: 2022-09-21

Content Page
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Editorial

BEYOND BCG

Javaid Usman

1151
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Original Articles

Trends of Different Gynaecological Cancers at Combined Military Hospital Lahore; An Overview of Last Five Years

Shehla M Baqai, Viqar Ashraf, Rabia Sajjad, Aqsa Qayyum

1152-55
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Association of Osteoporosis with Dyslipidemia in Pre-Menopausal Women

Anam Imtiaz, Irfan Ali Mirza, Qanita Fahim, Nargis Sabir, Ayesha Bashir, Salman Saleem

1156-58
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Hemodialysis Access Outcome in Elderly Population and its Association with Mortality

Anum Arif, Ahsin Manzoor Bhatti, Aima Sohail, Usman Jamil, Sabih Nofil, Bismah Riaz

1159-63
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Celiac Disease Investigation with Marsh Classification in Paediatric Population

Muzammal Ghafoor, Farooq Ikram, Saeed Zaman, Junaid Bashir, Samina Tabassum, Muhammad Waleed Babar

1164-67
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Rubber Band Ligation (RBL) vs Standard Hemorrhoidectomy (SH) for Treatment of Haemorrhoids

Fahim Liaqat, Muhammad Qasim Butt, Usman Ghani, Mansoor Tariq, Muhammad Shoaib Khan, Abeer Asif

1168-71
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The Spectrum of Toxicological Analysis in a Tertiary Care Setting-Pakistan

Safia Fatima, Ayesha Hafeez, Muhammad Aamir

1172-76
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Endoscopic Fascia-Cartilage Composite Grafting in Chronic Suppurative Otitis Media

Zeeshan Ayub, Amir Ali Khan, Atif Rafique, Irfan Saeed, Junaid Alam

1177-80
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Clinico-Immunological Profile of Systemic Lupus Erythematosus Patients in Pakistan and Their Correlation

Zafar Ayub Khan, Samina Mushthaq, Saba Sameera, Babur Salim, Syed Nazir Ahmed, Pir Muhammad Zahid, Haris Gul

1181-85
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Frequency of Phantom Limb Pain in Lower Limb Amputees

Muhammad Fahim, Khalid Ahmed, Amjad Nadeem, Hayyan Bin Khalid

1186-88
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Burnout Among Basic Sciences Faculty; A Mixed Method Research

Ayesha Ayub, Zafar Ali Choudry, Sumera Badar Ehsan, Hafiz Umer Farooq, Muhammad Munaim Tahir

1189-93
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Sars-Cov-2 Specific Antibody Detection in Health Care Workers in Tertiary Care Hospital

Muhammad Anwar, Mirza Waseem Javed, Nadia Parvez, Majid Latif, Muhammad Yasir Rafiq

1194-97
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Pneumothorax and Intrapulmonary Hemorrhage in CT-Guided Transthoracic Biopsy

Ammara Iftikhar, Saerah Iffat Zafar, Atiq Ur Rehman Slehria, Aamir Aslam Awan, Raza Rahim, Atif Sheraz

1197-1201
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Chlamydia Trachomatis–A Cause of Infertility at Tertiary Care Hospital, Pakistan

Sana Yousuf, Aamir Ikram, Sadia Ikram, Saman Nadeem, Syed Saddam Hussain, Syed Salman Ali

1202-05
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Determine the Effect of Tramadol Injection as Adjuvant Anesthetic and Analgesia Following Surgical Removal of Mandibular Third Molar

Kaleem Ullah Khan, Adnan Babar, Syed Yasir, Wajid Meraj

1206-10
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Effect of Posterior Subtenon Triamcinolone Acetonide in Refractory Diabetic Macular Edema

Muhammad Kashif Habib, Rubab Shafqat, Zeeshan Khan Oozeerkhan, Anwar Ahmed Gul, Nighat Jabeen, Muhammad Usman Sadiq

1211-14
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COMPARISON OF MEAN PLATELET VOLUME IN NEONATES WITH AND WITHOUT SEPSIS

Ammara Ayub, Najmi Usman, Ayesha Batool, Usman Shakeel, Shoaib Ahmed, Muhammad Faisal Shafiq

1215-18
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Frequency of Hepatitis C Virus and Human Immunodeficiency Virus Coinfection among Intravenous Drug Abusers; Experience from A Single Rehabilitation Center

