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Y Print ISSN 1815-4018 TERL Online ISSN 2410-5422 AR QU September 2019, Vol.14, No.3 Indexed in: WHO-Index Medicus (IMEMR) JOURNAL OF ISLAMIC JIIMC INTERNATIONAL MEDICAL COLLEGE Print ISSN 1815-4018 PMDC No. IP/0059 Recognized by PMDC & HEC Online ISSN 2410-5422 PATRON-IN-CHIEF MANAGING EDITOR Mr. Hassan Muhammad Khan Prof. Muhammad Nadim Akbar Khan Chancellor Riphah International University EDITORS PATRON Prof. Ulfat Bashir Prof. Dr. Anis Ahmed Prof. M. Ayyaz Bhatti Vice Chancellor Riphah International University Brig. (R) Prof. Maqsood ul Hassan ADVISOR ASSOCIATE EDITORS Maj.Gen. (Retd.) Masood Anwar, HI (M) Prof. Saadia Sultana Dean RARE/Director ORIC Prof. Raheela Yasmeen Riphah International University Dr. Shazia Qayyum Dr. Owais Khalid Durrani CHIEF EDITOR Lt. Gen. Azhar Rashid (Retd.) HI (M) ASSISTANT EDITOR Dean Faculty of Health & Medical Sciences Dr. Fakhra Noureen Principal Islamic International Medical College Riphah International University TYPE SETTING EDITOR Muhammad Naveed Anjum EDITORIAL BOARD NATIONAL Brig. (R) Prof. Tariq Butt SI(M) Brig. (R) Prof. M. Salim Brig. (R) Prof. Muhammad Farooq Prof. Tariq Saeed Mufti (Peshawar) Brig. (R) Prof. Sher Muhammad Malik Prof. Muhammad Umar-SI (Rawalpindi) Brig. (R) Shafaq Ahmed Dr. Huma Iftikhar Qureshi T.I. (Islamabad) Prof. Rehana Rana INTERNATIONAL Maj. Gen. (R) Prof. Suhaib Ahmed Dr. Samina Afzal, Nova Scotia, Canada Maj. Gen. (R) Prof. Abdul khaliq Naveed (Lahore) Prof. Dr. Nor Hayati Othman, Malaysia Prof. Fareesa Waqar Dr. Adil Irfan Khan, Philadelphia, USA Prof. Sohail Iqbal Sheikh Dr. Samina Nur, New York, USA Prof. Muhammad Tahir Dr. Naseem Mahmood, Liverpool, UK Prof. Aneeq Ullah Baig Mirza Prof. Khalid Farooq Danish Prof. Yawar Hayat Khan Prof. Aliya Ahmed Prof. Shazia Ali MAILING ADDRESS: All rights reserved. No part of this publication may Chief Editor be produced, stored in a retrieval system or Islamic International Medical College transmitted in any form or by any means, electronic, 274-Peshawar Road, Rawalpindi mechanical, photocopying or otherwise, without the Telephone: 111 510 510 Ext. 207 prior permission of the Editor-in-Chief JIIMC, IIMC, E-mail: [email protected] Al Mizan 274, Peshawar Road, Rawalpindi ii Journal of Islamic International Medical College Sep 2019; Vol.14, No.3 Print ISSN: 1815-4018 Quarterly Online ISSN: 2410-5422 JIIMC “Journal of Islamic International Medical College (JIIMC)” is the official journal of Islamic International Medical College. The college is affiliated with Riphah International University and located in Rawalpindi (Punjab) Pakistan. JIIMC is a peer reviewed journal and follows the uniform requirements for manuscripts submitted to Biomedical journals, is updated on www.icmj.org. JIIMC has a large readership that includes faculty of medical colleges, other healthcare professionals and researchers. It is distributed to medical colleges, universities and libraries throughout Pakistan. All rights are reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, (electronic, mechanical, photocopying) except for internal or personal use, without the prior permission of the publisher. The publisher and the members of the editorial board cannot be held responsible for errors or for any consequences arising from the use of the information contained in this journal. For Online Submission Visit: eJManager.com Published by IIMC, Riphah International University Islamabad, Pakistan Web Site: jiimc.riphah.edu.pk Correspondence Address: Prof Dr. Muhammad Nadeem Akbar Khan Managing Editor Journal of Islamic International Medical College (JIIMC) Westridge-III, Pakistan Railways Hospital Tel: +92-51-5481828 Ext: 217 E mail: [email protected] Recognized by: Pakistan Medical & Dental Council ; Higher Education Commission (HEC) Islamabad (Category Y) Indexed in: WHO - Index Medicus for Eastern Mediterranean Region (IMEMR), Scientific Journal Impact Factor (SJIF), International Scientific Indexation, Scopemed (ejmanager) Registered with: International Serials Data System of France Covered by: Pakmedinet, PASTIC inventory “Directory of Scientific Periodicals of Pakistan”- Pakistan Science Abstracts (PSA), Directory of Research Journal Indexing (DRJI) ii CONTENTS Volume 14 Number 3 September 2019 EDITORIAL Saima Aslam, Paul Barach, Zakiuddin Ahmed 103 Patient Safety a 'Right or Privilege' ORIGINAL ARTICLES Antimicrobial Susceptibility Pattern of Isolates Zubair Ahmad Khan, Jamil Ahmad, Omer Nasim, 105 from Diabetic Foot Ulcers Zainab Rustam Association of Acute Coronary Syndrome with Hesham Naeem, Farrah Qayyum, Hina Qayyum, 111 Waist Hip Ratio in Local Population of Islamabad Saba Murad, Zara Khalid Capital Territory, Pakistan Comparison between Hydro Dilatation