ijehsr logo


On the behalf of INTERNATIONAL JOURNAL OF ENDORSING HEALTH SCIENCE RESEARCH (IJEHSR). I congratulate entire team of IJEHSR and all our well wishers for the enormous achievement of getting recognition of our esteemed journal with Index Medicus for the Eastern Mediterranean Region (IMEMR) - WHO, which is in itself a fantastic outcome and has positively evaluated by SJIF,scoring IF 3.641. This has already become a major boost for IJEHSR in the research community and now IJEHSR can be cited at significant platforms all over the world. We are privileged to have you all as our readers who have free full paper access to the journal. Congratulation to all with best wishes of significant scientific contributions, good collaboration and achievements for future.


Quarterly, double blind, peer-review, open access 

Print: ISSN 2307-3748

Online: ISSN 2310-3841

Key title:International journal of endorsing health science research (print/Online)

Abbreviated key title: Int. j. endorsing health sci. res. (print/Online)

IJEHSR is licensed under: Creative Commons Attribution 3.0.


IJEHSR is the Quarterly journal keen to endorse finest healthcare globally mainly focusing on origins & hazards of ailment and complete array of significant psycho-social and healthcare issues. This academic journal endeavor to encourage better understanding of the healthiness concerns and deliverance of culturally proficient healthcare concerns. IJEHSR also persuade advance research and in this significant but currently under served Domain by supporting the efforts of researchers, clinicians, academics, and policymakers to work toward improved health status straddling an extensive range of disciplines, the periodical convey mutually the research, scientific, clinical and health area to overcome barriers to healthcare and other current challenges, as well as to expand options for treatment and prevention. IJEHSR includes Health concerns of individual or populations as impacted by age, race, ethnicity, religion, nationality and geographical region, mental and physical health impacts, educational capability in healthcare surroundings, general health, screening plans and disease impediment, practices and guidelines, healthcare providers, public health policies etc.


We would like to encourage you to submit your intellectual effort for next issue of IJEHSR, we consider manuscripts from all fields of health sciences. The journal publishes original research, reviews, clinical reports, case studies, legal and policy perspectives, psychological & social state of art researches, public health and education studies etc.

over 50,000 recipients will receive via e-mail a copy of the table of contents for the IJEHSR  issue in which your article will be published

Deadline for article submission for June issue is 30 May, 2015

IJEHSR is committed to maintain high standards through a rigorous peer-review together with strict ethical policies. Any infringements of professional ethical codes, such as plagiarism, fraudulent use of data, bogus claims of authorship, should be taken very seriously by the editors with zero tolerance.


International journal of endorsing health science research is licensed under a Creative Commons Attribution 3.0 Unported License.


Indexed with

imagesdownloadOAJournals drji CenterLogooajilogoroad-issn_0CiteFactorLogo_smallpageHeaderTitleImage_en_USlogorg

follows the guidelines of international committee of Medical journal Editors




Volume 4            Issue 1            March 2016

 Factors affecting child gender desirability

Aatir H. Rajput1, Tanzeela Baloch1&2, Sidra Humayoon1&2 and Muhammad Muneeb1

1LUMHS Research Forum 2Liaquat University of Medical & Health Sciences, Jamshoro

Corresponding Author Email: aatirh.rajput@gmail.com


Objective To evaluate the dynamics influencing child’s gender desirability among expecting females and ascertain the major determinants. Methodology This cross-sectional, observational study included 100 pregnant females, chosen via simple random sampling, at the OBGYN outpatient department of the Liaquat University Hospital, Hyderabad. Data was collected via structured interview based questionnaires from 1st December 2014 to 10th February 2015 after taking the verbal informed consent. SPSS v. 19.0 and Microsoft Excel were used to analyze the obtained data. Results Four main aspects were observed to affect the child gender desirability by the parents, namely the family structure of the expecting mother, socioeconomic circumstances of the expecting mother, locality of the expecting mother and the order of the expected child. The expecting females living in a rural vicinity, having deprived socioeconomic status and a combined family structure have a greater desire for giving birth to a male child. Furthermore, they also desire their first 3 children as a minimum to be born a male child. Conclusion On the roots of our results it has been accomplished that the desire of having a male child is a social taboo of our people and society and it has been recognized as one of the key reasons of domestic cruelty and brutality on women breathing in our society. This matter requires appropriate direction, advice, guidance and counseling.

 downloadDownload full Paper

 Tourette’s Syndrome; Is there a causal link to Violence?

Mehboob Yaqub1, Yasir Akbar2 & Santosh Bangar3.

