item: #1 of 1636 id: squmj-1184 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 1174 flesch: 56 summary: م he three most significant health-related issues raised in the past year were, presumably, the introduction of drugs for ‘lifestyle improve- ment’, certain new medical interventions and a re- newed interest in utilizing alternative medicine in medical care. The popularity of alternative medicine in the developing countries is well known. keywords: future; medical; medicine; new cache: squmj-1184.pdf plain text: squmj-1184.txt item: #2 of 1636 id: squmj-1187 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 3028 flesch: 62 summary: The data show that more than half (59%) of those individuals tested had antibodies against R. conorii. The situation appears similar to that in the Nile river delta of Egypt, where up to 96%, 81% and 37% of the school age children were found seropositive for R. burnetii, R. typhi and R. conorii, respectively.4 keywords: antibodies; conorii; dhofar; fever; group; infections; med; oman; prevalence; rickettsia; species; ticks; trop cache: squmj-1187.pdf plain text: squmj-1187.txt item: #3 of 1636 id: squmj-1188 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 2858 flesch: 63 summary: Synthesis of DNA primers Figure 2 shows some representative results obtained with different primers at 50 and 65ºC. At both annealing temperatures, when normal primer pairs were used (figure 2, lane 5) the desired 268 bp DNA fragment was amplified satis- factorily without any detectable non-specific products. keywords: amplification; dna; end; mismatch; pcr; primers; product; specific cache: squmj-1188.pdf plain text: squmj-1188.txt item: #4 of 1636 id: squmj-1189 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 6891 flesch: 54 summary: The only significant differences in thymic cell densities (figure 2) Day of Oestrous Cycle Thymic weight Total thymocyte content x106 Cell density x 106/100 mg tissue % Thymic cell density 1 2 3 4 5 D a y Oestrous Cycle Pseudopregnancy Syngeneic Pregnancy FIGURE 3. keywords: activity; animals; cell; changes; counts; cycle; day; days; immunol; oestrogen; proliferation; pseudopregnancy; response; spermatozoa; thymic; thymocyte; thymocyte proliferation; thymus cache: squmj-1189.pdf plain text: squmj-1189.txt item: #5 of 1636 id: squmj-1190 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 4307 flesch: 57 summary: Similar findings were observed in a study reported by Williams.13 The result of this study regarding synercid activity against S. oralis correlates well with the observations of Fass14 who tested 30 viridans streptococci and found MIC50 of synercid to be 1 mg/l. MIC90 against these isolates was 2 mg/l and all isolates were inhibited by < 4 mg/l synercid. Isolates grown on columbia agar (CA) were used to inoculate 10 ml of iso-sensitest broth (Oxoid CM473) supplemented with 2% horse serum (Wellcome No. 5) and incubated for 4 hours at 37°C in air. keywords: activity; endocarditis; isolates; mic; oralis; penicillin; synercid; vancomycin cache: squmj-1190.pdf plain text: squmj-1190.txt item: #6 of 1636 id: squmj-1191 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 1977 flesch: 59 summary: The average cost of MSP stimulation was one-third of hMG protocol. Ovulation occurred in 82% of treatment cycles and each patient received 10,000 i.u. hCG. keywords: hmg; infertility; msp; protocol; stimulation; treatment cache: squmj-1191.pdf plain text: squmj-1191.txt item: #7 of 1636 id: squmj-1192 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 3238 flesch: 67 summary: � ������ � The results of this pilot study indicate that simple field fitness tests can be used in children and they can yield valuable information related to physical fitness. ع ABSTRACT: ��������� To study the applicability of simple field measurements of physical fitness in a sample of Omani boys and their relationships to selected variables. keywords: children; fat; fitness; number; obesity; run; siblings; study; time cache: squmj-1192.pdf plain text: squmj-1192.txt item: #8 of 1636 id: squmj-1193 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 3307 flesch: 63 summary: 4. Myers JK, Weissman MM, Tischler GL, Holzer CE, Leaf PJ, Orvaschel H, Anthony JC, Boyd JH, Burke JD, Kramer M, Stoltzman R. Six month prevalence of psychiatric disorders in three communities. Prevalence of psychiatric disorders in an academic primary care department in Riyadh. keywords: age; attendance; clinic; disorders; females; health; jordan; morbidity; patients; psychiatric; rates cache: squmj-1193.pdf plain text: squmj-1193.txt item: #9 of 1636 id: squmj-1194 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 2749 flesch: 48 summary: KEY WORDS: laparoscopic surgery, Oman he era of laparoscopic general surgery arguably began in 1987 when the first laparoscopic cholecystectomy was performed in Lyon.1 This landmark surgery remained largely unnoticed until the technique was popularised a couple of years later in North America and in Europe.1-4 The perceived ad- vantages of the technique caused it to be rapidly adopted into surgical practice worldwide without being evaluated by formal randomised studies, unlike any other innovation in modern surgical history.4 By early 1990s it had become the operation of choice for symptomatic gallstones.5 المتقدمةالتقنياتمن خالل إجراء العمليات الجراحية الجديدة واستخدام ABSTRACT: Laparoscopic surgery, which gained prominence in the late 1980s, became an established surgical practice in Sultan Qaboos University Hospital (SQUH) in 1992. keywords: appendicectomy; cholecystectomy; laparoscopic; pain; patients; procedure; squh; surgery; technique cache: squmj-1194.pdf plain text: squmj-1194.txt item: #10 of 1636 id: squmj-1195 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 1126 flesch: 57 summary: 55 Unilateral uterine artery embolization and systemic methotrexate therapy in cervical pregnancy *Sejekan P 1, Vaclavinkova V 1, Leven H2, Krolikowski A1 عالج حمل عنق الرحم بإحداث جلطة في أحد .شرايين الرحم مع إستخدام حقن الميثوتريكسيت آروليكوسكي. The authors report a case of cervical pregnancy successfully treated with combined methods of uterine artery embolization and systemic methotrexate therapy. keywords: artery; case; embolization; methotrexate; pregnancy cache: squmj-1195.pdf plain text: squmj-1195.txt item: #11 of 1636 id: squmj-1196 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 3514 flesch: 59 summary: Infants and young children generally present with poor feeding and tachypnea, while palpitation and chest discomfort are prominent symptoms in older children. Infants and young children need long-term drug therapy, while older children with single episode of SVT and absence of WPW syndrome may be fol- lowed up without medication (‘no treatment’ option). keywords: adenosine; children; ecg; heart; infants; pathway; patients; svt; tachycardia cache: squmj-1196.pdf plain text: squmj-1196.txt item: #12 of 1636 id: squmj-1199 author: Sajjeev Antony title: Honey date: 2017-09-17 words: 2962 flesch: 65 summary: to honey samples were read after 4 hours up to 12 hours duration to check for swarming activities. Organisms showing inhibition zones equal to or greater than that of the control organisms were regarded as sensitive to honey samples. keywords: activity; aeruginosa; antimicrobial; coli; forest; honey; inhibition; organisms; pseudomonas; samples cache: squmj-1199.pdf plain text: squmj-1199.txt item: #13 of 1636 id: squmj-1200 author: None title: Practical proof of the validity of the Target Theory by simulating cellular targets date: 2017-09-17 words: 4350 flesch: 58 summary: 2,3-butanedione, an electron-stabilizing compound, as a modifier of sensi- tivity of Bacillus megaterium spores to X-rays. A comparative study of the gamma radiation responses of Bacillus megaterium spores suspended in aqueous solutions of ethanol and ethylene glycol. keywords: cell; curves; dose; extrapolation; number; radiation; spores; survival; target; theory; value; vials cache: squmj-1200.pdf plain text: squmj-1200.txt item: #14 of 1636 id: squmj-1201 author: None title: Radiation exposure levels in relatives of patients after radioiodine therapy date: 2017-09-17 words: 2450 flesch: 65 summary: Cumulative radiation doses received over 7 days by relatives of patients treated with 131I for differentiated thyroid carcinoma with 30 MBq body retained activity Radiation Dose (µSv) Relatives No. Minimum Maximum Mean SD Spouses 4 8 665 195 314 Other 19 819 1460 (child) 167 347 TABLE 3 Cumulative radiation doses received by relatives of Buchan and Brindle’s patients treated with 131I for thyrotoxicosis6 calculated for 30 MBq body retained radioactivity. Cumulative radiation doses received over 7 days by relatives of patients treated with 131I for differentiated thyroid �carcinoma with 30 MBq body retained activity CONCLUSION ACKNOWLEDGEMENTS REFERENCES keywords: 131i; days; dose; mbq; patients; radiation; relatives; study cache: squmj-1201.pdf plain text: squmj-1201.txt item: #15 of 1636 id: squmj-1202 author: Al Abri S, Vaclavinkova V, Richens ER title: Outcome of pregnancy in patients possessing anticardiolipin antibodies date: 2017-09-17 words: 3213 flesch: 60 summary: Patients who sustained pregnancy losses from other causes, such as genetic, endocrine or gynaecological abnormalities, rhesus incompatibility or sperm antibodies were excluded from the study. Lockshin MD, Druzin ML, Goei S, Qamar T, Magid MS, Jovanovic L, et al. Antibody to cardiolipin as a predictor of fetal distress in pregnancy patients with systemic lupus erythematosus. keywords: abortions; acas; antibodies; aspirin; igg; igm; patients; prednisolone; pregnancy; trimester cache: squmj-1202.pdf plain text: squmj-1202.txt item: #16 of 1636 id: squmj-1204 author: None title: Psychological morbidity in primary health care in Oman date: 2017-09-17 words: 4375 flesch: 61 summary: PREVALENCE OF SOMATIZATION Using cut-off points of 40 and above as �high� , 26� 40 as �middle� and 0�25 �low� range, Figure 1 shows the percentage scores on BSI of whole sample as well as for males and females separately. Performance on Bradford Somatic Inventory PREVALENCE OF PSYCHOLOGICAL DISORDERS Using a cut-off point of 10�20 as �high� range, 6�9 as �middle� range and 0-5 as �lower� range, Figure 2 shows the percentage scores of SRQ for the whole sample, male and female patients. keywords: care; disorders; distress; health; morbidity; oman; patients; primary; psychiatric; range; somatic; somatization; study cache: squmj-1204.pdf plain text: squmj-1204.txt item: #17 of 1636 id: squmj-1205 author: None title: Evaluating resilience factors in the face of traumatic events in Kuwait date: 2017-09-17 words: 4250 flesch: 60 summary: Kuwaiti families had to draw heavily from their emotional resources of courage, stability and durability. A great deal of the inva- sion related trauma experiences for Kuwaiti families ap- pear to be connected to family separations, some of them permanent. keywords: ego; er89; families; family; kuwaiti; personality; resilience; scale; scores; study; table cache: squmj-1205.pdf plain text: squmj-1205.txt item: #18 of 1636 id: squmj-1206 author: None title: Pathophysiology of obstructive sleep apnoea syndrome: a review date: 2017-09-17 words: 6559 flesch: 62 summary: Pharyngeal shape and dimensions in healthy subjects, snorers, and patients with obstructive sleep apnoea. Obstructive sleep apnoea: definitions, epidemiology and natural history. keywords: airway; apnoea; apnoea syndrome; blood; breathing; disease; disordered; hypertension; med; narrowing; osas; patients; pressure; respir; sleep; sleep apnoea; sleep disordered; syndrome; upper cache: squmj-1206.pdf plain text: squmj-1206.txt item: #19 of 1636 id: squmj-1207 author: DR. SIDDIQUE title: Taurine Levels in Human Aqueous Humour date: 2017-09-17 words: 1325 flesch: 56 summary: Laser-assisted laparoscopic excision of liver cyst. KEY WORDS: solitary non-parasitic liver cysts; laparoscopic deroofing ost non-parasitic solitary liver cysts are asymp- tomatic and need no treatment. keywords: cyst; deroofing; laparoscopic; liver; surg cache: squmj-1207.pdf plain text: squmj-1207.txt item: #20 of 1636 id: squmj-1208 author: Ala' Aldin Al-Hussaini title: University of the Twentyfirst Century date: 2017-09-19 words: 1580 flesch: 51 summary: This is particularly true of medical education, where many new graduates are unable to perform adequately in clinical settings. Opportunities and challenges for medical education Ala’Aldin Al-Hussaini Department of Behavioural Medicine, College of Medicine, Sultan Qaboos University, P.O. Box: 38 Al-Khod 123, Muscat, Sultanate of Oman. keywords: education; learning; students; university cache: squmj-1208.pdf plain text: squmj-1208.txt item: #21 of 1636 id: squmj-1210 author: Mehmet Simsek, Nadia Al-Wardy, Mazin Al-Khabory title: A PCR-RFLP test to detect the common mutation (35delG) in the connexin-26 gene date: 2017-09-19 words: 2848 flesch: 66 summary: Rabionet and Estivil described an allele-specifi c oligonucleotide (ASO ) hybridi- sation method, but it required the use of radiophosphorous (32P) probes.6 Recently, Wilcox et al described a PCR test based on site-directed mutagenesis and restriction fragment length poly morphism (R FLP) analysis.7 In most studies, however, a direct sequencing of PCR amplifi ed DNA was used, because the whole protein-coding sequence of the GJ B2 gene is located in one exon, which makes it relatively easy to screen for mutations in this gene.2,4,5 Considering squ journal for scientific research: medical sciences 2001, 1, 9 – Amplifi cation and electrophoretic pattern of 285 and 87 bp DNA fragments on a 4 % agarose gel Lane 1 shows the amplifi cation of a 285 bp DNA fragment using the primer pair 167F and 452R; Lane 2: trial amplifi cation of 87 bp with the 167F and 35DG mutagenesis primers; Lane 3: negative PCR control without any added template DNA; Lanes 4 to 10 : semi-nested PCR for 87 bp using serially diluted 285 bp DNA as template (100, 101, 102, 103, 104, 105, and 106 fold dilutions, respectively). keywords: amplifi; dna; fragment; gene; mutation; pcr cache: squmj-1210.pdf plain text: squmj-1210.txt item: #22 of 1636 id: squmj-1211 author: Ali A. Al-Jabri, Elizabeth R. Richens title: Occurence of autoantibodies in healthy Omani individuals date: 2017-09-19 words: 3761 flesch: 67 summary: Low titre autoantibodies occurred at high frequency in both groups, having been found in 98/183 (53.6%) and in 99/209 (47.4%) of the pregnant women and the blood donors respectively (p < 0.05); [Table 1]. anti nuclear auto antibodies (ANA) in 1.5% , anti parietal cells autoantibodies (APCA) in 1.8% , anti reticulin autoantibodies patterns (ARAP) in 3.0% and rheumatoid factor (RF) in 1.0% of the subjects. keywords: ata; autoantibodies; autoimmune; blood; donors; individuals; population; positive; sera; titres; women cache: squmj-1211.pdf plain text: squmj-1211.txt item: #23 of 1636 id: squmj-1212 author: Bazdawi Al-Riyami, Omar Al-Rawas et al title: Prevalence of asthma Symptoms in Omani schoolchildren date: 2017-09-19 words: 4818 flesch: 73 summary: i s Table 2 shows the prevalence of asthma symptoms and self-reported asthma diagnosis (‘ever had asthma’) in the two study groups. Regional variation in the prevalence (%) of asthma symptoms in Omani schoolchildren aged 13 –14 years using the ISAAC questionnaire 12 –month prevalence of: ever wheezed Any wheeze Wheeze disturbs sleep Wheeze limiting speech Exercise wheeze Night cough Ever had asthma Muscat 11.6 keywords: age; asthma; children; diagnosis; group; prevalence; regions; symptoms; wheeze cache: squmj-1212.pdf plain text: squmj-1212.txt item: #24 of 1636 id: squmj-1213 author: Dilip K. Sankhla, Samir S. Hussein, Haddia Bererhi, Omeima El Shafie, Nicholas J. Woodhouse, V.Nirmala title: None date: None words: None flesch: None summary: None keywords: aspiration; benign; lesions; malignant; needle; nodules; patients; scintigraphy; thyroid cache: squmj-1213 plain text: squmj-1213.txt item: #25 of 1636 id: squmj-1214 author: Daad H. Akbar, Maimona Mushtaq title: None date: None words: None flesch: None summary: None keywords: factors; hospital; infarct; non; risk; saudis; stroke cache: squmj-1214 plain text: squmj-1214.txt item: #26 of 1636 id: squmj-1215 author: Sawsan A. Baddar, Omar A. Al-Rawas, Kassim A. Al-Riyami, Elizabeth A. Worthing, Yolande I. Hanssens, title: None date: None words: None flesch: None summary: None keywords: asthma; dose; healthcare; inhaler; participants; patients; physicians; providers; steps; technique; use cache: squmj-1215 plain text: squmj-1215.txt item: #27 of 1636 id: squmj-1216 author: Marwan M. Al-Sharbati, Ameer A. Younan, Omar H. Sudani title: None date: None words: None flesch: None summary: None keywords: age; benghazi; boys; children; girls; growth; height; school; tripoli; years cache: squmj-1216 plain text: squmj-1216.txt item: #28 of 1636 id: squmj-1217 author: Mansour Al-Moundhri title: Synchronous bilateral endometrioid ovarian cancer and uterine adenocarcenoma in a young woman date: 2017-09-19 words: 1461 flesch: 50 summary: Histopathological examination showed well-differ- entiated bilateral endometrioid ovarian carcinomas with focal squamoid differentiation in the right ovarian tumour [Figures 2 and 3] and moderately differentiated adeno- carcinoma of uterus infi ltrating up to two-thirds of the depth of uterine wall [Figure 4]. As with other types of ovarian tumours, the treatment with platinum based chemotherapy has been shown to improve survival in simul- taneous tumours. keywords: endometrioid; ovarian; ovary; uterus cache: squmj-1217.pdf plain text: squmj-1217.txt item: #29 of 1636 id: squmj-1218 author: None title: None date: 2017-09-25 words: 3500 flesch: 49 summary: Each year, .–. of the population of Oman is estimated to incur brain injury, principally from road traffic accidents, domestic accidents and falls from date palms.28–30 Another major cause of brain injuries in Oman are the ‘diseases of affluence’—diabetes, hypercholester- emia, and obesity—that lead to strokes.31, 32 For victims of these, the protocol has limited itself to reducing mortality. Research in the nineties—the decade of the brain—has brought new insights into the pathophysiology, impairments, functional limitations and disabilities involved in brain injury. keywords: aer; brain; health; injuries; injury; oman; plasticity; process; rehabilitation; reorganization; system;  cache: squmj-1218.pdf plain text: squmj-1218.txt item: #30 of 1636 id: squmj-1219 author: saj title: mjweb.indd date: 2017-09-25 words: 2890 flesch: 59 summary: Th e trichrome stain was superior to all other procedures in the detection of cysts and trophozoites of Protozoa. Th e incidence and severity of intestinal parasitic infections may vary with place and time.6–9 Estimates of prevalence Usefulness of Kato-Katz and trichrome staining as diagnostic methods for parasitic infections in clinical laboratories *Mohamed A Idris, Ayda M Al-Jabri Department of Microbiology and Immunology, College of Medicine, Sultan Qaboos University, P.O. Box: , Al-Khod , Muscat, Sultanate of Oman. keywords: food; infections; kato; katz; oman; parasites; smear; stain; trichrome cache: squmj-1219.pdf plain text: squmj-1219.txt item: #31 of 1636 id: squmj-1220 author: None title: None date: 2017-09-25 words: 7944 flesch: 49 summary: Conclusion: The results suggest that with appropriate training and support, New Zealand pharmacists can help asthma patients achieve greater quality of life. M E T H O D S e aim of the study was to assess the health-related and QoL outcomes in a group of asthma patients receiving a pharmacy-based asthma management service. keywords: asthma; care; health; life; medication; new; patients; pharmaceutical; pharmacists; problems; qol; service; study cache: squmj-1220.pdf plain text: squmj-1220.txt item: #32 of 1636 id: squmj-1221 author: None title: None date: 2017-09-25 words: 5366 flesch: 63 summary: Physical activity and physical fitness in African- American girls with and without obesity. ������ ��� �� ���� ������ �������� ����� ��� �� ����������� ���� � ���� ���� �������.   our knowledge no such study has been conducted in the Arab countries, where physical fitness receives little atten- tion from authorities and families. keywords: activities; activity; aerobic; boys; children; fitness; girls; physical; study; test; time; vo2max cache: squmj-1221.pdf plain text: squmj-1221.txt item: #33 of 1636 id: squmj-1222 author: None title: None date: 2017-09-25 words: 4482 flesch: 57 summary: Objective: To study blood pressure and blood pressure reactivity in young offspring of normotensive or hypertensive par- ents who are consanguineous (first cousins) or are not blood-related. Key words: consanguineous marriage, offspring, blood pressure reactivity, Oman. keywords: blood; blood pressure; children; cousin; familial; hypertension; offspring; pairs; parents; pressure; reactivity; risk; study cache: squmj-1222.pdf plain text: squmj-1222.txt item: #34 of 1636 id: squmj-1223 author: None title: None date: 2017-09-25 words: 5340 flesch: 58 summary:  ABSTRAC T. Objectives: To assess the effects of Vipassana meditation on the physical and psychological health in a multi-ethnic popu- lation in the city of Muscat. Con- clusion: The present preliminary findings, juxtaposed with the results of studies from other parts of the world, suggest that the practice of Vipassana meditation may help mitigate psychological and psychosomatic distress. keywords: assessment; course; group; health; meditation; oman; participants; study; subjects; vipassana cache: squmj-1223.pdf plain text: squmj-1223.txt item: #35 of 1636 id: squmj-1224 author: None title: None date: 2017-09-25 words: 11235 flesch: 48 summary: Mol Pharmacol , , –. . Bouthenent M-L, Souil E, Martres M-P, Sokoloff P, Giros B, Schwartz J-C. Localization of dopamine D3 receptor mRNA in the rat brain using in situ hybridization histochemistry: com- parison with dopamine D2 receptor mRNA. Differential regulation of D2 and D4 dopamine receptor mRNAs keywords: adhd; antipsychotic; attention; brain; clozapine; disease; disorder; dopamine; drugs; effects; gene; human; hyperactivity; levodopa; neurons; new; parkinson; psychiatry; receptors; schizophrenia; treatment cache: squmj-1224.pdf plain text: squmj-1224.txt item: #36 of 1636 id: squmj-1225 author: None title: None date: 2017-09-25 words: 5229 flesch: 49 summary: Even though  had access to computers, the Internet, and were aware of Medline searches, they never used critically appraised databases like Cochrane, Best Evidence, UpToDate, Bandolier, Clinical evidence or National Guideline Clearing House. Clinicians can achieve evidence based practice in a variety of ways, as we shall describe below. keywords: care; clinicians; ebm; evidence; health; information; medicine; patients; practice; research cache: squmj-1225.pdf plain text: squmj-1225.txt item: #37 of 1636 id: squmj-1226 author: None title: None date: 2017-09-25 words: 4067 flesch: 54 summary: e diagnosis of thyroid disease is complicated by many important physiological changes in thyroid metabolism and laboratory values observed in pregnancy. Proper understanding of all this is essential for the effective management of thyroid disease in pregnancy. keywords: disease; hcg; hyperthyroidism; patients; pregnancy; stimulating; thyrotoxicosis cache: squmj-1226.pdf plain text: squmj-1226.txt item: #38 of 1636 id: squmj-1227 author: None title: None date: 2017-09-25 words: 2828 flesch: 63 summary: Keywords: foreign body, aero-digestive tract, bronchoscopy, oesophagoscopy, Oman A    In general the treatment of a foreign body in the upper aero-digestive tract is a reasonably prompt endoscopic removal under conditions of maximum safety and minimum trauma.1 e authors, working in a district level hospital, retrospec- tively reviewed cases of  patients who underwent peroral endoscopy under general anaesthesia for the retrieval of foreign bodies for alleged aspiration or swallowing, from June ,  to May , . e findings of the review are tabulated in Tables –. keywords: aspiration; bodies; body; cases; oesophagus; tract cache: squmj-1227.pdf plain text: squmj-1227.txt item: #39 of 1636 id: squmj-1228 author: Abdullah Al-Harthy, Samir Al Adawi title: Enemy within? The silent epidemic of substance dependency in GCC countries date: 2017-09-25 words: 5940 flesch: 58 summary: Opinion towards substance dependency among citi- zens of GCC countries is likely to have a wide-ranging influence, affecting issues as diverse as personal conse- quences of substance dependency, prevention, care and management of people with substance abuse. The silent epidemic of substance dependency in GCC countries THE USE OF NATURALLY OCCURRING MOOD- altering substances is deeply rooted in the tradi-tions and cultures of many communities world- wide. keywords: abuse; addiction; alcohol; countries; dependency; drug; gcc; health; heroin; individuals; people; social; studies; study; substance; substance abuse; substance dependency; world cache: squmj-1228.pdf plain text: squmj-1228.txt item: #40 of 1636 id: squmj-1229 author: Hisham O. Akbar, Mahmoud S. Al Ahwal title: Effect of pegylated interferon date: 2017-09-25 words: 4006 flesch: 56 summary: A dose escalation study of ISIS 4803, an anti sense inhibitor of HCV, in chronic hepatitis C patients. One patient was hypothyroid on replacement therapy from previous interferon treatment; however l-thyroxin requirement of this patient did not increase during the current treatment with pegylated interferon and ribavi- rin. keywords: chronic; combination; hepatitis; interferon �; patients; response; ribavirin; therapy; treatment cache: squmj-1229.pdf plain text: squmj-1229.txt item: #41 of 1636 id: squmj-1230 author: Maha Al-Amri, Omar A Al-Rawas, Bazdawi MS Al-Riyami, Elizabeth R Richens title: Atopy in Omani patients with asthma date: 2017-09-25 words: 6962 flesch: 66 summary: Richens atopy in Asthma ������ ��������� ����� ���� ������)������ ���( ����� �������� � ������� ����� � ������ ��� � ������� ��� �������� :�����:��� ������� �������� ������ ����� ��� �����IgE������� � ������ ������ ��� ���� ����� ���� � ������ �������� ���� ����� ��� ������� �����)������ ��� (����� ���� ��.�������:�� ����� ���� ��IgE���� � ����� �� �� ������� ����IgE������ �������� ������� ������ ������� ������������ ��� �� ������ � ������ ���“ImmunoCAP ”��� �� ��������������� ������� ������ �� � ����� ���� �������� ����� ����������� ����� ���� ��� ������ �� ������ ���� �����.�������:� �������� ������� ��� ���IgE�� �������� ��� >�������� ����/������� �������� �� )������ %����� ��� ( ��� �������� ���������� ����/��)���-��� . Predictive value of high IgE levels in children. keywords: allergens; asthma; dust; house; ige �; immunocap; levels; patients; sige; spt; test; y � cache: squmj-1230.pdf plain text: squmj-1230.txt item: #42 of 1636 id: squmj-1231 author: Ali T. Al-Hinai, Mohammed O Hassan, Mehmet Simsek, Hameeda Al-Barwani, Riad Bayoumi title: Genotypes and allele frequencies of ACE insertion/deletion polymorphism among Omanis date: 2017-09-25 words: 2565 flesch: 70 summary: et al. Deletion polymorphism in the gene for angiotensin converting enzyme in association with elevated fasting blood glucose levels. Prevalence of insertion/deletion polymorphisms of ACE gene among different ethnic groups as per different studies. keywords: ace; allele; angiotensin; converting; enzyme; gene; polymorphism cache: squmj-1231.pdf plain text: squmj-1231.txt item: #43 of 1636 id: squmj-1232 author: Mariam Mathew, Radha Kumari, Vlasta Vaclavinkova, Andrzej Krolikowski title: Caesarean sections at Sultan Qaboos University Hospital date: 2017-09-25 words: 2994 flesch: 68 summary: U S S R E S U L T S During the period of study, there were 5,57 deliveries at SQUH, of which 727 were by C/S, an incidence of 3 per- cent. keywords: caesarean; delivery; hospital; mariam �; section cache: squmj-1232.pdf plain text: squmj-1232.txt item: #44 of 1636 id: squmj-1233 author: Said H S Al Dhahry, Shahina Daar, Jameel C Nograles, Situsekara M W W B Rajapakse, Fadhila S S Al Toqi, Geraldine Z Kaminski title: Fluctuating antibody response in a cohort of hepatitis patients date: 2017-09-25 words: 3929 flesch: 63 summary: Before the introduction of routine screening of donated blood for HCV antibody, these patients were at high risk of exposure to the virus as a result of frequent transfusions with packed red blood cells. In patients with fluctuating antibody levels, there were periods ranging from 6 months to 2 years when anti-HCV antibodies could not be detected. keywords: antibodies; antibody; blood; hcv; hepatitis; infection; patients; riba; virus cache: squmj-1233.pdf plain text: squmj-1233.txt item: #45 of 1636 id: squmj-1234 author: Rajiv Khandekar, Ali Jaffer Mohammed, Abdulatif Al Raisi title: Compliance of spectacle wear date: 2017-09-25 words: 4369 flesch: 68 summary: A descriptive study *Rajiv Khandekar1, Ali Jaffer Mohammed2, Abdulatif Al Raisi3 ABSTRAC T. Objective: To determine the degree of compliance of spectacle wear and some of its determinants among school children of Dhakhiliya region of Oman. Information on age, gender, type and severity of refractive error was collected from the school health records and refractionist’s report and analyzed to associate them to the compliance of spectacle wear. keywords: compliance; health; spectacles; students; study; wear cache: squmj-1234.pdf plain text: squmj-1234.txt item: #46 of 1636 id: squmj-1235 author: Khalfan Al Sineidi, Yasser A. Wali, Anil V. Pathare, Zakia Al Lamki title: Visceral leishmaniasis and haemophagocytic syndrome in an Omani child date: 2017-09-25 words: 3174 flesch: 60 summary: (a) clinical criteria: fever and splenomegaly (both to be present); (b) laboratory criteria: cytopenias (affecting 2 of 3 lineages in the peripheral blood), hae- moglobin (<9 g/l), platelets (<00×09/l), neutrophils (<.0×09), hypertriglyceridemia and/or hypofibrino- genemia (fasting triglycerides ≥2.0 mmol/l or ≥3 SD of the normal value for age, fibrinogen ≥.5g/l or ≥3 SD) (c) histopathological criteria: haemophagocytosis in bone marrow or spleen or lymph nodes, no evidence of malignancy. Initial diagnosis of kala-azar could not be confirmed because of the absence of clinical evidence, negativity of bone marrow aspiration or specific serology for visceral leishmaniasis. keywords: bone; child; haemophagocytosis; hemophagocytic; hlh; leishmaniasis; marrow; visceral cache: squmj-1235.pdf plain text: squmj-1235.txt item: #47 of 1636 id: squmj-1237 author: Euan M. Scrimgeour title: Epidemic infections and their relevance to the Gulf -and other Arabian Peninsula countries date: 2017-09-25 words: 3362 flesch: 59 summary: Epidemic infections and their relevance to the Gulf -and other Arabian Peninsula countries Epidemic infections and their relevance to the Gulf and other Arabian Peninsula countries Euan M. Scrimgeour SQU JOURNAL FOR SCIENTIFIC RESEARCH: MEDICAL SCIENCES 2003 VOL 5, NO. –2, –4 ©SULTAN QABOOS UNIVERSIT Y E D Am J Trop Med Hyg, 999, 6, 920–925. 8. keywords: arabia; countries; disease; epidemic; fever; haemorrhagic; infection; med; oman; peninsula; saudi; virus cache: squmj-1237.pdf plain text: squmj-1237.txt item: #48 of 1636 id: squmj-1238 author: Khalil E. Rajab, Jonathan H. Skerman, Abdulla A. Issa title: Screening for gestational diabetes by measuring fasting plasma glucose levels date: 2017-09-25 words: 3807 flesch: 66 summary: Objectives: (a) To test the sensitivity and specificity of measuring fasting plasma glucose levels (FPG) as a screening test for gestational diabetes mellitus (GDM). I O N Using fasting plasma glucose levels at cut off values of ≥ 5.5 mol/l (99 mg/dl) as the higher FPG threshold to rule out GDM with a specificity of 95% is an easier, more acceptable test for patients than the 50g glucose chal- lenge test. keywords: diabetes; fpg; gdm; gestational; glucose; plasma; screening; test cache: squmj-1238.pdf plain text: squmj-1238.txt item: #49 of 1636 id: squmj-1239 author: Musbah O. M. Tanira, Mehmet Simsek, Khalid Al Balushi, Khulood Al Lawatia, Hameedah Al Barawani, Riad A. Bayoumi title: Distribution of arylamine N-acetyltransferase 2 (nat2) genotypes among Omanis date: 2017-09-25 words: 4532 flesch: 67 summary: Blood from 27 apparently healthy unrelated NAT� tanira et al �� ������ ������� ������ �����NAT���������� ��� ���� ���� ������ ���������� ���� ��������� ����� ��������� ���� �������� ���� � ��������:����� :�� ������ �������� ������� ������ �����NAT��� ����� ������ ����������� ��� ������ � �����. �������:��� ������� ���� �������� ������� ���� ����� �����G���A, C���T, C���T, C���T G���A, A���G, G���A������� ����� ������ � ��������PCR-RFLP . The presence of polymorphisms G191A, C282T, C481T, G590A, A803G, G857A on NAT2 gene was determined by RFLP using the restriction endonucleases Msp I, Fok I, Kpn I, Taq I, keywords: al �; allele; dna; nat �; nat2; polymorphism; rflp; � b; � j; � tanira cache: squmj-1239.pdf plain text: squmj-1239.txt item: #50 of 1636 id: squmj-1240 author: Said HS Al Dhahry el al title: Laboratory diagnosis of viral hepatitis C date: 2017-09-25 words: 4371 flesch: 63 summary: HCV ELISA was introduced in Europe in 993 and in the USA in 996. The second-generation recom- binant immunoblot assay (RIBA HCV 2, Chiron Corp., Emeryville, CA) was introduced in our laboratory in mid- 994, and was replaced by third generation assays (RIBA HCV 3, Chiron and HCV Blot, Genelab Diagnostics, Singapore) by the end of 996. keywords: anti; blood; donors; elisa; generation; hcv; hepatitis; positive; riba; samples cache: squmj-1240.pdf plain text: squmj-1240.txt item: #51 of 1636 id: squmj-1241 author: Rajiv Khandekar, Zina Fouad, Aliya M Al-Khusaibi title: Magnitude and determinants of exodontia in South Batinah region of Oman date: 2017-09-25 words: 4023 flesch: 66 summary: Three static dental units at the health institu- tions at Rustaq, Musanna and Barka and one mobile unit cater to nearly 205,000 Omani population.4 Exodontia (dental extraction) is an indicator of the dental caries problem and status of oral health of a pop- ulation. A detailed den- tal examination and recording of the findings as present in the case file was undertaken as per the standard oper- ating procedures.5 Details such as gender, age and causes of dental extraction were also collected. keywords: ci �; dental �; exodontia; health; oman; population; study cache: squmj-1241.pdf plain text: squmj-1241.txt item: #52 of 1636 id: squmj-1242 author: Neela Lamki, Alfred B. Watson, Richard G. Fisher title: Radiology resident selection date: 2017-09-25 words: 3360 flesch: 56 summary: This paper seeks to demonstrate a more objective method we have developed at Baylor College of Medicine in Houston for the selection of radiology residents. Critical performance behaviors of radiology residents: Evaluation of two category systems. keywords: attributes; candidate; cognitive; interview; performance; radiology; resident; selection cache: squmj-1242.pdf plain text: squmj-1242.txt item: #53 of 1636 id: squmj-1243 author: Ali A. Al Jabri title: How does HIV 1 infect a susceptible human cell? date: 2017-09-25 words: 11657 flesch: 60 summary: Therefore, specific areas of interest to inhibit HIVs entry include blocking gp20 binding to CD4 cell receptors (attachment inhibitors), blocking the binding sites of co-receptors such as CCR5 and CXCR4 (chemokine co- receptor inhibitors), and disrupting the fusion process (fusion inhibitors). In vitro HIV infected cells formed multinucleated giant cells (syncytia) keywords: aids; cd4; cell; chemokine; cxcr-4; disease; entry; envelope; fusion; gp20; hiv-; hivs; human; immunodeficiency; individuals; infection; loop; receptor; strains; therapies.39 �; tropic; use; virus; vitro; 997 cache: squmj-1243.pdf plain text: squmj-1243.txt item: #54 of 1636 id: squmj-1245 author: Marwan M. Al-Sharbati1, Ziad A. J. Zaidan, Ala’Adin Al-Hussaini, Khalid Al-Khalili title: A strange type of Pica date: 2017-09-25 words: 1920 flesch: 76 summary: However sponge pica is a very rare variation. We report a case of a 5-year-old Omani girl, who presented with sponge pica since the age of two years, with recent abdominal pain. keywords: children; iron; pica �; sponge cache: squmj-1245.pdf plain text: squmj-1245.txt item: #55 of 1636 id: squmj-1246 author: Sabah M Al-Shukry title: A swallowed fishbone penetrating the oesophagus into the sternomastoid muscle date: 2017-09-25 words: 1271 flesch: 65 summary: Cesk Otolaryngol, 973, 22, 49–52. 5. Mateo S, BlazquezC, Ortega J, Cabajo M, Hernandez M, Torre W. Mediastinal abscess secondary to esophageal perfo- ration caused by foreign body. The intralumi- nal pressure in the oesophagus may force a transverse or oblique positioned sharp foreign body through the wall of the gut. keywords: fishbone; foreign; muscle; oesophagus cache: squmj-1246.pdf plain text: squmj-1246.txt item: #56 of 1636 id: squmj-1248 author: None title: WHOLE1.indd date: 2017-09-26 words: 2103 flesch: 65 summary: Studies in oth- er Middle East countries have shown that seat belt use is infrequent.6 However, it can increase with a general understanding of road safety rules.7 Bener et al have shown that there is awareness of the benefits of wear- ing seat belts in Middle East countries and strong sup- SULTAN QABOOS UNIVERSITY MEDICAL JOURNAL JUNE 2006 VOL 6, NO. 1 SULTAN QABOOS UNIVERSITY© Callander Cottage, Lochgoilhead Argyll, PA 24 8AQ, Scotland, United Kingdom . A study carried out by Family and Community Health residents in the Oman Medical Specialty Board training program examined seat belt wearing in cars entering Sultan Qaboos University complex on a sin- gle day.5 keywords: belt; health; passengers; road; safety; seat; traffic cache: squmj-1248.pdf plain text: squmj-1248.txt item: #57 of 1636 id: squmj-1249 author: None title: WHOLE1.indd date: 2017-09-26 words: 3844 flesch: 49 summary: There is now new weighting for the educational component in faculty promotion. We set forth in this paper suggestions to create a holistic Medical Educator Teaching Portfolio (METP) that includes not only materials necessary for evaluation for faculty promotion, but also those to aid the educator in improving his/her own teaching skills through reflection and continued learning. keywords: clinician; education; educator; evaluation; faculty; medical; metp; portfolio; promotion; students; teaching cache: squmj-1249.pdf plain text: squmj-1249.txt item: #58 of 1636 id: squmj-1250 author: None title: WHOLE1.indd date: 2017-09-26 words: 2281 flesch: 62 summary: Of 356 admissions of patients less than 8 years of age, 20 developed severe hyponatremia. WHOLE1.indd ABSTRACT Objective: Our two main objectives are to assess the incidence and the outcome of severe hyponatremia in young hos- pitalized patients. keywords: children; diuretics; fluids; hypertonic; hyponatremia; mortality; patients; seizures cache: squmj-1250.pdf plain text: squmj-1250.txt item: #59 of 1636 id: squmj-1251 author: None title: WHOLE1.indd date: 2017-09-26 words: 1920 flesch: 68 summary: WHOLE1.indd ABSTRACT Background: Plastibell circumcision complications can be life-threatening. Objective: The aim of this paper is to review the complications of Plastibell circumcision reported in the literature and in our own patients to determine the safety of the proce- dure. keywords: cases; circumcision; complications; foreskin; plastibell; procedure cache: squmj-1251.pdf plain text: squmj-1251.txt item: #60 of 1636 id: squmj-1252 author: None title: WHOLE1.indd date: 2017-09-26 words: 3931 flesch: 71 summary: As to the hu- man resources for Primary Eye Care qualified gradu- ate medical doctors provided eye care at these insti- tutions. HI with information on human resource related to eye care 84 Primary Eye Care doctors 167 Primary Eye Care nursing sta 725 Population of catchment area 960, 625 Doctor: Population ratio 1:5, 752 Nursing staff: population ratio 1:1, 325 Primary Eye Care staff: population ratio 1:1, 077 Table 1. keywords: care; eye; health; institutions; moh; oman; primary; staff; study cache: squmj-1252.pdf plain text: squmj-1252.txt item: #61 of 1636 id: squmj-1253 author: None title: WHOLE1.indd date: 2017-09-26 words: 2713 flesch: 75 summary: 58 subjects had Hb A2 levels above 3.5% indicating β-thalassaemia trait. After therapy both these subjects’ Hb A2 levels increased to above 3.5%. keywords: levels; thalassaemia cache: squmj-1253.pdf plain text: squmj-1253.txt item: #62 of 1636 id: squmj-1254 author: None title: WHOLE1.indd date: 2017-09-26 words: 3767 flesch: 62 summary: There was no significant difference using student t- test at 95% level (p<0.05) between clove water extract from Sri Lanka and Zanzibar or thyme water extract from Oman and Iran The lowest concentration of antimicrobial activity (0.% i.e., :024) was obtained with thyme oil extract using Candida albicans. keywords: activity; aeruginosa; albicans; aureus; clove; extracts; oils; organisms; sri; thyme; water cache: squmj-1254.pdf plain text: squmj-1254.txt item: #63 of 1636 id: squmj-1255 author: None title: WHOLE1.indd date: 2017-09-26 words: 3287 flesch: 71 summary: Splenomegaly (33.3%), hepatomegaly(6.6%), and lymphadenopathy(6.6%) were less than that reported by others who have more serious intra-abdominal visceral involvement. It is primarily a disease of young adults, rarely diagnosed after the age of thirty five,5 although it has been reported affecting patients in their seventh decade of life.6,7 Arthralgias are present Nizwa Hospital, P.O. Box 1222, PC 611, Nizwa, Sultanate of Oman *To whom correspondence should be addressed. keywords: adult; aosd; arthritis; diagnosis; disease; fever; joints; laboratory; onset; patients; rheumatol cache: squmj-1255.pdf plain text: squmj-1255.txt item: #64 of 1636 id: squmj-1256 author: None title: WHOLE1.indd date: 2017-09-26 words: 2696 flesch: 76 summary: Table 1 shows that, of 3856 patients, 1282 (33%) were Hajj patients and 2574 (67%) were non Hajj patients. Among the Saudia, 38 (1.0%) were Hajj patients and 56.4% were non Hajj patients, whereas in non-Saudi patients 1191(30.8%) were Hajj patients and 2819 (7.3%) were non Hajj patients. keywords: hajj; non; opd; patients; saudi; season; table cache: squmj-1256.pdf plain text: squmj-1256.txt item: #65 of 1636 id: squmj-1257 author: None title: WHOLE1.indd date: 2017-09-26 words: 3387 flesch: 69 summary: REM sleep deprivation was done for three days using the inverted flowerpot technique. Keywords: REM sleep deprivation, Blood pressure, Heart rate, Tonic pain, Melatonin, Endorphins. keywords: blood; deprivation; formalin; levels; melatonin; non; pain; pressure; rats; rem; remsd; sleep cache: squmj-1257.pdf plain text: squmj-1257.txt item: #66 of 1636 id: squmj-1258 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 5388 flesch: 61 summary: Non-communicable diseases such as psychological disorders have become the leading cause of global mortality and account for a consider- able proportion of disability and economic loss.30 The third issue that impedes an enlightened quest for the interplay between culture and diseases is the current preoccupation with ‘high tech’ research to understand the biological underpinning of diseases. In the interim, new challenges have arisen on the horizon, including the prolifera- tion of non-communicable diseases against the back- ground of intransigent treatment resistant infectious diseases. keywords: adawi; countries; cultural; culture; diseases; health; non; oman; population; research; social cache: squmj-1258.pdf plain text: squmj-1258.txt item: #67 of 1636 id: squmj-1259 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 5832 flesch: 62 summary: This results in the loss of free time, neglect of friends and hobbies, often manifesting as social iso- lation and a consequent decrease in the quality of life of caregivers.13, 14 Analyses have shown that the lev- els of anxiety and depression in caregivers are directly related to the hours of care required and the physical and psychological illness scores of the AD patients un- der their care.15 Investigations have been carried out into the reasons for distress of AD caregivers. A training workshop on late- stage dementia care for family caregivers. keywords: alzheimer; caregivers; caregiving; countries; dementia; disease; e e; e r; family; health; management; patients; population; support cache: squmj-1259.pdf plain text: squmj-1259.txt item: #68 of 1636 id: squmj-1260 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 4691 flesch: 64 summary: In addition, 57% of diabetic subjects had abnormal aplipoproteinB of >.2 g/L compared to 49% of non-diabetic subjects. 23* 37* LDL-C (>3.4 mmol/L) and HDL-C (<1.15 mmol/L) 30 30 All the three 15 19 TG (>1.7 mmol/L) and Apo B (>1.2 g/L) 27* 43* TG (>1.7 mmol/L), Apo B (>1.2 g/L) and HDL-C (<1.15 mmol/L) 18 25 * Statistically significant, p value = 0.04 Table 3 :Proportion of subjects having combined dyslipidemia, borderline-high risk categories for C AD, according to the NCEP ATP III and the Framingham Offspring study Figure 1: Percentage of diabetic subjects with abnormal lipids and lipoproteins levels compared to non-diabetic subjects A L keywords: atp; cad; diabetes; diabetic; hdl; iii; ldl; mmol; non; risk; study; subjects cache: squmj-1260.pdf plain text: squmj-1260.txt item: #69 of 1636 id: squmj-1261 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 2989 flesch: 70 summary: but it correlates negatively when energy intake is reduced and energy stores in fat are declining.6 In most obese subjects, leptin levels are high and correlate with the Body Mass Index (BMI) and the percentage of body fat,3 Leptin levels are found to be correlated with a number of endocrine substances such as insulin, glucocorticoids, thyroid hormones and testosterone.7 Similar studies also indicate that it may be involved in mediating some endocrine-related proc- esses, like the onset of puberty.8 Impaired or modified receptor functions may be associated with certain med- ical conditions other than obesity, such as cardiovas- 1Department of Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, P.O. 35 Al-Khod 123, Sultanate of Oman 2Department of Microbiology & Immunology, College of Medicine and Health Sciences, Sultan Qaboos University, P.O. 35 Al-Khod 123, Sultanate of Oman *To whom correspondence should be addressed. January 2007 Vol 7 correct A.indd ABSTRACT Objective: To ascertain the relationship between serum leptin levels and related variables (weight, Body Mass Index (BMI) and fat percentage) in a group of Omani obese and non-obese healthy subjects. keywords: bmi; body; fat; leptin; levels; obese; serum; subjects; weight cache: squmj-1261.pdf plain text: squmj-1261.txt item: #70 of 1636 id: squmj-1262 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 5257 flesch: 76 summary: The birth histories data was used to extract data on woman years and births in the periods 990 to 994 and 995 to 2000. The fertility rate of any group is obtained as the sum of the ratio of number of births to number of woman years over the individual years/ages. keywords: data; education; fertility; oman; rates; s s; women; years cache: squmj-1262.pdf plain text: squmj-1262.txt item: #71 of 1636 id: squmj-1263 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 3924 flesch: 69 summary: In this work, the prevalence of RDS at 24 hours of administration was significantly lower in the group of neonates who received Ambroxol group. Table 3: Vital signs of the enrolled neonates at the initial assessment Neonates Characteristics Ambroxol Group Control Group t- keywords: ambroxol; e l; group; neonates; rds; respiratory cache: squmj-1263.pdf plain text: squmj-1263.txt item: #72 of 1636 id: squmj-1264 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 7543 flesch: 72 summary: Femur Length (cm) From Hadlock Table67, 68 Fetal age (wk) using Hadlock Table APTD (Cm) APTD (wk/days) Femur Length (cm) From Hadlock Table 67,68 Fetal age (wk) using Hadlock Table APTD (Cm) APTD (wk/days) 2.70 18.0 1.80 18.0 4.38 2.37 2.37 23.9 2.73 18.0 1.82 18.2 4.40 24.1 2.42 24.2 2.76 18.1 1.81 18.1 4.50 24.5 2.45 24.6 2.80 18.2 1.82 18.2 4.55 24.7 2.47 24.9 2.90 18.6 1.86 18.8 4.60 24.9 2.47 24.9 3.00 19.0 1.90 19.0 4.60 24.9 2.47 24.9 3.10 19.2 1.92 19.2 4.68 25.0 2.50 25.0 3.16 19.2 1.93 19.4 4.70 25.3 2.53 25.4 3.20 19.6 1.96 19.8 4.80 25.7 2.55 25.6 3.30 19.9 1.97 19.9 4.82 25.7 2.56 25.8 3.36 20.0 2.00 20.0 4.84 25.8 2.56 25.8 3.40 20.3 2.03 20.4 4.90 26.1 2.63 26.4 3.43 20.4 2.04 20.5 4.92 26.1 2.63 26.4 3.45 20.5 2.05 20.6 4.94 26.2 2.64 26.5 3.50 20.7 2.06 20.8 5.00 26.5 2.65 26.6 3.60 21.0 2.10 21.0 5.04 26.6 2.66 26.8 3.70 21.4 2.13 21.4 5.10 27.0 2.71 27.1 3.76 21.5 2.14 21.5 5.20 27.4 2.75 27.6 3.80 21.8 2.16 21.8 5.26 27.6 2.77 27.9 3.80 21.8 2.17 21.9 5.30 27.8 2.77 27.9 3.90 22.1 2.22 22.2 5.36 27.9 2.77 27.9 3.94 22.1 2.22 22.2 5.40 28.2 2.83 28.4 3.96 22.3 2.23 22.4 5.45 28.4 2.83 28.4 4.00 22.5 2.26 22.8 5.46 28.5 2.86 28.8 4.10 22.9 2.27 22.9 5.48 28.6 2.86 28.8 4.20 23.3 2.33 23.4 5.50 28.7 2.87 28.9 4.30 23.7 2.35 23.6 4.31 23.7 2.36 23.8 4.35 23.8 2.36 23.8 Table 1: The Correlation between anterior-posterior thigh diameter (APTD-CM) and fetal age (GA-WK) 50th percentile values for fetal femur length are shown below, (n=55). This study evaluated the usefulness and direct correlation of a simple, new method of predicting fetal age by measurement of the anterior-posterior thigh diameter (APTD) in a normal 8-to 28 week pregnancies using two-dimensional sonography. keywords: age; aptd; biometry; diameter; e r; femur; fetal; growth; hadlock; length; measurement; studies; study; thigh; thigh diameter; ultrasound; weeks; weight cache: squmj-1264.pdf plain text: squmj-1264.txt item: #73 of 1636 id: squmj-1265 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 4002 flesch: 65 summary: I M 62 those of others.14 In Kenyan school children infected with S. haematobium, the low level of haemoglobin did not recover until six weeks after treatment,18 de- spite its significant relationship to the intensity of infection and there was no significant difference be- tween infected and non-infected or treated children with S. haematobium infection from East Cameroon.19 Heavy infections with S. haematobium are known to cause iron deficiency anaemia due to urinary iron loss and red cells haemolysis by the spleen.14-18 Treatment of the infection was expected to result in a significant increase in haemoglobin levels of anaemic children, but no improvement was noted. According to WHO guidelines, regular mass treatment with praziquantel and health education are recommended as part of the primary health care programme in areas of hight prevalence and intensity of S. haematobium infection. keywords: children; haematobium; infection; praziquantel; treatment cache: squmj-1265.pdf plain text: squmj-1265.txt item: #74 of 1636 id: squmj-1266 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 3731 flesch: 67 summary: In the naturally infected snails, cercariae emergence began at sunrise, around 07:00. The highest prevalence of natural infection (9.5%) was by schistosome cercariae followed by amphistome (2.5%), xiphidiocercariae (2.4%) and lastly by avian cercariae (0.5%). keywords: cercariae; snails cache: squmj-1266.pdf plain text: squmj-1266.txt item: #75 of 1636 id: squmj-1267 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 4340 flesch: 67 summary: Our project aimed to determine the antibacterial potential of various brands of honey sold in Muscat area on H. pylori and to find out if there is synergy be- tween honey and amoxycillin or clarithromycin which are two antibiotics currently in use in the treatment of H. pylori infection in Sultan Qaboos University Hos- pital (SQUH). January 2007 Vol 7 correct A.indd ABSTRACT Objective: This project aimed to assess the antibacterial potential of various brands of honey sold in Muscat area on some isolates of H. pylori and to determine if there is any synergy between honey and amoxycillin or clarithromycin used in the treatment of H. pylori gastritis and duodenal ulcer. keywords: activity; antibacterial; clarithromycin; gastritis; growth; helicobacter; honey; inhibition; o n; pylori; samples; synergy cache: squmj-1267.pdf plain text: squmj-1267.txt item: #76 of 1636 id: squmj-1268 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 3581 flesch: 53 summary: The term rhinocerebral mucormy- cosis (RM) should be used when the paranasal sinuses, orbit and brain are involved.2-4 Amongst the paranasal sinuses, the most frequently involved are the maxillary and ethmoid sinuses.1 RM is the most common form in patients with DKA , accounting for 70% of reported cases.9 Patients with rhinocerebral mucormycosis usually present with malaise, headache, facial pain, swelling and low grade fever.8 Keywords: Mucormycosis, rhinocerebral mucormycosis, complication of dental extraction, case report, Oman C A S E S T U D Y خلع بعد الفكني عظم في ااطيه الفطرية داء - حالتني عن تقرير االسنان مثل املناعة جهاز في املرضى املصابني عادة بها يصاب والتي ، ــدوث احل نادرة االنتهازية الفطرية االلتهابات keywords: area; dental; diagnosis; mucormycosis; oral; patient; rhinocerebral; right; tissue cache: squmj-1268.pdf plain text: squmj-1268.txt item: #77 of 1636 id: squmj-1269 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 1826 flesch: 66 summary: Although abnormal vaginal bleeding is one of the commonest complications among women, vaginal hirudiniasis has to be included in the differ- ential diagnosis of abnormal vaginal bleeding, par- ticularly in post-menopausal cases13 and girls.15 Vaginal hirudiniasis from Dhaherah Province, Oman: With a Note on Internal Hirudiniasis Mohamed A Idris SULTAN QABOOS UNIVERSITY MEDICAL JOURNAL DECEMBER 2006 VOL 6, NO. 2 SULTAN QABOOS UNIVERSITY© LEECHES OF THE CLASS HIRUDINEA MAY BE aquatic, terrestrial, or amphibious in their hab-itat. keywords: bleeding; hirudiniasis; leech; med; oman; years cache: squmj-1269.pdf plain text: squmj-1269.txt item: #78 of 1636 id: squmj-1270 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 1406 flesch: 68 summary: R E F E R E N C E S 1. A small subset of children with rhabdomyosar- comas, mostly genito-urinary rhabdomyosarcomas, belong to families in which multiple cancers such as breast lung and brain tumors occur. keywords: nasal; rhabdomyosarcoma cache: squmj-1270.pdf plain text: squmj-1270.txt item: #79 of 1636 id: squmj-1271 author: None title: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd date: 2017-09-26 words: 8153 flesch: 57 summary: Domestic violence “What’s love got to do with it?” *Samir Al-Adawi1, Sabah Al-Bahlani2 SULTAN QABOOS UNIVERSITY MEDICAL JOURNAL APRIL 2007 VOL 7, NO. 1 SULTAN QABOOS UNIVERSITY© 1Department of Behavioral Medicine, Sultan Qaboos University Hospital, P. O. Box 35, Al-Khod 123, Sultanate of Oman, 2Director of Health Educa- tion and Information, Ministry of Health, Muscat, Sultanate of Oman *To whom correspondence should be addressed. Despite its global occurrence, there is no standard classification for domestic violence in medical litera- ture. keywords: abuse; aggression; alcohol; behaviour; e n; family; female; health; husband; jealousy; l e; o l; oman; partner; role; social; violence; wife; women; world cache: squmj-1271.pdf plain text: squmj-1271.txt item: #80 of 1636 id: squmj-1272 author: None title: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd date: 2017-09-26 words: 5546 flesch: 49 summary: In healthy eyes, most of these infections are self-limited and without late se- quelae, but in compromised surface conditions vision- threatening sequelae may result.1, 2, 3 The identification and notification of patients har- bouring conditions and infections with a high morbid- ity (e.g. loss of workdays, high disability adjusted life years) and with nosocomial relevance is very impor- tant for the economy of a country.3, 4, 5 This overview will focus on the clinical ophthal- mology of adenovirus infections, which plays a key role in this scenario. Thus, research results con- cerning hygiene issues in adenovirus infections have often been confusing for the practicing clinician. keywords: adenovirus; associated; cases; contact; control; corneal; days; disinfection; ekc; epidemic; epidemic keratoconjunctivitis; eye; infections; keratoconjunctivitis; nosocomial; ophthalmol; outbreak; patients; symptoms cache: squmj-1272.pdf plain text: squmj-1272.txt item: #81 of 1636 id: squmj-1273 author: None title: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd date: 2017-09-26 words: 4271 flesch: 66 summary: فِ قِحْ بوَرَمٌ مصابني 7 مرضى و ،(5%) النمو هرمون يفرز بورم مصابني 8 مرضى و األورام من 3 أنواع انتشار تبني الفرعية وقد اموعات حتليل يتم أيضاً .