Abstract：
Objective:To determine the frequency of Allergic Fungal Rhino-sinusitis (AFRS) in Chronic Rhino-sinusitis (CRS) patients and the accuracy of fungal culture in diagnosing AFRS. Methods:Immunocompetent patients with CRS and without invasive fungal rhino-sinusitis presenting over a period of 3 years in ENT department of Mayo Hospital, from April 2014 to September 2017 were included in the study. AFRS was diagnosed clinically and on Bent and Kuhn diagnostic criteria. All patients underwent endoscopic sinus surgery. Removed tissue histopathology and fungal culture was done. Diagnostic accuracy of fungal culture in AFRS patients was determined. Results:Out of 216 patients of CRS, 45 (20.8%) had AFRS. Mean age of patients diagnosed with AFRS was 29.49±9.16. Out of 45 patients, 26 were male and 19 were female. Nasal polyps were present in 45 (100%) patients, fungal stain was positive in 39(86.7%). CT scan showed sinus expansion in 28(62.2%) patients, heterogeneous opacity in 45(100%) patients and bone destruction in 13(28.9%). Presence of Allergic Mucin was seen in 45(100%) patients, high IgE levels in 36(80.0%), eosinophilia in 21(46.7%), presence of Charcot Leyden crystals in 27(60.0%). Asymmetrical involvement of sinuses was seen in 30 (66.7%) and co-existent asthma was seen in 18(40.0%). Fungal culture positive patients were 25(55.6%). Diagnostic accuracy of fungal culture was 91.6%. Conclusion:Fungal culture has a key role in confirming diagnosis of AFRS. We also noted that frequency of AFRS is increasing in CRS patients.
journal_name
Pak J Med Scijournal_title
Pakistan journal of medical sciencesauthors
Awan NU,Cheema KM,Naumeri F,Qamar Sdoi
10.12669/pjms.36.3.1661subject
Has Abstractpub_date
2020-03-01 00:00:00pages
555-558issue
3eissn
1682-024Xissn
1681-715Xpii
PJMS-39-555journal_volume
36pub_type
杂志文章abstract：Objective:To compare the efficacy of oral Labetalol versus oral Nifedipine for the treatment of postpartum hypertension. Methods:A prospective randomized controlled trial with parallel assignment was conducted in the department of Obstetrics and Gynecology, Dow University of Health Sciences Karachi, Pakistan, 124 pati...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.35.5.812
更新日期：2019-09-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.292.3148
更新日期：2013-04-01 00:00:00
abstract：Objective:To compare the short-term outcomes of three dimensional (3D) versus two dimensional (2D) laparoscopic procedures used for cholecystectomy. Methods:This study was conducted at minimally invasive surgery center of Liaquat University of Medical Health and Sciences (LUMHS) Jamshoro Pakistan, between 15th May 201...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
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更新日期：2021-01-01 00:00:00
abstract：OBJECTIVES:To evaluate Multiple Choice and Short Essay Question items in Basic Medical Sciences by determining item writing flaws (IWFs) of MCQs along with cognitive level of each item in both methods. METHODS:This analytical study evaluated the quality of the assessment tools used for the first batch in a newly estab...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.301.4458
更新日期：2014-01-01 00:00:00
abstract：Objective:To explore undergraduate medical students' perception of variation in teaching and supervision at different clinical teaching sites. Methods:This descriptive cross-sectional study was conducted at the College of Medicine & Health Sciences, United Arab Emirates University, UAE during 2017. Four clinical teach...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.342.14656
更新日期：2018-03-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.341.13636
更新日期：2018-01-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
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更新日期：2016-05-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.334.12846
更新日期：2017-07-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.36.4.1638
更新日期：2020-05-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.322.9138
更新日期：2016-03-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.35.1.295
更新日期：2019-01-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章,评审
doi：10.12669/pjms.296.3724
更新日期：2013-11-01 00:00:00
abstract：Background and Objectives:Learning is an interplay between cognition and environmental factors. Any learning environment, that fulfills the intrinsic and extrinsic needs of the students will probably lead to better and more promising learning outcomes. This study aimed to investigate the student perceptions of Learning...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.35.3.712
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To determine the association between serum 25 hydroxyvitamin D levels and percent breast density among asymptomatic premenopausal women. METHODS:Hundred asymptomatic, pre-menopausal women who visited the General Surgery Breast Clinic, Patel Hospital, Karachi, Pakistan between 3rd March and 10th November, 201...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.325.10731
更新日期：2016-09-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.312.6608
更新日期：2015-03-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.344.14602
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:Colon cancer patients presented with obstruction were known to have worse postoperative morbidity and mortality rates, but conflicting data has been reported in recent years. We aimed to investigate postoperative complication rates, and short and long-term oncological outcomes in patients with colon cancer tr...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.316.8277
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVE:To determine the risk factors and complications of puerperal sepsis. METHODS:This was an observational prospective Cohort study conducted from January 2011 to December 2011 at the Obstetrics and Gynaecology Department Liaquat University of Medical & Health Sciences Jamshoro/Hyderabad, Sindh Pakistan. During ...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.294.3389
更新日期：2013-07-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.315.7975
更新日期：2015-09-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.322.9092
更新日期：2016-03-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.35.1.285
更新日期：2019-01-01 00:00:00
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pub_type： 杂志文章
doi：10.12669/pjms.292.3067
更新日期：2013-04-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.36.2.668
更新日期：2020-01-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.321.7501
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the therapeutic effects in terms of disease clearance and hearing improvement of canal wall up mastoidectomy in combination with Type I tympanoplasty in otitis media. METHODS:A total of 78 patients (81 ears) with otitis media were treated by canal wall up mastoidectomy in combination with Type I ...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.323.9780
更新日期：2016-05-01 00:00:00
abstract：Objective:Medical Education Journal Club is an evidence-based approach to teach and learn critical appraisal techniques on available literature. This study evaluates the implementation and experience of two academic years of Journal club at Medical Education Department, King Saud University. Methods:We started JC in 2...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.335.13221
更新日期：2017-09-01 00:00:00
abstract：Objective:During COVID-19 pandemic, the institutions in Pakistan have started online learning. This study explores the perception of teachers and students regarding its advantages, limitations and recommendations. Methods:This qualitative case study was conducted from March to April 2020. Using maximum variation sampl...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.36.COVID19-S4.2785
更新日期：2020-05-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.36.7.2472
更新日期：2020-11-01 00:00:00
abstract：BACKGROUND & OBJECTIVE:Obstructive ureteral pathologies in adult patients are most commonly due to ureteral strictures and secondary to surgical interventions. In this study, we aimed to compare open and laparoscopic modified Lich-Gregoir ureteral reimplantation with regards to outcomes in benign ureteral pathologies i...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.334.12661
更新日期：2017-07-01 00:00:00
abstract：:Trans fatty acids (TFA) are produced either by hydrogenation of unsaturated oils or by biohydrogenation in the stomach of ruminant animals. Vanaspati ghee and margarine have high contents of TFA. A number of studies have shown an association of TFA consumption and increased risk of cardiovascular disease (CVD). This i...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章,评审
doi：10.12669/pjms.301.4525
更新日期：2014-01-01 00:00:00
