PAKISTAN ARMED FORCES MEDICAL JOURNAL

Vol-70, No 2, April 2020

Recognized by PMDC & HEC

CONTENTS
EDITORIAL
COVID-19, An Infodemic Associated With Pandemic: The Socioeconomic Implications And Pressure on
Editorial Advisory Board Healthcare 278
Sikandar Hayat Khan
Chairman
ORIGINAL ARTICLES
Lt Gen Khawar Rahman, HI (M) (Surg Gen/DGMS (IS) The Efficacy of Aprepitant (NK-1 Receptor Antagonist) As Prophylaxis For Postoperative Nausea And
Members Vomiting 281
Muhammad Akram, Saleem Pervaiz Bajwa, Abdullah, Akhtar Hussain, C. Aqeel Safdar, Umer Khan
Prof Irfan Ali Sheikh
Comparison of Analgesic Effect of Intravenous Paracetamol Vs Intravenous Ketorolac on Post-Operative
Prof Imran Fazal Pain After Abdominal Surgery 286
Dr Salman Ashraf Muhammad Ans, Rasikh Maqsood, Ayub Ashraf Malhi, Khalid Mahmood, Neda Feroze, Umair Zulfiqar
Dr Qamar Ul Haq Noor Efficacy of Mechanical Bowel Preparation For Elective Colorectal Surgery
291
Adnan Aqil Khan, Fahim Ullah Naz, Muhammad Qasim Butt, Filza Saeed, Bilal Munir, Asad Malik
Dr Muhammad Aleem
Frequency of Hyponatremia in Patients With Acute Cerebrovascular Accidents Presenting At Combined
Dr Sibtain Rafique Military Hospital Peshawar 297
Muhammad Saleem, Abdul Latif Khattak, Saeed Bin Ayaz, Qasim Raza, Naveed Anjum, Syed Ahmed Raza
Editorial Committee
To Determine The Association of Maternal Anemia With Perinatal Outcome in Tertiary Care Hospital
Chief Editor 302
Jehan Ara Rafiq Baig, Muhammad Musarrat Jamal, Javeria Jamal, Maniha Musarrat
Prof Sayed Nusrat Raza Frequency of CALR Gene Mutation in Myeloproliferative Neoplasms
308
Editor Sana Latif, Saleem Ahmed Khan, Asad Mahmood, Helen Mary Robert, Rafia Mahmood
Expression of P16 Mutant Protein And Ki67 in Cutaneous And Non-Cutaneous Melanoma
Prof Khadija Qamar
Farhan Akhtar, Mohammad Hassan Mohammad Ali, Rabia Ahmed, Muhammad Asif, Ghazala Sadaf, Muhammad 313
Joint Editor Tahir Khadim
Prof Muhammad Alamgir Khan Pre-Emptive Vs Conventional Method of Epidural Analgesia For Post Thoracotomy Pain: A Randomized
Controlled Trial 318
Assistant Editors Liaquat Ali, Waqas Aslam, Saira Mehboob, Umer Ali
Dr Palvasha Waheed Association of Vitamin-D Insufficiency During Pregnancy With Maternal & Perinatal Morbidity And
Dr Syed Fawad Mashhadi Mortality 323
Shehla Baqai, Asifa Siraj, Rabia Imran
Dr Kulsoom Farhat
A Comparison of Nickel Ion Release in Saliva Between Orthodontic And Non - Orthodontic Patients
Dr Shamaila Mohsin 328
Mehreen Butt, Nasarullah Mengal, Munir Ahmed
Dr Aliya Hisam Effect of Prunus Dulcis on Epithelial Damage Caused By Nonsteroidal Anti-Inflammatory Drugs
333
Dr Muhammad Rizwan Bashir Kiani Muhammad Saad Abdullah, Shabnam Hamid, Shadab Ahmed Butt
Dr Aiza Saadia The Knowledge And Perception of COVID-19 And Its Preventive Measures, In Public of Pakistan
338
Taaha Muddassir Mirza, Rimsha Ali, Huma Musarrat Khan
Managing Editor Antipersonnel Improvised Explosive Device (AP-IED) Blast At Muzaffarabad, AJK: Orthopaedic Injury
Dr Rehana Khadim Profile of Victims 346
Bibliographer Muhammad Suhail Amin, Aziz Ur Rehman, Aisha Akhtar
Efficacy of Intramuscular Phenylephrine For Maintenance of Maternal Hemodynamics in Caesarean
Mr. Ch Muhammad Saeed Section Under Spinal Anesthesia
352
Statistician Muhammad Saeed, Muhammad Musa, Muhammad Mubashir Khan, Sajjad Qureshi, Muhammad Hassan, Fayyaz
Ahmad Orfi
Miss Anum Haider
Comparison of Laparoscopic Transabdominal Preperitoneal Repair (LAP TAPP) Vs Lichtenstein Repair in
Editorial Board Members Incomplete Inguinal Hernia 357
Mannan Masud, Farhan Majeed, Muhamnad Shaheer Mannan, Muhammad Bilal, Nafasat, Naima Rasool