(0.6%) بساركويدوسيس مصاب ومريض واحد ر ظْ الكُ رِ % - (23 حالة واالرهاق (21% - (31 حالة الصداع و (37% - (55 حالة يتوفى لم .(2% - (3 مرضى مع األدوية اجلراحي والتدخل (21% - (31 حالة والتدخل اجلراحي (38% - (56 مريضا واملالحظة (39% - (58 مريضا ــجالت في الس أوائل من keywords: acromegaly; adenomas; non; patients; pituitary; registry; tumour cache: squmj-1273.pdf plain text: squmj-1273.txt item: #82 of 1636 id: squmj-1274 author: None title: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd date: 2017-09-26 words: 2707 flesch: 71 summary: In view of the large number of pregnancies complicated by neural tube defect (NTD) in Khuzestan, south west Iran, this study assesses the prevalence of NTD and its ecological and social factors. Keywords: Neural tube defect, Social and ecological factors, retrospective study, Khuzestan, Iran, Prevalence and Correlates of Neural Tube Defect in South West Iran Retrospective analysis *Ahmad Behrooz, Mohammad H Gorjizadeh SULTAN QABOOS UNIVERSITY MEDICAL JOURNAL APRIL 2007 VOL 7, NO. 1 SULTAN QABOOS UNIVERSITY© NEURAL TUBE DEFECTS (NTDS) ARE AMONG the most common defect of human con-genital malformations, affecting 0.6 per 1,000 live births in the United States, where there are approximately 4,000 NTD complicated pregnancies annually.1 keywords: births; defects; neural; ntds; pregnancies; risk; study; tube; women cache: squmj-1274.pdf plain text: squmj-1274.txt item: #83 of 1636 id: squmj-1275 author: None title: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd date: 2017-09-26 words: 4419 flesch: 71 summary: The specific pathogenic potential of B. hominis has not been defined.9-12 The results of a recent study in Sebha, Libya, re- vealed that B. hominis was the most frequent isolate in all stool specimens submitted for analysis,13 but the clinical significance of B. hominis infection in the Lib- yan population has not been documented so far. In the present study, the aim was to investigate the prevalence of B. hominis among patients attending the Central Laboratory in Sebha, Libya and to describe the clinical presentations of patients parasitized only with B. hominis infection in Libyan communities. keywords: b. hominis; blastocystis; diarrhoea; hominis; patients; prevalence; sebha; study; symptoms cache: squmj-1275.pdf plain text: squmj-1275.txt item: #84 of 1636 id: squmj-1276 author: None title: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd date: 2017-09-26 words: 3441 flesch: 66 summary: In patients at risk for mesenteric or hollow visceral injury, DPL is generally felt to be a more ap- propriate test.7, 13 A negative CT scan in such a patient cannot reliably exclude intra-abdominal injuries. Rodriguez A, DuPriest R, Shatney C. Recognition of intra-abdominal injury in blunt trauma victims. keywords: grade; hemoperitoneum; injuries; injury; organ; patients; scan; trauma cache: squmj-1276.pdf plain text: squmj-1276.txt item: #85 of 1636 id: squmj-1277 author: None title: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd date: 2017-09-26 words: 2757 flesch: 60 summary: Conclusion: Warfarin and low molecular weight heparins are more beneficial and effective than unfractionated heparin for DVT and PE prophylaxis in arthroplastic knee surgeries. The relationship be- tween the hemorrhagic and antithrombotic properties of low molecular weight heparin in rabbits. keywords: dvt; heparin; knee; patients; prophylaxis; warfarin cache: squmj-1277.pdf plain text: squmj-1277.txt item: #86 of 1636 id: squmj-1278 author: None title: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd date: 2017-09-26 words: 2757 flesch: 64 summary: The aim was to compare the findings of TVS and hysteroscopy to determine the sensitivity of each method in detecting endometrial polyps. The predictive value of TVS for screening endometrial polyps is much lower than the use of hys- teroscopy. keywords: bleeding; hysteroscopy; patients; polyps; tvs; ultrasound cache: squmj-1278.pdf plain text: squmj-1278.txt item: #87 of 1636 id: squmj-1279 author: None title: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd date: 2017-09-26 words: 1642 flesch: 60 summary: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd Pulmonary Infarction A rare case of adrenal carcinoma *Sukhpal Sawhney1, Ikram Burney2, Rajeev Jain1 الرِّئَة تِشاءُ There have been no previous reports specifically documenting pulmonary embolism from a tumour thrombus of adrenal carcinoma, though there are many reports in literature documenting inferior vena cava and right atrial thrombus in patients with adrenal carcinoma. keywords: adrenal; artery; carcinoma; case; thrombus; tumour; vena cache: squmj-1279.pdf plain text: squmj-1279.txt item: #88 of 1636 id: squmj-1280 author: None title: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd date: 2017-09-26 words: 1745 flesch: 58 summary: I O N Post partum ovarian vein thrombosis is an uncom- mon, but potentially serious, complication of post par- tum sepsis.3 Ovarian vein thrombosis has an incidence of 1:600 to 1:2,000 deliveries.4 I O N Recognition and adequate treatment of this rare but significant complication of pregnancy is critical as it can lead to significant maternal morbidity.9 Since the clinical and laboratory parameters are non-specific and there is no clear set of predisposing factors, the diagnosis of ovarian vein thrombosis remains difficult. keywords: diagnosis; ovarian; patient; right; thrombosis; vein cache: squmj-1280.pdf plain text: squmj-1280.txt item: #89 of 1636 id: squmj-1281 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 4508 flesch: 59 summary: In addition to ‘classical’ psychiatric disorders such as those shown in Table 4, one of the commonest and least well-studied complications of TBI is apathy or sometime called abulia.21 Apathy has been defined as lack of motivation that is not attributable to a dimin- ished level of consciousness, cognitive impairment or emotional distress.22 Motivation in TBI patients is es- sential for physical rehabilitation and for improving their quality of life. It has been reported that up to 77% of TBI patients suffer from poor outputs and self-di- rectedness after TBI. keywords: brain; injury; life; oman; patients; road; rtas; tbi; traffic cache: squmj-1281.pdf plain text: squmj-1281.txt item: #90 of 1636 id: squmj-1282 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 10816 flesch: 64 summary: At the present time, how- ever, and for the majority of HIV infected individuals, antiretroviral therapy remains the only effective way of controlling HIV infection. The present article summarises the mechanisms involved in resistance against HIV infection and progression to AIDS. keywords: aids; cd4; cells; e c; e s; factors; hiv; hiv infection; hla; individuals; infection; n s; o n; progression; r e; receptor; resistance; s s; s t; virus cache: squmj-1282.pdf plain text: squmj-1282.txt item: #91 of 1636 id: squmj-1283 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 4235 flesch: 66 summary: Returned medicines received by pharmacy staff, were used for the study. The current study also suggests that it could be economically viable to estab- lish physico-chemical analyses for returned medicines. keywords: care; cost; drugs; health; medications; medicines; patients; study cache: squmj-1283.pdf plain text: squmj-1283.txt item: #92 of 1636 id: squmj-1284 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 3344 flesch: 64 summary: Methods: A retrospective review of 25 patients, who underwent percutaneous nephrolithotomy (PCNL) for the treatment of large renal stones and 6 patients who underwent endopyelotomy for the treatment of pelviureteric junction (PUJ) obstruction. Advances in Knowledge This article describes the technique of PCNL and how to deal with large renal stones and the different ways of man- aging residual stones. Application to Patient Care keywords: endopyelotomy; patients; pcnl; stones cache: squmj-1284.pdf plain text: squmj-1284.txt item: #93 of 1636 id: squmj-1286 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 3532 flesch: 60 summary: Elevated numbers of T cells are found in the skin and gut, some of which have the phenotype of activated T cells. Elevated numbers of T cells are found in skin and gut, some of which has the phenotype of activated T cells. keywords: cells; immunodeficiency; immunoglobulin; lymphocytes; mutations; omenn; skin; syndrome cache: squmj-1286.pdf plain text: squmj-1286.txt item: #94 of 1636 id: squmj-1288 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 2062 flesch: 60 summary: DFG orbital implant is an effective means of replac- ing orbital volume and affording motility of the ocular prosthesis. Although mainly performed following enucleation, DFG orbital implants have been performed following evisceration whereby the edge of the graft was sutured to the anterior scleral ring.6 Conjunctival re-epitheli- alization of the dermal surface and enhancement of Figure 2b: keywords: dermis; dfg; fat; figure; graft; implant cache: squmj-1288.pdf plain text: squmj-1288.txt item: #95 of 1636 id: squmj-1289 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 1870 flesch: 60 summary: We hereby present two cases from Oman with subclinical sickle cell crisis during cardiopulmonary bypass. 1, 2 We report two consecutive cases of SCT who developed subclinical sickle cell crisis during cardiop- ulmonary bypass (CPB) resulting in haemolysis without overt haematuria. keywords: cell; haematocrit; haemolysis; serum cache: squmj-1289.pdf plain text: squmj-1289.txt item: #96 of 1636 id: squmj-1290 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 2168 flesch: 71 summary: DiLandro et al.4 reported the absence of the arcuate artery in 83.3% of cases Variations in dorsal metatarsal arteries have been reported in several studies.1, 4, 8, 9 The arcuate artery arises near the me- dial cuneiform, passes laterally over the metatarsal bas- es deep to the digital extensor tendons and gives rise to the 2nd to 4th dorsal metatarsal arteries (DMAs) before anastomising with the lateral tarsal artery.5 keywords: 2nd; arteries; artery; dma; dorsal; dorsalis; metatarsal; pedis cache: squmj-1290.pdf plain text: squmj-1290.txt item: #97 of 1636 id: squmj-1291 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 2459 flesch: 62 summary: The variations of the suprascapu- lar notch and the STSL have been known to predis- pose to suprascapular nerve entrapment.3 Many past research studies on the ossification of the STSL have described it to be a cause of a supras- capular nerve entrapment syndrome.2-7 Thus, the role of STSL in causing suprascapular nerve entrapment is a known fact and better understanding of the topo- graphical anatomy may be helpful for clinicians, sur- geons and academicians in day to day practice. The research reports have defined the shape of the supras- capular notch or the ossification of the STSL to predis- pose to suprascapular nerve entrapment.2 Research reports have described a ‘U’ shaped suprascapular notch in 77% and a ‘V’ shaped notch in 23% of indi- viduals, respectively. keywords: entrapment; figure; foramen; nerve; notch; ossification; stsl; study; suprascapular cache: squmj-1291.pdf plain text: squmj-1291.txt item: #98 of 1636 id: squmj-1292 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 1963 flesch: 54 summary: HIV vaccines are our best hope to end the HIV pandemic. Vaccine combinations such as the prime-boost strategy Table 1: Examples of HIV vaccine strategies H I V / A keywords: aids; antibodies; cells; hiv; vaccine; virus cache: squmj-1292.pdf plain text: squmj-1292.txt item: #99 of 1636 id: squmj-1293 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 6895 flesch: 59 summary: طبيب ، املستمرة الرعاية ، األدبيات الكلمات: مراجعة مفتاح CONTINUITY OF CARE HAS BEEN REGARDED as one of the core values of primary care and as a fundamental part of the work of the gen- eral practitioner (GP).1 Evidence from international literature has shown that the strength of a country’s primary care system is associated with improved population health outcomes.2 Continuity is a com- plex concept because it means several different things; hence many types of continuity have been identified, which are defined in Table 1. Throughout the world, good quality primary care improves health outcomes for the population;6 conti- nuity powerfully affects patient-focused outcomes.7, 8 However, in many countries, enormous changes are occurring in primary care organisations, such as in- creasing care team membership of professionals allied M O H Health care professionals and policy makers should be aware of the effect of continuity on quality of care and of the factors that influence continuity if they wish to preserve it as a core value of primary care. keywords: care; communication; continuity; doctor; factors; fam; good; healthcare; longitudinal; med; outcomes; patients; practice; primary; professionals; quality; r e; relational; team cache: squmj-1293.pdf plain text: squmj-1293.txt item: #100 of 1636 id: squmj-1294 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 2797 flesch: 67 summary: These patients (with normal hypoparathyroid hormone levels, but lower calcium levels) were also defined to have hypoparathyroidism bringing the total prevalence of hypoparathyroidism in this cohort of adult patients with Beta-thalassemia major to 9% (6 out of 3). Improvement in chelation therapy has largely resulted in the reduction of the prevalence of hypoparathyroidism, but has yet to eliminate it entirely.7, 8 The current study was conducted to determine the prevalence of hypoparathyroidism as well as the description of the various clinical and biochemical parameters in a group of adult patients with beta-tha- lassemia major at the Royal Hospital, a tertiary care hospital in Muscat, Sultanate of Oman. keywords: beta; hormone; hypoparathyroidism; levels; major; patients; pmol; serum; thalassemia; الدم cache: squmj-1294.pdf plain text: squmj-1294.txt item: #101 of 1636 id: squmj-1295 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 4568 flesch: 68 summary: Two hos- pital-based trials in Bangladesh and India found a 37% lower measured stool output (p < 0.02) in zinc-supple- mented children.17, 19 In a study that investigated the effect of zinc on the duration of illness and the stool quantity in acute watery diarrhoea of infants aged less than 6 months in 2002, Zinc supplementation did not affect diarrhoea duration or stool volume in young infants, although young infants tolerated zinc doses.20 A recently published randomised trial from India found a large reduction in overall mortality in infants who were small for gestational age and supplemented daily with zinc from 1 to 9 months of age.11 In our study, there were no differences in mortality between the two groups and this may be due to a relatively small sam- ple. Applications to Patient Care Efficacy of zinc as an agent that could reduce the recurrence and duration of episodes of diarrhoea in children less than five years which, in turn, implies that zinc supplementation could be used routinely for every child with acute diarrhoea as a prophylactic measure. keywords: acute; children; diarrhoea; e n; group; intervention; mean; study; zinc cache: squmj-1295.pdf plain text: squmj-1295.txt item: #102 of 1636 id: squmj-1296 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 3927 flesch: 65 summary: The aPS, the anionic non-cardiolipin phospholipid, have recently reported to be associated with an increased risk of stroke in young patients and positive association was reported among ischaemic stroke patients. The absence of aPS autoantibodies in patients with MI may signal to the weak immune inducer effect of the tissue necrosis characterizing these events.9 An echocardiographic study of aPS positive cases revealed that 60% (6/10) have abnormal cardiac find- ings in form of hypokinetic ventricles and valvular infection and all cases were sufferings from UA. keywords: antibodies; aps; cases; events; igg; igm; patients; risk; study cache: squmj-1296.pdf plain text: squmj-1296.txt item: #103 of 1636 id: squmj-1297 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 3374 flesch: 70 summary: Key words: Radiotherapy; Inactivation cross section; DNA damage; Mean free path; Ionisation, specific primary; Energy transfer, linear. البروتونات V79 بواسطة خاليا لتخميل العرضي حساب املقطع اخلالدي عزوز، ثامر فائقة للطريقة اآللية املطلوبة ــن ع تتوفر املعرفة التفصيلية أن ينبغي ــعة باألش العالج في ــتخدام الكفوء للبروتونات االس أجل ــص: الهــدف: من امللخ العرضي املقطع I C R E S E A R C H Advances in Knowledge Cell inactivation by ionising radiation has been studied in many ways such as survival curves shapes, dose rate survival dependence, and inactivation cross section etc. keywords: cells; cross; cross section; dna; inactivation; let; mean; protons; section; v79 cache: squmj-1297.pdf plain text: squmj-1297.txt item: #104 of 1636 id: squmj-1298 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 5339 flesch: 74 summary: Seven (1.4%) of the transfers to other children’s homes have been of HIV positive children. A child mortality rate of 77.6/000 was demonstrated with the key associated factors being HIV exposure (p <000), and weight at admission (p=0.002). keywords: adoption; aids; care; children; e n; exposure; families; hiv; home; infants; kenya; months; mortality; study cache: squmj-1298.pdf plain text: squmj-1298.txt item: #105 of 1636 id: squmj-1299 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 3165 flesch: 67 summary: While CD57+ T cells surrounding the ‘popcorn cells’ are typically seen in NLPHL, the absence of these cells in the rosettes form does not argue against the diagnosis.3 Tumor cells ei- ther are loosely scattered or formed clusters, thus re- sembling areas of either T/HRBCL or inflammatory diffuse large BCL (DLBCL) within the nodules.5 On the other hand, diffuse large B cell lymphoma (DLBCL) can arise in patients previously known to have, or have been treated for NLPHL. R E F E R E N C E S 1. keywords: disease; hodgkin; hypercalcemia; lymphoma; nlphl; patients cache: squmj-1299.pdf plain text: squmj-1299.txt item: #106 of 1636 id: squmj-1300 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 2249 flesch: 60 summary: I M , H U S S E I M , H U S S E keywords: hemophagocytic; hlh; lymphohistiocytosis cache: squmj-1300.pdf plain text: squmj-1300.txt item: #107 of 1636 id: squmj-1301 author: None title: January 2007 Vol 7 correct A.indd date: 2017-09-26 words: 371 flesch: 57 summary: R E F E R E N C E S 1. Thorax 2001; 56:572-578. 4. Durieux P, Bletry O, Huchon G, Wechsler B, Chretien J, Godeau P. Multiple pulmonary arterial aneurysms in Be- chet’s disease and Hughes-Stovin syndrome. keywords: pulmonary cache: squmj-1301.pdf plain text: squmj-1301.txt item: #108 of 1636 id: squmj-1302 author: None title: March 2007 Vol 7 Isuue 1 FINAL without suicide .indd date: 2017-09-26 words: 389 flesch: 68 summary: The left IVC crosses over to the right IVC through the left renal vein (white arrow) vein crossing anterior to the inferior vena cava to form normal right prerenal inferior vena cava is the com- monest arrangement in the duplication of inferior vena cava.1 R E F E R E N C E S 1. I A 64 Figure 3: The left IVC (white arrowhead) drains into the left renal vein (white arrow) Figure 4: Coronal oblique reformat shows the right IVC (white arrowhead) and left IVC (black arrow) ascending on both sides of the aorta. keywords: vena cache: squmj-1302.pdf plain text: squmj-1302.txt item: #109 of 1636 id: squmj-1303 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 3470 flesch: 57 summary: This is achieved by assigning each stu- dent a core mentoring clinical faculty member for the duration of his or her medical school career, who pro- vides an ongoing personal faculty contact and spends substantial time continuously teaching and reflecting with the student on clinical skills development and professionalism and working intensively with him/her at the bedside. These modular themes were laid down [Table 1] to consoli- date the relationship between them and their practical application in clinical skills sessions. keywords: clinical; course; learning; medical; students cache: squmj-1303.pdf plain text: squmj-1303.txt item: #110 of 1636 id: squmj-1304 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 1292 flesch: 66 summary: R E F E R E N C E S 1. The internet has become a pow- erful tool in health care decisions. keywords: care; evidence; health; patient cache: squmj-1304.pdf plain text: squmj-1304.txt item: #111 of 1636 id: squmj-1307 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 1692 flesch: 70 summary: Why this discrepancy in trachoma prevalence on similar reli- gious terrains? The people in Somalia (with high trachoma prevalence) have similar characteristics to the Northern Kenya communities we visited: same sect (Sunni), same terrain, same lan- guage, same culture and same people group. keywords: blindness; health; kenya; medical; people; trachoma cache: squmj-1307.pdf plain text: squmj-1307.txt item: #112 of 1636 id: squmj-1309 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 5551 flesch: 65 summary: According to Peter Senge, learning organisations are: …organisations where people continually expand their capacity to create the results they truly desire, where new and expansive patterns of thinking are nurtured, where collective aspiration is set free, and where people are continually learning to see the whole together.4 So, the concept of the learning organisation is that any successful organisation must continually learn in order to adapt to changes in the environment and grow. Keywords: Learning organisation; Healthcare education; Leadership. keywords: care; health; knowledge; l e; learning; o n; organisation; people; r n; team cache: squmj-1309.pdf plain text: squmj-1309.txt item: #113 of 1636 id: squmj-1310 author: None title: December 2007 Vol 8 After Meeting.indd date: 2008-01-01 words: 1700 flesch: 67 summary: While a number of associated symptoms, particularly belch- ing, do have a higher predictive value, our report re- inforces the need for a good history taking and earlier objective electrocardiographic information to prevent cardiac muscle damage and even death. The associa- tion of belching with inferior infarction suggests an enhanced autonomic response to ischaemic heart dis- ease at this site.9 The predominance of our patient’s symptom can be explained by inferior wall ischaemia induced by an almost occluded PDA, which probably masked other symptoms induced by the other partially narrowed coronary vessels. keywords: angina; belching; chest; infarction; pain; symptoms cache: squmj-1310.pdf plain text: squmj-1310.txt item: #114 of 1636 id: squmj-1311 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 753 flesch: 61 summary: Im- aging manifestation of pleural tumours. Primary malignant pleural neoplasms can present as solitary nodular mass or diffuse infiltrating tumour.2 Fused CT/Ga-67 SPECT Images for Detection of Pleural Lymphoma *Khalid Alsaadi,1 *Humoud Al-Dhuhli,1 Samir Hussain,1 Ikram Burney2 SULTAN QABOOS UNIVERSITY MEDICAL JOURNAL DECEMBER 2007 VOL 7, NO. 3, P. 261-262 SULTAN QABOOS UNIVERSITY© SUBMITTED - 3RD JUNE 2007 ACCEPTED - 1ST SEPTEMBER 2007 keywords: lymphoma; spect cache: squmj-1311.pdf plain text: squmj-1311.txt item: #115 of 1636 id: squmj-1312 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 544 flesch: 61 summary: Tran- scatheter closure of coronary artery fistulas. Coronary artery fis- tulas: Clinical and therapeutic consideration. keywords: artery; coronary cache: squmj-1312.pdf plain text: squmj-1312.txt item: #116 of 1636 id: squmj-1313 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 540 flesch: 59 summary: R E F E R E N C E S 1. Osteopoikilosis, or spotted bone, is a rare autosom- al dominant bone disorder of unknown pathology seen incidentally on X-rays.1,2 It was initially described by Albers-Schonberg and Ledoux-Lebard and associates in the year 1915.3 keywords: osteopoikilosis cache: squmj-1313.pdf plain text: squmj-1313.txt item: #117 of 1636 id: squmj-1314 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 4264 flesch: 67 summary: Iodine deficiency occurs when the soil is poor in iodine, causing a low concentration in food products and insufficient iodine intake in the population. Iodine deficiency is a significant cause of mental developmental problems in children, including implications on reproductive functions and lowering of IQ levels in school-aged children. keywords: deficiency; disorders; goiter; iodine; n e; o n; thyroid; years cache: squmj-1314.pdf plain text: squmj-1314.txt item: #118 of 1636 id: squmj-1315 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 2249 flesch: 59 summary: The diagnosis at this time described my condition as osteomyelitis (tempo- ral bone), osteoradionecrosis, mastoiditis and prone to recurrent ear infections. During 2006, a neurologist noted that the anvil and hammer in my left ear appeared distorted. keywords: ear; ent; infection cache: squmj-1315.pdf plain text: squmj-1315.txt item: #119 of 1636 id: squmj-1316 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 3575 flesch: 71 summary: Khandekar R, Zutshi R. Glaucoma among Omani diabetic patients: a cross-sectional descriptive study: Oman diabetic eye study 2002. The focus from primary prevention of DR should not be shifted, but eye care units should be periodically strengthened through the adoption of technological advances. keywords: diabetes; e t; eye; health cache: squmj-1316.pdf plain text: squmj-1316.txt item: #120 of 1636 id: squmj-1317 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 6465 flesch: 55 summary: Mixing approaches and pro- cedures is encouraged by some authors and regarded as a creative approach to qualitative research.12 Studies using qualitative research in health care have been criticised for the misguided separation of method from theory and of technique from the con- ceptual underpinnings.18 However, qualitative health researchers respond by stating that the choice of meth- od and how it is used can perfectly well be matched to what is being studied rather than to the methodologi- cal leanings of the researcher.10 It has been suggested that incorporating qualitative research method experts into health research teams enriches research and en- sures that the right methodology is used for answering the right questions. The aim of this article is not to act as a practical guide on how to conduct qualitative research, but is an attempt to give an introduction to qualitative research methods and their use in health-related research. keywords: care; data; e n; h e; health; interview; methods; qualitative; r e; research; researchers; s e; studies; study cache: squmj-1317.pdf plain text: squmj-1317.txt item: #121 of 1636 id: squmj-1318 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 3693 flesch: 69 summary: Alterations in HRV in 24 hour tachograms have recently been used in screening OSA patients. The low frequency (LF) spectral densities of HRV from polysomnography and Holter were significantly higher in OSA patients than in snorers, (p< 0.000). keywords: apnea; heart; holter; osa; patients; rate; sleep; snorers cache: squmj-1318.pdf plain text: squmj-1318.txt item: #122 of 1636 id: squmj-1319 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 7292 flesch: 69 summary: The prognostic determinants of gastric cancer treatment outcome in Omani Arab patients. For gastric cancer, the 5-year survival rate was 6.5 %; 24% for the non-metastatic group. keywords: breast; cancer; care; disease; factors; hodgkin; lymphoma; oman; outcomes; patients; prognostic; quality; r e; research; study; survival; year cache: squmj-1319.pdf plain text: squmj-1319.txt item: #123 of 1636 id: squmj-1320 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 5196 flesch: 68 summary: • Shows the determinants of waterpipe tobacco use among youth in Oman • Determines a baseline for waterpipe use among youth in Oman for monitoring future tobacco use among same groups. We therefore set out to assess the prevalence of waterpipe tobacco use among school-going adolescents and the factors asso- ciated with its use. keywords: adolescents; cigarette; e n; health; oman; school; smoking; students; study; tobacco; use; waterpipe cache: squmj-1320.pdf plain text: squmj-1320.txt item: #124 of 1636 id: squmj-1321 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 4361 flesch: 69 summary: As the prevalence of CHD risk factors in the Omani popula- tion is high, so the present study aimed to quantify the degree and extent of association between CHD and such risk factors in terms of ORs under univariate and multivariate situations. The various levels/degrees of CHD risk factors used in this study were as follows: H Y PE RTE N SI O N keywords: chd; diabetes; factors; family; history; risk; study cache: squmj-1321.pdf plain text: squmj-1321.txt item: #125 of 1636 id: squmj-1322 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 3816 flesch: 68 summary: M E T H O D S The objective of the study was to assess the potential efficacy of selective laser trabeculoplasty (SLT) as a primary therapeutic modality for lowering the in- Advances in Knowledge • Selective laser trabeculoplasty is a new modality of laser treatment for lowering intraocular pressure both in high tension glaucoma and ocular hypertension. رأب ، إرتفاع ضغط العني الليزر, جراحة ، العني ضغط ، الزاوية الكلمات: الزرق مفتوح مفتاح ABSTRACT Objective: Assessment of the potential efficacy and safety of selective laser trabeculoplasty (SLT) as a primary thera- peutic modality for lowering the intraocular pressure (IOP) in high tension open angle glaucoma (OAG) and ocular hypertensive patients (OHT). keywords: angle; cases; glaucoma; iop; laser; patients; slt; trabeculoplasty cache: squmj-1322.pdf plain text: squmj-1322.txt item: #126 of 1636 id: squmj-1323 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 4698 flesch: 68 summary: R E F E R E N C E S 1. R E F E R E N C E S 1. keywords: blood; cell; haemoglobinopathies; health; insulin; oman; patients; sickle cache: squmj-1323.pdf plain text: squmj-1323.txt item: #127 of 1636 id: squmj-1324 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 2374 flesch: 70 summary: R E F E R E N C E S 1. A N K H L A , N AY I L A L - K I N D Y, keywords: insulin cache: squmj-1324.pdf plain text: squmj-1324.txt item: #128 of 1636 id: squmj-1325 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 3107 flesch: 65 summary: Figure 1.3: Foreign body ( fish bone), the larger piece is 2.5cm, the shorter is 2.0cm It shows a swollen lower eyelid and an arrow pointing at possible location of foreign body in the lower lid a b Figure 2.2: Computed tomography (CT) images of the orbits - Axial CT images through the orbits show: a) High density linear foreign body (straight arrow) within the medial rectus muscle of the left orbit; b) keywords: body; e n; eye cache: squmj-1325.pdf plain text: squmj-1325.txt item: #129 of 1636 id: squmj-1326 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 1814 flesch: 61 summary: With increasing use of INFα in patients with HCV infections we should screen every patient for thyroid disease before and during therapy. Cytokines (TNFα, IL-1β) that are induced by IFN-α may directly or indirectly disturb the thyroid function by their immunomodulatory effects.2 Interferon-associated thyroid disease was first re- ported in 1985 when three cases of hypothyroidism were seen following IFN-α treatment of breast cancer.2 Since then, many more cases of thyroid disease induced by IFN-α have been published.1–8 IFN-α may provoke two different forms of thyrotoxicosis: a Graves’ disease picture or thyroiditis. keywords: disease; ifn; interferon; thyroid cache: squmj-1326.pdf plain text: squmj-1326.txt item: #130 of 1636 id: squmj-1327 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 1547 flesch: 64 summary: Tc-99m tetrofosmin have proved useful methods for the detection of primary breast cancer and the differentiation of malignant from be- nign mammary lesions.7-10 Two recent meta-analysis studies showed that there is evidence that scintimam- mography is a robust imaging technique delivering high sensitivities and specificities in patients studied in both single-centre and multi-centre trials and, as such, can be relied on as an adjunctive method for the investigation of primary breast cancer with sensitiv- ity range of 85% - 87.8% and specificity range of 83% - 86.9%.11, 12 We preferred the use of tetrofosmin to MIBI for scintimammography because of its more favour- able pharmacokinetics: its faster and greater clearance from the lungs and liver allow a higher target to back- ground ratio.13 The detection of recurrent breast cancer by mam- mography is a challenging task because architectural changes (mainly fibrosis) and scarring secondary to surgery and radiotherapy, cause difficulties in the in- Figure 1: Right breast mammography showing het- erogeneity of parenchyma with spiculations extend- ing towards pectoralis muscle, seen under surgical scar site in supero-lateral quadrant Figure 2: Tc-99m I O N Scintimammography should be performed in patients with recurrent breast cancer and equivocal mammog- raphy results. keywords: breast; cancer; scintimammography; tetrofosmin cache: squmj-1327.pdf plain text: squmj-1327.txt item: #131 of 1636 id: squmj-1328 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 2587 flesch: 68 summary: The toxicity is dose related and depends on the amount of castor beans ingested. Key words: Castor beans; Poisoning; Ricin; Case report; Oman. اخلروع ببذور تسمم حالة حجازي محمد السيد التميمي، أحمد عبداهللا فيصل بذور تناول يؤدي فقد . keywords: bean; castor; oil; patient; poisoning; protein; ricin; toxicity; اخلروع cache: squmj-1328.pdf plain text: squmj-1328.txt item: #132 of 1636 id: squmj-1329 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 3531 flesch: 63 summary: The author reports three cases of washing machine injuries to draw attention to this not so uncommon injury. Most of the reported cases of washing machine injuries come from North America and were often due to a design that is now defunct. keywords: book; hospital; icu; injuries; injury; machine; qaboos; sultan; university; washing; wringer cache: squmj-1329.pdf plain text: squmj-1329.txt item: #133 of 1636 id: squmj-1330 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 851 flesch: 56 summary: A G E جنني عند الفصي نصف الدِّماغ مِ دَّ قَ مُ اجُ مَ ِالنْدِ صور الرنني املغناطيسي احلمل أثناء جني راجيف لوفينا ماجادو˛ سخبال سوهني˛ 1Department of Radiology and Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Oman; 2Department of Gynecology and Obstetrics, Sultan Qaboos University Hospital, Muscat, Oman; 3Department of Radiology and Molecular Imaging, Sultan Qaboos University, College of Medi- cine & Health Sciences, Muscat, Oman *To whom correspondence should be addressed. Coronal plane at the level of the thalami: Central horseshoe-shaped single monoventricle (arrows) with absent frontal horns, absent ante- rior midline falx and inter-hemispheric fissure, absent septum pellucidum with failure of cleav- age of frontal and parietal lobes anteriorly; rudi- mentary temporal horns (arrowheads); thalami are partially separated with rudimentary third ventricle (marked *) 1b. keywords: holoprosencephaly; qaboos; sultan; university cache: squmj-1330.pdf plain text: squmj-1330.txt item: #134 of 1636 id: squmj-1331 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 530 flesch: 70 summary: It is now necessary for the peo- ple of this country to be aware of health issues and act responsibly so as to maintain this achievement and make it a full reality. You have very rightly mentioned the fact that perhaps no other country in the world has achieved so much in so little a time in terms of health care. keywords: health; oman cache: squmj-1331.pdf plain text: squmj-1331.txt item: #135 of 1636 id: squmj-1337 author: None title: August 2007 Vol 7 copy.indd date: 2017-09-26 words: 3650 flesch: 48 summary: The eradication of H. pylori infection is recommended in patients with (i) gastro-duodenal pathologies such as peptic ulcer disease and low-grade gastric mucosa-associated lymphoid tissue lymphoma (MALT lymphoma), (ii) atrophic gastritis, (iii) first-degree relatives of gastric cancer patients, (iv) unexplained iron deficiency anaemia (v) chronic idiopathic thrombocytopenic purpura. There are no good prognostic symptoms to detect the disease early and presentation is almost always too advanced for surgery, only 10% of patients with non-small cell lung cancer (NSCLC) go to resection.. keywords: n e; o n; patients cache: squmj-1337.pdf plain text: squmj-1337.txt item: #136 of 1636 id: squmj-1339 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 1050 flesch: 53 summary: Thereafter, detailed manifestations and the management of various neurological diseases are pre- sented, divided into central nervous system diseases and those of the peripheral nervous system, as well as common neurological manifestation of psychiatry and drug abuse. The book is edited by; Stephen L Hauser, MD; Robert A Fishman Distin- guished Professor and Chairman, Department of Neu- rology, University of California, San Francisco, USA. Associate Editors, all from the same department as the Editor, are: Scott Andrew Josephson, MD, Neurovascu- lar and Behavioral Neurology Fellow; Joey D English, MD, PhD, Assistant Professor; John W Engstrom, MD, Professor and Vice-Chairman Patients with neurological disorders are common in day to day clinical practice. keywords: book; diseases; disorders; section cache: squmj-1339.pdf plain text: squmj-1339.txt item: #137 of 1636 id: squmj-1340 author: None title: December 2007 Vol 8 After Meeting.indd date: 2017-09-26 words: 804 flesch: 64 summary: The aim of this book is to summarise the informa- tion that is available from randomised clinical trials in childhood cancer. In each of these chapters there is a review of the background of the disease, most popu- lar clinical trials and studies, lessons from these trials, their outcome and a conclusion. keywords: book cache: squmj-1340.pdf plain text: squmj-1340.txt item: #138 of 1636 id: squmj-1341 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 920 flesch: 48 summary: A third type of molecular imaging using NIR incorporates ultrasound in the same probe giving a fused anatomic/functional image.5 There are many other new imaging tools and techniques which fall into the category of molecular imaging and explore the biology of disease and normal tissues e.g. humanised antibodies and their fragments as well as some of the fMRI studies: dynamic contrast-en- hanced magnetic resonance imaging (DCE-MRI) to evaluate tumour angiogenesis, and integrin-targeted nanopar- ticles for MRI imaging of angiogenesis. This conference discussed pa- pers on MRI and functional MRI(fMRI) which is a stepping stone to molecular imaging. keywords: breast; cancer; imaging cache: squmj-1341.pdf plain text: squmj-1341.txt item: #139 of 1636 id: squmj-1342 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 833 flesch: 55 summary: It provides a superior review for resi- dents preparing for board examinations and the essen- tial background for ICU rotations. The book, running to more than 1000 pages, has 53 chapters in 16 sections covering: Basic Science Review; Preventive Practices in the Critically ill; Vascular Access; Haemodynamic Moni- toring; Disorders of Circulatory flow; Critical Care Cardiology; Acute Respiratory Failure; Mechanical Ventilation; Acid Base Disorders; Renal and Electro- lyte Disorders; Transfusion Practices in Critical Care; Disorders of Body Temperature; Inflammation and Infection in the ICU; Nutrition and Metabolism; Criti- cal Care Neurology; Toxic Ingestions. keywords: book; care; icu cache: squmj-1342.pdf plain text: squmj-1342.txt item: #140 of 1636 id: squmj-1343 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 860 flesch: 54 summary: The purpose of the book is to provide brief facts on embryology and surgical anatomy with special reference to their surgical implications. The author cov- ers all important and relevant aspects of the embryol- ogy and surgical anatomy. keywords: anatomy; book; chapters cache: squmj-1343.pdf plain text: squmj-1343.txt item: #141 of 1636 id: squmj-1344 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 847 flesch: 61 summary: Each chapter tackles different themes with palat- able headings including: visuospatial memory; recalling actions; odour memory; autobiographical memory; col- laborative memory; illusion and false memories; exper- tise; memory impairment; meta-cognition; functional memory and retrieval processes. It is the one that goes under the fancy banner, ‘Memory illusions and false memo- ries in the real world’. keywords: everyday; memory; volume cache: squmj-1344.pdf plain text: squmj-1344.txt item: #142 of 1636 id: squmj-1345 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 885 flesch: 52 summary: Each chapter begins with chapter aims, and con- cludes with suggested further reading followed by a brief summary, which varies in depth and helpfulness depending on the chapter. Each chapter in this text is self-contained, but there is very little continuity between chapters or ef- fort at linking ideas. keywords: text; theories cache: squmj-1345.pdf plain text: squmj-1345.txt item: #143 of 1636 id: squmj-1346 author: None title: 2008-Issue1.indd date: 2017-09-26 words: 16597 flesch: 64 summary: N F E R E N C E , S U LTA N Q A B N F E R E N C E , S U LTA N Q A B keywords: b o; c e; c o; c s; c t; c y; e e; e gn; e m; e n; e o; e s; h e; l e; n c; n d; n g; n s; n t; o l; o n; o r; o u; pr e; r e; r n; t e; t o; t r; u n; y n cache: squmj-1346.pdf plain text: squmj-1346.txt item: #144 of 1636 id: squmj-1347 author: None title: July 2008.indd date: 2017-09-26 words: 1492 flesch: 64 summary: In her World Health Day 2008 address, “The impact of climate change on human health”, 2 WHO Director-Gen- eral, Dr. Margaret Chan, said, “The core concern is succinctly stated: climate change endangers health in funda- mental ways. She drew at- tention to the fact that, “last year marked the turning point in the debate of climate change. keywords: change; climate; health; water; world cache: squmj-1347.pdf plain text: squmj-1347.txt item: #145 of 1636 id: squmj-1348 author: None title: July 2008.indd date: 2017-09-26 words: 4791 flesch: 62 summary: There are extensive publications on genetic counsel- ling and other genetic services published from well-es- tablished genetic institutes in the West.10,12, 21 Caution should be exercised before planning genetic services 1. In Oman and neighbouring countries, genetic services have been developed, both within the health care system and in universities. keywords: e n; e t; genetic; n t; services cache: squmj-1348.pdf plain text: squmj-1348.txt item: #146 of 1636 id: squmj-1349 author: None title: July 2008.indd date: 2017-09-26 words: 9447 flesch: 60 summary: Clinical Cancer Advances 2005: major research ad- vances in cancer treatment, prevention, and screening - a report from the American Society of Clinical Oncol- ogy. Clinical cancer advances 2006: major research ad- vances in cancer treatment, prevention, and screening - a report from the American Society of Clinical Oncol- ogy. keywords: adjuvant; breast; cancer; cell; chemotherapy; group; months; n c; n e; n t; patients; r n; study; survival; treatment; trial; years cache: squmj-1349.pdf plain text: squmj-1349.txt item: #147 of 1636 id: squmj-1350 author: None title: July 2008.indd date: 2017-09-26 words: 5335 flesch: 58 summary: The units continue to provide important benefits to the educational mission of their institution and, by supporting the professional iden- tity of medical education scholars, they are essential to the continued development of medical education as a discipline. ، واإلدارة التنظيم ، الطبي الكلمات: التعليم مفتاح ABSTRACT Most medical schools have established a medical education unit (MEU) or similar bodies in response to various reforms in medical education. keywords: activities; development; education; faculty; health; medical; meus; research; schools; service; staff; support; teaching; training; unit; university cache: squmj-1350.pdf plain text: squmj-1350.txt item: #148 of 1636 id: squmj-1351 author: None title: July 2008.indd date: 2017-09-26 words: 5354 flesch: 73 summary: The regional variation in the prevalence of asth- ma symptoms within Oman is similar to reports from other countries and is consistent with ISAAC findings.9-11 The cause of the higher and increasing prevalence of asthma symptoms in the eastern (Shar- qiya) region compared to other regions of Oman is not clear, and in the absence of previous information, all the possible factors of high asthma prevalence need to be considered and evaluated.12-15 Thus the observed regional difference may be explained by differences in one or more of the following factors: interpretation of the written questionnaire, recognition of asthma diag- nosis and symptoms, healthcare utilization and preva- lence of genetic and environmental risk factors.13 Email: orawas@squ.edu.om ABSTRACT Objectives: The International Study of Asthma and Allergies in Children (ISAAC) highlighted the presence of wide variations in asthma prevalence between and within countries. keywords: age; asthma; children; diagnosis; iii; isaac; phase; prevalence; regions; study; symptoms; wheeze cache: squmj-1351.pdf plain text: squmj-1351.txt item: #149 of 1636 id: squmj-1352 author: None title: July 2008.indd date: 2017-09-26 words: 2869 flesch: 64 summary: I IT HAS GENERALLY BEEN RECOMMENDED1-2 THAT screening for hyperaldosteronism be considered at least for hypertensive patients with spontane- ous hypokalemia (K <3.5 mmol/L), or with marked diuretic-induced hypokalemia (K <3.0 mmol/L), with hypertension refractory to treatment with three or more drugs or those found to have an incidental adre- nal adenoma. Previously, primary hyperaldosteronism (PAL) was not believed to be familial and thought to account for less than 1% of hypertensive patients and hypokalemia was considered a prerequisite for pursu- ing diagnostic tests2. keywords: hypertension; patients cache: squmj-1352.pdf plain text: squmj-1352.txt item: #150 of 1636 id: squmj-1353 author: None title: July 2008.indd date: 2017-09-26 words: 5119 flesch: 61 summary: N Y N 5/13 Use of urinary catheter N N Y N N N N Y N Y Y N Y 5/13 Admission to Intensive Care Unit Y N N N N Y Y N Y N N Y N 5/13 Ventilatory assistance Y N N N N N N N N N N N N 1/13 Abdominal surgery N N N N N N N N N N N N N 0 Obstructive disease of urinary tract N N N N N N N N N N N N N 0 Table 3: ESBL risk factors in a group of Sultan Qaboos University Hospital paediatric patients E X T E N D E D - S P E C T R U M β - L A C TA M A S E ( E S B L ) The high rate of ESBLs in urine samples is not striking if we consider the high prevalence of ESBLs in the gut as shown in Hong Kong where the faecal carriage rates of ESBL is 19% in general outpatients, 19.3% in hospitalized pa- tients, 22.5% in healthy inmates, and 33.3% in conva- lescent patients.35 In one Middle East country, 1.25% of all gram-negative organisms causing community acquired urinary tract infections during 1999 were re- ported as ESBL producers.22, 36 Previous exposure to antimicrobials, female sex, Risk factors Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Case 7 Case 8 Case 9 Case 10 Case 11 Case 12 Case 13 Total Sex M F F M F F F F F F F F F F=11 M=2 Previous use of antibiotics Y Y Y Y Y Y Y Y Y Y Y Y Y 13/13 Hospital stay > 5 days Y Y Y N Y Y Y Y Y Y Y Y Y 12/13 Malignancies N Y N N N Y Y N Y N keywords: amikacin; coli; esbl; klebsiella; n n; nitrofurantoin; pneumoniae; spectrum; y n; y y cache: squmj-1353.pdf plain text: squmj-1353.txt item: #151 of 1636 id: squmj-1354 author: None title: July 2008.indd date: 2017-09-26 words: 4276 flesch: 70 summary: %25 - 47 مريضا) كان %2.4 - 187 مريضا). keywords: blood; control; hypertension; study cache: squmj-1354.pdf plain text: squmj-1354.txt item: #152 of 1636 id: squmj-1355 author: None title: July 2008.indd date: 2017-09-26 words: 5079 flesch: 68 summary: R E S U L T S The clinical and biochemical characteristics of study subjects are shown in Table 1. R E F E R E N C E S 1. keywords: albumin; alt; diabetes; e s; ggt; insulin; liver; obese; obesity; resistance; serum; study; subjects cache: squmj-1355.pdf plain text: squmj-1355.txt item: #153 of 1636 id: squmj-1356 author: None title: July 2008.indd date: 2017-09-26 words: 4185 flesch: 65 summary: Like other studies, this study also showed a preponderance of males (61.95%) as AGN cases (n = 59) Number Percentage AGN with hypertensive encephalopathy 11 18.6% AGN with nephrotic picture 10 16.9 % AGN with urinary tract infection (UTI) 10 16.9 % AGN with heart failure 6 10 .1% AGN with rapid progressive GN 5 8.5% AGN with acute renal failure 4 6.7 % AGN with rheumatic fever 3 5 % AGN with heart failure + UTI 3 5 % AGN with joint pains and rash 2 3.3 % AGN with epistaxis 2 3.3 % AGN with malena 1 1.69% AGN with heart failure and acute renal failure 1 1.69 % AGN with enteric fever and urinary tract infection 1 1.69 % Total 59 100% Table 2: Pattern of atypical presentations/complica- tions of acute glomerulonephritis (AGN) A R M A , TE J E S H M A L L A A N D keywords: acute; agn; cases; children; glomerulonephritis; patients; renal; study cache: squmj-1356.pdf plain text: squmj-1356.txt item: #154 of 1636 id: squmj-1357 author: None title: July 2008.indd date: 2017-09-26 words: 2447 flesch: 66 summary: This study was carried out to evaluate the effect of hydrogen peroxide 3% on tonsillectomy times, blood loss during the surgery and on the number of ties used. Tonsillectomy was performed using hydrogen peroxide 3% as a haemostatic agent in Group A (n = 5), while in Group B (n = 5) keywords: blood; group; hydrogen; loss; peroxide; study; time; tonsillectomy cache: squmj-1357.pdf plain text: squmj-1357.txt item: #155 of 1636 id: squmj-1358 author: None title: July 2008.indd date: 2017-09-26 words: 3458 flesch: 61 summary: I N 209 Treatment of chronic painful diabetic neuropathy with intravenous lidocaine infusion. Concentra- tion-effect