File.indd Dedicated To The Researchers, Clinicians & Health Care Workers of Pakistan HEC & PMC APPROVED Bismillah Hir Rahman Nir Raheem. In the name of Allah, the most Beneficent and the most Merciful Message by the Chairman Shaikh Zayed Medical Complex & Chief Editor of Proceedings Prof. Mateen Izhar Prof. Saadia S. Alam (Chairman & Dean) (Chief Editor) We present our April to June 2021 Edition in the month of Ramadan 1442 H with Prayers for the Good Fortune and Wellbeing of All. With the COVID 19 Pandemic 3rd Wave, humanity in general, and especially health workers are enduring an exhausting emotional and physical toll. It is a time to fortify our defenses against this deadly disease by all means possible including vaccinations. For Proceedings 2020 was a year of achievements Alhumdolillah with development of a new website at www.proceedings-szmc.org.pk of International standards supported by the OJS/PKP Platform for online submission. During the year we got recognition from Higher Education Commission of Pakistan (HEC). We thank them for reposing their confidence in us Awarding “Y” Category, an Honor Indeed. We are now indexed by PMC, Google Scholar, CrossRef/DOI PASTIC and PakMedinet. Efforts are underway for International Indexation. The April to June 2021 Proceedings presents COVID 19 community awareness data and wide ranging basic and applied research. All articles submitted for publication have been judged on stringent international criteria of plagiarism and blind peer reviews. We have achieved expanded viewership, with researchers in wide ranging medical fields from different institutions publishing their research in Proceedings Our vision, building linkages with top journals and researchers both in the country and abroad “We Venture Forth” HEC & PMC APPROVED PROCEEDINGS SHAIKH ZAYED MEDICAL COMPLEX Vol. 35 (2) PCPB/24(94) P-121/3196 APRIL TO JUNE 2021 EDITORIAL BOARD Patron in Chief: Prof. Mateen Izhar Chairman & Dean Chief Editor: Prof. Saadia Shahzad Alam Head, Pharmacology & Therapeutics External Associate Editor: Dr. Usman Iqbal Taipei Medical University, Taiwan Associate Editors: Prof. Ayesha Humayun Head, Public Health & Community Medicine Prof. Imran Anwar Head, Surgery Unit-II Dr. Adnan Salim Assistant Prof. Gastroenterology Sub Editors: Dr. Uzma Nasim Siddiqui Assistant Prof. Medicine Dr. Shahila Jalil Associate Prof. Histopathology Prof. Tahira Naseem Head, Biochemistry & Chemical Pathology Dr. Samira Haque Associate Prof. Histopathology Dr. Lubna Riaz Assistant Prof. Pediatrics Dr. Sadia Maqsood Assistant Prof. Pharmacology Dr. Faraz Bokhari Associate Prof. Physiology Dr.Noora Hassan Hezam Al- Aqmer Physiology Department Mrs. Saima Mohsin Incharge, NHRC Consultant Biostatician: Dr. Akram Chaudhry Mr. Muhammad Aasim Library & Information Sciences: Mr. Ihsan Basit Dr. Muhammad Shahid Soroya CONTENTS Arif Abdulmohsen Al Mousa, Imtiaz Ahmad Qureshi, Fahad Anwar, Nadeem Shafique Butt, Marwan A Bakarman,Zohair Jamil Gazzaz,Ahmad Azam