Dedicated To The Researchers, Clinicians & Health Care Workers of Pakistan 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 July to Sept 2021 Edition with glad tidings for All. Increased COVID 19 vaccinations have Alhumdolillah led to a gradual reopening of academic institutions and resumption of daily activity. We pray that normalization continues and humanity is relieved of this deadly disease. 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 July to Sept 2021 Proceedings presents articles from medical and allied health professionals 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” http://www.proceedings-szmc.org.pk/ HEC & PMC APPROVED Quarterly PROCEEDINGS SHAIKH ZAYED MEDICAL COMPLEX Vol. 35 (3) PCPB/24(94) P-121/3196 JULY TO SEPT 2021 EDITORIAL BOARD Patron in Chief: Prof. Mateen Izhar PhD, MRCPath Chairman & Dean Chief Editor: Prof. Saadia Shahzad Alam PhD External Associate Editor: Dr. Usman Iqbal PhD, Associate Editors: Prof. Ayesha Humayun PhD Dr. Adnan Salim FCPS MEMBERS-NATIONAL: Prof. Mamoon Rashid FRCS (Sitara-e-Eisaar) Prof. Nadira Mamoon MRCPath Prof. M. Ashraf PhD (Tamgha-e-Imtiaz) Dr. Sarah Ghafoor PhD MEMBERS-INTERNATIONAL Prof. Renne Koeffel PhD (SUI) Prof.Jane Banaszak-Holl PhD (AUS) Prof. Hisham AL-Muhtaseb PhD (Jordan) Dr. Salman Malik M.D (US) Dr. Sarwat Shaheen M.D (US) Dr. Aliya Asher MRCP (UK) Dr. Uzma Nasim Siddiqui FCPS (AUS) EDITORS: Dr. Shahila Jalil FCPS Dr. Samira Haque FCPS Dr. Sadia Maqsood MHPE Dr. Faraz Bokhari M Phil Dr.Noora Hassan Hezam Al-Aqmer M Phil Mrs. Saima Mohsin MSc Consultant Biostatician: Mr. Muhammad Aasim M Phil Library & Information Sciences: Mr. Ihsan Basit M Phil Dr. Muhammad Shahid Soroya PhD CONTENTS Fariha Sahrish, Abeera Assad Rasool, Zonaira Rathore, Mahvish Hussain, Fizza Waqar, Samina Zaman Histological Subtypes & Staging of Post-Chemotherapy Wilms Tumour According to SIOP 2001 Protocol: Study at the Children’s Hospital,Lahore Quratulain Mehdi, Noaman Ishaq, Saba Batool, Kulsoom Farhat, Saman Omer, Arooj Shahid Efficacy of Telmisartan in Pristane Induced Arthritis Rat Model Muhammad Ali Sheikh, Amna Idrees, Jamil Akhter Munir Ahmad, Kaneez Fatima, Lubna Riaz, Amna Ikram Community Acquired Methicillin Resistant Staphylococcus Aureus (CA-MRSA) Infection in Paediatric Subcutaneous Abscesses in Pakistan Abdul Mudabbir Rehan, Fariha Ahmad Khan, Qudsia Umaira Khan, Rabia Naseer Khan, Zoobia Irum, Sehrish Zaffar, Sadia Chiragh Malus Domestica Peel Extract Counters Carboplatin Induced Fall in Red Blood Cell Count and Bone Marrow Erythroid Cell Percentage in Mice Haroon Javaid Majid, Muhammad Imran Anwar, Muhammad Zaeem