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PATRON Prof. Arif Tajammal JAIMC Principal Allama Iqbal Medical College/ The Journal of Allama Iqbal Medical College Jinnah Hospital CHIEF EDITOR Oct - Dec. 2019, Volume 17, Issue 04 Dr. Rubina Aslam Head of Department of Psychiatry Patterns of Antimicrobial Drug Resistance Among Gram Negative Bacterial 1 ASSOCIATE EDITOR Pathogens In Intensive Care Unit in A Tertiary Care Hospital, Lahore Muhammad Naeem Saima Inam, Muhammad Tahir Saeed, Sadaf Munir, Amjad Iqbal Burq, Iram Yousaf, Sana Iftikhar Farhan Rasheed Mehwish Akhtar Patient Satisfaction with Phlebotomy Services in a Tertiary Care Hospital in 8 Sabeen Irshad Lahore Muzaffar Ali Waqas Ahmad, Waqar Ahmad, Ain ul Momina, Fakeha Rehman, Saeed Ahmed MANAGING EDITOR Diagnostic Accuracy of Haemoglobin Content of Reticulocytes (RET-HE) as a 12 Muhammad Imran Screening Test for Iron Deficiency Anemia in Patients with Cancer STATISTICAL EDITOR Ummay Farwa Naqvi, Faryal Zafar, Adeel Haider, Asad Hayat, Mohammad Mamoon Akbar Qureshi Bakhsh, Asma Munir Zarabia Pervaiz Butt Association of B Blood Group Antigen with Esophageal Squamous Cell 18 DESIGNING & COMPOSING Carcinoma: A Case Control Study at Single Cancer Center in Pakistan Talal Publishers Faryal Zafar, Ummay Farwa Naqvi, Bilal Ahmed, Rabia Lodhi, Asad Hayat INTERNATIONAL ADVISORY BOARD Ahmad, Asma Munir Shoaib Khan (Finland) Saad Usmani (USA) Emotional Behavioral Problems and Self-esteem in Children with Absent 24 Bilal Ayub (USA) Fathers Nudra Shaukat, Maryam Amjad, Khawar Abbas Chaudhry, Mujtaba Hasan Adnan Agha (Saudi Arabia) Shahzad Khalid (Saudi Arabia) Siddiqui, Faiza Abbas, Durr e Sharaf Zeeshan Tariq (USA) Red Cell Alloimmunization in Polytransfused Thalassemic Children 34 Umar Farooq (USA) Muhammad Asif Naveed, Romaisa Naeem, Saad Zafar, Rafeeda Maab, EDITORIAL ADVISORY BOARD Ammarah Sharif , Mehak Khalid Amatullah Zareen Ocular Fundus Changes in Patients with Eclampsia and Pre-Eclampsia 38 Farhat Naz Uzma Hamza, W aqas Asghar, Qasim Lateef Chaudhry,Shazia Sehgal, Saira Kazmi, Aftab Mohsin Fatima Mehmood, Hamid Mahmood Butt, Anam Haneef, Hafiz Muhammad Ali, Muhammad Abbas Raza Abdul Mateen, Muhammad Hassan Aftab Tanveer-ul-Islam Role of Procalcitonin in Determining Antibiotic Therapy in Acute Exacer- 43 Tayyab Abbas bation of Chronic Obstructive Pulmonary Disease (COPD) Farooq Ahmad Mujtaba Hasan Siddiqui, Khawar Abbas Chaudhary, Rizwan Elahi, Muhammad Rashid Zia Noor ul Arfeen, Umair Farooq Kashif Iqbal Malik Assessment of Dietary Habits, Physical Activity Patterns and Bone Health of 50 Hamid Mahmood Females in Reproductive Years (18 – 40) Nadeem Hafeez Butt Sidra Imtiaz, Hafsah Saeed, Khawar Abbas Chaudhry, Mujtaba Hasan Siddiqui, Tahseen Riaz Ismaeel Tariq, Farrukh Bashir Tariq Rashid Clinical Patterns of Post Cholecystectomy Syndrome Azim Jahangir Khan 66 Liaqat Ali Deokah, Fakhur-uz-Zaman, Abeera Liaqat, Shafqat Ali Ayesha Arif Zubair Akram Diabetic Foot Lesions and their Surgical Management 71 Aamir Nadeem Fakhar-uz-Zaman, Balakh Sher Zaman, Liaqat Ali Deokah Naveed Ashraf Management of Para Umbilical Hernia 75 Moazzam Nazeer Tarar Rizwanullah, Liaqat Ali Deokah, Muhammad Asghar