International
“There’s Only One King And You Are Not Him” Followership Styles of Medical Residents in Pakistan
Prof Mohammad Bagher Rokni (Tehran, Iran) 362
Uzma Urooj, Rahila Yasmeen, Najm-Us-Saqib Khan, Khadija Qamar, Rashid Iqbal, Hafsa Khalil
Dr Sajid Hassan Butt (NHS UK) The Effect of Ledermix Paste And Calcium Hydroxide As Intracanal Medicament on Pain After
Dr Faiza S Khan (Public Health England) Instrumentation of Root Canals 368
Madiha Sattar, Beenish Abbas, Shoaib Rahim, Sidra Aamer, Sana Abbas
Prof Adeel Ajwad Butt (USA)
Frequency of Active And Latent Pulmonary Tuberculosis in Apparently Healthy Asymptomatic Young
Prof Nimalka Ariyaratne (Sri Lanka) Patients Having Subtle Non-Specific X Ray Chest Abnormalities 373
Dr Neil Carr (NHS UK) Sultan Mehmood Kamran, Jamal Ahmad, Taymmia Ejaz, Yousaf Jamal, Shahzeb Ahmed Satti
National (Extra-Organizational) Hospital Waste Management Practices At Pakistan Field Hospital Level II in United Nations Mission in
Liberia 379
Prof Khalid Masood Gondal, TI (Lahore) Amir Ali, Roomana Anwar, Atia Suhail, Waqar Dahri
Prof Assad Hafeez (Islamabad) Prevalence of Hepatitis B And C in Female Population Reporting For Antenatal Screening At Combined
Prof Moeed Iqbal Qureshi (Lahore) Military Hospital Hyderabad Sindh, Pakistan 385
Ambreen Ehsan, Helen Mary Robert, Ikram Nabi, Maryam Abbas
Dr Amina Ahmad (Lahore)
The Relationship Between Resilience, Emotional Intelligence And Their Influence on Psychological
Prof Rubina Naqvi (Karachi) Wellbeing: A Study With Medical Students 390
Prof Shoaib Shafi (Islamabad) Zaqia Bano, Saba Pervaiz
Prof Waheed-uz-Zaman Tariq (Lahore) Role of Monotherapy Alpha Blockers Versus Combination Alpha Blockers And Anticholinergics in The
Management of Lower Urinary Tract Symptoms/Benign Prostatic Hyperplasia 395
National (Organizational) Muhammad Tanveer Sajid, Muhammad Akmal, Imran Khan, Muhammad Nawaz, Khubaib Shahzad, Hussain Ahmad
Prof Sohail Aziz Three-Port Versus Four-Port Laparoscopic Cholecystectomy A Two Years Experience At Two Armed
Prof Wasim Alamgir Forces Tertiary Care Hospitals 402
Muhammad Tariq, Muhammad Hafeez, Fizza Fatima, Umair Khalid, Shahnawaz Ateeque, Azka Zainab, Maha Zainab
Prof Muhammad Asad Qureshi
Comparison of Ultrasound Elastography Versus B-Mode Ultrasound in Differentiating Malignant From
Dr Syed Raza Jaffar Benign Cervical Lymph Nodes 409
Prof Safdar Hussain Breeha Elahi, Koukab Javed, Ishrat Parveen, Muhammad Imran Ibrahim

Dr Naeem Raza Condylar Changes Associated With Functional Orthopedic Appliances, in Skeletal Class II Patients
414
Sana Tariq, Azhar Ali Bangash, Asad Ur Rehman, Fatima Hamid, Faheem Nake Akhtar, Munazza Saeed
Dr Riaz Ahmad Hepatocellular Carcinoma: Correlation of Alpha-Fetoprotein With Tumour Characteristics
Dr Iram Lehrasab 420
Rafi Ud Din, Adnan Qadir, Amjad Salamat
Multicenter National Study on Cardiopulmonary Bypass (CPB) Perfusion Practices During Adult Cardiac
Study 425
Muhammad Saad Yousuf, Mohammad Irfan Akhtar
Securing Mesh With Skin Staples Versus Prolene Suture in Inguinal Hernia Repair: Effects on Post-
Operative Complications 433
Amir Khulique, Sajjad Khan, Raheel Khan, Madiha Sundus, Huma Asad
Gender Differences in Attribution To Success And Failure in Exams: Students’ Perspective
437
Tehmina Munir
Comparison of Platelet Rich Plasma With Local Steroid Injection in The Management of Chronic Plantar
Fasciitis 442
Hina Kanwal Shafaat, Tariq Aziz, Aamir Waheed Butt, Sara Iqbal, Usman Aziz, Tarique Aziz

The Pakistan Armed Forces Medical Journal