relations for intravenous lidocaine infusions in human volunteers: effects on acute sensory thresh- olds and capsaicin-evoked hyperpathia. keywords: chronic; effects; infusion; intravenous; lidocaine; pain; patient; response; study cache: squmj-1358.pdf plain text: squmj-1358.txt item: #156 of 1636 id: squmj-1359 author: None title: July 2008.indd date: 2017-09-26 words: 2162 flesch: 66 summary: Cortisol levels were suppressed by 95% after high dose dexamethasone suppression [Table 1] indicative of pituitary ACTH production, but as in Case 1, there was no evidence of a pituitary tumour on his initial MRI scan. The patient then under- went bilateral laparoscopic adrenalectomy rather than pituitary surgery, as there were concerns that his subsequent growth and sexual development might be adversely affected. keywords: acth; adrenalectomy; cushing; disease; patients; pituitary cache: squmj-1359.pdf plain text: squmj-1359.txt item: #157 of 1636 id: squmj-1360 author: None title: July 2008.indd date: 2017-09-26 words: 1929 flesch: 61 summary: July 2008.indd ABSTRACT Uterine cavity occlusion following caesarean section for central placenta praevia culminating in haematometra and thereby amenorrhoea is one of the rarest long term complications of lower segment caesarean section. Lower segment caesarean section for placenta preavia will eventually lead to bleeding from open sinuses of the relatively noncontractile lower seg- ment that can be catastrophically heavy. keywords: caesarean; intrauterine; placenta cache: squmj-1360.pdf plain text: squmj-1360.txt item: #158 of 1636 id: squmj-1361 author: None title: July 2008.indd date: 2017-09-26 words: 1859 flesch: 66 summary: A N K H L A , B A D R A N K H L A , B A D R keywords: right cache: squmj-1361.pdf plain text: squmj-1361.txt item: #159 of 1636 id: squmj-1362 author: None title: July 2008.indd date: 2017-09-26 words: 1393 flesch: 68 summary: On the incidence of the supracondyloid proc- Figure 1: Oblique view of the right elbow showing supracondylar process 225 F R A C T U R E U S S keywords: humerus; process; supracondylar cache: squmj-1362.pdf plain text: squmj-1362.txt item: #160 of 1636 id: squmj-1363 author: None title: July 2008.indd date: 2017-09-26 words: 2051 flesch: 59 summary: An unusual vari- ation of superficial ulnar artery. An unusual course of radial artery. keywords: arteries; artery; limb; pattern; radial; ulnar cache: squmj-1363.pdf plain text: squmj-1363.txt item: #161 of 1636 id: squmj-1364 author: None title: July 2008.indd date: 2017-09-26 words: 567 flesch: 65 summary: R E F E R E N C E S 1. The tracheal bronchus maybe supernumerary if the right upper lobe trifurcates and supplies the upper lobe normally and the accessory bronchus supplies an extra segment of right upper lobe. keywords: bronchus cache: squmj-1364.pdf plain text: squmj-1364.txt item: #162 of 1636 id: squmj-1365 author: None title: July 2008.indd date: 2017-09-26 words: 848 flesch: 54 summary: Far from presenting the literature relevant to the region, the coverage is nothing more than a good literature review deriving largely from non-Arab population and narrated in a Euro-American vernacular. July 2008.indd Caring for Arab Patients A Biopsychosocial Approach SULTAN QABOOS UNIVERSITY MEDICAL JOURNAL JULY 2008, VOLUME 8, ISSUE 2, P. 233-234 SULTAN QABOOS UNIVERSITY© SUBMITTED - 26TH APRIL 2008 DESPITE THE FACT THAT WE ARE IN THE AGE of globalisation, it is apparent that health, distress, illness and disability are still influ- enced and shaped by local and socio-cultural forces. keywords: care; health; volume cache: squmj-1365.pdf plain text: squmj-1365.txt item: #163 of 1636 id: squmj-1366 author: None title: July 2008.indd date: 2017-09-26 words: 746 flesch: 58 summary: The book specifically focuses on adult onset trauma. Her thirty years of experience of examining and treating PTSD and survivors of adult onset trauma has been concretised in this volume. keywords: ptsd; volume cache: squmj-1366.pdf plain text: squmj-1366.txt item: #164 of 1636 id: squmj-1367 author: None title: July 2008.indd date: 2017-09-26 words: 1674 flesch: 62 summary: Residents, radiologists, nuclear physicians and practising clinicians who would like a quick reference on topics such as PET, SPECT and integrated PET-CT and SPECT-CT will find this book very useful. Since the publishing of the first edition, the importance of positron emission tomography (PET) and single photon emission to- mography (SPECT) in the clinical arena has evolved achieving a definite place in the realm of clinical in- vestigations of patients. keywords: imaging; pet; spect cache: squmj-1367.pdf plain text: squmj-1367.txt item: #165 of 1636 id: squmj-1368 author: None title: July 2008.indd date: 2017-09-26 words: 1050 flesch: 60 summary: Re: Continuity of Care - Literature Review and Implications To the Editor, We read the paper “Continuity of Care Literature review and implications” by Alazri M et al. with interest,1 and were gratified to find that it supported most of our personal biases regarding the benefits of continuity of care, in particular page 201, column 2, paragraph 3, lines 1-3, “In Type 2 diabetes, relational and longitudinal continuity could decrease diabetes related complications and improve the quality of life” Continuity of care and the physician-patient relationship: the importance of continuity for adult patients with asthma. keywords: care; continuity; diabetes cache: squmj-1368.pdf plain text: squmj-1368.txt item: #166 of 1636 id: squmj-1369 author: None title: July 2008.indd date: 2017-09-26 words: 397 flesch: 62 summary: Participants were SQU students, medical students and other young people from elsewhere in Oman and the total number was 1,000. Al Lawati JA, Muula AS, Hilmi SA, Rudatsikira E. Prevalence and determinants of waterpipe tobacco use among adoles- cents in Oman. keywords: oman cache: squmj-1369.pdf plain text: squmj-1369.txt item: #167 of 1636 id: squmj-1370 author: None title: July 2008.indd date: 2017-09-26 words: 11631 flesch: 62 summary: A L C O N F E R E N C E A L C O N F E R E N C E keywords: c e; c t; e n; e o; h c; h e; hospital; l e; m e; n c; n g; n h; n s; n t; o n; quality; r e; r n; t e; t s; t y cache: squmj-1370.pdf plain text: squmj-1370.txt item: #168 of 1636 id: squmj-1371 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 1237 flesch: 65 summary: Little did I realize that in this issue, I might have to discuss the effect of another natural disaster on our health, i.e. the impact of the current of world financial crisis. This study also indicted that job lay-offs from the economic crisis lead to a two-fold increase in subsequent heart attacks and cerebrovascular events.6 A study reported from Duke University workers has also shown that ex-smokers are more likely to relapse, drinkers drink more, and people eat less heart-healthy foods during financial crises. keywords: crisis; health; october; world cache: squmj-1371.pdf plain text: squmj-1371.txt item: #169 of 1636 id: squmj-1372 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 3848 flesch: 62 summary: We have previously proposed four categories of solution to shortfalls in health workforces: 20 the com- pression of the years of morbidity in later life; a better alignment of the elements of the medical education and health systems with each other and with patient care needs; an increase in the percentage of the com- munity employed in health services and greater out- put from the current workforce; and, the identification and employment of disruptive innovations.16 Compressing morbidity in later life will be difficult in the context of epidemics such as obesity and diabetes and will be opposed by increasing health service con- sumption by the affluent “well-worried-sick”. The USA ‘health- spend’ is about 16% of gross domestic product (GDP); about 31% of this is consumed by bureaucracy and up to 45 million citizens have little or no access to health care.1, 2 Almost 10% of Australians are employed as health workers and health care costs about 10% of the Australian GDP.3 keywords: doctors; future; health; medical; new; practice; time; training; workforce cache: squmj-1372.pdf plain text: squmj-1372.txt item: #170 of 1636 id: squmj-1373 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 7007 flesch: 65 summary: The nocturnal dip in BP was smaller in patients with OSAHS than in matched control subjects.8 Hypoxia may explain partly these variations in BP in sleep apnoea patients. O SA H S SUB JE C TS Animal models In dogs, obstructive sleep apnoea leads to the devel- opment of sustained hypertension.22 Obstructive sleep apnoea (OSA) was produced in four dogs using an oc- clusion valve attached to an endotracheal tube through which the dog could breathe. keywords: activity; apnoea; baroreflex; blood; e e; e n; e p; e s; hypertension; n o; o e; osahs; patients; pressure; sleep; sleep apnoea cache: squmj-1373.pdf plain text: squmj-1373.txt item: #171 of 1636 id: squmj-1374 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 5749 flesch: 61 summary: Email: umoideen@squ.edu.om ABSTRACT Objectives: To study the impact of quality of relationships with supervisors, operationalised as leader-member exchange (LMX), on work exhaustion among nurses working for a hospital in Oman. Results: LMX was found to be a significant negative correlate of work exhaustion directly, as well as beyond the con- trolled-for correlates of gender, organisation experience, occupation experience, education level, job satisfaction, occupation satisfac- tion and work interfering with family. keywords: burnout; exhaustion; family; health; job; lmx; nurses; research; satisfaction; study; work; work exhaustion cache: squmj-1374.pdf plain text: squmj-1374.txt item: #172 of 1636 id: squmj-1375 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 5166 flesch: 74 summary: The 52 eyes of 5 males and 37 female patients with corneal ulcers were examined. • Proper and timely management can reduce long term visual disabilities in patients with corneal ulcer due to R I K keywords: contact; corneal; keratitis; lens; patients; study; treatment cache: squmj-1375.pdf plain text: squmj-1375.txt item: #173 of 1636 id: squmj-1376 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 5510 flesch: 74 summary: Some experts believe that elevated copper levels, especially when zinc levels are also low, may be a contributing factor in many medical conditions including schizophrenia, hypertension, stuttering, au- tism, fatigue, muscle and joint pain, headaches, child- hood hyperactivity, depression, insomnia, senility, and premenstrual syndrome.20, 21 Studies have shown that zinc-induced alteration in other essential metals, especially copper, 22-25 is re- sponsible for the production of biological effects. These results demanded nutritional assessments be- cause common causes of low zinc levels are usually nutritional due to inadequate dietary zinc intakes or a diet high in fibre and phytate which reduces zinc ab- sorption. keywords: age; copper; e n; e r; girls; growth; levels; n c; serum; study; zinc cache: squmj-1376.pdf plain text: squmj-1376.txt item: #174 of 1636 id: squmj-1377 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 4089 flesch: 71 summary: The risk of developing glaucoma in PEX is 20-77%.1, 4 Aasved found a nine fold increase in prevalence of PEX in first degree relatives over age of 40 years compared to the general population, suggesting an autosomal domi- nant inheritance.5 This study was commenced with the aim of high- lighting the importance and need for preoperative evaluation of corneal endothelial cells in PEX eyes in the Omani population undergoing cataract, or other intraocular anterior segment surgery. This could be the reason for PEX keratopathy with subsequent early and rapid corneal decompensation.13 Since cataract is the most common anterior segment intraocular sur- gery performed world wide, the implications of PEX on corneal endothelial cells are quite demanding.14,15 The overall incidence of intra-operative complica- tions in PEX eyes has been reported to be 4-7% de- pending on the preexisting pathology. keywords: age; endothelial; eyes; glaucoma; pex; polymegathism cache: squmj-1377.pdf plain text: squmj-1377.txt item: #175 of 1636 id: squmj-1378 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 2935 flesch: 69 summary: To study the efficacy of intravenous sulprostone (Nalador) for the termination of pregnancy with fetal death in second and early third trimester of pregnancy. We undertook this study to find out the safety and efficacy of intravenous sulprostone in cases of termination of pregnancies with second and early third trimester fetal deaths keywords: patients; pregnancy; sulprostone; termination; trimester; women cache: squmj-1378.pdf plain text: squmj-1378.txt item: #176 of 1636 id: squmj-1379 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 6718 flesch: 69 summary: Contrary to modern health care, traditional medicine does not relegate human beings to mechanis- tic organisms.44 There is also the suggestion that some of the healing rituals common in traditional medicine may serve as psychotherapeutic support.45 Within this relevant discourse, reports have emerged to suggest that there are a substantial number of health care seek- ers who transverse both traditional and modern health care systems, often in tandem.46 Given this complex situation, it is not therefore surprising that those sub- jects who have utilised traditional medicine may also prefer to have close proximity to modern health care centres. Despite its impact on health policy, the relationship between geographical proximity and health care seeking has received scant attention in the medical literature. keywords: care; e e; e o; health; health care; m e; o n; oman; proximity; r e; seeking; study cache: squmj-1379.pdf plain text: squmj-1379.txt item: #177 of 1636 id: squmj-1380 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 3693 flesch: 71 summary: Mesquite (Prosopis glandulosa) (35.7%), Russian thistle (Salsola kali) (34.4%), cockroach (32.%), Bermuda grass (Cynodon dactylon) (9.7%), grass mix-five standard (8.0%), wheat cultivate (4.%), cats (3.8%), Penicillium notatum (4.3%), Alternaria tenius (3.9%), Aspergillus Niger (3.3%), feather mix (3.0%), dog (2.6%), horse hair and dander (2.6%), and Aspergillus fumigatus (.6%). In the first panel, the commonest positive allergens were: house dust mites (37.8%), hay dust (35.4%), feathers (33.3%), sheep wool (26.6%), mixed threshing dust (25.8%), cat fur (24.2%), cockroach (22.7%), straw dust (22.7%), horse hair (7.4%), maize (6.%), grasses (.5%), cotton flock (0.7%), trees (0.4%), cow hair (7.8%), Alternaria alternata (3.6%), Aspergillus Niger (3.4%), and Aspergillus fumigatus (.3%). keywords: allergens; allergy; asthma; patients; rhinitis cache: squmj-1380.pdf plain text: squmj-1380.txt item: #178 of 1636 id: squmj-1381 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 4836 flesch: 67 summary: Conclusion: The women attending antenatal care services in Musandam were highly satisfied with the services offered; however, there was scope for further improvement. • Client satisfaction related to antenatal care services in the Musandam region of Oman was very good. keywords: antenatal; care; health; musandam; oman; region; satisfaction; services; study; women cache: squmj-1381.pdf plain text: squmj-1381.txt item: #179 of 1636 id: squmj-1382 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 3608 flesch: 71 summary: Long-term outcome with pentostatin treatment in hairy cell leukemia patients. Hairy cell leukaemia treatment. keywords: blood; bone; cd20; cell; hairy; leukaemia; marrow; patients; treatment cache: squmj-1382.pdf plain text: squmj-1382.txt item: #180 of 1636 id: squmj-1383 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 2862 flesch: 58 summary: In a recent study conducted in Saudi Arabia, the complication rate in varicella infection was found to be 1.5% and the overall fatality rate was found to be 0.05%.5 Another study in Germany, done to assess the epidemiological pattern of varicella complications, revealed the majority as neurological with encepha- litis leading the list.6 Our case also rightly raises the question of the importance of vacci- nation against varicella virus infections at least in pa- tients with high risk of developing a severe disease.10 R E F E R E N C E S 1. keywords: coagulation; day; infection; patient; varicella; zoster cache: squmj-1383.pdf plain text: squmj-1383.txt item: #181 of 1636 id: squmj-1384 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 1494 flesch: 71 summary: Email: sure5155@omantel.net.om Compound heterozygosity for Hb S and Hb S-Oman Case report *Suresh Venugopal, Alphonsa Shaju, Suchata Dhuri, Thuraiya Al-Harthy, Khalid B Jabal ABSTRACT The haematological and clinical findings of a three year old Omani girl, phenotypically compound heterozygote for Hb S and Hb S Oman, are presented, further substantiated by family studies. The results of this screening were as follows: G6PD activity was normal; the high performance liquid chromatography (HPLC) profile showed: Hb A - 49%; Hb A2 - 2.3%; Hb F - 30.8%; Hb S - 12.3% and a presumptively Hb S-Oman - 5.6% in the HbC window. keywords: blood; cell; oman cache: squmj-1384.pdf plain text: squmj-1384.txt item: #182 of 1636 id: squmj-1385 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 3097 flesch: 70 summary: 9, 11, 17 Bacterial growth in date thorn injury is rare 3,12,19 Many organisms have been identified in the tissues, though bacterial growth is infrequently reported from date thorn lesions. The author presents five cases of date thorn injury which presented with late complica- tions. keywords: body; bone; cases; date; foot; granuloma; lesion; reaction; thorn cache: squmj-1385.pdf plain text: squmj-1385.txt item: #183 of 1636 id: squmj-1386 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 2029 flesch: 65 summary: When CMV IgM antibody test came out positive, the laboratory enter- tained the diagnosis of cervical lymphadenitis due to acute CMV infection and requested a blood PCR test to detect CMV DNA. A four year old boy with acute streptococcal infection presented at Al-Nahdha Hospital, Muscat, Oman, with follicular tonsillitis and bilateral cervical lymphadenitis. keywords: acute; cmv; igm; infection; patient; test cache: squmj-1386.pdf plain text: squmj-1386.txt item: #184 of 1636 id: squmj-1387 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 705 flesch: 64 summary: The aberrant left subclavian artery takes its origin from a prominent Kommerell’s diverticulum at the distal end of aortic arch. The black arrowhead points to the left common carotid artery, the black arrow to the right common carotid artery and the medium sized white arrow to right subclavian artery (C). keywords: artery; right; subclavian cache: squmj-1387.pdf plain text: squmj-1387.txt item: #185 of 1636 id: squmj-1388 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 809 flesch: 64 summary: The classical gross finding of steroid cell tumor (NOS) is a solid, well-circumscribed ovarian mass. Ovarian steroid cell tumors (not otherwise specified). keywords: cell; steroid; tumor; tumours cache: squmj-1388.pdf plain text: squmj-1388.txt item: #186 of 1636 id: squmj-1389 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 985 flesch: 62 summary: In this context, Sarah Bekaert’s volume brings fresh insight into a field that has been progressively nurtured by her experienced as a paediatric nurse with degrees in gynaecology and reproductive health and member- ship of the British Association for sexual health and HIV. The author presents and discusses almost all areas of women’s health including menstrual symptoms, hormonal changes, sexual health, pelvic conditions, pregnancy and infertility, in addition to breast symp- toms, urinary symptoms and weight. keywords: health; volume; women cache: squmj-1389.pdf plain text: squmj-1389.txt item: #187 of 1636 id: squmj-1390 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 1152 flesch: 63 summary: It is no wonder therefore that men, with their socially patterned risk taking propensities, are likely to succumb to drug addiction and other health risky behaviours. Despite its practical application, the book overlooks the role of women in the lives of men. keywords: health; males; men; volume cache: squmj-1390.pdf plain text: squmj-1390.txt item: #188 of 1636 id: squmj-1391 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 1277 flesch: 60 summary: Most demoralising, males with central obesity have a higher risk of succumbing to ill- effects of obesity. Although there are many academic publications highlighting the global epidemic of obesity, this vol- ume uniquely focuses on the male gender. keywords: book; health; obesity; volume cache: squmj-1391.pdf plain text: squmj-1391.txt item: #189 of 1636 id: squmj-1392 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 1045 flesch: 50 summary: It argues that if one is going to sup- port people with diabetes effectively the health system must pay more attention to and spend more money on mental health aspects. THE BOOK PROVIDES A NEW APPROACH IN looking at diabetes as a health problem with complex dimensions affecting patients, their families and health professionals. keywords: approach; diabetes; health cache: squmj-1392.pdf plain text: squmj-1392.txt item: #190 of 1636 id: squmj-1393 author: None title: December 2008 no white pages.indd date: 2017-09-26 words: 938 flesch: 65 summary: Every branch of medicine will face the consequences and they will pose a gradually increasing burden and challenge for them in the coming decades, with, unfortunately, with little hope of successful solutions, if present trends continue and the world clings to un- healthy lifestyles as the dearest, most cherished and attractive thing on earth. In Oman and other Gulf states, we already have certain adverse factors, such as a high proportion of consan- guinity and genetic defects which gives us little chance of escape from many health problems. keywords: health; world cache: squmj-1393.pdf plain text: squmj-1393.txt item: #191 of 1636 id: squmj-1394 author: None title: March 2009.indd date: 2017-09-27 words: 2917 flesch: 52 summary: Plagiarism is the worst offence of all the various forms of publication misconduct. 1 At the recent 4th Regional Conference on Medical Journals in the Eastern Mediterranean Region, 5-7th November 2008, in Manama, Kingdom of Bahrain, the editors of medical journals in the EMRO (East- ern Mediterranean Region of WHO) discussed pub- lication misconduct extensively.4Plagiarism, as well as other forms of publication misconduct, were discussed in the lectures as well as the workshops by speakers from various parts of the world, including the United Kingdom, Croatia, Spain, Austria, Iran and Pakistan. keywords: editors; ethics; journals; medical; misconduct; plagiarism; publication; research cache: squmj-1394.pdf plain text: squmj-1394.txt item: #192 of 1636 id: squmj-1395 author: None title: March 2009.indd date: 2017-09-27 words: 8706 flesch: 63 summary: Ghubash, Daradkeh & Abou-Saleh20 concluded that the high correlation between the significant sex differences in depression rates and socio-demographic variables in- dicated that a significant cause of difference is likely to be based on social instead of biological factors. The countries where Alansari found no signifi- cant difference in depression rates between men and women were equally wide-ranging: Tunisia and Sudan in North Africa, Lebanon, Palestine and Jordan in the Levant, and U.A.E and Yemen in the Gulf. keywords: depression; disorders; e e; e m; e n; e s; factors; h e; health; l e; mena; n d; n t; oman; postpartum; psychiatry; r e; rates; region; t e; women; world cache: squmj-1395.pdf plain text: squmj-1395.txt item: #193 of 1636 id: squmj-1396 author: None title: March 2009.indd date: 2017-09-27 words: 5224 flesch: 62 summary: An example of a relatively rare, but now prominent autosomal dominant condition, is Huntington disease (HD) or Huntington’s chorea as it was formerly termed. Although HD may present in early childhood or Figure 1: Publications on Huntington disease listed in the Entrez Pubmed website of the National Library of Medicine, Washington DC, USA. (www.ncbi.nlm.nih.gov/pubmed) 4500 4000 3500 3000 2500 2000 1500 1000 500 0 To ta l a rt ic le (C u m u la ti ve ) 1950 1960 1980 1990 2000 20101970 E UA N M S C R keywords: disease; e e; e n; families; family; gene; huntington; n t; s e cache: squmj-1396.pdf plain text: squmj-1396.txt item: #194 of 1636 id: squmj-1397 author: None title: March 2009.indd date: 2017-09-27 words: 6020 flesch: 64 summary: Physicians’ restrospective evaluation of anatomy teaching. We have yet to be convinced of the effectiveness of ‘computer atlases’ marketed as innovative anatomy teaching. keywords: anatomy; c o; e s; learning; medical; n c; n t; o n; teaching; u n cache: squmj-1397.pdf plain text: squmj-1397.txt item: #195 of 1636 id: squmj-1398 author: None title: March 2009.indd date: 2017-09-27 words: 3620 flesch: 77 summary: %95 منهم في ــاطي االنقباضي واالنبس الدم ضغط قياس مت ثافَة الكَ عُ رْتَفِ مُ يُّ (-61% 263 امرأة (منهم 430 مريضا الدراسة هذه شملتهم الذين السكر بداء املصابني املرضى عدد بلغ املعطيات. keywords: care; cholesterol; diabetes; patients cache: squmj-1398.pdf plain text: squmj-1398.txt item: #196 of 1636 id: squmj-1399 author: None title: March 2009.indd date: 2017-09-27 words: 3525 flesch: 65 summary: However, this finding was not in accord with that of Wan Nazainmoon et al. 21 who found that in both overt and subclinical hyper- thyroid patients, serum creatine kinase levels were significantly lower than euthyroid or hypothyroid pa- tients. R E S U L T S The results of data analysed are presented according to the grouping of subjects based on TFT as in Table 1. keywords: euthyroid; hyperthyroid; hypothyroidism; mean; muscle; myoglobin; patients; serum; subjects; tsh; الدرقية cache: squmj-1399.pdf plain text: squmj-1399.txt item: #197 of 1636 id: squmj-1400 author: None title: March 2009.indd date: 2017-09-27 words: 8231 flesch: 67 summary: I T Y L E A D E R S Theme : Not aware of IMCI but positive perception of child health services The CLs interviewed were not aware of any strategy to improve child health. However, they said that there was noticeable support for child health: “improve- ment in child health services,” “starting distribution of mosquito bed nets” and “improvement in child health status.” keywords: care; child; children; community; e m; e n; e s; h e; h m; health; imci; l e; mothers; n t; o n; role; t e cache: squmj-1400.pdf plain text: squmj-1400.txt item: #198 of 1636 id: squmj-1401 author: None title: March 2009.indd date: 2017-09-27 words: 4198 flesch: 65 summary: March 2009.indd ABSTRACT Objectives: Evaluation of the intravesical instillation of doxorubicin for its effect on disease recurrence for patients with non-invasive bladder tumour. Methods: The study was performed at Al Assad University Hospital in Lattakia, Syria and included patients with non-invasive bladder tumours who were managed with transurethral resection and induction and maintenance therapy with intravesical doxorubicin. keywords: bladder; cancer; doxorubicin; follow; grade; intravesical; patients; recurrence; stage; tumours cache: squmj-1401.pdf plain text: squmj-1401.txt item: #199 of 1636 id: squmj-1402 author: None title: March 2009.indd date: 2017-09-27 words: 2825 flesch: 71 summary: %31.25 من في الفطري الهياليني الطيف الناجت التقرح (%0.15) . keywords: cases; fungal; keratitis; patients; study; ulcers cache: squmj-1402.pdf plain text: squmj-1402.txt item: #200 of 1636 id: squmj-1403 author: None title: March 2009.indd date: 2017-09-27 words: 4430 flesch: 67 summary: It is more than likely that ginseng affects not only the pancreas to increase insulin production, but also other tissue to utilise insulin as well as decrease insulin resistance through its various components. gluconeogenesis.1 Insulin is a hormone produced by the pancreas that helps unlock the body’s cells so that sugar (glucose) from the food can be used by the cells for energy.2 An increase in plasma glu- cose concentration is the most important physiologic regulator of insulin secretion. keywords: dexamethasone; e n; fbs; ginseng; insulin; o n cache: squmj-1403.pdf plain text: squmj-1403.txt item: #201 of 1636 id: squmj-1404 author: None title: March 2009.indd date: 2017-09-27 words: 3440 flesch: 68 summary: The involvement of L-γ-glutamyl-l-cysteinyl- glycine (glutathione/GSH) in the mechanism of redox signalling mediating MAPKp38-dependent regulation of pro-inflammatory cytokine production. This was highest after anti-CD3 stimulation [Figure 1]. Stimulation of PBMC with anti-CD3 or PHA (but not LPS), induced high levels of IFN-γ, compared to un-stimulated cells. keywords: anti; cd3; cells; lps; nac; pbmc; pha; production; stimulation cache: squmj-1404.pdf plain text: squmj-1404.txt item: #202 of 1636 id: squmj-1405 author: None title: March 2009.indd date: 2017-09-27 words: 1926 flesch: 63 summary: Mutations in one of two tumour suppressor genes, tuberous sclerosis complex gene type 1 (TSC1) and tuberous sclerosis gene type 2 (TSC2), cause tuberous sclerosis. ABSTRACT We report the first case of gastric cancer in association with tuberous sclerosis. keywords: association; sclerosis; tuberous cache: squmj-1405.pdf plain text: squmj-1405.txt item: #203 of 1636 id: squmj-1406 author: None title: March 2009.indd date: 2017-09-27 words: 2816 flesch: 65 summary: Key words: Malignant melanoma; Pregnancy; Metastasis; Case report; Oman. Malignant melanoma is the most aggressive form of skin cancer with an increasing incidence over the past decade. keywords: disease; figure; malignant; melanoma; metastasis; pregnancy; women cache: squmj-1406.pdf plain text: squmj-1406.txt item: #204 of 1636 id: squmj-1407 author: None title: March 2009.indd date: 2017-09-27 words: 2428 flesch: 64 summary: Volvulus of the sig- moid colon complicating pregnancy. I O N Sigmoid volvulus complicating pregnancy is an un- common and potentially devastating development. keywords: colon; diagnosis; pregnancy; resection; sigmoid; volvulus cache: squmj-1407.pdf plain text: squmj-1407.txt item: #205 of 1636 id: squmj-1408 author: None title: March 2009.indd date: 2017-09-27 words: 3257 flesch: 62 summary: Unlike the previous case of aorto-portal fistula treated successfully by embolisation,5 in our patient angiographic embolisation did occlude the fistula, but could not block the large aortic opening of the pseudoaneurysm. Angiographic management of the aorto-mesenter- ic-portal fistula presented an interesting challenge. keywords: aortic; e n; fistula; pseudoaneurysm cache: squmj-1408.pdf plain text: squmj-1408.txt item: #206 of 1636 id: squmj-1409 author: None title: March 2009.indd date: 2017-09-27 words: 809 flesch: 70 summary: Exp Gerontol 2001; 36:363-72. Figure 3: Picture of central venous catheter taken in sitting position Figure 4: Subclavian central venous catheter passed on the left side in the same patient Figure 5: Chest X-ray of patient in erect position Cardiovasc Intervent Radiol 1999; 22:381-4. 4. Guidelines on the insertion of central venous catheters using the landmark technique From http://www.leed- sth.nhs.uk/sites/emibank/clinicians/guidelines/docu- ments/centralvenouslines.pdf Accessed September 2008. keywords: catheter; position cache: squmj-1409.pdf plain text: squmj-1409.txt item: #207 of 1636 id: squmj-1410 author: None title: March 2009.indd date: 2017-09-27 words: 778 flesch: 69 summary: The Color Atlas of Family Medicine I AGREED TO REVIEW THIS BOOK SINCE THE IDEA of an atlas in family medicine was novel to me. This is the first comprehensive atlas of family medicine. keywords: atlas; family cache: squmj-1410.pdf plain text: squmj-1410.txt item: #208 of 1636 id: squmj-1411 author: None title: March 2009.indd date: 2017-09-27 words: 951 flesch: 61 summary: John Murtagh has aimed to provide general practitioners or, for that matter, anyone who dispenses health care, with a handy book on com- mon medical conditions, so that patients can be educated about their illnesses. This volume contains ex- planations for patients and carers of common medical problems and neurological and psychiatric conditions likely to be seen in the primary care setting. keywords: doctor; patient; volume cache: squmj-1411.pdf plain text: squmj-1411.txt item: #209 of 1636 id: squmj-1412 author: None title: March 2009.indd date: 2017-09-27 words: 813 flesch: 60 summary: AS EVERY YEAR POPULATION SIZES INCREASE, new diseases are discovered and scientists make new drugs, there is a need for an up- dated and concise clinical text book for medical prac- titioners. Colour inserts have been expanded to 16 pages with the latest developments in HIV infec- tion, including new drugs, recommended treatment regimens, and antiretroviral drug resistance. keywords: book; edition; treatment cache: squmj-1412.pdf plain text: squmj-1412.txt item: #210 of 1636 id: squmj-1413 author: None title: squmj-1413 date: 2017-09-27 words: 2660 flesch: 51 summary: May 09 هل أن مراجعة الزمالء ألداء األطباء ضرورية لضمان اجلودة ؟ ملك اللمكي Editor-in-Chief, SQU Medical Journal, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman Email: mjournal@squ.edu.om To undertake peer review is to “evaluate professionally a colleague’s work”.1 In medicine, peer review is defined as “the objective evaluation of the quality of a physician’s or a scientist’s performance by colleagues”.2 In peer review, physicians professionally and candidly, but confidentially, evaluate each other’s performance, typically at the same institution, but quite often externally. keywords: audit; medical; peer; physicians; quality; review cache: squmj-1413.pdf plain text: squmj-1413.txt item: #211 of 1636 id: squmj-1414 author: None title: squmj-1414 date: 2017-09-27 words: 1874 flesch: 61 summary: A review of trauma care systems development. Not only must they bring their skills to the operating room, but also it is incumbent upon the trauma surgeon to participate in the wider arena of trauma care from injury to outcome. keywords: care; gulf; patient; states; surgery; system; trauma cache: squmj-1414.pdf plain text: squmj-1414.txt item: #212 of 1636 id: squmj-1415 author: None title: squmj-1415 date: 2017-09-27 words: 1558 flesch: 48 summary: Up to 2009, about 110 Omanis have graduated as family physicians; most of them are employed by the Ministry of Health in various capacities ranging from medical officers to directors of medical services in various wilayats (districts). Resources The complexity of caring for patients with acute and chronic problems over time and managing preventive services for populations of patients requires the involvement of many health care professionals working in well-organized systems and supported by information technology.5 The ability of family physicians to provide quality service is also dependant on their skills, knowledge, professionalism and the resources available. keywords: care; family; medicine; physicians; primary cache: squmj-1415.pdf plain text: squmj-1415.txt item: #213 of 1636 id: squmj-1416 author: None title: squmj-1416 date: 2017-09-27 words: 2861 flesch: 54 summary: A large volume of evidence has established that, in order to achieve this rating, student learning must be Active, Assessed and Aligned. Assessed Learning The literature repeatedly notes the influential role that assessments have on students and the outcomes of their learning: a. To change student learning, change the methods of assessment6,7 b. keywords: assessment; education; feedback; information; learning; new; students; teachers cache: squmj-1416.pdf plain text: squmj-1416.txt item: #214 of 1636 id: squmj-1417 author: None title: squmj-1417 date: 2017-09-27 words: 5677 flesch: 64 summary: Very few studies have documented KAP on medicine use problems in the community in Oman and other Gulf countries;4,5 therefore, research studies into medicine use in the community should be conducted as a priority and used in the development and implementation of community-based regional and national interventions to improve the appropriate use of medicines by the population. مفتاح الكلمات: بالغ ، معرفة ومواقف وممارسات صحية ، استبيان ، مستحضرات صيدالنية ، ُعمان abstract: Objectives: The objective of this study was to identify the common problems of medicine use in Oman in order to improve the appropriate use of medicines. keywords: care; drug; facility; health; knowledge; medication; medicines; oman; patients; public; respondents; self; study; survey; use cache: squmj-1417.pdf plain text: squmj-1417.txt item: #215 of 1636 id: squmj-1418 author: None title: squmj-1418 date: 2017-09-27 words: 5112 flesch: 64 summary: Hilton S. An audit of inhaler technique among asthma patients of 34 general practitioners. This study analysed the characteristics of patients reporting to a specialist clinic including demographics, dispensed medications and the level of asthma control. keywords: asthma; care; compliance; control; dose; history; ige; inhaler; management; oman; patients; severity; study; technique; على cache: squmj-1418.pdf plain text: squmj-1418.txt item: #216 of 1636 id: squmj-1419 author: None title: squmj-1419 date: 2017-09-27 words: 4778 flesch: 59 summary: Methods: A cross- sectional study was carried out on secondary school girls in Abha city, Aseer Region, Saudi Arabia, using the Arabic version of the Depression, Anxiety, and Stress Scale )DASS-42(. Keywords: DASS-42; Depression; Anxiety; Stress; Adolescent; Secondary school girls; Saudi Arabia. keywords: adolescents; anxiety; depression; disorders; girls; health; prevalence; saudi; school; stress; students; study; symptoms cache: squmj-1419.pdf plain text: squmj-1419.txt item: #217 of 1636 id: squmj-1420 author: None title: squmj-1420 date: 2017-09-27 words: 6341 flesch: 60 summary: This is consistent with the reduced cross-reactivity between H-FABP and other FABP Table 1: Age and concentrations of marker proteins in the control and study groups Control Group (Blood donors) Study Group (Liver disease patients) p value Numbers n=20 n=10 - Age 63.8 ±8.0 58.33 ±7.2 (NS) AlT 29.8 ±14.7 198.67 ±122.9 < 0.0005 Bilirubin 9.6 ±4.0 100.89 ±87.9 < 0.0001 H-FABP 6.86 ±2.2 6.44 ±3.1 (NS) Legend: NS = not significant; For social and cultural reasons in Oman, thyrotoxic patients treated with 131I were hospitalised until their radiation level dropped to 2μSv/h at a distance of one meter corresponding to body retained activity of less than 30MBq as advised by UK guidance notes.8 Using a similar body retention of 131I activity, a study performed by Bererhi and Constable9 in 2000, found that doses received by family members of treated thyrotoxic patients were within allowed limits. keywords: 131i; acid; chronic; concentrations; diseases; dose; fabp; family; fatty; heart; liver; mean; members; outpatients; patients; protein; radiation; radioiodine; study cache: squmj-1420.pdf plain text: squmj-1420.txt item: #218 of 1636 id: squmj-1421 author: None title: squmj-1421 date: 2017-09-27 words: 5664 flesch: 59 summary: This is consistent with the reduced cross-reactivity between H-FABP and other FABP Table 1: Age and concentrations of marker proteins in the control and study groups Control Group (Blood donors) Study Group (Liver disease patients) p value Numbers n=20 n=10 - Age 63.8 ±8.0 58.33 ±7.2 (NS) AlT 29.8 ±14.7 198.67 ±122.9 < 0.0005 Bilirubin 9.6 ±4.0 100.89 ±87.9 < 0.0001 H-FABP 6.86 ±2.2 6.44 ±3.1 (NS) Legend: NS = not significant; The aim of this study was to compare the effect of chronic liver diseases on the level of H-FABP concentrations. keywords: acid; chronic; concentrations; diagnosis; diseases; fabp; fatty; group; heart; incontinentia; lesions; liver; patients; pigmenti; protein; skin; type cache: squmj-1421.pdf plain text: squmj-1421.txt item: #219 of 1636 id: squmj-1422 author: None title: squmj-1422 date: 2017-09-27 words: 2627 flesch: 52 summary: The skin lesions may follow the Blaschko lines and the initial appearance of skin lesions can be seen immediately after birth or early during the neonatal period. She was referred to Sultan Qaboos University Hospital (SQUH), Oman, from a peripheral hospital for evaluation of abnormal skin lesions and seizures. keywords: case; child; hypomelanosis; incontinentia; lesions; pigmenti; report; seizures; skin cache: squmj-1422.pdf plain text: squmj-1422.txt item: #220 of 1636 id: squmj-1423 author: None title: squmj-1423 date: 2017-09-27 words: 1883 flesch: 55 summary: The precise mechanism by which chronic ulcers develop malignancy is unknown. The exact mechanism by which chronic ulcers (wounds) develop malignancy is not known. keywords: bone; carcinoma; figure; marjolin; mass; patient; ulcer cache: squmj-1423.pdf plain text: squmj-1423.txt item: #221 of 1636 id: squmj-1424 author: None title: squmj-1424 date: 2017-09-27 words: 1647 flesch: 54 summary: Keywords: Neurofibromatosis; Renal artery stenosis; End stage renal disease; Renal hypertension; Haemodialysis; Case report; Oman. The most common vascular abnormality in patients with NF-1 is renal artery stenosis. keywords: artery; case; disease; hypertension; neurofibromatosis; patient; report; stenosis cache: squmj-1424.pdf plain text: squmj-1424.txt item: #222 of 1636 id: squmj-1425 author: None title: squmj-1425 date: 2017-09-27 words: 2690 flesch: 53 summary: Idiopathic pulmonary haemorrhage is a diagnosis of exclusion; as described in the literature, it is a rare disease. His clinical presentation and radiological imaging were consistent with idiopathic pulmonary haemorrhage. keywords: acute; blood; case; chest; haemorrhage; haemosiderosis; infants; pulmonary; range; report cache: squmj-1425.pdf plain text: squmj-1425.txt item: #223 of 1636 id: squmj-1426 author: None title: squmj-1426 date: 2017-09-27 words: 2307 flesch: 53 summary: This report describes early experiences of three different modes of broken catheter retrieval: the first by use of a snare catheter; the second by surgery and the third during bypass surgery. We conclude that broken fragments of catheters that lodge in the right side of the heart or pulmonary circulation can be retrieved most of the time percutaneously by snare catheters. keywords: artery; case; catheter; figure; fragment; patient; retrieval; snare cache: squmj-1426.pdf plain text: squmj-1426.txt item: #224 of 1636 id: squmj-1427 author: None title: squmj-1427 date: 2017-09-27 words: 1750 flesch: 55 summary: Contrast enhanced computed tomography axial image (A) and reformatted coronal image (B) shows absence of left pulmonary artery and right-sided aortic arch. These findings led to the diagnosis of left pulmonary artery agenesis. keywords: absence; artery; chest; diagnosis; left; lung; report cache: squmj-1427.pdf plain text: squmj-1427.txt item: #225 of 1636 id: squmj-1428 author: None title: squmj-1428 date: 2017-09-27 words: 7806 flesch: 46 summary: During bacterial corneal infections, there is activation of plasminogen to plasmin which is active proteolytically. abstract: Bacterial keratitis is an acute or chronic, transient or recurrent infection of the cornea with varying predilection for anatomical and topographical parts of the cornea like marginal or central. keywords: aeruginosa; antibiotics; bacterial; contact; corneal; corticosteroids; diagnosis; eye; gram; infections; keratitis; lens; lenses; microbial; negative; ophthalmol; organisms; patients; pseudomonas; therapy; treatment; ulcers; wear cache: squmj-1428.pdf plain text: squmj-1428.txt item: #226 of 1636 id: squmj-1429 author: None title: squmj-1429 date: 2017-09-27 words: 714 flesch: 49 summary: Pearson syndrome and the role of deletion dimers and duplications in the mtDNA. Pearson’s marrow-pancreas syndrome was first described by Pearson et al. keywords: marrow; pearson; syndrome cache: squmj-1429.pdf plain text: squmj-1429.txt item: #227 of 1636 id: squmj-1430 author: None title: squmj-1430 date: 2017-09-27 words: 1772 flesch: 57 summary: Following our expressions of thanks as my husband and I prepared to leave the hospital, we were asked if we would give a testimonial on video to convince others that there was no need to go abroad for such operations when the necessary expertise and facilities were right here in Oman. Specialists at the SQUH agreed that surgery was the only option, and arranged for me to be admitted to the Neurosurgical Unit, Khoula Hospital the same afternoon, with the operation scheduled to take place the following morning. keywords: hospital; meningioma; operation; tumour cache: squmj-1430.pdf plain text: squmj-1430.txt item: #228 of 1636 id: squmj-1431 author: None title: squmj-1431 date: 2017-09-27 words: 925 flesch: 58 summary: As psychology is increasingly losing its central tenet of studying the ‘soul’, the second part of this volume focuses on cognitive psychology with an introduction and subsections on perception and human memory. In contrast by all standards, this volume, Fundamentals of Psychology, has all the essential ingredients to sober us again. keywords: author; psychology; volume cache: squmj-1431.pdf plain text: squmj-1431.txt item: #229 of 1636 id: squmj-1432 author: None title: squmj-1432 date: 2017-09-27 words: 2770 flesch: 48 summary: The examples of assessment tools recently cited in the “Assessment Policy, Regulations and Guidelines” of the COM&HS at SQU2 are mainly Summative tools. These are the expected competencies amongst medical school graduates, but unfortunately few medical schools have assessment tools specific for these 7 Domains. keywords: assessment; competencies; core; education; medical; oman; tools cache: squmj-1432.pdf plain text: squmj-1432.txt item: #230 of 1636 id: squmj-1433 author: None title: squmj-1433 date: 2017-09-27 words: 2449 flesch: 56 summary: These target groups include pregnant women, people who live with or taking care for children younger than 6 months of age, health care and emergency medical services personnel, persons between the ages of 6 months and 24 years old, and people of 25 through 64 years of age who are at higher risk of A (H1N1) 2009 because of chronic health disorders or compromised immune systems.7,8 It is expected that the Influenza A (H1N1) 2009 vaccine will have a similar safety profile to that of seasonal influenza vaccines, which have a very good safety track record. Additionally, the CDC is planning to work with numerous partners, including other federal agencies, state and local health departments, professional organisations, and academic institutions to follow individuals actively after vaccination and to monitor for any potential adverse events.7,8 Seasonal influenza vaccines are known to be highly effective in preventing the disease. keywords: h1n1; influenza; people; swine; vaccination; vaccine; virus cache: squmj-1433.pdf plain text: squmj-1433.txt item: #231 of 1636 id: squmj-1434 author: None title: squmj-1434 date: 2017-09-27 words: 12591 flesch: 62 summary: This review article will discuss the currently available markers of myocardial damage like creatine kinase (CK), CK muscle and brain (MB) (mass and activity), CK-MB isoforms, heart-type fatty acid-binding protein (H-FABP), myoglobin, cardiac troponin T (cTnT) and cTnI. The discussion will focus in particular on the suitability of these markers as tools for: 1) the early diagnosis of MI within 6 hours; 2) their ability to detect myocardial damage during ischaemic episodes in patients with Non-ST elevation MI or undergoing cardiac intervention like PCI or surgery; 3) their ability to guide further treatments i.e. antiplatelets, antithrombotics, coronary interventions, etc; 4) their ability to detect reperfusion and re-infarction; 5) their specificity and limitations and 6) future directions with these markers. Drugs like cocaine and alcohol can also raise CK concentrations to abnormal values, presumably due to the associated myopathy that can occur with the use of these drugs. keywords: acute; ami; cardiac; clin; coronary; creatine; diagnosis; elevation; fabp; heart; hours; infarction; injury; kinase; markers; mass; muscle; myoglobin; n e; non; o n; patients; troponin cache: squmj-1434.pdf plain text: squmj-1434.txt item: #232 of 1636 id: squmj-1435 author: None title: squmj-1435 date: 2017-09-27 words: 12591 flesch: 62 summary: This review article will discuss the currently available markers of myocardial damage like creatine kinase (CK), CK muscle and brain (MB) (mass and activity), CK-MB isoforms, heart-type fatty acid-binding protein (H-FABP), myoglobin, cardiac troponin T (cTnT) and cTnI. The discussion will focus in particular on the suitability of these markers as tools for: 1) the early diagnosis of MI within 6 hours; 2) their ability to detect myocardial damage during ischaemic episodes in patients with Non-ST elevation MI or undergoing cardiac intervention like PCI or surgery; 3) their ability to guide further treatments i.e. antiplatelets, antithrombotics, coronary interventions, etc; 4) their ability to detect reperfusion and re-infarction; 5) their specificity and limitations and 6) future directions with these markers. Drugs like cocaine and alcohol can also raise CK concentrations to abnormal values, presumably due to the associated myopathy that can occur with the use of these drugs. keywords: acute; ami; cardiac; clin; coronary; creatine; diagnosis; elevation; fabp; heart; hours; infarction; injury; kinase; markers; mass; muscle; myoglobin; n e; non; o n; patients; troponin cache: squmj-1435.pdf plain text: squmj-1435.txt item: #233 of 1636 id: squmj-1436 author: None title: squmj-1436 date: 2017-09-27 words: 6581 flesch: 46 summary: JIA associated uveitis is especially common in young girls who have oligoarticular JIA, present with early disease onset and are anti-nuclear antibody (ANA) seropositive.10 In a recent open-label prospective study, 6 patients with JIA associated uveitis were treated with high dose intravenous daclizumab for 52 weeks. keywords: adults; agents; anterior; arthritis; associated; children; chronic; disease; inflammation; jia; juvenile; onset; ophthalmol; paediatric; patients; therapy; treatment; uveitis cache: squmj-1436.pdf plain text: squmj-1436.txt item: #234 of 1636 id: squmj-1437 author: None title: squmj-1437 date: 2017-09-27 words: 4345 flesch: 55 summary: Epidemiology of fatal cases associated with pandemic H1N1 influenza 2009. People may be infected by touching something with influenza viruses on it and then touching their mouth or nose. keywords: cancer; cases; h1n1; health; influenza; oman; opinion; pandemic; patients; seeking; treatment; virus cache: squmj-1437.pdf plain text: squmj-1437.txt item: #235 of 1636 id: squmj-1438 author: None title: squmj-1438 date: 2017-09-27 words: 2219 flesch: 58 summary: With an increase in the knowledge of disease and improvements in communication, an increasing number of patients seek second opinions. Furthermore, patients should be advised that second opinions can be easily and quickly sought at little or no cost through fax, email, and telemedicine from places in Oman or abroad that are widely perceived to be centres of academic and clinical excellence. keywords: cancer; health; opinion; patients; seeking; treatment cache: squmj-1438.pdf plain text: squmj-1438.txt item: #236 of 1636 id: squmj-1439 author: None title: squmj-1439 date: 2017-09-27 words: 5289 flesch: 58 summary: Further, participants who attended health education programmes were less Table 2: The association between family member advice as a reason to seek health care and various predictors using multiple logistic regression (n = 493) Predictor Coefficient SE z-statistic p-value OR 95% CI Age 0.04 0.03 1.63 0.104 1.04 0.99, 1.09 Female gender 0.85 0.43 1.97 0.049* 2.34 1.01, 5.43 Married 0.59 0.41 1.45 0.147 1.80 0.81, 3.99 literate -2.20 1.12 -1.97 0.049* 0.11 0.01, 0.99 History of chronic illness -1.15 0.58 -1.98 0.048* 0.32 0.10, 0.99 History of taking medications -0.09 0.52 -0.16 0.871 0.92 0.33, 2.56 Type of health care source consumed Private versus government -0.43 0.48 -0.9 0.368 0.65 0.25, 1.66 Traditional versus government 1.59 0.78 2.04 0.041* 4.92 1.07, 22.65 reason to seek health care Follow-up visit against treatment of acute condition -0.32 0.49 -0.66 0.512 0.72 0.28, 1.90 Vaccination or treatment for acute condition -1.54 0.43 -3.55 <0.001* 0.21 0.09, 0.50 Number of visits attended per month 0.15 0.13 1.15 0.248 1.17 0.89, 1.52 Attended a health education programme -0.70 0.36 -1.97 0.049* 0.50 0.25, 0.99 Legend: SE = standard error; OR = odds ratio; CI = confidence interval; *= Significant below 0.05 level; Model: Wald χ2 (12) = 61.71; Log likelihood = -117.4406; p<0.001; The association between the advice of family members as a reason to seek health care and other predictors was analysed using multivariable logistic regression. keywords: advice; behaviour; care; data; education; family; health; health care; member; member advice; oman; participants; research; seeking; study cache: squmj-1439.pdf plain text: squmj-1439.txt item: #237 of 1636 id: squmj-1440 author: None title: squmj-1440 date: 2017-09-27 words: 4804 flesch: 44 summary: Management of dental patients taking common hemostasis altering medications. abstract: Objectives: Minor oral surgery (MOS) procedures in warfarinised patients carry the risk of post-operative bleeding. keywords: bleeding; dental; extraction; inr; management; mos; oral; patients; procedures; study; surgery; surgical; warfarin cache: squmj-1440.pdf plain text: squmj-1440.txt item: #238 of 1636 id: squmj-1441 author: None title: squmj-1441 date: 2017-09-27 words: 4804 flesch: 44 summary: Management of dental patients taking common hemostasis altering medications. abstract: Objectives: Minor oral surgery (MOS) procedures in warfarinised patients carry the risk of post-operative bleeding. keywords: bleeding; dental; extraction; inr; management; mos; oral; patients; procedures; study; surgery; surgical; warfarin cache: squmj-1441.pdf plain text: squmj-1441.txt item: #239 of 1636 id: squmj-1442 author: None title: squmj-1442 date: 2017-09-27 words: 5236 flesch: 59 summary: Patients with chronic illnesses, who reported more preference for interpersonal continuity, were also found to be more compliant with medications and committed to carrying out recommended advice compared to patients without such illnesses (p = 0.027). Nonetheless, interpersonal continuity as experienced by patients remains a neglected topic in Arab countries including Oman. keywords: care; continuity; doctor; health; illnesses; oman; patients; pcp; phcs; primary; study; table cache: squmj-1442.pdf plain text: squmj-1442.txt item: #240 of 1636 id: squmj-1443 author: None title: squmj-1443 date: 2017-09-27 words: 6155 flesch: 51 summary: It is also recognised that patients with pre-existing medical conditions often suffer from more serious SOI and have an increased length of hospital stay.7-9 Published data describing the microbiology of SOI, highlight their polymicrobial nature,10-12 which is similar to localised dentoalveolar infection. Patients presenting with SOI at the above centres for treatment, from February to July 2003, were included in this study. keywords: admission; anaerobic; antibiotics; clinical; crp; dental; deprivation; drainage; factors; infections; mean; microbiology; oral; patients; risk; soi; species; study; surg cache: squmj-1443.pdf plain text: squmj-1443.txt item: #241 of 1636 id: squmj-1444 author: None title: squmj-1444 date: 2017-09-27 words: 3489 flesch: 69 summary: To date, the highly heterogeneous distribution of molecular defects in the beta-globin gene has hampered the development of a flexible strategy that allows rapid analysis of mutations.7 Thalassemia occurs with a particularly high frequency in a broad belt extending from the Mediterranean basin through the Middle East, Indian subcontinent, Burma to South East Asia. 9,11,12,13, During the last 8-10 years, the amplification refractory mutation system (ARMS) and restriction fraction length polymorphisms (RFLP) were the principal techniques used for the diagnosis of beta thalassemia.14 However, Pakistan, with a multiethnic population of around 160 million, represents a vast spectrum of beta thalassemia mutations. The spectrum of beta thalassemia mutations that was identified in the Indian population also showed the same five common mutations IVS-1-5 (G→C), Fr 8/9 (+G), Fr 41/42 (-TTCT), IVS-1-1 (G→T) and Del 619. keywords: beta; beta thalassemia; diagnosis; gene; ivs; ivs-1; molecular; mutations; pakistan; population; study; thalassemia cache: squmj-1444.pdf plain text: squmj-1444.txt item: #242 of 1636 id: squmj-1445 author: None title: squmj-1445 date: 2017-09-27 words: 3372 flesch: 61 summary: They declared an 11- point resolution that covered all the necessary points related to road traffic accidents from encouragement of collaboration, to improving national data collection, and strengthening of the provision of free hospitals and hospital trauma care.15 The Declaration also suggested adopting a standard definition of “road death” as, “a person killed immediately or dying within 30 days as a result of road traffic crash”, to facilitate data collection and international cooperation. The Declaration was convinced that by year 2020, without appropriate action, road traffic deaths will become one of the leading causes of death in low-income and middle-income countries. keywords: accidents; countries; deaths; february; need; oman; road; safety; traffic cache: squmj-1445.pdf plain text: squmj-1445.txt item: #243 of 1636 id: squmj-1446 author: None title: squmj-1446 date: 2017-09-27 words: 3625 flesch: 55 summary: In Europe, the United Kingdom, with a total of 44 medical schools, private medical education is a relatively new entrant with only one private school, the University of Buckingham Medical School.3,11,12 Similarly, Germany also has only one private school out of a total of 36.13 Medical education in Greece14 (seven medical schools ) and the Netherlands (eight medical schools) 15 is fully government funded, while Spain has only two private institutions out of a total of 28.16 In the Oceania region, Australia has 19 medical colleges with only two being private medical universities.3,17 New Zealand has two schools, both of which are government funded.18 The Pacific islands have 6 schools, most of which are private.3,4 Recently there has been a spurt of private medical colleges in the Caribbean region. 