1Higher Specialty Trainee (ST6) General Adult Psychiatry (UK)

2Locum Specialty Doctor Acute Medicine (UK)

3Locum Consultant Psychiatrist Old Age Psychiatry (UK)

Corresponding Author Email: mehboobyaqub@hotmail.com


A narrative review of current literature was carried out to see whether Tourette’s syndrome is a cause of violence among patients. Two internet based resources were searched and seventeen eligible original studies were included in the review. Majority of the studies demonstrated that Tourette’s syndrome on its own does not cause violence but instead co-morbid conditions like Attention deficit hyperactivity disorder (ADHD) increased the likelihood of violence in patients directed towards self and others.


 Download full Paper

 Effect of exercise on pseudo dilution anemia in healthy male subjects. A comparative study.

Amaila Fazal1 & Faizan Mirza2&3

1Psycho-physiology research lab, Department of Physiology, University of Karachi.

2Department of Physiology, University of Karachi.

3Psycho-physiology research division, AEIRC

Corresponding Author Email: amaila.fazal@gmail.com


Regular exercise is largely done to have maintained body shape and fitness. It exerts influence on almost all physiological and psychological parameters. One of these is dilutional anemia or sports anemia that is the initial adaptation of body to exercise. The aim of present study was to evaluate the extent of dilutional anemia in healthy males who have been exercising for past three years at least. Randomly selected 40 male subjects from gymnasiums of Karachi were recruited in the study. Peripheral blood was collected pre and post exercise, and tested for hematocrit, hemoglobin concentration and red blood cell count. Increased hemoglobin concentration was observed which is directly related to increased red blood cell count which is inversely proportional to blood plasma level. So, decreased plasma level is the possible cause that pseudo dilution anemia was not observed in males who have been regularly exercising for past three years.


 Download full Paper

 Substance use in youth

Nazish Hussain Ali Pachani

Sigma Theta Tau International and Aga Khan University Hospital, Karachi.

Corresponding Author Email: nazishpachani@gmail.com


Youth is the time period of vast exploration and curiosity. Young people begin to explore the world around. They acquire pleasure and satisfaction by carrying out risky behaviors to satisfy their impulse. Substance use is one such action that young people get attraction from certain individual, familial, social and environmental variables. Young people’s past as well as present stressful experience and maladaptive coping style create strong affinity. Diverse researches have favored that pubertal transition, parenting style, family cohesiveness, maternal use, modeling, conditioning, and socialization reflect on youth’s upbringing. It is evident that the substance use is one of the cognitive and behavioral outcome. There is a need to construct a most supportive zone around youth that enables them to broader their horizon of emotional intelligence. As a health care professional, knowledge about all the levels of prevention can aid communities to have an addiction free environment. Individual counselling, family therapy, national and international awareness programs would help in eradicating substance use. Collaborative work of Governmental and Non-Governmental Organizations (NGO’s) would motivate youth to acquire a substance free lifestyle.


 Download full Paper

 Interaction between meropenem and valproate: Not to overlook

 Qurat-ul-Ain Hafeez

Department of Pharmacy Aga Khan University Hospital, Karachi, Pakistan.

Corresponding Author Email: qurat.hafeez@aku.edu


Background Valproic acid is commonly used to treat various types of seizures and follows non-linear pharmacokinetics with a therapeutic range of 50 – 150 ug/ml. Several retrospective studies have reported that concomitant administration of VPA and carbapenem lead to decrease in VPA levels significantly and results in failure of seizure control. Different studies suggest the mechanism of interaction as (i) carbapenem may inhibit the gastrointestinal absorption of VPA (ii) meropenem accelerated the glucuronidation of VPA to VPA glucuronide (VPA-G) and inhibited the hydrolysis of VPA-G back to the VPA thus increasing the clearance of VPA and VPA-G and (iii) due to fast erythrocyte distribution of VPA by carbapenem, VPA levels has been reduced. Purpose To report four cases who were maintained on therapeutic levels of VPA and had sub-therapeutic levels afterward due to the administration of meropenem. Method through CPOE system of AKUH the cases in 2014 were identified who were on valproate-meropenem combination with the available pre and post meropenem valproate levels. Result Patients of different age group showed significant reduction in VPA levels within 48 hour of administration of meropenem. Conclusion This case series describing the clinical importance of this probable drug interaction and promote its awareness among physicians in Pakistan. If a patient was therapeutic on the same dose of valproate and need broad spectrum coverage, a dose adjustment of valproate should not be done and physicians should consider either alternative broad spectrum antibiotic or renaly cleared antiepileptic to avoid this frequently used dangerous drug combination.


