Proceedings Full Book -


 

 
 

 

 

 

 

 

 

Dedicated 

 

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The Valiant Health Care Warriors, Medical Instructors, Future Doctors 

& Researchers of Pakistan 

 



 

Bismillah Hir Rehman Nir Raheem. 
In the name of Allah, the most Beneficent and the most Merciful 

 
Message by the  

Chairperson Shaikh Zayed Medical Complex 
& 

Chief Editor of Proceedings 
 
 

     
   Prof. Sibgha Zulfiqar       Prof. Saadia S. Alam 
       (Chairperson& Dean)     (Chief Editor) 

 
 
 

We have achieved 3 years of HEC Y Category Indexation. Our OJS supported Proceedings 
website of international standards connects us to the world. 

 
The 6th COVID 19 Pandemic wave has emerged with increasing cases of the Omicron variants 
globally. The lesser-known Monkey pox virus cases are also on the rise across Europe and the 

U.S. while in Pakistan dengue has once again reared its head. In these rapidly changing 
scenarios, we steadfastly publish a diverse July to September 2022 Proceedings articles on varied 
aspects of these and diverse medical, surgical, and allied health disciplines. All articles submitted 

for publication have been judged on stringent international standards of plagiarism and blind 
peer reviews.  

 
 Our Editions have achieved expanded viewership, with researchers in wide ranging medical fields 
from different institutions publishing their research in Proceedings. Our nexus of undergraduate 

and postgraduate researchers, supervisors, academicians, and reviewers remains imperative to 
achieving rigorous standards of research, writing and evaluation in Proceedings. 

Our desire is to build linkages with top journals and researchers both in the country and abroad 
    In Sha Allah. 

 
Our Motto “We Venture Forth” 

  



 

RECOGNISED BY PMC, HEC & CPSP 

PROCEEDINGS 
SHAIKH ZAYED MEDICAL COMPLEX 

Vol. 36 (3)    PCPB/24(94) P-121/3196   JULY  TO SEPT 2022 
 

EDITORIAL BOARD  
Patron in Chief: 
Prof. Sibgha Zulfiqar  
Chairperson & Dean 
Chief Editor: 
Prof. Saadia Shahzad Alam PhD 
Editor: 
Prof. Ayesha Humayun PhD 
Associate Editors: 
Prof. M. Imran Anwar FRCS 
Dr.Adnan Salim MRCP 
External Associate Editor: 
Dr. Usman Iqbal PhD 
 

MEMBERS-NATIONAL: 
Prof. Mamoon Rashid -FRCS 
(Sitara-e-Eisaar) 
Prof. Nadira Mamoon MRC Path 
Prof. M. Ashraf PhD 
(Tamgha-e-Imtiaz) 
Prof.M.Arif Nadeem (FCPS) 
Prof.Khalid Mahmood (PhD) 
Dr.Sarah Ghafoor PhD 
 
MEMBERS-INTERNATIONAL 
Prof.Renne Koeffel PhD (SUI) 
Prof.Jane Banaszak-Holl PhD(AUS) 
Prof. Hisham Al MuhtasebPhD 
(KSA) 
Dr. Salma Malik M.D (US) 
Dr. Sarwat Shaheen M.D (US) 
Dr. Aliya Asher MRCP (UK) 
Dr. Uzma Nasim Siddiqui FCPS 
(AUS) 
 

SECTION EDITORS: 
Dr. ShahilaJalil FCPS 
Dr. Samira Haque FCPS 
Dr. Lubna Riaz FCPS 
Dr. SadiaMaqsood MHPE 
Dr. Faraz Bokhari M Phil 
Dr. Noora Hassan HezamAl- 
Aqmer M Phil 
Mrs.SaimaMohsin MSc 
Consultant Biostatician: 
Mr. Muhammad Aasim M Phil 
 

Library & Information Sciences:  
Mr. Ihsan Basit M Phil 
Dr. Muhammad Shahid SoroyaPhD 
Technical Support: 
M.Saad Ullah Sheikh (BS.Engr) 

