Full Book For Printing Dedicated To The Memory Of Our Very Dear Professor Azeem Taj Head of Medicine SZMC Lahore 18th July 1973 to 14th March 2023 Inna lillahe Wa Inna Elaihai Rajeoon Bismillah Hir Rehman Nir Raheem. In the name of Allah, the most Beneficent and the most Merciful Chief Editor of Proceedings Prof. Saadia S. Alam (Chief Editor) The April to June 2023 Edition begins with a stark reminder of the mortality of human life. The sudden, shocking, and untimely passing of our very own Professor Azeem Taj Head of Medicine Shaikh Zayed Medical Complex Lahore has left us all introspecting on the truth of being mortal and finite. Prof Azeem was a good soul, a great academician and splendid physician. May Allah bless his journey to Jannah. On the Proceedings front we have applied for continued HEC Y Category Indexation. Our OJS supported Proceedings website of international standards connects us to the world. Continuing COVID 19 infections despite robust vaccinations globally and in Pakistan tell us of its undeniable persistence and presence on our infectious disease panel. Dengue and monkey pox have once again reared their heads. In these rapidly changing scenarios, we steadfastly publish a diverse April to June 2023 Proceedings articles on medical, surgical and diagnostic 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& DOAJ PROCEEDINGS SHAIKH ZAYED MEDICAL COMPLEX Vol. 37 (2) PCPB/24(94) P-121/3196 APR TO JUN 2023 EDITORIAL BOARD Chief Editor: Prof. Saadia Shahzad AlamPhD Editor: Prof. Ayesha HumayunPhD Associate Editors: Prof. M. Imran Anwar FRCS Dr. Adnan Salim MRCP External Associate Editor: Dr. Usman IqbalPhD MEMBERS-NATIONAL: Prof. Mamoon Rashid-FRCS (Sitara-e-Eisaar) Prof. NadiraMamoonMRCPath Prof. M. Ashraf PhD (Tamgha-e-Imtiaz) Prof. M. Arif Nadeem(FCPS) Prof. Khalid Mahmood(PhD) Dr. SarahGhafoorPhD 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 ShaheenM.D(US) Dr. Aliya Asher MRCP(UK) Dr. Uzma Nasim Siddiqui FCPS(AUS) SECTION EDITORS: Dr. Shahila JalilFCPS Dr. Samira HaqueFCPS Dr. Lubna Riaz FCPS Dr. Sadia Maqsood MHPE Dr. Faraz Bokhari M Phil Dr. Noora Hassan HezamAl- Aqmer M Phil Mrs.Saima MohsinMSc Consultant Biostatician: Mr. Muhammad AasimM Phil Library & Information Sciences: Mr. Ihsan Basit M Phil Dr. Muhammad Shahid SoroyaPhD Technical Support: M.Saad Ullah Sheikh (BS.Engr) CONTENTS Hijab Batool, Muhammad Dilawar Khan, Omar Rasheed Chughtai, Sana Rafaqat, Fouzia Sadiq, Hafiz Muhammad Bilal Characterization of Mannose Binding Lectin (MBL) Levels in Type-2 Diabetes Mellitus Patients amongst Pakistani,Population Zoofishan Imran, Umer Saeed Ansari, Shamim Akram, Shehla Javaid, Hifza Noor Lodhi Diet in Pregnancy and Preeclampsia: Is there An Association? A Hospital Based Matched Case Control Study Sibgha Fatima, Saba Saleem, Noor Ijaz, Nabila Kaukab, Fauzia Qureshi, Asma Siddique Local Sexual Dimorphism Based on Chilotic Index of Human Dried Hip Bone: A Morphometric Study Shazia Tufail, Maria Ilyas, Saqib Mansoor, Syeda Shabeeh Rubab, Ayesha Afzal Indigenous Cadaveric Variations in Lung Fissures and Lobes Tayyaba Azhar, Junaid Sarfraz, Maimoona Nasreen Qualities of PBL Leader: The Students’ Perspective Uzma Jabbar, Muniza Qayyum, Rukhshan Khurshid, Maira Mahmood Heavy Metal Ion and Haptoglobin Association with Career Duration in Pharmaceutical Industries: A Potential Occupational Hazard? Faryal Farooq, Nasreen Naz, Maryam Asghar, Amjad Sattar, Nauman al Qamari, Wiqar Ahmad, Parvez Ahmed, Hassan Mumtaz Efficacy of Pigtails for the Management of Refractory Malignant Ascites or Effusion: A Systematic Retrospective Chart Review of an Institution