Pakistan Armed Forces Medical Journal

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Editorial

• Bioequivalence Studies: Role In Enhancing the Quality of Pharmaceutical Pro Ducts

  Kulsoom Farhat

  1218-1219

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Original Articles

• Use of Numeric Rating Scale (NRS) as Visual Analogue Scale (VAS): Is this Clinically Significant?

  lbrahim Farooq Pasha, Atiq Ur Rehman, Asim Niaz Naqvi, Syed Junaid Ismail, Salman Ashfaq, Muhammad Asad Qureshi

  1220-1222

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• Role of Immunohistochemistry in Metastatic Bone Diseases

  Farukh Mir Muhammad, Farhan Akhtar, Nighat Jamal, Rabia Ahmed, Muhammad Asif, Fatima Wagan

  1223-1226

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• Pattern of Skin Diseases in Patients Attending the Dermatology Outpatient of a Tertiary Care Hospital

  Aamir Habib, Arslan Ahmed Basra, Hafsa Nazeer, Mohsin Mehmood Ansari, Asfa Ahmed, Nida Arif, Muhammad Imran Khan, Rabia A Ghafoor Sadal

  1227-1232

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• Utility of Immature Platelet Fraction as Diagnostic Biomarker for Isolated Thrombocytopenia

  Zahra Rashid Khan, Ayisha Imran, N.A.Malik

  1233-1236

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• Comparison of Post Extubation Cough with Instillation of 2% Lidocaine Versus air in Endotracheal Tube

  Junaid Zafar, Basit Mehmood, Rashid Iqbal, Sana Abbas, Shmyla Hamid, Uzma Urooj

  1237-1240

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• Relationship between Pain Severity and Kinesiophobia in Patients with Chronic Neck Pain

  Warda Naeem, Fariha Zulfiqar, Ayesha Arooj, Taimoor Suhail, Abdul Mueed, Ashfaq Ahmad

  1241-1244

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• Ultrasound-Guided Erector Spinae Plane Block versus Oblique Subcostal Transversus Abdominis Plane Block for Post-Operative Analgesia of Adult Patients Undergoing Laparoscopic Cholecystectomy

  Muhammad Ali, Bilal Yasin, Sidra Khan, Iftikhar Ali, Hassam Abdullah, Humayun Munir Tarar

  1245-1248

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• Diagnostic Accuracy of Magnetic Resonance Imaging (MRI) in the Detection of Anterior Cruciate Ligament (ACL) Tear, keeping Arthroscopic Findings as Gold Standard

  Ayesha Javaid, Wajeeha Anam, Hidayat Ullah, Tayyeba Afzal, Rashid Mahmood, Salah ud din Balooch

  1249-1252

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• Analysis of Corneal Topographic Changes after Upper Lid Surgery in Congenital and Acquired Ptosis

  Maryam Nisar, Abid Hassan Naqvi, Muhammad Shahid Tarar, Nisar Ahmed Khan, Summaya Khan, Amna Khan

  1253-1256

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• Raised Alpha-Fetoprotein Level and its Association with Hepatocellular Carcinoma

  Madiha Hashmi, Ghulam Haider, Muhammad Danish, Anusha Hassan, Razia Irshad, Khalil Ahmed

  1257-1261

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• Assessment of Acute Gastroenteritis in Children Under Five Years of Age by Vesikari Score; A Comparative Analysis of the Efficacy of the Rota-Virus Vaccine

  Asbah Rahman, Qudrat ullah Malik, Farooq Ikram, Atif Naseem Abbasi, Shaista Mumtaz, Saira Akram

  1262-1265

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• Diagnostic Sensitivity and Specificity of Platelet Indices in Sepsis

  Aamna Latif, Lubna Zaffar, Sarah Fatimah, Hina Zaib, Maria Khan, Rabia Latif

  1266-1270

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• Frequency and Causal Relationship of Pneumothorax in Premature Neonates in a Tertiary Care Hospital

  Aamir Aslam Awan, Qudratullah Malik, Faisal Basheer, Ammara Iftikhar, Hafiz Abdul Quddus, Hafiz Murtaza Sabir

