2026: Volume 07 Issue 4 (April issue)

View 2026: Volume 07 Issue 4 (April issue)

DOI: https://doi.org/10.54393/pjhs.v7i4

Published: 2026-04-30

Editorial

Artificial Intelligence in Internal Medicine: Opportunities and Challenges in Clinical Practice AI in Internal Medicine: Opportunities and Challenges

Sami Ullah Mumtaz

01-02
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DOI: https://doi.org/10.54393/pjhs.v7i4.4290

Original Article

Comparative Efficacy of Low-Dose Alteplase versus Standard Dose among Acute Ischemic Stroke Patients: A Single-Centre Experience in Pakistan Low-Dose Alteplase versus Standard Dose among Acute Ischemic Stroke Patients

Tariq Khan, Jahanzeb Liaqat, Asif Hashmat, Ijaz Khan, Tahir Khan, Hameed Ur Rahman

03-08
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DOI: https://doi.org/10.54393/pjhs.v7i4.3520
Incidence of Urethrocutaneous Fistula Formation in Patients Undergoing Urethroplasty with and without Stent for Hypospadias Urethrocutaneous Fistula Formation in Patients Undergoing Urethroplasty for Hypospadias

Saira Shafee, Muhammad Kashif Chishti, Ambar Shamrez, Muhammad Amir Hanif, Mahreen Zahra Khan, Saif Ur Rasool, Muhammad Nauman Khan

09-15
- 14
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DOI: https://doi.org/10.54393/pjhs.v7i4.3637
Frequency of Fibroadenoma in Patients Presenting with Palpable Breast Lumps: A Cross-sectional Study Fibroadenoma in Patients Presenting with Palpable Breast Lumps

Saira Aijaz Soomro, Yahya Riaz, Dua Aijaz Soomro, Afzal Junejo, Ahsan Jabbar, Bushra Aijaz

16-20
- 25
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DOI: https://doi.org/10.54393/pjhs.v7i4.3648
Cone Beam Computerized Tomographic (CBCT) Assessment of Buccal Bone Thickness in Maxillary Aesthetic Region CBCT: Buccal Bone Thickness in Maxillary Aesthetic Region

Safia Rehmat, Muhammad Humayun Afridi, Naila Noreen, Farooq Masood, Hussam Muhammad Ashfaq, Saadia Sultana

21-26
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DOI: https://doi.org/10.54393/pjhs.v7i4.3528
Incidental Renal Artery Stenosis amongst a Cohort of Hypertensive Patients Undergoing Coronary Angiography: An Analytical Cross-Sectional Study Incidental Renal Artery Stenosis: Hypertensive Patients Undergoing Coronary Angiography

Zuhoor Ud Din, Sheeba Ishaq, Jahanzeb Ibrahim, Sara Daud Khan, Hina Gul, Sahib Noor, Wassay Hassan Khan

27-32
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DOI: https://doi.org/10.54393/pjhs.v7i4.3763
Comparison of Post-Operative Port Site Pain after Gall Bladder Retrieval through Umbilical versus Epigastric Port in Patients Undergoing Laparoscopic Cholecystectomy Umbilical versus Epigastric Port in Patients Undergoing Laparoscopic Cholecystectomy

Kausar Noor, Muhammad Mazher Irshad, Mah Muneer Khan, Ahmad Yar Khan, Muhib Ullah Khan, Muhammad Sohail, Haris Ali Khan

33-38
- 22
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DOI: https://doi.org/10.54393/pjhs.v7i4.3765
Comparison of Ultrasound-Guided Ilioinguinal and Iliohypogastric Nerve Block with and without Tramadol for Postoperative Pain in Patients Undergoing Caesarean Delivery Ultrasound Ilioinguinal and Iliohypogastric Nerve Block: Tramadol for Caesarean Delivery

Saad Salman Safir, Muhammad Yahya Bakhtiar Khan, Amber Ali, Mohammad Shafiq, Fahad Khan