9th Feb 10 Accepted 16th Feb 10 In the past several decades, there has been an incredible increase in the privatisation of medical education with rapid expansion in the number of private medical schools. keywords: colleges; countries; education; government; health; india; institutions; medical; privatisation; schools; students cache: squmj-1446.pdf plain text: squmj-1446.txt item: #244 of 1636 id: squmj-1447 author: None title: squmj-1447 date: 2017-09-27 words: 6556 flesch: 55 summary: Increased expenditure on health has resulted in improved indicators of health services, health manpower development and health care. Equity in the distribution of health services among different population groups according to their health needs (with due consideration of the special needs of marginal and poor people, isolated villages, women, children, elderly and accessibility to health facilities). keywords: care; development; government; health; hospitals; ministry; moh; muscat; national; oman; population; sector; services; system; world; year cache: squmj-1447.pdf plain text: squmj-1447.txt item: #245 of 1636 id: squmj-1448 author: None title: squmj-1448 date: 2017-09-27 words: 5381 flesch: 65 summary: قبل الفح��شات مت كتابة التفا�شيل ال�شخ�شية، ن�ع الت�ش�هات اخِلْلِقيّة باالإ�شافة اإىل ا�شتخدام الت�شنيف الدويل َ�اِتيِّ ال�شعاعي والَتْخطيط الَت�شْ لالأمرا�س - ICD-10 ( 10 ( مع َع�اِمِل اِْخِتطار خمتارة. اأما ت�ش�هات اجلهاز الب�يل-التنا�شلي واليدين والقدمني ومتالزمة داون فكانت مُتّثل العي�ب الت�رسيحية الرئي�شية. keywords: age; bds; birth; children; congenital; defects; factors; health; incidence; live; national; oman; register; risk; study cache: squmj-1448.pdf plain text: squmj-1448.txt item: #246 of 1636 id: squmj-1449 author: None title: squmj-1449 date: 2017-09-27 words: 6910 flesch: 55 summary: ارتفاع ال�ا�شمات القلبية كان مرتافقا مع انخفا�س معدل البقاء بدون م�شاعفات )16.92( �شهرا مقارنة ب )20.67( �شهرا) P > 0.03(. اخلال�صة: قد يك�ن با�شتطاعة بروتني حم�س القلب الدهني الرابط الت�شخي�س املبكر للجلطة القلبية بعد �شاعة من حدوثها )اأو بعدها(. تروب�نني القلب )اآي( ه� االأكرث قدرة على ت�شخي�س ارتبط ارتفاع ال�ا�شمات القلبية مع تقدم العمر وامل�شاعفات ،)P < 0.019( الدعامات وا�شتخدام ،)P > 0.003( القلب تخطيط يف الرتوية نق�س تغريات مع احلادة ال�شدرية واالآالم الكربى مثل الت�شليخ الرئي�شي )P > 0.004(، وان�شداد ال�عاء امل�ؤقت )P >0.022(، والدعامات العاطلة )P > 0.003(، وعند حدوث اجللطة القلبية )P > 0.042(. keywords: angioplasty; cardiac; complications; coronary; ctni; ctnt; fabp; group; markers; ns ns; patients; pci cache: squmj-1449.pdf plain text: squmj-1449.txt item: #247 of 1636 id: squmj-1450 author: None title: squmj-1450 date: 2017-09-27 words: 5373 flesch: 61 summary: Conversely, inappropriate admissions of a large number of patients without acute coronary syndromes (ACS) will have substantial cost implications.2 Cardiac markers are critical in making the diagnosis of AMI but, thus far, their role has mainly been for retrospective confirmation of AMI, 12-24 hours after admission. This article offers some recommendations to clinicians on the best combination of cardiac markers for the early diagnosis of ACS and when to use them. keywords: acute; cardiac; ctni; fabp; group; heart; hours; markers; myoglobin; patients; presentation; sensitivity cache: squmj-1450.pdf plain text: squmj-1450.txt item: #248 of 1636 id: squmj-1451 author: None title: squmj-1451 date: 2017-09-27 words: 4514 flesch: 60 summary: Table 5 shows that education was the key factor among slum area mothers in seeking medical checkups during pregnancy; large and statistically significant differences were observed here despite having controlled for other variables. Types of toilet facility had an effect on antenatal medical checkups; mothers with hygienic toilet facilities were 1.699 times more likely to go for antenatal medical checkups, but this effect is not statistically significant. keywords: antenatal; bangladesh; care; health; income; medical; mothers; pregnancy; slum; study; syrup; table; women cache: squmj-1451.pdf plain text: squmj-1451.txt item: #249 of 1636 id: squmj-1452 author: None title: squmj-1452 date: 2017-09-27 words: 4769 flesch: 48 summary: (. وبالنتيجة كان مت��شط قطر احلدقة بعد غ�شل الق�رسة وال�شفط وزرع العد�شة اأكرب وب�شكل ج�هري مع الكيت�روالك ،)P=0.244( مل تالحظ اأية فروق ج�هرية بني املجم�عتني يف قطر احلدقة �ش�اء قبل ال�شق االأول .)P>0.0001(مقارنة Email: aksam.ahmad@yahoo.com مقارنة بني كيتوروالك تروميثامني وأسيتات الربيدنيزولون يف منع تقلص احلدقة احملّفز باجلراحة أثناء جراحة الساد أكسم جودت أحمد، يوسف محمد سليمان، جنوى فايز كردغلي امللخ�ص: الهدف: مقارنة فعالية و�شالمة ا�شتعمال اأ�شيتات الربيدنيزول�ن 1% والكيت�روالك تروميتامني 0.5% م��شعيًا للمحافظة على ت��ّشع احلدقة خالل جراحة ال�شاد. الطريقة: �شملت هذه الدرا�شة اال�شتباقية الع�ش�ائية املقّنعة جزئيًا خم�شني مري�شًاً، حيث مت تطبيق معاجلة م��شعية بالطريقة �ش�اء ال�شاد، ا�شتخراج قبل �شاعة من 24 بدءاً مري�شا( 25 ( تروميتامني بالكيت�روالك اأو مري�شا( 25 ( اأ�شيتات بالربيدنيزول�ن تعادل 4 كلية جرعة اإىل ال��ش�ل وحتى دواء كل من �شاعات كل 6 قطرة ُتعطى كانت الَعَد�َشة(. keywords: cataract; diameter; group; ketorolac; miosis; patients; post; prednisolone; pupil; study; surgery; tromethamine cache: squmj-1452.pdf plain text: squmj-1452.txt item: #250 of 1636 id: squmj-1453 author: None title: squmj-1453 date: 2017-09-27 words: 5772 flesch: 69 summary: A B C Figure 1: Inactivation cross section of V79 cells by protons versus mean free path: a) at the initial slope; b) at 2Gy dose; c) at 10% survival 0 0 5 10 10 20 30 C ro ss s ec tio n (µ m 2 ) Mean free path (nm) 0 0 10 20 30 10 20 30 C ro ss s ec tio n (µ m 2 ) Mean free path (nm) 0 0 5 10 15 10 20 C ro ss s ec tio n (µ m 2 ) Mean free path (nm) A B C Figure 2: Inactivation cross section of V79 cells by neutrons versus mean free path: a) at the initial slope; b) at 2Gy dose; c) at 10% survival. keywords: action; c ro; cells; cross; inactivation; ions; let; section; slope; survival cache: squmj-1453.pdf plain text: squmj-1453.txt item: #251 of 1636 id: squmj-1454 author: None title: squmj-1454 date: 2017-09-27 words: 3747 flesch: 60 summary: كان مت��شط املدى الذي املثايل: اجل�شم وزن الإيجاد ا�شتعملت التي اجل�شم كتلة من�شب معادلة .%6.6 – 5.6 اجل�شم لدهن املثالية املئ�ية الن�شبة اليجاد ا�شتخدم التنب�ؤ. كانت اأكرث املتغريات امل�شتقلة القابلة للتنب�ؤ حميط معادالت ال�شتقاق املت�شاعد املتعدد التح�ف ا�شتعمل .H2 × 23.77 ± 2SE املع�شم والط�ل. مفتاح الكلمات: تركيب اجل�شم، القيا�شات الب�رسية، مترين املقاومة. This is the first study that establishes prediction equations to achieve ideal body composition related fitness. keywords: body; circumference; composition; equations; fat; fitness; length; study; variables; weight; اجل cache: squmj-1454.pdf plain text: squmj-1454.txt item: #252 of 1636 id: squmj-1455 author: None title: squmj-1455 date: 2017-09-27 words: 2656 flesch: 55 summary: Keywords: Attention deficit hyperactivity disorder; Tuberous sclerosis; Bipolar disorder; Children; Mania; Physical examination; Investigation; Case report; Oman. DiScala C, Lescohier I, Barthel M, Li G. Injuries to children with attention deficit hyperactivity disorder. keywords: adhd; attention; case; child; deficit; disorder; hyperactivity; psychiatry; treatment cache: squmj-1455.pdf plain text: squmj-1455.txt item: #253 of 1636 id: squmj-1456 author: None title: squmj-1456 date: 2017-09-27 words: 2002 flesch: 55 summary: A magnetic resonance imaging (MRI) scan of the brain showed partial agenesis of the corpus callosum involving the anterior body, genu and rostrum. Our patient had hyperglycaemia in the first trimester and this may explain the presence of both partial lobar HPE and partial agenesis of corpus callosum. keywords: agenesis; callosum; caudal; corpus; diabetes; holoprosencephaly; regression; report; syndrome cache: squmj-1456.pdf plain text: squmj-1456.txt item: #254 of 1636 id: squmj-1457 author: None title: squmj-1457 date: 2017-09-27 words: 4185 flesch: 48 summary: In contrast, a severe hyperparathyroid state is usually present in parathyroid carcinoma. We present a case of severe primary hyperparathyroidism and then discuss in what circumstances it should be treated as parathyroid carcinoma as well as review the evidence for what action clinicians should take when faced with such a dilemma. keywords: adenoma; calcium; carcinoma; clinical; diagnosis; hyperparathyroidism; neck; parathyroid; patients; primary; ptc; surgery; treatment cache: squmj-1457.pdf plain text: squmj-1457.txt item: #255 of 1636 id: squmj-1458 author: None title: squmj-1458 date: 2017-09-27 words: 2067 flesch: 64 summary: Additional I-131 ablation doses were planned every 4–6 months and the family was again advised to use contraception until the patient’s treatment was complete. abstract: Multiple bone metastases from a differentiated thyroid cancer are usually incurable. keywords: ablation; bone; cancer; i-131; metastases; patient; thyroid cache: squmj-1458.pdf plain text: squmj-1458.txt item: #256 of 1636 id: squmj-1459 author: None title: squmj-1459 date: 2017-09-27 words: 2885 flesch: 57 summary: In another study done by Nezhat, evaluating the postoperative complication of laparoscopic procedures done on 5,300 patients, only one case needed laparoscopically assisted bowel resection following a strangulated port site hernia.7 Most of the port site herniations are in the extra umbilical port site.4,8 The risk factors for the development of trocar site hernias include: the trocar diameter, the trocar design, preexisting fascial defects, and some operation- and patient- related factors.9 Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman. According to this classification our case belongs to the early-onset type that occurred immediately after the operation, with a small-bowel obstruction.9 The risk factors for the development of trocar site hernias include: 1) the trocar diameter; 2) the trocar design; 3) preexisting fascial defects;9 4) enlargement of a port site to remove a specimen; 5) high blood glucose levels; 6) obesity; 7) increase intra-abdominal pressure as in chronic obstructive airway disease; or 8) extensive manipulation of the trocar during relatively prolonged surgical duration, which might enlarge the trocar site and thus induce bowel herniation.13 keywords: bowel; case; hernias; herniation; laparoscopic; port; site; trocar cache: squmj-1459.pdf plain text: squmj-1459.txt item: #257 of 1636 id: squmj-1460 author: None title: squmj-1460 date: 2017-09-27 words: 1580 flesch: 51 summary: Albinism can be divided into two broad categories, as follows: oculocutaneous albinism and ocular albinism. Oculocutaneous albinism involves both the skin and the eyes, whereas ocular albinism mainly affects the eyes with minimal to no skin involvement. keywords: albinism; association; axenfeld; dysgenesis; eye cache: squmj-1460.pdf plain text: squmj-1460.txt item: #258 of 1636 id: squmj-1461 author: None title: squmj-1461 date: 2017-09-27 words: 3354 flesch: 53 summary: اأظهرت فح��شات الق�شطرة اأن املري�س يعاين من بعد ثمانية اأيام خ�شع املري�س لعملية زراعة ال�رسيان التاجي وتبديل ال�شمام املرتايل وكانت العملية ناجحة بدون م�شاعفات. keywords: block; branch; bundle; case; catheterisation; heart; lbbb; left; patient; procedure; report cache: squmj-1461.pdf plain text: squmj-1461.txt item: #259 of 1636 id: squmj-1462 author: None title: squmj-1462 date: 2017-09-27 words: 3462 flesch: 66 summary: The final outcome may be precipitated because of pilot incapacitation or an error of judgment and possibly caused by a combination of circumstances. A variety of reasons such as technical failure and inclement weather conditions may have a role to play, but it is has been generally accepted that in as many as 70–80% of aircraft accidents, various levels of human operator error are likely to be a contributory keywords: accident; aircraft; case; cockpit; flight; flying; head; human; incapacitation; pilot; seat cache: squmj-1462.pdf plain text: squmj-1462.txt item: #260 of 1636 id: squmj-1463 author: None title: squmj-1463 date: 2017-09-27 words: 1217 flesch: 67 summary: Keywords: Broken stylet; Endotracheal tube obstruction; Foreign body; Case report; Oman. The surgeon was informed of the incident and requested not to proceed further, till the diagnosis of broken stylet could be confirmed and remediable measures taken. keywords: case; report; stylet; tube cache: squmj-1463.pdf plain text: squmj-1463.txt item: #261 of 1636 id: squmj-1464 author: None title: squmj-1464 date: 2017-09-27 words: 1764 flesch: 59 summary: حَلَجاج جمدوع تقرير حالة د ر بريثفرياج، �ش�ميت خار، اأني�س ج�بتا، د ب �رسوثي را للمري�س ورمبا يرتك خيارات قليلة الأخ�شائي العي�ن، خا�شة اإذا امللخ�ص: ت�ش�ه ال�جه نتيجة فقدان العني ب�شبب ح�ادث املرور قد Keywords: Eye socket; Ocular Prosthesis; Eye enucleation; Cosmetic reconstructive surgical procedures; Case report; India. keywords: case; eye; patient; prosthesis; report; socket cache: squmj-1464.pdf plain text: squmj-1464.txt item: #262 of 1636 id: squmj-1465 author: None title: squmj-1465 date: 2017-09-27 words: 2229 flesch: 56 summary: 6-9 Recently, familial clustering of LPD has been reported, proposing an autosomal-dominant model with varying degrees of penetrance.10 LPD has also been reported in men 11, 12 and in association with Currarino syndrome.13 Patients usually present with nonspecific abdominal problems, such as abdominal discomfort or pain, rectal or vaginal bleeding or a mass in the lower abdomen as in our case. Definitive surgery was performed and final pathology was consistent with LPD with no evidence of malignancy. keywords: case; disseminata; gynecol; leiomyomatosis; lpd; malignant; nodules; obstet; peritonealis; peritonealis disseminata; report cache: squmj-1465.pdf plain text: squmj-1465.txt item: #263 of 1636 id: squmj-1466 author: None title: squmj-1466 date: 2017-09-27 words: 2493 flesch: 55 summary: The complex effects of this drug on the thyroid range from subclinical abnormalities in thyroid function to overt hypo or hyper function of the thyroid. The elimination half-life of amiodarone is unusually long at an average of 58 days.3 Chronic treatment with amiodarone can have several effects on thyroid function. keywords: ait; amiodarone; clinical; patients; thyroid; thyrotoxicosis; treatment; type cache: squmj-1466.pdf plain text: squmj-1466.txt item: #264 of 1636 id: squmj-1467 author: None title: squmj-1467 date: 2017-09-27 words: 1591 flesch: 48 summary: Most cases of adrenal tuberculosis are found 10 to 15 years after the initial infection; hence, tuberculous Addison’s disease has a relatively late onset.2 Bilateral adrenal calcification is the most common radiological feature of Addison’s disease.5 An MRI scan can reveal certain pathological changes of adrenal tuberculosis. In a cohort of 18 patients with proven adrenal tuberculosis, who underwent MRI scans, 97% of the adrenal glands were enlarged with bilateral involvement in 89%, while 83% of the enlarged glands had peripheral rim enhancement and 62% had a central region of T2 hypo/iso-signal intensity.6 keywords: addison; adrenal; disease; glands; insufficiency; mri; tuberculosis cache: squmj-1467.pdf plain text: squmj-1467.txt item: #265 of 1636 id: squmj-1468 author: None title: squmj-1468 date: 2017-09-27 words: 2574 flesch: 49 summary: Less common presentations include isolated cervical lymphadenopathy, as in our patient, recurrent laryngeal nerve palsy, parapharyngeal masses, cervical cysts, haemoptysis and pulmonary metastasis, all of which could pose a diagnostic challenge.2,3 Even though a lateral neck mass as the initial manifestation of thyroid carcinoma is reported in some series to be present in as much Figure 1: Isolated cervical lymphnode metastasis with no apparent thyroid enlargement. The investigations used to assess the cervical mass of thyroid origin include radionuclide scans, US, computed tomography (CT) scans, magnetic resonance imaging (MRI) and FNAC.3-8 The diagnostic usefulness of radionuclide scanning of the thyroid in patients with isolated cervical lymphnode metastasis from thyroid carcinoma has been disappointing as less than 50% of the scans performed revealed a cold nodule in the thyroid.2,4 A combined ultrasonography and radionuclide scan of the thyroid has been reported to demonstrate the mass in 75% of these patients.1 Twenty-five per cent of patients with thyroid malignancy may have normal thyroid imaging and a clinically normal thyroid gland, as in our patient, and hence the clinician should still suspect a papillary carcinoma in the thyroid gland in the presence of lymph node metastasis.1,2 keywords: carcinoma; gland; lymph; lymphadenopathy; mass; metastasis; neck; node; papillary; thyroid; الدرقية cache: squmj-1468.pdf plain text: squmj-1468.txt item: #266 of 1636 id: squmj-1469 author: None title: squmj-1469 date: 2017-09-27 words: 2220 flesch: 55 summary: The present duration of 145 minutes compares favourably with 153 minutes16 and 154 minutes17 reported in other series and in a contemporary open surgical series.18 By maintaining the operative duration in line with that for open surgery, we support reports rating laparoscopic nephrectomy overall as less expensive than open nephrectomy. Retroperitoneal laparoscopic nephrectomy. keywords: kidney; laparoscopic; nephrectomy; report; retroperitoneal; surgery; technique; urol cache: squmj-1469.pdf plain text: squmj-1469.txt item: #267 of 1636 id: squmj-1470 author: None title: squmj-1470 date: 2017-09-27 words: 1498 flesch: 54 summary: abstract: Acanthamoeba keratitis is a protozoal infection of the eye, mainly due to the use of non-sterile solutions, like saline for disinfecting contact lenses. Key words: Acanthamoeba keratitis; Confocal microscopy; Penetrating keratoplasty; Case report; Oman. Culture Negative Confoscan Positive Acanthamoeba Keratitis A relentless course Nadia S Al Kharousi, *Upender K Wali case report Culture Negative Confoscan Positive Acanthamoeba Keratitis A relentless course 338 | SQU Medical Journal, December 2009, Volume 9, Issue 3 4.1mm) with surrounding infiltrate involving two- thirds of the stroma, sparing the peripheral cornea keywords: acanthamoeba; case; culture; diagnosis; figure; keratitis; pain cache: squmj-1470.pdf plain text: squmj-1470.txt item: #268 of 1636 id: squmj-1472 author: None title: squmj-1472 date: 2017-09-27 words: 936 flesch: 42 summary: Eur Heart J 2006; 27:1026-31. 5. Leschka S. Stolzmann P, Scheffel H, Wildermuth S, Plass A, Genoni M, et al. Prevalence and morphology of coronary artery ectasia with dual-source CT coronary angiography. The co-existence of CAE with obstructive coronary lesions in the great majority of patients and the isolated coronary ectasias have led to the generalised administration of aspirin in all patients with CAE.2 Current literature suggests that ectatic coronary arteries, even without the presence of coronary stenosis, are subject to thrombus formation, vasospasm, and spontaneous dissection. keywords: artery; cae; coronary; ectasia cache: squmj-1472.pdf plain text: squmj-1472.txt item: #269 of 1636 id: squmj-1473 author: None title: squmj-1473 date: 2017-09-27 words: 889 flesch: 61 summary: In addition, the prevalence rates of depression have actually increased for both genders of younger cohorts.2 Data showed that they are experiencing an earlier onset of depression, although sex ratios were indistinguishable.2 Despite the increase in depression rates, men’s lower reported rates of depression compared to women may not be an accurate estimation of the prevalence of depression among men. The authors provided a balanced and well articulated discussion of the factors that may play a role in the development of depression in women such as the higher exposure to postpartum depression, changing roles of women due to modernisation and some local sociocultural practices, not related to Islam as a religion. keywords: depression; men; rates cache: squmj-1473.pdf plain text: squmj-1473.txt item: #270 of 1636 id: squmj-1474 author: None title: squmj-1474 date: 2017-09-27 words: 433 flesch: 49 summary: Al Lamki L. Plagiarism and other types of publication misconduct - a case for teaching publication ethics in medical schools. To the Editor, I read with great interest your editorial in the SQUMJ August issue “Plagiarism and other types of publication misconduct”.1 keywords: plagiarism; research cache: squmj-1474.pdf plain text: squmj-1474.txt item: #271 of 1636 id: squmj-1475 author: None title: squmj-1475 date: 2017-09-27 words: 6315 flesch: 45 summary: Methods: As an initial step, SQUH identified all hospital staff 4th Symposium on Patient Safety One Aim with Shared Responsibilities 364 | SQU Medical Journal, December 2009, Volume 9, Issue 3 whose roles link with patient care directly or indirectly, and who considered themselves as eligible to participate in the initial awareness campaign and follow through with the improvement strategy initiated by the SQUH Patient Safety Team. Email: bamri@squ.edu.om Technology has been a boon both to the nursing community and patient care. keywords: care; control; errors; health; hospital; infections; medical; oman; patient; practice; risk; safety; squh; staff cache: squmj-1475.pdf plain text: squmj-1475.txt item: #272 of 1636 id: squmj-1476 author: None title: squmj-1476 date: 2017-09-27 words: 2583 flesch: 57 summary: While these findings may be disputed by some studies in the literature, it is by far in agreement with the majority of studies on factors affecting medical students and, in the final analysis, the medical profession. Stress, depression and a dim view of the world around you is not an affliction limited to Shakespeare’s characters or confined only to medical students, but also affects young doctors in specialty training as well as practising physicians. keywords: depression; doctors; med; stress; students; study cache: squmj-1476.pdf plain text: squmj-1476.txt item: #273 of 1636 id: squmj-1478 author: None title: squmj-1478 date: 2017-09-27 words: 2756 flesch: 64 summary: Mol Cell Biochem 1992; 116:155-62. 5. Abe S, Okino H, Lee S, Toda H, Miyata M, Nomoto K, et al. Results: The mean ±SD of serum urea and creatinine concentration in this group of patients was 19 ±9.6 mmol/L and 531.3 ±231.2 mmol/L respectively. keywords: acid; concentrations; ctnt; fabp; failure; fatty; heart; patients; protein cache: squmj-1478.pdf plain text: squmj-1478.txt item: #274 of 1636 id: squmj-1479 author: None title: squmj-1479 date: 2017-09-27 words: 961 flesch: 58 summary: I plan to incorporate several elements and exercises from Tim Albert’s book into the workshops on writing scientific papers which the Deanship of Postgraduate Studies offers to SQU staff and postgraduate students. As all contributors to this journal know, writing is hard work and effective scientific writing, in particular, requires knowledge, effort, discipline and experience. keywords: english; paper; writing cache: squmj-1479.pdf plain text: squmj-1479.txt item: #275 of 1636 id: squmj-1480 author: None title: squmj-1480 date: 2017-09-27 words: 2760 flesch: 66 summary: يك�ن ناجتا حالتهم ال�رسيرية داء ال�شكري الباِدُئ ِعْنَد النُّ�شْ من وج�د طفرات جديدة يف املر�شى العمانيني اأو اأن ه�ؤالء املر�شى يعان�ن من داء ال�شكري من الن�ع الثاين نتيجة لت�ريث بع�س امل�ّرثات التي ت�شكل خطرا يف اال�شابة املبكرة بداء ال�شكري من الن�ع الثاين الذي يتميز ب�ج�د مقاومة كبرية لالن�ش�لني ناجتة عن ال�شمنة . النتائج: مل يتم العث�ر على اأي من 4α ( والعامل الكبدي الن�وي ) 1α (العامل الكبدي الن�وي الطفرات ال�راثية املذك�رة يف اأي من املر�شى. اخلال�صة: يف هذه املجم�عه ال�شغرية من املر�شى العمانيني البالغني �شغريي ال�شن الذين تطابق ج مل يتم العث�ر على اأي من الطفرات ال�راثية الثالث االأكرث �شي�عا يف الغرب. keywords: diabetes; insulin; maturity; mody; mutations; onset; patients; type; young cache: squmj-1480.pdf plain text: squmj-1480.txt item: #276 of 1636 id: squmj-1481 author: None title: squmj-1481 date: 2017-09-27 words: 1770 flesch: 71 summary: My unstable condition, as well as recommendations about the quality of ICU care and orthopaedic surgery in Oman, had encouraged us to remain rather than seek the treatment abroad offered by my employers. A team of general ICU surgeons came daily to treat my chest injuries and prepare me for surgery. keywords: car; days; hospital; icu; time cache: squmj-1481.pdf plain text: squmj-1481.txt item: #277 of 1636 id: squmj-1482 author: None title: squmj-1482 date: 2017-09-27 words: 714 flesch: 54 summary: Neuronal migration disorders (NMD), are seen in children with psychomotor developmental delay, epilepsy and mental retardation. The normal human brain goes through three major phases of morphogenesis which are neuronal production, neuronal migration and differentiation. keywords: band; cortex; heterotopias; matter cache: squmj-1482.pdf plain text: squmj-1482.txt item: #278 of 1636 id: squmj-1483 author: None title: squmj-1483 date: 2017-09-27 words: 1997 flesch: 58 summary: يف العيادة اخلارجية رامام�رثي رافيجاندران، اأمل ال�شعدي Re: Radiation exposure levels in family members of Omani patients with thyrotoxicosis treated with radioiodine (I-131) as outpatients Ramamoorthy Ravichandran and Amal Al-Saadi letter to editor Ramamoorthy Ravichandran and Amal Al-Saadi Letter to Editor | 139 exposures received by the inmates observed in the recent study as below.2 Method of estimation of radiation level around the patients ( for administered I-131 activity 610 MBq): Dose rate constant for I-131, at 1metre, Γ in mSv. Author's Response I am writing to respond to Dr. Ramamoorthy Ravichandran and Amal Al-Saadi’s letter of 7th January 2010 regarding our article, Radiation exposure level in family members of Omani patients with thyrotoxicosis treated with radioiodine as out patients.1 The authors used a radioiodine-131 (I-131) kinetic model (submitted for publication to the Indian J Nuclear Medicine journal) and input data on thyrotoxic patients from our clinical studies to estimate the radiation dose received by relatives at home. keywords: dose; i-131; patients; radiation; µsv cache: squmj-1483.pdf plain text: squmj-1483.txt item: #279 of 1636 id: squmj-1484 author: None title: squmj-1484 date: 2017-09-27 words: 679 flesch: 58 summary: Now, “What is snake venom?” Snake venoms are complex mixtures of pharmacologically active polypeptides and proteins, and are therefore veritable gold mines for various drug leads.1 keywords: oman; snake; venom cache: squmj-1484.pdf plain text: squmj-1484.txt item: #280 of 1636 id: squmj-1485 author: None title: squmj-1485 date: 2017-09-27 words: 2503 flesch: 51 summary: For the foreseeable future, Afghanistan’s government is dependent on donor funding because clearly it will be a long time before taxes can fund health care. When I recently asked a senior technocrat in the MOH in Kabul what form plans are taking for financing of health care 10 years from now he was not aware of anyone addressing this question. keywords: afghanistan; care; countries; health; new; oman; profession cache: squmj-1485.pdf plain text: squmj-1485.txt item: #281 of 1636 id: squmj-1486 author: None title: squmj-1486 date: 2017-09-27 words: 621 flesch: 50 summary: The pathophysiology and rationale of drug use are clearly explained so that the reader is prepared for a lifetime of prescribing and practice. Chapters in this section include pathophysiology, epidemiology, therapeutics, clinical pharmacology and therapeutics, and emerging drug targets. keywords: book; pharmacology; therapeutics cache: squmj-1486.pdf plain text: squmj-1486.txt item: #282 of 1636 id: squmj-1487 author: None title: squmj-1487 date: 2017-09-27 words: 502 flesch: 57 summary: The authors’ emphasis in each chapter on communication with parents and counselling aspects is a very important issue not covered in many other books. The book also contains chapters on prenatal screening, neonatal resuscitation, some of the common neonatal problems and low birth weight. keywords: book; chapters cache: squmj-1487.pdf plain text: squmj-1487.txt item: #283 of 1636 id: squmj-1488 author: None title: squmj-1488 date: 2017-09-27 words: 593 flesch: 47 summary: Chapters on renal conditions, pain management, management of stroke, immigrant health and the immunisation schedule have been extensively revised. It emphasises the community-based approach to the practical management of children’s problems and paediatric pharmacopoeia as well as covering the current significant advances in paediatric practice. keywords: edition; health; management cache: squmj-1488.pdf plain text: squmj-1488.txt item: #284 of 1636 id: squmj-1489 author: None title: squmj-1489 date: 2017-09-27 words: 6359 flesch: 47 summary: The process of globalisation of medicine and medical education, manifested by the increasing migration of medical doctors and the growth of cross-border education providers as prominent indicators, has raised a wave of concern about how to safeguard the quality of medical schools. In response to these challenges, it is the aim of this paper to outline the obstacles to the achievement of high quality medical education and to discuss what should be seen as fundamental principles for establishment of medical schools in the 21st century. keywords: countries; doctors; education; flexner; health; medical; new; number; quality; report; research; schools; world cache: squmj-1489.pdf plain text: squmj-1489.txt item: #285 of 1636 id: squmj-1490 author: None title: squmj-1490 date: 2017-09-27 words: 6879 flesch: 59 summary: The term ‘e-patient’ is constructed from the familiar ‘e-‘ that is now part of e-mail, e-learning, e-banking, etc, and refers to the patient who uses the Internet as a health resource.12 Before we can prepare our students (and current doctors) to function in the work environment in which their patients are e-patients, it is necessary to look at the typical characteristics of e-patients. Students need to be aware that, although Internet usage may be greater by younger and more literate patients, doctors cannot make assumptions about patients’ Internet usage or contact with Internet information based solely demographic indicators. keywords: care; doctors; e n; health; information; internet; medical; need; oman; patients; population; students; use; world cache: squmj-1490.pdf plain text: squmj-1490.txt item: #286 of 1636 id: squmj-1491 author: None title: squmj-1491 date: 2017-09-27 words: 4420 flesch: 47 summary: مفتاح الكلمات: ا�شطراب اجل�شدنة، مقارنة بني احل�شارات، الكتاب الت�شخي�شي والح�شائي لالأمرا�س النف�شية، الت�شنيف الإح�شائي الدويل لالأمرا�س، عمان. In addition to the diversity of definitions, there is a diversity of settings in which these studies were conducted, as somatisation in community and primary health care patients might differ from that of psychiatric patients. keywords: care; disorders; distress; health; patients; primary; psychiatric; somatic; somatisation; studies; study; symptoms cache: squmj-1491.pdf plain text: squmj-1491.txt item: #287 of 1636 id: squmj-1492 author: None title: squmj-1492 date: 2017-09-27 words: 6331 flesch: 59 summary: It was classified as Influenza A H1N1 2009. Influenza A H1N1 2009 is transmitted by respiratory droplets; the transmissibility of this strain is higher than other influenza strains which made infection control difficult. keywords: august; cdc; children; control; disease; h1n1; health; human; infection; influenza; med; mortality; new; oseltamivir; pandemic; patients; strain; swine; vaccine; virus; viruses cache: squmj-1492.pdf plain text: squmj-1492.txt item: #288 of 1636 id: squmj-1493 author: None title: squmj-1493 date: 2017-09-27 words: 4196 flesch: 51 summary: Many incidentally discovered small renal tumours (<4 cm) are benign and of low stage, grade and progression potential. Approximately one- quarter to one-third of small renal tumours did not show radiographic growth, and the overall mean growth rate has been reported to be 0.28 cm per year (range: 0.09–0.86).4,9 keywords: benign; biopsy; carcinoma; cell; clinical; incidental; masses; patients; renal; tumours; urol cache: squmj-1493.pdf plain text: squmj-1493.txt item: #289 of 1636 id: squmj-1494 author: None title: squmj-1494 date: 2017-09-27 words: 5057 flesch: 60 summary: AMEE guide No. 24: Portfolios as a method of student assessment. A variety of assessment methods are, therefore, required. keywords: assessment; case; clinical; educ; education; med; medical; methods; performance; questions; reliability cache: squmj-1494.pdf plain text: squmj-1494.txt item: #290 of 1636 id: squmj-1495 author: None title: squmj-1495 date: 2017-09-27 words: 2883 flesch: 54 summary: The advent of newer technologies like computerised tomography (CT) and magnetic resonance imaging (MR) scanning has increased interest in this area especially for MR pelvimetry which does not involve ionising radiation.2 Antenatal X-ray pelvimetry in women with previous caesarean section could not predict the likelihood of vaginal delivery.3 Pelvimetric dimensions by MR imaging were found to be smaller in women undergoing caesarean section or vacuum extraction than they were those in delivering vaginally.4 The mean diameters were stratified according to delivery modality (vaginal delivery or caesarean section). keywords: caesarean; delivery; diameter; index; mean; outlet; pelvic; pelvimetry; section cache: squmj-1495.pdf plain text: squmj-1495.txt item: #291 of 1636 id: squmj-1496 author: None title: squmj-1496 date: 2017-09-27 words: 4310 flesch: 61 summary: مري�شا( من اجلن�شني اأجري لهم الفح�س املذكور لعامي 2008-2007 ومت جتميع كافة البيانات املتعلقة بفح�س الغدة الدرقية املخربي من نتائج واأعرا�س وت�شخي�س نهائي من ملفات املر�شى. مري�شا( والإ�شهال والإم�شاك )13 مري�شا( وتورم الرقبة )13 مري�شا(. وقد �شخ�س معظم املر�شى ت�شخي�س ي�شجل مل بينما والقلق، الكتئاب من يعانون مري�شا ووجد 11 مري�شا(. 42( الدم وفقر مري�شا( 51( املباي�س تكي�س مبتالزمة حمدد لإجمايل 193 مري�شا. keywords: clinic; cost; diagnosis; function; patients; student; study; tests; tft; thyroid cache: squmj-1496.pdf plain text: squmj-1496.txt item: #292 of 1636 id: squmj-1497 author: None title: squmj-1497 date: 2017-09-27 words: 3997 flesch: 56 summary: Recently, we have shown that in non-alcoholic steatohepatitis (NASH) patients there is an increase in the levels of acute inflammatory markers, including C-reactive protein (CRP).9 There is evidence from another study that NASH is not simply a marker of the prothrombotic state in the metabolic syndrome, but is directly involved in its pathogenesis, possibly through the systemic release of proinflammatory and procoagulant factors from the steatotic/ inflamed liver.10 Therefore, the present study was undertaken to evaluate the levels of plasminogen activator inhibitor-I (PAI-I), tumour necrosis factor-α (TNF-α), along with CRP in NAFLD patients in a local population in India. In NAFLD, hepatic apolipoprotein B-100 synthesis, a rate-determining step in hepatic very-low-density lipoprotein (VLDL) formation and in hepatocyte lipid export, is markedly reduced, and postprandial apolipoprotein B-100 responses are flat and strikingly dissociated from the concomitant increases of postprandial triglycerides.23,24 Disturbances of VLDL assembly are an important factor in the natural history of NAFLD and can also result in increased levels of atherogenic triglyceride- and cholesterol-rich remnant particles.1,10,11 Small dense LDL particles, which are thought to be more atherogenic,8,10 could also be increased in NAFLD patients. keywords: cad; disease; factor; fatty; levels; liver; metabolic; nafld; pai; patients; risk; serum; study; syndrome cache: squmj-1497.pdf plain text: squmj-1497.txt item: #293 of 1636 id: squmj-1498 author: None title: squmj-1498 date: 2017-09-27 words: 726 flesch: 79 summary: ن�شبة حدوث اإِْنتان الدم الوليدي املتاأخر لدى الأطفال اخلدج ذوي الوزن املنخف�س ب�شدة عند الولدة يف وحدة الرعاية املركزة حلديثي الولدة ثالثيةامل�شتوى ن�شبًة مرتفعة وتتجاوز الن�شب العاملية املبلغ عنها، اأجريت هذه الدرا�شة ال�شتعادية حلالت �شابقة يف وحدة العناية املركزة حلديثي طبيعة لتحديد ، دي�شمرب 2008 اإىل يناير 2006 من ال�شعودية، العربية باململكة الريا�س مدينة يف اجلامعي خالد امللك مب�شت�شفى الولدة اجلراثيم keywords: infants; الدم cache: squmj-1498.pdf plain text: squmj-1498.txt item: #294 of 1636 id: squmj-1499 author: None title: squmj-1499 date: 2017-09-27 words: 5544 flesch: 58 summary: While underlying social problems were significantly more common in medical students, economic problems were more prevalent among CASCS students (P <0.05, P <0.05). A high prevalence of emotional disorders among medical students was reported at a Malaysian private medical school,3 while El-Gilany et al. found an overall stress rate of 30.9% and 28.9% among Egyptian and Saudi medical students respectively.10 Abdulghani reported a higher prevalence of stress (57%) in medical students from King Saud University, Riyadh, (Saudi Arabia).11 Studies in the literature have reported that some of the challenges faced by students include managing the psychosocial environment and financial problems, accompanied by academic pressures.12,13 Academic demands and the quality of the study environment may vary in different fields of education and different colleges and consequently result in different student life-styles and health effects. keywords: cascs; college; dammam; health; life; medical; problems; saudi; stress; students; studies; study; university cache: squmj-1499.pdf plain text: squmj-1499.txt item: #295 of 1636 id: squmj-1500 author: None title: squmj-1500 date: 2017-09-27 words: 5268 flesch: 68 summary: The practice of using hearing protective devices by participants in industrial locations did not differ by gender in two other studies in the USA.16,17 In spite of this observation, gender specific health promotion for improving hearing health practices is recommended and such promotion could be integrated to Oman’s commitment to address the gender inequity issue.18 The exposure to cell-phones and loud music on radio/TV are known risk factors for hearing impairment.17,20 Hearing practices can be defined as the ways that hearing apparatuses are used in day to day life to collect sound stimuli. keywords: beliefs; group; health; hearing; level; loss; noise; oman; participants; population; practices; study; year cache: squmj-1500.pdf plain text: squmj-1500.txt item: #296 of 1636 id: squmj-1501 author: None title: squmj-1501 date: 2017-09-27 words: 2705 flesch: 54 summary: Mass effects of petrous apex CGs can result in a variety of symptoms such as: unilateral hearing loss, vertigo, headaches, tinnitus, facial numbness, Department of Otolaryngology, King Saud University and King Abdulaziz University Hospital, Riyadh, Saudi Arabia. Thus, accurate preoperative diagnosis of petrous apex lesions is critical, because the surgical approaches used for this region vary depending on the specific disease process involved. keywords: apex; approach; case; cholesterol; hearing; labyrinthectomy; patient; preservation; report; translabyrinthine cache: squmj-1501.pdf plain text: squmj-1501.txt item: #297 of 1636 id: squmj-1502 author: None title: squmj-1502 date: 2017-09-27 words: 1854 flesch: 57 summary: حدث توقف عن التنف�س مع �شلل كامل للع�شالت اإ�شتغرق قرابة 90 دقيقة ثم ت�شجيله عن طريق والتهدئة. During this brief period of 5-7 minutes, patient was noted to make shallow respiratory efforts. keywords: case; fentanyl; midazolam; muscle; patient; respiratory; response cache: squmj-1502.pdf plain text: squmj-1502.txt item: #298 of 1636 id: squmj-1503 author: None title: squmj-1503 date: 2017-09-27 words: 2254 flesch: 59 summary: مت تنوميهما بامل�شت�شفى اإثر ابتالعهما لهذه احل�رشة ونبني يف هذا ال�شياق الو�شف ال�رشيري حلالتيهما وذلك لإحاطة املهتمني ب�شحة الطفل حول هذه احل�رشة وما قد ت�شببه من اأعرا�س خطرية. اخلنف�شاء ح�رشة يف املوجودة ال�شمية املواد اأهم من الكانرثادين مادة اإن امللخ�ص: يوؤدي اإىل ت�شمم يف اجل�شم ب�شبب مادة الكانرثادين التي قد توؤدي اإىل تقيوؤ الدم وانخفا�س م�شتوى الوعي وا�شطراب اأمالح الدم والتبول الدموي وتدهور وظائف الكلى. keywords: beetle; blister; blood; cantharidin; ingestion; poisoning; serum cache: squmj-1503.pdf plain text: squmj-1503.txt item: #299 of 1636 id: squmj-1504 author: None title: squmj-1504 date: 2017-09-27 words: 1723 flesch: 54 summary: ن�شتعر�س هنا حالة ل�شخ�س عمره 52 عاما نق�س مع ال�شهية وفقدان البطن يف واأوجاع الغثيان من املري�س ي�شكو حديثا. بعد اإجراء ناظور املريء واملعدة والأمعاء واأخذ اخلزعات للفح�س الن�شيجي املر�شي، مت ت�شخي�س احلالة بالإ�شابة بداء ال�شطوانيات. امللخ�ص: الدودة الأ�شطوانية الربازية، عدوى keywords: case; diagnosis; examination; infection; stercoralis; strongyloides; strongyloidiasis cache: squmj-1504.pdf plain text: squmj-1504.txt item: #300 of 1636 id: squmj-1505 author: None title: squmj-1505 date: 2017-09-27 words: 821 flesch: 54 summary: Less than 1 % of ingested foreign bodies cause perforation of the gastrointestinal tract,1 even rarer is an aortic pseudoaneurysm with the consequence of an aortoesophageal fistula (AEF) caused by foreign body. Inoue T, Nishino T, Peng Y-F, Saga T. Successful one-stage operation of aortoesophageal fistula from thoracic aneurysm using a rifampicin – soaked synthetic graft. keywords: aortic; aortoesophageal; chest; patient cache: squmj-1505.pdf plain text: squmj-1505.txt item: #301 of 1636 id: squmj-1506 author: None title: squmj-1506 date: 2017-09-27 words: 1095 flesch: 51 summary: The study by Greenwood et al. carefully assessed the relative contribution of collateral palmar circulation during 30 minutes of radial artery occlusion.2 Radial artery is thread-like and the radial area is supplied by collateral circulation from ulnar artery (continuous arrow). keywords: artery; cross; patients; radial cache: squmj-1506.pdf plain text: squmj-1506.txt item: #302 of 1636 id: squmj-1507 author: None title: squmj-1507 date: 2017-09-27 words: 1984 flesch: 48 summary: In medical schools, they make up half the class.5 Foster1 and others6,7 assume that female medical doctors are more likely to work part-time in order to have a family, leading to staffing problems. Hearing of a large majority of female medical students enrolled in the private medical school in Sohar, Oman,1 Ken Foster really raised the concern regarding who gets into medical schools? blaming society much more than the higher education system itself. keywords: doctors; health; medical; oman; students; thinking cache: squmj-1507.pdf plain text: squmj-1507.txt item: #303 of 1636 id: squmj-1508 author: None title: squmj-1508 date: 2017-09-27 words: 1081 flesch: 62 summary: Satisfied patients who had their treatment in Oman can not only express their experiences, but also address the concerns of patients who are awaiting their treatment. This article outlined the possible negative consequences in terms of outcomes for cancer patients which can arise if they seek a second opinion abroad. keywords: oman; opinion; patients cache: squmj-1508.pdf plain text: squmj-1508.txt item: #304 of 1636 id: squmj-1509 author: None title: squmj-1509 date: 2017-09-27 words: 1854 flesch: 56 summary: Formative assessment is used for diagnosis and remediation, while summative assessment is used for promotion and certification. Do we need “made in Oman” tools?”1 with interest and felt that the issue of formative versus summative assessment needed to be clarified before conclusions could be made about which and how assessment tools should be used. keywords: assessment; medical; position; seat; tools cache: squmj-1509.pdf plain text: squmj-1509.txt item: #305 of 1636 id: squmj-1510 author: None title: squmj-1510 date: 2017-09-27 words: 814 flesch: 49 summary: Formative assessment is used for diagnosis and remediation, while summative assessment is used for promotion and certification. Do we need “made in Oman” tools?”1 with interest and felt that the issue of formative versus summative assessment needed to be clarified before conclusions could be made about which and how assessment tools should be used. keywords: assessment; tools cache: squmj-1510.pdf plain text: squmj-1510.txt item: #306 of 1636 id: squmj-1511 author: None title: squmj-1511 date: 2017-09-27 words: 1349 flesch: 45 summary: As should be expected, genetic counsellors are the sole ‘breakers of bad news’ and must daily confront stark ethical questions. The coverage in this volume also leaves room for genetic counsellors to introspect. keywords: counseling; medicine; practice; volume cache: squmj-1511.pdf plain text: squmj-1511.txt item: #307 of 1636 id: squmj-1512 author: None title: squmj-1512 date: 2017-09-27 words: 456 flesch: 65 summary: It is very hard to say much that is negative about this book, but since it was published by people who are living and practicing at United States, they have used scenarios common in their culture. r e v i e w e r Ahmed S Al-Busaidi Department of Family Medicine & Public Health, Sultan Qaboos University Hospital, Muscat, Oman Email: aalbusaidi@hotmail.com keywords: book; patient cache: squmj-1512.pdf plain text: squmj-1512.txt item: #308 of 1636 id: squmj-1513 author: None title: squmj-1513 date: 2017-09-27 words: 8375 flesch: 43 summary: Sickle cell disease (SCD) - Sickle cell disease is prevalent in Oman with 5.7% of Omani people carrying the gene and about 0.2% affected; therefore, it is estimated that 120–150 babies born in Oman every year will become patients with SCD. keywords: bone; cell; chronic; college; disease; doctors; email; general; health; management; medical; medicine; oman; patients; qaboos; revalidation; risk; stroke; sultan; treatment; university; virus cache: squmj-1513.pdf plain text: squmj-1513.txt item: #309 of 1636 id: squmj-1514 author: None title: squmj-1514 date: 2017-09-27 words: 2299 flesch: 48 summary: Pendant on a Necklace – Case of Sertoli-Leydig cell tumour Shabnam Saquib,1 Vaidyanathan Gowri,2 Aisha Al-Hamdani,3 Ikram Burney4 and Rajeev Jain5 Departments of 1Obstetrics and Gynaecology, 3Pathology, 4Medicine, Sultan Qaboos University Hospital, Muscat, Oman; Departments of 2Obstetrics and Gynaecology, 5Radiology & Molecular Imaging, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman. Successful Management of a Case of Gestational Trophoblastic Neoplasia in a Young Woman Mariam Mathew,1 Shabnam Saquib,1 Shiyam Kumar,2 Dilani Lokuhetty3 and Rajeev Jain4 Departments of 1Obstetrics and Gynaecology, 2Medicine, 3Pathology, Sultan Qaboos University Hospital, Muscat, Oman; 4Department Radiology & Molecular Imaging, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman. keywords: acute; case; mri; qaboos; university cache: squmj-1514.pdf plain text: squmj-1514.txt item: #310 of 1636 id: squmj-1515 author: None title: squmj-1515 date: 2010-11-13 words: 3385 flesch: 63 summary: The 2009 Oman National Nutrition Report,5 which alerted us to the 17.9% of our children under 5 years who are under-nourished, should be a wake- up call to all medical personnel, physicians and nurses alike, to play their role in health advocacy in Oman. As Oman is marking 40 years of its 'Renaissance', it is relevant to reflect how the country has fared in relation to the MDG benchmarks. keywords: countries; development; goals; health; oct; oman cache: squmj-1515.pdf plain text: squmj-1515.txt item: #311 of 1636 id: squmj-1516 author: None title: squmj-1516 date: 2010-11-13 words: 2359 flesch: 64 summary: The Nature paper on grand challenges in chronic non-communicable diseases identified the first goal as raising public awareness.10 Grand challenges in chronic non-communicable diseases. keywords: chronic; cncds; diseases; global; health; research; world cache: squmj-1516.pdf plain text: squmj-1516.txt item: #312 of 1636 id: squmj-1517 author: None title: squmj-1517 date: 2010-11-13 words: 1307 flesch: 52 summary: Nowadays, medical schools have an increasing obligation towards society and stakeholders whose credence could influence future medical education. The Report changed the face of medical education in that region, and it is justifiable to say that the changes induced by the Flexner Report are what have made North American medical education the current world gold standard. keywords: education; flexner; medical; report cache: squmj-1517.pdf plain text: squmj-1517.txt item: #313 of 1636 id: squmj-1518 author: None title: squmj-1518 date: 2010-11-13 words: 3707 flesch: 48 summary: HCV is a serious infectious problem in the Middle East with Egypt having the highest prevalence of HCV infection and Oman being in the intermediate category.1,2 HCV is a flavivirus comprising 6 genotypes with numerous subtypes. Conclusion Many therapeutic strategies against HCV infection are available, such as the combination of peg-IFN and ribavirin. keywords: hcv; hepatitis; ifn; infection; liver; mir-122; patients; response; rna; therapy; treatment; virus cache: squmj-1518.pdf plain text: squmj-1518.txt item: #314 of 1636 id: squmj-1519 author: None title: squmj-1519 date: 2010-11-24 words: 4715 flesch: 68 summary: Although many patients and doctors like to start the consultation with the present complaints, it pays off to start more openly tracing the events more generally prior to the consultation. Health care information had become readily available in newspapers and magazines and on the Internet leading to doctors being challenged by well informed patients. keywords: communication; consultation; doctor; e e; e s; feelings; patient cache: squmj-1519.pdf plain text: squmj-1519.txt item: #315 of 1636 id: squmj-1520 author: None title: squmj-1520 date: 2010-11-13 words: 5384 flesch: 55 summary: 34.4 24  %83%89.3%99.3  17th Aug 10 Accepted 30th Aug 10 AC rs9563084 Substitution 5’UTR -119 ins CGCCG rs28362531 Insertion 5’UTR -75C>A rs2277448 Substitution Exon 2 1216T>G rs1801243 Non-synonymous Exon 3 1366G>C rs1801244 Figure 2: Polymerase chain reaction (PCR) of exons 12, 13 and 14 where M = Marker (50 bp); N = Control sample; P1 and P2 are Wilson disease (WD) patients. keywords: allelic; atp7b; disease; exon; family; patients; splice; variant; wilson cache: squmj-1602.pdf plain text: squmj-1602.txt item: #396 of 1636 id: squmj-1603 author: None title: squmj-1603 date: 2017-10-05 words: 3603 flesch: 64 summary: In this study, AHI >15 was implicated as a cut-off point for OSAHS and the results showed that 49% of the study sample had obstructive sleep apnoea, with higher prevalence among men (57%) compared with women (33%). Sharma SK, Sreenivas V. Are metabolic syndrome, obstructive sleep apnoea and syndrome Z sequential? keywords: age; ahi; apnoea; bmi; gender; sleep; study; women cache: squmj-1603.pdf plain text: squmj-1603.txt item: #397 of 1636 id: squmj-1604 author: None title: squmj-1604 date: 2017-10-05 words: 4786 flesch: 57 summary: Perimodiolar CI electrodes place the electrode contacts in closer proximity to the excitable neural elements. Electrophysiologic effects of placing CI electrodes in a perimodiolar position in young children. keywords: cochlear; electrode; hugging; neural; nrt; pair; response; stimulation; study; stylet; technique; total cache: squmj-1604.pdf plain text: squmj-1604.txt item: #398 of 1636 id: squmj-1605 author: None title: squmj-1605 date: 2017-10-05 words: 3531 flesch: 51 summary: The majority of the complicated cases are due to P. falciparum infection. A study done in Punjab, India, found that the presence of splenomegaly is three times more common in P. falciparum infection compared to other forms of malaria.13 Thrombocytopenia, one of the severe complications of malaria is attributed to reduced platelet life span and splenic pooling.14,15 Macrophage activation and hyperplasia, especially in the spleen, may also play a role. keywords: falciparum; infections; malaria; mixed; mono; patients; plasmodium; study; vivax cache: squmj-1605.pdf plain text: squmj-1605.txt item: #399 of 1636 id: squmj-1606 author: None title: squmj-1606 date: 2017-10-05 words: 3992 flesch: 46 summary: Distribution of the most important reasons for student preference of online examination format. Being seated for online format examinations as opposed to moving about constantly during the examination could potentially be beneficial in reducing the level of anxiety. keywords: anatomy; assessment; computer; examination; format; junior; med; online; preference; students; study cache: squmj-1606.pdf plain text: squmj-1606.txt item: #400 of 1636 id: squmj-1607 author: None title: squmj-1607 date: 2017-10-05 words: 4579 flesch: 49 summary: It usually develops 5–14 days following exposure to all types of heparin, including low molecular weight heparin (LMWH), or immediately following the second exposure to heparin.2 Heparin dependent antibodies are frequently encountered, however thrombocytopenia/ thrombosis is seen only in about 3–5% of patients exposed to heparin, with thrombosis seen in about 1%. 