ARMED FORCES MEDICAL JOURNAL Vol-71, No. 4, August 2021 Recognized by PMC & HEC

CONTENTS

EDITORIAL Initiation And Monitoring of Anti Stewardship Program in 200 Bedded Hospital of Gigit Baltistan 1124 Safia Fatima, Ahmed Saeed Khan, Fozia Fatima Editorial Advisory Board ORIGINAL ARTICLES Frequency of Microalbuminuria in Abnormal Lipid Metabolism And Suffering From Type II Diabetes Mellitus Chairman 1126 Ejaz Ali, Abdul Latif Khattak, Andaleeb Khan, Kamil Rehman Butt, Raheel Akhter Yousafzai, Abdul Moeed Tariq Lt Gen Nigar Johar, HI (M) (Surg Gen/DGMS (IS) Maternal C-Reactive Protein in Pregnancy And Its Relation With Early Onset Neonatal Sepsis 1130 Members Muhammad Zahid, Saeed Zaman, Sohail Shahzad, Sajid Ali Shah, Sana Javed, Ammara Mushtaq Khan Diagnostic Accuracy of Modified Early Obstetric Warning System For Prediction of Maternal Morbidity 1134 Prof Rasikh Maqsood Sadaf Zohra, Nayla Khalid, Uzma Urooj, Sumaira Khan, Asifa Siraj, Munawar Jannat Rana Prof Wasim Alamgir Comparison of Emergency Surgeries Under Spinal Anesthesia in COVID-19 Pandemic With Pre-COVID Period in A Tertiary Care Hospital of A Developing Country 1138 Dr Salman Ashraf Sanum Kashif, Taimur , Naheed Parveen, Najm Us Saqib Khan, Saad Ahmed Dr Qamar Ul Haq Noor Magnitude of Vancomycin Resistant Enterococcus Fecal Colonization And Bacteremia in Patients With Hematological Diseases At Tertiary Bone Marrow Transplant Centre Rawalpindi 1142 Dr Muhammad Aleem Nargis Sabir, Luqman Satti, Abeera Ahmed, Gohar Zaman, Raheel Iftikhar, Nasir Uddin Utility of Albumin Creatinine Ratio (ACR) in Monitoring Diabetic Retinopathy And Nephropathy Dr Sibtain Rafique 1147 Muhammad Aneeq Haroon, Haroon Javiad, Zujaja Hina Haroon, Usama Bin Khalid, Afshan Bibi, Azka Haroon Editorial Committee Anaesthesiology As A Future Specialty 1152 Chief Editor Khalid Mahmood, Asad Shamim, Muhammad Umair Khan, Tasneem Alam, Usman Khalid, Asad Ullah Jaffery Effects of Noise Stress on Thyroid Stimulating Hormone in Adult Rats 1157 Prof Sayed Nusrat Raza Saba Saleem Safdar, Khadija Qamar, Khadija Mehboob, Tayyaba Faisal, Fahad Atta, Aisha Ambreen Editor Bacterial Spectrum And Antimicrobial Pattern of Blood Stream Infections Associated With Non-Tunneled Double Lumen Catheter in Hemodialysis Patients 1161 Prof Khadija Qamar Mehmood Hussain, Malik Nadeem Azam Khan, Khalid Rehman, Irfan Ali Mirza, Maryam Rehman, Sidra Riaz Comparison of Effectiveness of Intraarticular Injections of Hyaluronic Acid And Corticosteroids in The Treatment of Patients With Knee Joint Editors Osteoarthritis Symptoms 1167 Prof Muhammad Alamgir Khan Syed Haider Tirmizi, Amer Fakhr, Ahmed Amer, Rizwan Yusuf, Kaswar Sajjad, Shah Muhammad Khan Assessment of Psycho-Social Impact of Acne Among Young Adults - A Cross Sectional Study At A Tertiary Care Hospital of Rawalpindi 1171 Dr Palvasha Waheed Zubaida Rashid, Syed Fawad Mashhadi, Imtenan Sharif, Syeda Urooj Zaidi, Saira Maroof, Mufliha Khan,Umama Liaqat SARS CoV-2 Pandemic: Experience At Reference Virology Laboratory Assistant Editors 1175 Misbah Noor, Eijaz Ghani, Saifullah Khan Niazi, Muhammad Ali Rathore, Fuad Ahmad Siddiqi, Noman Shakoor Dr Syed Fawad Mashhadi Pre-Emptive Effect of Intravenous Paracetamol Versus