Khawar Saeed, Asadullah Khan, Afshan Khanam, Naveed Aslam Lashari, Hajra Khan, Ahsan Khan

1219-23
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Post-Operative Infection Rate Between Single Dose Versus Multiple Dose Antibiotic Therapyin Patients Undergoing Laparoscopic Cholecystectomy

Rehan Haider, Mannan Masud, Mohammad Rashhid Hasnain, Muhammad Tariq Khan, Adeel Wyne, Ayesha Ehsan, Zahra Kazmi, Syed Asim Raza

1224-27
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Comparison of Outcomes in Primary Extensor Tendon Repair of Hand Treated in a Tertiary Care Hospital

Roqayyah Munawwer Khursheed, Faisal Akhlaq Ali Khan, Hyder Ali, Suneel Kumar, Zaara Zahid, Muhammad Kamran Ullah Ansari

1228-31
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Diagnostic Accuracy of Non-Invasive Hepatic Ultrasound Score for Non-Alcoholic Fatty Liver Disease Keeping Computed Tomography as a Gold Standard

sidra waheed, Prof.Atiq Ur Rehman Slehria, Sadia Tahir, Dilshad Ali, Uzma Nisar, Waseem Raja

1232-35
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Diagnostic Accuracy of Prostatic Specific Antigen Densityin Different Prostatic Disorders

Qamar Bashir, Zujaja Hina Haroon, Naveed Asif, Azka Haroon, Muhammad Asif, Syed Raza Jaffar

1236-40
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A Study on the Clinical Profile, Blood Profile and Culture Sensitivity Pattern of Salmonella Typhi in Paediatric Patients

Hakeem Ullah, Asma Razzaq, Asad Maqbool Ahmad, Romisa Rehman, Saad Ateeq, Atif Aziz

1241-44
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The Biochemical Pattern of Liver Function Tests in Adult Patients of Diabetes and the Association with Hypoglycemic Medications

Ayesha Nageen

1245-48
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Spectrum of Disorders Leading to Sudden Cardiac Death

Sayed Tanveer Abbas Gilani, Dilshad Ahmed Khan, Ghazala Iftikhar, Kumail Abbas Khan, Amer Rauf, Abdul Hameed Siddiqui

1249-52
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Molecular Detection of Chlamydia Trachomatis in Patients with Pelvic Inflammatory Disease Visiting a Tertiary Care Hospital in Pakistan

Afnan Naeem, Hafsa Waseem, Sakhawat Ali, Javaid Usman, Mehreen Gilani, Amna Javed

1253-57
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Relationship of Superstitious Beliefs and Self Efficacy with the Role of Education and SocioEconomic Status; A study at Garrison University Lahore Pakistan

Hifza Sehar, Noshaba Razaq, Shamsa Kanwal, Muhammad Tanveer Ashraf, Shahana Mumtaz, Muhammad Tehzeeb

1258-61
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Hearing Loss Due to Occupational Exposure: An Analysis of Cases at Lahore

Muhammad Khalid Azam Khan, Atique Ahmed, Muhammad Khalid Azam Khan, Sunarays Akhtar, Atif Najam, Saadiya Mushtaq

1262-65
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Assessment of Safety and Efficacy of Anesthesia using Sevoflurane with Supraglottic Airway Device In Pediatric Patients Undergoing Magnetic Resonance Imaging

Azmat Riaz Tiwana, Amran Hafiz, Amna Gulrez, Kaukab Majeed, Ahmed Adnan, Shahid Maqsood

1266-69
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Thyroid Peroxidase Antibodies and Thyroid Dysfunction in Patients with Chronic Hepatitis C Treated with Conventional Interferon and Ribavirin

Amna Ashraf, Faisal Mehmood, Asma Asghar, Syed Karamat Hussain Shah Bukhari, Muhammad Umair Tufail, Muhammad Ali Yousaf

1270-73
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Effect of Melasma on Quality of Life of Patients using Dermatology Life Quality Index

Ali Amar, Sumbal Nida, Muhammad Mudassir

1274-77
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Implementation Plan and Solutions to the Challenges Faced by Medical Faculty During COVID-19 Pandemic: Transition to the New Normal