55 68 42 51 74 Sex M F F M M Platelets at admission x 109/l 201 182 225 182 139 White blood count at admissions x 109/l 7.1 12.9 7.2 6.1 7.8 Type of heparin used Enoxaparin Enoxaparin Minihep Minihep Minihep Duration of heparin therapy (days) 9 14 11 14 7 Nadir platelets counts x 109/l 78 48 12 25 35 Therapy used Danaparoid Danaparoid Hirudin Hirudin Hirudin Day 10 platelet count x 109/l 240 287 261 210 156 Time to normal counts (days) 9 7 4 6 9 Salam Alkindi, Owen P Smith, Helen Enright Case Report | 393 counts showed Hb 14.1 g/dl, white blood cells (WBC) 7.1 x 109/l, platelets 201 x 109/l. At the onset of the pulmonary embolism, the blood counts showed Hb 10g/dl, WBC 20 x 109/l and platelets 82 x 109/l. His platelet count dropped further to 78 x 109/l. Further investigation showed prothrombin time (PT) 10.6 seconds, activated partial thromboplastin time (APTT) 26.1 seconds, fibrinogen 2.36 g/l, D-dimers > 6.4 < 12.8. keywords: case; count; danaparoid; heparin; hirudin; hits; patients; platelet; thrombocytopenia; thrombosis cache: squmj-1607.pdf plain text: squmj-1607.txt item: #401 of 1636 id: squmj-1608 author: None title: squmj-1608 date: 2017-10-05 words: 1798 flesch: 51 summary: *Corresponding Author email: gowrie61@hotmail.com Íõ^ß65% of participants had adequate exposure to sunlight and >90% reported Moeness Moustafa Alshishtawy review | 143 elsewhere, vitamin D deficiency was found to be common among pregnant women.35 Most clinicians believe that vitamin D deficiency has been essentially eliminated in the USA, but recent data indicate that the diagnosis exists in epidemic proportions.36 Data from the National Health and Nutrition Examination Survey (NHANES) showed that the number of persons with 25(OH)D concentrations below 75 nmol/L nearly doubled between the 1994 and 2004 surveys, each of which extended for several years each.37 Data from the NHANES III 2004 survey showed that 65–75% of the population had 25(OH) D concentrations of <50 nmol/L.12 Less than 3% of African-American mothers were vitamin D sufficient, and the mean cord blood concentrations of 25(OH)D in their infants was very low (25 ± 15 nmol/L).37,38 More recent research from the USA also studied vitamin D concentrations in different ethnic groups, and included 154 African-American, 194 Hispanic, and 146 Caucasian women at <14 weeks of gestation. In winter, when UV radiation concentrations are less intense, maintenance of vitamin D concentrations may require 2–3 hours of sunlight exposure to the face, arms and hands or equivalent area of skin over a week.80 Second, some groups in the community are at increased risk of vitamin D deficiency. keywords: 25(oh)d; clin; concentrations; day; deficiency; disease; endocrinol; exposure; health; mean; nmol; pregnancy; risk; serum; skin; status; study; sun; supplementation; vitamin; vitamin d; women; years cache: squmj-1667.pdf plain text: squmj-1667.txt item: #459 of 1636 id: squmj-1668 author: None title: squmj-1668 date: 2017-10-05 words: 5284 flesch: 54 summary: In a multinational study, the proportion of infants with TSB levels at or above the 95th percentile at 30 hours ranged from approximately 5% in Hong Kong and China, to 40% in Kobe, Japan.2 Clinical Features Risk factors for the development of jaundice in near- term infants were obtained from clinical histories. Acidosis increases movement of bilirubin into tissues and, thus, can contribute to the development of kernicterus.10 Kernicterus can occur in healthy term infants. keywords: bilirubin; blood; hours; hyperbilirubinaemia; infants; jaundice; levels; phototherapy; risk; term; term infants; tsb; µmol cache: squmj-1668.pdf plain text: squmj-1668.txt item: #460 of 1636 id: squmj-1669 author: None title: squmj-1669 date: 2017-10-05 words: 5293 flesch: 60 summary: The neural drive to the UA dilator muscles is integrated at the level of brainstem motor nuclei where multiple neural inputs combine to produce a unitary output to the muscles.46 Neurogenic lesions affecting upper airway muscles impair the ability of its reflexogenic dilation, leading to increased possibility of UA collapse. Activation of upper airway muscles before onset of inspiration in normal humans. keywords: airway; apnea; lesions; muscle; nasal; nerve; osas; patients; pharyngeal; physiol; respir; sleep; snorers; snoring; study; treatment; upper; vibration cache: squmj-1669.pdf plain text: squmj-1669.txt item: #461 of 1636 id: squmj-1670 author: None title: squmj-1670 date: 2017-10-05 words: 5465 flesch: 61 summary: Hamed Al-Sinawi,1 Mohammed Al-Alawi,2 Rehab Al-Lawati,2 Ahmed Al-Harrasi,3 Mohammed Al-Shafaee,4 *Samir Al-Adawi5 Emerging Burden of Frail Young and Elderly Persons in Oman For whom the bell tolls? 170 | SQU Medical Journal, May 2012, Volume 12, Issue 2 there is an unusual trend whereby youth people are seeking types of health care often perceived as only relevant for the elderly. As the term implies, home health care serves the myriad needs of MCI in their homes by outreach teams that include all types of health care professionals such as nurses, occupational therapists and social workers. keywords: adawi; care; cebd; disability; diseases; disorders; family; health; mci; med; oman; population; social; system; world cache: squmj-1670.pdf plain text: squmj-1670.txt item: #462 of 1636 id: squmj-1671 author: None title: squmj-1671 date: 2017-10-05 words: 4884 flesch: 64 summary: This study gives a descriptive analysis for sickle cell patients admitted to an intensive care unit. The need for inotropic support and mechanical ventilation are the main mortality predictors for sickle cell patient in an intensive care unit. keywords: acs; acute; admission; blood; care; cell; disease; icu; mortality; patients; scd; sickle; study; transfusion cache: squmj-1671.pdf plain text: squmj-1671.txt item: #463 of 1636 id: squmj-1672 author: None title: squmj-1672 date: 2017-10-05 words: 3735 flesch: 59 summary: �ست�سفى جامعة ال�سلطان قابو�س يف ُعمان، وهو فرتة الثقة %95 بني 81.8 و 93%( كانوا مواغفني اأي�سا )�سواء جمرد املوافقة اأو املوافقة بقوة( على اأن الرعاية املبنية على الدليل ميكن اأن حت�ّسن النتائج ال�رضيرية، و�رّضح اذا فيما الدليل على املبنية الرعاية ويطبقون �سي�ستخدمون باأنهم )96.4% و 87.2 بني 95% الثقة )فرتة امل�ساركني من 91.8% توفرت واأ�سبحت جزءا من نظام معلومات امل�ست�سفى. keywords: care; clinical; clinicians; ebpp; evidence; hospital; information; practice; research; study; years cache: squmj-1672.pdf plain text: squmj-1672.txt item: #464 of 1636 id: squmj-1673 author: None title: squmj-1673 date: 2017-10-05 words: 4385 flesch: 63 summary: ROP = right occipito-posterior position; UT = uterus; LSCS = lower segment Caesarean section; PIH = pregnancy induced hypertension; The orthodox view of one of the pioneers of myomectomy in non-pregnant women, Bonney, is reflected in his writings: “It is tempting for the adventurous and sympathetic surgeon to condense the operation of lower segment Caesarean section and myomectomy into one undertaking and save his patient the ordeal of a second admission to hospital. keywords: blood; caesarean; cms; fibroids; haemorrhage; myomas; myomectomy; patients; pregnancy; section; segment; uterine; women cache: squmj-1673.pdf plain text: squmj-1673.txt item: #465 of 1636 id: squmj-1674 author: None title: squmj-1674 date: 2017-10-05 words: 5865 flesch: 54 summary: Mishra et al. observed an increase in hsCRP levels in stroke patients and that the increased levels were correlated with larger infarct, severe neurological deficit, and worse outcomes.12 Our study showed a highly significant negative correlation between serum MDA levels and TAS in ischaemic stroke patients, which suggests increased utilisation by ROS as an important contributing factor to the lower concentrations of antioxidants in ischaemic stroke patients. abstract: Objectives: This study aimed to investigate the presence of oxidative stress and inflammation in ischaemic stroke patients by measuring malondialdehyde (MDA), total antioxidant status (TAS), and highly- sensitivity C-reactive protein (hsCRP) in the early post-ischaemic period, and to determine the role of Ginkgo biloba therapy in correcting the markers of oxidative stress and inflammation. keywords: antioxidant; biloba; group; hscrp; levels; mda; oxidative; patients; protein; reactive; serum; stress; stroke; stroke patients; tas; therapy cache: squmj-1674.pdf plain text: squmj-1674.txt item: #466 of 1636 id: squmj-1675 author: None title: squmj-1675 date: 2017-10-05 words: 4792 flesch: 59 summary: abstract: Objectives: The aim of this study was to assess the psychological health of first-year health professional students and to study sources of student stress. Sources of student stress can be academic pressures, social or personal issues, and financial problems. keywords: domain; gmu; health; medical; morbidity; problems; sources; stress; students; study; total; university; year; النف cache: squmj-1675.pdf plain text: squmj-1675.txt item: #467 of 1636 id: squmj-1676 author: None title: squmj-1676 date: 2017-10-05 words: 4126 flesch: 52 summary: The objective structured clinical examination (OSCE) as a method of student assessment accounted for a sizable part of the variance in total clinical and final marks, which indicated that the implementation of OSCE is a useful adjunct to other forms of clinical assessment. Conditioned on its presence, the OSCE explained an extra variance of Table 2: Correlation matrix between medical student scores in different examinations and total clinical scores (N = 110) Examinations Pearson Correlation Total clinical OSCE TOCE Portfolio Written: r coefficient P value 0.162 0.091 0.157 0.102 0.154 0.108 0.020 0.835 Total clinical: r coefficient P value -- 0.807 0.000 0.863 0.000 0.558 0.000 OSCE: r coefficient P value -- -- 0.493 0.000 0.196 0.040 TOCE: r coefficient P value -- -- -- 0.379 0.000 Legend: OSCE = objective structured clinical examination; TOCE = traditional oral clinical examination Written Exam (50 marks) 50403020 To ta l C lin ic al (5 0 m ar ks ) keywords: assessment; examination; marks; osce; psychiatry; scores; students; toce; total cache: squmj-1676.pdf plain text: squmj-1676.txt item: #468 of 1636 id: squmj-1677 author: None title: squmj-1677 date: 2017-10-05 words: 2495 flesch: 57 summary: ينبغي توخي احلذر ال�سديد لال�ستباه بتلك احلالة الأن تاأخر العر�س اأو الت�سخي�س يزيد معدل االإ�سابة باالأمرا�س. وميكن ت�سخي�س عر�س التهاب ال�سفاق الناجت عن ثقب �رضيح بوا�سطة االأ�سعة ال�سينية للبطن. مفتاح الكلمات: �سدمة كليلة، تاأخر الت�سخي�س، ثقب االأمعاء، ال�سائم، التهاب ال�سفاق، تقرير حالة، باك�ستان. keywords: air; case; patient; perforation; peritonitis; report; trauma cache: squmj-1677.pdf plain text: squmj-1677.txt item: #469 of 1636 id: squmj-1678 author: None title: squmj-1678 date: 2017-10-05 words: 1508 flesch: 56 summary: She presented with symptoms and signs of an incarcerated left inguinal hernia. Keywords: Inguinal hernia; Ovary; Case report; Oman. keywords: case; hernia; ovary; sac cache: squmj-1678.pdf plain text: squmj-1678.txt item: #470 of 1636 id: squmj-1679 author: None title: squmj-1679 date: 2017-10-05 words: 2346 flesch: 55 summary: االجتاه املتزايد حلدوث �رضطان اخلاليا احلر�سفية يف الفم عند ال�سابات دون وجود عوامل اخلطر املعروفة ي�سلط ال�سوء على اأهمية ا�ستعداد االأطباء لت�سخي�س هذه االآفة ب�رضعة وبدقة، يف الفم عند امرأة شابّة دايوريان فرانكا، لريا مونتي، اإلفيمار دي كا�سرتو، اآنا �سبحية، لوي�س فولباتو، �ساندرا اأغيار، مار�سيلو جي جوياتو امللخ�ص: �رضطان اخلاليا احلر�سفية يف الفم من اأكرث االأورام اخلبيثة، وي�سيب ب�سكل رئي�سي االأ�سخا�س فوق �سن 50 �سنة الذين يعتادون على تعاطي التبغ والكحول. keywords: cancer; carcinoma; case; cell; factors; oral; oscc; patients; risk; tobacco cache: squmj-1679.pdf plain text: squmj-1679.txt item: #471 of 1636 id: squmj-1680 author: None title: squmj-1680 date: 2017-10-05 words: 2585 flesch: 60 summary: Keywords: Inguinal hernia; Appendix in hernia; Acute appendicitis; Case report; In most of the patients who present with a right-sided Amyand’s hernia, its location can be explained by the normal anatomical position of the appendix; also, right- sided inguinal hernias are more common. keywords: amyand; appendix; case; hernia; mesh; repair; report; surgery cache: squmj-1680.pdf plain text: squmj-1680.txt item: #472 of 1636 id: squmj-1681 author: None title: squmj-1681 date: 2017-10-05 words: 2584 flesch: 52 summary: ينجم اال�ستباه يف اأَْك�ُسج النب�سي. ُندرج يف هذا احلالة عندما يكون قيا�س �سغط االأك�سجني ال يتنا�سب مع ت�سبع االأك�سجني التي يتم اكت�سافها حني ِقيا�ُس التَّ التقرير و�سفا حلالتني keywords: blood; blue; condition; kpa; methb; methemoglobinaemia; methylene; oxygen; pulse cache: squmj-1681.pdf plain text: squmj-1681.txt item: #473 of 1636 id: squmj-1682 author: None title: squmj-1682 date: 2017-10-05 words: 1295 flesch: 48 summary: LA, left atrium. Figure 3: Contrast-enhanced computed tomography (CT) scan in axial (A) view showing presence of contrast in the right common iliac artery (arrowheads) with absence of opacification of left common iliac artery in a patient with prosthetic valve thrombosis treated with thrombolysis. Contrast-enhanced CT in three-dimensional reconstruction (B and C) demonstrates complete occlusion of left common iliac artery and right common femoral artery (arrowheads) in the patient with prosthetic valve thrombosis treated with thrombolysis. keywords: artery; patient; thrombosis; thrombus; valve cache: squmj-1682.pdf plain text: squmj-1682.txt item: #474 of 1636 id: squmj-1683 author: None title: squmj-1683 date: 2017-10-05 words: 784 flesch: 44 summary: The results of the SHARP trial,7 show promise where simvastin plus SQU Med J, May 2012, Vol. 12, Iss. 2, pp. 245-246, Epub. The effects of lowering LDL cholesterol with simvastatin plus ezetimibe in patients with chronic kidney disease (Study of Heart and Renal Protection): a randomised placebo-controlled trial. keywords: patients; rosuvastatin cache: squmj-1683.pdf plain text: squmj-1683.txt item: #475 of 1636 id: squmj-1684 author: None title: squmj-1684 date: 2017-10-05 words: 623 flesch: 46 summary: Hence we concluded that the foreign material was polyfilament silk suture material (cross-sections and longitudinal sections). Detail of the fibre structure can sometimes be seen upon careful examination of H&E stained sections. keywords: cross; sections; suture cache: squmj-1684.pdf plain text: squmj-1684.txt item: #476 of 1636 id: squmj-1685 author: None title: squmj-1685 date: 2017-10-05 words: 12615 flesch: 43 summary: College students, including nursing students, feel more overwhelmed and stressed than before. This study aimed to assess and compare cognitive styles of nursing students, evaluate and compare their coping skills, and to explore the relationship between cognitive styles and stress coping skills. keywords: care; clinical; education; health; health care; hospital; knowledge; learning; level; mail; nurses; nursing; nursing education; nursing students; oman; patients; practice; process; quality; research; self; skills; students; study; teaching; training; university; women cache: squmj-1685.pdf plain text: squmj-1685.txt item: #477 of 1636 id: squmj-1686 author: None title: squmj-1686 date: 2017-10-05 words: 2328 flesch: 55 summary: They can thus often develop severe anxiety disorder, which is the most frequent emotional symptom that dyslexic children experience,3 and this adverse disposition can be lifelong. The MoE, perhaps together with the Ministry of Health, needs to recognise officially that dyslexia is a condition requiring special attention and to provide resources for rehabilitation as has been done for other children with special needs. keywords: children; dyslexia; impact; individual; learning; parents cache: squmj-1686.pdf plain text: squmj-1686.txt item: #478 of 1636 id: squmj-1687 author: None title: squmj-1687 date: 2017-10-05 words: 8490 flesch: 50 summary: Keywords: Immunotherapy; B cells; T cells; Neoplasms; Chimeric antigen receptors. Clearly, the position of the targeted epitope itself, particularly its position within the antigen, has a major impact on the efficacy of engineered T cells activation independent of the scFv binding efficiency.66 Mohamed-Rachid Boulassel and Ahmed Galal review | 281 Long term Potential Toxicities of Targeted B Cell Antigens In order to establish T cells expressing CAR as an effective immunotherapy for B-cell neoplasms, several issues still need to be overcome. keywords: antigen; b cells; blood; car; cd20; cd30; cell neoplasms; cells; chimeric; design; expression; immunotherapy; kda; lymphoma; malignant; neoplasms; normal; potential; receptor; surface; t cells; target cache: squmj-1687.pdf plain text: squmj-1687.txt item: #479 of 1636 id: squmj-1688 author: None title: squmj-1688 date: 2017-10-05 words: 5682 flesch: 50 summary: The objective of this review is to provide a brief and updated overview of dyslexia and its management in children through human development issues. Keywords: Dyslexia; Reading Disorder; Learning Disorders; Learning Disabilities; Child; Oman; Human Development; Family. keywords: brain; children; development; disabil; dyslexia; early; example; language; learning; problems; reading; school; screening; stage; understanding; words; years cache: squmj-1688.pdf plain text: squmj-1688.txt item: #480 of 1636 id: squmj-1689 author: None title: squmj-1689 date: 2017-10-05 words: 3299 flesch: 64 summary: اخلال�صة: متثل املعطيات مدى انت�سار ا�سطرابات طيف ا�سطرابات الختزان يف اجل�سيمات احلالة يف �سلطنة ُعمان، والتي ُتعد من اأحد اأكرث جمتمعات ال�رسق الأو�سط يف انت�سار زيجات الأقارب. وقد مت جمع البيانات ال�رسيرية املف�سلة، مبا يف ذلك ال�سن عند بداية املر�ض واجلن�ض وطريقة يف احلالة اجل�سيمات يف الختزان ا�سطرابات طيف انت�سار اأن اإىل املتوفرة البيانات ت�سري النتائج: القرابة. keywords: birth; disease; disorders; lsds; lysosomal; oman; patients; prevalence; storage; study; type cache: squmj-1689.pdf plain text: squmj-1689.txt item: #481 of 1636 id: squmj-1690 author: None title: squmj-1690 date: 2017-10-05 words: 3689 flesch: 62 summary: امُلْبَت�رَسين املتاأخرين اأ�سغر �سنا بكثري من اأمهات الولدان النا�سجني .)P <0.0001( 12.3 ± اجللوتاثيون بريوك�سيديز ن�ساط وكان ،)P <0.0001( النا�سجني الولدان من بكثري وزنا اأقل املتاأخرين امُلْبَت�رَسين الولدان وكان . Results: When compared with term mothers, late preterm mothers had markedly higher keywords: activity; cat; catalase; glutathione; gpx; mean; mothers; neonates; nitric; oxidative; oxide; peroxidase; preterm; الولدان cache: squmj-1690.pdf plain text: squmj-1690.txt item: #482 of 1636 id: squmj-1691 author: None title: squmj-1691 date: 2017-10-05 words: 4917 flesch: 59 summary: اخلال�صة: ك�سفت درا�ستنا اأنه بالرغم من التعر�ض مل�سادر املعلومات املختلفة، اإل اأن م�ستوى معرفة امل�ساركني بداء ال�سكري مل تكن كافية . احلياة ال�سحية للطالب . keywords: activity; adults; diabetes; factors; family; health; history; knowledge; obesity; participants; risk; students; study; university cache: squmj-1691.pdf plain text: squmj-1691.txt item: #483 of 1636 id: squmj-1692 author: None title: squmj-1692 date: 2017-10-05 words: 4585 flesch: 44 summary: The HoNs also suggested a focus on nursing management and leadership at the post-basic diploma level. abstract: Objective: To explore the future of nursing administration in preparation for a major review of the current curriculum in the one-year diploma in nursing administration at the Oman Specialized Nursing Institute (OSNI). keywords: administration; education; health; hons; leadership; management; nurse; nursing; nursing administration; oman; role; students; التمري cache: squmj-1692.pdf plain text: squmj-1692.txt item: #484 of 1636 id: squmj-1693 author: None title: squmj-1693 date: 2017-10-05 words: 4397 flesch: 55 summary: النتائج: كان متو�سط ت�رسب ال�سبغ 0.40 ± 0.1 ملم ملجموع الأكا�سيد الثالثية املعدنية الرمادية و 0.50 ± 0.1 ملم ملجموع الأكا�سيد الثالثية املعدنية البي�ساء. *Corresponding Author e-mail: svosough.rare@yahoo.com تأثري سائل النسيج الصناعي يف التسرب اجملهري جملموع األكاسيد الثالثية املعدنية الرمادية والبيضاء كمواد تعبئة لنهاية اجلذر دراسة خمربية مهرداد لطفي، �سيبيداه يو�سف ح�سيني، حممد علي �سغريي، �سعيد رحيمي، وحيد زند ، حممد فروغ ريحاين، حممد �سميع، جنني قا�سمي، باميان مهرفارظفر، �سهرام عظيمي ، نو�سني �سوكيهينجاد كمية �سعف الرمادية املعدنية الأكا�سيد جمموع عن ينتج القّمة. keywords: aggregate; end; endod; filling; gmta; groups; leakage; materials; mineral; mineral trioxide; mta; root; study; trioxide; trioxide aggregate; wmta cache: squmj-1693.pdf plain text: squmj-1693.txt item: #485 of 1636 id: squmj-1694 author: None title: squmj-1694 date: 2017-10-05 words: 3736 flesch: 58 summary: عن طريق الفم تيجراج كايل، اأميت كومار �سينغ، ا�ض ام كوترا�سيتي، ابهي�سيك كابور امللخ�ص: الهدف: تقييم فعالية �سماد هيمكون لالأ�سنان يف ال�سيطرة على النزيف بعد خلع ال�سن والتاأكد من دوره يف �سفاء اجلروح باملقارنة مع الطريقة التقليدية. Tejraj P. Kale, Amit Kumar Singh, S.M. Kotrashetti and Abhishek Kapoor Clinical and Basic Research | 331 Medical problems are one of the roadblocks for oral and maxillofacial surgeons; they are expected to manage patients with such ailments with utmost care.1 Excessive bleeding in patients on oral antiplatelet therapy (OAT) is currently one of the most commonly encountered complications in dentistry, making OAT patients some of the most challenging patients to treat.2 Although the prevalence of bleeding disorders in patients being treated by dentists and oral surgeons appears to be small, a study in 1994 showed that 2.3% of 1500 adults seeking dental treatment were on OAT and, indeed, bleeding disorders were more prevalent than cancer, renal disease, or joint replacement.3 When encountering such a patient, a dental surgeon has the choice of either altering or stopping the OAT, which presents a risk of thromboembolism, or continuing the OAT and risking uncontrolled bleeding.4–9 A common approach to managing such patients is suspension of the OAT for 3 to 4 days before surgery, which exposes the patients to a higher risk of thromboembolism, myocardial infarction, and cardiovascular accidents.10,11 Intraoperative or postoperative bleeding is not significantly reduced by this regimen. keywords: bleeding; chitosan; control; dental; extraction; haemostasis; hdd; healing; hemcon; oat; pain; patients; site; study cache: squmj-1694.pdf plain text: squmj-1694.txt item: #486 of 1636 id: squmj-1695 author: None title: squmj-1695 date: 2017-10-05 words: 5014 flesch: 63 summary: مت حتويل حما�رسات دورات علم الت�رسيح اإىل �سل�سلة من ) TBL ( اجلل�سات لدفعتني من طالب ال�سنة الأوىل بكلية الطب والعلوم ال�سحية. Student learning style is based on the sensory preference of the individual. keywords: analysis; anatomy; course; curriculum; group; learning; medical; strategy; students; study; tbl; teaching; team; year cache: squmj-1695.pdf plain text: squmj-1695.txt item: #487 of 1636 id: squmj-1696 author: None title: squmj-1696 date: 2017-10-05 words: 5497 flesch: 66 summary: Keywords: Medical informatics; Team-based Learning; Medical students; Attitude; Oman. Apart from the pedagogical value of TBL, and its demonstrated positive impact on examinations, using TBL in medical professional training has a further advantage: medical professionals need to be able to work in diverse teams and TBL offers a fine opportunity for medical students to come to grips with the complexities of teamwork at an early stage in their training.2,11–15 keywords: course; education; females; gender; informatics; learning; medical; sessions; students; study; survey; tbl; team; على cache: squmj-1696.pdf plain text: squmj-1696.txt item: #488 of 1636 id: squmj-1697 author: None title: squmj-1697 date: 2017-10-05 words: 2270 flesch: 58 summary: The rarity of this type of presentation of temporal bone fracture and its management are discussed. Facial injuries have also been reported to be less common in the paediatric age group irrespective of the otic capsule’s involvement.5 CSF otorrhoea occurs in about 11–45% of temporal bone fractures, with petrous fractures being 10 time more likely to cause a CSF leak.10 Of these, the otic sparing types are less likely to have a leak.3,9 keywords: bone; brain; csf; defect; ear; fracture; herniation; repair cache: squmj-1697.pdf plain text: squmj-1697.txt item: #489 of 1636 id: squmj-1698 author: None title: squmj-1698 date: 2017-10-05 words: 1225 flesch: 61 summary: Keywords: Round ligament; Leiomyoma; Case report; Oman. Leiomyoma of extra- peritoneal round ligament: CT demonstration. keywords: case; leiomyoma; ligament; report; round cache: squmj-1698.pdf plain text: squmj-1698.txt item: #490 of 1636 id: squmj-1699 author: None title: squmj-1699 date: 2017-10-05 words: 1560 flesch: 57 summary: يعوق ت�سخي�ض هذه الأورام اخلبيثة. مفتاح الكلمات: ا�ستبه بورم �سائكي متقرن مع اإنتان جرثومي ثانوي، وخ�سع املري�ض ل�ستئ�سال اخلزعة. keywords: case; cells; keratoacanthoma; lesion; melanoma; tumour cache: squmj-1699.pdf plain text: squmj-1699.txt item: #491 of 1636 id: squmj-1700 author: None title: squmj-1700 date: 2017-10-05 words: 3152 flesch: 49 summary: At present time, the procedures carried out during neonatal resuscitation include: maintaining the body temperature by way of heat treatment; maintaining airway permeability through correct head and neck positioning; aspiration of the mouth, nose, pharynx and, if necessary, of the trachea; mechanical ventilation using positive airway pressure with a balloon and mask, or balloon and tracheal tube; maintaining circulation by applying cardiopulmonary resuscitation and administering drugs or fluids. Neonatal resuscitation is complex and takes place in an extremely dynamic and complex environment.6 keywords: birth; care; delma; elbw; hospital; infants; island; neonatal; parents; resuscitation; weight cache: squmj-1700.pdf plain text: squmj-1700.txt item: #492 of 1636 id: squmj-1701 author: None title: squmj-1701 date: 2017-10-05 words: 824 flesch: 54 summary: Fournier’s gangrene (FG) is a life-threatening, necrotising, soft tissue infection which affects the perineum and the perianal and genital areas. FG is commonest in men aged ≥60 keywords: fournier; gangrene; taipei cache: squmj-1701.pdf plain text: squmj-1701.txt item: #493 of 1636 id: squmj-1702 author: None title: squmj-1702 date: 2017-10-05 words: 1418 flesch: 54 summary: Mild FDG uptake was also noted in a new pulmonary nodule (SUV max 1.9) and Sultan Qaboos University Med J, August 2012, Vol. 12, Iss. 3, pp. 371-374, Epub. These transformed cells are inhibited by the tyrosine kinase inhibitor imatinib mesylate with Figure 2: Fluorodeoxyglucose (FDG) positron emission tomography (PET)/ computed tomography (CT) scan at the same trans-axial level comparing the two scans at the time of local recurrence in 2006, when there was no retro- peritoneal lesion (A) and subsequently at the time of 1.4 x 0.8 cm heterogeneous, left retro-peritoneal distant metastasis in 2009 (B). keywords: dermatofibrosarcoma; fdg; pet; protuberans; tomography cache: squmj-1702.pdf plain text: squmj-1702.txt item: #494 of 1636 id: squmj-1703 author: None title: squmj-1703 date: 2017-10-05 words: 1980 flesch: 48 summary: As a pragmatic compromise, an integrated child protection system should include the following basic elements: a legal framework to protect and prevent children from all forms of maltreatment; a proactive child protection agency with statutory powers to coordinate multi-sectoral policy and multi-agency work and to ensure presence of operating community-based protection mechanisms in both rural and urban areas; a coordinated service statutorily empowered and directed to act on and for violations of child protection rights, and a competent service empowered to monitor, inspect and take appropriate action on quality of practice in child protection service and provision. The report stated that the expenditure on child rights has been huge, but the results remained unsatisfactory. keywords: care; child; children; oman; protection; rights cache: squmj-1703.pdf plain text: squmj-1703.txt item: #495 of 1636 id: squmj-1704 author: None title: squmj-1704 date: 2017-10-05 words: 660 flesch: 58 summary: This observation confirms the need for progress as stated by Al-Maawali et al.1 Fourth, Al-Maawali et al.1 make several perceptive comments concerning local journals and the recognition of work carried out in GCC countries. This is less than one third of the population of the GCC countries combined (2010 censuses).3-8 Second, as Al-Maawali and colleagues1 correctly state many factors influence research performance as can be clearly seen from the results listed above. keywords: census; countries; information cache: squmj-1704.pdf plain text: squmj-1704.txt item: #496 of 1636 id: squmj-1705 author: None title: squmj-1705 date: 2017-10-05 words: 1153 flesch: 56 summary: It would seem that Omani women think that the health sector is a suitable place for women to play an important role in society. Evidence suggests that women are well-equipped to satisfy both of these elements of patient-centered care in their one-on-one relationships with patients.9 Several studies by Swiss and American researchers have shown that female doctors tend to be more encouraging and reassuring, use shared decision making, ask more psychosocial questions and spend more time (up to 10% more) with patients than male doctors. keywords: doctors; medical; patient; women cache: squmj-1705.pdf plain text: squmj-1705.txt item: #497 of 1636 id: squmj-1706 author: None title: squmj-1706 date: 2017-10-05 words: 7276 flesch: 37 summary: In conclusion, consanguinity becomes a powerful tool for the identification of disease genes and of the corresponding causative mutations in any inbred population when an effective collaboration is established between molecular geneticists, clinical geneticists and other clinical specialists. The success of this approach can be seen in the large number of disease genes that have been identified by studying Arab families. keywords: cancer; consanguinity; disease; disorders; genes; genetics; genome; health; human; mail; oman; population; qaboos; research; studies; sultan; university cache: squmj-1706.pdf plain text: squmj-1706.txt item: #498 of 1636 id: squmj-1707 author: None title: squmj-1707 date: 2017-10-05 words: 4830 flesch: 39 summary: Although this conventional approach was effective in many patients, a number developed intractable hypoxaemia following H1N1 infection. Case series from a number of large centres during the H1N1 outbreak indicate a good outcome in many patients despite the lack of a strong evidence base for rescue treatment. keywords: cancer; disease; health; hospital; mail; management; medical; patients; revalidation; royal; treatment; university cache: squmj-1707.pdf plain text: squmj-1707.txt item: #499 of 1636 id: squmj-1708 author: None title: squmj-1708 date: 2017-10-05 words: 2652 flesch: 61 summary: Except for the advent of cisplatin, and the use of adjuvant chemotherapy, none of these treatments or modalities changed the outlook for the majority of cancer patients, as the effects were limited either to the tumour type, or were limited by excess toxicity. The third major advance was the realisation that the addition of chemotherapy to surgery improved the outcomes of patients with breast cancer. keywords: breast; cancers; chemotherapy; chronic; imatinib; med; patients; treatment cache: squmj-1708.pdf plain text: squmj-1708.txt item: #500 of 1636 id: squmj-1709 author: None title: squmj-1709 date: 2017-10-05 words: 2626 flesch: 39 summary: This seemingly positive picture is, unfortunately, counter-balanced by the realisation that four countries (China, India, Brazil, and USA) each have more than 150 medical schools, whereas 36 countries have no medical schools at all.4 Besides these astounding figures, the Report points out glaring gaps in health professions education due to outdated curricula, poor manpower planning (qualitative and quantitative) and a dismal financial outlay on health education (only 2% of the annual budget in some of the most advanced countries).5 Against this backdrop, a very contemporary article by Gillian White, Transforming education to strengthen health systems in the Sultanate of Oman, is published in this issue of SQUMJ.6 Its comprehensive framework reviews the links between education and health systems in Oman. The Flexner Report of 1910 was a watershed in providing a roadmap for marrying technological advances in medicine with systemic reforms in health education—translating into better health care.3 keywords: academic; education; global; health; medical; oman; professional; report; systems cache: squmj-1709.pdf plain text: squmj-1709.txt item: #501 of 1636 id: squmj-1710 author: None title: squmj-1710 date: 2017-10-05 words: 7574 flesch: 60 summary: CD34.24 CD34 is also a marker for ICC progenitor cells, which have been found to lose their CD34 expression and acquire more of c-kit expression as they mature into ICC.25 CD34’s role in ICC function is of little significance.25 CD44 is another marker for ICC. It has been found to be expressed in ICC progenitor cells, and in immature as well as mature ICC. keywords: cajal; cells; development; enteric; expression; gastrointestinal; icc; injury; intestine; kit; loss; mice; muscle; scf; stem; stromal; study; tumours cache: squmj-1710.pdf plain text: squmj-1710.txt item: #502 of 1636 id: squmj-1711 author: None title: squmj-1711 date: 2017-10-05 words: 3974 flesch: 59 summary: Soverini S, Hochhaus, Nicolini FE, Gruber F, Lange T, Saglio G, et al. BCR/ABL kinase domain mutation analysis in chronic myeloid leukemia patients treated with tyrosine kinase inhibitors: recommendations from an expert panel on behalf of European LeukemiaNet (ELN). Adherence is the critical factor for achieving molecular responses in patients with chronic myeloid leukemia who achieve complete cytogenetic responses on imatinib. keywords: abl; cell; chromosome; chronic; cml; disease; imatinib; leukemia; myeloid; patients; response; tkis; transplantation cache: squmj-1711.pdf plain text: squmj-1711.txt item: #503 of 1636 id: squmj-1712 author: None title: squmj-1712 date: 2017-10-05 words: 3858 flesch: 39 summary: The Ministry of Health (MOH) has made phenomenal strides in achieving exceptional outputs in health professional education while at the same time preparing Omani academics as education providers (unpublished Quality Audit Portfolio, Directorate General of Education & Training, Ministry of Health, Oman ). In this article, a century of global reforms will be described as the foundation for focusing on the future of health professional education and urging the development of transformative education that will strengthen Oman’s health system. keywords: century; education; generation; health; knowledge; learning; medical; nursing; oman; reforms; students; systems cache: squmj-1712.pdf plain text: squmj-1712.txt item: #504 of 1636 id: squmj-1713 author: None title: squmj-1713 date: 2017-10-05 words: 3827 flesch: 47 summary: This is despite the fact that the current approach to health care education in many institutions is to produce professionals who are good communicators as well as adaptable, flexible team players who can collaborate with and share the same goals as other health care professionals.23 There is an assumption that this will happen automatically in the workplace, although structural, organisational and attitudinal factors may inhibit team development. However, although health care professionals share common core values, their respective education programmes have traditionally been conducted separately, with students in one programme rarely meeting those in other programmes. keywords: care; collaborative; education; health; interprofessional; ipe; learning; medical; practice; professionals; students; work cache: squmj-1713.pdf plain text: squmj-1713.txt item: #505 of 1636 id: squmj-1714 author: None title: squmj-1714 date: 2017-10-05 words: 4490 flesch: 57 summary: This is in contrast to data from Ethiopia where 21% of HIV patients had Cryptosporidium.28 Cryptosporidium parvum is an enteric pathogen and a common cause of gastroenteritis in humans. Toxoplasmosis, caused by the protozoon Toxoplasma gondii, is one of the major OIs afflicting HIV patients. keywords: aids; art; clinical; cohort; hiv; infections; ois; oman; patients; pcp; study; toxoplasmosis; tuberculosis cache: squmj-1714.pdf plain text: squmj-1714.txt item: #506 of 1636 id: squmj-1715 author: None title: squmj-1715 date: 2017-10-05 words: 5621 flesch: 62 summary: Conclusion: Certain socio-demographic factors as well as clinical factors were crucial in determining QOL in epilepsy patients. Guekht et al., reported that patients with frequent seizures had low social contact and feelings of stigmatisation.32 Considerable emphasis has been placed on the Table 3: Quality of life (mean ± SD) of epilepsy patients according to socio-demographic and clinical factors Risk factor n (%) QOL Scores (Mean ± SD) 95% CI P value Age (years) keywords: basrah; control; epilepsy; group; health; life; patients; people; qol; quality; social; status; study cache: squmj-1715.pdf plain text: squmj-1715.txt item: #507 of 1636 id: squmj-1716 author: None title: squmj-1716 date: 2017-10-05 words: 4432 flesch: 67 summary: Leprosy patients attending the Skin and Venereal Diseases Hospital in the City of Light in Taiz, Yemen, who consented to participate in the study, were enrolled. Conclusion: Ocular complications are frequent among leprosy patients in Yemen. keywords: blindness; complications; disease; eyes; leprosy; lesions; patients; study; uveitis; years; yemen cache: squmj-1716.pdf plain text: squmj-1716.txt item: #508 of 1636 id: squmj-1717 author: None title: squmj-1717 date: 2017-10-05 words: 5770 flesch: 60 summary: Aug 12 1Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India; Departments of 2Cardiology and 3Community Medicine & Public Health, King George’s Medical University, Lucknow, Uttar Pradesh, India *Corresponding Author e-mail: golf_pgi@yahoo.co.in ترابط الربوتني الدهين )أ( ومقياس SYNTAX مع شدة تصلب الشريان التاجي يف مشال اهلند فوزية اأ�صفق، بي كي غويل، ناجراجا مورثي، ري�صي �صيثي، حممد اإدري�ض خان، حممد ظفر اإدري�ض امللخ�ض: الهدف: هدف هذه الدرا�صة املقطعية درا�صة الرتابط بني م�صتويات الربوتني الدهني )اأ( كموؤ�رص لت�صلب ال�رصايني وعالقتها ب�صدة الطبية العلوم مبعهد العليا للدرا�صات غاندي �صاجناي معهد يف التوايل على مري�صا ت�صجيل 360 مت الطريقة: التاجي، ال�رصيان ت�صلب وم�صت�صفى جامعة امللك جورج الطبية، لكناو، �صمال الهند، من الذين كانوا يعانون من اآالم يف ال�صدر واأعرا�ض ت�صلب ال�رصيان التاجي وبنف�ض الوقت كانوا يتناولون عالج تخفي�ض دهون، بني يونيو 2009 واأكتوبر 2011. Although all patients with hypertension and CAD require aggressive risk modification, the subgroup with high Lp(a) and TG levels may have multiple-vessel involvement and probably will need close clinical surveillance. keywords: artery; atherosclerosis; cad; cholesterol; disease; hdl; levels; lipoprotein(a; lp(a; patients; risk; score; study; syntax cache: squmj-1717.pdf plain text: squmj-1717.txt item: #509 of 1636 id: squmj-1718 author: None title: squmj-1718 date: 2017-10-05 words: 1249 flesch: 62 summary: After 1968, maternal deaths from illegal abortion fell slowly in the UK but did not disappear until 1982.8 In India, the Shantilal Shah Committee (1964) recommended liberalisation of abortion law in 1966 to reduce maternal morbidity and mortality associated with illegal abortion. However the theories of ensoulment and the legalisation of abortion laws do not always concur. keywords: abortion; ensoulment; oct; pregnancy; termination cache: squmj-1718.pdf plain text: squmj-1718.txt item: #510 of 1636 id: squmj-1719 author: None title: squmj-1719 date: 2017-10-05 words: 11588 flesch: 54 summary: Patients PFS(m) OS (median) Fidias et al.40 2009 Gemcitabine Carboplatin- immediate Dx Gem Carb → Docetaxel at progression 309 5.7 2.7 (P <0.0001) 12.3 9.7 (P <0.0853) Capuzzo et al. (SATURN)39 Platinum doublet – Erlotinib (EGFR Mut) Platinum doublet – placebo 438 451 5.7 3.7 (P <0.0001) 12 11 (P <0.0088) Ciuleanu et al. (JMEN)37 CG, PG, DG → Pemetrexed + BSC versus Placebo + BSC 441 222 5.2 2.6 (P <0.0001) *18.6 13.6 (P <0.0001) Takeda et al.43 (WJTOG) Fosella F, Pereira JR, Von Pawel J, Pluzanska A, Gorbounova V, Kaukel E, et al. Randomized, multinational, phase III study of docetaxel plus platinum combinations versus vinorelbine plus cisplatin for advanced NSCLC: keywords: arm; bevacizumab; carboplatin; cell lung; chemotherapy; cisplatin; clin; et al; gemcitabine; iii; lung; lung cancer; maintenance; maintenance therapy; median; months; non; nsclc; oncol; patients; phase; platinum; survival; trial cache: squmj-1719.pdf plain text: squmj-1719.txt item: #511 of 1636 id: squmj-1720 author: None title: squmj-1720 date: 2017-10-05 words: 3802 flesch: 45 summary: Syuto T, Shimizu A, Takeuchi Y, Tanaka S, Hasegawa M, Nagai Y, et al. Association of antiphosphatidylserine/prothrombin antibodies with neuropsychiatric systemic lupus erythematosus. Aranow C, Diamond B, Mackay M. Glutamate receptor biology and its clinical significance in neuropsychiatric systemic lupus erythematosus. keywords: antibodies; antiphospholipid; disease; erythematosus; lupus; npsle; patients; prevalence; rheum; syndromes; systemic; treatment cache: squmj-1720.pdf plain text: squmj-1720.txt item: #512 of 1636 id: squmj-1721 author: None title: squmj-1721 date: 2017-10-05 words: 4492 flesch: 71 summary: Hence, in the scenario of the abortion for other than medical reasons case, the principles of justice and non- maleficence take precedence over the principle of respect of autonomy, and abortion is considered Divergent Views on Abortion and the Period of Ensoulment 30 | SQU Medical Journal, February 2013, Volume 13, Issue 1 perception and volition i.e. becomes a person”.27 Therefore, abortion with no medical reasons is a crime in Islam, and “the degree of crime”, affirmed Imam Ghazali, “increases from phase to phase. Both the pro-life and pro-choice groups present powerful arguments for and against abortion. keywords: abortion; autonomy; case; ensoulment; fetus; human; life; mother; person; principle; right; woman cache: squmj-1721.pdf plain text: squmj-1721.txt item: #513 of 1636 id: squmj-1722 author: None title: squmj-1722 date: 2017-10-05 words: 6966 flesch: 61 summary: A key aspect of marriage patterns is the high prevalence of consanguineous marriage, as more than half (52%) of married women are blood relatives of their husbands. Thus, the objective of this study was to analyse Oman’s marriage patterns and examine the levels, trends, and determinants of age at first marriage. keywords: arab; consanguineous; cousin; education; family; fertility; health; marriage; nuptiality; oman; population; prevalence; survey; table; women; years cache: squmj-1722.pdf plain text: squmj-1722.txt item: #514 of 1636 id: squmj-1723 author: None title: squmj-1723 date: 2017-10-05 words: 5182 flesch: 62 summary: �صلطنة يف احلادة التاجي ال�رسيان ملتالزمة اخلطر وعوامل وبائية تقييم الهدف: امللخ�ص: جمعها من خالل درا�صة متعددة املراكز يف عدة دول، بني املر�صى اللذين اأدخلوا على التوايل اىل امل�صايف والذين ترتاوح اأعمارهم 20 والإمارات وقطر والكويت والبحرين )عمان العربي اخلليج دول من خم�ض يف احلادة التاجي ال�رسيان متالزمة بت�صخي�ض اأكرث اأو عاما العربية املتحدة(، واليمن على مدى فرتة 5 اأ�صهر. هذا التحليل يلخ�ض بيانات املر�صى العمانيني الذين اأدخلوا امل�صت�صفى بت�صخي�ض مبدئي مبتالزمة ال�رسيان التاجي احلادة. Of the 16 requested centres (15 secondary and one tertiary care hospital, all with facilities to manage ACS patients), 14 participated in the registry and enrolled patients according to the survey’s inclusion criteria. keywords: acs; acute; age; coronary; data; gulf; health; incidence; oman; patients; rate; study; syndrome; women; world; years cache: squmj-1723.pdf plain text: squmj-1723.txt item: #515 of 1636 id: squmj-1724 author: None title: squmj-1724 date: 2017-10-05 words: 3424 flesch: 57 summary: نحتاج اىل العديد من الدرا�صات امل�صتقبلية على املدى الطويل ذات عينات اأكرب وت�صمل عدد اأكرب من امل�صت�صفيات. مفتاح الكلمات: املدقع؛ الولدان؛ الأمهات؛ النتيجة؛ عمان. متزق الأغ�صية قبل الأوان )PROM( يعرف باأنه متزق الأغ�صية اجلنينية قبل اكتمال 37 اأ�صبوعا من احلمل، اأما متزق الفرتة يف والوفيات العتالل اإىل يوؤدي اأن وميكن احلمل، keywords: age; gestation; membranes; neonatal; perinatal; pprom; premature; preterm; rupture; study; weeks cache: squmj-1724.pdf plain text: squmj-1724.txt item: #516 of 1636 id: squmj-1725 author: None title: squmj-1725 date: 2017-10-05 words: 3648 flesch: 59 summary: Knowledge, attitudes, and practice related to cervical cancer screening among Kuwaiti women. Conclusion Voluntary routine screenings with Pap smears was remarkably low in this study group. keywords: abnormalities; cancer; cell; cervical; health; pap; screening; smear; study; uae; women cache: squmj-1725.pdf plain text: squmj-1725.txt item: #517 of 1636 id: squmj-1726 author: None title: squmj-1726 date: 2017-10-05 words: 3536 flesch: 58 summary: Similarly, Table 2 shows an inverse relationship between pus cells sperm motility and count, except in azoospemic patients. Participants were divided into six groups on the basis of sperm concentration, motility, and morphology: azoospermic, oligozoospermic, polyzoospermic, or normozoospermic on the basis of their sperm concentrations, and asthenozoospermic or teratozoospermic on the Application to patient care - keywords: cases; cells; infertility; motility; patients; pus; pus cells; pyospermia; semen; sperm; study cache: squmj-1726.pdf plain text: squmj-1726.txt item: #518 of 1636 id: squmj-1727 author: None title: squmj-1727 date: 2017-10-05 words: 4843 flesch: 54 summary: The magnitude and persistence of these difficulties, specifically in general vocabulary, differed markedly between students from Arabic- medium secondary schools versus those from English-medium secondary schools. - Difficulties with general vocabulary might hinder understanding of scientific/medical information for ESL medical students, depending on the students’ prior exposure to English. Application to Patient Care - English is the de facto language of international medicine, and English proficiency is a prerequisite for success in undergraduate and postgraduate examinations. This study aimed to determine whether ESL students have difficulties with general vocabulary that could hinder their understanding of scientific/medical texts. keywords: english; esl; group; language; medical; number; schools; second; skills; students; vocabulary; words; year cache: squmj-1727.pdf plain text: squmj-1727.txt item: #519 of 1636 id: squmj-1728 author: None title: squmj-1728 date: 2017-10-05 words: 2816 flesch: 62 summary: Mancini T, Porcelli T, Giustina A. Treatment of Cushing disease: Overview and recent findings. اأما املري�ض اخلام�ض فلم ي�صتجب للعالج. keywords: acth; cabergoline; case; cortisol; cushing; disease; levels; serum; table cache: squmj-1728.pdf plain text: squmj-1728.txt item: #520 of 1636 id: squmj-1729 author: None title: squmj-1729 date: 2017-10-05 words: 2568 flesch: 58 summary: The expression of anti-apoptotic proteins such as BCL2 (whose gene, BCL2, is localised to chromosome 18), and HSP70 (whose gene, HSP70, is localised to chromosome 5) is lower in DS AML blasts, suggesting that DS megakaryoblasts are more susceptible to chemotherapy-induced apoptosis. Blast cells were seen on the peripheral smear on the first day of life [Table 1]. keywords: acute; aml; cells; day; leukaemia; myeloproliferative; syndrome; tmd; transient cache: squmj-1729.pdf plain text: squmj-1729.txt item: #521 of 1636 id: squmj-1730 author: None title: squmj-1730 date: 2017-10-05 words: 2736 flesch: 48 summary: مت عالج املري�ض باالأدوية الطاردة للنحا�ض وم�صادات ال�رصع. كل ُندرة احل�صبان يف اأخذنا ما اإذا جدا نادرا النقا�ض يف و�صف حالة مري�ض عمره 21 �صنة، ا�صتطعنا ت�صخي�ض اإ�صابته بكل من مر�ض ول�صن وال�صذوذ النمائي الوريدي عرب الفح�ض ال�رصيري ونتائج كال من الفحو�صات املخربية والت�صوير ال�صعاعي يف م�صت�صفى جامعة ال�صلطان قابو�ض، ُعمان. keywords: brain; case; disease; dvas; epilepsy; figure; ganglia; patient; venous; wilson cache: squmj-1730.pdf plain text: squmj-1730.txt item: #522 of 1636 id: squmj-1731 author: None title: squmj-1731 date: 2017-10-05 words: 2084 flesch: 57 summary: Malignant vaginal melanoma carries a very poor prognosis even when lesion is localised at the time of presentation. Malignant vaginal melanoma carries a very poor prognosis even when the lesion is localised at the time of presentation. keywords: case; cells; examination; malignant; melanoma; survival; tumour; vagina cache: squmj-1731.pdf plain text: squmj-1731.txt item: #523 of 1636 id: squmj-1732 author: None title: squmj-1732 date: 2017-10-05 words: 2101 flesch: 52 summary: Posterior SCJ dislocation is a potentially fatal injury and should not be overlooked due to the presence of other injuries. Bilateral Asymmetrical Traumatic Sternoclavicular Joint Dislocations 514 | SQU Medical Journal, November 2012, Volume 12, Issue 4 Discussion Unilateral and bilateral traumatic anterior SCJ dislocations have rarely been reported.2,4 Unilateral and bilateral traumatic posterior SCJ dislocations are even less common;3,6 however, similar cases with asymmetrical presternal and retrosternal SCJ dislocations, (for example, the reports by Hotchkiss in 1896, and Stapelmohr in 1932) have been mentioned in a historical review.7 keywords: chest; dislocation; injuries; injury; joint; patient; posterior; right; scj cache: squmj-1732.pdf plain text: squmj-1732.txt item: #524 of 1636 id: squmj-1733 author: None title: squmj-1733 date: 2017-10-05 words: 2848 flesch: 43 summary: ميكن اأن تنتج احلالة من ا�صطرابات �صبغية ج�صدية �صائدة اأو متنحية، والنوع االأول اأكرث انت�صارا. It is evident from the previous reported cases that the condition usually begins at the time of eruption of the permanent dentition, but it can develop with the eruption of the deciduous dentition and is even more rarely seen at birth.12 In a study involving 17 family members with gingival fibromatosis, Fletcher reported that the most extensive enlargement appeared to occur either during loss of the deciduous teeth or in early stages of eruption of the permanent dentition.4 keywords: case; enlargement; fibromatosis; gingival; hgf; patient; report; teeth; tissue cache: squmj-1733.pdf plain text: squmj-1733.txt item: #525 of 1636 id: squmj-1734 author: None title: squmj-1734 date: 2017-10-05 words: 2044 flesch: 61 summary: وظهر بعد اال�صتك�صاف وجود ورم ليفي ع�صبي �صوكي، مت ا�صتئ�صاله بالكامل، مما اأدى اإىل حت�صن يف اأعرا�ض املري�ض. امرياتي ت خطاأ على امللخ�ض: نقدم هنا تقرير احلالة الوحيدة يف االأدبيات الطبية االجنليزية لورم ليفي ع�صبي �صوكي يف العمود الفقري �ُصخ�صّ اأنها انزالق غ�رصويف با�صتخدام الت�صوير بالرنني املغناطي�صي.