Pakistan Armed Forces Medical Journal

About the Journal

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. 73 No. 4 (2023): August

View Vol. 73 No. 4 (2023): August

Published: 31-08-2023

Content Page
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Editorial

AI in Medical Research – Chatgpt and Beyond

Ahsin Manzoor Bhatti

953-954
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Review Articles

Transforming Healthcare with Artificial Intelligence in Pakistan: A Comprehensive Overview

Laraib Umer, Muhammad Hashim Khan, Yasar Ayaz

955-963
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Original Articles

Self-Directed Learning Versus Traditional Learning in Clinical Setting: A Study at Armed Forces Institute of Ophthalmology

Omar Zafar

1212-1215
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Outcomes of Allogeneic Stem Cell Transplant in Chronic Myeloid Leukaemia - A Single-Centre Experience from Pakistan

Jehanzeb Rehman, Fayyaz Hussain, Qamar un Nisa Chaudhry, Syed Kamran Mehmood, Mehreen Ali Khan, Nighat Shahbaz

964-967
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Changing Trends of Antimicrobial Resistance in Clinical Isolates Yielded from Lower Respiratory Tract Specimens of ICU Patients-A Two-Year Study

Mariam Sarwar, Irfan Ali Mirza, Anam Imtiaz, Wajid Hussain, Umar Khurshid, Ammad Hasan Chaudhry

968-972
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Reduction of Early Postoperative Pain: Comparison between Port Site and Intra-Peritoneal Infiltration of Local Anaesthetic Agent Among the Patients Undergoing Elective Cholecystectomy

Muhammad Ahsan Ayaz, Muhammad Qasim Butt, Khalid Mehmood, Muhammad Mohsin Ayaz, Maryam Abbas, Zainab Qasim Butt

973-976
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Comparison Study of 18F-FDG Production Utilizing FDG Single Citrate and FDG Duo Citrate Cassette on FASTlab2 Synthesizer at AFIRI, Rawalpindi

Mudassar Ahmad, Rizwan Bilal, Atiq Ur Rehman Slehria, Ali Jamal, Syed Ali Mehdi, Nisar Ahmed

977-981
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Audit of Diagnostic Laparoscopy in Tertiary Care Hospital

Shehzad Ahmed Abbasi, Ahmad Ali Khan, Anas bin Saif, Farhan Ahmed Majeed, Hassan Shabbir

982-984
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The Pattern of COVID-19-related Pneumonitis on High-Resolution Computed Tomography Chest in Post-Vaccination Patients

Hidayat Ullah, Humaira Saleem, Rashid Mahmood, Tayyaba Afzal, Rabia Saleem, Asad Mahmood

985-988
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Folate Deficiency: Is it Related to the Development of Depression

Asif Azeem Bajwa, Sohail Ali, Sikandar Ali Khan, Hassan Raza, Fayyaz Hussain, Tashfeen Bin Nazir

989-992
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The Frequency of Non-Alcoholic Fatty Liver Disease in Adults with Diabetes Mellitus

Raheel Akhtar Yousafzai, Rafi Ud Din, Taimoor Ashraf Khan, Ayesha Hamid, Abdul Moeed Tariq, Muhammad Ashraf

993-995
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Aetiology, Clinical Presentation and Outcome of Patients Presenting with Acute Flaccid Paralysis in a Tertiary Care Hospital

Qurat ul Ain Khalid, Khairunnisa Mukhtiar, Fozia Baloch, Nazia Iqbal, Shahnaz Ibrahim, Prem Chand

996-999
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Urdu Translation and Cross-Cultural Validation of Mood Disorder Questionnaire on Patient Engaging in Self-Harm

Naila Yaqoob, Sadaf Ahsan

1000-1003
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Comparison of Therapeutic Effects in terms of Menstrual Irregularities between Statins and Metformin in Unmarried Patients with Polycystic Ovarian Syndrome

Sobia Nawaz, Naila Mushtaq, Aisha Waheed, Samia Nawaz, Sadaf Ajaib, Suniya Arshed Butt

1004-1007
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Surgical Excision: An Effective Modality for Intradermal Melanocytic Nevus

Moizza Tahir, Najia Ahmed, Sidiqua Javaid, Sadia Malik, Atiya Rahman, Shahid Iqbal

1008-1011
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Manipulation Under Anesthesia with Intra-Articular Steroid Injection versus Manipulation under Anesthesia in Idiopathic Adhesive Capsulitis of the Shoulder in terms of Functional Outcome