Malik Awareness and Prevalence of Risk Factors of Chronic Kidney Disease in Rabigh, Kingdom of Saudi Arabia: A Community Perspective Mirza Zeeshan Sikandar, Bilal Husnain Bajwa, Hasan Zahid, Sobia Ali, Sabiha Iqbal, Syed Imran Ali Shah Knowledge, Attitude, and Practice Trends Towards Covid-19 Pandemic: Comparison Between Individuals with Medical and Non- Medical Backgrounds Imran Hanif, Masooma Ahmad, Wardah Anwar, Maria Ilyas, Ambreen Anjum, Umair Hanif, Majid Kaleem Gender Differences in the Morphological Severity of Mitral Stenosis in Patients Presenting in a Tertiary Care Hospital Qura-Tul-Ain, Sidra Mushtaq, Naveeda Manzoor, Mahreen Akhtar, Anila Errum, Naseem Saud Ahmad Comparison of Xanthine Oxidase Inhibitory Effect of Swertia chirayita and Febuxostat in Vitro Zoofishan Qureshi, Muhammad Ashraf Chaudhry, Nayyer Uzair, Tariq Mukhtar Farani, Uzair Mumtaz, Muhammad Umer Farooq High Body Mass Index a Risk Factor of Preeclampsia: A Hospital Based Case-Control Study Iram Kamal, Rizwan Faisal, Lubna Amer, Abdul Mudabbir Rehan, Sadia Chiragh Effect of Malus Domestica (Apple Peel) Extract on Peripheral Blood and Bone Marrow Cells of Prednisolone Treated Mice Muhammad Ali Rafique Mirza, Ammara Mazhar, Waheed Bhutto, Abdul Saeed Khan Effectiveness of Amnion on Chronic Wounds Vs Saline Dressing Jawaria Ghazanfar, Aisha Khalil, Aniqua Tahir, Muhammad Imran Anwar, Hina Mahmood, Ayesha Humayun Knowledge, Attitude and Practice of Breast Cancer Screening in Medical and Non-Medical Females Students of Lahore, Pakistan Irfan Sharif, Athar Mahmood, Ghulam Ghous, Nabeel Shafi, Humayun Saeed, Muhammad Shahzad Anwar, Muhammad Farooq Is Upper Pole Puncture for Percutaneous Nephrolithotomy (PCNL) Safe and Effective? Afifa Waseem, Muhammad Suhail, Tayyaba Muzaffar, Javed Iqbal, Hadia Zulfiqar Flax Seed Oil Alleviates Caffeinated Energy Drink Induced Metamorphosis in Femur Weight and Relative Tissue Weight Index of Adult Male Albino Rat Alvia Batool, Maryam Fatima, Fozia Farzana Toxic Effects of Ribavirin on the Testicular Interstitium in Albino Rats Anis Farooq, Haroon Javaid, Imran Anwar A Quality Improvement Project: Development and Implementation of a Modified I-PASS Handover in the General Surgery Department of Tertiary Care Hospital in Pakistan Muhammad Ramzan, Talha Mahmud, Muhammad Saqib, Abdul Saeed Khan, Qazi Abdul Saboor, Ali Rafique Mirza A Comparative Study Between-Small Bore and Large Bore Tubes for Therapeutic Pleural Drainage Muhammad Ikram, Amna Javed, Ayesha Shahid, Sara Muneer, Fariha Tahir Postpartum Intrauterine Contraceptive Device (PPIUCD) Versus Interval Intrauterine Contraceptive Device (IUCD) Complications: Which is better? Usman Aslam, Muhammad Ubaidullah Khan, Sadia Chiragh, Abdul Karim, Mushtaq Ahmed Effect of Atorvastatin Alone and in Combination with Aspirin on Uric Acid Handling of Normal Rats Tayyaba Gul Malik Acute Anterior Uveitis (Ocular Manifestation of COVID-19); A Case Report Instructions for Authors PAGE 1 7 14 18 23 28 35 41 47 