Intravenous Ketorolac on Post-Operative Pain And Shivering After Septoplasty Dr Kulsoom Farhat Under General Anesthesia: A Comparative Study 1179 Sanum Kashif, M Nasir Kundi, Taimur Azam Khan Dr Shamaila Mohsin Comparison of Neonatal APGAR Scores And Patient Satisfaction Levels in Spinal Versus General Anesthesia in Elective Cesarean Dr Aliya Hisam Sections 1183 Syed Khurram Naseer, Aijaz Ali, Shizan Hamid Feroz, Danish, Amir Sohail Dr Muhammad Rizwan Bashir Kiani Determination of Normal Thyroid Technetium-99M Uptake Value in A Single Centre Pakistani Population 1188 Dr Aiza Saadia Asad Malik, Fida Hussain, Muhammad Ashraf, Saima Seher, Ali Jamal, Shahzad Akbar Spectrum of Rheumatoid Arthritis Patients Presenting To A Tertiary Care Hospital in Pakistan 1193 Dr Rimsha Zia Muhammad Khan, Muhammad Salman Mushtaq, Babur Salim, Sumera Mushtaq, Haris Gul, Saba Samreen Dr Junaid Aslam Association of Dental Caries And Oral Health Related Quality of Life (OHRQOL) in Disabled Children 1198 Managing Editor Rubab Jawed, Zohaib Khan, Maryam Younus, Khadijah Abid, Momina Saleem, Zeeshan Kibria Association Between Anemia And Bone Profile in Non-Dialysis Dependent Chronic Kidney Disease Anemia And Bone Profile in CKD 1204 Dr Rehana Khadim Shamsa Kanwal, Muhammad Aamir, Khurram Mansoor, Naveed Asif, Muhammad Tanveer Sajid Role of Doppler Indices in The Prediction of Adverse Perinatal Outcome in Preeclampsia 1209 Statistician Shakra Tabasam, Zaib Malik, Asifa Siraj, Sadaf Afroz Ms Anam Haider Frequency of Congenital Anomalies of The Kidney And Urinary Tract By Means of Ultrasonography in Neonates At A Tertiary-Care Hospital 1214 Bibliographer Uzma Rasool, Saqib Ur Rehman, Saeed Bin Ayaz, Ghulam Rasool Tariq, Ghulam Ghaus Shah Frequency of Proteus Mirabilis Infection in Rheumatoid Arthritis Mr Mudassar Mustafa 1218 Muhammad Hasan Saleem, Shazia Nisar, Muhammad Zulqurnain Saleem, Husnain Saleem, Shoaib Mukhtar, Muhammad Ali Anjum Iron Deposition in The Growth Plate of Long Bones of The Offspring When Given During Pregnancy in Rat Model 1223 Editorial Board Members Faiza Umbreen, Khadija Qamar, Sadia Shaukat, Maimoona Khan, Sana Malik, Hussain Ali Impact of Illness Perception And Coping Strategies on Quality of Life Among Migraineurs 1227 International Humaira Bibi, Summaira Naz, Mussarat Jabeen Khan Diagnostic Accuracy of C-14 Urea Breath Test For Detection of Helicobacter Pylori in Patients With Gastritis 1231 Prof Mohammad Bagher Rokni (Tehran, Iran) Zaigham Salim Dar, Suniya Arshad Butt, Khurram Hayat Mir, Fida Hussain Dr Sajid Hassan Butt (NHS UK) Electrocardiographic Changes With Standard Dose of Meglumine Antimoniate Therapy in Cutaneous Leishmaniasis 1235 Dr Faiza S Khan (Public Health UK) Moizza Tahir, Uzma Bashir, Najia Ahmed, Jauhar Mumtaz Association of Stress Level With Gender, Semester of Study And Clinical Practice in Undergraduate Physical Therapy Students: A Cross Prof Adeel Ajwad Butt (USA) Sectional Survey 1239 Prof Nimalka Ariyaratne (Sri Lanka) Hafiza Sana Ashraf, Maria Sohail, Fahad Tanveer, Aqsa Anjum, Haris Farooq, Haleema Masood Evaluation of Drug-Prescribing Patterns At Outpatient Clinics of Public Health Facilities in Mirpur 1243 Dr Neil Carr (NHS UK) Saman Omer, Bushra