Pak J Med Sci
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The judgment of coronary stenosis by 320-row dynamic volume CT (DVCT) and coronary angiography (CAG) is not entirely consistent. We compared them in this study. ⋯ When coronary lesion is in ostial, distal or tortuous position, and when the main plaque is nubbly type or with heavy calcification load, the judgment of stenosis by DVCT and CAG is more apt to inconsistent.
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To evaluate the expression of Von Hippel Lindau (VHL) gene in diagnosed cases of renal cell carcinoma. ⋯ The present study shows that majority of CCRCC showed VHL mutation including the hybrid tumor with clear cell component in our population.
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To compare outcomes of vaginal and abdominal hysterectomy procedures in women with benign gynaecological diseases. ⋯ Vaginal hysterectomy has advantages over AH in the treatment of benign gynaecological diseases, providing greater efficacy and safety with minimal invasiveness.
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To determine an association between body composition analysis and physical fitness in the Saudi population and derive gender specific physical fitness equations. ⋯ Different body composition parameters like BFM and %BF played an important role in determining physical fitness of healthy male individuals instead of BMI, weight and BSA, while in females weight was the best predictor of physical fitness.
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Case Reports
Paecilomyces lilacinus fungaemia in an AIDS patient: the importance of mycological diagnosis.
Fungaemia due to Paecilomyces lilacinus is generally not considered in AIDS patients because this condition is not categorised as an AIDS-indicator illness. We report a case of a 25-year-old lady who presented to our hospital with Guillain-Barré Syndrome, with the subsequent development of refractory fungaemia, multi-organ failure and disseminated intravascular coagulopathy. Amphotericin B was given as empirical antifungal therapy. ⋯ The fungaemia did not resolve after one week of amphotericin B treatment. The addition of itraconazole was also unsuccessful in clearing the fungaemia. Accurate mycological diagnosis is important in the care of AIDS patients with fungaemia because of the risk of treatment failure with empirical therapy.