Naseem Munshi, Muhammad Khalid, Sobia Aziz, Khadijah Abid

1012-1015
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Role of Subcutaneous Bilirubinometre in the Evaluation of Bilirubin Level in Neonatal Jaundice

Almas Maqsood, Syed Taqi Hasan Zaidi, Ameena Saba, Wasif Shujaat, Benish Fatima, Bushra Rao

1016-1019
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Effect of Dexamethasone on Post-Operative Delirium in adults following General Anaesthesia

Kazi Iftikhar Qureshi, Ali Aftab, Muhammad Asim Ghauri, Reema Yawar, Hatim Saifee, Tariq Mahmood

1020-1023
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Diagnostic Accuracy of Ultrasound to Differentiate Neoplastic and Non-Neoplastic causes of Cervical Lymphadenopathy taking Histopathology as the Gold Standard

Aqeel Shafi, Shahla Zameer, Muhammad Nauman Malik, Rabia Liaqat, Bushra Liaqat, Asiya Liaqat

1024-1027
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Nutritional Status and its Association with Breastfeeding and Complementary Feeding Practices Among Children visiting Tertiary Care Health Centre

Faryal Ayub, Misbah Anjum, Safia Bibi, Aisha Khan, Shazia Soomro, Ayesha Sardar

1028-1032
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Pregabalin as an Adjunct Analgesic in Multimodal Pain Management in Patients Presenting with Acute Peri-Anal Fissure

Vishal Farid Raza, Qaiser Mahmood, Iqra Waris, Muhammad Shahwaiz Malik, Khalid Irshad, Khalid Javeed Khan

1033-1036
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Etiological Spectrum and Outcome of Acute Kidney Injury in Children: A Tertiary Care Experience

Muhammad Atif Anjum, Naureen Akhtar, Shahida Parveen, Adeela Chaudry, Noor ul Ain, Muhammad Sahir Saud

1037-1040
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Early Pregnancy Fetal Cardiac Activity Detection by Superb Micro-Vascular Imaging (cSMI) Comparing with Color Doppler Ultrasound

Riffat Masud, Faisal Khurshid, Ghazal Jameel, Mussarat Ashraf

1041-1044
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BRCA Associated Protein-1 Immuno-Histochemical Stain in Diagnosis of Malignant Mesothelioma

Saud Sarwar, Sajid Mushtaq, Maryam Hameed, Usman Hassan, Hina Maqbool

1045-1049
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Efficacy of Glargine Insulin Compared with Neutral Protamine Hagedorn Insulin in Patients with Type 2 Diabetes not Controlled with Oral Hypoglycemics: A Cohort Study

Ebtihal Bilal, Shamaila Burney, Muhammad Usman Sajid, Nabila Shaukat, Muhammad Farooq

1050-1053
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Comparison of Survival Analysis of COVID-19 Patients with Known Diabetes

Saira Bashir, Sarwar Malik, Gohar Khan, Fasih ul Islam

1054-1059
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Efficacy and Toxicity of Hypofractionated Palliative Radiotherapy for Breast Cancer Patients with Skin Invasion

Talha Maqsood, Adnan Zeb, Zeeshan Ahmed Alvi, Sameed Hussain, Muhammad Imran Wajid, Omer Riaz

1060-1062
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Clinical Manifestations of COVID-19 Infection in Persons with Disabilities (PWDs) at Inpatient Rehabilitation Center –A Hospital-Based Study

Muhammad Tawab Khalil, Uzma Akhlaque, Khalil Ahmad, Rehana Yasmin, Umer Younas, Imran Irshad

1063-1066
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Comparison of Efficacy of Warm Compresses Versus Loteprednol-Tobramycin Combination Therapy in the Management of Posterior Blepharitis

Maryam Nisar, Abid Hassan Naqvi, Nisar Ahmed Khan, Muhammad Shahid Tarar, Nazia Iqbal

1067-1070
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Adverse Event Profile in Advance Hepatocellular Carcinoma treated with Sorafenib Presenting to CMH Rawalpindi

Masaba Masood, Muhammad Nadeem, Aamira Ali, Tahir Manzoor Lone, Amjad Khan, Assam Ahmad

1071-1074
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Bone Mineral Density in Symptomatic Patients with Comparison to Asymptomatic Patients

Muhammad Akhtar, Sidra Zaheer

1075-1078
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Dexmedetomidine Versus Midazolam: Does Choice of Sedatives Effect the Duration of Mechanical Ventilation

Usman Ahmed, Aftab Hussain, Khursheed Hassan, Zaheer Ud Din ., Ahsan Javed, Faisal Wahid