39-45
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DOI: https://doi.org/10.54393/pjhs.v7i4.3800
Frequency of Antenatal Depression in Obstetric Patients Attending Antenatal Clinic Department of Obstetrics and Gynaecology, Hayatabad Medical Complex, Peshawar, Pakistan

Abida Sabeena, Kainat Nageen, Lubna Bibi, Komal Baz, Saadia Shamsher, Sanniya Arshad

46-51
- 20
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DOI: https://doi.org/10.54393/pjhs.v7i4.3801
Frequency of Factors Leading to Elective Surgery Cases Postponement at Tertiary Care Hospital, Karachi Frequency of Factors Leading to Elective Surgery Cases Postponement

. Superna, Shoaib Malik

52-57
- 22
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DOI: https://doi.org/10.54393/pjhs.v7i4.3833
Hypokalemia and Hyponatremia in Hepatic Encephalopathy and Its Distribution Across Age, Gender, and Grade of Hepatic Encephalopathy Hypokalemia and Hyponatremia in Hepatic Encephalopathy

Tamoor Iqbal

58-62
- 16
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DOI: https://doi.org/10.54393/pjhs.v7i4.3690
Identifying Factors Associated with High-Risk Obstructive Sleep Apnea (OSA) among Hypertensive Patients: A Case-Control Study in A Tertiary Care Hospital in Pakistan Identifying Factors Associated with High-Risk OSA among Hypertensive Patients

Ihtisham Ul Haq, Hareem Ikram, Asma Bibi, Ayaz Ayub, Hamid Hussain, Tariq Rahim

63-68
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DOI: https://doi.org/10.54393/pjhs.v7i4.3623
Various Modes of Delivery After a Trial of Labor among Pregnant Women at Term with a Previous One Cesarean Section Labor among Pregnant Women at Term with a Previous Cesarean Section

Hafsa Razzaq, Farzana Shabbir, Saima Perveen, Arooj Jawad, Umaira Maqsood, Sana Aslam, Amna Jabbar

69-74
- 15
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DOI: https://doi.org/10.54393/pjhs.v7i4.3766
Frequency of Giardiasis in Children Presenting with Chronic Diarrhea Giardiasis in Children Presenting with Chronic Diarrhea

Muhammad Luqman Khan, Muhammadullah Hayat Ahmadzai, Momal Irshad, Sulaiman Khan, . Wajdan

75-79
- 18
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DOI: https://doi.org/10.54393/pjhs.v7i4.3392
Comparison of the Effectiveness of Palonosetron and Dexamethasone to Prevent Postoperative Nausea and Vomiting in Patients Undergoing Uncomplicated Laparoscopic Cholecystectomy Palonosetron and Dexamethasone to Prevent PONV: Laparoscopic Cholecystectomy

Samra Ahmad, Sheikh Ziarat Ali, Yashal Syed, Mehtab Tipu Chuadhary, Aqsa Iram, Fizzah Haq

80-85
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DOI: https://doi.org/10.54393/pjhs.v7i4.3656
Diagnostic Accuracy of Point of Care Ultrasound (POCUS) for Diagnosing Neonatal Pneumothorax Keeping Chest X-ray as Reference Standard POCUS: Neonatal Pneumothorax Keeping Chest X-ray as Reference Standard

Sara Khan, Sadaf Aziz, Asad Maqbool Ahmad, Hira Ayub, Syeda Fatima Ali Naqvi, Syed Awais Haider Kazmi

86-91
- 17
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DOI: https://doi.org/10.54393/pjhs.v7i4.3712
Multidisciplinary Team Approach for Morbidly Adherent Placenta: Maternal Outcomes Compared with Standard Care Multidisciplinary Team Approach for Morbidly Adherent Placenta

Bushra Iftikhar, Umber Imtiaz Khan, Amera Tariq, Samia Nasreen, Rabiah Anwar, Samina Rehan Khan