Tayyaba Khan, Omer Jalil Ameliorative Effects of Punica Granatumon Renal Tubular Necrosis Induced By Nandrolone Decanoate in Mice Model Prof Moeed Iqbal Qureshi (KSA) 1248 Humaira Ali, Liaqat Ali, Sadia Shaukat, Maria Yousaf, Faiza Umbreen, Iram Zakria National (Extra-Organizational) Outcomes of Laparoscopic Cholecystectomy in Different Grades of Gall Bladder Inflammation A Tertiary Care Centre Experience 1252 Prof Khalid Masood Gondal, TI (Lahore) Amir Ali, Mukarram Hussain Syed, Taimoor Ashraf, Farhee Aslam, Gufran Ahmad, Afnan Akbar Assessment of Efficacy of Electronic Vacuum Aspiration With Intravenous Analgesia 1256 Prof Assad Hafeez (Islamabad) Afeera Afsheen, Aisha Shahid, Bushra Iftikhar, Rabiah Anwar, Javaria Nosheen, Amera Tariq Dr Amina Ahmad (Lahore) Outcomes of Video Assisted Thoracoscopic Decortication Versus Conventional Open Decortication in Patients With Stage II or Stage III Empyema 1261 Prof Rubina Naqvi (Karachi) Ibrahim Baloch, Bilal Umair, Asif Asghar, Muhammad Imtiaz Khan, Muhammad Shoaib Hanif, Azfar Bilal Effects of Lumbar Snag And Mechanical Traction in Patients With Discogenic Lumbosacral Radiculopathy Prof Shoaib Shafi (Islamabad) 1265 Muzammal Ahmed, Naveed Anwar, Sana Tauqeer, Kehkshan Khalid, Hammad Shakeel Prof Waheed-uz-Zaman Tariq (Lahore) The Neuroprotective Effect of Curcumin Against Tartrazine-Induced Neurobiochemical And Histopathological Changes in The Gray National (Organizational) Matter of Motor Cortex of Brain of Sprague Dawley Rats 1269 Maleeha Zafar, Shabana Ali, Nabiha Hussain, Tooba Khursheed, Huma Beenish, Ayesha Yasser Prof Farrukh Saeed The Impact of Isolated Oligohydramnias At Term on Perinatal Outcome: A Comparative Study 1274 Prof Muhammad Asad Qureshi Nadia Arif, Bushra Zafar, Ayesha Arif, Raja Qaseem Ahmed, Farrukh Shehzad The Effects of Injecting Intra Articular Platelet-Rich Plasma on Pain Scores in Knee Joint Osteoarthritis 1278 Prof Hafeez-Ud-Din Khaleel Ahmed, Liaqat Ali, Muhammad Aasam Masoom Maan Comparison of Extraperitoneal And Transperitoneal Radical Cysto-Prostatectomy in Terms of First 30 Days Outcomes Prof Safdar Hussain 1282 Mudassar Sajjad, Qamar Zia, Haroon Sabir, Faran Kiyani, Muhammad Nawaz, Sohail Razzaq, Bilal Habib Dr Naeem Raza Ocular Diseases Among Patients Reporting in United Nations Level III Hospital - Darfur, Sudan 1288 Dr Riaz Ahmad Muhammad Awais, Hussnain Abbas, Khalid Naimat, Muhammad Shahid, Haroon Javaid Comparison of Serum Calcium Levels Among Extremely Preterm And Severely Preterm Neonates At A Peripheral Military Hospital 1292 Dr Iram Lehrasab Sohail Aslam, Fawad Ahmad Khan, Omer Tufail, Naila Mumtaz, Syed Uzair Maqsood, Muhammad Yousaf Rifaximin Effectiveness in Preventing The Recurrence of Hepatic Encephalopathy Among Patients With Liver Cirrhosis 1296 Muhammad Zulqurnain Saleem, Muhammad Hasan Saleem, Husnain Saleem, Muhammad Ali Aasil Association of Serum Folic Acid Levels And Cholesterol/High Density Lipoprotein (HDL) Ratio With Basal Metabolic Index (BMI) in Patients With Acute Myocardial Infarction 1300 Nimrah Siddique, Rabia Akhtar Cheema, Javaria Latif, Uzma Waseem, Muhammad Omer Altaf, Saeed Aslam Erectile Dysfunction And Associated Socio-Demographic Factors Among