1079-1082
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Comparison of I-gel Supraglottic Airway with ProSeal-Laryngeal Mask Airway in Anaesthetized paralyzed patients for Insertion Time and Ease of Insertion

Usman Ahmed, Amjad Ali, Saeed Bin Ayaz, Sajjad Qureshi, Hina Iftikhar, Habib Ur Rehman

1083-1086
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Comparison between Polypropylene Suture and Skin Staples for Securing Mesh in Lichtenstein Inguinal Hernioplasty

Usman Shah Bukhari, Aamir Ali, Sohail Ilyas, Hafiz Khalid Pervaiz, Farooq Shahid, Kamran Durrani

1091-1090
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Portal Venous Pulsatility Index: A Novel Biomarker for Diagnosis of High-Risk NonAlcoholic Fatty Liver Dise

Muhammad Nasir Naeem Khan, Aliya Ahmed, Ibtesam Zafar, Fasih Ul Islam Hashmi, Amir Khan, Tayyaba Khalid

1091-1094
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Frequency of SARS-CoV-2 Antibodies in PCR-Positive COVID-19 Patients and High-Risk Exposed Subjects at Multan

Sana Iqbal Janjua, Muhammad Younas, Raja Kamran Afzal, Asma Khan, Farhat Yasmeen, Muskan Younas

1095-1099
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Do Hematocrit Levels Differentiate between Complicated and Uncomplicated Dengue Fever?

Muhammad Furrukh, Saeed Bin Ayaz, Fatima Ayaz, Fawad Rahman, Saima Ambreen, Fazal Ur Rahman

1100-1103
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Impact of Comorbid Conditions on Severity of Dengue Fever: A Comparative Study

Amna Ashraf, Sana Zafar, Faisal Mehmood, Karamat Hussain Shah Bukhari, Aamir Habib, Muhammad Ammar Husnain

1104-1107
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Association of Smoking with Dental Caries and Periodontal Health Status Among Incarcerated Women in Karachi

Hina Shah, Imran Khan, Sibghat Ullah Khan, Jai Kershan, Sanaa Ahmed, Sumbul Ayaz

1108-1111
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Spectrum of Intestinal Parasitic Infections in Paediatric Population in A Tertiary Care Hospital

Iqra Sadiq, Irfan Ali Mirza, Umer Khursheed, Rafia Irfan, Fatima Sana, Mahtab Akhtar

1112-1115
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Absolute Lymphocyte Count; the most Sensitive Indicator of the Risk of Progression and Complications in COVID-19

Kamran Ali, Khurram Haq Nawaz, Wahaj Ul Hassan, Raja Muhammad Waqar

1116-1119
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Comparison of Post-operative analgesia with Bupivacaine versus Ropivacaine for Caudal block in pediatric patients

Khursheed Hassan Leghari, Altaf Ahmed, Usman Ahmed, Ahsan Javed Ranjha, Zaheer Ud Din Tiwana, Aftab Hussain

1120-1123
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Impact of Gluten on Irritable Bowel Syndrome

Sana Uruj, Muhammad Zafar Ali, Natasha Sarwar, Amina Hussain, Muhammad Waseem

1124-1127
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Comparison of Hemodynamic Stability of Patients Undergoing Appendectomy under Spinal Anesthesia versus Blend of Ketamine and Midazolam with Spinal Anesthesia

Kaukab Majeed Kayani, Usman Eijaz MALIK, Amran Hafiz; Fayyaz Hussain; Humayun Munir, Najm us Saqib

1128-1132
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Early Clinical Outcome of Mini-Craniotomy in Mixed Density Subdural Hematoma

Amjad Saeed Abbasi, Shahzad Ahmed Qasmi, Hanif Abbasi, Awais Ali Khan, Ali Ahmed, Babar Shamim

1133-1136
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Uropathogens and their Culture Sensitivity Pattern in Children with Urinary Tract Infection.

