Jan-March 2017

Journal of Fatima Jinnah Medical College, Lahore.

April to June 2016 Vol. 10, Issue No. 2


Incidence of Bleeding from Anomalous Vessels in Liver Bed and Mode of Hemostatis in Patients Undergoing Laparoscopic Cholecystectomy

YAR MUHAMMAD1, KHALID MASOOD GONDAL2, ARSLAN AHMED3, HAFIZ AMMAR RASUL4, ZAIN MUKHTAR4

1Assistant Professor of Surgery, King Edward Medical University (KEMU), Lahore, 2Senior Vice President, College of Physicians and Surgeons of Pakistan (CPSP) and Professor of Surgery, King Edward Medical University (KEMU), 3Epidemiologist and Resident of General Surgery, College of Physicians and Surgeons of Pakistan (CPSP), 4Resident of General Surgery, King Edward Medical University (KEMU), Lahore

Corresponding Author: Arslan Ahmed, Epidemiologist, Resident of General Surgery, College of Physicians and Surgeons of Pakistan (CPSP), Email: arsl_17@hotmail.com, Contact # +92-313-4646467

 ABSTRACT

Objective: The objective of this study is to determine the frequency of encountering anomalous vessels in liver bed and mode of hemostasis to stop bleeding from these vessels.

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Epiphyseal Fusion of Ischial Tuberosity in Adolescents – An Age Estimation Criterion

MUHAMMAD MAQSOOD, MUHAMMAD KASHIF BUTT, FAKHAR-UZ-ZAMAN

Professor, Department of Forensic Medicine & Toxicology, Shalamar Medical and Dental college Lahore1. Assistant Professor, SMDC, Lahore2; Assistant Professor, AllamaIqbalMedical College Lahore3.

Correspondence Author:-Dr Muhammad Maqsood, Professor, Department of Forensic Medicine & Toxicology, Shalamar Medical and Dental college Lahore.

Email:dr.maqsood@live.com. Cell no 03004230185

ABSTRACT

Introduction: Age is one of the important pillars in the establishment of personal identity of an individual required in civil and criminal cases during life and after death. It becomes more important in developing countries where birth records are poorly maintained. Among all other age determinants, radiological examination of bone for appearance and fusion of ossification centers is rated to be a more accurate and reliable method for assessment of skeletal maturity by the legal and medical authorities as the union of epiphysis with the respective diaphysis of that bone occurs during an age period which is almost specific for that particular bone.

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Effectiveness of Paravertebral Block (PVB) for perioperative analgesia in patients undergoing Breast and Gall Bladder Surgery

LEENA AZIZ, ALI REHMAN, MUHAMMAD TAHIR, MUHAMMAD ARSHAD, MUHAMMAD UMAR, MUHAMMAD KHALID BUTT

Associate Professor of Anesthesiology, Fatima Jinnah Medical college/ Sir Ganga Ram Hospital, Lahore.

Email: leenayub@gmail.com

ABSTRACT

Objective: To study the effectiveness of paravertebral block for perioperative analgesia in patients undergoing breast or gallbladder surgery. To study the effect of paravertebral block on hemodynamics and blood glucose level.

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Radiological Evaluation of Post Menopausal Bleeding

BASMA KHAN, TASHHIR RANA, SHAHID WAHEED

Department of Diagnostic Radiology, Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore.

Correspondence to Dr Basma Khan. Email:basmakhan60@hotmail.com

 ABSTRACT

Objective: To describe a radiological approach for evaluation of postmenopausal bleeding as an alternate to Diagnostic D&C.

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Prevalence of Methicillin Resistant Staphylococcus Aureus and its Current Antimicrobial Susceptibility Pattern in Clinical Isolates

 KHALIL UR REHMAN1, JALEES KHALID KHAN2, RAFIQUE AHMED SHAHID3, SYED KHIZAR ABBAS RIZVI4, SAIRA FARHAT5

1Prof. of Pathology, Sahiwal Medical College, Sahiwal. 2Asst Professor of Pathology, King Edward Medical University, Lahore. 3Asst Professor of Pathology, King Edward Medical University, Lahore. 4Asst Professor of Pathology, Sahiwal Medical College, Sahiwal. 5Department of Chemical Pathology, Postgraduate Resident, Allama Iqbal Medical College, Lahore