كانت اأعرا�ض هذه احلالة والنتائج االإ�صعاعية منوذجية لت�صخي�ض انزالق غ�رصويف. keywords: case; disc; lumbar; mri; nerve; neurofibroma; spinal cache: squmj-1734.pdf plain text: squmj-1734.txt item: #526 of 1636 id: squmj-1735 author: None title: squmj-1735 date: 2017-10-05 words: 2549 flesch: 53 summary: Over the past 30 years, advances in medical and surgical management of the cardiovascular problems, especially mitral valve prolapse, aortic dilatation, and aortic dissection, together with a reduction of physical and haemodynamic stresses have resulted in remarkable improvement in life expectancy of Marfan syndrome sufferers.5–6 It is incumbent on the physicians who encounter these patients to emphasise preventive measures. However, the most serious complication in patients with Marfan syndrome is progressive enlargement of the aortic root, which may lead to aortic dissection, rupture, or aortic regurgitation. keywords: aorta; aortic; diagnosis; dilatation; dissection; marfan; patient; syndrome cache: squmj-1735.pdf plain text: squmj-1735.txt item: #527 of 1636 id: squmj-1736 author: None title: squmj-1736 date: 2017-10-05 words: 1001 flesch: 53 summary: Multifocal Skeletal Tuberculosis 532 | SQU Medical Journal, November 2012, Volume 12, Issue 4 of the spine revealed multifocal skeletal TB involving the thoracic spine, the lateral end of the left clavicle, and the left acromion process. TB of the lateral end of the clavicle and shoulder is extremely rare, occurring in less than 1% of cases.5,6 To the best of our knowledge, only two cases of TB of the acromion process and less than ten cases of TB of the lateral end of the clavicle have been reported to date.5,6 Multifocal skeletal TB must be considered in the differential diagnosis of multiple destructive skeletal lesions. keywords: clavicle; end; tuberculosis cache: squmj-1736.pdf plain text: squmj-1736.txt item: #528 of 1636 id: squmj-1737 author: None title: squmj-1737 date: 2017-10-05 words: 827 flesch: 54 summary: Raj et al. used PCNL for the treatment of 37 patients with renal calculi in a horseshoe kidney (3 staghorn) and concluded that PCNL is an effective means of kidney stone management in this complex patient population.3 Twenty years before, he had had surgery for kidney stone disease. keywords: calculi; horseshoe; kidney; staghorn cache: squmj-1737.pdf plain text: squmj-1737.txt item: #529 of 1636 id: squmj-1738 author: None title: squmj-1738 date: 2017-10-05 words: 639 flesch: 49 summary: It is widely believed that the severity of brain changes increases with the number of X chromosomes, as shown in children with Klinefelter’s syndrome and varying numbers of X chromosomes. A report on 3 children with 49, XXXXY documented varying degrees of brain volume loss and white matter changes, and similar changes could be expected with 48, XXXX.2 keywords: brain; changes cache: squmj-1738.pdf plain text: squmj-1738.txt item: #530 of 1636 id: squmj-1739 author: None title: squmj-1739 date: 2017-10-05 words: 2133 flesch: 56 summary: .To summarise the evidence from Cochrane systematic reviews on the efficacy and safety of non-pharmacological and pharmacological interventions to manage pain in labour, the authors considered findings from non-Cochrane systematic reviews if there was no relevant Cochrane review. This is not an uncommon finding in Cochrane reviews. keywords: authors; cochrane; pain; reviews; studies cache: squmj-1739.pdf plain text: squmj-1739.txt item: #531 of 1636 id: squmj-1740 author: None title: squmj-1740 date: 2017-10-05 words: 2299 flesch: 58 summary: The role of a 'satellite- service' in the national organisation of burn care in the Sultanate of Oman. This cost does not take into account the intangible toll of the psychological and societal trauma, particularly in children, that may result from burns injuries. keywords: burns; data; health; oman; quality; register; shaqsi cache: squmj-1740.pdf plain text: squmj-1740.txt item: #532 of 1636 id: squmj-1741 author: None title: squmj-1741 date: 2017-10-05 words: 6030 flesch: 52 summary: اأنثى؛ م�ضّنة؛ ال�ضلوك اجلن�ضي؛ الرعاية التمري�ضية. abstract: This article presents findings from a review of the evidence regarding sexual health for older women from MEDLINE, SCOPUS and the Cumulative Index to Nursing and Allied Health (CINHAL) databases. A total of 10 articles based on primary studies, reporting about the sexuality or sexual health of older women (and older people), and published between 2002–2012, were deemed suitable. keywords: activity; factors; health; healthcare; interventions; life; nurses; patients; people; problems; providers; sexuality; study; women; ضية cache: squmj-1741.pdf plain text: squmj-1741.txt item: #533 of 1636 id: squmj-1742 author: None title: squmj-1742 date: 2017-10-05 words: 5105 flesch: 53 summary: In the case of children exposed to contagious TB, the management should be adapted according to the age of the child and his/her immune status.5,9 The investigations and management of newborns and children who are contacts of TB cases would differ; thus, the discussion should focus on the following settings: (1) a newborn whose mother or other household contact has a contagious form of TB or LTBI; (2) children less than 5 years of age with exposure to a contagious case of TB or more than 5 years of age with exposure to a contagious case of TB; (3) children with exposure to a non-contagious case of TB, another child with TB disease, or an adult with MDRTB, or (4) a child who has a contact who is known to be HIV-infected. The failure to manage children in contact with infectious TB cases indicates a missed opportunity to prevent TB disease in a population which is prone to progress rapidly to severe and complicated illness. keywords: case; children; contact; control; disease; exposure; infection; inh; management; tst; tuberculosis; years cache: squmj-1742.pdf plain text: squmj-1742.txt item: #534 of 1636 id: squmj-1743 author: None title: squmj-1743 date: 2017-10-05 words: 3661 flesch: 49 summary: Magann reported the incidence of idiopathic polyhydramnios among subjects with polyhydramnios as 50–60%.4 However, it consistently has been documented that perinatal morbidity and mortality rates increased in association with polyhydramnios related to specific causes.5,6 A pregnancy complicated by polyhydramnios can present difficult diagnostic and therapeutic dilemmas for obstetricians. However, counselling of a couple regarding idiopathic polyhydramnios often creates significant anxiety and fosters the impression of an abnormal pregnancy.7 The rationale of our study was to determine the association between polyhydramnios and adverse obstetric and perinatal outcomes in singleton, third-trimester pregnancies. keywords: anomalies; control; diabetes; fluid; group; macrosomia; outcomes; polyhydramnios; pregnancies; rate; study cache: squmj-1743.pdf plain text: squmj-1743.txt item: #535 of 1636 id: squmj-1744 author: None title: squmj-1744 date: 2017-10-05 words: 3787 flesch: 57 summary: بالتايل اإىل عدم ال�صيطرة الكاملة على املر�ض. مفتاح الكلمات: ال�صيطره على مر�ض الربو، عالج الربو، الأطباء، العالج، عمان abstract: Objectives: Asthma control is often difficult to measure. The aim of this study was to compare physicians’ personal clinical assessments of asthma control with the Global Initiative for Asthma (GINA) scoring. keywords: assessment; asthma; classification; control; gina; judgment; level; patients; physicians; table; treatment; على cache: squmj-1744.pdf plain text: squmj-1744.txt item: #536 of 1636 id: squmj-1745 author: None title: squmj-1745 date: 2017-10-05 words: 6208 flesch: 52 summary: - Our data has shown that complicated gene rearrangements may underlie disease and that these rearrangements may be missed by more conventional diagnostic techniques. Array-based Identification of Copy Number Changes in a Diagnostic Setting Simultaneous gene-focused and low resolution whole human genome analysis 70 | SQU Medical Journal, February 2013, Volume 13, Issue 1 The importance of gene deletion and duplication in the pathogenesis of disease has become increasingly evident over the last decade. Whole gene APC deletions cause classical familial adenomatous polyposis, but not attenuated polyposis or multiple colorectal adenomas. keywords: analysis; array; cgh; changes; copy; copy number; custom; del; deletion; dosage; dup; exons; gene; genome; genomic; kcnh2; love; mlpa; nimblegen; number; patient; probes; syndrome cache: squmj-1745.pdf plain text: squmj-1745.txt item: #537 of 1636 id: squmj-1746 author: None title: squmj-1746 date: 2017-10-05 words: 4288 flesch: 53 summary: Methods: Conventional polymerase chain reaction (PCR), allele-specific PCR, and sequence analysis were used to identify FGFR3 gene mutations in a fetus with a lethal skeletal dysplasia consistent with TD, which was detected during a routine antenatal ultrasound examination. Oct 12 1Diagnostic Genetics, LabPLUS, Auckland City Hospital, Auckland, New Zealand; 2Genetic Health Services New Zealand – Northern Hub, Auckland City Hospital, Auckland, New Zealand; 3School of Biological Sciences, University of Auckland, Auckland, New Zealand *Corresponding Author e-mail: donaldl@adhb.govt.nz التحليل اجلزيئي حلالة خلل التنسج املميت يكشف عن طفرتني مغلوطتني جديدتني جلني FGFR3 تقعان على السيس رينات مرق�ض نيكل�صون، �صامل افتيمو�ض، دونالد ر لوف امللخ�ص: الهدف: ان خلل التن�صج املميت هو اأكرث اأنواع خلل التن�صج الهيكلي القاتل �صيوعا وينتج عن �صقة ج�صمية �صائدة ويتميز بوجود كرب يف حجم الراأ�ض، �صيق يف حجم ال�صدر، اأ�صلع ق�صرية، اأ�صابع ق�صرية و ارتخاء يف الع�صالت. keywords: allele; analysis; case; dysplasia; fgfr3; gene; med; mutations; pcr; primers; type cache: squmj-1746.pdf plain text: squmj-1746.txt item: #538 of 1636 id: squmj-1747 author: None title: squmj-1747 date: 2017-10-05 words: 3219 flesch: 53 summary: خ�صع جميع املر�صى فى هذة الدرا�صة لالختبارات املعملية مثل حتليل البول ،ن�صبة الربوتينات فى بول 24 �صاعة ، اليوريا والكرياتينني فى م�صل الدم ،ن�صبة اللبيومني و الكال�صيوم و الف�صفور و الفو�صفات القلوي فى م�صل عمل وكذلك الكلوية متالزمة فى املر�ض نوع لت�صخي�ض الكلى مفتاح الكلمات: موؤ�رس الكاحل الع�صدي، الأطفال، مقاومة ال�صتريويد، متالزمة الكلوية، م�رس. keywords: abi; children; disease; group; mean; patients; risk; steroid; study cache: squmj-1747.pdf plain text: squmj-1747.txt item: #539 of 1636 id: squmj-1749 author: None title: squmj-1749 date: 2017-10-05 words: 2286 flesch: 47 summary: Whereas more and more postgraduate medical education programmes throughout the world are adopting ‘structured’ curricula (such as competency- and outcome-based curricula), there is still an enormous amount of variability in the way that graduate medical programmes are conducted and monitored. Utilising such assessment tools provides a level playing field for the accreditation system of residency training programmes. keywords: accreditation; education; graduate; medical; programmes; training cache: squmj-1749.pdf plain text: squmj-1749.txt item: #540 of 1636 id: squmj-1750 author: None title: squmj-1750 date: 2017-10-05 words: 11078 flesch: 59 summary: A phase II trial of ZD1839 (Iressa) in advanced non-small cell lung cancer patients who had failed platinum- and docetaxel-based regimens (IDEAL-2). Vandetanib versus placebo in patients with advanced non-small cell lung cancer (NSCLC) after prior therapy with an EGFR tyrosine kinase inhibitor (TKI): A randomised, double-blind phase III trial (ZEPHYR). keywords: adenocarcinoma; bevacizumab; cancer; cell; cell lung; chemotherapy; clin; egfr; erlotinib; et al; factor; growth; iii; kinase; line; lung; lung cancer; months; mutation; non; nsclc; oncol; patients; phase; study; survival; tki; treatment; trial cache: squmj-1750.pdf plain text: squmj-1750.txt item: #541 of 1636 id: squmj-1751 author: None title: squmj-1751 date: 2017-10-05 words: 3571 flesch: 62 summary: Population 2009 1,321,501 459,398 Asthma prevalence 7.3% 12.7% Subtotal number of asthma sufferers 96,470 58,344 Percentage using government facilities 95% 95% total asthma sufferers using government facilities 91,646 55,426 Table 2: Calculations leading to total cost of inpatient treatments of asthma for Omani nationals in Omani riyals Adults (16+) Children (5+) total asthma sufferers using MoH facilities 91,646 55,426 Percentage hospitalised in past year 27% 42% Number of sufferers hospitalised 24,744 23,279 Number of hospital stays per patient 4.2 2.4 Average nights hospitalised per patient per year 2.6 3.9 total hospital nights per year 270,209 217,892 Cost of an overnight stay in oMr To obtain an estimation of total direct treatment cost, the total direct costs for adults and children were estimated to be the sum of costs for outpatient and inpatient care, ER visits, and the costs of asthma medications. keywords: adults; asthma; children; cost; number; oman; study; total; treatment; visits cache: squmj-1751.pdf plain text: squmj-1751.txt item: #542 of 1636 id: squmj-1752 author: None title: squmj-1752 date: 2017-10-05 words: 5558 flesch: 60 summary: Vitamin D level in summer and winter related to measured UVR exposure and behavior. Conclusion: The striking vitamin D deficiency seen in the study population, relative to more northerly populations, may be linked to sun avoidance, inadequate dietary vitamin D, and virtual non-intake of supplemental vitamin D. Age and male-gender determined the status of vitamin D and of obesity. keywords: 25(oh)d; concentrations; obesity; population; serum; study; values; vitamin; vitamin d; waist; whr; women cache: squmj-1752.pdf plain text: squmj-1752.txt item: #543 of 1636 id: squmj-1753 author: None title: squmj-1753 date: 2017-10-05 words: 5475 flesch: 58 summary: Having more supportive attitudes toward gender equality was associated with high HIV knowledge (b = 0.31, P <0.001), whereas attitudes justifying drug use showed an inverse relationship with HIV knowledge (b = -0.38, P <0.001). HIV knowledge differed significantly by sources of information, with peer- acquired information associated with more accuracy, while HIV information from parents or health centres was associated with a lower score. keywords: aids; education; gender; health; hiv; information; jordan; knowledge; level; respondents; youths cache: squmj-1753.pdf plain text: squmj-1753.txt item: #544 of 1636 id: squmj-1754 author: None title: squmj-1754 date: 2017-10-05 words: 4363 flesch: 55 summary: *Corresponding Author e-mail: varna@squ.edu.om; seenuvarna@gmail.com التهاب الثدي احلبييب خطط التشخيص و التطبيقات العالجية للمرضى العمانيني عادل اجلراح ، فارنا تارانيكانتي، ريتو لكتاكيا، ا�شماء اجلابري، �شكبال �شوهني امللخ�ص: الهدف: يعترب اإلتهاب الثدي احلبيبي مر�ض حميد ونادر ي�شيب الثدي لأ�شباب جمهوله، وعادة ما يتم ت�شخي�شه ب�شكل خاطىء �رسيريا واإ�شعاعيا على اأنه ورم خبيث اأمرا�ض الثدي مب�شت�شفي جامعة ال�شلطان قابو�ض بعمل درا�شة �رسيريه اأنه على ت�شخي�شه مت وقد خبيث، املر�ض اأن والإ�شعاعية ال�رسيرية الفحو�شات اأثبتت حيث الثدي بورم م�شابة مري�شة ع�رسون �شملت اإلتهاب ثدي حبيبي فقط من خالل الت�رسيح الن�شيجي. keywords: antibiotics; biopsy; breast; cases; diagnosis; igm; management; mastitis; patients; recurrence; study; treatment cache: squmj-1754.pdf plain text: squmj-1754.txt item: #545 of 1636 id: squmj-1755 author: None title: squmj-1755 date: 2017-10-05 words: 5826 flesch: 62 summary: - Healthcare institutions should work on developing their reputation as well as the reputation of their staff, as this is found to be the most ranked reason for visiting healthcare centres. In keeping with such a view, the present data suggested that a physician's advice was followed by the reputation of the health centre and its accompanying staff as the most ranked reasons for visiting healthcare centres. keywords: advice; centres; education; factors; healthcare; illness; med; oman; participants; patients; physician; reason; seeking; study cache: squmj-1755.pdf plain text: squmj-1755.txt item: #546 of 1636 id: squmj-1756 author: None title: squmj-1756 date: 2017-10-05 words: 3830 flesch: 56 summary: One hour before the start of anaesthesia, patients in Group I (haloperidol group, n = 267) were given a haloperidol 0.025 mg/Kg in 5 ml of distilled water IV while patients in Group II (placebo group, n = 270) were given a 5 ml distilled water IV. Uezono S, Goto T, Terui K, Ichinose F, Ishguro Y, Nakata Y, et al. Emergence agitation after sevoflurane versus propofol in pediatric patients. keywords: children; delirium; emergence; group; haloperidol; ketamine; minutes; patients; study; surgery; use cache: squmj-1756.pdf plain text: squmj-1756.txt item: #547 of 1636 id: squmj-1757 author: None title: squmj-1757 date: 2017-10-05 words: 3916 flesch: 60 summary: تنا�شب عك�شية ذات دللة اإح�شائية مل�شتوى الأديبونكتني بالدم مع كل من ن�شبة الكول�شرتول وال�شي-ببتيد بالدم و �شغط الدم النب�شاطي يف الأطفال امل�شابني بداء ال�شكري من النوع الثاين اخلال�شة : نتوقع من نتائج هذا البحث ان الأديبونكتني له اأهمية يف احلمايه من م�شاعفات الأي�ض يف مر�شي ال�شكري. مفتاح الكلمات: ال�شكري؛ الأديبونيكتني؛ مقاومة الأن�شولينز؛ م�رس. خ�شعت كلتا املجموعتني اإيل: اخذ التاريخ املر�شى املف�شل، الفح�ض الإكلينيكي والختبارات املعملية وت�شمل ن�شبة الهيموجلوبني ال�شكري، وقيا�ض م�شتوي الكول�شرتول والدهون الثالثية واأي�شا ن�شبة الأديبونكتني وال�شي-ببتيد( يف الدم. keywords: adiponectin; diabetes; group; insulin; levels; mean; patients; peptide; study; شكري cache: squmj-1757.pdf plain text: squmj-1757.txt item: #548 of 1636 id: squmj-1758 author: None title: squmj-1758 date: 2017-10-05 words: 3849 flesch: 60 summary: اخلال�صه: كان معدل اإنت�شار �شل�ض البول مرتفعا يف العينة املدرو�شة، وكانت عوامل اخلطورة املحتملة هي تعدد كان معدل اإنت�شار �شل�ض البول الجهادى، والع�شبى، والنوع املختلط %5.4، %13.3، keywords: age; association; factors; incontinence; prevalence; risk; study; urinary; women cache: squmj-1758.pdf plain text: squmj-1758.txt item: #549 of 1636 id: squmj-1759 author: None title: squmj-1759 date: 2017-10-05 words: 4472 flesch: 63 summary: The subjects had a blood test and detailed cerebrospinal fluid (CSF) analysis, including blood and CSF CRP levels. CSF CRP has been reported to be one of the most reliable and early indices to differentiate between bacterial and non-bacterial meningitis.10,18 Corral et al. found positive CSF CRP in 24/32 patients with culture-proved bacterial meningitis, while only 2/32 children with non-bacterial meningitis had CSF which was positive for CRP. keywords: bacterial; blood; crp; csf; fluid; meningitis; ppm; protein; study; tbm cache: squmj-1759.pdf plain text: squmj-1759.txt item: #550 of 1636 id: squmj-1760 author: None title: squmj-1760 date: 2017-10-05 words: 4281 flesch: 52 summary: Application to Patient Care - When supervising medical students in clinical rotations, instructors should be aware of the difficulty that Arab medical students trained in English-medium programmes may have with expressing empathy, and in eliciting patients’ feelings and expectations in a cross- cultural clinical context. Keywords: Communication; Medical history taking; Language; Medical students; Patient-centered care; United Arab Emirates. keywords: arab; communication; educ; empathy; english; expectations; language; learning; medical; patient; skills; students; training; tutor cache: squmj-1760.pdf plain text: squmj-1760.txt item: #551 of 1636 id: squmj-1761 author: None title: squmj-1761 date: 2017-10-05 words: 5617 flesch: 56 summary: abstract: Objectives: The demanding and intense environment of medical training can create excessive pressures on medical students that eventually lead to unfavorable consequences, either at a personal or professional level. Results: A total of 194 (98.0%) of medical students responded to the DASS-21. keywords: academic; anxiety; depression; examination; fail; health; medical; outcomes; pass; psychological; school; stress; students; studies; study; year; yusoff cache: squmj-1761.pdf plain text: squmj-1761.txt item: #552 of 1636 id: squmj-1762 author: None title: squmj-1762 date: 2017-10-05 words: 3555 flesch: 52 summary: Our primary goal of introducing team-based case-oriented assignments in traditional Pharmacology-2 lectures was to promote student learning by improving their motivation and engagement. In this study, we describe medical students` attitudes towards implementing an innovative instructional design that incorporates CBL into a traditional lecture-based Pharmacology-2 course. keywords: ability; case; cbl; course; group; learning; lecture; pharmacology-2; self; skills; students; team cache: squmj-1762.pdf plain text: squmj-1762.txt item: #553 of 1636 id: squmj-1763 author: None title: squmj-1763 date: 2017-10-05 words: 3660 flesch: 55 summary: Identifying obstacles to bedside clinical teaching will contribute to a more effective and efficient programme. Adequate warning to patients about bedside clinical teaching, emphasis on feedback, discussing the history in the presence of the patient, polishing communication skills, and reducing work demands were reported as solutions to improve and facilitate bedside clinical teaching. keywords: bedside; clinical; consultants; dundee; medical; skills; sprs; study; teachers; teaching; على cache: squmj-1763.pdf plain text: squmj-1763.txt item: #554 of 1636 id: squmj-1764 author: None title: squmj-1764 date: 2017-10-05 words: 2465 flesch: 52 summary: Asymptomatic Ovarian Mucinous Cystadenoma with a Solid Mural Leiomyoma Case report and brief review *Mariam Mathew,1 Hazel Gonsalves,1 Sinan Al-Azawi,2 Saparamadu P.A.M3 case report Cystic tumours of the ovary, whether benign or malignant, may be associated with mural nodules of various types. Figure 2: Gross specimen of ovarian cystic mass with mural nodule (arrow). keywords: benign; case; cystadenoma; mass; mural; nodules; ovarian; report cache: squmj-1764.pdf plain text: squmj-1764.txt item: #555 of 1636 id: squmj-1765 author: None title: squmj-1765 date: 2017-10-05 words: 3373 flesch: 55 summary: مفتاح الكلمات: الغلوبيولني املناعي الوريدي، انحالل الب�رسة ال�صمي، العن�رس املّحفز خلاليا الدم البي�صاء، متالزمة �صتيفن-جون�صن، تقرير حالة، عمان. ذات تاريخ مر�صى من احلمى، وال�صعال، و�صيق يف التنف�ض، والتقيوؤ ملدة 3 اأيام. keywords: epidermal; ivig; mmol; necrolysis; patient; skin; syndrome; toxic; treatment; vancomycin cache: squmj-1765.pdf plain text: squmj-1765.txt item: #556 of 1636 id: squmj-1766 author: None title: squmj-1766 date: 2017-10-05 words: 3181 flesch: 44 summary: متالزمة العني الدماغية، داء الفطرية املخاطية، ت�صيق ال�رسيان ال�صباتي، ت�صوير نظام ال�رسيان ال�صباتي، تقرير حالة، عمان abstract: Ocular ischaemic syndrome (OIS) is a relatively uncommon condition. هذه املتالزمة حتدث عندما يكون هناك ان�صداد يف ال�رسيان ال�صباتي بن�صبة %90 اأو اأكرث، ومن املعروف جيدا اأنها ترتافق مع عدد keywords: artery; bilateral; carotid; case; mucormycosis; ois; patient; report; syndrome cache: squmj-1766.pdf plain text: squmj-1766.txt item: #557 of 1636 id: squmj-1767 author: None title: squmj-1767 date: 2017-10-05 words: 2013 flesch: 40 summary: abstract: Umbilical endometriosis is an important differential diagnosis of any umbilical lesion. A number of tools have been suggested in the literature to investigate umbilical endometriosis including fine-needle aspiration, pelvic ultrasound scans, computed tomography (CT) scans, MRI scans, dermoscopy, and, more recently, high-frequency Doppler sonographic imaging.6 Ultrasound findings are often non-specific and a wide spectrum of disorders presenting as a mass in the abdominal wall should be considered in the differential diagnosis.12 In a series, ultrasound-guided fine needle aspiration (FNA) was found to be inconclusive in 75% of cases.13 keywords: case; discharge; endometriosis; excision; lesions; pelvic; umbilical; umbilicus cache: squmj-1767.pdf plain text: squmj-1767.txt item: #558 of 1636 id: squmj-1768 author: None title: squmj-1768 date: 2017-10-05 words: 2663 flesch: 52 summary: نحن نتعر�ض بالدرا�صة حلالة نادرة من متالزمة جيالن باريه وهى طفل يبلغ من العمر 8 �صنوات، اإذ اإنه اإىل جانب الأعرا�ض املعتادة للمر�ض و التي تتلخ�ض يف ال�صداع، وازدواج الروؤية، واحلول متبوعة بفقدان الوعى وال�صلل الكلي بعد مرور اأ�صبوع اإل اأنه وبعد ا�صتجابة الطفل للعالج الذي يتمثل فى اإعطاء الأج�صام امل�صادة عن طريق الوريد وف�صل البالزما مت مالحظة ارتفاع حاد مب�صتوى الكال�صيوم بالدم عن طريق الفح�ض املعملي .كما ونادرا ما مت ت�صجيل ارتفاع م�صتوى الكال�صيوم بالدم فى هذه املتالزمة. keywords: blood; calcium; case; gbs; hypercalcaemia; levels; plasmapheresis; session; total cache: squmj-1768.pdf plain text: squmj-1768.txt item: #559 of 1636 id: squmj-1769 author: None title: squmj-1769 date: 2017-10-05 words: 2106 flesch: 48 summary: مت اكت�صاف وجود بطء يف اجليب القلبي، جممعات البطني املبكرة وانخفا�ض �صغط الدم اخلفيف. هذه احلالة �صلطت ال�صوء على اأهمية جتنب الأدوية التي ت�صبب اإطالة فا�صل QT يف املر�صى املدخلني للم�صت�صفيات اإذ اإنه غالبا ما يكون املر�صى لديهم عوامل خطر متعددة ل�صطراب النظم املحر�ض. نق�ض بفريو�ض الكحول، �صحب متالزمة ،QT اإطالة اأدوية ، keywords: heart; interval; patient; qtc; risk; tdp; torsade cache: squmj-1769.pdf plain text: squmj-1769.txt item: #560 of 1636 id: squmj-1770 author: None title: squmj-1770 date: 2017-10-05 words: 3387 flesch: 57 summary: نان�صاجوبال رامل �صانديران، عبداهلل العا�صمي. العربي. Vagus nerve stimulation might have a unique effect in reflex eating seizures. keywords: case; eating; epilepsy; patients; reflex; report; seizures cache: squmj-1770.pdf plain text: squmj-1770.txt item: #561 of 1636 id: squmj-1771 author: None title: squmj-1771 date: 2017-10-05 words: 1544 flesch: 60 summary: abstract: Endoscopic third ventriculostomy (ETV) is increasingly being used in the treatment of hydrocephalus in infancy. Endoscopic third ventriculostomy in infants. keywords: child; endoscopic; etv; fungal; shunt; ventriculostomy cache: squmj-1771.pdf plain text: squmj-1771.txt item: #562 of 1636 id: squmj-1772 author: None title: squmj-1772 date: 2017-10-05 words: 1987 flesch: 52 summary: Pulmonary hydatid cyst emboli should always be one of the differential diagnoses of the hypodense and/or cystic intr-arterial pulmonary mass in a patient with hepatic hydatid cyst adjacent to the IVC or hepatic veins. Kurt N, Oncel M, Gulmez S, Ozkan Z, Uzun H. Spontaneous and traumatic intra-peritoneal perforations of hepatic hydatid cysts: a case series. keywords: artery; cyst; embolism; hepatic; hydatid; liver; patient; pulmonary cache: squmj-1772.pdf plain text: squmj-1772.txt item: #563 of 1636 id: squmj-1773 author: None title: squmj-1773 date: 2017-10-05 words: 3402 flesch: 53 summary: Anomalous origin of right coronary artery: pre- operative and post-operative hemodynamics. Modi H, Ariyachaipanich A, Dia M. Anomalous origin of right coronary artery from pulmonary artery and severe mitral regurgitation. keywords: aorta; arcapa; artery; case; lad; origin; pulmonary; rca; report; right cache: squmj-1773.pdf plain text: squmj-1773.txt item: #564 of 1636 id: squmj-1774 author: None title: squmj-1774 date: 2017-10-05 words: 2069 flesch: 56 summary: abstract: Fetal ascites is an uncommon abnormality usually reported in relation to non- immunological causes. Spontaneous resolution of fetal ascites, with a good prognosis, can occur in cases with an idiopathic aetiology. keywords: ascites; case; hydrops; report; صقاء cache: squmj-1774.pdf plain text: squmj-1774.txt item: #565 of 1636 id: squmj-1775 author: None title: squmj-1775 date: 2017-10-05 words: 1943 flesch: 58 summary: abstract: Clip slippage is a rare occurrence, and the scissoring or torsional failure of aneurysm clips is rarer still. A comparative study in opening and closing pressures of cerebral aneurysm clips. keywords: alloy; aneurysm; angiogram; clip; cobalt; scissoring; surgery; titanium cache: squmj-1775.pdf plain text: squmj-1775.txt item: #566 of 1636 id: squmj-1776 author: None title: squmj-1776 date: 2017-10-05 words: 964 flesch: 51 summary: A passing knowledge of the workings of medical practice would reveal that physicians have many roles, including health administration, quality control and assurance, patient care, medical research, and medical education. It is worthwhile to note that in its guidance on continuous professional development (CPD) of doctors, the UK’s General Medical Council (GMC) sets out the principles and values on which good medical practice is founded. keywords: care; doctors; practice cache: squmj-1776.pdf plain text: squmj-1776.txt item: #567 of 1636 id: squmj-1777 author: None title: squmj-1777 date: 2017-10-05 words: 1497 flesch: 42 summary: However, there is evidence of patients developing hyperalgesia after only short-term intraoperative opioids exposure.1,4,6 The degree or gradation of opioid tolerance is generally related to duration of exposure, daily dose requirement, and receptor association/disassociation kinetics. If the pain worsens, then opioid tolerance is the most likely cause.1,3,4 Quantitative sensory testing (QST), which is used to assess neurological function in chronic pain patients, can also be helpful in predicting OIH. keywords: oih; opioid; pain; tolerance; treatment cache: squmj-1777.pdf plain text: squmj-1777.txt item: #568 of 1636 id: squmj-1778 author: None title: squmj-1778 date: 2017-10-05 words: 1103 flesch: 47 summary: These cells release cytokines which activate T-lymphocytes and perpetuate a cycle of chronic inflammation.3 Improved understanding of the possible link between smoking and palmoplantar psoriasis may provide further insight into mechanisms underlying smoking, psoriasis, and its improvement after cessation of smoking. Patients with palmoplantar psoriasis have more physical disability and discomfort than patients with other forms of psoriasis: Implications for clinical practice. keywords: dermatol; palmoplantar; psoriasis; smoking cache: squmj-1778.pdf plain text: squmj-1778.txt item: #569 of 1636 id: squmj-1779 author: None title: squmj-1779 date: 2017-10-05 words: 1100 flesch: 58 summary: Historically, antineoplastic cytotoxic agents such as actinomycin C, doxorubicin, and fluoroquinolones are the most common drugs to cause phototoxic reactions in humans.1 Dopamine agonists, ropinirole, and pramipexole are considered the first line of treatment for restless legs syndrome (RLS) in current evidenced-based guidelines, and to the best of our knowledge, no dermatological side-effects have been described in association with its use.2 To the best of our knowledge, this is the first case of phototoxic reaction induced by pramipexole. keywords: drug; phototoxic; pramipexole; reaction cache: squmj-1779.pdf plain text: squmj-1779.txt item: #570 of 1636 id: squmj-1780 author: None title: squmj-1780 date: 2017-10-05 words: 1066 flesch: 41 summary: 4. Mercimek-Mahmutoqlu S, van der Knaap MS, Baric I, Prayer D, Stoeckler-Ipsiroglu S. Hypomyelination and atrophy of basal ganglia and cerebellum. Van der Knapp and others described a peculiar form of leukoenchalopathy affecting the basal ganglia and cerebellum in children with extensive hypomyelination; however, since that publication, few cases have been reported in the literature.1 keywords: atrophy; cerebellum; ganglia; hypomyelination cache: squmj-1780.pdf plain text: squmj-1780.txt item: #571 of 1636 id: squmj-1781 author: None title: squmj-1781 date: 2017-10-05 words: 3806 flesch: 65 summary: To compare the means of two independent samples, t-tests (for weight, total theatre time and operative time) and non-parametric tests (Mann-Whitney U tests for age, duration of hospital stay and total cost) were used, depending upon the normality of distribution curves. Keywords: Appendicitis; Appendectomy; Costs and Cost Analysis; Oman. keywords: appendectomy; children; cost; hospital; laparoscopic; stay; شال; شتئ cache: squmj-1781.pdf plain text: squmj-1781.txt item: #572 of 1636 id: squmj-1782 author: None title: squmj-1782 date: 2017-10-05 words: 3720 flesch: 53 summary: A total of 42 patients (35 males and 7 females) who had ulnar-sided wrist pain and clinical suspicions of TFCC tears were included in the study. The study included 42 consecutive patients who had ulnar-sided wrist pain and clinical suspicions of TFCC tear. keywords: arthrography; fibrocartilage; imaging; mra; patients; resonance; study; tears; tfcc; triangular; ulnar; wrist cache: squmj-1782.pdf plain text: squmj-1782.txt item: #573 of 1636 id: squmj-1783 author: None title: squmj-1783 date: 2017-10-05 words: 5512 flesch: 57 summary: يف مستشفى مصري جامعى طارق �شم�ض و رجاء امل�رسي امللخ�ص: الهدف: هناك العديد من الأدلة الدامغة على اأن التخدير هو مهنة جمهدة، وعندما تكون هذه املهنة املجهدة مرتبطة بامل�شتقبل الإجهاد انت�شار و التنبوؤ معدلت تقييم اإىل الدرا�شة هذه تهدف اأكرث. The English version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) scale and the Workplace Stress Scale of the American Institute of Stress were used to measure job stress and burnout. keywords: academic; anaesthesiologists; burnout; characteristics; demands; job; stress; study; support; value; work; working cache: squmj-1783.pdf plain text: squmj-1783.txt item: #574 of 1636 id: squmj-1784 author: None title: squmj-1784 date: 2017-10-05 words: 3077 flesch: 59 summary: P = 0.001( جلميع احلالت ال�صتنتاج: يعترب قيا�ض التح�شن با�شتخدام مقي ا�ض التقييم ال�شامل لالأطفال )C-GAS( طريقة منا�شبة للح�شول على املعلومات وعليه فاإن البهحث ين�شح با�شتخدامة يف الأطفال امل�شابني با�شطراب نق�ض النتباه وفرط احلركة كجزء من العمل ال�رسيري العادي �شواء يف مرحلة الت�شخي�ض اأو قيا�ض م�شار احلالة وخمرجات العالج. مت ت�شخي�ض جميع الأطفال با�شطراب نق�ض النتباه وفرط احلركة ح�شب الدليل الت�شخي�شي والإح�شائي لال�شطرابات النف�شية حمايد باحث بوا�شطة الطفال هوؤلء على )C-GAS( لالأطفال ال�شامل التقييم مقيا�ض طبق الرابع. keywords: adhd; cases; children; gas; impairment; psychiatry; scale; study; treatment cache: squmj-1784.pdf plain text: squmj-1784.txt item: #575 of 1636 id: squmj-1785 author: None title: squmj-1785 date: 2017-10-05 words: 2691 flesch: 58 summary: يف ثالثة أشقاء مع متالزمة ستوف-ويدمان رو�شن كول ،عديلة الكندي، رجنيث ماين ، ديليب �شنكهال ، اأمنة الفطي�شي امللخ�ص: متالزمة �ضتوف-ويدماّن ا�ضطراب نادر يتمّيز باإنحناء خلقي للعظام الطويلة, تقفعات املفا�ضل, �ضيق يف التنف�ص منذ الوالدة, �ضعوبات يف امل�ص و البلع, ا�ضطراب ع�ضبي ذاتي يكون على �ضكل حمى مفرطة عر�ضّية, وعادة موت مبّكر. Examinations of all the infants revealed camptodactyly, micrognathia, bent long bones with wide metaphyses, and hypotonia. keywords: bones; case; child; hypotonia; myotonia; stuve; stws; syndrome; wiedemann cache: squmj-1785.pdf plain text: squmj-1785.txt item: #576 of 1636 id: squmj-1786 author: None title: squmj-1786 date: 2017-10-05 words: 3003 flesch: 55 summary: 7q21 يف كل اخلاليا و اأظهر حتليل التنميط النووي اجلزيئي نتائج تف�شيلية يف 6.3 م ب خنب ال�شبغ الأحادي املحتوي على منطقة ال�شبغ الوراثي 7q21.11م ويف هذه املنطقة فقرية اجلينات فاإنه من املمكن اأن فقدان اأرقام ال�شنخ يف جني PCLO هو امل�شوؤول عن النمط الظاهري ال�رسيري و با�شتخدام حتليل ال�شبغات الوراثية بطريقة الرابطة ج لالآباء ثبت اأن هذا اجلني ال�شبغي قد مازت�ض، ا�شتون فريون ،�شامل اأفيتمو�ض، األي�ض م. جورج، دونالد ر. لوف. امللخ�ص: هذا تقرير حالة ل�شبي عمره 4 �شنوات م�شاب بتاأخر التطور العام وقد مت حتويله اإىل امل�شت�شفى من اأجل عمل التنميط النووي وفح�ض ال�شبغ الوراثي. keywords: case; chromosome; delay; deletion; father; gene; pclo; phenotype; piccolo; proband; protein; region cache: squmj-1786.pdf plain text: squmj-1786.txt item: #577 of 1636 id: squmj-1787 author: None title: squmj-1787 date: 2017-10-05 words: 3497 flesch: 54 summary: Keywords: Trisomy; X chromosome, monosomy Xp22 pter; X chromosome inactivation; Receptors, gastrin- releasing peptide; KAL-1 protein; Case report; New Zealand. These phenotypes, and those resulting from segregation pattern D, may be modified by unpredictable X chromosome inactivation, and may range from normal to the phenotype observed in the proband, or have more severe problems. keywords: case; chromosome; genes; inactivation; phenotype; proband; trisomy cache: squmj-1787.pdf plain text: squmj-1787.txt item: #578 of 1636 id: squmj-1788 author: None title: squmj-1788 date: 2017-10-05 words: 2509 flesch: 50 summary: 30TH Nov 12 Accepted 12TH Dec 12 1Department of Medicine, Sultan Qaboos University Hospital and 2College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman *Corresponding Author e-mail: drjayakrish@hotmail.com املضاعفات الرئوية الشديدة ملرض الربمييات املضادات احليوية و ادوية الكورتيزون بالتبادل جايا كر�شنان, فاطمة بن عابد, عبداهلل باخلري, جمعه الكعبي, عمر الروا�س, جوجي جورج, خلفان الزيدي مبر�س موبوءة الغري االماكن يف متاأخر وقت يف تكت�شف ما عادة منت�رشة, انها مع الربمييات, ملر�س الرئوية Although benefits of corticosteroids in ALI is known, evidence for use of corticosteroids in pulmonary leptospirosis is confined to occasional case reports or small studies.14,15 High doses or a pulse of dexamethasone or methylprednisolone have been used in patients with severe lung involvement in leptospirosis.14,16,17 In a series of 30 patients, Shenoy et al. demonstrated that corticosteroids reduce mortality and change outcomes significantly.14 Trivedi et al. found that mortality was higher in patients with pulmonary involvement who did not receive steroids and concluded that high dose glucocorticoids should be given as early as possible after the onset of dyspnoea to all the patients with pulmonary involvement.17 keywords: antibiotics; chest; involvement; leptospirosis; lung; patient; pulmonary; report cache: squmj-1788.pdf plain text: squmj-1788.txt item: #579 of 1636 id: squmj-1789 author: None title: squmj-1789 date: 2017-10-05 words: 897 flesch: 55 summary: Inguinal hernias can be direct or indirect; the Hesselbach triangle is usually the site for direct inguinal hernias. Inguinoscrotal bladder hernias: Report of a series and review of the literature. keywords: bladder; calculus; hernias; ureter cache: squmj-1789.pdf plain text: squmj-1789.txt item: #580 of 1636 id: squmj-1790 author: None title: squmj-1790 date: 2017-10-05 words: 1096 flesch: 35 summary: Sir, I was most gratified to read the Editorial by Dr. Ritu Lakhtakia1 that accompanied my own contribution to the field of health professionsʼ education in Oman.2 I acknowledge the transformations already made in health professionsʼ education and applaud those planned for the future. keywords: education; health; oman; professions cache: squmj-1790.pdf plain text: squmj-1790.txt item: #581 of 1636 id: squmj-1791 author: None title: squmj-1791 date: 2017-10-05 words: 333 flesch: 61 summary: Sultan Qaboos University Med J, May 2013, Vol. 13, Iss. 2, pp. 327, Epub. In the fall of 2003, the College of Medicine & Health Sciences in Sultan Qaboos University, which is a government institution, started a two-year graduate programme leading to a Master of Science degree (MSc) in Biomedical Sciences, with a major in Clinical Pharmacy. keywords: oman; pharmacy cache: squmj-1791.pdf plain text: squmj-1791.txt item: #582 of 1636 id: squmj-1792 author: None title: squmj-1792 date: 2017-10-05 words: 452 flesch: 61 summary: Multiple lesions have been reported in association with Schöpf-Schulz-Passarge syndrome and Clouston syndrome.2,3 In our patient, no features of these syndromes were found. Eccrine syringofibroadenoma: multiple lesions representing a new cutaneous marker of the Schöpf syndrome, and solitary nonhereditary tumors. keywords: eccrine cache: squmj-1792.pdf plain text: squmj-1792.txt item: #583 of 1636 id: squmj-1793 author: None title: squmj-1793 date: 2017-10-05 words: 298 flesch: 53 summary: Wiwanitkit V. Intestinal parasite infestation in HIV infected patients. Focusing on the present report, an interesting point is the low prevalence of intestinal OIs. keywords: hiv; ois cache: squmj-1793.pdf plain text: squmj-1793.txt item: #584 of 1636 id: squmj-1794 author: None title: squmj-1794 date: 2017-10-05 words: 1990 flesch: 59 summary: In cases of benign ileal schwannomas, no recurrence has yet been reported;11 however, lifelong surveillance will be required in cases of malignant ileal schwannomas. There is no consensus on the CT findings of ileal schwannomas, as, in reported cases, CT was non-diagnostic and showed only a mass.11 Magnetic resonance imaging (MRI), as reported by Nagi,11 may show a submucosal tumour; however, the findings were again nonspecific. keywords: benign; case; ileal; mass; report; schwannoma; tumour cache: squmj-1794.pdf plain text: squmj-1794.txt item: #585 of 1636 id: squmj-1795 author: None title: squmj-1795 date: 2017-10-05 words: 2665 flesch: 51 summary: The role of laparoscopic adrenalectomy for adrenal tumours of 6 cm or greater. A diagnosis of a non- functioning left adrenal tumour was made. keywords: adrenal; adrenocortical; case; laparoscopic; malignant; oncocytic; report; tumour cache: squmj-1795.pdf plain text: squmj-1795.txt item: #586 of 1636 id: squmj-1796 author: None title: squmj-1796 date: 2017-10-05 words: 1690 flesch: 52 summary: مفتاح الكلمات: ا�شطراب �رسبات القلب؛ ال�رسع؛ الف�ض ال�شدغي؛ نوبات؛ تقرير حالة؛ عمان. نن�رس يف هذا التقرير حالة امراأة تبلغ خم�شة وخم�شني عاما جاءت اإىل م�شت�شفى جامعة ال�شلطان قابو�ض ب�شلطنة عمان ت�شكو من نوبات متكررة من اخلفقان. keywords: cardiac; case; epilepsy; palpitations; seizures; symptoms cache: squmj-1796.pdf plain text: squmj-1796.txt item: #587 of 1636 id: squmj-1797 author: None title: squmj-1797 date: 2017-10-05 words: 2390 flesch: 53 summary: The occurrence of complex odontomas is rare, with a prevalence of 5–30%.9 Most of the complex odontomas reported in the literature usually measure 1–2 cm in diameter. Compound odontomas show a predilection for the anterior maxilla, while complex odontomas are typically found in the posterior mandibular region as seen in the present case. keywords: case; complex; dental; lesion; mandibular; odontoma; oral; report; tissue cache: squmj-1797.pdf plain text: squmj-1797.txt item: #588 of 1636 id: squmj-1798 author: None title: squmj-1798 date: 2017-10-05 words: 1983 flesch: 57 summary: The detection of root canals becomes difficult as a result of various factors.4,7,10 It is therefore important that we understand the variables that have a direct influence on the detection and treatment of root canals. Consequently, a thorough knowledge of root canal morphology and a good anticipation of their possible morphologic variation will help to reduce endodontic failure. keywords: canals; endod; molar; morphology; root; treatment cache: squmj-1798.pdf plain text: squmj-1798.txt item: #589 of 1636 id: squmj-1799 author: None title: squmj-1799 date: 2017-10-05 words: 1457 flesch: 62 summary: كان املري�ض يعاين من عالمة �شعبة لإ�شابة الأوعية الدموية ) تقل�ض النب�ض القا�شي(، فكان لبد من اإخ�شاعه لعملية اإ�شطالحية، لكنه رف�ض. يف إصابات األوعية الدموية يف قسم الطوارئ ىل جني �شني، يو جانغ �شو ، وت�شانغ ت�شيه ت�شن ، keywords: angiography; artery; emergency; injury; patient; ultrasound cache: squmj-1799.pdf plain text: squmj-1799.txt item: #590 of 1636 id: squmj-1800 author: None title: squmj-1800 date: 2017-10-05 words: 3152 flesch: 53 summary: childhood obesity: the silent epidemic The alarming emergence of the silent epidemic of childhood obesity as a prelude to lifelong morbidity (with diabetes, hypertension, dyslipidaemia, insulin resistance, obstructive sleep apnoea being possible consequences)4,5 deserves to be tackled on a war footing. Of these, the burden of responsibility lies heavily on parents who are often in denial until adolescence forces the underlying issues to the surface.18 A lack of quality parenting is increasingly being spotlighted as an overwhelming contributor to a range of biological and psychosocial outcomes in later life.19 Several genetic and subcellular evolutionary changes serve as theories for abnormal fat accumulation.20 Unusual causes include childhood obesity in communities exposed to violence for a sustained period as a manifestation of post-traumatic stress.21 conspicuous consumption There appears to be enough scientific support for traditional breast feeding practices. keywords: childhood; children; diabetes; family; food; health; med; obesity; oman; study; university cache: squmj-1800.pdf plain text: squmj-1800.txt item: #591 of 1636 id: squmj-1801 author: None title: squmj-1801 date: 2017-10-05 words: 2439 flesch: 60 summary: More deaths are caused each year by tobacco use than by all deaths from human immunodeficiency virus (HIV), tuberculosis, and malaria combined.2 Scientific knowledge about the effects of tobacco smoking accumulated during the last century after evidence linking smoking and cancer appeared in the 1920s. The author has raised a salient issue by stressing that strict regulations to control tobacco smoking can reduce mortality due to lung cancer and other diseases. keywords: cancer; control; countries; health; oman; smoking; tobacco; use; world cache: squmj-1801.pdf plain text: squmj-1801.txt item: #592 of 1636 id: squmj-1802 author: None title: squmj-1802 date: 2017-10-05 words: 9502 flesch: 55 summary: It is the cured tobacco which is easily inhalable and causes lung cancer and other disease processes.15 Patient Characteristics, Environmental Factors, and Lung Cancer Certain patient characteristics have consistently shown an impact on lung cancer outcomes. For example, lung cancer is a disease of the elderly, although advancing age was not a prognostic factor for survival but high scores on the Charlson Comorbidity Index (CCI) were a factor. keywords: adenocarcinoma; cancer; carcinogens; cell; cell lung; chemotherapy; clin; egfr; erlotinib; et al; factor; gefitinib; gene; growth; lung cancer; mutations; non; oncol; p53; patients; ras; receptor; smokers; smoking; survival; tobacco; tobacco smoking; trial cache: squmj-1802.pdf plain text: squmj-1802.txt item: #593 of 1636 id: squmj-1803 author: None title: squmj-1803 date: 2017-10-05 words: 6203 flesch: 54 summary: Recurrent urinary tract infection. Recurrent urinary tract infections. keywords: antimicrobial; coli; infections; med; pregnancy; prophylaxis; recurrent; review; rutis; stamm; symptoms; therapy; tract; tract infections; treatment; urinary; urine; women cache: squmj-1803.pdf plain text: squmj-1803.txt item: #594 of 1636 id: squmj-1804 author: None title: squmj-1804 date: 2017-10-05 words: 5739 flesch: 58 summary: و�شفت اإ�شابات االأطفال باأنها اإما نقية اأو معقدة من طيف ال�شلل ال�شفلي الت�شنجي الوراثي ا�شتنادا اإىل معايري مت الدرا�شة، خالل االأ�شقاء. abstract: Objectives: The aim of the study was to explore the spectrum of hereditary spastic paraplegia (HSP) in children in Oman. keywords: abnormalities; autosomal; brain; cases; children; diagnosis; features; genetic; hsp; matter; onset; paraplegia; patients; study; white cache: squmj-1804.pdf plain text: squmj-1804.txt item: #595 of 1636 id: squmj-1805 author: None title: squmj-1805 date: 2017-10-05 words: 4661 flesch: 59 summary: Prevalence of isolated antibody to hepatitis B-core antigen in an area endemic for hepatitis B virus infection: Implications in hepatitis B vaccination programs. Characteristics of Hepatitis B Infection in a Sample of Omani Patients Khalid Al-Naamani,1 Ali Al-Maqbali,2 *Siham Al-Sinani3 clinical & basic research Advances in Knowledge - Hepatitis B vaccination has led to a lower prevalence of hepatitis B infection in the younger Omani population as compared to older age groups. keywords: blood; chronic; hbsag; hbv; hepatitis; infection; oman; patients; prevalence; screening; study; virus cache: squmj-1805.pdf plain text: squmj-1805.txt item: #596 of 1636 id: squmj-1806 author: None title: squmj-1806 date: 2017-10-05 words: 4093 flesch: 63 summary: مت االختيار الع�شوائي لعدد 150 حالة و300 حالة مقارنة با�شتخدام البيانات امل�شجلة بامل�شت�شفى. عرفت احلالة غري الطبيعية على اأنها: املراأة التي و�شعت طفل منخف�س الوزن ) keywords: babies; birth; bmi; cases; gain; health; lbw; maternal; mothers; pregnancy; study; weight; women cache: squmj-1806.pdf plain text: squmj-1806.txt item: #597 of 1636 id: squmj-1807 author: None title: squmj-1807 date: 2017-10-05 words: 4739 flesch: 61 summary: مفتاح الكلمات: مر�س ال�شكري، عمان؛ املراهقة؛ تقرير ذاتي؛ املعرفة؛ امل�شاعفات؛ عوامل اخلطر؛ املدار�س. وقد اأجريت الدرا�شة با�شتخدام ا�شتبانة جمربة �شابقا باللغة االإجنليزية تغطي جميع جوانب مر�س ال�شكري النوع الثاين keywords: awareness; diabetes; education; factors; health; knowledge; levels; risk; school; students; study cache: squmj-1807.pdf plain text: squmj-1807.txt item: #598 of 1636 id: squmj-1808 author: None title: squmj-1808 date: 2017-03-30 words: 1581 flesch: 49 summary: Successful outcomes in clinical practice are dependent on discoveries in basic medical sciences, such as in the case of anatomical variations. Sultan Qaboos Univ Med J 2016; 16:e491–4. keywords: anatomy; case; doi; med; research; vein cache: squmj-1808.pdf plain text: squmj-1808.txt item: #599 of 1636 id: squmj-1809 author: None title: squmj-1809 date: 2017-03-30 words: 6786 flesch: 52 summary: The use of a SLN biopsy allows adjuvant or elective chemoradiation to be avoided, as well as the associated morbidities of these treatment options.53 For example, HNSCC patients receiving chemoradiation are more likely to develop acute mucositis, oral pain, dysphagia and xerostomia; in addition, they are more frequently hospitalised.45,54 Patients with a negative SLN biopsy can therefore Table 2: Indications, contraindications, advantages and disadvantages of a sentinel lymph node biopsy5,14,15,27–30,42–46 Indications Contraindications Advantages Disadvantages •For patients with T1/T2/N0 head and neck tumours •To assess bilateral T1/T2/N0 primary head and neck tumours close to or crossing the midline •To clarify the need for contralateral dissection in tumours with one clinically positive side close to the midline •To ensure accurate radiocolloid application in well accessible primary tumours •For clinically positive neck nodes, as metastatic involvement interferes with the normal lymph node architecture, leading to anomalous draining patterns •For patients with a history of prior surgeries or treatments that may have altered normal lymphatic drainage patterns •For pregnant or lactating patients, as the extent of the SLN biopsy may need to be modified to minimise the risk of radiation exposure and blue dye injections •For large primary tumours which can directly compress the draining lymphatic vessels •Allows the accurate detection and staging of SLN metastasis with minimal morbidity as the technique is minimally invasive •Guides decision-making during the management of head and neck tumours •Limits the necessity of performing prophylactic END for all patients •Prevents the unnecessary removal of functional nodes •Allows selective excision of the SLN •Allows adequate assessment of the nodal status of the remaining neck tissue with a subsequent histopathological examination •Helps to identify skip metastasis, micrometastasis and unpredictable lymphatic drainage patterns •Improves the histological evaluation of surgical specimens •Reduces the number of lymph nodes required for a detailed history and physical examination in comparison to an END •Saves time and expense •Shortens the recovery period •For medically fit patients •May be difficult as the approach is technique-sensitive •The use of blue dye may elicit an allergic response •False-negatives can occur due to uneven radionuclide injection, the obscuring of the SLN by the radioactive signal of the primary tumour and the obstruction of the lymphatic vessels by the gross tumour, resulting in a redirection of lymphatic flow •The accuracy of this technique in identifying true SLNs is inadequate in patients with tumours of the floor of the mouth •In cases of multiple SLNs and SLNs at different levels, the number of SLNs to be removed is still unknown, which may lead to an extensive procedure similar to that of an END •The ‘shine through’ phenomenon and scatter radiation due to the primary tumour can obscure identification •Variability in head and neck lymphatic drainage may result in collateral channels leading to skip metastasis T1 = primary tumour of ≤2 cm; T2 = primary tumour of 2–4 cm; N0 = without regional lymph node metastasis; SLN = sentinel lymph node; END = elective neck dissection. After entering the lymphatic drain- ing channels, the tumour cells metastasise to the regional lymph nodes in the neck and form the meta- static foci.4 Macrometastases refer to lymph nodes that appear suspicious on clinical or radiographical examinations; in contrast, nodal metastases—which are not detectable by imaging methods or physical examination—indicate occult or subclinical metastasis. keywords: biopsy; cancer; carcinoma; cell; dissection; doi; et al; gamma; head; lymph; lymph node; metastasis; neck; node; node biopsy; occult; oral; patients; sentinel; sentinel lymph; sentinel node; sln; tumour cache: squmj-1809.pdf plain text: squmj-1809.txt item: #600 of 1636 id: squmj-1810 author: None title: squmj-1810 date: 2017-03-30 words: 5667 flesch: 46 summary: دور دوافع السفر واملخاطر املتصورة وقيود السفر على الصورة املستهدفة ونوايا الزيارة للسياحة الطبية منوذج نظري حممد جمال خان, �ضانكر �ضيلليه, حممد �ضربي هارون, �ضهري�ص اأحمد abstract: Travel motivations, perceived risks and travel constraints, along with the attributes and character- istics of medical tourism destinations, are important issues in medical tourism. 