Ammara Hameed, Shazia Fakhir, Shakeel Ahmed

1278-82
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Maternal Serum Uric Acid as a Marker of Predicting Low Birth Weight at Term Pregnancy: A Study Based in CMH Lahore

Sadia Ghaffar, Qudsia Nawaz, Zubaida Shaheen, Shazia Shakeel, Sadia Shafiq, Nazia Tufail

1287-90
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Assessment of Physician Burnout and its Association with Musculoskeletal Disorder

Saad Saleem, Taqdees Khaliq, Mohammad Hammas Adil, Fasih Hashmi

1291-97
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Effect of the COVID-19 Pandemic on Antenatal Care

Adiba Akhtar Khalil, Nabila Amin, Joodi Kizil Warda, Muhammad Ayran Amir, Suha Amir, Uzma Gul

1298-1301
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Comparative Study of Detection of Diabetic Neuropathy by Clinical Assessment and Nerve Conduction Study in Type 2 Diabetes Mellitus Patient

Natasha Sarwar, Khalid Mehmood Raja, Sarah Khan, Sana Uruj, Amina Hussain, Maria Tariq

1302-05
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Anaemia in Chronic Kidney Disease

Imran Ali, Malik Nadeem Azam Khan, Asif Ali, Muhammad Zahid Hussain, Muhammad Shahid Khan, Syed Nazir Ahmed

1306-09
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The Co-Existence of Anaemia in Chronic Psychiatric Disorders: A Study at Tertiary Care Hospital

Ayesha Nageen, Zaib un Nisa, Sidrah Tauheed, Jamal Ara

1310-13
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Frequency of Respiratory Distress Syndrome in Preterm Infants Delivered at Pak Emirates Military Hospital, Rawalpindi

Junaid Bashir, Zeeshan Ahmed, Muzammal Ghafoor, Murtaza Hussain, Saeed Zaman, Muhammad Waleed Babar

1314-17
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Seasonal Variation in Psychiatric Disorders Among Patients Admitted at Armed Forces Institute of Mental Health Rawalpindi

Nida Saleem, Rashid Qayyum, Syed Muhammad Akram Hamdani, Summaya Saleem, Saleem Ullah, Ammad Hassan

1318-23
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Appraisal of the Effect of Norepinephrine Versus Phenylephrine on Blood Pressure and Heart Rate During Spinal Anaesthesia for a Caesarean Section; A Quasi-Experimental Study

Hina Iftikhar, Ali Hassan, Habib Ur Rehman, Saeed Bin Ayaz, Zulfiqar Ali, Kaukab Majeed

1324-28
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Designing Cast Partial Dentures in Relation to Partial Edentulism

Samina Aslam, Imran Khan, Mubashir Sharif, Azhar Ali Bangash, Muhammad Afzal, Mansoor Khan

1329-33
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Effect of Levo-Carnosine on Biomarkers of Oxidative Stress and Hepatotoxicity in Cisplatin-Treated Male Sprague Dawley Rats

Sajid Ali, Amina Rasul, Nadia Latif, Shoaib Bin Aleem, Rimsha Zia, Barkatullah Khan

1334-38
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Comparison between Desarda's Inguinal Hernia Repair and Lichtenstein Hernioplasty in terms of Complications, Operative time and Cost-effectiveness

Aamir Ali, Syed Usman Shah Bukhari, Saeed Akhtar Awan, Umair Ahmed, Ali Ahmed, Malik Waseem Babar

1339-42
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Small Dense Low-Density Lipoprotein Cholesterol as a Novel Biomarker of Coronary Heart Disease

Iffat Saleem, Muhammad Aamir, Zujaja Hina Haroon, Afshan Yasir, Muhammad Usman Munir, Muhammad Anwar

1343-46
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Comparison of Recurrence of High Trans-Sphinteric Anal Fistula After Vaaft and Tight Setons in Military Hospital Rawalpindi

Muhammad Haroon Akbar, Umar Bashir, Hassan Shabbir, Muhammad Ans, Farhan Ahmed Majeed, Shahzad Ahmed Abbasi, Attayaba Khan, Muhammad Ammar Amjad

1347-50
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Diagnostic Accuracy of Ultrasound for Small Bowel Obstruction in Paediatric Population Undergoing Laparotomy Keeping Surgical Findings as the Gold Standard

Rabia Liaqat, Ayesha Isani Majeed, Bushra Liaqat, Aqeel Shafi, Ramish Riaz, Samina Akhtar