Bhatti, Fakhar-uz-zaman Muhammad Akram Study to Determine the Limberg Flap Procedure Efficacy for Sacrococcygeal 78 Syed Saleem Abbas Jafri Pilonidal Sinus and its Complication Rate Tayyab Pasha Gul-e-Lala, Ehsan ur Rehman, Mian Umar, Kamran Zaib Khan, Iftikhar Ahmad, Muhammad Ashraf Zia Waqar Arif Rasool Ch Muhammad Ashraf Three Ports Sleeve Gastrectomy for Obese Patients 83 Shafiq-ur-Rehman Cheema Mian Umar Javed, Ehsan Ur Rehman, Kamran Zaib Khan, Irfan Saleem, Gul E Mah jabeen Muneera Lala, Iftikhar Ahmad Sadia Amir A Comparison Between Axillary Lymph Node Dissection vs Sentinel Lymph 85 Meh-un-Nisa Node Biopsy for Breast Carcinoma Shahnaz Akhtar Faiza Siddique, Ahsen Nazir Ahmed, Usman Siddique, Naveed Ahsan, Noor Sajida Begum Fatima Ahsen, Ammara Khan Ambereen Anwar PUBLICATION Department of Community Medicine, Allama Iqbal Medical College, Allama Shabbir Ahamed Usmani OFFICE Road, Lahore (Pakistan). Ph: 99231453, E-mail: [email protected], [email protected] Fouzia Ashraf JAIMC Ameena Ashraf The Journal of Allama Iqbal Medical College Sajjad Hussain Muzamil Hussain Oct - Dec. 2019, Volume 17, Issue 04 Nooman Gilani Farhat Sultana Comparison of The Mean Duration of Sensory Blockade with Bupivacaine and 87 Gulraiz Zulfiqar Bupivacaine Plus Dexamethasone Combination in Patients Undergoing Sadia Salman Orthopedic Procedures Under Spinal Anesthesia. Sajjad Hassan Goraya Aqeel Ahmad, Rizwan Ahmad Khan, Mohammad Ashraf Zia, Shahzad Imran, Shaheer Nayyer, Muazzam Butt To Compare Mean Duration of the Sensory Blockade of Lidocaine Alone Versus 92 Lidocaine and Ondansetron in Bier's Block for Forearm, Hand and Wrist Surgery Shahzad Imran, Rizwan Ahmad Khan, Aqeel Ahmad, Shaheer Nayyer, Tooba Nawaz, Faiza Afzal Response of Chemo-Immunotherapy in Germinal Center B Cell Versus 97 Activated B Cell Subtypes of Diffuse Large B Cell Lymphoma Zeeshan Ahmad Khan Niazi, Amjad Zafar, Samrin Liaqat, Kausar Bano, Muhammad Imran, Muhammad Abbas Khokhar Ophthalmic Manifestations in Chronic Myelogenous Leukemia 101 Sobia Yaqub, Qudsia Anwar Dar, Farah Huma, Amjad Zafar, Zahid Kamal Siddiqui, Muhammad Abbas Khokhar Obesity, Abdominal Obesity and Type 2 Diabetes Mellitus: A Cross Sectional 106 Study in a Tertiary Care Setting Sadia Salman, Fariha Salman, Nauman Zafar Spectrum of Non-variceal Upper Gastrointestinal Bleeding in Patients with 111 Liver Cirrhosis at A Tertiary Care Hospital Ali Asad Khan, Faisal Masood, Amtiaz Ahmad, Dur e Shahwar Soomro, Ali Salman Khan, Sidra Naeem, Sajid AbaidUllah Determination of Perinatal Outcome of Patients Having Stillbirth in Preceding 115 Pregnancy Maj. Gen. Shehla Baqai, Rehana Kanwal, Pakeeza Aslam, Hafiza Bazgha Madni, Riffat Sarwar, Humaira Osman Jaffery Frequency of Hepatitis C and its Relation with Previous Surgical and Non- 121 Surgical Interventions in Unbooked Pregnant Patients Rehana Kanwal, Pakeeza Aslam, Riffat Sarwar, Ayesha Iftikhar, Shazia Tufail, Saima Qamar A Comparative Study of Open Haemorrhoidectomy vs Open Haemorrhoid- 126 ectomy with Lateral Internal Sphincterotomy Ahsen Nazir Ahmed, Faiza Siddique, Usman Siddique, Naveed Ahsen, Noor Fatima Ammara Khan Frequency of Hypocalcemia in Patients with Acute Ischemic Stroke 128 Asma