17 Nov 16 Accepted 8 Dec 16 doi: 10.18295/squmj.2016.17.01.003 Medical tourism commonly refers to the act of travelling to a foreign country in order to seek healthcare services.1 Until recently, the concept of medical tourism was relatively unknown as it was difficult to envisage a connection between the two very different areas of international travel and medical care; however, the rate of medical tourism has sharply accelerated in the last two decades.2 Modern medical tourism is characterised by an influx of middle-class patients from industrialised countries and affluent patients from less economically developed countries making use of the medical services available at foreign destinations. keywords: constraints; countries; destination; destination image; doi; factors; health; image; manag; medical; model; motivations; patients; res; risks; services; tourism; tourists; travel cache: squmj-1810.pdf plain text: squmj-1810.txt item: #601 of 1636 id: squmj-1811 author: None title: squmj-1811 date: 2017-03-30 words: 2588 flesch: 54 summary: Furthermore, by using pathophysiology to classify heart failure, other researchers have proposed the use of biomarkers either alone or in combination with echocardiography in order to guide therapy and management choices, instead of relying entirely on EF measurements.20–22 Conclusion Despite the announcement by the ESC of yet another category of heart failure patients with a tongue- twisting acronym, it is unlikely that the clinical management of this new HFmrEF patient group will change immediately. Prior to the formal identification of this group of patients as a distinct entity, clinicians were aware that some patients, mainly elderly hypertensive females, presented with clinical signs of heart failure but displayed normal left ventricular function on echocardiography.6 Various aetiologies were suggested and these patients were initially labelled as having diastolic heart failure, as it was believed that these hypertensive patients had stiff ventricles that did not relax.6 In the absence of any Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman E-mail: sunilnadar@gmail.com abstract: The latest European Society of Cardiology (ESC) guidelines for the diagnosis and management of heart failure include a new patient group for those with heart failure with mildly reduced ejection fraction (HFmrEF). keywords: doi; ejection; esc; failure; fraction; heart; hfmref; hfpef; patients cache: squmj-1811.pdf plain text: squmj-1811.txt item: #602 of 1636 id: squmj-1812 author: None title: squmj-1812 date: 2017-03-30 words: 3080 flesch: 60 summary: و بعد جراحة تثبيت جلد العانة اإىل عظام احل��ص 2.9 ± 10.2 �ضم و 2.8 ± 13.7 �ضم على الت�ايل )P >0.002(. بعد اجلراحة, ذكر �ضبعة مر�ضى )%53.8( باأن الق�ضيب اأ�ضبح اأط�ل, و اأقر خم�ص )%38.5( باأن الط�ل مل يتغري, بينما اأ�ضار مري�ص واحد ) Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Cairo, Egypt *Corresponding Author e-mail: dr.osama@alrijal.com الرأب الظهري للقضيب للحفاظ على طول القضيب عند زرع البدلة اأ�ضامه �ضعري, كمال �ضعري, اإ�ضالم عبد الرحمن abstract: Objectives: Following penile prosthesis implantation (PPI), patients may complain of a decrease in visible penis length. keywords: dorsal; implantation; length; patients; penile; penis; phalloplasty; ppi; prosthesis; tacking; ضيب cache: squmj-1812.pdf plain text: squmj-1812.txt item: #603 of 1636 id: squmj-1813 author: None title: squmj-1813 date: 2017-03-30 words: 5451 flesch: 58 summary: اأظهرت النتائج اأن اأكرث م�ضاعفات القلب �ضي�عًا ح�ضب تخطيط القلب هي ت�رّسع القلب اجليبي بن�ضبة )%43.0(, يليها ت�رّسع القلب اجليبي امل�ضاحب با�ضتطالة فرتة QT الفا�ضلة )%34.3(. Tahmineh Mokhtari,2 *Behnam Behnoush3 CLINICAL & bASIC RESEARCH Advances in Knowledge - Among Iranian patients, the most common cardiac abnormality following acute amphetamine abuse was sinus tachycardia followed by sinus tachycardia plus prolonged QT intervals. keywords: abuse; acute; amphetamine; cardiac; cardiovascular; complications; doi; drug; findings; iran; mean; methamphetamine; patients; study; tachycardia; tehran; years cache: squmj-1813.pdf plain text: squmj-1813.txt item: #604 of 1636 id: squmj-1814 author: None title: squmj-1814 date: 2017-03-30 words: 4088 flesch: 64 summary: الطريقة: �ضملت هذه الدرا�ضة جميع العمليات القي�رسية العاجلة التي اإجريت يف م�ضت�ضفى نزوى بعمان يف حاالت اجلنني احلرجة احلادة ونزف ما قبل ال�الدة اأو نزول احلبل ال�رسي قبل اجلنني. اخلال�صة: اأن معرفة االأ�ضباب امل�ؤدية لتاأخري العلمية القي�رسية قد تخلق فر�ضا ت�ؤدي ايل حت�ضني حالة الطفل ال�ليد. keywords: cases; cycle; ddi; decision; delivery; emergency; minutes; nizwa; outcomes; perinatal; study; time; ≤30 cache: squmj-1814.pdf plain text: squmj-1814.txt item: #605 of 1636 id: squmj-1815 author: None title: squmj-1815 date: 2017-03-30 words: 5472 flesch: 45 summary: Unfortunately, information Table 3: Complications*, management and patient outcomes of electroconvulsive therapy sessions at the Sultan Qaboos University Hospital, Muscat, Oman (N = 504) Complication n (%) Management (dose) Patient outcome Facial flush 1 (0.2) Continuous monitoring Self-limiting Tachycardia 2 (0.4) Esmolol (50 mg) Control of symptom Bradycardia 2 (0.4) Atropine (0.5 mg) Control of symptom Hypersalivation 4 (0.8) Glycopyrrolate (0.4 mg) Control of symptom Hypertension 2 (0.4) Labetalol (10 mg) Control of symptom Hypotension 1 (0.2) Ephedrine (5 mg) Control of symptom Delayed recovery 1 (0.2) Continuous monitoring Complete recovery Hyperglycaemia 1 (0.2) IV insulin (10 units) with blood glucose monitoring Control of blood glucose to <10 mmol Sustained seizures 1 (0.2) Propofol (20 mg) Control of seizures Aspiration pneumonitis 1 (0.2) Non-invasive ventilation and antibiotics Patient recovered and was discharged from hospital Machine failure 1 (0.2) ECT was not delivered Patient recovered from anaesthesia IV = intravenous; ECT = electroconvulsive therapy. Table 1: Demographic and clinical variables of patients undergoing electroconvulsive therapy sessions at the Sultan Qaboos University Hospital, Muscat, Oman, according to gender (N = 57) Variable Mean ± SD Inter-gender comparison Females (n = 37) keywords: agents; anaesthesia; care; clinical; doi; dose; drugs; duration; ect; hospital; oman; patients; propofol; seizure; sessions; study; succinylcholine; therapy; use cache: squmj-1815.pdf plain text: squmj-1815.txt item: #606 of 1636 id: squmj-1816 author: None title: squmj-1816 date: 2017-03-30 words: 6071 flesch: 53 summary: اخلال�صة: ميكن اأن ي�ؤدي ممار�ض� الرعاية ال�ضحية دورا مف�ضليا يف تقدمي الن�ضح واالإر�ضاد للن�ضاء بخ�ض��ص و�ضائل منع احلمل, مما �ضي�ؤدي لتح�ضني م�ضت�ى ا�ضتخدام تلك ال��ضائل. %75.5 عند الن�ضاء الل�اتي يزيد عمرهن keywords: age; ajman; arab; contraceptive; education; emirates; family; health; mothers; study; system; uae; united; use; women cache: squmj-1816.pdf plain text: squmj-1816.txt item: #607 of 1636 id: squmj-1817 author: None title: squmj-1817 date: 2017-03-30 words: 5467 flesch: 63 summary: Although several studies have highlighted this important issue, they are subject to several limitations, including small sample sizes, a lack of validated tools to assess BLS knowledge, infrequent exploration of attitudes towards BLS training and imprecise definitions of factors associated with low BLS knowledge levels.5–7 Unfortunately, although the results of the study indicated that female health students had overall positive attitudes towards BLS training, the majority of the students were severely deficient in BLS knowledge. keywords: attitudes; bls; college; doi; health; knowledge; life; saudi; students; study; support; training; university; year cache: squmj-1817.pdf plain text: squmj-1817.txt item: #608 of 1636 id: squmj-1818 author: None title: squmj-1818 date: 2017-03-30 words: 6220 flesch: 52 summary: Knowledge, attitude, and barriers towards the use of evidence based practice among senior dental and medical students in western Saudi Arabia. Nurses’ perceptions and barriers for adoption of evidence based practice in primary care: Bridging the gap. keywords: doi; ebp; efficacy; evidence; health; information; iran; knowledge; midwives; nurses; practice; scores; self; study; use cache: squmj-1818.pdf plain text: squmj-1818.txt item: #609 of 1636 id: squmj-1819 author: None title: squmj-1819 date: 2017-03-30 words: 4376 flesch: 63 summary: Departments of 1Employee Health and 2Research, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia *Corresponding Author e-mail: rajiv.khandekar@gmail.com حَتَرِّي اإلبصار عند ممرضات وممرضي قسم العيون يف مستشفى رعاية ثالثية النتائج والسلوكيات الساعية للحصول على رعاية صحية للعيون روحي خان, �ضي�ص �ض�رو, �ضيج� فاقي�ص, زيااول يا�رس, راجيف خانديكار abstract: Objectives: This study aimed to evaluate ocular healthcare-seeking behaviours and vision screening outcomes of nursing staff at a tertiary eye care hospital. كل عند االإب�ضار حتري ونتائج للعي�ن, �ضحية رعاية على للح�ض�ل ال�ضاعية ال�ضل�كيات لتق�مي الدرا�ضة هذه هدفت الهدف: امللخ�ص: طاقم التمري�ص يف م�ضت�ضفى للرعاية ال�ضحية للعي�ن. الطريقة: اأجريت هذه الدرا�ضة, بني �ضهري يناير و�ضبتمرب من عام 2016م, على كل الطاقم الطبي العامل يف م�ضت�ضفى امللك خالد بالريا�ص يف اململكة العربية ال�ضع�دية وعددهم 500 ممر�ص وممر�ضة. keywords: arabia; behaviours; care; doi; eye; healthcare; hospital; nurses; participants; saudi; screening; study; vision; visual; years cache: squmj-1819.pdf plain text: squmj-1819.txt item: #610 of 1636 id: squmj-1820 author: None title: squmj-1820 date: 2017-03-30 words: 5758 flesch: 55 summary: A major difference between the final short-form version of the questionnaire used in the present study and those of similar studies was the lack of inclusion of questions assessing awareness of the main risk factors for oral cancer (i.e. smoking and alcohol use).19,22,25,26 One reason for removing this Table 5: Questionnaire items included in the final Persian short-form 14-item version of a standardised questionnaire* assessing oral cancer knowledge, practice and attitudes among dentists Questionnaire items† Knowledge 1. These results indicate that researchers can use this translated short-form version to evaluate oral cancer knowledge, attitudes and practices among Persian-speaking dentists; this will allow for a comparison of data between different populations. keywords: attitudes; cancer; dental; dentists; doi; form; general; items; knowledge; oral; persian; practices; questionnaire; study; version cache: squmj-1820.pdf plain text: squmj-1820.txt item: #611 of 1636 id: squmj-1821 author: None title: squmj-1821 date: 2017-03-30 words: 3202 flesch: 64 summary: اأجريت هذه الدرا�ضة امل�ضحية يف الفرتة ما بني اأكت�بر 2015 م وفرباير 2016 م يف م�ضت�ضفى جامعة ال�ضلطان قاب��ص, يف م�ضقط, عمان. ال�رسيان مر�ص من الثان�ية لل�قاية �ضديدة اأهمية هناك الهدف: امللخ�ص: االأ�ضاليب ال�قائية لدى املر�ضى الذين مت ت�ضخي�ضهم مبر�ص ال�رسيان التاجي. keywords: changes; disease; heart; ihd; knowledge; lifestyle; oman; patients; prevention; study cache: squmj-1821.pdf plain text: squmj-1821.txt item: #612 of 1636 id: squmj-1822 author: None title: squmj-1822 date: 2017-03-30 words: 3487 flesch: 56 summary: Sickle cell osteomyelitis of the mandible: Report of three cases. While osteomyelitis of the long bones is a well- documented complication of SCA, there are few documented cases of SCA patients presenting with jaw osteomyelitis. keywords: bone; case; cell; doi; jaw; mandible; osteomyelitis; patients; report; sca; tooth cache: squmj-1822.pdf plain text: squmj-1822.txt item: #613 of 1636 id: squmj-1823 author: None title: squmj-1823 date: 2017-03-30 words: 3058 flesch: 50 summary: Keywords: Hyperplasia; Verrucous Carcinoma; Squamous Cell Carcinoma; Histology, diagnosis; Case Report; India. امللخ�ص: فرط التن�ضج الث�ؤل�يل ه� اآفة غري �ضائعة ملخاطية الفم خارجية التنبت والتي قد تتح�ل اإىل �رسطان ث�ؤل�يل, وهي خبيثة ولكنها م�ضابهة اإكلينكيا لالآفة املقابلة. هذة الكيانات تفرق بعدم القدرة على النم� الغزوي يف حاالت فرط التن�ضج الث�ؤل�يل, لذا, من االأ�ضا�ضيات كلية اإىل تقدم عاما 80 عمرة ذكر ملري�ص حالة هنا نعر�ص منا�ضب. keywords: carcinoma; diagnosis; doi; epithelium; hyperplasia; lesion; oral; report cache: squmj-1823.pdf plain text: squmj-1823.txt item: #614 of 1636 id: squmj-1824 author: None title: squmj-1824 date: 2017-03-30 words: 2584 flesch: 58 summary: Keywords: Anatomic Variation; Elbow; Aponeurosis, abnormalities; Case Report; India. امللخ�ص: تعترب املنطقة املرفقية للذراع هي امل�قع امل�ضرتك لت�ضجيل �ضغط الدم و�ضحب الدم للتحليل وحقن العالج ال�ريدي ونقل الدم. مت تعزيز ال�ريد ال��ضيط املرفقي, عن طريق ال�ريد الكعربي ثم مر keywords: aponeurosis; case; cubital; fossa; medial; muscle; slip; vein cache: squmj-1824.pdf plain text: squmj-1824.txt item: #615 of 1636 id: squmj-1825 author: None title: squmj-1825 date: 2017-03-30 words: 2274 flesch: 54 summary: ففي غ�ض�ن ت�رسيحنا جلثة رجل م�ضن يف ق�ضم الت�رسيح الب�رسي مبعهد عم�م الهند للعل�م الطبية يف ني�دلهي عام 2016 وجدنا اأن الع�ضلة الغرابية الع�ضدية تع�ضب ب�ا�ضطة فرع مبا�رس من اجلذع ال�ح�ضي للع�ضب النا�ضف, يف غياب الع�ضب الع�ضلي اجللدي. ومن املهم اإدراك مثل تلك االختالفات يف اجلراحات, ويف اأثناء اإعطاء اأدوية التخدير الناحي بقرب مف�ضل الكتف والع�ضد العل�ي. الكلمات املفتاحية: االختالفات الت�رسيحية؛ الت�رسيح؛ الع�ضب النا�ضف؛ الع�ضب الع�ضلي اجللدي؛ تقرير حالة؛ الهند. keywords: arm; branch; median; muscles; nerve; root; variations; الع cache: squmj-1825.pdf plain text: squmj-1825.txt item: #616 of 1636 id: squmj-1826 author: None title: squmj-1826 date: 2017-03-30 words: 2384 flesch: 63 summary: The incidence rate of true human tails is twice as high among males in comparison to females.15 Unlike true tails, a pseudotail is a caudal protrusion composed of other normal and abnormal tissue such as bone, cartilage and remnants of notochord.3,15 During neurulation, non-fusion of the neural tube due to focal premature dysfunction can lead to the formation of a pseudotail.1 The non-fused neural tube exposes the paraxial mesoderm to the dorsal aspect of the neural ectoderm and induces the formation of fatty elements. The presence of cutaneous midline congenital lesions in the lumbosacral region—such as vascular naevi, tufts of hair, dermal sinuses, subcutaneous lipo- mas, deviated gluteal furrows or a human tail—may indicate the presence of occult spinal dysraphism.1 A congenital cutaneous appendix arising from the lumbosacral region is referred to as a human tail.14 On histopathological examination, human tails can be classified into either true tails or pseudotails.1,15 keywords: appendage; case; doi; dysraphism; human; mri; neonate; region; report; spinal; tail cache: squmj-1826.pdf plain text: squmj-1826.txt item: #617 of 1636 id: squmj-1827 author: None title: squmj-1827 date: 2017-03-30 words: 2987 flesch: 61 summary: الع�ضلة املرافق وال�ريد الع�ضدي وال�رسيان االختالفات الت�رسيحية الأنها قد ت�ؤدي اإىل �ضغط وعائي ع�ضبي. الكلمات املفتاحية: اإختالفات ت�رسيحية؛ ت�رسيح؛ ال�ضفرية الع�ضدية؛ االأع�ضاب ال�ضدرية؛ الع�ضب املت��ضط؛ الع�ضب الع�ضلي اجللدي؛ تقرير حالة؛ الهند. كان احلبل اجلانبي ال�ح�ضي ط�يل ب�ضكل ا�ضتثنائي مع ت�ضكل اأع�ضاب مزدوجة �ضدرية وح�ضية وجذور الع�ضب. لهذا االأن�ضي اجلذر مع باملقارنة رقيقا النا�ضف للع�ضب االأدنى ال�ح�ضي اجلذر كان النا�ضف, للع�ضب ال�ح�ضي للفرع مزدوجة كان اجلذر الفرعي االأدنى من الع�ضب املت��ضط رقيقا باملقارنة مع اجلذر االأو�ضط من الع�ضب املت��ضط. وكان اجلذر keywords: case; median; muscle; nerve; plexus; root; variations; الع � cache: squmj-1827.pdf plain text: squmj-1827.txt item: #618 of 1636 id: squmj-1828 author: None title: squmj-1828 date: 2017-03-30 words: 1568 flesch: 59 summary: A solitary case of nummular headache associated with focal hair heterochromia in a child has also been reported.9 Three different types of hair heterochromia have been previously described: patchy, segmental and diffuse.10 The patient in the current case had hetero- chromia of one area of scalp hair and thus was diagnosed with patchy or focal heterochromia. We report a six-month old male infant who presented to the Department of Dermatology, Saham Hospital, Saham, Oman, in 2013 with focal scalp hair heterochromia without any detectable underlying abnormalities. keywords: case; dermatol; doi; hair; heterochromia; scalp cache: squmj-1828.pdf plain text: squmj-1828.txt item: #619 of 1636 id: squmj-1829 author: None title: squmj-1829 date: 2017-03-30 words: 1073 flesch: 61 summary: Manzur-Villalobos I, Pérez-Bula L, Fang L. Anatomical variation of submandibular gland duct. However, the presence of radio- lucent stones or disease in accessory ducts may inadvertently be overlooked. keywords: accessory; doi; duct; gland; submandibular cache: squmj-1829.pdf plain text: squmj-1829.txt item: #620 of 1636 id: squmj-1830 author: None title: squmj-1830 date: 2017-03-30 words: 1062 flesch: 57 summary: Bullous fixed drug eruption to ciprofloxacin: A case report. The use of the Naranjo algorithm, particularly the sections regarding previous exposure and readministration, is not always applicable in these cases on ethical grounds.7 However, a thorough history-taking, specifically with regards to recent exposure to certain drugs, can help to confirm the diagnosis. keywords: drug; eruption; lesions cache: squmj-1830.pdf plain text: squmj-1830.txt item: #621 of 1636 id: squmj-1831 author: None title: squmj-1831 date: 2017-03-30 words: 964 flesch: 42 summary: Around 636 IMEMR-indexed journals are published in the WHO Eastern Mediterranean region, originating from 22 countries and territories.6 There has been a gradual rise in the number of biomedical journals from this region and, as of December 2016, there were 52 peer-reviewed IMEMR-indexed biomedical journals published in the Gulf region.6 However, Middle Eastern and GCC-based journals are still confronted with several challenges, such as a lack of infrastructure and funding, limited access to new high-quality research due to low visibility and perceived poor peer-review standards.4,7,8 The National Library of Medicine grants MEDLINE® indexing following an application to the Literature Selection Technical Review Committee.9 The ultimate goal of emerging biomedical journals is to achieve international acceptance and visibility through inclusion in major bibliographic databases, such as MEDLINE® or the IMEMR database. keywords: biomedical; journals; medline cache: squmj-1831.pdf plain text: squmj-1831.txt item: #622 of 1636 id: squmj-1832 author: None title: squmj-1832 date: 2017-03-30 words: 1151 flesch: 44 summary: 10. Idris AB, Al Jabri M, Al-Mamari W. Modified Checklist for Autism in Toddlers, Revised, with Follow-Up (M-CHAT-R/F)™: Illustrated Omani version. Guevara JP, Gerdes M, Localio R, Huang YV, Pinto-Martin J, Minkovitz CS, et al. Effectiveness of developmental screening in an urban setting. keywords: autism; children; oman; screening cache: squmj-1832.pdf plain text: squmj-1832.txt item: #623 of 1636 id: squmj-1833 author: None title: squmj-1833 date: 2017-03-30 words: 1183 flesch: 49 summary: رد: حدوث اضطراب طيف التوحد واضطراب التصلب الدرين يف وقت واحد يف ثالثة أطفال تقارير حالة ومراجعة األدبيات Re: Coexistence of Autism Spectrum Disorders Among Three Children with Tuberous Sclerosis Complex Case reports and review of literature Sir, I read with interest the case report by Al-Futaisi et al. published in the November 2016 issue of SQUMJ which described three children with both autism spectrum disorders (ASDs) and tuberous sclerosis complex (TSC).1 MRI findings reveal three different types of tubers in patients with tuberous sclerosis complex. keywords: complex; mri; sclerosis; tuberous; tubers cache: squmj-1833.pdf plain text: squmj-1833.txt item: #624 of 1636 id: squmj-1834 author: None title: squmj-1834 date: 2017-06-20 words: 1227 flesch: 47 summary: Malaria cases are generally divided into imported or local cases, with local cases further subdivided into introduced (i.e. imported infections which are then transmitted locally due to vectors such as mosquitoes), induced (i.e. other sources of transmission such as infected blood transfusions) and indigenous (i.e. de novo cases).1 Globally, there were approximately 212 million cases of malaria in 2015, with an estimated 429,000 malaria- related deaths.2 On the occasion of World Malaria Day, which was recently celebrated on 25 April 2017, we saw yet another challenge incorporated into the existing malaria burden this year—the potential addition of the Plasmodium simium parasite to the Plasmodium species already known to infect humans.3 Malaria used to be endemic in Oman; early reports from 1916 indicate that there were 100–400 cases of fever each month per 1,000 troops based in Muscat, the capital city, with most fevers due to By 1999, the annual incidence of locally-acquired malaria had dropped from 21.5 to 0.1 per 10,000 individuals, with approximately 77% of the population targeted by malaria elimination strategies.5 Between 2004 and 2006, there were no malaria cases reported in Oman; however, in 2007, 12 cases were detected.5 In 2016, 803 cases were reported, three of which were local and were introduced due to the storage of drinking water tanks at construction sites, which served as a good breeding site for mosquitoes.7 Isolated outbreaks of malaria continue to be reported in Oman to date.5 Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman E-mail: kowhassan@gmail.com اليوم العاملي للمالريا قصتنا مع املالريا يف عمان كوثر �سلمان ح�سن editorial World Malaria Day keywords: cases; control; health; malaria; oman; world cache: squmj-1834.pdf plain text: squmj-1834.txt item: #625 of 1636 id: squmj-1835 author: None title: squmj-1835 date: 2017-06-20 words: 11267 flesch: 65 summary: Halbe S, Ahmed NI, Sundar K, Sathyakumar C. Pseudoaneurysm in gall bladder fossa following laparoscopic cholecystectomy. Sansonna F, Boati S, Sguinzi R, Migliorisi C, Pugliese F, Pugliese R. Severe hemobilia from hepatic artery pseudoaneurysm. keywords: artery; b t; cholecystectomy; cystic; doi; e g; e n; e t; g oo; hepatic; laparoscopic; m b; m ic; psa; pseudoaneurysm; r h; surg; •h m cache: squmj-1835.pdf plain text: squmj-1835.txt item: #626 of 1636 id: squmj-1836 author: None title: squmj-1836 date: 2017-06-20 words: 5547 flesch: 51 summary: يف العامل العريب استعراض منشورات من سبعة بلدان بني الفرتة 2000-2013 رندة ربحي حمادة، �سيف الربقان، عبلة ال�سباعي abstract: This review aimed to examine trends in cancer research in the Arab world and identify existing research gaps. Within this context, this article aimed to examine the landscape of cancer research in seven selected Arab countries to identify publication trends as well as gaps and opportunities for future research. keywords: articles; bahrain; cancer; countries; doi; factors; health; iraq; jan; morocco; publications; research; review; risk; studies; sudan; total; world cache: squmj-1836.pdf plain text: squmj-1836.txt item: #627 of 1636 id: squmj-1837 author: None title: squmj-1837 date: 2017-06-20 words: 4593 flesch: 43 summary: In addition, more systematic research should be conducted to examine breastfeeding practices and the best strategies to promote breastfeeding in this region. According to UNICEF, improving breastfeeding practices worldwide could save the lives of an estimated 1.5 million children annually.2 keywords: addition; breastfeeding; countries; determinants; doi; gcc; health; infant; mar; milk; months; mothers; practices; rates; recommendations cache: squmj-1837.pdf plain text: squmj-1837.txt item: #628 of 1636 id: squmj-1838 author: None title: squmj-1838 date: 2017-10-05 words: 3434 flesch: 62 summary: مر�شى من T2DM يف بكثري اأعلى و C-الببتيد الكول�شرتول و A1c داللة اإح�شائية بني م�شتوى C-الببتيد و موؤ�رس كتلة اجل�شم وحميط اخل�رس. اخلال�سة: مل يعد مر�س T2DM ي�شيب البالغني فقط ولكن ميكن اأي�شا اأن يحدث يف االأطفال واملراهقني. وكان موؤ�رس اخلطوط املئوية لكتلة اجل�شم وحميط اخل�رس يف مر�شى T2DM اأعلى بكثري باعتبار العمر واجلن�س من مر�شى T1DM. اأي�شا كانت م�شتويات الهيموجلوبني % ذات �شعيفة اإيجابية ارتباطات هناك كان واأخريا .T1DM keywords: children; diabetes; group; insulin; mellitus; patients; peptide; study; type cache: squmj-1838.pdf plain text: squmj-1838.txt item: #629 of 1636 id: squmj-1839 author: None title: squmj-1839 date: 2017-10-05 words: 4684 flesch: 60 summary: Analysis was carried out using a prevalence proportion ratio (PPR) for the association of positive rabies with personal information on individuals attacked, characteristics of the animal inflicting the bite, type of contact and risk factors. Furthermore, the chi-square value for statistical significance was calculated using the Yates continuity corrected statistics, but Fisher’s exact test was Table 1: Rabies positivity results for the 180 animals suspected of having rabies brought to the Central Veterinary Laboratory in Yemen, June to December 2011, stratified by demographic characteristics Total attacking animals Animals positive for rabies n % n % Species of animal Dog 166 92 104 62.7 Fox 3 1.7 3 100 Donkey 3 1.7 3 100 Cat 3 1.7 1 33.3 Goat 2 1.1 2 100 Hyena 1 0.6 1 100 Cow 1 0.6 0 0 Rat 1 0.6 0 0 Gender of animal Male 127 70.6 77 60.6 Female 53 29.4 37 69.8 ownership status Owned 106 58.9 59 55.7 Stray 74 41.1 55 74.3 Table 2: The relationship of rabies-positivity results with animal attack rate and provocation status in 180 rabies- suspicious animals brought to the Central Veterinary Laboratory, Yemen, June to December 2011 Attack rate Total animals involved in attacks Rabies-positive animals Rabies-negative animals PPR CI P value n % n % n % 1 individual 130 72.2 71 54.6 59 45.4 02 0.07– 0.49 0.0001 2–3 individuals 44 24.5 37 84.0 7 16.0 4.1 1.59– 10.7 0.001 keywords: animals; attacks; factors; individuals; ppr; prevalence; rabies; risk; spread; study; table; yemen; الكلب cache: squmj-1839.pdf plain text: squmj-1839.txt item: #630 of 1636 id: squmj-1840 author: None title: squmj-1840 date: 2017-10-05 words: 4261 flesch: 55 summary: Cellular mitochondrial O2 consumption was determined as a function of time from the phosphorescence decay of the Pd (II) meso-tetra-(4-sulfonatophenyl)-tetrabenzoporphyrin. The results demonstrate that the foreskin tissue permits accurate determination of cellular mitochondrial O2 consumption. keywords: cells; consumption; fibroblast; foreskin; min; oxygen; respiration; samples cache: squmj-1840.pdf plain text: squmj-1840.txt item: #631 of 1636 id: squmj-1841 author: None title: squmj-1841 date: 2017-10-05 words: 3425 flesch: 63 summary: Of the 1,554 admitted, 891 (57.3%) were born in the hospital while a significant 663 (42.7%) were born elsewhere and referred to the AKMCC neonatal unit for further management—as this unit is the only Applications to Patient Care - This study may help to improve neonatal care in developing countries by understanding the causes of admission, complications, length of stay and outcome for neonatal patients. This percentage could be due to an increased awareness among health workers about neonatal care, and the provision of the best possible care in spite of limited resources. keywords: asphyxia; birth; care; causes; health; neonatal; neonates; pakistan; prematurity; study; weight cache: squmj-1841.pdf plain text: squmj-1841.txt item: #632 of 1636 id: squmj-1842 author: None title: squmj-1842 date: 2017-10-05 words: 5095 flesch: 57 summary: Considering the results according to the participant’s field of education, 115 (28.7%) dental students, 82 (19.7%) engineering students and 102 (25.1%) medical students had stress; the association was statistically significant. Environmental and social factors were reported by 366 repondents (29.9%); among these, there were 111 (27.7%) dental students, 120 (28.8%) engineering students and 135 (33.3%) medical students. keywords: association; education; engineering; factors; health; lifestyle; medical; stress; students; study; total cache: squmj-1842.pdf plain text: squmj-1842.txt item: #633 of 1636 id: squmj-1843 author: None title: squmj-1843 date: 2017-10-05 words: 3289 flesch: 59 summary: While some studies on medical students have shown more usage of positive coping strategies such as positive reframing, planning and religion,7,8 others have identified the use of alcohol, tobacco and drugs to cope with stress.1 Very few studies regarding coping behaviour in students of health professions have been reported from the Arab region.9 Studying causes of stress and coping strategies used can help in designing appropriate interventions and planning modifications in the curricula to reduce stress and enhance students’ wellbeing and learning abilities. A high prevalence of depression and anxiety has also been reported in medical students, especially females, compared to age-matched peers in the general Kadayam G. Gomathi, Soofia Ahmed and Jayadevan Sreedharan brief communication | 431 population.1 keywords: coping; health; lack; medical; strategies; stress; students; undergraduate; university; year cache: squmj-1843.pdf plain text: squmj-1843.txt item: #634 of 1636 id: squmj-1844 author: None title: squmj-1844 date: 2017-10-05 words: 5808 flesch: 50 summary: In addition, if the healthcare provider is male, the process of a VE may cause significant embarrassment for both the woman and healthcare provider, particularly in more conservative cultures.3,9,10 Several studies revealed that women seem to have more VEs than expected during labour, despite the presence of institutional policy guidelines on performing VEs at certain institutions.2,8–11,16 One study found that midwives also frequently perform VEs which are not officially recorded, often referred to in the case notes as ‘quickies’.17 A study conducted by Bergstorm et al. found there was a variation between 2–17 in the number of VEs conducted during labour; for one woman, a VE was performed following every contraction.16 A number of publications supported the view that women receive more VEs than is necessary during labour; VEs can cause pain, discomfort and embarrassment to the women; VEs are sometimes conducted without consent, respect or dignity, and women are rarely given preferences or choices during VEs. keywords: articles; care; examinations; healthcare; information; labour; midwifery; midwives; pain; patient; procedure; providers; ves; women cache: squmj-1844.pdf plain text: squmj-1844.txt item: #635 of 1636 id: squmj-1845 author: None title: squmj-1845 date: 2017-10-05 words: 2146 flesch: 55 summary: abstract: Gastric linitis plastica is a diffuse type of cancer which is characterised by a thickening and rigidity of the stomach wall. Consequently, the patients with symptoms generally have far-advanced malignancy.2 We report our experience of managing patients who were diagnosed with linitis plastica over a period of 18 months in 2011–2012 at Barnsley District General Hospital, UK. keywords: disease; gastric; linitis; months; patients; plastica; series; stomach cache: squmj-1845.pdf plain text: squmj-1845.txt item: #636 of 1636 id: squmj-1846 author: None title: squmj-1846 date: 2017-10-05 words: 3402 flesch: 52 summary: We present a case series of anterior maxillary segmental distraction for maxillary hypoplasia in 5 CLP patients with a one-year follow-up. Bengi O, Karacay S, Akin E, Okqu KM, Olmez H, Mermut S. Cephalometric evaluation of patients treated by maxillary anterior segmental distraction: A preliminary report. keywords: case; cleft; distraction; maxillary; osteogenesis; patients; segmental; speech; surg; year cache: squmj-1846.pdf plain text: squmj-1846.txt item: #637 of 1636 id: squmj-1847 author: None title: squmj-1847 date: 2017-10-05 words: 1880 flesch: 57 summary: يف هذه الورقة �شوف نناق�ص اأهمية عمل فحو�شات املناعة الكيميائية يف حتديد الت�شخي�ص و مراحل منو الأورام. مفتاح الكلمات: الثدي، احلوي�شلي، انت�شار ال�رسطان، الكلية، الفح�س املناعي الكيميائي. keywords: breast; cancer; carcinoma; case; mass; metastatic cache: squmj-1847.pdf plain text: squmj-1847.txt item: #638 of 1636 id: squmj-1848 author: None title: squmj-1848 date: 2017-10-05 words: 943 flesch: 44 summary: Cases of CRBI are reported to have a mortality rate of 12–25%.3 The Centers for Disease Control and Prevention (CDC) in the USA recommend that the primary prevention strategy is the avoidance of central lines in favor of AVFs, for instance, as recommended in the Fistula First Breakthrough Initiative.3 Additionally, when catheters are used, the recommended interventions to improve central-line maintenance can reduce CRBI in patients undergoing haemodialysis.3 The Vascular Access Work Group Clinical Practice Guidelines for vascular access recommend important central-line maintenance measures: 1) staff manipulating catheters should wear masks and clean or sterile disposable gloves; 2) the need for meticulous skin preparation during the insertion and application of exit site cleaning solutions; 3) the application of non-occlusive dressings; 4) the application of topical antibiotic ointment at catheter exit sites; 5) the use of prophylactic antimicrobial locking solutions; 6) catheters should be coated with antimicrobial agents or heparin, and 7) the training of nurses and patient in the proper maintenance of central-lines.4 Catheter exit-site infections should be treated with topical and oral antibiotics without the need for catheter replacement. keywords: catheter; dialysis; patient; tdc cache: squmj-1848.pdf plain text: squmj-1848.txt item: #639 of 1636 id: squmj-1849 author: None title: squmj-1849 date: 2017-10-05 words: 658 flesch: 59 summary: The problems with isoform specificity in Lp(a) measurements, the sub-optimal performance of the different assays and the lack of commutability across Lp(a) assay systems are well-known.3 Population studies show that females after the age of 45 years tend to have higher Lp(a) values than men of the same age.4 Also, hormone replacement therapy can reduce the plasma concentration of Lp(a).5 Studies have found a positive correlation between Lp(a) and total cholesterol or low-density lipoprotein cholesterol (LDL-C) levels but an inverse association with triglyceride (TG) levels in patients with diabetes mellitus (DM).2 Ashfaq et al.1 did not discuss the relationship between LDL-C and Lp(a). keywords: levels; lipoprotein(a; lp(a cache: squmj-1849.pdf plain text: squmj-1849.txt item: #640 of 1636 id: squmj-1850 author: None title: squmj-1850 date: 2017-10-05 words: 2033 flesch: 54 summary: Large placental chorioangiomas are rare and may lead to pregnancy complications and poor perinatal outcomes. abstract: Placental tumours include placental chorioangiomas, teratomas, haemangiomas, and haematomas. keywords: case; chorioangioma; complications; growth; obstet; placental; tumours cache: squmj-1850.pdf plain text: squmj-1850.txt item: #641 of 1636 id: squmj-1851 author: None title: squmj-1851 date: 2017-10-05 words: 2519 flesch: 55 summary: اأْندماج مقدَّم الدِّماغ ن�شف الف�شي موؤ�رسا قويا على وجود زيادة �شوديوم الدم الع�شبي املن�شاأ. Jan 13 Departments of 1Child Health and 2Radiology & Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Oman *Corresponding Author e-mail: mnaggari@squ.edu.om; mnaggari@yahoo.com إْندماج مقدَّم الدِّماغ نصف الفصي مع زيادة صوديوم الدم العصيب املنشأ حالتان جديدتان ها�شم جافاد، �شيف اليعروبي، الك�شندر �شاكو، ديليب �شانكال، اأمنه الفطي�شي، اأن�س الوجود عبد املغيث، حممد النجاري امللخ�ص: اندماج مقدم الدماغ ن�شف الف�شي )HPE( هو عيب النمو يف مقدمة املخ اجلنيني و منت�شف الوجه. keywords: case; diabetes; holoprosencephaly; hpe; hypernatraemia; insipidus; mmol; semilobar; serum cache: squmj-1851.pdf plain text: squmj-1851.txt item: #642 of 1636 id: squmj-1852 author: None title: squmj-1852 date: 2017-10-05 words: 3291 flesch: 49 summary: The role of the laryngeal mask airway in HAE patients is not completely clear, but it is reasonable to believe that the larger contact area may aggravate airway oedema. Keywords: Anesthesia; Hereditary angioedema; C1 esterase inhibitor deficiency; Case Report; Oman. keywords: airway; angioedema; attacks; deficiency; hae; inh; inhibitor; management; patients; pdc1 cache: squmj-1852.pdf plain text: squmj-1852.txt item: #643 of 1636 id: squmj-1853 author: None title: squmj-1853 date: 2017-10-05 words: 2283 flesch: 55 summary: /A CA Operation King et al.16 (1994) 72, M Left SFA, proximal 2.5 x 2 cm CA Operation SFA = superficial femoral artery; US = ultrasound; MRI/A: magnetic resonance imaging/angiography; CA = conventional angiography; CTA = computed tomography angiography; N/A = not available. Vlachou PA, Karkos CD, Bains S, McCarthy MJ, Fishwick G, Bolia A. Percutaneous ultrasound- guided thrombin injection for the treatment of iatrogenic femoral artery pseudoaneurysms. keywords: artery; femoral; psa; pseudoaneurysm; report; sfa; spontaneous; stent cache: squmj-1853.pdf plain text: squmj-1853.txt item: #644 of 1636 id: squmj-1854 author: None title: squmj-1854 date: 2017-10-05 words: 2035 flesch: 64 summary: ADRs occur very rarely in CQ use; thus, its prophylaxis is unnecessary and also not feasible. خلل التوتُّر العضلي احلاد بعد جرعة قياسية للكلوروكني لعالج املالريا غري املعقدة اأولو�شيجون بو�شاري، جوزيف فادير، �شيغان اجبوال، اولو�شيجون جربائيل، اأواليد اليجبيد، يو�شف اأوالدو�شو ر الع�شلي احلاد هو من االآثار خارج الهرمية التي حتدث عادة بعد ا�شتخدام جمموعة متنوعة من االأدوية اأو امللخ�س: تفاعل خلل التوتُّ العوامل املثرية للتوتر غري اأدوية الذهان.هنا نعر�س حالة رجل يبلغ من العمر 54 عاما نقل اإىل امل�شت�شفى بعد keywords: acute; adr; case; chloroquine; dose; drug; malaria cache: squmj-1854.pdf plain text: squmj-1854.txt item: #645 of 1636 id: squmj-1855 author: None title: squmj-1855 date: 2017-10-05 words: 1559 flesch: 64 summary: 9TH Dec 12 Accepted 17TH Feb 13 1Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman; 2Department of Plastic Surgery, Ganga Hospital, Coimbatore, India *Corresponding Author e-mail: gvenkat73@gmail.com البليفروسيل احلادث بعد األصابة يف بالغ فينكاتي�س جوفينداراجو و رافيندرا باراثي ر امللخ�ص: البليفرو�شيل هو جتمع ال�شائل النخاعي وجد اي�شا �شمور جيب االأنف االأمامي للمري�س. اثبت الفح�س ال�رسيري وحتاليل الدم واالأ�شعات وجود البليفرو�شيل. keywords: blepharocele; cerebrospinal; csf; eyelid; fluid; head cache: squmj-1855.pdf plain text: squmj-1855.txt item: #646 of 1636 id: squmj-1856 author: None title: squmj-1856 date: 2017-10-05 words: 7002 flesch: 57 summary: [Table 2];27 a similar distribution of PET cameras exists in some of the Gulf Cooperation Council (GCC) countries.28 The medical doctors would only require a limited period of very focused training for PET practice. keywords: 18f; cancer; cyclotron; disease; emission; fdg; health; imaging; number; oman; patients; pet; positron; response; staging; therapy; tomography cache: squmj-1856.pdf plain text: squmj-1856.txt item: #647 of 1636 id: squmj-1857 author: None title: squmj-1857 date: 2017-10-05 words: 4013 flesch: 58 summary: In this study, DNA extracted from archival postmortem formalin-fixed paraffin-embedded tissues was used to identify Pompe disease mutations in Oman and develop a rapid molecular-based test. مت ت�سميم امل�رسعات الإنرتونية مل�ساعفة مقاطع ق�سرية )454-193 قاعدة مزدوجة( من املحورات 20-2( للبحث عن الطفرات با�ستخدام الت�سل�سل املبا�رس. keywords: disease; dna; fragment; glycogen; mutations; pcr; pompe; restriction; test; tissues; type cache: squmj-1857.pdf plain text: squmj-1857.txt item: #648 of 1636 id: squmj-1858 author: None title: squmj-1858 date: 2017-10-05 words: 6790 flesch: 60 summary: There is an urgent need for more research as well as a national policy promoting active living and healthy eating and discouraging sedentary behaviour among Omani adolescents. Keywords: Adolescent; Oman; Lifestyle; Physical Activity; Dietary Habits; Index, Body Mass; Sleep; Habits. Lifestyle Habits Diet, physical activity and sleep duration among Omani adolescents * keywords: activity; adolescents; bmi; consumption; females; food; habits; health; high; lifestyle; omani; physical; research; sleep; study; subjects; time; week cache: squmj-1858.pdf plain text: squmj-1858.txt item: #649 of 1636 id: squmj-1859 author: None title: squmj-1859 date: 2017-10-05 words: 4730 flesch: 59 summary: متت متابعة املعدل الرتاكمي لل�سكر، �سغط الدم، ن�سبة الدهون، كرياتينني و الوزن بن�سبة تفوق % Clinical Audit of Diabetes Care in the Bahrain Defence Forces Hospital *Marwa M. Al-Baharna and David L. Whitford Advances in Knowledge - Clinical audits of diabetes care have been conducted at primary care settings in Bahrain and have shown underperformance compared to evidence-based practice recommendations. - keywords: bahrain; bdf; care; clinical; complications; diabetes; hospital; patients; population; quality; records; risk; study cache: squmj-1859.pdf plain text: squmj-1859.txt item: #650 of 1636 id: squmj-1860 author: None title: squmj-1860 date: 2017-10-05 words: 5403 flesch: 70 summary: Kuwaiti women and 11 of the 19 (47.9%) non-Kuwaitis Table 3: Distribution of human papilloma virus types in breast cancer cases with prognostic parameters (n = 51) HPV types HPV- positive cases n = 51 *Tumour size (cm) Several authors have reported the absence of HPV deoxyribonucleic acid (DNA) in breast cancer and suggested that it is improbable that integrated HPV is aetiologically-associated with the development of breast carcinoma.8–11 However, a moderate frequency of 20–48% HPV infection and as high as 60–85% of HPV infection in breast carcinomas has been reported.7 The suspicion that HPV may also play a role in human breast cancer is based on the identification of HPV in human breast tumours and the immortalisation of normal human breast cells by HPV 16 and 18.12 Previous studies have demonstrated the presence of HPV types 16, 18 and 33 in breast cancer specimens from diverse populations around the world: Italy, Norway, China, Japan, USA, Austria, Brazil, Australia, Taiwan, Turkey, Greece, Korea, Mexico, Hungary and Syria.6,13–23 keywords: breast; breast cancer; cancer; carcinoma; cases; cish; hpv; hpv types; human; kuwait; risk; types; virus; الورم cache: squmj-1860.pdf plain text: squmj-1860.txt item: #651 of 1636 id: squmj-1861 author: None title: squmj-1861 date: 2017-10-05 words: 3510 flesch: 60 summary: �سيا�سات و�سع ينبغي كما امل�سكلة تفا�سيل لفهم الدرا�سات املر�سى وحمايتهم من عواقب تلك املمار�سات. مفتاح الكلمات: الأطفال؛ اخلروج �سد امل�سورة الطبية؛ امل�ست�سفيات؛ عمان. The study shows that most DAMA patients were neonates; this is an alarming observation considering the possible complications and subtle symptoms that can affect this particular patient group. keywords: advice; cases; children; dama; discharge; health; hospital; oman; patients; records; study; امل cache: squmj-1861.pdf plain text: squmj-1861.txt item: #652 of 1636 id: squmj-1862 author: None title: squmj-1862 date: 2017-10-05 words: 3949 flesch: 57 summary: In particular, nursing students had more positive attitudes than students of other colleges. Positive attitudes were reported among nursing students whose self-concepts were positive, and several studies found positive attitudes towards male nurses in the profession.6–10 One study found no relation between nursing students’ attitudes towards nursing and their demographic characteristics, while two others found that more positive attitudes were found among qualified and experienced persons in the profession than in those in an earlier academic year.11–13 Oman, as one of the Gulf countries in the Middle East, has made great progress in the development of professional nursing, and its nursing programmes have grown rapidly since the country began to modernise its healthcare system in 1970. keywords: attitudes; college; male; nursing; profession; squ; students; study; university cache: squmj-1862.pdf plain text: squmj-1862.txt item: #653 of 1636 id: squmj-1863 author: None title: squmj-1863 date: 2017-10-05 words: 3814 flesch: 65 summary: و ارتفاع �سغط الدم الناجت عن احلمل، وتقييد النمو داخل الرحم. مفتاح الكلمات: وفيات الفرتة املحيطة بالوالدة، االإمال�ش، موؤ�رشات اجلودة، والرعاية ال�سحية، عمر االأمهات، عمان abstract: Objectives: This study aimed to provide insight into the causes of stillbirths and early neonatal deaths and identify better intervention strategies. Methods: This was a retrospective study during a 7-year period (January 2003 to December 2009) of all stillbirths and early neonatal deaths at the Nizwa regional referral hospital in Al- Dakhiliyah region, Oman. keywords: care; deaths; hospital; mortality; neonatal; oman; perinatal; pmr; pregnancy; rate; stillbirths; study cache: squmj-1863.pdf plain text: squmj-1863.txt item: #654 of 1636 id: squmj-1864 author: None title: squmj-1864 date: 2017-10-05 words: 6380 flesch: 48 summary: اخلال�صة: تقنية متابعة التنقيط باملوجات ال�ضوتية للقلب طريقة واعدة لت�رسيع التطبيق ال�رسيري لتقدير حجم وظيفة ع�ضلة القلب و التزامن امليكانيكي داخل البطني. اأوتيه م�ضكون، ف�ضيلة عبدالواحد امللخ�ص: الهدف: هدف هذه الدرا�ضة هو تقييم الوظيفة االنقبا�ضية الطولية و التزامن امليكانيكي داخل البطني و ذلك با�ضتخدام دالئل -proBNP( م�ضتقة من تقنية حديثة جلهاز املوجات ال�ضوتيه للقلب وعالقتها برتكيز ال�ضطر االأميني من بروهرمون الناتريوتك ببتايد NT( ولدرا�ضة تـاأثريها على االأحداث امل�ضتقبلية لف�ضل ع�ضلة القلب بعد �ضنة من املتابعة االإكلينيكية و التي مل تو�ضح بعد يف درا�ضات اأخرى. keywords: cardiac; dyssynchrony; events; failure; function; heart; levels; parameters; patients; probnp; ste; strain; systolic; time cache: squmj-1864.pdf plain text: squmj-1864.txt item: #655 of 1636 id: squmj-1865 author: None title: squmj-1865 date: 2017-10-05 words: 4523 flesch: 67 summary: The HRS/IRR phenomenon has been found in different types of cell lines, both in vivo and in vitro. The former includes cell lines from plants, bacteria and mammals. keywords: cell; fits; lines; model; rcr; survival cache: squmj-1865.pdf plain text: squmj-1865.txt item: #656 of 1636 id: squmj-1866 author: None title: squmj-1866 date: 2017-10-05 words: 4332 flesch: 52 summary: وفقا للت�شخي�ض كما يلي: منا�شب %44.8, غري مالئم %20.6 و غري ممكن Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used worldwide as anti-inflammatory, antipyretic and analgesic agents.1 Low-dose aspirin, however, is prescribed for both primary and secondary prevention of coronary artery and cerebrovascular diseases (CBVD).2,3 Despite their established efficacy, these drugs have a wide range of adverse drug reactions, including but not limited to gastric ulceration and bleeding, bleeding tendencies due to the inhibition of platelet aggregation, nephrotoxicity, and sodium/water retention.4–7 keywords: atbs; bank; diagnosis; drugs; hospital; nsaids; patient; prescription; study; use; west; شادات cache: squmj-1866.pdf plain text: squmj-1866.txt item: #657 of 1636 id: squmj-1867 author: None title: squmj-1867 date: 2017-10-05 words: 4683 flesch: 60 summary: abstract: Objectives: There is scant information regarding the multifactorial aetiology of denture stomatitis (DS) in the world and, despite its frequency, associated factors are not completely understood. According to the literature review, the aetiology of denture stomatitis (DS) is not fully understood, despite its high prevalence rate, and is somewhat controversial. keywords: age; denture; denture stomatitis; factors; oral; patients; present; risk; stomatitis; studies; study; subjects; vitamin cache: squmj-1867.pdf plain text: squmj-1867.txt item: #658 of 1636 id: squmj-1868 author: None title: squmj-1868 date: 2017-10-05 words: 6025 flesch: 64 summary: النزف كان اأكرث امل�ساعفات املتعلقة بال�سمامات وميثل اأكرب ق�سور لإ�ستخدام ال�سمامات امليكانيكية. Bleeding was the most common valve-related complication and represented a major drawback of mechanical valves. keywords: patients cache: squmj-1868.pdf plain text: squmj-1868.txt item: #659 of 1636 id: squmj-1869 author: None title: squmj-1869 date: 2017-10-05 words: 996 flesch: 55 summary: However, the MRI images are helpful in the differential diagnosis; findings of diffuse white matter abnormalities with swelling and subcortical cysts in the frontal, anterior temporal and parietal regions are diagnostic of MLC. اعتالل وتضخم بيضاء الدماغ مع تكيسات حتت قشرة املخ رو�سان كول، خالد ال، في�سل العزري، اآمنة الفطي�سية Megalencephalic Leukoencephalopathy with Subcortical Cysts *Roshan Koul,1 Khalid Al-Thihli,2 Faisal Al-Azri,3 Amna Al-Futaisi1 interesting Medical iMage Megalencephalic leucoencepha-lopathy with subcortical cysts (MLC) is a genetic degenerative disease of the white matter of the brain. keywords: cysts; mlc; white cache: squmj-1869.pdf plain text: squmj-1869.txt item: #660 of 1636 id: squmj-1870 author: None title: squmj-1870 date: 2017-10-05 words: 1364 flesch: 38 summary: Together with WFME standards, OMSB has consulted and incorporated the standards from the General Medical Council (GMC), the Accreditation Council for Graduate Medical Education (ACGME), the Royal College of Physicians and Surgeons of Canada (RCPSC), the Australian Medical Council (AMC) and the European Board Guidance for Training Centers in creating its own booklet, Quality Assurance Standards for OMSB Residency Programs.4 However, we would like to point out that presently the WFME can only assist in quality improvement by providing postgraduate organisations with their standards.3 The standards set by the WFME can function as a template for local/national/regional bodies to award recognition and/or accreditation, but WFME itself does not accredit PGME programmes. However, I would like to raise an issue regarding their belief that the way forward for GME in Oman is to seek accreditation through the Accreditation Council for Graduate Medical Education International (ACGME-I).1 Accreditation of medical education at any level is regarded as a national responsibility by international organisations such as the United Nations Educational, Scientific, and Cultural Organization (UNESCO), the World Health Organization (WHO) and the World Federation for Medical Education (WFME). keywords: accreditation; education; medical; programmes cache: squmj-1870.pdf plain text: squmj-1870.txt item: #661 of 1636 id: squmj-1871 author: None title: squmj-1871 date: 2017-10-05 words: 439 flesch: 47 summary: 590 | SQU Medical Journal, November 2013, Volume 13, Issue 4 Sir, The recent report on the knowledge of Jordanian youths of human immunodeficiency virus (HIV) is very interesting.1 Al-Khasawneh et al. found that “HIV knowledge differed significantly by sources of information, with peer-acquired information associated with more accuracy, while HIV information from parents or health centres was associated with a lower score.”1 There is no doubt that youths usually acquire and rely upon information from their peers.1 Luckily, the accuracy of information from peer groups in this report is satisfactory.1 Knowledge provided by educational institutions contributes to the accuracy of the information that peers can pass on to each other.1 Based on this information, the development of a peer-group education system might be an effective way to disseminate knowledge to focus group in rural areas, where education resources and personnel are usually limited. keywords: information; knowledge cache: squmj-1871.pdf plain text: squmj-1871.txt item: #662 of 1636 id: squmj-1872 author: None title: squmj-1872 date: 2017-10-05 words: 1940 flesch: 50 summary: abstract: Enteric duplication cysts are rare congenital anomalies of the gastrointestinal tract. Enteric duplication cyst resembling umbilical cord cyst. keywords: bowel; case; cysts; duplication; enteric; report; twin cache: squmj-1872.pdf plain text: squmj-1872.txt item: #663 of 1636 id: squmj-1873 author: None title: squmj-1873 date: 2017-10-05 words: 2295 flesch: 56 summary: Spontaneous haemorrhage is so uncommon among HB cases that, when it happens, it usually presents with a subarachnoid haemorrhage (SAH) or intracerebral bleeding. اإن اإيجاد ورم داخل البطني مع وجود نزف بطيني مع او بدون نزف حتت العنكبوتية ، �سوف يجعلنا ن�سع الورم االأرومي الوعائي �سمن القائمة الت�سخي�سية، خا�سة اإذا مل تطابق املظاهر االإ�سعاعية االورام االأخرى االأكرث �سيوعا. keywords: case; haemorrhage; hemangioblastoma; intraventricular; report; ventricle cache: squmj-1873.pdf plain text: squmj-1873.txt item: #664 of 1636 id: squmj-1874 author: None title: squmj-1874 date: 2017-10-05 words: 3057 flesch: 65 summary: �أظهر �لت�سوير بالرنني �ملغناطي�سي �ل�سائمة �حلم�ض ع�سيات �لكي�ض من �مل�سحوبة �ل�سو�ئل نتيجة و�أظهرت للظهر �لنا�سبة �لع�سالت من كان �لكي�ض �أ�سل �أن )MRI( )بكرتيا �ل�سل(. �ختفى �لتورم بعد �لعالج بالأدوية �مل�سادة لل�سل. هذ� �لرجل تعر�ض لفرتة لأحد �أ�سدقائه �لذي كان ي�ستبه يف �إ�سابته بال�سل. keywords: abscess; case; involvement; mri; muscle; patient; region; tuberculosis cache: squmj-1874.pdf plain text: squmj-1874.txt item: #665 of 1636 id: squmj-1875 author: None title: squmj-1875 date: 2017-10-05 words: 2948 flesch: 58 summary: The most common foreign bodies accidentally ingested by adults are bones, especially fish bones.1 Complications due to foreign body ingestion are rare, although, if present, can cause significant morbidity and in some cases, mortality.2 The incidence of cervical abscess formation after foreign body migration in the literature is less than 1%.3,4 Mortality following oesophageal perforation has been reported to be as high as 32%.3 Advances in radiological techniques and the endoscopic management of foreign bodies have greatly improved the outcome of such cases; hence, impending complications of foreign body ingestion and cases of prolonged retention of foreign bodies have reduced over a period of years. However, migrating foreign bodies may make it difficult to diagnose the cause of worsening symptoms, especially after noting the absence of a foreign body on endoscopy. keywords: abscess; bodies; body; case; foreign; migrating; neck; patient; report cache: squmj-1875.pdf plain text: squmj-1875.txt item: #666 of 1636 id: squmj-1876 author: None title: squmj-1876 date: 2017-10-05 words: 2584 flesch: 48 summary: In 2008, Schievink et al. described three criteria for diagnosing SIH.8 Criterion A is considered when spinal CSF leak is demonstrated in any imaging modality by the presence of extrathecal CSF. 7. Schievink WI, Maya MM, Louy C, Moser FG, Tourje J. Diagnostic criteria for spinal CSF leak and intracranial hypotension. keywords: csf; hypotension; imaging; intracranial; leak; mri; sih; spinal; spine cache: squmj-1876.pdf plain text: squmj-1876.txt item: #667 of 1636 id: squmj-1877 author: None title: squmj-1877 date: 2014-01-28 words: 1860 flesch: 36 summary: Nutrigenomics is also involved in the discovery of certain genes and markers during the initial-stages of diet-related diseases. Understanding the mechanisms by which some components in food interact with certain genes that can predispose to metabolic diseases would help people to avoid certain types of food; this can subsequently lead to the prevention of certain diseases. keywords: cancer; diet; diseases; gene; health; nutrigenomics; studies cache: squmj-1877.pdf plain text: squmj-1877.txt item: #668 of 1636 id: squmj-1878 author: None title: squmj-1878 date: 2014-01-28 words: 1877 flesch: 53 summary: Within the Middle East, a study from Kuwait found that 62.8% of medical students were undecided about future choices with lack of mentoring as a leading cause of this.3 The stresses that adaptation to the intense learning experience and chosen lifestyle impose on medical students constitute a recurrent theme of scientific research.4,5 The appointment of ‘academic advisers’ needs to be complemented with an innate zeal and passion in mentors to nurture, inspire, guide and comfort in this period of medical adolescence. Burnout and career choice motivation in medical students. keywords: med; mentoring; qaboos; students; sultan; univ cache: squmj-1878.pdf plain text: squmj-1878.txt item: #669 of 1636 id: squmj-1879 author: None title: squmj-1879 date: 2014-01-28 words: 3002 flesch: 44 summary: This was circulated to CB members to be disseminated to COMHS staff for their feedback. For this purpose, many measures were undertaken, for example: (1) Printing sufficient copies (3,000) of the Self Study for every student, faculty, clinical tutor, administrative staff, and all stakeholders; (2) The ‘Campaign Motto’ was a routine stamp on all the Deanery’s correspondence and appeared on 2,500 badges to be worn by all COMHS and SQUH affiliates; (3) Danglers and banners in halls and walkways marked the occasion and encouraged people to become involved; (4) Videos of students and staff explaining their views on the accreditation process were run on the COMHS closed circuit television; (5) An AQMC member attended all levels of COMHS meetings to explain the details and significance of the Site Visit, and (6) Every opportunity was taken to make the accreditation the “talk-of-the-time”—even during Sulayma Albarwani, Muna Al-Sadoon, Omar Al-Rawas, Saif Al-Yaarubi, Rashid Al-Abri, Lamk Al-Lamki and Musbah O. Tanira editorial | e11 the COMHS to identify areas of improvement. keywords: accreditation; aqmc; college; comhs; process; programme cache: squmj-1879.pdf plain text: squmj-1879.txt item: #670 of 1636 id: squmj-1880 author: None title: squmj-1880 date: 2014-01-28 words: 9302 flesch: 51 summary: يحدث هذ� �ملر�س عندما تدخل �خلاليا غري �ملقيمه �ىل �جلهاز �لع�صبي �ملركزي �ملحمي مناعيا من خالل ثغرة Thus, it seems that the combination of IFN-β and minocycline leads to promising results in MS therapy.105 It has been shown consistently that the combination of IFN-β and minocycline in the treatment of EAE leads The Significance of Matrix Metalloproteinases in the Immunopathogenesis and Treatment of Multiple Sclerosis e22 | SQU Medical Journal, February 2014, Volume 14, Issue 1 Conclusion In MS disease, increased MMP activity and reduced TIMP levels contribute to a loss of the BBB integrity and infiltration of inflammatory immune cells to the CNS. keywords: astrocytes; autoimmune; bbb; blood; brain; cells; cns; disease; et al; expression; inhibitors; lesions; levels; macrophages; matrix; matrix metalloproteinases; metalloproteinases; microglia; mmp-9; mmps; monocytes; myelin; patients; role; sclerosis; treatment; صبي �; � س; � لت cache: squmj-1880.pdf plain text: squmj-1880.txt item: #671 of 1636 id: squmj-1881 author: None title: squmj-1881 date: 2014-01-28 words: 7438 flesch: 58 summary: مفتاح الكلمات: �أهبة �لتخرث؛ �حلمل �ملتكرر؛ �لهيبارين ذو �لوزن �جلزيئي �ملنخف�س؛ �الأ�صربين �ملعتاد. تعمل �الأدوية �مل�صادة للتخرث بفعالية يف عالج فقد�ن �حلمل �ملتكرر عند �ل�صيد�ت �للو�تي يعاني من �أهبة �لتخرث �ملكت�صبة �لناجتة عن ظاهرة �الأج�صام �مل�صادة �ل�صحمية �لفو�صفورية . keywords: apl; aspirin; birth; group; heparin; lda; lmwh; loss; low; pregnancy; pregnancy loss; recurrent; rpl; study; thrombophilia; weeks; women cache: squmj-1881.pdf plain text: squmj-1881.txt item: #672 of 1636 id: squmj-1882 author: None title: squmj-1882 date: 2014-01-28 words: 5086 flesch: 60 summary: وكانت �أكرث �الأمر��س �صيوعا )4.9 –100,000/2.2( كاالآتي: عوز �نزمي �لبيوتنيديز وفرط تريوزين �لدم و بيلة �لفينل كيتون و �حم�صا�س �لدم �لربوبيونيكي و بيلة حم�س �لغلوتاريك �لنوع �الأول ود�ء �ختز�ن �لغليكوجي �لنوع �الأول �أ ونفاذ �حلم�س �لنووي �مليتوكوندري اخلال�صة: معدل �نت�صار�الأمر��س �ال�صتقالبية يف �ملو�ليد �الإمار�تيي )�أمر��س �الختز�ن يف �جل�صيمات �حلالة �أو غريها( يقدر بحو�يل ,100,000/75.24. هذه �لنتائج تربر تنفيذ �لرب�مج �لوقائية �لتي تت�صمن �ال�صت�صارة �لور�ثية و�مل�صح �جليني عند �لوالدة. مفتاح الكلمات: �أمر��س �ال�صتقالب يف �ملو�ليد؛ �لطفر�ت �جلينية؛ معدل �نت�صار؛ تاأثري موؤ�ص�س؛ �الإمار�ت �لعربية �ملتحدة. keywords: aciduria; arab; birth; deficiency; disease; emirates; iem; mutations; patients; prevalence; study; table; type; uae; united cache: squmj-1882.pdf plain text: squmj-1882.txt item: #673 of 1636 id: squmj-1883 author: None title: squmj-1883 date: 2014-01-28 words: 6622 flesch: 56 summary: P >0.05(.