Correspondence: 86-A HBFC, GOR-V, Faisal Town, Lahore. Cell: 0300 4237012; Email: kraqur12@hotmail.com

ABSTRACT

Methicillin resistant Staphylococcus aureus (MRSA) is a Gram positive bacterium and is frequent cause of infections worldwide. It is resistant to a large group of antibiotics called beta-lactams. The objective of our study was to determine the prevalence of MRSA and to assess its current antibiotic susceptibility pattern. The study was conducted in June, 2014 to November 2014 and 100 cases of staphylococcus positive were selected for this study. The 56% of isolates were from male and 44% were from female patients. Out of 100 isolates of S. aureus 53% were Methicillin resistant. Most of the MSRA specimens were found to be susceptible to vancomycin, whereas most were resistant to ampicillin and cephradin. MSRA isolates were 69% in hospitalized patients and majority was isolated from pus (67%), followed by from sputum samples (21%). The study concluded that to curb the occurrence of MSRA, continuous monitoring of hospital acquired infections and surveillance of antibiotic susceptibility pattern is essential. Proper detection of all MSRA with accurate and quick assays must be adopted as a routine laboratory procedure.

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Clinico Hematological Presentation Course and Outcome of Chedik Higashi Syndrome

 FAUZIA SHAFI KHAN, ALIA AHMAD, AHSAN WAHEED RATHORE

Associate Professor Peadiatric Heamatology Department of Heamatology & Transfusion Medicine.

(CH/ICH), Assistant Professor Department of Heamatology Oncology. (CH/ICH), Medical Director CH/ICH Lahore.

Correspondence author: Dr. Fauzia Shafi Khan 106-G Block Model Town Lahore. (fauzia_khan60@hotmail.com)Ferozepur Road, Lahore. Tel # 03028488428.

 ABSTRACT

Introduction: Chedik Higashi Syndrome hasautosomal recessive mode of inheritance, Disorder of cells that contain lysosomal granules and is characterized by partial albinism that affects eyes and skin, severe immune deficiency with consequent increased susceptibility to pyogenic infections. The diagnosis of CHS can only be made on identification of abnormally large granules in the granule-containing cells and leucocytes.

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Maternal Mortality and Related Obstetric Risk Factors at A Tertiary Care Hospital of Lahore

BUSHRA BANO, ASIA PARVEEN, ALIA NASIR-U-DIN, ZOHRA KHANUM

Department of Obstetrics and Gynaecology Unit 4, Sir Ganga Ram Hospital Lahore.

Assistant Professor, Assistant Professor, Assistant Professor, Professor Department Gynaecology, Department of GyanecologyFatimaJinnah Medical University/Sir Ganga Ram Hospital, Lahore. CorrespondanceAuthor:- Dr. BushraBano, Department of GyanecologyFatimaJinnah Medical University/Sir Ganga Ram Hospital, Lahore.

Correspóndanse Author:- Bushra Bano, Assistant Professor, Department of Gyanecology, Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore. Email Address:- bushr

ABSTRACT

Objective: To calculate maternal mortality ratio and evaluation of its associated obstetric risk factors in our set up.

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Functional Results of Valgus Intertrochanteric Osteotomy in MalunitedIntertrochantertic Fractures

 FAISAL MUSHTAQ, MUHAMMAD RASHID, IMRAN GHANI, BAKHAT YAWAR

1Associate Professor of Orthopedic Surgery AllamaIqbal Medical College/Jinnah Hospital, Lahore.

2Assistant Professor of Orthopedic Surgery AllamaIqbal Medical College/Jinnah Hospital, Lahore.

3Assistant Professor of Orthopedic Surgery Sargodha Medical College/D.H. Q Teaching Hospital, Sargodha. 4 Final Year Student, King Edward Medical University, Lahore.

Correspondence address :Dr. Faisal Mushtaq email drfaisalmushtaq@hotmail.com

a.khalid@yahoo.com

ABSTRACT

Objective: To evaluate the functional results of valgus intertrochanteric osteotomy in the intertrochanteric fractures united in varus malposition.

Study Design: Prospective Study

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CBCT—Absolute Prerequisite Protocol for FESS

BASMA KHAN, ASIM IQBAL, SHAHID WAHEED

Associate Professor Radiology, Associate Professor ENT, Professor of Radiology

Department of Diagnostic Radiology, Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore.