  1271-1274

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• The Utility of Modified Wells Score as a Pre-Test Risk Stratification Tool in Suspected Cases of Pulmonary Embolism Undergoing Computed Tomography Pulmonary Angiogram

  Uzma Nisar, Hina Nasir, Zaha Iqbal Malik, Madiha Bangash, Zafar Amin, Abdur Rahim Palwa

  1275-1278

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• Echocardiography as a Screening Modality for Portopulmonary Hypertension in Patients with Cirrhosis and Chronic Viral Hepatitis

  Shahzad Ashraf, Imtiaz Ahmed Khan, Waheed ur Rehman Khan

  1279-1283

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• An Insight Into Neonatal Cholestasis; A Tertiary Care Hospital Experience in Rawalpindi, Pakistan

  Sughra Azhar, Farooq Ikam, Sarina Zainab Shirazi, Junaid Altaf, Rahmeen Pervaiz

  1284-1287

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• Mandibular Reconstruction with Vascularized Fibular Graft: Comparing Outcomes of Adjuvant Radiotherapy Versus No-Radiotherapy

  Noshi Bibi ., Mamoon Rashid ., Saad-ur-Rehman, Haroon-Ur-Rashid ., Farwa Shabbir ., Sakina Malik

  1288-1292

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• Positivity Rate of Universal PCR Screening for COVID-19 Pre-Endoscopy and its Impact on Diagnosis and Management of New Cancer Patients at a Cancer Centre in Pakistan

  Muhammad Kashif, Shahana Shahid, Wahaj Ul Hassan, M. Zeeshan Siddiqui, Muhammad Saqib, M. Aasim Yusuf

  1293-1296

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• Donor Health Questionnaire and Physical Examination as a Tool for Re-Examination of Causes for Donor Deferral in a Tertiary Care Hospital

  Madiha Andleeb, Muhammad Zulqernain Imran, Amna Qamar, Usman Ali, Saba Raza, Noreen Shakeel

  1297-1300

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• Correlation of HbA1c and Lipids with Obesity in Patients with Type 2 Diabetes in Pakistani Population

  Hassan Ur Rehman, Ayesha Javed, Fibhaa` Syed, Muhammad Ali Arif, Nabeel Tariq, Anas Waheed Jami

  1301-1304

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• Association of Total Leucocyte Count and Acute Appendicitis Among Young Patients Undergoing Emergency Appendectomy

  Zeeshan Shoukat, Muhammad Saeed Awan, Talha Makshoof, Mujahid Zulfiqar, Sohail Ilyas, Muhammad Zubair

  1305-1308

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• Incidental Finding of Gall Bladder Carcinoma in Post-Menopausal Females in Cholecystectomy Specimen

  Parsa Kainat, Muhammad Rahil Khan, Muhammad Anique, Riyasat Ahmed Memon, Zahid Ali, Ikram Din Ujjan

  1309-1312

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• Assessment of Trace Metal Disturbances in Healthcare Workers Exposed to Low Dose Ionizing Radiations in a Tertiary Care Hospital

  Ahsan Ahmad Ghauri, Muhammad Usman Munir, Zujaja Hina Haroon, Muhammad Aamir, Muhammad Babar Khan, Sobia Irum Kirmani

  1313-1316

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• Comparison of Functional Outcome of Conservative Management and Operative Treatment for Displaced Mid-Shaft Clavicle Fractures

  Muhammad Arsalan Azmat Swati, Muhammad Suhail Amin, Javaid Iqbal Niazi, Zainullah Kakkar, Zeeshan Aslam, Adeel Habib

  1317-1320

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• Medium-Term Outcome of Cyclosporine in Children with Steroid-Dependent Nephrotic Syndrome: Single Centre experience from Pakistan

  Saima Kashif, Madiha Aziz, Pawan Kumar, Sana Ullah Agha, Ali Asghar Lanewala, Seema Hashmi

  1321-1325

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• Efficacy of Manual Vacuum Aspiration versus Dilatation and Curettage in First Trimester Miscarriages

  Hira Sikander, Shazia Mahmood Awan, Sanum Kashif

  1326-1329

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• Concordance between Axillary Ultrasound and Sentinel Biopsy in Clinically Node-Negative Early Breast Cancer