92-98
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DOI: https://doi.org/10.54393/pjhs.v7i4.3619
Outcome of Modified Salter Osteotomy in Improving Acetabulum Index of Developmental Dysplasia of the Hip with Age Group of 2-10 Years Outcome of Modified Salter Osteotomy on Acetabular Index in Children Aged 2–10 Years

Mehtab Ahmed, Pervez Ali, Shazia Soomro, Abdul Ghaffar Jamali, Faique Ali, Hassan Ahmed

99-104
- 17
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DOI: https://doi.org/10.54393/pjhs.v7i4.3543
The Silent Guardian of Operating Room Patients' Knowledge and Perception About Anesthesia and Anesthetists at a Tertiary Care Hospital Patients’ Knowledge and Perception of Anesthesia at a Tertiary Hospital

Abdullah Abdul Ghani, Syed Muhammad Abbas, Naila Naeem, Sagar Khurana, Muhammad Qamar Abbas, Syed Wahaj Uddin

105-110
- 23
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DOI: https://doi.org/10.54393/pjhs.v7i4.3741
Diagnostic Performance of Magnetic Resonance Imaging for Vertebral Metastases in Routine Clinical Practice MRI Diagnostic Performance for Vertebral Metastases in Routine Practice

Laila Khan, Zubair Janan Orakzai, Tabassum Begum, Hina Baig, Sumaira Noureen, Muhammad Sadiq

111-118
- 21
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DOI: https://doi.org/10.54393/pjhs.v7i4.3830
Postoperative Illeus After Exploratory Laparotomy Postoperative Illeus After Exploratory Laparotomy

Bahr Ud Din, Adil Nijat

119-124
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DOI: https://doi.org/10.54393/pjhs.v7i4.3678
Identification of Genetic Variants Associated with Chronic Kidney Disease Using Restriction Fragment Length Polymorphism Genetic Variants Associated with CKD Using Restriction Fragment Length Polymorphism

Zahid Habib Qureshi, Mehwish Iftikhar, Amna Ihsan, Bakhtawar Farooq, Asghar Javaid, Shoaib Asghar, Muhammad Jamal Khan

125-131
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DOI: https://doi.org/10.54393/pjhs.v7i4.3855

Systematic Review

Clinical Accuracy of Intraoral Scanner Impressions Compared with Conventional Impressions in Fixed Partial Prostheses: A Systematic Review Accuracy of Intraoral vs Conventional Impressions in Fixed Prostheses

Sheema Shakir, Safa Nawaz, Ghazala Wisal, Ghazala Suleman, Muhammad Waqas, Zehra Iqtidar
- 23
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DOI: https://doi.org/10.54393/pjhs.v7i4.3737
Platelet-Rich Plasma and Er: YAG Laser Therapy for Female Stress Urinary Incontinence: A Systematic Review Platelet-Rich Plasma and Er: YAG Laser Therapy for Female Stress Urinary Incontinence: A Systematic Review

Misbah Ur Rahman, Waqas Ahmad, Sana Idrees, Wajeeha Nadeem, Rabia Khan, Zarmeena Liaqat
- 25
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DOI: https://doi.org/10.54393/pjhs.v7i4.3839
Impact of Burnout on Academic Performance and Well-Being among Medical Students: A Systematic Review Impact of Burnout on Academic Performance and Well-Being among Medical Students

Hajra Imtiaz, Muhammad Tauqeer Ehsan, Bilqis Hassan, Sadaf Saleem, Fatima Muhammad Khan, Syeda Sanaa Fatima
- 40
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DOI: https://doi.org/10.54393/pjhs.v7i4.3815
Performance of Graphene-Reinforced Dental Materials in Restorative and Prosthodontic Applications: A Systematic Review Graphene in Restorative and Prosthodontic Materials

Maria Naeem, Sharqa Yasin, Ambreen Azam, Mehwish Pasha, Kinza Manzoor, Zunaira Qazi
- 28
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DOI: https://doi.org/10.54393/pjhs.v7i4.3838