1351-54
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Comparison of Respiratory Complications of COVID-19 among Patients with Rheumatological Conditions Taking Biological Disease-Modifying Anti-Rheumatic Drugs and Conventional Synthetic Disease-Modifying Antirheumatic Drugs

Ahmed Ammar Cheema, Amer Fakhr, Muhammad Shahid Khan, Shanzah Shahbaz, Syed Nazir Ahmed, Muhammad Zahid Hussain

1355-58
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Amelioration of Carboplatin-Induced Changes in Rat Renal Cortical Tubulesby Alpha-Tocopherol

Mehwish Abaid, Khadija Qamar, Zubia Iftikhar, Sumyyia Bashir, Farhan Akhtar, Maria Aslam

1359-63
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Efficacy of Voided Urine Cytology Compared to Cystoscopic Findings in the Detection of Bladder Cancer- A Pakistani Perspective

Samina Khizar, Zahoor Iqbal Mirza, Hussain Ahmed, Badar Murtaza, Muhammad Yasrab, Khubaib Shahzad

1364-68
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Hla-B27 Allele Connotation Amongst Individuals Conjectured of Spondyloarthritis (SPA) In Pakistan

Annam Javed, Amir Fakhar, Nadeem Ashraf, Bilal Ahmed, Khaula Atif, Amna Javed

1369-74
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Coronary Artery Ectasia in Patients with and Without Diabetes: A Study from Northern Pakistan

Qaiser Mehmood Saleem, Abdul Mannan Bari, Muhammad Salman Mushtaq, Bashir Ahmed

1375-78
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Perceived Stress, The Sources, Severity and Coping Mechanisms Among Undergraduate Medical Students in a Pakistani Medical School

Dania Khawar Rahman, Amina Nadeem, Bushra Riaz

1379-83
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Is Sevelamer Carbonate Better Than Calcium Acetate in ControllingChroni Kidney Disease-Mineral Bone Disease in Dialysis Patients

Taleah Tahir, Khalid Mahmood Raja, Malik Nadeem Azam, Batool Butt, Abdul Wahab Mir, Naveed Ahmed

1383-87
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The Immune Response after Double Dose Hepatitis B Vaccination in Hemodialysis Patients: Influence of Age and Hepatitis C Virus

Muhammad Rashid Asghar, Tanzeel Abbasi, Khurram Bashir, Nauman Hashmi, Shumaila Anwar

1388-91
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Comparison of the Impact of Topical Chlorhexidine Versus Methylated Spirion Umbilical Cord Sloughing Time in Neonates

Irshad Hussain, Sughra Wahid, Maliha Akhtar Qureshi, Fasih ul Islam Hashmi, Muhammad Fahim

1392-96
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Frequency of Cervical Ribs in Healthy Asymptomatic Adolescents and Adults, Detected on Chest Radiograph for Medical Fitness Examination at CMH Lahore

Nisar Ahmed, Muhammad Ali Zul Hasnain, Hassan Riaz, Zimar Arshad, Khadijah Tul Kubra, Khushboo Fatima

1397-1400
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Patient Satisfaction with Clinical Laboratory Services in Public Health Sector Hospitals of Azad Kashmir, Pakistan

Bilal Khalid, Fareeha Ayyub, Midhet Nasim, Ayesha Babar, Saad Alam Khan

1401-05
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Urinary Sodium and Pregnancy Induced Hypertension; A Unsolved Mystery

Muhammad Irfan Khattak, Rana Shahid, Samina Naseem Khattak, Jamal Azfar Khan, Asma Naveed, Umbreen Akram

1406-10
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Frequency of Histological Patterns of Renal Allograft Biopsies– One Year of Renal Allograft Experience

Farah Ahsan, Muhammad Asif, Ishaque Chauhan, Ahmed Ahson Khan, Maria Aslam

1411-14
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Outcome of Probing and Syringing in Congenital Nasolacrimal Duct Obstruction in Children Under Local Anesthesia

Nusrat Sharif, Muhammad Sajid Munir, Muhammad Arshad, Shahid Nazir, Muhammad Usman Sadiq, Rabya Rehman

1415-19
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Significance of Immature Platelet Fraction in Diagnosed Patients of the Immune Thrombocytopenic Purpura