  Afroz Mushtaq, Ali Ayesha Khan, Razia Bano, Syeda Rifaat Qamar Naqvi, Shabnum Nawaz, Fahad Ali Khan, Sana Mushtaq, Palwasha Khan

  1330-1333

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• The Role of Early Warning System in Predicting Severe Maternal MorbidityTaking Intensive Care Unit Admission as the Reference Standard

  Sidra Mahmood Malik, Shahida Sheraz, Hidayat Ullah, Rabea Al Hassan, Andaleeb Ara

  1334-1337

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• Early Complications in Acute versus Elective Cases of Laparoscopic Cholecystectomy in Tertiary Hospitals: A Comparative Study

  Raza Haider, Muhammad Qasim Butt, Jamil Salamat Ullah, Mansoor Tariq Azim, Afnan Akbar

  1338-1341

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• Evaluate the Mean Effect of Oral 25% Glucose Solution for Pain Relief in Term Infants, as Compared with Control Group, During Venipuncture

  Usama Rana Mehmood, Zeeshan Ahmed, Saeed Zaman Khattak, Samina Tabussam, Ayla Ahmad Jaspal

  1342-1344

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• Iatrogenic Bladder Injuries; Frequency and Management during Obstetric Non-Malignant Procedures

  Maqsood Ahmad, Zain Bin Khalid, Hira Zain

  1345-1349

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• Assessing the Accuracy of Diagnostic Tests to Quantify Proteinuria in Nephrotic Children: A Cross-Sectional Study

  Hina Fatima Yahya, Aasia Zubair, Irshad Ali Bajeer, Sabeeta Khatri, Madiha Aziz, Ali Asghar Lanewala

  1350-1354

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• Frequency of Cardiometabolic Risk Factors Among Young People with Type 2 Diabetes Mellitus at Tertiary Care Unit Karachi, Pakistan

  Kanwal Abbas Bhatti, Musarrat Riaz, Saima Askari, Abdul Basit

  1355-1359

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• Detection of Cytomegalovirus in Post Hematopoietic Stem Cells Transplant Recipients by Real-Time PCR

  Saifullah Khan Niazi, Nadia Gulzar, Eijaz Ghani, faraz ahmed, Muhammad Ali Rathore, Noman Shakoor

  1360-1363

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• Calcium and Magnesium Levels in Children with Febrile Seizures Admitted in a Tertiary Care Hospital

  Atif Naseem Abbasi, Farooq Ikram, Saeed Zaman, Syed Hassan Nawaz, Sammar Hussain, Hassnain Shahid

  1364-1367

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• Comparison Between Prophylactic Use of Intravenous Dexmedetomidine and Intravenous Ketamine for Control of Post-Operative Shivering in Patients Undergoing Surgeries Under Spinal Anaesthesia

  Syed Salman Ahmed, Waqas Tariq, Muhammad Ameer Musa, Nadia Khurram Malik, Muhammad Razim Khan, Sana Khalid

  1368-1371

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• Evaluation of Common Interventions to Manage Halitosis Based On Organoleptic Scoring

  Amir Ali Khan, Zeeshan Ayub, Syed Tehmina Rehman, Syed Aoun Abbas Mehdi, Usman Afzal Malik, Muhammad Ahmed Khan

  1372-1374

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• Validity of Shine and Lal Index {MCV2XMCHX0.01} in Predicting Iron Deficiency Anemia

  Sammar Hussain, Saeed Zaman, Samina Tabassum, Hafiz Zulqarnain, Atif Aziz Rana, Atif Naseem Abbasi

  1375-1378

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• Comparison of Laparoscopic Needle-Assisted Extra-Corporeal Inguinal Hernia Repair with Intracorporeal Inguinal Hernia Repair in Terms of Postoperative Recurrence

  Javed-ur-Rehman, Shazia Iffat, Zahid Anwar, Naveed Ahmed, Iftikhar Ahmed, Asrar Ahmad

  1379-1382

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• The Effect of WhatsApp Messaging on Learning Paediatrics During Clinical Rotation of Final Year MBBS Medical Undergraduates