Correspondence to Dr. Basma Khan. Email: basmakhan60@hotmail.com

 ABSTRACT

Objective: To describe a radiological approach for evaluation of bony anatomical variants of paranasal sinuses prior to FESS.

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Expulsion Rate of Postpartum Intrauterine Contraceptive Device (PPIUCD) After Spontaneous Vaginal Delivery in Females at Term

 KIRAN FRAZ, BUSHRA BANO, ALIA NASIR-UD-DIN, ZOHRA KHANUM

Department of Obstetrics & Gynaecology, Sir Ganga Ram Hospital, Lahore.

Correspondence: Dr. Kiran Fraz, Senior Registrar, Obstetrics & Gynaecology Unit-III, Sir Ganga Ram Hospital, Lahore. Address: House # 163, Judicial Housing Society, Phase-III, Adjacent, DHA EME Sector Multan Road, Lahore. Cell #: 0332-4342231, Email: drkiranf@gmail.com

ABSTRACT

Objective: To assess the frequency of expulsion of postpartum intrauterine contraceptive device (PPIUCD) inserted in females presenting after delivery at term.

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Diagnotic Accuracy of Computed Tomography in Detection of Retinoblastoma

NIGHAT HAROON, MARIAM HANEEF, SAIRA BILAL, ALEENA AHMAD KHAN

1Assistant Professor D. Radiology PGMI/LGH, 2Post Graduate Resident PGMI/LGH, 3Assistant Professor D. Radiology PGMI/LGH, 42nd year MBBS Student CMH, Lahore.

Correspondence Author: Dr. Nighat Haroon Khan, Assistant Professor D. Radiology PGMI/LGH

ABSTRACT

Objective: to find out the accuracy of CT scan in diagnosing retinoblastoma with the gold standard of diagnosis being histopathology.

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Causes and Consequences of Jaundice in Pregnancy

 KIREN KHURSHID MALIK, KHOLA YOUSAF, MARIAM MALIK

Associate Professor, Assistant Professor, Professor

Department of Obstetrics & Gynecology, Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore. Pakistan.

Correspondence: Dr. Khola Yousaf, Assistant Professor, Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore. Pakistan.

ABSTRACT

Background: Jaundice in pregnancy is an alarming condition not only for the woman but also for healthcare providers. The major causes are viral hepatitis and hypertensive diseases of pregnancy. These causes are preventable and can be controlled respectively with proper antenatal counseling and management.

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Pre-emptive Analgesia in Laparoscopic Cholecystectomy by Intraperitoneal Instillation of Bupivacain

SHAHZAD ALAM SHAH1, MUHAMMAD ASLAM JAVED2, HINA KHAN3 MUHAMMAD ARSHAD4, TAYYAB ABBAS5

1Assistant Professor Fatima Jinah Mediacl College, 2Senior Registrar Sir Ganga Ram Hospital, 3Senior Registrar Sir Ganga Ram Hospital, 4Senior Registrar Sir Ganga Ram Hospital, 5Professor of Surgery Fatima Jinnah Medical College, Lahore

Correspondence to: Shahzad Alam Shah, Department of Surgery Fatima Jinnah Medical College/Sir Ganga Ram Hospital Lahore: email: shahzadalamshah@gmail.com

 ABSTRACT

This study is designed to assess the efficacy of pre-emptive analgesic effect of bupivacain instillation in peritoneal cavity after laparoscopic cholecystectomy.

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Awareness, Acceptance And Reasons of Refusal of PPIUCD in A Tertiary Care Hospital

 SAIMA CHAUDHARY1, ASMAA JABEEN DAR2, SHAMSA HUMAYUN3, SARA HUMAYUN4, UMMARA ZAFAR5

1Assistant Professor, Department of Obstetrics and Gynecology, Fatima Jinnah Medical University, Lahore.2Assistant Professor, Department of Obstetrics and Gynecology, Fatima Jinnah Medical University, Lahore. 3Professor, Department of Obstetrics and Gynecology, Fatima Jinnah Medical University, Lahore. 4Final year student. 5Final year student.

Correspondence: Dr. Saima Chaudhary, drsaimach@gmail.com, Cell No: 03218487697

ABSTRACT

Objective: To determine the awareness, acceptance and the reasons of refusal of PPIUCD in antenatal women.

