Vol. 72 No. 4 (2022): August

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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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• Extensively Drug-Resistant Typhoid Outbreak in Pakistan, Experience at a Tertiary Care Hospital in Lahore; A Tip of An Iceberg

  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, 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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• Clinicopathological Analysis of Biopsy-Proven Glomerulonephritis in the Pediatric Patients : A Study from Tertiary Care Centre

  Rabia Saleem Safdar, Afsheen Asghar Khan, Muhammad Faisal Mehar, Shazia Riaz, Nusrat Hussain, Kiran Abbas

  1283-86

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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 Kizilwarda Akhtar, Muhammad Ayhan 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

  Zunaira Ali Baig, Amir Rashid, Ambreen Gul, Imran Raza, 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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• Vestibular Rehabilitation with Intratympanic Drug Therapy in Meniere's Disease

  Zeeshan Ayub, Ahmed Hasan Ashfaq, Amir Ali Khan, Kamran Ashfaq Ahmed Butt

  1444-47

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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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• Accuracy of Rapid Antigen Detection Test Device (COVID-19 Ag Rapid Test Device) in Diagnosis of Acute COVID-19 Infections

  Noman Shakoor, Eijaz Ghani, Saifullah Khan Niazi, Misbah Noor, Faraz Ahmed, Hammad Hussain

  1461-65

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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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Achievements

• DR TASSADUQ HUSSAIN

  1498

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