Patients Suffering From Asthma 1304 Omer Sultan, Muhammad Khalid, Muhammad Hammad Athar Difficulty And Discrimination Analysis of End of Term Multiple-Choice Questions At Community Medicine Department, Wah Medical College 1308 Musarat Ramzan, Khola Waheed Khan, Saana Bibi, Shezadi Sabah Imran Reproductive Outcomes After Abdominal Myomectomy 1311 Yasmin Fatima, Mumtaz Amir Predictors of Mortality Within 8 Weeks After Endoscopic Treatment of Gastric Variceal Bleed With N-Butyl 2-Cyanoacrylate in Cirrhotic Patients 1314 The Pakistan Armed Forces Medical Journal Mahmood Ahmad, Yasir Mahmud, Sidra Rasheed, Muhammad Muaaz, Muhammad Naeem Afzal, Muhammad Arif Nadeem

(PAFMJ) is an official Journal of Army Medical Evaluation of Success of Resin Infiltration Technique in Superficial Proximal Carious Lesions of Posterior Teeth 1318 Corps and is being published since 1956. Few of the Faisal Mahmood, Muhammad Bader Munir, Ali Altaf, Ajmal Yousaf, Faisal Bhangar, Syed Muzammil Hussain salients of the journal are as below:- Association of Iron Deficiency Anemia With Acute Lower Respiratory Tract Infections in Children Presenting To Department of A Tertiary Care Hospital 1322 Raazia Nawaz, Shabbir Hussain, Arshad Khushdil, Sidra Tanveer, Maria Javed, Saira Akram  Severity of Depression And Anxiety Among Caregivers of Children With Cerebral Palsy And Their Correlation With Functional Recognized by PMC & HEC Capabilities of The Children 1327  Indexed in ICI Journals Master List - Index Sikandar Ali Khan, Fazal Ur Rahman Saeed, Saeed Bin Ayaz Ultrasound Guided Foam Sclerotherapy As A Preferred Treatment Option For Varicose Veins in Terms of Safety, Efficacy And Cost Copernicus Effectiveness 1332  Indexed in HINARI List of Journals Muhammad Jamil,Rashid Usman, Muhammad Irfan Khan, Muhammad Afzal Randhawa, Aaiza Aman, Areesha Jamil Protective Effect of Soybean Oil on Mice Lung Tissue Injury And Alveolar Hemorrhage Induced By Bisphenol A 1336  Inclusion of PAFMJ Indexed in WHO Index Sadia Shaukat, Hina Kundi, Qazi Waheed Ullah, Nazish Waheed, Farah Deeba, Shazia Iftikhar Medicus (IMEMR), EBSCO Host, DOAJ, Diagnostic Role of Endobronchial Washings And Biopsy in Smear Negative Pulmonary Tuberculosis And Its Correlation With High Resolution Computed Tomography Chest Findings 1341 Scientific Journals Impact Factor (SJIF), Pak Maryam Hussain, Sultan Mehmood Kamran, Rizwana Azam, Asifullah Khan, Sohaib Ahmed, Usman Bin Ali Medinet, Scope Med, Index Scholar What Drives Young Women To Join The Pakistan Armed Forces? An Exploratory Study of Motivational Factors 1346  Indexation of PAFMJ in Cumulative Index Nazia Mustafa, Shoaib Kiani Mean Platelet Volume As A Predictive Biomarker For Retinopathy in Patients With Type 2 Diabetes 1351 Medicus of Eastern Mediterranean Region Asma Tasneem, Samina Naeem, Nasir Uddin, Helen Mary Robert, Maria Farid, M. Khizar Niazi Evaluation of A Novel Liquid Chromatography Tandem Mass Spectrometry Based Method For Vitamin D Analysis in Blood Journals 1355 Sehrish Naz, Muhammad Aamir, Zujaja Hina Haroon, Sobia Irum Kirmani, Nisar Ahmed, Sadiq Ali  Allocation of International Standard Serial Comparison of Effectiveness of Carbamazepine Versus Topiramate For The Management