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Comparison of Functional Shoulder Recovery after Conservative versus Surgical Treatment in Patients with Grade III Acromio-Clavicular Dislocation

SUBHAN SHAHID, MIAN MUHAMMAD HANIF, TANVEER AFZAL, GHULAM FAREED

Department of Orthopedic Surgery, Sir Ganga Ram Hospital, Lahore

Correspondence to: Dr. Subhan Shahid, Assistant Professor, Department of Orthopedic Surgery, Sir Ganga Ram Hospital, Lahore. Email: drsubhanorthsurg@hotmail.com

 ABSTRACT

Objective: To compare the functional shoulder recovery after conservative versus surgical treatment in patients with grade III acromio-clavicular dislocation.

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Comparison of Frequency of Success in Identification of Etradural Space by LOR Technique with air and Saline During Etradural Anaesthesia in Lower Segment Caesarean Section

BUSHRA AIJAZ, CH. TAHIR MEHMOOD, MUHAMMAD ARSHAD, KHALID JAVED

Department of Anaesthesia Fatima Jinnah Medical Universit/Sir Ganga Ram Hospital, Lahore.

Correspondence Author: Dr. Bushra Aijaz, Department of Anaesthesia Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore.

ABSTRACT

This study was conducted to compare the frequency of success in identifying etradural space by LOR technique (LOR) with air or saline during etradural anaesthesia in lower segment caesarean section.

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Role of Probiotics in Prevention of Necrotising Enterocolitis in Preterm Neonates

 MUHAMMAD USMAN*,†, NAVEED AKBAR HOTIANA **, ALEEM BHABHA***

*Assistant Professor, Fatima Memorial Hospital, Shadman Lahore, Pakistan.

** Associate Professor, Department of Pediatrics, Ganga Ram Hospital, Lahore, Pakistan.

*** PGR, Fatima Memorial Hospital, Shadman Lahore, Pakistan.

Corresponding author: Dr. Muhammad Usman, E-mail: drusman79@hotmail.com

 ABSTRACT

Background: Necrotizing enterocolitis (NEC) is among common cause of mortality and morbidity in neonates particularly in preterm babies. In preterm neonates, the NEC has been reduced with the use of various probiotics. This study examined the impact of routine use of a probiotics (Ecotec sachet 2.0g) in preterm neonates for developing NEC.

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Evaluation of Functional Results of Type C Distal Humeral Fractures by Fixation with Precontoured Locking Parallel Plates

FAISAL MUSHTAQ, MUHAMMAD RASHID, IMRAN GHANI, MUHAMMAD SALEEM

1Associate Professor of Orthopedic Surgery, 2Assistant Professor of Orthopedic Surgery Allama Iqbal Medical College/Jinnah Hospital, Lahore. 3Assistant Professor of Orthopedic Surgery Sargodha Medical College/D.H. Q Teaching Hospital, Sargodha. 4Senior Registrar, Sir Ganga Ram Hospital, Lahore.

Correspondence address: Dr. Faisal Mushtaq email drfaisalmushtaq@hotmail.com

 ABSTRACT

Objective: To determine the functional results of type C fractures (AO Classification) of the distal humerus in adults by the parallel platting system

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Trends in Contraceptive Practice; An Overview of Family Planning Clinic, Fatima Jinnah Medical University Hospital, Lahore

ALIA NASIR-UD-DIN, BUSHRA BANO, NUZHAT MALIK, KIRAN FRAZ, ZOHRA KHANUM

Department of Gyane / Obs., Sir Ganga Ram Hospital, Lahore.

ABSTRACT

Objective: Contraceptive practices at Sir Ganga Ram Hospital, Lahore during last five years.

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Frequencies of Renal Pathologies in Patients with Flank Pain

 SOHAIL HASSAN1, MUHAMMAD AMIR2, ZAHID SIDDIQUE3, ADIL KHURSHID4, MOHAMMAD IQBAL5, SHAHID NIAZ6

1Department of Urology, Nawaz Sharif Social Security Hospital, Lahore. 2Department of Radiology, Nawaz Sharif Social Security Hospital, Lahore. 3Department of Radiology, Nawaz Sharif Social Security Hospital, Lahore. 4Department of Urology, Nawaz Sharif Social Security Hospital, Lahore. 5Department of Urology, Nawaz Sharif Social Security Hospital, Lahore. 6Department of Urology, Nawaz Sharif Social Security Hospital, Lahore.