CONTENTS 
Riffat Iqbal, Muhammad Shehzad, Shaista Aslam, Faiza Gul Durrani, Kiran 
Aftab, Iram Liaqat 
Family Based Genetic Association Study of TLR4 Gene with 
Myocardial Infarction in Pakistan 
Isma Shabbir, Aniqua Saleem, Misbah Durrani, Umme Kalsoom, Asma 
Qasim, Hassan Mumtaz 
Comparative Diagnostic Accuracy of Sonographic  Strain Elastography 
and FNAC in Breast Lesions 
Vishal Farid Raza, Absar Nazir, Muhammad Shabbir Chohan, Muhammad 
Yousaf, IqraWaris, Khalid Javeed Khan 
 Shock Index in Patients Undergoing Elective and Emergency General 
Surgical Procedures: A Predictor of Morbidity Risk and Outcomes 
Hira Babar, Zunairah Mughal, Sobia Ashraf, Sindhu Rehman, Arsala 
Rashid, Samina Qamar 
 Haematological and Clinical Findings Especially Third Space Fluid 
Accumulation Observed in Major Dengue Outbreaks of Pakistan 
Saulat Sarfaraz, Khadija Arif, Abdullah Hussain, Shoaib Iftikhar, 
Muhammad Ikram, Amna Javed 
Value of Transvaginal Sonography in Antenatal Management of 
Ectopic Pregnancy 
Rizwana Kitchlew, Afaq Shamim, Spenta Kakalia, Arous Khaqan, Sonia 
Latif, Faizan Farooq 
Perception and Vaccination Status of Elderly Individuals Aged 60 
Years and Above: An Urban Lahore Analysis 
Javeria Faridi, Ahmed Ahson Khan, Ayesha Faridi, Sabeen Afshan, Umair 
Jan Bugti, Hassan Mumtaz 
Frequency of Her2/Neu Immuno Histochemical Expression in   
Bladder Urothelial Carcinoma: A Study at CMH Quetta 
Sulaiman Al-Sharabi, Reham Hassan Hezam Al-Aqmer, Ghada Abdullatef 
Mahmood Al-Rajami, Nader Fatehi Al-Kubati, Ahmed Al-Mukhanjef, Amany 
Omer Yousef Taib, Simon Hassan Dammag, Enas Ali Hussein Al-Shoaebi, 
Amera Mohammed Hussein Al-Okaishi, Wedad Qaid Abdoh Hamdan, Omar Al-
Asali 
Quality of Care for Paediatric Leukemia Patients at a Hospital in 
Sana’a as Perceived by Patients’ Attendants 
Nida Zeeshan, Tooba Karim, Farid Adnan, M. Ashraf Chaudhry 
Preterm Neonatal Need for Mechanical Ventilation in Prophylactic 
Continuous Positive Air Pressure (CPAP) Versus Therapeutic CPAP 
Isma Meer, Muniza Saeed, Sana Rasheed Chaudhry, Komal Iqbal, Muneeza 
Taseer, Samita Yasmin 
Oxidative Stress in Non-Obese and Obese Young Healthy Adults 
Rabeeha Bashir, Mir Jalal-ud-din, Shawana Asad, Sher Ali Khan, Bilawal 
Gul, Shabeena Naz 
Comparison between Lateral Internal Sphincterotomy and Lord’s 
Operation for Chronic Anal Fissure 
Shuja Uddin, Adeel hameed, Mian Haneef, Usman Nazeer Gill 
Obturator Type of Hip Dislocation with Ipsilateral Non-Displaced Neck 
of Femur Fracture: A Case Report 
Instructions for Authors 

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 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. AzeemTaj FCPS 
Prof. Abdul Shakoor FCPS 
Prof. Talha Mahmud FCPS 
Prof. SafooraAamir 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. SaulatSarfraz 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. Sadia Chiragh M.Phil 
Prof. Muhammad Aslam FCPS 
Prof. Abdul Mannan M.S 
Prof. NaheedHumayun FCPS 
Prof. Farhat Naz FCPS 
Prof. Abdul Hameed FRCS 
Prof. RafeeaTafweez PhD 
Prof. Inayat Thaver PhD 

PEER REVIEW BOARD 
(National) 
Prof. Ashraf Chaudhry FCPS 
Prof. Kashif Malik FCPS 
Prof. AftabTurabi PhD 
Prof. Uzma Hussain FCPS 
Prof. Muhammad Pervaiz FRCS 
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. AbidaShaheenPhD 
Prof. Sajida Malik M.Phil 
Prof. Rumina Hasan PhD 
Prof. Khalid Javeed Khan FRCS 
Dr. Farooq Afzal FRCS 
Dr. SamanShahid PhD 
Dr. Muhammad Shahzad PhD 
Dr. Ali Hussainy Zaidi M.D 
Dr. Shahzad Khuram Akram PhD 
Dr. Fahad Azam PhD 
Dr. Khadija Irfan FCPS 
Dr. Uzma Malik FCPS 
Dr. Ayesha Mallick FRCP 
Dr. Tehseen Haider Kazmi FCPS 
Dr. KhalidaAjmal M.Phil 
Dr. Israr Ahmed FCPS 
Dr. SaimaBatool FCPS 
Dr. Saleem Muhammad Rana PhD 
Dr. Muhammad Khurram Habib FCPS 
Dr. Saba Riaz PhD 
Dr. RaaziaTasadduq 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. NabihaFarasat M.Phil 
Dr. Tayyaba Muzaffar M.Phil 
Dr. Zaeem Khalid FCPS 
Dr. Nafeesah Fatimah FCPS 
 
 
 
 
 
 
 

PEER REVIEW BOARD 
(International) 
Prof. Khalid Javeed Khan FRCS 
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. TanzeelQuratIjaz MRCP (UK) 
Dr. Hafiz Sohail Anjum FCPS (Ireland) 
Dr. RafayAzharFRCP (Singapore) 
Dr. Mazhar Nawaz M.D (USA) 
Dr. Ahmad Azam Malik PhD (KSA) 
Dr. Ishtiaq Ahmed FCPS (KSA) 
Dr. AamirOmairPhD (KSA) 
Dr. Sabina Ahmed Mir M.D (USA) 
Dr. Anita Lamichhane M.D (Nepal) 
Dr. FaizaDurrani PhD (UK) 
Dr. WaseemLodhi 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) 
Dr. Zouina Sarfaraz M.D (UK)