  Qudrat Ullah Malik, Ambreen Usmani, Sirajul Haque

  1383-1386

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• Evaluation of the Effect of Nebivolol in Bone Defect Healing in An Experimental Rat Model

  Qurrat-ul-Ain Haider, Shabana Ali, Muhammad Waqar Aslam Khan, Kulsoom Farhat, Novera Sohail Bajwa, Nausheen Ata

  1387-1390

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• Characteristics of Newborn with Persistent Pulmonary Hypertension (PPHN) Admitted In Neonatal Intensive Care Unit in a Tertiary Care Hospital

  Furqan Saleem, Faiza Yasin, Zahid Anwar, Rafia Gul, Saher Gul Ahdi, Zarbakht Hassan

  1391-1395

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• Beta Thalassemia Mutation Analysis in Fetal Samples for Optimal Mutation Screening Strategy

  Muhammad Umar Anwer, Manzar Bozdar, Syeda Samia Shafaat, Syeda Hina Shah

  1396-1399

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• Psoriasis and Risk of Migraines in Patients Reporting to a Tertiary Care Setup in Pakistan: A Cross-Sectional Study

  Umar Abdul Ali, Nadia Iftikhar, Muhammad Mamoon Mujahid, Uzma Bashir, Sakina Sadiq Malik, Ishtiaq Ahmed

  1400-1403

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• Frequency of Subclinical Hypothyroidism in Patients with First-Trimester Pregnancy Loss

  Saleeha Hassan, Rabiya Akbar, Uzma Urooj, Sadaf Zohra, Nusrat Noor

  1404-1406

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• Comparison of Derangement of Cerebrospinal Fluid Markers in Neonates with Early and Late-Onset Sepsis

  Ehsan Qadir, Syed Awais Ul Hassan Shah, Zeeshan Ahmed, Nauman Naseer, Zohaib Akhtar, Farah Shahid

  1407-1410

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• Role of Mothers’ Expressed Emotions in Psychopathology and Social-Emotional Competence in Adolescents

  Shammem Akhtar, Zaqia Bano

  1411-1413

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• Comparison of Outcome after Open Pilonidal Sinus Treatment Versus Endoscopic Pilonidal Sinus Treatment (EPSIT)

  Tariq Kamal, Khurram Sarfaraz, Faheem Ullah Naz, Abdul Jabbar Khaskheli, Zain Ul Abiden, Rukh-E-Zanib Aftab

  1414-1417

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• Determinants of Burnout Among Healthcare Professionals Working in the Labour Room of a Tertiary Care Hospital in South Punjab, Pakistan

  Sadia Zahoor, Mamoona Zahoor, Faiza Javed, Mahwish Najam, Shahida Aslam, Iffat Yasmeen

  1418-1421

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• Red Cell Distribution Width and Neutrophil Lymphocyte Ratio as A New Biomarker for Severity in Rheumatoid Arthritis and its Comparison with DAS 28 ESR Score

  Sarah Azam Shah, Taqdees Khaliq, Khadija Iftikhar, Saad Saleem

  1422-1426

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• Diagnostic Value of Red Cell Distribution Width and Red Blood Cell Distribution Width Index in Differentiating between Iron Deficiency Anemia and Beta Thalassemia Trait

  Muhammad Bilal Arshad, Farooq Ikram, Muhammad Tariq Nadeem, Rabia Abbas, Syed Hassan Nawaz

  1427-1430

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• Comparison of Paravertebral Plane Block for Post-Operative Analgesia in Modified Radical Mastectomy with Intravenous Nalbuphine

  Abdullah Sher Kakar, Amran Hafiz, Nabeel Tahir Butt , Syed Qasim Ali Shah, Afsa Nayyar, Muhammad Ahmed Raza

  1431-1434

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• Comparative Analysis of Topiramate with Amitriptyline in Prophylaxis of Migraine without Aura Among Outpatients Visiting Tertiary Care Hospital

  Wahaj Ul Hassan Khan, Ummarah Zafar Farid, Huma Hameed, Umer Naseer, Atifa Gilani, Kamran Ali