Mohammad Shabih Haider, Asad Mahmood, Manzar Bozdar, Saima Zahir, Saadia Muzafar, Maliha Batool Bukhari

1420-23
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Protective Effect of Selenium and Zinc Against Dehp Induced Toxicity in the Thyroid Gland of Rats

Nabiha hussain, Shabana Ali, Maleeha Bano, Tooba Khursheed, Huma Beenish, Syeda Sara Bano

1424-27
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Apoptosis in Human Papillomavirus-Induced Cervical Cancer Cells By Higher Doses of Ascorbic Acid

Amir Rashid, Imran Raza, Zunaira Ali Baig, Ambreen Gul, Asifa Majeed

1428-32
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Histopathological Outcome of Oral Lesions in Pakistani Population with Special Emphasis on Oral Cancer

Amna Waheed, Tariq Sarfraz, Fatima Kaleem, Rubina Riaz

1433-38
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Assessment of Internal Quality Control of Blood Products; Experience at a Regional Transfusion Centre from Northern Pakistan

Maria Khan, Junaid Tariq, Muhammad Ali Rathore, Asad Mahmood, Mansoor Ishaq Raja, Saima Bashir

1439-43
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Assessment of Patient-Centered Care with Reference to Minimum Service Delivery Standards in District Headquarter Hospitals of Azad Jammu Kashmir

Bilal Khalid, Ayesha Babar, Sohail Ahmad, Fareeha Ayyub, Nadia Bukhtawer

1449-56
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Pulmonary Embolism at High Altitude: Analysis of Risk Factors

Naimat Ullah Khan, Muhammad Adil, Muhammad Zaman, Abdul Rahim Palwa, Muhammad Tahir, Muhammad Rameez Nawaz

1457-60
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Impact of a 20-Minute Counselling Session on Smoking Cessation in an Outpatient Clinic; A Cohort Study

Umer Naseer, Shazia Nisar, Taimoor Saleem, Mahnoor Qamar, Fatima Naseer, Taimoor Ashraf

1466-69
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QTC Changes Associated with Tyrosine Kinase Inhibitors in Cancer Patients

Rahimullah Khattak, Riaz Ahmad, Muhammad Nadeem, Huma Amjad, Amjad Khan, Ibtisam .

1470-73
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Osteoporosis/Osteopenia in Post-Menopausal Breast Cancer Patients Receiving Hormonal Therapy

Rahimullah Khattak, Riaz Ahmad, Muhammad Nadeem, Umair Tufail, Amjad Khan, Assam Ahmad

1474-77
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Association of Serum Ammonia Levels with Severity of Grades of Hepatic Encephalopathy in Patients Presenting to er of a Tertiary Care Hospital

Muhammad Dawood, Muhammad Nadeem Ashraf, Sonia Madad, Andaleeb Khan, Kamil Rehman Butt, Shahana Rehman

1478-81
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Comparison of the Outcome of Intramedullary Nailing Versus External Fixator Fracture Repair in Gustilo Type IIIA Tibio Fibular Fracture

Pervez Ali, Fahad Jatoi, Muzafar Hussain, Dost Muhammad, Ejaz Matlo, Riaz Ellahi Khoso, Mian Sajjad, Suresh Kumar, Muzafar Baloch, Kashif Murtaza

1482-86
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Effect of Supplementation of Acacia Honey and Pioglitazone on Blood Glucose Levels in Streptozotocin-Induced Type 2 Diabetic Rats

Mahvash Khan, Umar Ali Khan, Munazza Asad, Mehvish Ashfaq, Bushra Riaz

1487-91
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Case Reports

Kohl (SURMA) on CT Scan – An Incidental Finding

Murtaza Sameen Junejo, Pir Abdul Ahad Aziz

1492-93
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Bipolar Affective Disorder in a Patient of Achalasia Cardia: A Case Report of Young Man

Usama Bin Zubair, Khola Ejaz, Humza Mumtaz, Muhammad Shahbaz Shoaib

1494-96
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Letter to the Editor

An Insight into the Patterns and Influences Which Shape the Believes and Beliefs of the General Population

Muhammad Shahbaz Shoaib, Usama Bin Zubair, Eugene G Breen, Azhar Ali Kazmi, Ibtihal Khair

1497
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Achivements

DR TASSADUQ HUSSAIN

1498
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