For Web Full Book Dedicated To 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 Chairman Shaikh Zayed Medical Complex & Chief Editor of Proceedings Prof. Saadia S. Alam (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. In the era of rapidly changing scenarios, global warming, life threatening heat waves, floods, wars, famine and disease encompassing the globe we steadfastly publish a diverse July to September 2023 Proceedings articles on 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& DOAJ PROCEEDINGS SHAIKH ZAYED MEDICAL COMPLEX Vol. 37 (3) PCPB/24(94) P-121/3196 JULTO SEP 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. M. Ashraf PhD (Tamgha-e-Imtiaz) Prof. NadiraMamoonMRCPath Dr. Muhammad Shahid SoroyaPhD Prof.M. Arif Nadeem(FCPS) Prof.Khalid Mahmood(PhD) Dr.Sarah GhafoorPhD MEMBERS-INTERNATIONAL Prof.RenneKoeffelPhD(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. FarazBokhari 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 Technical Support: M.Saad Ullah Sheikh (BS.Engr) CONTENTS Parvez Ahmed, Nasreen, Naz,Amjad Sattar,Nauman al Qamari,Imtiaz Ali, Faryal Farooq, Muhammad Asadullah, Rakesh Kumar Trans-Arterial Chemoembolization for the Treatment of Hepatocellular Carcinoma: A Single Tertiary Care Institute Experience Hira Aslam, Muhammad Khurram Jameel, Pir Muneeb, Aneeqa Nasir Qureshi, Fawad Hameed, Muhammad Ammar, Maham Qazi, Abrar ul Hassan Pirzada Intraoperative Peritoneal Lavage in Peritonitis: Normal Saline vs Metronidazole Qaiser Naveed Haral, AmmadUd Din Nasir, Ahmed Hassan Malik, Muhammad Qasim Butt, Rashid Zahid Ali, Arwah Mansoor, Hassan Mumtaz Postoperative Complications in Carcinoma Gall Bladder:A Tertiary Care Hospital Experience Shehzad Anwer, Shuja Uddin, Hasnain Khalid, Rizwan Ul Haq, Adeel Hamid, Mubashir Farhan, Zia Uddin, Mian Muhammad Haneef Case Report: Isolated Trochlear Fracture of The Humerus Alvia Batool, Faizia Batool, Afifa Waseem, Saira Munawar, Maryam Fatima An Indigenous Study on thePalmaris Longus Muscle Anatomical Variations Hadia Zulfiqar, Muhammad Suhail, Amna Rehman, Afifa Waseem, Faeza Rauf, Hafiza SadiaAhmed Emblica officinalis Reduces Copper Mediated Inflammation and Preserves Liver Morphology in The Murine Model Rashid Ali, Sardar Sabeel, Danial Zahoor, Bushra Arif, Adnan Khan, Saqib Malik Mental Health Impact on Patients of ESRD on Renal Replacement Therapy: A Cross Sectional Survey Using Beck and Deck Inventory Shazo Sana, Hafiz Muhammad Umair, Nagmana Lateef, Tahir Ayub, Javeria Zafar, Hina Pervaiz Perception Of E-Learning In Medical Students Of Fatima Jinnah Medical University Muhammad Atique Comparison Of Learning Styles Used by Clinical FacultyOf Hospital And General Practitioners For Their Professional Development Saadia Shahzad Concept Paper: It’s Time to Make Inclusivity and Positive Rehabilitation The Basic Right of Children With Down Syndrome: A Pakistani Perspective Instructions for Authors ________________________________________________________________________________________________ PAGE 1 8 15 20 24 28 34 39 44 50 57 ADVISORYBOARD Basic & Pre-Clinical Sciences Prof. NasreenEhsanM.Phil Prof. TahiraNaseemM.Phil Dr. SulemanDawoodPhD(UOL) Dr. NighatYasmeenPhD(KEMU) Dr. Saima Chaudhary PhD(UHS) Medicine and Allied Prof. Talha Mahmud FCPS Prof. SafooraAamirFCPS Dr. LubnaRiaz FCPS Dr. AsfandTariq FCPS Dr. Nabeel Ibad FCPS Surgery and Allied Prof. Ali RafiqueMirzaFCPS Prof. Muhammad Ikram FCPS Prof. ImranAnwarFRCS Prof. ShafqatMukhtarFCPS Dr. Syed Sajjad Raza KazmiFCPS Diagnostic Division Prof. Mona AzizFCPS Prof. SaulatSarfrazFCPS Dr. Amir KhanFRCR PEER REVIEW BOARD (National) Prof. M. Nauman AhmadFFARCS Prof. Naseem SaudPhD Prof. M. Ovais Omer PhD Prof. Shabbir Bhatti PhD Prof. ZahidNiazFRCS 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. NaheedHumayunFCPS Prof. Farhat Naz FCPS Prof. Abdul Hameed FRCS Prof. RafeeaTafweezPhD Prof. InayatThaverPhD PEER REVIEW BOARD (National) Prof. Ashraf ChaudhryFCPS Prof. KashifMalikFCPS Prof. AftabTurabiPhD Prof. UzmaHussainFCPS 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. AbidaShaheenPhD Prof. Sajida Malik M.Phil Prof. Rumina Hasan PhD Prof.Khalid Javeed Khan FRCS Dr. Farooq Afzal FRCS Dr. SamanShahidPhD Dr. Muhammad ShahzadPhD Dr. Ali HussainyZaidiM.D Dr. Shahzad KhuramAkramPhD Dr.Fahad Azam PhD Dr. Khadija Irfan FCPS Dr. UzmaMalikFCPS Dr. Ayesha Mallick FRCP Dr. TehseenHaiderKazmiFCPS Dr. KhalidaAjmalM.Phil Dr. Israr AhmedFCPS Dr. SaimaBatoolFCPS 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. NabihaFarasatM.Phil Dr. Tayyaba Muzaffar M.Phil Dr. Zaeem Khalid FCPS Dr. Nafeesah Fatimah FCPS Dr. Athar Mahmood FCPS Dr. Fariha Sahrish FCPS Dr. TehreemZulfiqar M.Phil Dr,Fatima Chaudhry M.Phil Dr. Saifullah Khan Niazi FCPS Dr. Bilal Saeed FCPS Dr. Chetan Lal M.Phil Dr. Amna MudassarFCPS Dr. Riffat Saeed 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. SarwatShaheenM.D(USA) Dr. Zeeshan I. Shaikh M.D (USA) Dr. TanzeelQuratIjazMRCP (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. Aamir OmairPhD (KSA) Dr. Sabina Ahmed Mir M.D (USA) Dr. Anita LamichhaneM.D (Nepal) Dr. Faiza DurraniPhD (UK) Dr. WaseemLodhiFRCOG (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)