  1435-1438

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• Early Post-Stroke Seizures: A Comparison Between Acute Ischemic and Haemorrhagic Stroke Patients

  Imran Khan, Zubair Waheed Khan, Abdul Latif Khattak, Javed Anwar, Tahir Ibrahim, Fayyaz Hassan

  1439-1442

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• Frequency and Etiology of Ventilator-Associated Pneumonia in COVID-19 Patients Presenting to Tertiary Care Hospital

  Hafiz Asad Saeed, Muhammad Yasir, Muhammad Hammad, Muhammad Usman Khokhar, Muhammad Farhan Shahid, Umer-ul- Haq

  1443-1447

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• Role of Capillary Blood Ketone Assay in Management of Diabetic Ketoacidosis in Paediatric Intensive Care Unit

  Fareeha Kausar, Muhammad Sarwar, Ambreen Aslam, Anila Jamil, Nighat Sultana, Ghazala Shaffqat

  1448-1451

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• Diagnostic Accuracy of FAST Scan in Hemodynamically Stable Blunt Abdominal Injury Patients; Is it "Fast" enough?

  Sadaf Aziz, Yasser Khan, Lubaina Awais, Iram Mohsin, Meena Azeem, Faiza Zahoor

  1452-1455

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• Use of Per-Operative Angiogram and Doppler Ultrasound as an Adjunct to Assess the Cerebral Vessels Following Aneurysmal Brain Surgery

  Awais Ali Khan, Habib Ullah Khan, Khurshid Ali Bangash, Shahzad Ahmed Qasmi, Syed Adeel Ahmed, Asif Hashmat, Babar Shamim

  1456-1459

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• Basilic Vein Transposition versus Basilic Vein Elevation: A Comparative Study in terms of Wound Infection, Limb Oedema, Hematoma and Primary Patency Rates

  Ayesha Masood, Anas Bin Saif, Shehzad Ahmed Abbasi, Muhammad Jamil, Muhammad Irfan Khan, Khurram Shoaib Khan

  1460-1463

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• Comparison of Serum Procalcitonin Levels with Glasgow Score to Predict Severity of Acute Biliary Pancreatitis

  Muhammad Umair Khalid, Muhammad Ayub Ashraf, Shakeel Ahmed Zia, Azka Zainab, Ammara Iqbal Muhammad, Syeda Rifaat Qamar Naqvi

  1464-1467

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• Response of Tocilizumab in Treating Severe to Critical COVID-19; Single-Centre Experience at a Tertiary Care Centre

  Sarfaraz Khan, Malik Muhammad Atif, Sadia Asif, Uzma Malik, Sarmad Zahoor, Samar Firdous

  1468-1471

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• Acute Kidney Injury in COVID-19 and its Association with Patient Outcome

  Amna Ashraf, Faisal Mehmood, Zahid Farooq Baig, Muhammad Arslan Javed, Muhammad Arsalan Javaid, Karamat Hussain Shah Bukhari

  1472-1475

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• Urdu Version of Oxford Knee Score and its Application on Osteoarthritis Knee Patients

  Atiq Ur Rehman, Khalil ur Rehman, Shahzad Inam, Muhammad Fahad, Asim Niaz Naqvi, Ibrahim Farooq Pasha

  1476-1479

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• Bleomycin-Induced Pulmonary Toxicity in Cancer Patients Treated at Tertiary Care Hospital

  Aamira Ali, Faisal Mehmood, Huma Ashraf, Muhammad Umair Tufail, Amna Ashraf, Syed Fawad Mashhadi

  1480-1483

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• Frequency of Subclinical Hypothyroidsim Among Patients with end Stage Renal Disease on Hemodialysis Presenting to A Tertiary Care Hospital

  Wajid Abdullah, Salman Tahir Shafi, Irfan Ahmad, Sana Ashraf

  1484-1487

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• To Determine The Diagnostic Accuracy of Urinary Nuclear Matrix Protein 22 in Detection of Recurrence of TCC Bladder Among Patients Who Are on Active Surveillance By Taking Cystoscopic Biopsy As A Gold Standard