 Download full Paper

 Trend of fast food consumption among university girls in Karachi, Pakistan

Iqra Ismail

RLAK Govt. College of Home Economics, Karachi, Pakistan

Corresponding Author Email:iqraismail27@gmail.com


Background The present study is aimed at improving the understanding of fast food trend among university girls. Objectives To study the trend of fast food consumption among university girls and to find out the association between university girls’ perception regarding the unhealthfulness of fast food and their frequency of eating fast food. Methods A sample size of 50 female university students was selected for data collection through purposive sampling. By using questionnaire method, respondents were asked about their trend of fast food consumption by inquiring about their fast food preferences, their consumption pattern, and their monthly fast food expenditure. Correlation was used to analyze the association between the perception regarding the unhealthfulness of fast food and frequency of eating fast food. Results We found that the most preferred fast food item among university girls was burger (44.7%). The majority of respondents consume fast food at an average of 2-3 times a month (29.8%) and the main reason for their fast food consumption was convenience (55.3%). Among those who infrequently consume fast food, a majority (90%) agreed to the statement that fast food is unhealthful whereas among those who frequently consume fast food, a comparatively low percent (77.7%) agreed to the statement. Through correlation, we observed no association between all of the asked perceptions regarding fast food and frequency of fast food consumption among university girls (p >0.05). Conclusion The overall results showed that university girls’ perception regarding the unhealthfulness of fast food does not necessarily affect their frequency of fast food consumption.


Download full Paper

 Obesity as a noticeable cause of physical stress; a study on relationship of physical exertion and cardiovascular parameters

Ammara Farooq2, Muzna Patel2, Sadaf Ahmed1&2 & Shamoon Noushad1

1Advance Educational Institute & Research Center

2Psychophysiology Research Lab, University of Karachi

Corresponding Author Email: ammara_faruq@hotmail.com


Introduction Physical tension is a response to environmental pressures, needs or demands or any vigorous bodily activity leading in altering physiological responses, is counted as physical stress such as aerobics, work outs, injury or aches. It may also count on physical traumas as cuts, burns, sprains, broken bones, surgery etc. In other words physical stress is bodily response to substantial pressures such as exertion, noise, illness or exercises. Methodology The purpose of this study is to observe the severity of physical stress in individuals with respect to their BMI, subjects were assessed pre & post for blood pressure and pulse while Physical stress scores were calculated through Sadaf stress scale (SSS), the data was then analyzed using SPSS 19.0. Results showed that physical stress increases with increased BMI while it also shows significant difference in obese individuals presystolic and pre diastolic with post systolic and post diastolic pressures. Conclusion From this study we conclude that BMI is directly proportional to physical stress. So maintenance of normal body weight is the utmost requirement for healthier life.


 Download full Paper













Sadaf Ahmed (Ph.D.)

World Association of Medical Editors (Full Member) 

Psychophysiology Research Lab,

University of Karachi



Shamoon Noushad

Advance Educational Institute & Research Center



Syed A. Aziz


Kaneez Fatima Shad


Rupa Talukdar


Zareen Siddiqui


Danesh Rokaya


Sarwat Shafiq


Sagheer Ahmed

Brunei Darussalam

Farzana Issa Shaikh


Adnan Aziz

New Zealand

Hiba Jafri


Faiza Ahmed


Zaheer Chiragh


Saima Gul

Brunei Darussalam


Shershah Syed

Pakistan Medical Association

Zafar Iqbal

Baqai Institute (Bide)

Kareem Shaikh

University of Essex

Erum Zaheer

University Of Karachi

Humera Gul

Abdul Wali Khan Mardan

Shamim Qureshi

University of Karachi

Asma Makhani

Aga Khan University Hospital

Muhammad Ali Sheraz

Baqai University

Raza Sayani

Aga Khan University Hospital

Fouzia Imtiaz

Dow University of Health Sciences

Bilal Fazal

Mirpurkhas, Sindh

Hasnain Nangyal

Hazara University, Kpk

Faizan Mirza

University of Karachi

Kanwal Tariq

Aga Khan University Hospital

Kashif Naeem

Tabba Institute of Heart Diseases

Maryam Maula Baksh

Dow Institute of Medical Technology

Bilal Azmi

Dow University of Health Sciences

Iftikhar Alam

 Bacha Khan University

Muhammad Imran

Ziauddin University


Tabba Institute of Heart Diseases

Ahson Memon

Tabba Institute of Heart Diseases

Mehwish Azam
Ziauddin University

Uzma Mazhar


Muhammad Arif

Tabba Institute of Heart Diseases


Nofel Karatela


Maria Altaf


Mahnoor Nadeem

University of Karachi