of Trigeminal Neuralgia 1360 Number France (print & online) Ramish Tariq, Omer Sefvan Janjua, Sana Mehmood, Muhammad Usman Khalid, Khurram Jah Zafar, Saad Hameed Comparison of Mirror Therapy And Motor Relearning Program in Improving The Upper Limb Motor Function of Patients With Stroke  1364 Availability of PAFMJ on Internet: Rabia Rauf, Abdul Rashad, Alisha Noreen, Rabia Intikhab, Tehreem Anis Suleman, Seemab Mughal [www.pafmj.org] Efficacy of Two Approaches of Transforaminal Epidural Injections in Patients of Lumbar Radiculopathy 1368  Online submission of articles through online Moazzam Ali, Rashid Iqbal, Majid Waseem, Liaquat Ali, Tahseen Talib, Maliha Khawar Comparison of Neonatal APGAR Scores And Patient Satisfaction Levels in Spinal Versus General Anesthesia in Elective submissions system Cesarean Sections 1372  Attraction of wider authorship and readership Maqsood Ahmad Comparison of Arthrocentesis Plus Platelet Rich Plasma With Arthrocentesis Alone in The Treatment of Temporomandibular Joint Dysfunction 1377 Humaira Sarwar, Irfan Shah, Ali Akhtar Khan, Muhammad Afzal, Adnan Babar, Amir Mushtaq Baig Exposures And Risk Factors of Corona Virus Among Health Care Workers And Need For Preventive Measures in Combined Military Hospital Rawalpindi 1382 Fuad Ahmad Siddiqi, Sobia Mehreen, Adeel Ahmed, Tariq Bashir, Javed Ahmad, Fayyaz Hassan, Fatima Mahmood Comparison of Metformin And Oral Contraceptive Pills in The Treatment of Polycystic Ovarian Syndrome 1387 Rabia Mushtaq, Sadaf Iqbal, Afroza Abbas, Bushra Iftikhar, Waqas Ahmed, Afeera Afsheen Assessment of Presbyopia Among Mobile Phone And Computer Users At Punjab, Pakistan 1391 Shamaila Doggar, Syeda Rizwana Jafri, Rubina Anwaar, Rabia Sajjad Toor, Samia Shahbaz, Amna Rehman The Frequency of Mismatch Repair Deficiency in Colorectal Carcinoma Determined By Immunohistochemistry 1395 Maria Naseem, Muhammad Asif, Hafeez Ud Din, Muhammad Tahir Khadim, Ahmed Ahson Khan, Shahid Jamal, Iman Shoaib Avoiding Surgery Day Cancellation By Finding Preventable Causes – A Two Years Experience 1400 Maqsood Ahmad, Muhammad Akmal, Tassadaq Khurshid, Amer Saleem, Inam Ul Haq, Fatimah Tassadaq Syed Is Pseudoexfoliation A Significant Risk Factor For Glaucoma? A Cross-Sectional Analysis of A Pakistani Population 1404 Abdul Rauf, Hussnain Abbas, Saqib Ali, Haroon Javaid, Khalid Naimat Diagnostic Cardiac Cathetrization in Children With Tetralogy of Fallot: Still Relevant in Developing World 1408 Gul Afshan, Ahmed Usaid Qureshi, Syed Najam Haider, Tehmina Kazmi, Uzma Kazmi, Masood Sadiq Perceptions of Continuing Medical Education Participants Regarding Improvement of Patient Care Through Continuing Medical Education Activities in Lahore District 1413 Shazia Tufail, Junaid Sarfraz Khan, Shehla Baqai, Nilofer Mustafa Comparison of Endotracheal Intubation Versus Supraglottic Airway Device in Patients Undergoing Corneal Transplantation Under General Anaesthesia 1420 Sana Abbas, Omar Zafar, Beenish Abbas, Basit Mehmood, Umer Hayat, Hassaan Javaid Fight Against Superbugs in A Burn Centre: Are We Doing Enough 1425 Muhammad Rizwan Aslam, Taokeer Ahmed Rizvi, Muhammad Tariq Munawar, Muhamad Ashraf Hussain, Tabish Samuel Evaluation of Improvement in Renal