  Shireen Pyarali, Sunil Kumar, Rabeea Saleem, Mehnaz Jabeen, Altaf Hashmi, Gauhar Sultan

  1488-1492

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• Prevalence of Burnout Syndrome Among Male Psychiatric Nursing Assistants Working in Public and Private Hospitals in Rawalpindi

  Saima Kafeel, Saira Javed, Shoaib Kiani, Shazia khalid, Sana Siddiqui, Syed Babar Saleem

  1493-1497

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• The Impact of a Team-Based Learning Intervention on Healthcare Student’s Readiness towards Interprofessional Education; A Quasi-Experimental Study

  Sana Shah, Maryam Akram, Syed Muhammad Junaid, Sana Siddiqui, Saadia Rehman, Izza Umbrin

  1498-1503

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• Association of SNP (RS4880) in SOD-2 Gene with Diabetic Nephropathy

  Sana Umar, Javad Yousaf, Amir Rashid, Asifa Majeed, Syed Zubair Hussain Shah

  1504-1508

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• Neutrophil Lymphocyte Ratio as an Inflammatory Marker in Rheumatoid Arthritis

  Muhammad Qasim Khan Tareen, Nauman Ismat Butt, Saima Khan, Sandeep Kumar

  1509-1512

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• Impact of Long COVID-19 on Patients and Their Families

  Sarah Fatimah, Irfan Khan, Amjad Khan, Amina Latif, Ghulam Hussain Ibrahim, Sara Zaidi, Muhammad Abid Faroque

  1513-1516

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• Daclatasvir-Sofosbuvir Combination Therapy with or without Ribavirin for Hepatitis-C Virus Infection: An Experience from a Tertiary Care Hospital, Pakistan

  Abeera Ahmed, Iffat Rafique, Fatima Sana, Sabeen Khurshed, Shagufta Yousef, Aysha Khan

  1517-1521

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• Understanding Others’ Mental State Makes it Easy to Forgive: Number of Friends Moderate the Process

  Maryam Khan, Mudassar Aziz, Nazia Mustafa

  1522-1525

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• Evaluating the Interplay between Pentraxin-3 and Cystatin C in Migraine Patients

  Maham Tahir, Mariyam Khan, Mamoona Shafiq, Adnan Ali, Nayab Khalid, Arooj Fatima

  1526-1530

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• Maturation Assessment of Graffian Follicle in Female Mice under Immobilization, Hunger and Noise Stress

  Maria Yousaf, Ayesha Asad, Kishwar Naheed, Humaira Ali, Hina Kundi, Sadia Muzaffar

  1531-1534

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• Cardio-Respiratory and Metabolic Implication of Intranasal Packing in Patients Undergoing Sino-Nasal Surgery

  Nadeem Ahmed Sheikh, Wasif Anwar, Yasser Saeed Khan, Fuad Ahmad Siddiqi, Asma Hayat, Kanwal Nadeem

  1535-1540

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• Sacroiliac Joint Index in Healthy Pakistani Population and Patients with Sacroiliitis Using Technetium-99m Methylene Diphosphonate Bone Scintigraphy

  Muhammad Usman Ibrahim, Fida Hussain, Muhammad Adil, Muhammad Imran Ibrahim, Zaigham `Salim Dar, Zeeshan Sikandar

  1541-1544

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Short Communication

• Clustered Regularly Interspaced Short Palindromic Repeats-Based Diagnostics and COVID-19; A Leap Forward in Molecular Pathology

  Sikandar Hayat Khan

  1545-1548

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Case Reports

• Neuroendocrine Breast Carcinoma: a Case Series

  Rabeeta Sheikh, Irfan Haider, Muhammad Sohaib Nadeem, Jawad Latif, Kiran Inam, Muhammad Fawad UL Qamar

  1549-1551

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• Acute Generalized Exanthematous Pustulosis: An Unusual Case due to Spider Bite

  Mehreen Ghafoor Chaudhri, Najia Ahmed, Tariq Mahmood malik, Syed Arbab Shah, Mehwish Hira

  1552-1554

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Obituary

• PROF PERVAIZ RASHEED

  Mahmud Ahmad Akhtar

  1555

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