52 58 64 68 73 78 83 86 EDITORIAL ADVISORY BOARD Basic & Pre-Clinical Sciences Prof. Mateen Izhar Head, Pathology Division, SZMC Prof. Sibgha Zulfiqar Head, Physiology, SZMC. Prof. Muhammad Suhail Head, Anatomy, SZMC. Prof. Nasreen Ehsan Head, Forensic Medicine, SZMC Dr. Suleman Dawood (UOL) Asst. Prof. of Allied Health Sciences Dr. Nighat Yasmeen (KEMU) Asst. Prof. of Biomedical Sciences Dr. Tania Shakoori (KEMU) Asst. Prof. of Biomedical Sciences Dr. Saima Chaudhary (UHS) Asst. Prof. of Oral Pathology Medicine and Allied Prof. Azeem Taj Head, Medicine, SZMC. Prof. Abdul Shakoor Head, Psychiatry, SZMC Prof. Talha Mahmud Head, Pulmonology, SZMC Prof. Safoora Aamir Head, Dermatology, SZMC Surgery and Allied Prof. Mamoon Rashid (Sitara-e-Eisaar) Head, Plastic Surgery, Shifa Hospital, Islamabad Prof. Ali Rafique Mirza Professor of Plastic Surgery, SZMC Prof. Muhammad Ikram Head, Gynecology, SZMC Prof. Shafqat Mukhtar Head, Gynecology, SZMC Dr. Jamshaid Rahim Associate Professor Urology, SZMC Dr. Syed Sajjad Raza Kazmi Head, Anesthesia & ICU, SZMC Diagnostic Division Prof. Nadira Mamoon Head, Pathology, Shifa Hospital, Islamabad Prof. Mona Aziz Head, Hematology, SZMC Prof. Saulat Sarfraz Head, Radiology, SZMC Dr. Amir Khan Asst. Prof. Radiology, SZMC PEER REVIEW BOARD (International) Prof. Renne Koeffel (Switzerland) Prof. M. Hisham Al-Muhtaseb (Jordan) Prof. Mukhtiar Baig (KSA) Dr. Jane Banaszak Hall (USA) Dr. Dagmar Stoiber Sakaguchi (Austria) Dr. Sarwat Shaheen (USA) Dr. Zeeshan I. Shaikh (USA) Dr. Aliya Asher (UK) Dr. Tanzeel Qurat Ijaz (UK) Dr. Hafiz Sohail Anjum (Ireland) Dr. RafayAzhar (Singapore) Dr. Mazhar Nawaz (USA) Dr. Ahmad Azam Malik (KSA) Dr. Ishtiaq Ahmed (KSA) Dr. Aamir Omair (KSA) Dr. Sabina Ahmed Mir (USA) Dr. Anita Lamichhane (Nepal) Dr. Faiza Durrani (UK) Dr. Waseem Lodhi (UK) Dr. Seerat Zahra Hammad (KSA) Dr. Shafya Shahid (U.S) Dr. Madeeha Afzal (U.K) Dr. Abdul Waheed (U.K) Dr. Humaira Zareen (KSA) Dr. Amira Okud (KSA) Dr. Asma Ahmed (UK) Dr. Sabahat Sabir (UK) PEER REVIEW BOARD (National) Prof. M. Ashraf (Tamgha-e-Imtiaz) Prof. Arshad Kamal Butt Prof. M. Nauman Ahmad Prof. Ziaullah Prof. Moeed Iqbal Qureshi Prof. Naseem Saud Prof. M. Ovais Omer Prof. Shabbir Bhatti Prof. Zahid Niaz Prof. Zamir Ahmad Prof. Muhammad Arif Nadeem Prof. Muhammad Moin Prof. Khalid Mahmood Prof. Zujaja Zaheer Prof. Muhammad Aslam Prof Abdul Mannan Prof. Naheed Humayun Prof. Farhat Naz Prof. Abdul Hameed Prof. Rafeea Tafweez Prof. Inayat Thaver Prof. Ashraf Chaudhry Prof. Kashif Malik Prof. Aftab Turabi Prof. Uzma Hussain Dr. Maryam Rashid Dr. Farooq Afzal Dr. Saman Shahid Dr. Sarah Ghafoor Dr. Muhammad Shahzad Dr. Ali Hussainy Zaidi Dr. Shahzad Khuram Akram Dr. Uzma Malik Dr. Ayesha Mallick Dr. Tehseen Haider Kazmi Dr. Khalida Ajmal Dr. Israr Ahmed Dr. Saima Batool Dr. Saleem Muhammad Rana Dr. Muhammad Khurram Habib Dr. Paras Khan Dr. Saba Riaz Dr. Raazia Tasadduq Dr. Nageen Hussain Dr. Saadia Jan Dr. Soumble Zulfiqar Dr. Rabeia Bilal Dr. Yasir Abbas Zaidi