JOURNAL OF MEDICAL SCIENCES Patron Prof. Dr. Noor ul Iman Dean, Khyber Medical College, Peshawar Chief Editor Dr. Farooq Ahmed Director Medical Education Associate Dean Research, Khyber Medical College, Peshawar Managing Editor Professor Dr. Arif Raza Khan, Khyber Medical College, Peshawar Executive Editor Dr. Iqbal Haider Editors Dr. Saadia Ashraf, Dr. Rubina Gul, Dr. Sabahat Amir, Dr. Mohsin Shafi, Dr. Imran Khan, Dr. Zahidullah Khan, Dr. Irum Sabir Ali International Members National Members Dr. Shahid Ali Shah (KSA) Prof. Dr. Mohammad Humayun Dr. Sardar Ullah (Ireland) Prof. Dr. Mushtaq Ahmad Dr. Nadir Hafiz (Australia) Prof. Dr. Mah Muneer Dr. Uzma Khan (Australia) Prof. Dr. Saima Gillani Dr. Mahnaz Raza Khan (Australia) Prof. Dr. Bushra Iftikhar Dr. Mudassir Rehman (UK) Prof. Dr. Akhtar Sherin Dr. Mohammad Fuad Bangash (USA) Prof. Dr. Mudassir Ahmad Khan Dr. Haroon Afridi (USA) Prof. Dr. Hashim Uddin Azam Khan Dr. Rafay Sherazi (Canada) Dr. Mohammad Bashir Dr. Zafar Iqbal Biostatistician: Prof. Dr. Bushra Iftikhar JMS Corrdinator: Manzar Hussain Shah Printed at: Khyber Printers E-mail: [email protected] J Med Sci 2020 Jan;28(1) http://www.jmedsci.com CONTENTS Journal of Medical Sciences EDITORIAL (Peshawar, Print/Online) is a peer Ethical Review of Research Proposals in Khyber Medical reviewed open access journal College: An eye opener ______________________________________ 1 that publishes biomedical public health and educational research on Umema Zafar quarterly basis. Original Articles Editorial correspondence should be addressed to: 1- Cephalosporin resistance in Typhoid and Paratyphoid infections - an alarming situation ______________________________ 3 Prof. Dr. Arif Raza Khan Azmat Ali, Faryal Naeem, Raiha Imran Syed Vice Dean Khyber Medical College. 2- Enlarged adenoids and allergy in otitis media- An experience Chairman of Otorhinolaryngology, at a tertiary care hospital _____________________________________ 6 Khyber Teaching Hospital, Aftab Ahmad Khan, Arif Raza Khan, Muhammad Junaid, Mansor Alam, Peshawar - Pakistan Sajid Ali, Arbab Qasim Tel: +92-91-9224400 3- Frequency and socio-demographic determinants of Depression among adult women ______________________________ 10 Fax: +92-91-9216213 Nighat Mirza, Sadia Ikhlaque Sheikh, Meraj Rahim, Arif Ali, E-mail: [email protected] Noor-ul-Sahar Khan, Zainab Bibi Copyright: Material printed in this 4- Effectiveness of low dose Ketamine and Lignocaine in prevention journal of Medical Sciences may not be of Propofol induced pain _____________________________________ 16 reproduced without the permission of Umbrin Naz, Fazal Wadood, Aurangzeb, Muhammad Ilyas, the editors or publishers. Instructions Ambareen Sifat Ullah, Rubina Bangash to authors appear on the last page of 5- Pilonidal sinus excision under local anesthesia: each issue. Prospective authors should A day case experience ______________________________________ 21 consult them before sending their Muhammad Naeem, Waleed Mabood, Muhammad Imran, Rashid Waheed, articles and other material for Sohaib Ali publication with the understanding that 6- Analysis of clinical and hematological profile in patients having except for abstracts, no part of the data mononuclear infiltration in bone marrow ________________________ 25 has been published or is submitted Muhammad Ihtesham Khan, Saman Waqar, Sunia Arif Khan for publication elsewhere before appearing in this journal. 7- Conventional diagnosis for Tuberculosis versus latest modalities at a tertiary care setting of Peshawar __________________________ 29 The Editorial Board makes every Shazia Tariq, Maria khan, Qurat ul ain Tariq, Valeed Khan, Naima Tariq, effort to ensure the accuracy and Haroon Tariq, Tariq Ahmed authenticity of material printed in the 8- Prevalence of work related upper back pain among journal. However, conclusion and physiotherapists of Lahore ____________________________________ 34 statements expressed are views of Ushnah Khan, Muhummad Fasih, Ashfaq Ahmad the authors and do not necessarily reflect the opinions of the Editorial 9- Utility of Electroencephalogram among patients presenting in Board or the Khyber Medical College. Psychiatric facility ___________________________________________ 38 Publishing of advertising material Bashir Ahmed, Nida Shahid does not imply an endorsement by the 10- Frequency of Vitamin D deficiency and Hypocalcemia in patients Khyber Medical College. presenting with low back pain to a tertiary care hospital __________ 42 Safia Rehman, Naveed Sharif, Samiyah Rahman 11- Frequency of needle stick injuries (NSI) among health care workers of private sector hospitals in Peshawar _________________ 46 Rozina Rehman, Rubeena Gul, Shaista Nooreen, Zia Ur Rehman, Nighat Musa, Aziza Alam 12- The effectiveness of