and Intra Raja Adnan Ashraf, Sohail Iqbal Sheikh, 116 Articular Steroid Injection in Patients with Frozen Nabeel Sabir Shoulder in Term of Pain Relief and Range of Movement Effect of Betulinic Acid Vs Simvastatin on Abeerah Zainub, Farhana Ayub, 121 Hypelipidemic Mice Model Abdul Khaliq Naveed, Saira Jahan, Saddaf Ayub, Aisha Hasan Experience of Loneliness and Suicidal Ideation Meh Para Siddique, Rubina Hanif 126 among Young Adults: The Moderating Role of Gender Comparison of Day Case Laparoscopic Muhammad Asad, Aatif Inam, 131 Cholecystectomy versus Conventional Muhammad Burhan Ul Haq, Zafar Iqbal Malik Laparoscopic Cholecystectomy Correlation of BMI Variation with Tidal Function Ayesha Sadiqa, Farida Munawar 136 in Healthy Young Adults Prevalence of Ponticulus Posticus in Orthodontic Qurat Ul Ain, Saqlain Bin Syed Gilani, 142 Patients of the Local Population of Islamabad, Muhammad Aamir Ghafoor Choudry, Pakistan Bakhtawar Yaqoob Awan Dyslipidemia Among Patients of Rheumatoid Naseeb ur Rehman Shah, 146 Arthritis Mohammad Sajjad Khattak, Sami Ullah, Asim Muhammad Frequency of Periodontitis in Diabetes Patients. Samia Kausar, Shamaila Burney, Khalil Ur Rehman, 150 A Hospital Based Study Zunera Jahanzab, Asim Zulfiqar, Amna Shoaib Depression, Anxiety and Stress in Low and High 156 Achieving Medical Students Muhammad Masood Khokhar, Shafaq Masood Khokhar, Hira Basharat Raja, Muhammad Umar Raja, Azhar Rashid Effect of Mentoring on Professional Development Shamaila Sharif, Abdul Ghani Waseem, 160 of Medical Students Wajiha Shadab, Rehan Ahmed Khan, Saadia Sultana LETTER TO EDITOR Contribution of Emotional Intelligence in Health Kiran Khushnood, Nasir Sultan 165 Professional Education INSTRUCTIONS FOR AUTHORS 166 iii Journal of Islamic International Medical College Procedure for online submission of manuscript 1. VISIT website: http://my.ejmanager.com/jiimc/ 2. CLICK Submit your Manuscript (Right Corner) 3. For New User: ! CLICK “ Here for Registration” ! Type your email address. ! Get registered- Fill the form properly and click submit. ! You will receive an e mail from eJManager.com ! CLICK on this mail to note “ User Name and Password” 2. Article Submission: Submit your manuscript/article by following steps: ! CLICK “Submit New Manuscript” in the right upper portion of window ! Read the Instructions for authors carefully before submitting your manuscript http://my.ejmanager.com/jiimc/>Submit your Manuscript >Journal of Islamic International Medical College>Registration>Login>Submit New Manuscript >(Follow Steps)> Save the page and continue iv EDITORIAL Patient Safety a 'Right or Privilege' Saima Aslam, Paul Barach, Zakiuddin Ahmed Is Patient Safety a 'Right or a Privilege'? The intention evidence to make health care safer, higher quality, while treating patients is always to “do no harm” and more accessible, equitable, and affordable, and to yet, it does not always turn out that way. Healthcare ensure that the evidence is understood and used.6 interventions are meant to benefit people and Patient safety initiatives in the UK emerged from a promote wellness; unfortunately many times they wide set of influences and events during the 1970s present a risk of harm. Patients still suffer from and 1980s. Finally, in 1999, all chief executives of wrong treatment or medications, preventable falls in health care trusts were given a statutory duty and hospitals, hospital acquired infections and many framework, known as clinical governance, to other events that are harmful. An international manage and actively promote risk management, report published in 2018, reported that 1/10 of all quality, and safety. This resulted in considerable patients suffer preventable adverse events, two progress in addressing patient harm.7 Now there is decades after The Institute of Medicine found that much greater awareness to the problem, a more 98,000 people die in hospitals in the US each year reflective approach to error and harm, policy because of medical errors that could have been initiatives to address safety, a dedicated research prevented.1,2 program, and a more humane approach to injured Patient Safety has now emerged as a fundamental patients and their families.7,8 concept in healthcare.3 It is defined by the Institute There is little information on the existing culture and of Medicine as “the prevention of harm to patients”. practices regarding Patient Safety in Pakistan.9,10,11 In A growing emphasis is being put on the system of Pakistan, we need to focus first on assessing the healthcare delivery that 1) prevents errors, 2) learns culture of care and on creating an increased from the errors that occur, and 3) is built around a awareness for patient safety among healthcare culture of safety that supports and