(PAFMJ) is an official Journal of Army Medical Corps
and is being published since 1956. Few of the salients of
the journal are as below:-
 Recognized by PMDC & HEC
 Indexed in ICI Journals Master List - Index
Copernicus
 Indexed in HINARI List of Journals
 Inclusion of PAFMJ Indexed in WHO Index
Medicus (IMEMR), EBSCO Host, DOAJ,
Scientific Journals Impact Factor (SJIF), Pak
Medinet, Scope Med, Index Scholar
 Indexation of PAFMJ in Cumulative Index
Medicus of Eastern Mediterranean Region
Journals
 Allocation of International Standard Serial
Number France (print & online)
 Availability of PAFMJ osn Internet:
[www.pafmj.org]
 Online submission of articles through online
submissions system
 Attraction of wider authorship and readership
Frequency of NRAS And KRAS Genes in Newly Diagnosed Acute Myeloid Leukemia Patients
447
Sidra Barlas, Helen Mary Robert, Rafia Mahmood, Asad Mahmood, Ayesha Khurshid, Saleem Ahmed Khan
Comparison of Early And Delayed Mobility in Deep Venous Thrombosis For Development of Post
Thrombotic Limb
453
Iftikhar Ahmed, Muhammad Irfan Khan, Muhammad Tariq Khan, Sarwar Alvi, Mujahid Zulfiqar Ali, Nauman Imtiaz
Khan
Stroke Associated Pneumonia (SAP) in Intensive Care Unit: Its Prevalence, Impact on Economical Cost
And Length of Hospital Stay 457
Muhammad Ahmad, Nadeem Siddiqui, Arshad Taqi, Sabir Khan, Tanvir Hussain
Perceived Stress And Adequacy of Social Support: Implications For Subjective Well-Being in Married
Doctors 462
Uzma Ilyas, Arooj Fatima, Aatka Hashmi, Rabbia Rashid
Ambulatory Mini Percutaneous Nephrolithotomy (Mini-PCNL): Feasibility And Outcomes in 1000 Cases
in Pakistan
469
Qamar Zia, Faran Kiani, Mudassar Sajjad, Muhammad Nawaz, Muhammad Akmal, Adil Khurshid, Asma Rizwan,
Muzzammil Ali
Impact of Social Support And Adjustment Problems on Perceived Loneliness in Elderly
474
Sameera Shafiq, Mah-e-Neem-Mah, Zaqia Bano
Correlation of Glycosylated Hemoglobin And Mean Platelet Volume in Patients With Type II Diabetes
Mellitus 480
Rimsha Azhar, Khurshid Uttra, Andaleeb Khan, Marriam Hussain Awan, Ayesha Anwer, Maria Tariq
Knowledge, Attitude, And Practices Towards Exclusive Breast Feeding in Post Natal Mothers And Its
Comparison Between Low Versus High Educational Status Mothers Attending Tertiary Care Hospital At
485
Mirpur Azad Kashmir. A Comparative Cross Sectional Study
Aurooj Fatima, Ijaz Ali, Aisha Yousaf, Tahir Ahmad Munir
Causes of Exodontia And Its Relationship With Age in A Tertiary Care Dental Hospital
493
Hashim Bin Mansoor, Adnan Babar, Anmol Arshad, Talya Fuad
Prevalence And Management of Polycystic Ovary Syndrome And Its Association With Demographics
498
Saleha Sadeeqa, Komal Irshad, Hafiza Hina Ashraf, Umm e Ammara, Rabia Fiaz, Nazra Islam, Bushra Ali Sherazi
A Comparison of Morbidity And Mortality Among Early, Moderate And Extreme Premature Infants
Reporting in Gilgit 503
Kanwal Jehanzeb, Sajid Ali Shah, Saeed Zaman, Zia Ul Haq, Munir Akmal Lodhi, Nadeem Ashraf
Factors For De-Selection of Potential Candidates For Live Donor Liver Transplant in A Tertiary Care
Hospital 508
Anum Abbas, Rabia Tariq, Aimen Abbas, Ehtesham Haider, Farrukh Saeed
Impact of Burn Severity, Time Since Burn And Age on The Cognitive Functioning of Women Who Had
Burn Injuries 513
Iram Naz, Zaqia Bano, Ishtiaq Ahmed, Saima Riaz, Razia Anjum
Comparison of Efficacy of Cryotherapy Versus Oral Zinc Sulphate in The Treatment of Cutaneous Warts
519
Ali Riaz, Junaid Riaz, Waqas Ahmed, Rabia Mushtaq, Omer Riaz, Komal Mushtaq
The Effect of Energy Drink on The Pancreas of Wistar Albino Rats – A Microscopic Study
524