Muhammad Musarrat Jamal; Asad Arif, Amna Sarfaraz, Javeria Jamal, Sohaib Mahmood, Maniha Musarrat

1137-1140
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17p Deletion in Patients with De Novo Acute Myeloid Leukemia and their Clinico-Haematologic Features

Saniya Jalil, Helen Mary Robert, Hamid Saeed Malik, Asad Mehmood Abbasi, Sarah Fatima, Hina Niaz

1141-1144
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Efficacy of Perineural versus Systemic Dexmedetomidine as an Adjuvant to Bupivacaine for Surgical Anesthesia in Axillary Block

Kaukab Majeed, Amran Hafiz; Usman Eijaz Malik; Fayyaz Hussain, Najm Us Saqib, Amna Gulraz

1145-1148
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Analysis of C- Shaped Root Canal Morphology in Mandibular Second Molar using Cone Beam Computed Tomography

Marina Shah, Shahbaz Ahmed Jat, Fazal ur Rehman Qazi, Hira Akhtar, Prena Moorpani, Munazza Aziz

1149-1152
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Relationship of Peripheral Vestibular Deficits with Metabolic SyndromesAn Experience at CMH Q

Zeeshan Ayub, Azeema Ahmed, Irfan Saeed, Saima Bashir, Usman Afzal Malik, Hamid Iqbal

1153-1156
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Translation and Validation of Multi-Dimensional Family Functioning Scale: A Confirmatory Factor Analysis

Tahira Jabeen, Aneela Maqsood

1157-1160
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The Role of Citicoline in Neuroprotection and Neuro Repair in Acute Stroke

Nabila Shaukat, Shazia Nisar, Osman Ali Jan, Usman Sajid, Amjad Mahmood, Huma Zahid

1161-1164
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Acute Kidney Injury in Neonates who Develop Asphyxia at the Time of Delivery

Saba Zamir, Muhammad Tariq Nadeem, Lutfullah Goheer

1165-1168
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Diagnostic Accuracy of Magnetic Resonance Cholangio-Pancreatography (MRCP) in Evaluating Obstructive Jaundice, Keeping Endoscopic Retrograde Cholangio-Pancreatography(ERCP) as Gold Standard

Irum Qaisar, Faran Nasrullah, Intisar Ul Haq, Rabia Younas, Yasar Shakeel, Muhammad Omer Aamir

1169-1172
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Frequency of Aspergilloma in Clinically Diagnosed and Undiagnosed Patients of Cavitatory Pulmonary Tuberculosis

Amina Firdous, Afshan Fayyaz, Mobeen Shafique, Muhammad Usman Khan, Muhammad Omer Aamir, Aown Raza Shah Bukhari, Hafsa Aquil, Hina Nasir

1173-1176
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Domestic Violence in Married Women of Rawalpindi/Islamabad, Pakistan; A Mixed Method Study

Nadia Tariq, Sadia Zafar, Shehla Farhin, Farah Rashid, Tamkeen Nishat Jaffry

1177-1181
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Quality of Life of People in Quarantine and Isolation Centers

Sidra Iftikhar, Asif Azeem Bajwa, Muzaffar Ahmed, Neelam Sarwar, Asif Hanif, Omer Ismail Khalid

1182-1185
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Histological Outcome of Needle Core Biopsies in Breast Lesions and Advantage of Using Reporting Categories of Royal College of Pathologists, London (UK)

Tariq Sarfraz, Saba Aneeqa, Humaira Tariq, Yasmin Wahid, Rehana Ramzan, Tania Khattak, Salma Afzal, Rubina Riaz

1186- 1189
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Frequency of Hysterectomy in Morbidly Adherent Placenta in Post Cesarean Section Patients: A Cross Sectional Study A Cross Sectional Study

Asma Batool, Nabila Amin, Tehreem Yazdani

1190-1194
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Comparative Analysis of Human Cystatin C Levels in Migraine without Aura and Healthy Controls

Mariyam Khan, Maham Tahir, Sunia Hameed, Muhammad Umar Ali Khan, Mehwish Qamar, Mamoona Shafiq

1195-1199
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Predictors of Failed Trial of Labour After Previous one Caesarean Section

Anam Mahreen, Viqar Ashraf, Rabia Sajjad, Naheed Hayat

1200-1203
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Early Asymptomatic Decline in Left Ventricular Ejection Fraction in Adult Cancer Patients Receiving Trastuzumab

Mansoor Zeeshan, Faisal Mehmood, Zareen Gul, Maryam Khan, Amna Ashraf, Muhammad Umair Shafique

1204-1207
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Prognostic Factor of Outcome in Adults with Altered Mental Status Presenting in Emergency Department

Syeda Nida Batool, Syeda Fatima Zareen, Syeda Kiran Batool, Fahim Liaqat, Zeeshan Munir, Syed Waqar Abbas

1208-1211
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Case Reports

Acute Kidney Injury in Plasmodium Falciparum Malaria; Field Hospital Experience

Abu Sufyan, Hassan Jaffar, Sijeel Ahmed, Asad Sufyan

1200-1201
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