Khalid, Shafique-Ur-Rehman, Muhammad Amir Jameel Predictors of Mortality in Necrotizing Soft Tissue Infections in Adults – Experience at A Tertiary Care Hospital in Pakistan Fatima Khalid, Sameen Afzal, Ghazi Zafar, Anila Chughtai, Samina Zaman, Akhtar Sohail Chughtai Morphological Spectrum of Ovarian Teratomas: A 6 Years Experience at A Specialized Diagnostic Institute Sumra Komal, Aqna Malik, Naheed Akhtar, Syed Asif Jahanzeb Kazmi, Fayyaz Anjum, Ayesha Rida Tamarix dioica (Ghaz) Protective Potential in the Carbon Tetrachloride- Induced Hepatotoxicity Animal Model Ambreen Anjum, Hamid Javed Qureshi, Saima Tabassum, Wardah Anwar, Rida Shakil, Maria Anwar, Muhammad Hashim Ghouri Comparative Effects of Cane Sugar, Honey & Jaggery on Plasma Glucose Level & Body Weight of Alloxan Induced Diabetic Rats Amna Javed, Muhammad Ikram, Shafqat Mukhtar, Saulat Sarfraz, Ayesha Shahid, Aman Ur Rehman Prevalence of Bacterial Vaginosis During Pregnancyin Tertiary Care Hospital, Lahore Asifa Karamat, Huma Batool, Sohail Anwar, Shazia Akram, Atif Masood, Wajid Ali Rafai Frequency and Pattern of Bronchiectasis in Patients with Chronic Obstructive Pulmonary Disease Presenting in a Tertiary Care Hospital Sadia Majeed, Usman Aslam, Muhammad Ubaid Ullah Khan, Asma Inam, Sadia Chiragh Phoenix dactylifera (Ajwa Date) Whole Fruit, Flesh & Powdered Seed Prevents Anti-Tuberculous Drug Induced Hepatotoxicity in Rabbits Rakesh Bahadur Adhikari, Qazi Abdul Saboor, Mateen Akram, Saira Fayyaz, Husnain Bashir, Muhammad Rizwan-ul-Haque Prevalence of Right Ventricular Dysfunction& Pulmonary Hypertension and their Relationship to the Number of Hemodialysis Sessions in Patients of End-Stage Renal Disease (ESRD) Hira Ashfaq, Ahmad Naseem, Shabnum Tariq, Hina Usman, Tayyiba Wasim, Maria Sharif, Naheed Humayun Fertility-Related Quality of Life Amongst Married Infertile Females of Lahore Wajida Perveen, Muhammad Akhtar, Riaz Hashmi, Misbah Amanat Ali, Sahreen Anwar, Ayesha Ghani Idiopathic Facial Nerve Paralysis & Response to Physiotherapy in Pregnant Woman; A Case Report Syed Wasif Ali Shah, Muhammad Abdul Shakoor, Usman Amjad, Haider Ali, Waleed Imtiaz, Shafqat Raza Hereditary Multiple Exostoses with Ulnar Hemimelia Instructions for Authors PAGE 1 6 12 17 24 31 37 44 50 54 58 64 69 75 78 81 The Editorial Board of Proceedings of Shaikh Zayed Medical Complex, Lahore is indebted to our Honorable Peer Reviewers for their expert & timely reviews. ADVISORY BOARD Basic & Pre-Clinical Sciences Prof. Mateen Izhar PhD, MRCPath Prof. Sibgha Zulfiqar M.Phil Prof. Muhammad Suhail M.Phil Prof. Nasreen Ehsan M.Phil Prof. Tahira Naseem M.Phil Dr. Anwaar Bashir M.Phil