Azhar, Sana Musaddiq, Nadeem Hussain, Nisar Haider Anjum, Iza Ali Effect of Flax Seed Oil on Renal Functions in Acetaminophen Induced Renal 134 Damage in Albino Rats Munazza Sardar, Saima Shahbaz, Fatima Inam Estimation of Thyroid Profiles in Diabetic & Nondiabetic Post Menopausal 138 Women Shehwar Nadeem Chughtai, Saman Saeed, Umer Saeed Frequency and Clinicohaematological Features of the Three Phases of Chronic 142 Myeloid Leukaemia (CML) on Presentation--A Statistical Study from Tertiary Care Hospital Lahore Fatima Saeed, Muneeza Natiq, Saad Zafar, Masooma Jaffer Comparison of Students' Perceptions About Absenteeism in A Private and A 147 Public Medical College Fatima Inam, Munnaza Sardar, Zainab Nazneen PUBLICATION Department of Community Medicine, Allama Iqbal Medical College, Allama Shabbir Ahamed Usmani OFFICE Road, Lahore (Pakistan). Ph: 99231453, E-mail: [email protected], [email protected] JAIMC The Journal of Allama Iqbal Medical College Oct - Dec. 2019, Volume 17, Issue 04 Morphological Variations in Transuretheral Resection of Prostate Specimen 152 Ahtesham K., Imran A.A., Ashraf A., Ali F., Tabassum T. Periportal Hepatic Steatosis and its Relation with Grade of Fibrosis in Patients 157 with Chronic Hepatitis C Anam Ilyas, Umm-e-Habiba, Sana Tariq, Zainab Iqbal, Muhammad Imran, Aman- ur-Rehman Role of RIRS (Retrograde Intra Renal Surgery) in Management of Renal 165 Calculi Muhammad Haroon Ghous, Ali Hassan, Ali ShandarDurrani Incidence and Malignancy Rates Classified by Bethesda System for Diagnosis 169 of Thyroid Nodules on the Basis of FNAC with Histopathological Correlation Sadia Alam, Muhammad Awais, Aafrinish Amanat, Atiqa Arshad, Mateen Khan, Sadaf Waris Frequency of Various Causes of Leukoerythroblastic Peripheral Blood Picture 173 - A Study Conducted in a Tertiary Care Hospital Fatima Rahman, Seema Mazhar, Muneeza Natiq, Ali Shandar Durrani, Aleena Khalid, Ambereen Anwar Histological Study of Toxic Effect of Sodium Fluoride on Glycogen Content in 178 Mice Hepatocytes and their Amelioration by Vitamin E Fatima Inam1, Muhammad Shahid Akhtar2, Hafiza Sadia Ahmad3, Munazza Sardar Neonatal Sepsis: A Tertiary Care Experience 182 Kokab Jabeen, Saira Zafar, Alia Amin, Hira ghaffar, Mariya Farooq, NamraYounus Low Income as A Protective Factor Against Asthma in Children and 189 Adolescents Umer Usman, Muhammad Saqib Musharaf, Mehr Imran Lymphedema Management Services at Jinnah Burn and Reconstructive 194 Surgery Center Lahore: Early Experience in Dealing with a Progressive Debilitating Condition Ata-Ul-Haq, Muhammad Omar Afzal, Ahsan Riaz, Moazzam Nazeer Tarar Risk Factors for the Development of Copd in Patients Presenting to a Tertiary 198 Care Hospital with Moderate to Severe Symptoms of Acute Exacerbation Mutiullah Khan, Muhammad Azhar Shah, Muhammad Latif, Muhammad Salman Afzal, Rizwan Zafar, Ikran Rahim Causes of Thrombocytopenia in Pregnancy 205 Nada Sikander, Javeria Aijaz, A ymen Javed, Rafeeda Maab, Samina Naeem, Muhammad Asif Naveed Frequency and Characteristics of Hair Loss Among Female Medical Students 209 of Combined Military Hospital (CMH) Medical College – Lahore; A Cross Sectional Study M Ashraf Chaudhry, Tahira Raza, Mavery Amin, Ahsan