Corresponding Author: Dr. Sohail Hassan, Contact: 03334202698, Email: drhassan_99@hotmail.com

ABSTRACT

Objective: To determine the frequencies of renal patholigies in patient with flank pain.

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Usage of Smart Phones by Medical Students at A Medical College in Pakistan

KHURSHEED ANWAR, KHALID JAVED, FAIZA AAMIR

Assistant Professor Pharmacology Department, Avicenna Medical College, Lahore, Assistant Professor, Anatomy Department, Avicenna Medical College, Lahore, Assistant Professor Biochemistry Department, Avicenna Medical College, Lahore.

Corresponding Author: Khursheed Anwar, Assistant Professor Pharmacology Department, Avicenna Medical College, Lahore Contact Number: 0322-8400970 Email Address: gfwaheed@gmail.com.

ABSTRACT

Introduction: Smart phones have become cheap and accessible to almost everyone in Pakistan. They are particularly quite common among students including medical students. However, question is still there whether medical students use these smart phones for study purpose also or it is just a way of communication.

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Tranexamic Acid: Role in Prevention of Post Partum Hemorrhage

MAHWISH NAJAM, NUZHAT RASHEED

1Senior Registrar, Department of Obstetrics and Gynaecology, Unit II Sheikh Zaid Medical Hospital Rahim Yar Khan. 2Professor & Head of Department, Department of Obstetrics and Gynaecology, Unit II Sheikh Zaid Medical Hospital Rahim Yar Khan.

Correspondence: Dr. Mahwish Najam, Senior Registrar Department of Obstetrics and Gynaecology, Unit II

Email: mahwishnajam70@gmail.com

 ABSTRACT

Objective: The objective of the study was to compare the frequency of postpartum hemorrhage in patients given tranexamic acid along with active management of third stage of labor versus the control group in which active management of third stage of labor alone was done.

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Frequency of Vitamin D Deficiency in Primigravida

 AYESHA KANEEZ, BUSHRA BANO, ASMA YASIN, ZOHRA KHANUM

Post Graduate Resident, Assistant Professor, Associate Professor, Professor Department Gynaecology, Department of Gyanecology Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore.

Correspondance Author: Dr. Bushra Bano, Department of Gyanecology Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore. Email Address:- bushra.khalid@yahoo.com

ABSTRACT

Introduction: Adequate vitamin D levels during pregnancy are necessary to ensure adequate maternal responses to the neonatal handling and fetal demand of calcium. Deficiency of Vitamin D in pregnancy equally affect the women as well as their newborn, inturns can leads to high bone turnover, osteomalacia and vitamin Drelated myopathy in the mother. This study was planned to calculate vitamin D deficiency in primigravidasto create the awareness in general population, and obstetricians may take attention towards this important issue.

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Comparison of Misoprostol with PGE2 for Induction of Labour: A Randomized Trial

ANIL MAZHER, RAANA MAZHAR, KHADIJA WAHEED, IFFAT NAHEED, BEHRAM SHAHID, FARHAT NAZ

Department of Gynaecology and Obstetric, Lady Aitchison Hospital, Lahore.

Corresponding Author: Raana Mazhar, Assistant Professor, Email: drraana@hotmail.com, Contact number: 03334306079

 ABSTRACT

Background: Induction of labour is a commonly used procedure for various gynaecological and obstetrical indications. Various pharmacological, mechanical and physical methods are used for it. Prostaglandins have been being used for it with variable results. However, Misoprostol has been now introduced reporting better results and lesser duration for induction of labour.

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Adverse Fetomaternal Outcomes in Pregnant Females with Hepatitis C Virus Infection

 AQUILA FAZIL, MOBEEN RIAZ

1Assistant Professor Department of Gyanaecology, 2Senior Registrar, Ganga Ram Hospital, Lahore. Department of Gynaecology Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore.

Correspondence Author: Dr Aquila Fazil, Department of Gynaecology Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore.

ABSTRACT

Background: Hepatitis C is caused by the hepatitis C virus ( HCV ) which affects the liver primarily and is infective too. Globally , HCV is a major health problem in developed and developing countries and is a major source of patients’ misery, causing an enormous burden on health care system. Hepatitis Ciscaused a RNA virus of family Flaviviridae, and genus Flavivirus, is a single stranded, enveloped and spherical virus.

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