Dr. Suleman Dawood PhD (UOL) Dr. Nighat Yasmeen PhD (KEMU) Dr. Saima Chaudhary PhD (UHS) Medicine and Allied Prof. Azeem Taj FCPS Prof. Abdul Shakoor FCPS Prof. Talha Mahmud FCPS Prof. Safoora Aamir FCPS Dr. Lubna Riaz FCPS Dr. Asfandyar FCPS Surgery and Allied Prof. Ali Rafique Mirza FCPS Prof. Muhammad Ikram FCPS Prof. Imran Anwar FRCS Prof. Shafqat Mukhtar FCPS Dr. Jamshaid Rahim FCPS Dr. Syed Sajjad Raza Kazmi FCPS Diagnostic Division Prof. Mona Aziz FCPS Prof. Saulat Sarfraz FCPS Dr. Amir Khan FRCR PEER REVIEW BOARD (National) Prof. M. Nauman Ahmad FFARCS Prof. Naseem Saud PhD Prof. M. Ovais Omer PhD Prof. Shabbir Bhatti PhD Prof. Zahid Niaz FRCS Prof. Zamir Ahmad PhD Prof. Muhammad Arif Nadeem FCPS Prof. Muhammad Moin FRCS Prof. Khalid Mahmood PhD Prof. Zujaja Zaheer M.Phil Prof. Sadia Chiragh M.Phil Prof. Muhammad Aslam FCPS Prof. Abdul Mannan M.S Prof. Naheed Humayun FCPS Prof. Farhat Naz FCPS Prof. Abdul Hameed FRCS Prof. Rafeea Tafweez PhD Prof. Inayat Thaver PhD Prof. Ashraf Chaudhry FCPS Prof. Kashif Malik FCPS Prof. Aftab Turabi PhD Prof. Uzma Hussain FCPS Prof. Muhammad Pervaiz Prof. Fouzia Shaukat FCPS Prof. Maryam Rashid PhD Prof. Rabeia Bilal PhD Prof. Khwaja Khursheed FCPS Prof. Tanvir Akhtar Butt MS Prof. Naila Akhtar FCPS Prof. Sajida Malik M.Phil Dr. Farooq Afzal FRCS Dr. Saman Shahid PhD Dr. Muhammad Shahzad PhD Dr. Ali Hussainy Zaidi M.D Dr. Shahzad Khuram Akram PhD Dr. Uzma Malik FCPS Dr. Ayesha Mallick CRCP Dr. Tehseen Haider Kazmi FCPS Dr. Khalida Ajmal M.Phil Dr. Israr Ahmed FCPS Dr. SaimaBatool FCPS Dr. Saleem Muhammad Rana PhD Dr. Muhammad Khurram Habib FCPS Dr. Saba Riaz PhD Dr. Raazia Tasadduq PhD Dr. Nageen Hussain PhD Dr. Saadia Nosheen Jan FCPS Dr. Soumble Zulfiqar PhD Dr. Yasir Abbas Zaidi FCPS Dr. Muhammad Zeeshan Sarwar MRCS Dr. Muhammad Imran Khokar MRCS Dr. Nabiha Farasat M.Phil PEER REVIEW BOARD (International) Prof. Renne Koeffel PhD (Switzerland) Prof. Jane Banaszak-Holl PhD (AUS) Prof. M. Hisham Al-Muhtaseb PhD (Jordan) Prof. Mukhtiar Baig PhD (KSA) Dr. Sarwat Shaheen M.D (USA) Dr. Zeeshan I. Shaikh M.D (USA) Dr. Tanzeel Qurat Ijaz MRCP (UK) Dr. Hafiz Sohail Anjum FCPS (Ireland) Dr. Rafay Azhar FRCP (Singapore) Dr. Mazhar Nawaz M.D (USA) Dr. Ahmad Azam Malik PhD (KSA) Dr. Ishtiaq Ahmed FCPS (KSA) Dr. Aamir Omair PhD (KSA) Dr. Sabina Ahmed Mir M.D (USA) Dr. Anita Lamichhane M.D (Nepal) Dr. Faiza Durrani PhD (UK) Dr. Waseem Lodhi FRCOG (UK) Dr. Seerat Zahra Hammad M.S (KSA) Dr. Shafya Shahid PhD (U.S) Dr. Abdul Waheed FRCS (U.K) Dr. Humaira Zareen FCPS (KSA) Dr. Amira Okud M.D (KSA) Dr. Asma Ahmed MRCP (UK) Dr. Sabahat Sabir MRCOG (UK) Dr. Sarfaraz Ahmad FRCR (UK)