Dedicated To Our Most Respected Prof. Dr. Zia Ullah 20-3-1960 to 30-11-2020 Former Head of Department of Medicine, Shaikh Zayed Medical Complex, Lahore A Shaheed With A Legacy of Service to the Nation 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 Jan to March 2021 Edition with Prayers for the Good Fortune and Wellbeing of All. As the COVID 19 Pandemic rages, it is a moment to capitulate the personal, emotional and physical toll endured by humanity in general and especially frontline workers during the previous year. The sudden loss of our very own Prof. Zia Ullah to this deadly disease has left us an indelible memory. For Proceedings 2020 was a year of achievements Alhumdolillah, with development of a new website of International standards supported by the OJS/PKP Platform for online submission www.proceedings-szmc.org.pk. During the year we got recognition and funding 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 Jan to March 2021 Proceedings presents research on COVID 19, health care, basic sciences, therapeutics and diagnostics. All articles submitted for publication have been judged on stringent international standards of plagiarism and blind peer reviews. As Our Editions reflect we have achieved expanded viewership, with researchers in wide ranging medical fields from different institutions publishing their research in Proceedings. Our vision is to create an R&D Department at SZMC in collaboration with The National Health Research Complex (NHRC) and build linkages with top journals and researchers both in the country and abroad “We Venture Forth” http://www.proceedings-szmc.org.pk/ HEC & PMC RECOGNIZED PROCEEDINGS SHAIKH ZAYED MEDICAL COMPLEX Vol. 35 (1) PCPB/24(94) P-121/3196 JAN TO MAR 2021 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 Munaza Javed, Muhammad Atif Qureshi, Muhammad Naeem Akhtar, Saadat Ullah, Osama Habib, Muhammad Saqib Correlation of qSOFA With Severity of COVID-19 Infection Assessed on Admission at Tertiary Care Hospital in Lahore Khansa Saleem, Muhammad Ilyas, Saad Razzaq, Fahad Maqbool, Qaiser Abbas, Aneem Abdullah, Abu Bakar Shahid Improvement in Survival Outcomes of Acute Lymphoblastic Leukemia Patients Treated with Berlin-Frankfurt-Munster 76/79 Protocol Muhammad Saqib, Talha Mahmud, Shanawer Qaiser, Muhammad Ramzan, Muhammad Asim Bronchoscopic Microbial Diagnosis in Non-Responding & Non-Resolving Pneumonia Naheed Humayun Sheikh, Ayesha Humayun, Shakila Zaman Contraceptive and Abortion-Related Practice Among Females of Lower Income Group in District Lahore Shanawer Qaiser, Muhammad Saqib, Talha Mahmud Frequency of Raised Total Serum Ig E, Sputum Eosinophilia and Blood Eosinophil Count in Patients with Severe Persistent Asthma Maleeha Tahir Butt, Mukarma Sajjad, Tahira Naseem Relation of Vitamin D Deficiency with Breast Cancer Staging in Patients from INMOL Cancer Hospital Saba Saleem, Muhammad Suhail, Saba Amjad, Faiza Irshad Protective Effects of Ocimum basilicum Against Atrophic Changes in Graafian Follicles in Cyclophosphamide Induced Ovarian Toxicity Nadeem Yaqoob, Mufakhara Fatimah, Farwa Naqvi, Javeria Sarfraz, Sidra Mushtaq, Sadia Chiragh Comparative Evaluation of Aloe vera and Diclofenac on Body Weight, Blood Pressure and Renal Function of Hypertensive Rats Zoofishan Qureshi, Muhammad Ashraf Chaudhry, Seema Imdad, Tariq Mukhtar Farani, Ayesha Humayun Association of Maternal Hyperhomocysteinemia with Preeclampsia: A Hospital Based Case-Control study Instructions for Authors PAGE 1 7 12 16 23 27 33 39 45 51 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) Dr. Humaira Zareen (KSA) Dr. Amira Okud (KSA) 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