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EDITORIAL BOARD

CHIEF EDITORZafar Ullah Chaudhry

EDITORSJamshed AkhtarAbdul Sattar Memon

ASSOCIATE EDITORSSaba SohailSaeeda Baig

MANAGING EDITORMuhammad Zafaruddin

BIBLIOGRAPHERSadia Yaseen

STATISTICIANSSadaf MasoodIrfan Majeed

EDITORIAL ASSISTANTAbdul Ghaffar

MEMBERS - NATIONALKhalid Masood GondalAmer AzizMuhammad Asghar ButtMehmood Ayyaz Rakhshanda RehmanRizwana ChaudhriYunus KhanMaj. Gen. Salman AliNaqibullah AchakzaiMumtaz Ali Marwat

MEMBERS - INTERNATIONALA. A. Naqvi (UK)Abdel Rahman M. Musa (Sudan)Farzad Najam (USA)Irfan Ahmed (UK)Dharma K. Baskota (Nepal)Muazzam Nasrullah (USA)

EDITORIAL

Vascular Surgery in Pakistan: Critical Issues

ORIGINAL ARTICLES

Postoperative Sensitivity of Self Etch Versus Total Etch Adhesive

Relationship of High Sensitivity C-Reactive Protein with Cardiac Biomarkers in Patients Presenting with Acute Coronary Syndrome

Effect of Hepatitis B Vaccination in Patients with Chronic Hepatitis C

Bacteriologic Profile and Antibiogram of Blood Culture Isolates from a Children's Hospital in Kabul

Age-Related Frequency of Triple Negative Breast Cancer in Women

The Impact of Pterygium Excision on Corneal Astigmatism

Effectiveness of Nebulized N-Acetylcysteine Solution in Children with Acute Bronchiolitis

The Outcome of Microvascular Free Flap Surgery with or without the Use of Postoperative Heparin

Comparison of Bupivacaine Moistened Dressingand Conventional Dressing for Pain Relief on Skin Graft Donor Sites

Sputum Neutrophilia in Severe Persistent Asthmatics

Fibromyalgia Complicating Disease Management in Rheumatoid Arthritis

Missed Vascular Injuries: Presentation and Outcome

Zia Ur Rehman and Ziad Sophie

Ajmal Yousaf, Nadia Aman,Manzoor Ahmed Manzoor, Jawad Ali Shah and Dilrasheed

Zohair Al Aseri, Syed Shahid Habib, Abdullah Saleh Alhomida and Haseeb Ahmad Khan

Nasir Khokhar, Tariq Khan Niaziand Muhammad Omar Qureshi

Tariq Mahmud Tariq

Muhammad Tanveer Sajid,Muhammad Ahmed, Muhammad Azhar, Qurat-ul-Ann Mustafa, Irfan Shukr,Muhammad Ahmed and Zainab Kamal

Faisal Aziz Khan, Shafaq Pervez Khan Niazi and Dilshad Alam Khan

Farrah Naz, Afsheen Batool Raza,Iftikhar Ijaz and Muhammad Yaqoob Kazi

Muhammad Mustehsan Bashir,Nadeem Yousaf and Farid Ahmad Khan

Muhammad Sheraz Raza, Tauqeer Nazim and Farid Ahmad Khan

Arshad Naseem, Jahanzeb Liaqat,S.B.H. Zaidi and Raheel Iftikhar

Lubna Abbasi and Fakhir Raza Haidri

Muhammad Khalid Siddique,Shahid Majeed, Muhammad Irfanand Nisar Ahmad

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JCPSPJournal of the College of Physicians and Surgeons Pakistan

JUNE 2014, VOLUME 24, NUMBER 6

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Approved by the PakistanMedical and Dental CouncilREGD. NO. DC(S) 265PMDC Index Pak No: IP/009Declaration of Publisher: DCO/DDO/LAW/CDGK/173/2008

The JCPSP is published monthlyby the College of Physicians andSurgeons Pakistan

Indexed in:Index Medicus / MEDLINE (USA).EMBASE / Excerpta Medica, SciVerse Scopus (The Netherlands).Index Copernicus (Poland).EBSCO Publishing (USA).Gale / Cengage Learning (USA).

Impact Factor:Thomson Reuters,Philadelphia, USA.

Editorial correspondenceshould be addressed to:The Chief Editor, JCPSP,Department of Publications,College of Physicians andSurgeons Pakistan (CPSP), 7th Central Street, Phase II, DHA, Karachi-75500, Pakistan.

Tel: (92-21) 99266439 (Direct)(92-21) 99207100-10 Ext: 224

UAN: (92-21) 111-606-606Fax: (92-21) 99266450

E-mail: publications@cpsp.edu.pkWebsite: www.jcpsp.pk

Annual subscription rates:Pakistan: Rs. 2500Bangladesh & India: Rs. 3000UK: £120USA & other countries: US$ 200

Published by:Secretary, College of Physicians andSurgeons Pakistan (CPSP),Karachi, Pakistan.

Designed and Layout by:Amir Ahmed SoomroGraphic Designer, JCPSP

Printed at the CPSP Press

CLINICAL PRACTICE ARTICLE

Systemic Aspects of Soft Tissue Rheumatic Disorders (STRDs)

EVIDENCE BASED REPORT

Emergency Surgery for Spontaneous Hemopneumothorax

CASE REPORTS

Giant Intraabdominal Endometrial Cyst

Atrial Septal Defect Coexistent with Sjögren's Syndrome

Transitory Inferior Dislocation of Shoulder in a Child After Humerus Fracture

SHORT COMMUNICATION

Proportion of Exposure of Passive Smoking in Teenage Group and Symptoms Precipitated After Exposure to Second Hand Smoke

LETTERS TO THE EDITOR

Retrograde Intubation in a Patient with Stridor: An Old Technique Revisited

Pathological Features of Appendectomy Specimens Histologically Negative for Acute Inflammation

Septic Arthritis of the Shoulder Joint in a Child: An Uncommon Presentation

INSTRUCTIONS TO AUTHORS

Mohammad Bagher Owlia andGolbarg Mehrpoor

Cumhur Murat Tulay and Mert Aygün

Azhar Ali Shah, Niaz Ahmed Soomro, Rabender Kumar Talib, Asif Nabi Sadhayo and Suhail Ahmed Soomro

Farook Ahmad, Muhammad Athar Sadiq, Kok Han Chee, Ahmad Syadi Mahmood Zuhdi and Wan Azman Wan Ahmad

Iftikhar Ahmad Kahlon

Aliya Hisam, Mahmood Ur Rahman, Ehsan Kadir, Naila Azam and Sumaira Masood

Colin Patterson, Muhammad Shakeel, Bhaskar Ramand Mark Bloch

Khaloud Abu-Qsida, Amal Al-Hinai, Chadu Di Silva and Asim Qureshi

Siba Prosad Paul and Paul Anthony John Heaton

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