topical intranasal steroids versus systemic anti-allergic drugs in allergic rhinitis: a randomized controlled trial _ 50 Journal of Medical Sciences is Muhammad Junaid, Naik Muhammad, Muhammad Umair, Asad Ullah Arif, published on controlled circulation Israr ud Din basis and distributed among the faculty of all national medical 13- Safety and effectiveness of Transabdominal chorionic villous colleges, main libraries throughout sampling for prenatal diagnosis of β-Thalassemia _______________ 55 the province, Pakistan Medical Roeda Shams, Fazia Raza, Aman Nawaz Research Council, PMDC, HEC and 14- Cross Sectional Survey of Stress among Doctor of Physical Tertiary Referral Centers. Therapy (DPT) teachers in Lahore _____________________________ 59 Muzna Munir, Iqra Khan, Muqadas Chaudary The publisher and the members of the Editorial Board can not be 15- Frequency of hepatitis B virus infection in hemodialysis patients in a held responsible for errors or for tertiary care hospital ________________________________________________ 64 any consequences arising from the use of information contained in this Naeem Khattak, Ambreen Afridi, Iftikhar ud din, Shafi ullah, Shahana Nisar, journal. Zeeshan kibria 16 Efficacy and safety of Cross technique with 100% TCA and Journal of Medical Sciences is Dermaroller technique in the treatment of post acne scars ________ 68 published quarterly, composed and Irfan Ullah, Mohammad Majid Paracha, Hina Zahoor, Dawood Khan printed at Khyber Printers, Peshawar 17- Frequency of different types of abdominal malignancies in KP, Pakistan. children at a tertiary care hospital ______________________________ 72 Muhammad Kabir, Muhammad Uzair, Tariq Waheed, Hafsa, Khawar Syeed, Mujhid Ullah, Fayyaz 18- Effect of pregnancy and demography on susceptibility pattern Annual Subscription of Azole antifungal agents against clinical isolates of Candida species recovered from Vulvovaginal Candidiasis patients ________ 76 Pakistan: Rs. 5000/- Overseas: US $ 500/- Shafaq Zafar, Amber Javaid, Farzana Salman, Amir Zaman, Mohsina Haq, Muhammad Khurram Printed at: 19- Students’ perceptions of early clinical exposure in a respiratory Khyber Printers care program _______________________________________________ 81 E-mail: [email protected] Mohammad Yadak, Faraz Ahmed Farooqi, Khalid Ansari, Saqib Ali Review Article 20- Tonsillectomy by Harmonic scalpel: A systematic review of evidence for postoperative hemorrhage ________________________ 87 Arif Raza khan, Muhammad Hafeez, Asad ullah arif 21- Instruction for Authors _______________________________________ 94 22- Authors Agreement __________________________________________ 96 23- Editorial Policy for Journal of Medical Sciences (JMS) ____________ 97 SPECIAL EDITORIAL ETHICAL REVIEW OF RESEARCH PROPOSALS IN KHYBER MEDICAL COLLEGE: AN EYE OPENER It was the last Thursday of the month and being a need to scrutinize the proposal both technically and eth- member of our institute’s (Khyber Medical College/Khyber ically before acceptance. And lastly, the journals need to Teaching Hospital) Institutional Research and Ethical Re- make sure that they demand an ethical certificate from the view Board (IREB), I was attending the meeting. As usual, corresponding author at the time of submission of man- various research proposals were discussed; some were uscript. A glitch in any of these three may lead to a poor accepted and some sent for revision. Majority of propos- quality product. als belonged to postgraduate trainees working in different So the Institutional Research and Ethical Review clinical disciplines. It was during that session that I had Board members had a discussion regarding this issue and a “Penny-Drop Moment”, an epiphany. Me and the other we tried to look at the causes. The leading factor, everyone members including our chairman have noticed that the agreed to, was; lack of training in research conduction. Al- quality of research proposals presented by the postgrad- though, the CPSP conducts a mandatory research work- uate students of College of Physicians and Surgeons of shop for trainees,2. But the question arises. Is 2-3 days of Pakistan (CPSP) are not of adequate standards. It was research training enough? Moreover, trainees of some of evident from the proposals that research in public sector the specialties like Gynaecology and Obstetrics are over- hospital is not focusing on implementation of heath pro- worked. So due to time constraints, it becomes difficult to grams and their operational challenges. Research in sur- come up with good quality research what to say about the gical specialties has lost focus on quality clinical trials and research expertise of supervisors. Another reason is the students are presentating low quality descriptive studies.