Abdul Rasheed Qureshi, Muhammad Irfan, Huma Bilal, Muhammad Sajid, Zeeshan Ashraf Ultrasound Guided Complete Thoracentesis, Precluding Residual Pleural Thickening in Pleural Tuberculosis: A Case-Control Study Mariam Sajid, Mohamed Askar, Roger Bayston Review Article RT-qPCR Protocol Optimization Assessment with Propidium Monoazide for Viable and Non-Viable Pathogen Detection Shuja Uddin, Zia Uddin, Mubashir Farhan, Adeel Hamid, Rizwan Ul Haq, Hasnain Khalid, Yousaf Gull, Mian Muhammad Haneef Case Report A Case of Glomus Tumor; Missed Diagnosis as Enchondroma for Previous 13 Years Instructions for Authors ________________________________________________________________________________________________ PAGE 01 09 15 19 23 29 35 42 50 58 62 ADVISORYBOARD Basic & Pre-Clinical Sciences Prof. Nasreen EhsanM.Phil Prof. Tahira NaseemM.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. Talha MahmudFCPS Prof. Safoora AamirFCPS Dr. Lubna RiazFCPS Dr. Asfand TariqFCPS Dr. Nabeel Ibad FCPS Surgery and Allied Prof. Ali Rafique MirzaFCPS Prof. Muhammad Ikram FCPS Prof. Imran AnwarFRCS Dr. Jamshaid RahimFCPS Dr. Syed Sajjad Raza KazmiFCPS Diagnostic Division Prof. Mona AzizFCPS Prof. Saulat SarfrazFCPS Dr. Amir KhanFRCR PEER REVIEW BOARD (National) Prof. M. Nauman AhmadFFARCS Prof. Naseem SaudPhD Prof. M. Ovais OmerPhD Prof. Shabbir BhattiPhD Prof. Zahid NiazFRCS Prof. Zamir AhmadPhD Prof. Muhammad Arif Nadeem FCPS Prof. Muhammad MoinFRCS Prof. Khalid Mahmood PhD Prof. Sadia ChiraghM.Phil Prof. Muhammad AslamFCPS Prof. Abdul Mannan M.S Prof. Naheed HumayunFCPS Prof. Farhat Naz FCPS Prof. Abdul Hameed FRCS Prof. Rafeea TafweezPhD Prof. Inayat ThaverPhD PEER REVIEW BOARD (National) Prof. Mateen IzharPhD, MRCPath Prof. Sibgha ZulfiqarM.Phil Prof. Abdul ShakoorFCPS Prof. Ashraf ChaudhryFCPS Prof. Kashif MalikFCPS Prof. AftabTurabiPhD Prof. Khalid Javeed Khan FRCS Prof. Uzma HussainFCPS Prof. Muhammad PervaizFRCS Prof. Fouzia Shaukat FCPS Prof. Maryam RashidPhD Prof. Rabeia Bilal PhD Prof. Khwaja KhursheedFCPS Prof. Tanvir Akhtar Butt MS Prof. Naila Akhtar FCPS Prof. Abida ShaheenPhD Prof. Sajida Malik M.Phil Prof. Shafqat MukhtarFCPS Prof. Rumina Hasan PhD Prof. Khalid Javeed Khan FRCS Dr. Farooq Afzal FRCS Dr. SamanShahidPhD Dr. Muhammad ShahzadPhD Dr. Ali Hussainy ZaidiM.D Dr. Shahzad Khuram AkramPhD Dr. Fahad Azam PhD Dr. Khadija Irfan FCPS Dr. Uzma MalikFCPS Dr. Ayesha Mallick FRCP Dr. Tehseen Haider KazmiFCPS Dr. Khalida AjmalM.Phil Dr. Israr AhmedFCPS Dr. Saima Batool FCPS Dr. Saleem Muhammad RanaPhD Dr. Muhammad Khurram HabibFCPS Dr. Saba Riaz PhD Dr. RaaziaTasadduqPhD Dr. Nageen Hussain PhD Dr. Saadia Nosheen Jan FCPS Dr. Soumble Zulfiqar PhD Dr. Yasir Abbas Zaidi FCPS Dr. Muhammad Zeeshan SarwarMRCS Dr. Muhammad Imran KhokarMRCS Dr. Nabiha Farasat M.Phil Dr. Tayyaba Muzaffar M.Phil Dr. Zaeem Khalid FCPS Dr. Nafeesah Fatimah FCPS Dr. Athar Mahmood FCPS Dr. Fariha Sahrish FCPS 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 ShaheenM.D(USA) Dr. Zeeshan I. Shaikh M.D (USA) Dr. Tanzeel Qurat Ijaz MRCP (UK) Dr. Hafiz Sohail Anjum FCPS(Ireland) Dr. Rafay AzharFRCP (Singapore) Dr. Mazhar Nawaz M.D (USA) Dr. Ahmad Azam Malik PhD (KSA) Dr. Ishtiaq Ahmed FCPS (KSA) Dr. Aamir OmairPhD (KSA) Dr. Sabina Ahmed Mir M.D (USA) Dr. Anita LamichhaneM.D (Nepal) Dr. Faiza DurraniPhD (UK) Dr. Waseem LodhiFRCOG (UK) Dr. Seerat Zahra HammadM.S(KSA) Dr. Shafya Shahid PhD(U.S) Dr. Abdul WaheedFRCS (U.K) Dr. Humaira ZareenFCPS (KSA) Dr. Amira OkudM.D (KSA) Dr. Asma Ahmed MRCP (UK) Dr. Sabahat Sabir MRCOG (UK) Dr. Sarfaraz Ahmad FRCR (UK) Dr. Zouina Sarfaraz M.D (UK) Dr. Humaira Zaman FCPS (UK)