Function After First-Line Chemotherapy in Multiple Myeloma Patients Presenting With Renal Impairment 1431 Syed Abdul Mannan Hamdani, Abdul Wahab, Musa Azhar, Faiza Iftikhar, Bushra Ahsan, Usman Ahmad Frequency of Cutaneous Manifestations in COVID-19 1436 Madiha Sundus, Aisha Akhtar, Asim Aslam, Nadia Iftikhar, Muhammad Anjum, Nawal Suhail Value of Secondary Inflammatory Signs on Ultrasound in Evaluation of Acute Appendicitis 1441 Zafar Amin, Adil Qayyum, Syed Naveed Mumtaz, Asma Noor, Ruqqayia Adil Prevalence, Associated Factors And Awareness of Bullying Among Students of Public And Private Schools of Lahore, Pakistan 1446 Fariha Salman, Muhammad Sharjeel, Mohammad Salman Abdullah Inhibition of Surgically Induced Miosis With Nepafenac 1451 Rabbia Mirza, Imran Basit, Sumayya Khan, Zahid Ullah, Muhammad Shahid, Muhammad Awais Frequency of Generalized Anxiety Disorders in Patients With Polycystic Ovarian Syndrome 1454 Rabia Asghar, Usama Bin Zubair, Syed Azhar Ali, Ayaz Muhammad Khan, Aneel Shafi, Hafiz Shafique Ahmad Gonial Angle Determination; A Comparison Between Lateral Cephalogram And Both Hemispheres of Orthopantomogram 1460 Mehwish Khan, Faheem Nake Akhtar, Abdullah Jan, Fatima Hamid, Sana Tariq Consanguineous Marriage As Risk Factor For Idiopathic Generalized Epilepsy (IGE) 1464 Shumaila Rafique, Tipu Sultan, Shabir Ahmed Variations in Length of Styloid Process in Adult Human Dry Skulls 1468 Mahjabeen Muneera, Mohtasham Hina, Zahra Haider Bukhari, Raafea Tafweez Kuraishi COVID-19 Vaccine Breakthrough Infections Among Health Care Workers in Military Institutes of Pakistan – Till 30th June 2021 1471 Saira Maroof, Nausheen Bakht, Salman Saleem, Shazia Nisar, Zubaida Rashid, Eisha Mansoor, Asma Iftikhar Ventilator Associated Pneumonia in Trauma Patients; Associated Risk Factors, Microbial Etiology And Outcome 1476 Sohaima Manzoor, Farzana Batool, Muneeba Ahsan Sayeed, Azizullah Khan Dhilo, Humera Muhammad Ismail, Shehla Baqai Association of Osteoporosis With Dyslipidemia in Pre-Menopausal Women 1481 Aisha Ayyub, Rizwan Hashim, Atif Ahmed Khan Single Nucleotide Polymorphisms (CYP11 Alpha and CYP17) And Serum Sex Hormone Binding Globulin Levels in Normal And Polycystic Ovary Syndrome 1484 Nauman Aziz, Shamaila Doggar, Amer Shoaib, Muhammad Saeed Aslam, Muhammad Omer Altaf REVIEW ARTICLE The Role of World The Fight Against COVID-19 1489 Muhammad Nadir Shabbir, Kainat Iftikhar, Mudassar Mustafa, Muhammad Usman Arshad, Imran Ullah, Mubashir Mustafa CASE REPORTS Adult Pneumococcal Meningitis Presenting With Stroke Like Symptoms 1496 Muhammad Mohsin Sajjad, Sidra Yousaf Four Different Presentations of Wilson’s Disease in One Family 1498 Asbah Rahman, Qudratullah Malik, Farooq Ikram CIS-Atracurium with Masseter Muscle Spasm: An Unanticipated Difficult Endotracheal Intubation And Temporomandibular Joint Displacement: A Case Report 1501 Muhammad Saad Yousuf, Syed Shabbir Ahmed, Khalid Samad Medical Error, Persistent Vegetative State And Over Nineteen Long Years of Medical Care 1504 Zahid Farooq Baig, Aslam Khan, Ibrar Hussain Zaidi, Muhammad Azmat Khan, Muhammad Salman Ashraf BRIEF REPORT 200 Cochlear Implants – A Milestones 1508 Adil Ali, Rusab Alam Khan, Muhammad Bin Humayun