Proceeding.indd Dedicated To The Valiant Health Care Warriors Who Gave Their Lives Battling the COVID 19 Pandemic 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. Mateen Izhar Prof. Saadia S. Alam (Chairman & Dean) (Chief Editor) As the COVID 19 Pandemic rages on, we steadfastly publish a diverse April to June 2020 Proceedings with international and indigenous, basic and applied research on varied aspects of health care, therapeutics and diagnostics. All articles submitted for publication have been judged on stringent international standards of plagiarism and blind peer reviews. We are one of the 17 journals renewed by the PMDC out of the 72 who applied from all over the country. PMDC renewal was received till Dec 2019 with further renewal under process As Our Editions reflect we have achieved expanded viewership, with researchers in wide ranging medical fields from different institutions publishing their research in Proceedings. A robust nexus of undergraduate and postgraduate researchers, supervisors, academicians and reviewers remains imperative to achieving rigorous standards of research, writing and evaluation in Proceedings. HEC and International indexation procedure is ongoing. Our vision is to create an R&D Department at SZMC in collaboration with The National Health Research Complex (NHRC), develop a new Proceedings website of international standards and build linkages with top journals and researchers both in the country and abroad In Sha Allah. Our Motto “We Venture Forth” PM&DC APPROVED PROCEEDINGS SHAIKH ZAYED MEDICAL COMPLEX Vol. 34 (3) PCPB/24(94) P-121/3196 JUL TO SEP 2020 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 Sarah Tehseen Transfusion Medicine Practice During COVID-19 Pandemic: Potential Pitfalls and Solutions for Provision of Blood Products Ruhina Akbar, Khadija Irfan Khawaja, Sara Mahmood, Ian Y. Goon, John Campbell Chambers, Saman Sarwar, Ayesha Shahid, Mahina Iftikhar Baloch Use of Point-Of-Care Cholesterol Testing in Population Based Non- Communicable Disease Surveillance: Caveats and Challenges Riffat Saeed, Muhammad Naveed Shahzad, Zia Qazi, Iram Qamar, Amna Javed, Arif Javed Chances of Pneumothorax and Malpositioning of Central Venous Catheters in Internal Jugular Vein Versus Subclavian Vein Routes Wardah Anwar, Ambreen Anjum, Nasreen Akhtar, Maria Anwar, Tabinda Kazmi, Sibgha Zulfiqar, Faiza Khan Comparison of Salivary Cotinine Levels of Neonates Born to Mothers Exposed to Varying Degrees of Passive Cigarette Smoke Asma Akram, Mateen Izhar, Anwaar Basheer, Mariya Ali, Asma Yaqoob, Asim Saifullah A Detailed Study of Antimicrobial Sensitivity Pattern of Penton Valentine Leucocidin Gene Positive and Negative Staphylococcus aureus from Pus Samples Sadaf Bukhari, Aaifa Khalid Niazi, Syed Mahmood Ali, Maria Arshad, Muhammad Taqi Role of Prophylactic Dimenhydrinate Versus Ondansetron as an Adjunct to Dexamethasone on Post-Operative Nausea and Vomiting in Laparoscopic Abdominal Procedures Ayela Eman Zia, Bushra Suhail, Zujaja Zaheer Therapeutic Effects of Canagliflozin and Zinc Sulphate Alone and in Combination on Pancreatic Histology in Type-2 Diabetic Rat Model Mariya Ali, Tahira Naseem, Farooq Abdul Hakim Bajwa, Saira Zafar, Asma Akram, Hirra Ghaffar An Association of Vitamin D Insufficiency with Elevated Serum Uric Acid Levels Among Postmenopausal Women Fatima Sakhawat, Hamna Sohail, Fatima Zafar, Hassan Bashir, Hasan Shafique, Sana Iftikhar Clinical Risk Factors Associated with Mortality Among Burn Patients Admitted to Jinnah Burn and Reconstructive Surgery Center, Lahore Instructions for Authors PAGE 1 4 13 18 24 29 35 41 46 51 Staphylococcus aureus 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) Assistant Prof. of Allied Health Sciences Dr. Nighat Yasmeen (KEMU) Assistant Prof. of Biomedical Sciences Dr. Tania Shakoori (KEMU) Assistant Prof. of Biomedical Sciences Dr. Saima Chaudhary (UHS) Assistant 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 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 Assistant Prof. Radiology, SZMC PEER REVIEW BOARD (International) Prof. Renne Koeffel (Switzerland) Prof. Mohammad 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. Rafay Azhar (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) 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 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