Fatima Rehman, Zia-ul-Islam, Uzma Hameed, Sadia Rehman
Prevalence of Left Ventricular Hypertrophy in Newly Diagnosed Hypertensive Patients
529
Umair Masood, Ali Javed, Fariha Ashraf, Umar Javed, Abdul Wahab Siddique, Qasim Zaheer
Incidence of Micro Detachments After Successful Scleral Buckling Surgery For Macula-Off Retinal
Detachments 535
Abdullah Naeem Syed, Isra Batool, Haleema Masud, Nadeem Qureshi
Counselling Needs of High School Students: Exploring Teachers’ Perspective
540
Aneela Maqsood, Najam Us Sahar, Najma Iqbal Malik
A Query About Continuous Professional Development From Dental Teachers
548
Iffat Batool Syed, Abid Ashar
Frequency of Psychiatric Disorders And Organic Illness Among Patients Reporting With Acute
Behavioural Disturbance 555
Beenish Hassan Khan, Farrukh Saleem Shah, Chaudhary Ali Nawaz
Clinical Spectrum of The Diseases And Their Outcome in Admitted Cases of Neonatal Intensive Care
Unit in A Peripheral Military Hospital in Abbottabad 561
Umar Nawaz Khan, Faran Nasrullah, Mehwish, Abdul Wahid Hussain, Affrah Qaiser
Frequency of Undiagnosed Hypothyroidism in Obese Females
566
Shahid Iqbal, Rao Saad Ali Khan, Rafi Ud Din, Noureen, Ehtesham Haider
IDH-1, ATRX And 1P19Q Co-Deletion in Diffuse Gliomas
Rabia Javed, Noreen Akhtar, Usman Hassan, Mohammad Azam, Asif Loya, Mudassir Hussain, Maryam Hameed, 571
Sumera Butt, Sajid Mushtaq
Efficacy of Different Placental Removal Methods in Terms of Blood Loss During Caesarean Section
578
Shaista Kanwal, Shabnum Naseer Awan, Syed Tameem-Ul-Hassan, Syeda Sadiqa Batool
Efficacy And Beneficial Effects of Sofosbuvir With Daclatasvir on Liver Functions of Earlier Treatment
Failure Patients Infected With Genotype 3 of Hepatitis C Virus 584
Sumetha Yaseen, Kulsoom Farhat, Mahwish Gul, Syeda Urooj Zaidi, Maryam Saqib, Ayman Zafar
A Comparative Study of Adherence And Non-Adherence To Medication Amongst Patients of Different
System Specific Diseases 590
Maryam Shakeel, Rimsha Shakeel, Arwa Fatima, Najm-Us-Saqib Khan, Amna Tasawar, Khadija Qamar
Significance of Magnetic Resonance Imaging Findings in Pott’s Disease. A Descriptive Case Series
Saman Mubashar Bajwa, Tasmia Mudassar Bajwa, Beenish Bajwa, Mudassar Ahmed Bajwa, Mubashar Ahmed Bajwa, 594
Hafiz Khalid Pervaiz
Ki67 As A Surrogate Marker For Mitotic Karyorrhectic Index in Neuroblastoma
599
Rabia Javed, Sajid Mushtaq, Noreen Akhtar, Usman Hassan, Asif Loya
Evaluation of Root Canal Configuration of Maxillary Second Premolar in Armed Forces Institute of
Dentistry Rawalpindi 605
Syed Muzammil Hussain, Hannan Humayun Khan, Faisal Bhangar, Mafaza Alam, Ajmal Yousaf, Aqeel Ibrahim
Preoperative Assessment of Scoring System Designed For Prediction of Difficult Cholecystectomy in
Patients With Symptomatic Gall Stones 610
Abdullah Iqbal, Sughra Perveen, Imran Khan, Tanweer Ahmed, Muhammad Iqbal Khan, Mehwish Tunio
Comparison of Dental Fluorosis Between Residents And Non Residents of Quetta
617
Nadeem Ahmad Rana, Abdullah Jan, Hamid Muslim Khan
A Study of Exodontia in Armed Forces Institute of Dentistry Rawalpindi
622
Ali Akhtar Khan, Shafiullah Khan, Sanya Javid, Mohibullah, Saad Mahmood, Adnan Babar
The Risk Factors Associated With Diabetic Dyslipidemia And Anthropometric Parameters Linked With
And Without Dyslipidemia in Type 2 Diabetes Mellitus 628
Zara Khalid Khan, Asifa Majeed, Amir Rashid
REVIEW ARTICLE
Artificial Intelligence in Healthcare Setups: Pros And Cons And Way For Ward To Manage
634
Sikandar Hayat Khan
CASE REPORT
Meningococcal Disease Outbreak in A Liberian County
639
Muhammad Fahd Bin Haider, Meezan Jalil, Nisar Ul Haq