لريتوك�صيماب� الإ�ستنتاج: ن�صتنتج �أن �لطفر�ت/عمليات �حلذف ل p53 تلعب دور� يف �الآليات �لتي حتكم �لت�صبب ب DLBCL كما �أنها ميكن �أن تكون مفيدة لتق�صيم �ملر�صى �إىل جمموعات فرعية للتنبوؤ بحالة �ملر�س. مفتاح الكلمات: طفر�ت ور�ثية؛ عمليات �حلذف للجي؛ �الأور�م �لليمفاوية؛ �خلاليا �لليمفاوية �لبائية؛ �لتكتل بالبار�في؛ �لتحليل �ملناعي �لن�صيجي؛ عمان. كما �أنه من �ملثري لالهتمام �أن �ملر�صى �لذين يحملون طفر�ت ب- p53 �أظهرو� فر�س يف �لبقاء علي قيد �حلياة بن�صب �أف�صل عند مقارنتهم بغريهم من �ملر�صى �لذين ال يحملون هذه �لطفر�ت. �أظهرت �لدر��صة �أي�صًا �أن �لبقاء على قيد �حلياة للمر�صى �لذين يعاجلون بعقار �لريتوك�صوماب �لعالج �لكيميائي �ملر كب �ملحتو ي �أ�صا�صا علي �لر يتو ك�صو ماب كان �أف�صل عند مقارنتهم باأولئك �لذين مل يتلقو� .DNA keywords: cell; cohort; deletions; diffuse; dlbcl; dna; exons; gene; lymphoma; mutation; nodal; p53; p53 gene; patients; protein; staining; survival; tp53; yes cache: squmj-1883.pdf plain text: squmj-1883.txt item: #674 of 1636 id: squmj-1884 author: None title: squmj-1884 date: 2014-01-28 words: 4482 flesch: 51 summary: متو�صط قيم �لربوتي �لكاتيوين لليوزينية عند �ن�صباب �الأذن �لو�صطى لالأطفال �لذين خ�صعو� لب�صع �لطبلة كانت μg/L 175.2 ± 251. من كل �ملر�صى, �الأعر��س �ملتقطعة �خلفيفة كانت عند 19 طفال, �مل�صتدمية �خلفيفة عند 18, و�ملتو�صطة �إىل �ل�صديدة �ملتقطعة عند 22 و�مل�صتدمية عند 41. keywords: allergy; children; ear; effusion; intermittent; media; middle; nasal; ome; otitis; persistent; rhinitis; symptoms cache: squmj-1884.pdf plain text: squmj-1884.txt item: #675 of 1636 id: squmj-1885 author: None title: squmj-1885 date: 2014-01-28 words: 4529 flesch: 61 summary: وك�صف ن�صاط �نزمي �لكا�صبي�س د�خل �خللية با�صتخد�م �ملادة �لف�صفورية �مل�صتقة من كومارين �لقادرة �يود�يد لربوبدمي �خللية غ�صاء نفاذية زيادة و �صريين �لفو�صفاتيديل ملادة �لتعر�س قيا�س طريق عن �خللية موت قيا�س مت �الإنزمي. مفتاح الكلمات: �الأفالتوك�صي؛ موؤ�رش ك�صف �الأك�صجي؛ �لتنف�س �خللوي؛ �مليتوكوندريا؛ كا�صبي�س؛ �لدم؛ �خلاليا �للمفاوية. keywords: afb1; aflatoxin; amc; cells; exposure; figure; hours; lymphocytes; oxygen; pbmc; zvad cache: squmj-1885.pdf plain text: squmj-1885.txt item: #676 of 1636 id: squmj-1886 author: None title: squmj-1886 date: 2014-01-28 words: 5794 flesch: 61 summary: وتعد معادلة تعديل �لنظام �لغذ�ئى ملر�صى �لكلى �أكرث دقة من معادلة كوككروفت-جولت �ملعدلة مل�صاحة �صطح �جل�صم و �لتي بدورها �أكرث دقة من معادلة كوككروفت-جولت �الأ�صلية. قدرة �رشعة �لرت�صيح �لكبيبي عن طريق معادلة تعديل �لنظام �لغذ�ئى ملر�صى �لكلى لت�صخي�س مر�س �لكلى �ملزمن �أعلى من قدرة �رشعة �لرت�صيح �لكبيّب عن طريق معادلة كوككروفت-جولت �ملعدلة مل�صاحة �صطح �جل�صم و �لذي بدوره �أعلى من �رشعة �لرت�صيح �لكبيبي عن طريق معادلة كوككروفت- جولت )�ملنطقه حتت �ملنحنى كانت 0.846و 0.831و0.791و حدود �لقطع كانت keywords: cclcr; disease; egfrmc; egfrmdrd; equation; filtration; rate; validity; صيح �; � لكبيبي cache: squmj-1886.pdf plain text: squmj-1886.txt item: #677 of 1636 id: squmj-1887 author: None title: squmj-1887 date: 2014-01-28 words: 5864 flesch: 59 summary: �خلال�صة: كان مر�س �لذئبه �حلمر�ء �أكرث �نت�صار� بي �الإناث و�صغار �لبالغي. %53.0(, وطفح وجني )%52.3(، فقد�ن �لوزن وفقد�ن و ت�صاقط �ل�صعر )%49.0(. keywords: anti; antibodies; clinical; erythematosus; fatigue; fever; lupus; patients; saudi; sle; study; table; yemen; � مل cache: squmj-1887.pdf plain text: squmj-1887.txt item: #678 of 1636 id: squmj-1888 author: None title: squmj-1888 date: 2014-01-28 words: 4729 flesch: 58 summary: �صملت �ملجموعة �لثانية 50 من �الأ�صحاء �ملتطابقي من حيث �لعمر و�جلن�س مع �ملجموعة �الأويل وخ�صع جميع �ملر�صى الأخذ تاريخ دقيق وفح�س �رشيري وخمتربي. �ملجموعة �الأوىل �أ )عددها 62( وتاأخذ عقار ديفريوك�صامي الإز�لة �حلديد من �جل�صم �أما �ملجموعة �الأوىل ب ) keywords: beta; chelation; clearance; creatinine; cystatin; dysfunction; group; iron; major; patients; serum cache: squmj-1888.pdf plain text: squmj-1888.txt item: #679 of 1636 id: squmj-1889 author: None title: squmj-1889 date: 2014-01-28 words: 6887 flesch: 51 summary: من جهة �أخرى كان هناك �نخفا�س معنوي �ح�صائي يف م�صتوى ن�صاط �نزميي �ل�صوبر �ك�صيد دي�صميوتيز و �جللتاثيون بريوك�صيديز يف �ملجموعة �مل�صابة بد�ء �ل�صكري. Keywords: Antioxidants; Diabetes Mellitus; Oxidative Stress; Tocotrienols. امللخ�ص: الهدف: تهدف هذه �لدر��صة �يل حتديد تاأثري فعالية �لتوكوتر�ينول )200 ملجم/كجم( على �ملوؤ�رش�ت �حليوية لالإجهاد �لتاأك�صدي فى �أغ�صية كريات �لدم �حلمر�ء وجزيئة �حلم�س �لنووي �لريبي منقو�س �الأك�صجي )DNA( يف �جلرذ�ن �مل�صابة بد�ء �ل�صكري �ملحدث بو��صطة �ل�صرتيبتوزوتو�صي. الطريقة: keywords: antioxidant; damage; diabetes; diabetic; dna; erythrocyte; group; levels; lipid; oxidative; rats; standard; stress; study; stz; supplementation; tocotrienol; trf; vitamin cache: squmj-1889.pdf plain text: squmj-1889.txt item: #680 of 1636 id: squmj-1890 author: None title: squmj-1890 date: 2014-01-28 words: 5945 flesch: 59 summary: يجب �لرتكيز على �لتعليم �ل�صحي يف �ملد�ر�س وزيادة �إدر�ك �الأهل من �أجل �حلد من حتول �صلوكيات �ملر�هقي �إىل عو�مل �ختطار على �صحتهم. مفتاح الكلمات: �ملر�هقون؛ �صلوكيات �الختطار؛ �لتبغ؛ م�رشوبات كحولية؛ �ل�صلوك �جلن�صي؛ �لهند. Keywords: Adolescents; Risk Behaviors; Tobacco; Alcoholic Beverages; Sexual Behavior; India. امللخ�ص: الهدف: تهدف هذه �لدر��صة �إىل تقييم معدل �نت�صار ��صتهالك �لكحول, ��صتخد�م �لتبغ و�ل�صلوك �جلن�صي لدى �ملر�هقي, وكذلك تقييم �لعو�مل �الجتماعية-�القت�صادية �ملوؤثرة يف هذه �ل�صلوكيات. keywords: adolescents; age; alcohol; behaviours; consumption; family; india; prevalence; risk; students; study; tobacco; use; years cache: squmj-1890.pdf plain text: squmj-1890.txt item: #681 of 1636 id: squmj-1891 author: None title: squmj-1891 date: 2014-01-28 words: 4557 flesch: 53 summary: النتائج: �لطلبة �ملنتظمون يف �ملر�حل �ملتقدمة و�الأوىل كانت �جتاهاتهم �أكرث �إيجابية من �جتاهات �لطلبة �ملنتظمي يف �ملرحلة �ملتو�صطة و�لذين كانت لديهم �جتاهات �صلبية نحو �لكتابة. No significant differences (P ≤0.05) were noted between student attitudes to writing and gender; the type of nursing programme; the level at which students started learning English or were first taught subjects in English, and the type of English courses they took prior to starting at SQU. keywords: attitudes; english; nursing; process; self; squ; students; study; university; writing; wtl cache: squmj-1891.pdf plain text: squmj-1891.txt item: #682 of 1636 id: squmj-1892 author: None title: squmj-1892 date: 2014-01-28 words: 4420 flesch: 61 summary: مت ��صتبد�ل حما�رش�ت �لت�رشيح �لتقليدية بطريقة �لتعلم �لقائم على �لفريق و�لتي تتطلب �لتح�صري �مل�صبق للمحتوي �لتدري�صي و�لعناوين مو�صع �لنقا�س �لتقليدية �ملحا�رش�ت بطريقة �الأويل �أ�صابيع �لثمانية تدري�س مت للجاهزية. قام �لطالب بتقييم جل�صات �لدر��صة بطريقة �لتعلم �لقائم على �لفريق عن طريق ��صتبيان. keywords: anatomy; examination; group; knowledge; learning; lecture; medical; scores; students; study; tbl; team; test cache: squmj-1892.pdf plain text: squmj-1892.txt item: #683 of 1636 id: squmj-1893 author: None title: squmj-1893 date: 2014-01-28 words: 721 flesch: 51 summary: The treatment of a symptomatic colonic lipoma is surgical resection; since most colonic lipomas are submucosal, endoscopic resection is seldom feasible.5 In general, colonoscopies may play a role as diagnostic and therapeutic tool, especially for an asymptomatic lipoma of less than two cm in size.7,8 Laparoscopic surgery has not yet been fully investigated as an alternative to open surgery because most patients with intussusception usually present in an emergency setting.6 e127 one-month history of episodes of intermittent abdominal pain associated with vomiting.4 The diagnosis for colonic lipoma can be obtained by a combination of ultrasound examination, barium studies, a colonoscopy and CT scanning, the latter being the most sensitive test.5 keywords: colonic; intussusception; lipoma cache: squmj-1893.pdf plain text: squmj-1893.txt item: #684 of 1636 id: squmj-1894 author: None title: squmj-1894 date: 2014-01-28 words: 904 flesch: 48 summary: العمى عرض استثنائي لتكيسات غروانية �أيفريم �أوزمن و �أوكتاي �أجلن Blindness An uncommon presentation of colloid cysts Evrim Ozmen and *Oktay Algin INTERESTING MEDICAL IMAGE Figure 1 Algin O, Ozmen E, Arslan H. Radiologic manifestations of colloid cysts: A pictorial essay. keywords: colloid; cysts; images cache: squmj-1894.pdf plain text: squmj-1894.txt item: #685 of 1636 id: squmj-1895 author: None title: squmj-1895 date: 2014-01-29 words: 2613 flesch: 53 summary: Oct 13 Departments of 1Child Health and 2Medicine, Sultan Qaboos University Hospital, Muscat, Oman *Corresponding Author e-mail: alsineidiksk@hotmail.com حالة معقدة اللتهاب جرثومي حتت احلاد للشغاف املبطن للقلب لطفلة لديها فتحة قلبية باحلجاب احلاجز البطيين خلفان �سامل ال�سنيدي ,اأن�س-الوجود اأحمد عبد املغيث,عبداهلل باخلري حياة املري�س. وعلى الرغم لكنها خطرية وذات م�ساعفات متعددة قد تهدد ماألوفة, للقلب ظاهره غري املبطن ال�سغاف بالتهاب اال�سابة تعد امللخ�ص: من التقدم يف العالج, اإال ان هناك ارتفاع م�ستمر يف معدالت االعتالل والوفيات. ومع ذلك فقد مت �سفاوؤ ها با�ستخدام م�سادات امليكروبات املنا�سبة. keywords: case; diagnosis; endocarditis; fever; heart; infective; mutans; patient cache: squmj-1895.pdf plain text: squmj-1895.txt item: #686 of 1636 id: squmj-1896 author: None title: squmj-1896 date: 2014-01-28 words: 2724 flesch: 52 summary: Combined medical and surgical management of rudimentary uterine horn pregnancy. A rare case of intact rudimentary horn pregnancy presenting as hemoperitoneum. keywords: case; diagnosis; horn; patient; pregnancy; report; rudimentary; uterus cache: squmj-1896.pdf plain text: squmj-1896.txt item: #687 of 1636 id: squmj-1897 author: None title: squmj-1897 date: 2014-01-28 words: 1492 flesch: 52 summary: Sep 13 Department of Cardiology, Centre Hospitalier Universitaire de Caen, Caen, France *Corresponding Author e-mail: ziad_dahdouh@hotmail.com ظاهرةاألكورديون يف الشريان الكعربي هل ينبغي لنا معاجلة الشريان الكعربي مبثابة الشريان التاجي؟ زياد �صعيد دحدوح, طوين عبد �مل�صيح, �أنطو�ن �رشكي�س, جيل غروليه امللخ�ص: تعد ظاهرة �الأكورديون حاله معروفة يف هذه �لدر��صة نقدم حالة لظاهرة �الأكورديون يف �ل�رشيان �لكعربي, �لتي �ختفت بعد �أن مت ��صرتجاع �لق�صطرة و�ل�صلك. keywords: accordion; artery; figure; phenomenon; radial cache: squmj-1897.pdf plain text: squmj-1897.txt item: #688 of 1636 id: squmj-1898 author: None title: squmj-1898 date: 2014-01-28 words: 1949 flesch: 60 summary: مفتاح الكلمات: ح�صاة �ملثانة؛ �لتحويلة �لبطينية �ل�صفاقية؛ �صل�س �لبول؛ بيلة دموية؛ �لعر�ق. Oct 13 Mosul College of Medicine, Mosul, Ninevah, Iraq E-mail: ahmed_khalil5@yahoo.com حصاة مثانة تعرقل حتويلة بطينية مثانية �أحمد خليل �إبر�هيم امللخ�ص: تكمن �لطريقة �لقيا�صية لعالج ��صت�صقاء �لدماغ يف �لتحويلة �لبطينية �ل�صفاقية �أو �لبطينية �الأذينية. keywords: bladder; end; patient; shunt; stone; urinary; ventriculovesical cache: squmj-1898.pdf plain text: squmj-1898.txt item: #689 of 1636 id: squmj-1899 author: None title: squmj-1899 date: 2014-01-28 words: 2198 flesch: 51 summary: يف منطقة �لوجه, حتدث هذه �الأور�م �لعظمية �ل�صمحاقيه �أكرث يف �جليوب �الأنفية, ولكن �الأور�م �لعظمية �ل�صمحاقيه �ملنفرده لعظام �لفك نادرة جد�. ويتاأثر �لفك �ل�صفلي بهذه �الأور�م �أكرث من �لفك �لعلوي مع �مليل نحو �لل�صا ن, و�لزو�يا و�حلدود �ل�صفلية. Osteomas are rare, benign, osteogenic tumours characterised by the production of mature bone and slow growth.1 keywords: bone; case; mandible; oral; osteomas; periosteal; report cache: squmj-1899.pdf plain text: squmj-1899.txt item: #690 of 1636 id: squmj-1900 author: None title: squmj-1900 date: 2014-04-13 words: 2495 flesch: 60 summary: Twenty five year follow-up for breast cancer incidence and mortality of the Canadian National Breast Screening Study: randomised screening trial. Clearly, this small number of cases does not explain the increased number of breast cancer cases diagnosed in the last few years. keywords: breast; cancer; cases; countries; incidence; oman; research cache: squmj-1900.pdf plain text: squmj-1900.txt item: #691 of 1636 id: squmj-1901 author: None title: squmj-1901 date: 2014-04-13 words: 2233 flesch: 51 summary: Non-GFR determinants of Cr seem to be responsible for imprecision in GFR estimation. In conclusion, significant advances have been made which have revolutionised our understanding of the performance and utilisation of GFR estimation in the current era. keywords: disease; equation; filtration; gfr; kidney; serum cache: squmj-1901.pdf plain text: squmj-1901.txt item: #692 of 1636 id: squmj-1902 author: None title: squmj-1902 date: 2014-04-13 words: 1277 flesch: 55 summary: There have been reports of SWS patients without a facial nevus with a frontal location of the leptomeningeal angioma.6,10 In this edition of SQUMJ, Koul et al. present a rare manifestation of Sturge-Weber syndrome (SWS; Online Mendelian Inheritance in Man 185300) with parieto-occipital leptomeningeal angiomatosis and seizures, but without facial nevus or eye involvement.1 SWS is a rare, sporadic, and congenital neurocutaneous disorder with an incidence of 1 in 50,000 live births.2 keywords: facial; nevus; sturge; sws; syndrome; weber cache: squmj-1902.pdf plain text: squmj-1902.txt item: #693 of 1636 id: squmj-1903 author: None title: squmj-1903 date: 2014-04-13 words: 7071 flesch: 52 summary: Chemistry of Vitamin E The term ‘tocopherol’ signifies the methyl-substituted derivatives of tocol and is not synonymous with the term ‘vitamin E’. An update on vitamin E, tocopherol and tocotrienol: Perspectives.10 The Role of Vitamin E in Human Health and Some Diseases e160 | SQU Medical Journal, May 2014, Volume 14, Issue 2 reactive oxygen species molecules. keywords: activity; alpha; antioxidant; cancer; cell; disease; effect; gamma; health; plasma; platelet; protein; role; study; supplementation; tocopherol; tocotrienols; vitamin; vitamin e cache: squmj-1903.pdf plain text: squmj-1903.txt item: #694 of 1636 id: squmj-1904 author: None title: squmj-1904 date: 2014-04-13 words: 5071 flesch: 59 summary: The Political Declaration of the United Nations (UN) General Assembly on the Prevention and Control of Non-communicable Diseases, adopted in 2011, asserted that population-based strategies to prevent chronic disease require an all-of-government approach targeting modifiable risk factors, particularly tobacco use, unhealthy diets and physical inactivity.1 With a focus on one particular risk factor, physical inactivity, this article aims to operationalise these lofty goals by proposing a framework for a national strategy designed to encourage physical activity. Physical activity encompasses “recreational or leisure-time physical activity, transportation (e.g. walking or cycling), occupational (i.e. work), household chores, play, games, sports or planned exercise, in the context of daily, family, and community activities”.2 Physical inactivity is the fourth leading risk factor for chronic disease globally.3 keywords: action; activity; aug; chronic; disease; doi; health; med; ministry; national; oman; physical; prevalence; public; sports; women cache: squmj-1904.pdf plain text: squmj-1904.txt item: #695 of 1636 id: squmj-1905 author: None title: squmj-1905 date: 2014-04-13 words: 4832 flesch: 63 summary: Female breast cancer risk factors in the Arab world are similar to those of Western countries.3 Globally, high breast cancer incidence rates are associated with a high prevalence of reproductive risk factors.17 In contrast, the 10-year survival rate found in that study was higher (49% ± 3%) than the current study’s findings (36.4%).23 The five-year survival rate in the current study lies midway between the lowest rate reported among developing countries (45%) and the highest rate among developed countries (89%).8 It is also lower than that previously reported for Iran (72%) but is similar to the rate found in Saudi Arabia (63.1%) for 2000‒2004.20,24 Further, the fact that there were high proportions of breast cancer cases with unknown stage and grade might have affected the survival results among premenopausal and postmenopausal women. keywords: age; bahrain; breast; cancer; cases; countries; grade; health; incidence; rates; screening; survival; women cache: squmj-1905.pdf plain text: squmj-1905.txt item: #696 of 1636 id: squmj-1906 author: None title: squmj-1906 date: 2014-04-13 words: 5666 flesch: 65 summary: الثاين من داء السكري �صو�صن ال�صنانية، حممد ال�صافعي، علي املعمري، متت مقابلة الأ�صخا�س وال�صتف�صار عن اإ�صابتهم بال�صكري اأو وجود تاريخ عائلي للنوع keywords: adults; diabetes; doi; glucose; health; ifg; normoglycaemic; oman; prevalence; risk; study; subjects; t2d cache: squmj-1906.pdf plain text: squmj-1906.txt item: #697 of 1636 id: squmj-1907 author: None title: squmj-1907 date: 2014-04-13 words: 5043 flesch: 57 summary: Comparison of coagulation parameters for healthy subjects and Behçet disease patients with and without vascular involvement. Nonetheless, in contrast to other studies, follow-up studies found that the level of factor VIII normalised on repeated measurements which suggests that this elevation was merely due to an acute phase reaction.23 This might explain the lack of association of thrombosis and raised factor VIII levels in the patients of the current study, as well as other studies. keywords: activity; behçet; disease; factor; levels; patients; plasminogen; protein; study; thrombosis; viii; vwf cache: squmj-1907.pdf plain text: squmj-1907.txt item: #698 of 1636 id: squmj-1908 author: None title: squmj-1908 date: 2014-04-13 words: 5373 flesch: 65 summary: The reclassification mainly involved CKD stage 3A to CKD stage 2.25 The prevalence of CKD stage 1 was 55.4%, 44.7% and 57% while for stages 2 and 3 it was 43.2%, 54% and 41.8%, based on MDRD186, MDRD175 and CKD-EPI, respectively. keywords: ckd; creatinine; disease; egfr; epi; equation; filtration; kidney; mdrd175; mdrd186; min/1.73; patients; stages cache: squmj-1908.pdf plain text: squmj-1908.txt item: #699 of 1636 id: squmj-1909 author: None title: squmj-1909 date: 2014-04-13 words: 4775 flesch: 58 summary: Conclusion: The maternal and neonatal outcomes of triplet pregnancies were similar to those reported in other studies. This is one of the first studies in Oman on the prevalence of triplet pregnancies. keywords: age; caesarean; gestation; hospital; neonatal; obstet; outcomes; pregnancies; pregnancy; study; triplet; weeks cache: squmj-1909.pdf plain text: squmj-1909.txt item: #700 of 1636 id: squmj-1910 author: None title: squmj-1910 date: 2014-04-13 words: 5815 flesch: 56 summary: Gregson suggested the use of a Hydrofiber® and hydrocolloid combination dressing (Conva Tec Inc., New Jersey, USA) for control of wound infection.10 Nevertheless, despite all of these precautions, surgical wound infections may occur in the operating theatre when the tissues are exposed. doi: 10.3396/ijic.v8i4.035.12. 2. Arabashahi KS, Koohpayezade J. Investigation of risk factors for surgical wound infection among teaching hospital in Tehran. keywords: caesarean; cases; control; doi; factors; hospital; incidence; infections; rate; risk; section; site; ssi; study; surgical; women; wound cache: squmj-1910.pdf plain text: squmj-1910.txt item: #701 of 1636 id: squmj-1911 author: None title: squmj-1911 date: 2014-04-13 words: 3228 flesch: 61 summary: This research emphasises the need to include epilepsy management education in school curricula. - Health education should focus on improving knowledge of epilepsy among school managers. Jan 14 Department of Nursing, Hawler Medical University, Erbil, Iraq Author e-mail: d.sallih@yahoo.com معارف ومواقف مديري املدارس االبتدائية حنو مرض الصرع لدى األطفال يف مدينة أربيل، العراق �صالح احمد عبداهلل abstract: Objectives: This study aimed to determine the knowledge and attitudes of primary school managers regarding epilepsy among school children in Erbil City, Iraq. keywords: attitudes; children; education; epilepsy; knowledge; managers; respondents; school; study; years cache: squmj-1911.pdf plain text: squmj-1911.txt item: #702 of 1636 id: squmj-1912 author: None title: squmj-1912 date: 2014-04-13 words: 6086 flesch: 64 summary: General dental practitioners’ knowledge of and attitudes towards evidence based practice. Rabe P, Holmén A, Sjögren P. Attitudes, awareness and perceptions on evidence based dentistry and scientific publications among dental professionals in the county of Holland, Sweden: A questionnaire survey. keywords: clinical; dental; dentistry; dentists; doi; ebd; evidence; knowledge; practice; practitioners; respondents; response; study; use cache: squmj-1912.pdf plain text: squmj-1912.txt item: #703 of 1636 id: squmj-1913 author: None title: squmj-1913 date: 2014-04-13 words: 3799 flesch: 58 summary: in Oman shows that rising rates of diabetes and associated risk factors have been observed in populations undergoing epidemiological transition and urbanisation.5 Another study conducted in Oman shows that the prevalence of diabetes mellitus (DM) is on the rise and that there Adherence to Medications among Type 2 Diabetes Mellitus Patients in Three Districts of Al Dakhliyah Governorate, Oman A cross-sectional pilot study e232 | SQU Medical Journal, May 2014, Volume 14, Issue 2 are high rates of diabetes-related complications.6 More than 14% of people with DM in Oman were found to have diabetic retinopathy and 27% of those with T2DM had microalbuminuria.7,8 Although there have been some studies on the quality of diabetes care, there is a paucity of published data on medication adherence among the diabetic population in Oman.9,10 Of the studies conducted in the Middle East, non-compliance with medications was reported by 10% of diabetic patients in the United Arab Emirates (UAE).11 Poor practices of taking medications in relation to meals and modifying doses when necessary were reported among Qatari patients with DM12 and the level of diabetes knowledge among Kuwaiti adults with T2DM was poor.12,13 Patient interviews, while straightforward and inexpensive, are clearly limited by their subjective nature.18 This study was designed with the consideration that no previous published studies had assessed medication adherence among Omani patients with DM. keywords: adherence; diabetes; doi; healthcare; medication; oman; participants; patients; study; total; type cache: squmj-1913.pdf plain text: squmj-1913.txt item: #704 of 1636 id: squmj-1914 author: None title: squmj-1914 date: 2014-04-13 words: 3559 flesch: 50 summary: يف �صغط الدم و م�صاعفات �رشيرية ل ميكن التنبوؤ بها اأثناءال�صتئ�صال اجلراحي. مت التخدير حتت مراقبة ال�صغط ال�رشياين داخل ال�رشايني مع ت�رشيب كربيتات املغني�صيوم. keywords: blood; case; doi; labetalol; magnesium; management; patients; phaeochromocytoma; phenoxybenzamine; pressure; report; sulphate; tumour cache: squmj-1914.pdf plain text: squmj-1914.txt item: #705 of 1636 id: squmj-1915 author: None title: squmj-1915 date: 2014-04-13 words: 2899 flesch: 53 summary: فطر با�صيديومايكو�صي�س يف اجلهاز اله�صمي من احلالت النادرة على م�صتوى العامل. يف ال�صك من عالية درجة على يكونوا اأن اله�صمي اجلهاز واأطباء واجلراحون الأمرا�س وعلم الأ�صعة كت�صخي�س حمتمل للمر�صى امل�صابني بحمى وورم يف اجلهاز اله�صمي. مفتاح الكلمات: فطار؛ فطار عفني؛ احلا�صوراوات؛ اجلهاز اله�صمي؛ طفل؛ تقرير حالة؛ عمان. keywords: basidiobolomycosis; basidiobolus; bowel; case; doi; fungal; gastrointestinal; gib; mass; oman; report cache: squmj-1915.pdf plain text: squmj-1915.txt item: #706 of 1636 id: squmj-1916 author: None title: squmj-1916 date: 2014-04-13 words: 2587 flesch: 58 summary: مفتاح الكلمات: تهوية اإيجابية ال�صغط؛ غري با�صع؛ الف�صل يف النمو؛ الداء ال�صي�صتيني؛ �صغط اإيجابي م�صتمر ملجرى الهواء؛ وحدة العناية املركزة للأطفال؛ تقرير حالة، عمان. مت علج نق�س التهوية و �صعف اجلهاز التنف�صي املبكر نتيجة اأعتلل الع�صلت الوربية و احلجاب احلاجز ، بوا�صطة جهاز تهوية اإيجابي ال�صغط غري غري با�صع )NIPPV(. خرجت املري�صة بعد اأربعة اأ�صهر من اإعادة التاأهيل املكثف مع عدم وجود دعم التنف�س ال�صناعي . keywords: case; cysteamine; cystine; cystinosis; dysfunction; myopathy; nephropathic; patient; treatment cache: squmj-1916.pdf plain text: squmj-1916.txt item: #707 of 1636 id: squmj-1917 author: None title: squmj-1917 date: 2014-04-13 words: 2150 flesch: 60 summary: مت اإجراء ا�صتئ�صال �صطحي للغدة النكفية للمري�س مع خلو املري�س من املر�س حتى اليوم. Histologically, the sclerosing variant of the MEC is characterised by some exclusive features: areas of dense sclerosis (almost resembling that of a keloid) with distributed solid or cystic nests of mucoepidermoid tumour cells. keywords: carcinoma; case; gland; mucoepidermoid; parotid; report; salivary; sclerosing; tumour cache: squmj-1917.pdf plain text: squmj-1917.txt item: #708 of 1636 id: squmj-1918 author: None title: squmj-1918 date: 2014-04-13 words: 1976 flesch: 63 summary: Largest recorded prostate. Giant prostate: The largest recorded. keywords: bladder; case; hyperplasia; literature; patient; prostate cache: squmj-1918.pdf plain text: squmj-1918.txt item: #709 of 1636 id: squmj-1919 author: None title: squmj-1919 date: 2014-04-13 words: 921 flesch: 62 summary: A clinician’s dilemma: Sturge Weber syndrome ‘without facial nevus’! Since there were no skin lesions, a diagnosis of SWS type 3 was made. keywords: brain; seizures; sws; syndrome cache: squmj-1919.pdf plain text: squmj-1919.txt item: #710 of 1636 id: squmj-1920 author: None title: squmj-1920 date: 2014-04-13 words: 907 flesch: 53 summary: Comment Spurious results on haematology analysers should be promptly identified to avoid potential misdiagnoses.3 Abnormal results require a careful evaluation of the scatter plots obtained by the analyser as well as an examination of a well-stained blood film. و هيدي ديفي�س Pseudopyropoikilocytosis Leading to Spurious Results *Arwa Z. Al-Riyami,1 Khalil Al-Farsi,1 Ibrahim Al-Shehhi,2 Murtadha Al-Khabori,1 Mohammed Al-Huneini,1 Heidi Davis1 INTERESTING MEDICAL IMAGE Figure 1: Blood film showing numerous small basophilic particles in clumps (arrow) and small chains (arrow head). keywords: blood; cell; haematology; results cache: squmj-1920.pdf plain text: squmj-1920.txt item: #711 of 1636 id: squmj-1921 author: None title: squmj-1921 date: 2014-04-13 words: 960 flesch: 52 summary: The treatment of bilateral ED is controversial. LETTER TO EDITOR Sir, Elastofibroma dorsi (ED) is a relatively rare soft-tissue pseudotumour localised in the periscapular area (under the rhomboid and serratus anterior muscles). keywords: bilateral; dorsi; elastofibroma; surgery cache: squmj-1921.pdf plain text: squmj-1921.txt item: #712 of 1636 id: squmj-1922 author: None title: squmj-1922 date: 2014-04-13 words: 481 flesch: 59 summary: Accordingly, I presume that the continuing popularity of consanguineous marriage might have an important negative impact on the many effective measures suggested by Santosh et al. to reduce the perinatal mortality rate in Oman.1 Mahmood D. Al-Mendalawi Department of Paediatrics, Al-Kindy College of Medicine, Baghdad University, Baghdad, Iraq E-mail: mdalmendalawi@yahoo.com References 1. Mumtaz G, Nassar AH, Mahfoud Z, El-Khamra A, Al-Choueiri N, Adra A, et al. Consanguinity: a risk factor for preterm birth at less than 33 weeks' gestation. keywords: oman cache: squmj-1922.pdf plain text: squmj-1922.txt item: #713 of 1636 id: squmj-1923 author: None title: squmj-1923 date: 2014-04-13 words: 5656 flesch: 34 summary: These advances have not only led to a better understanding of the pathophysiological basis of osteoporosis and other bone diseases, but also to new approaches to therapy. Currently the bisphosphonates (BPs), e.g. alendronate, risedronate and zoledronate, dominate the market as extremely effective agents for the treatment of bone diseases characterised by increased bone resorption, such as Paget’s disease, osteolytic bone metastases, myeloma and osteoporosis. keywords: bone; college; disease; drugs; evidence; health; london; mail; malaria; medicine; oxford; patients; physicians; pregnancy; royal; university cache: squmj-1923.pdf plain text: squmj-1923.txt item: #714 of 1636 id: squmj-1924 author: None title: squmj-1924 date: 2014-04-13 words: 5099 flesch: 40 summary: The following measures are strongly recommended to improve morbidity and mortality: increasing the awareness of breast cancer; the introduction of breast screening programmes; a multi-disciplinary approach to breast cancer management, and research on the molecular biology and genetic aspects of breast cancer to explore further the characteristics of breast cancer in Oman. Breast cancer is the most common PAC, followed by carcinoma of the cervix, lymphoma, leukaemia, melanoma and ovarian cancer. keywords: amh; breast; cancer; mail; oman; patients; pregnancy; risk; treatment; university; use; women cache: squmj-1924.pdf plain text: squmj-1924.txt item: #715 of 1636 id: squmj-1925 author: None title: squmj-1925 date: 2014-04-13 words: 16196 flesch: 47 summary: Vaidyanathan Gowri2 Department of 1Obstetrics and Gynaecology, Sultan Qaboos University Hospital; 2Department of Obstetrics & Gynaecology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman. A case-control study Fatema Y. Sabt,1 Iman J. Al-Afifi,1 Maryam I. Al-Kiyumi,1 Yahya Al-Farsi,2 Maha Al-Khaduri3 1College of Medicine & Health Sciences and 2Department of Family Medicine & Public Health, College of Medicine & Health Sciences, Sultan Qaboos University; 3Department of Obstetrics Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman. keywords: blood; cases; clinical; department; diagnosis; gestation; glucose; group; gynaecology; health; hospital; labour; mail; management; medical; muscat; obstetrics; oman; patients; pregnancies; pregnancy; qaboos; qaboos university; risk; study; sultan; sultan qaboos; university; university hospital; weeks; women cache: squmj-1925.pdf plain text: squmj-1925.txt item: #716 of 1636 id: squmj-1926 author: None title: squmj-1926 date: 2014-07-23 words: 1869 flesch: 58 summary: As many as 3% of all the cancers in men and 9% of those in women can be attributed directly to obesity.3 As a result, the World Cancer Research Fund and the American Institute of Cancer Research (WCRF/ AICR) have issued guidance on the prevention of cancer in the form of 10 recommendations, one of them being: “be as lean as possible without becoming underweight”.3 In this issue of SQUMJ, Moten et al. have drawn attention to the very important question as to whether cancer survivors attempt to lose weight.4 According to GLOBOCAN, 14.1 million cancer cases were diagnosed in 2012, there were 8.2 million deaths and 32.6 million cancer survivors; all these numbers were shown to be increasing.5 A cancer survivor is defined as an individual with a diagnosis of cancer, regardless of the course of illness, until the end of his/her life. Epidemiological evidence suggests that cancer survivors who are obese and overweight are at an increased risk of cancer relapse/progression.3 Hence, after the diagnosis of cancer, survivors maybe interested to learn how they could reduce the chances of cancer progression or relapse.6 Clearly, if an exposure is associated with developing cancer and if that exposure continues, then the risk of subsequent cancer progression and/or relapse would be high.6 The WCRF/AICR recommend that cancer survivors follow the recommendations for cancer prevention including maintaining a healthy body weight. keywords: cancer; doi; obesity; risk; survivors cache: squmj-1926.pdf plain text: squmj-1926.txt item: #717 of 1636 id: squmj-1927 author: None title: squmj-1927 date: 2014-07-23 words: 7155 flesch: 70 summary: b i l e p h o n e u s e Research has suggested that mobile phone use while driving reduces performance, with younger drivers more likely to use their mobile phones while driving.34,35 In addition, it has been found that young drivers are more likely to be severely injured if they are distracted by a mobile phone while driving.36 The involvement of mobile phones with driving has been found to reflect the level of cognitive and behavioural association that people have with their phones.37 Studies have revealed that young people who are more involved with their mobile phones are more likely to indicate that they would use their mobile phones in some way while driving, including texting, and furthermore, that they would deliberately hide this behaviour.37,38 fat i g u e Driving while fatigued appears to be a common behaviour, with younger drivers more strongly affected by sleepiness.39 Within a sample of 17–25-year-old drivers, 67.3% reported driving while fatigued between one and 10 times in the previous month.26 A further 9.7% indicated that they had done so 11 or more times in the previous month.26 However, another study found that younger people are less likely than older identified that male drivers drove approximately five miles per hour faster with a male passenger in the vehicle than with a female passenger in the vehicle.21 Drivers with only male passengers were more likely to crash when compared with drivers who only had female passengers. Recent data has identified a number of characteristics associated with young driver crashes including variables associated with age, gender, passenger characteristics, the time of day, speed, type of vehicle, license status and nationality, amongst others. keywords: accid; anal; anal prev; crash; crash risk; crashes; doi; drivers; driving; factors; influence; novice; prev; research; risk; road; safety; study; traffic cache: squmj-1927.pdf plain text: squmj-1927.txt item: #718 of 1636 id: squmj-1928 author: None title: squmj-1928 date: 2014-07-23 words: 9153 flesch: 51 summary: Transfusion reactions are classified into acute transfusion reactions (ATRs) or delayed transfusion reactions, and each category includes different subtypes. Recognition, Investigation and Management of Acute Transfusion Reactions Consensus guidelines for Oman *Arwa Z. Al-Riyami,1 Sabria Al-Hashmi,2 Zainab Al-Arimi,3 Louis D. Wadsworth,4 Abdulhakim Al-Rawas,5 Murtadha Al-Khabori,1 Shahina Daar6 Departments of 1Haematology and 5Child Health, Sultan Qaboos University Hospital, Muscat, Oman; 2Department of Haematology & Blood Transfusion, Royal Hospital, Muscat, Oman; 3Directorate of Blood Services, Ministry of Health, Muscat, Oman; 4Centre for Blood Research, University of British Columbia, Vancouver, British Columbia, Canada; 6Department of Haematology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman *Corresponding Author e-mail: arwa.alriyami@gmail.com A key aspect of patient safety during blood transfusions is to ensure that patients are monitored by staff trained in transfusion medicine and the recognition and management of transfusion reactions (TRs). keywords: acute; allergic; bank; blood; contamination; doi; guidelines; injury; lung; management; oman; patients; reactions; reporting; symptoms; taco; trali; transfusion; transfusion reactions; trs; unit; years cache: squmj-1928.pdf plain text: squmj-1928.txt item: #719 of 1636 id: squmj-1929 author: None title: squmj-1929 date: 2014-07-23 words: 5918 flesch: 55 summary: The combined epidemiological and molecular-genetic analysis of CF mutations in patients and unaffected volunteers resulted in a predicted prevalence of CF in the North Al Batinah (NAB) region of Oman. - One individual was identified as a carrier for F508del and another individual as a carrier for S549R. Applying the average allele frequency for F508del and S549R, the identified mutations accounted for 92% of CF mutations in the population. keywords: allele; carrier; carrier frequency; disease; doi; f508del; fibrosis; frequency; mutations; nab; oman; population; prevalence; region; s549r; screening cache: squmj-1929.pdf plain text: squmj-1929.txt item: #720 of 1636 id: squmj-1930 author: None title: squmj-1930 date: 2014-07-23 words: 5216 flesch: 61 summary: This study aimed to evaluate the prevalence of obesity and attempts to lose weight among cancer survivors. Results: Cancer survivors were older (mean age = 63.4 versus 44.7 years for those with no history of cancer). keywords: bmi; body; cancer; health; history; obesity; overweight; respondents; study; survivors; treatment; weight cache: squmj-1930.pdf plain text: squmj-1930.txt item: #721 of 1636 id: squmj-1931 author: None title: squmj-1931 date: 2014-07-23 words: 4168 flesch: 64 summary: The aim of this study was to investigate pregnancy outcomes among this group at a single tertiary centre. Pregnancy outcomes were defined as follows: an abortion was defined as a pregnancy loss before 20 weeks’ gestation;11 keywords: beta; blood; chelation; iron; patients; pregnancies; pregnancy; study; thalassaemia; therapy; weeks; women cache: squmj-1931.pdf plain text: squmj-1931.txt item: #722 of 1636 id: squmj-1932 author: None title: squmj-1932 date: 2014-07-23 words: 5762 flesch: 55 summary: وارتبطت احلماية التي وفرها التعر�س امل�سبق لالأوزون للقلب بزيادة معنوية بالأوزون لالأك�سدة امل�سبق التعر�س مينع اخلال�صة: .)0.05> P( والربوتني الدهن اأك�سدة يف ونق�س امل�سادة، الأنزميات ن�ساط يف اجلزئيات وتقليل لالأك�سدة امل�سادة النزميات ن�ساط زيادة طريق عن وذلك دوك�سوروب�سني، ي�سببه الذي التو�سعي القلب ع�سلة اعتالل الكبرية املوؤك�سدة. اإجهادا الدواء هذا ي�سبب اإذ دوك�سوروب�سني، ال�رسطان لدواء ال�سمية الآثار اأحد هو التو�سعي القلب ع�سلة اعتالل يعد الهدف: امللخ�ص: لتقومي الدرا�سة هذه عملت لالأك�سدة، امل�سادة اجل�سم اأنظمة ين�سط اأن ميكن بالأوزون العالج اأن ومبا القلبية. keywords: animals; antioxidant; cardiotoxicity; doi; dox; doxorubicin; effects; group; levels; oxidative; oxygen; ozone; preconditioning; protein; rats; sod; study; therapy cache: squmj-1932.pdf plain text: squmj-1932.txt item: #723 of 1636 id: squmj-1933 author: None title: squmj-1933 date: 2014-07-23 words: 5247 flesch: 63 summary: The estimated daily intake of heavy metals from Afzal was below the maximum permissible limit accepted by the Food and Agriculture Organization and World Health Organization, except for Cr and Ni which were found to be dangerously elevated when compared with international standards. Conclusion: The results of this study showed that Afzal contains a number of heavy metals that may cause health problems. keywords: afzal; daily; doi; health; intake; metals; oman; samples; smokeless; study; tobacco cache: squmj-1933.pdf plain text: squmj-1933.txt item: #724 of 1636 id: squmj-1934 author: None title: squmj-1934 date: 2014-07-23 words: 3855 flesch: 60 summary: Distribution of Chronotypes among a Sample of Iraqi Kurdish Medical Students Awring M. Raoof, Yasin A. Asaad, *Tariq S. Al-Hadithi CLINICAL & BASIC RESEARCH Advances in Knowledge - This study found that this sample of Iraqi Kurdish medical students were mostly classified as intermediate circadian types. The aim of this study, therefore, was to assess the distribution of chronotypes in a sample of Iraqi Kurdish medical students in Erbil, the main city of the Iraqi Kurdistan region. keywords: circadian; differences; doi; gender; medical; morning; sample; students; study; types cache: squmj-1934.pdf plain text: squmj-1934.txt item: #725 of 1636 id: squmj-1935 author: None title: squmj-1935 date: 2014-07-23 words: 5725 flesch: 58 summary: Mar 14 Departments of 1Pediatrics and 3Medical Education, College of Medicine & Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates; 2Faculty of Health Sciences & Medicine, Bond University, Gold Coast, Queensland, Australia *Corresponding Author e-mail: e.aburawi@uaeu.ac.ae تقييم أعضاء هيئة التدريس هل طالب الطب وهيئة التدريس متفقان؟ الهادي اأبوراوي، مي�سيل ماكلن و�سامي �سعبان abstract: Objectives: Student evaluation of individual teachers is important in the quality improvement cycle. In general, student evaluations do not provide any useful feedback to individual teachers/instructors. keywords: comments; csc; evaluation; faculty; feedback; individual; medical; msc; purpose; students; teachers; teaching cache: squmj-1935.pdf plain text: squmj-1935.txt item: #726 of 1636 id: squmj-1936 author: None title: squmj-1936 date: 2014-07-23 words: 4259 flesch: 59 summary: The questionnaire sought to determine: midwives’ demographic characteristics; type of episiotomy performed; authority of the decision to perform the procedure, and reasons for performing episiotomies. An analysis of the reasons behind the use of an episiotomy is an important step in the reduction of episiotomy rates.12 Thus this study aimed to determine the clinical reasons why midwives working in delivery rooms performed episiotomies and whether these reasons matched with evidence and recent research findings. keywords: clinical; delivery; episiotomies; episiotomy; evidence; kurdistan; midwifery; midwives; reasons; region; study cache: squmj-1936.pdf plain text: squmj-1936.txt item: #727 of 1636 id: squmj-1937 author: None title: squmj-1937 date: 2014-07-23 words: 5412 flesch: 54 summary: The second part assessed each HCP’s knowledge about the national IPC Protocol and included questions designed to assess the hospital’s actions to improve infection control practices. in a study of Compliance with the National Palestinian Infection Prevention and Control Protocol at Governmental Paediatric Hospitals in Gaza Governorates e380 | SQU Medical Journal, August 2014, Volume 14, Issue 3 169 acute care hospitals in 32 European countries assessing the organisation, components and human resources of infection control programmes.12 They found that educational sessions for healthcare workers concerning infection control practices existed in 77% of centres.12 This finding reflects the real need for continuous training and education to enhance HCPs’ knowledge, skills and practice of standard infection control precautions as recommended by the Palestinian IPC Protocol. keywords: compliance; control; gaza; hand; hcps; health; hospitals; infection; ipc; ipc protocol; national; practices; protocol; study; washing cache: squmj-1937.pdf plain text: squmj-1937.txt item: #728 of 1636 id: squmj-1938 author: None title: squmj-1938 date: 2014-07-23 words: 4519 flesch: 48 summary: One study reported prescription practices among GPs, reported that sedative/hypnotic drugs were prescribed for 19.56% of patients visited by GPs.12 Another study among residents living in Bam, a city in Iran, observed that drugs affecting the CNS were the most frequently prescribed, representing 52.7% of all prescribed drugs.13 To date there has been no reliable information on the prescribing habits of psychiatrists in Iran; thus, this study aimed to assess the pattern of drug prescription and utilisation of psychotropic medications in outpatients visited by psychiatrists at private clinics in Kerman Province, Iran. Keywords: Prescriptions, trends; Prescriptions, utilization; Psychotropic Drugs; Psychiatrists; Iran. امللخ�ص: الهدف: تهدف هذه الدرا�سة لتقييم اأمناط و�سفات الأدوية التي ي�سفها الأطباء النف�سانيون يف عيادات الطب النف�سي اخلارجية اإيرانيتني منظمتني من كرميان حمافظة يف نف�سيا طبيبا 27 و�سفات ع�سوائيا اأختريت الطرق: باإيران. keywords: antidepressants; antipsychotics; doi; drug; iran; kerman; medications; patterns; prescriptions; province; psychiatrists; psychotropic; study; use; الأدوية cache: squmj-1938.pdf plain text: squmj-1938.txt item: #729 of 1636 id: squmj-1939 author: None title: squmj-1939 date: 2014-07-23 words: 3929 flesch: 58 summary: The most common number of impacted third molars was two (41%). The most common angulation of impaction in the mandible was the mesioangular (35%) and the most common level of impaction in the mandible was level A. Of the 388 bilateral occurrences of impacted third molars, 377 were in the mandible. keywords: angulation; impaction; level; mandibular; molars; patients; prevalence; study; total cache: squmj-1939.pdf plain text: squmj-1939.txt item: #730 of 1636 id: squmj-1940 author: None title: squmj-1940 date: 2014-07-23 words: 2766 flesch: 65 summary: مفتاح الكلمات: مقاومة الأن�سولني؛ معامل كتلة اجل�سم؛ البدانة؛ ال�سباب؛ �سلطنة عمان. يو�سى بتقدمي الن�سح جلميع الأفراد امل�سابني بالبدانة يف حماولة ملنع اأو تاأخري ظهور مر�س ال�سكري يف امل�ستقبل. keywords: bmi; diabetes; insulin; resistance; risk; students; study cache: squmj-1940.pdf plain text: squmj-1940.txt item: #731 of 1636 id: squmj-1941 author: None title: squmj-1941 date: 2014-07-23 words: 3056 flesch: 56 summary: يف هذا التقرير نناق�س حالة مري�س قدم اإلينا يف �سن الع�رسة �سهور باأعرا�س �سملت تاأخر يف النمو، رخاوة يف توتر الع�سالت مع اأزمات �سخو�س الب�رس. All of these individuals have been homozygous or compound heterozygous for TH gene mutations. keywords: case; deficiency; doi; dopa; dystonia; gene; hydroxylase; mutation; patient; tyrosine cache: squmj-1941.pdf plain text: squmj-1941.txt item: #732 of 1636 id: squmj-1942 author: None title: squmj-1942 date: 2014-07-23 words: 2504 flesch: 50 summary: واملعروفة اي�سا مبتالزمة ق�سور الدريقات-التخلف الذهني-العيوب اخللقية )SSS; OMIM #241410( امللخ�ص: تعد متالزمة �سنجاد �سكاتي )HRD(، من الأمرا�س ذات ال�سفة املتنحية التي تظهريف فرتة يف الثانية من العمر م�سابة مبتالزمة �سنجاد �سكاتي املثبتة علي امل�ستوى اجلزيئي الوراثي يف م�ست�سفي جامعة ال�سلطان قابو�س يف عمان. keywords: case; hypoparathyroidism; patient; retardation; sakati; sanjad; sss; syndrome cache: squmj-1942.pdf plain text: squmj-1942.txt item: #733 of 1636 id: squmj-1943 author: None title: squmj-1943 date: 2014-07-23 words: 2952 flesch: 56 summary: Therefore, this report highlights the need for GT insertion procedures to be performed under direct vision in patients who are unconscious (due to sedation, anaesthesia or an inherent condition) in order to prevent trauma to the laryngeal structures. 14TH Mar 14 Accepted 24TH Apr 14 جتنب إصابة احلنجرة عند إدخال األنبوب الغذائي إىل املعدة جيوتي بوراد، �سونايل ديو�سكار، براديبتا بهاكتا، روهيت ديت، براديب �سارما abstract: Gastric intubation is a common and simple procedure that is often performed on patients who are sedated or anaesthetised. keywords: bleeding; case; insertion; intubation; patient; procedure; trauma; tube cache: squmj-1943.pdf plain text: squmj-1943.txt item: #734 of 1636 id: squmj-1944 author: None title: squmj-1944 date: 2014-07-23 words: 1505 flesch: 49 summary: The current case reports a girl with catastrophic severe ADEM, who recovered completely within six months. The clinical features vary from mild forms to the severe catastrophic haemorrhagic type, also known as haemorrhagic leukoencephalopathy.3 A favourable outcome is often described for children with ADEM, as various studies have shown that more than 50–60% of patients experience a full recovery.1,4 A similar case of ADEM mimicking leukodystrophy was recorded in Turkey.5 keywords: acute; adem; encephalomyelitis; image; severe cache: squmj-1944.pdf plain text: squmj-1944.txt item: #735 of 1636 id: squmj-1945 author: None title: squmj-1945 date: 2014-07-23 words: 1040 flesch: 55 summary: The first challenge was in determining if the feeding Foley catheter was intraluminal or whether it had moved Figure 1 A & B: Plain radiograph of the abdomen showing (A) the Foley catheter tip in the right upper quadrant (black arrow) and (B) axial image of computed tomography scan showing Foley catheter with the inflated balloon positioned at the ileocecal valve (white arrow). doi: 10.1016/j.jvir.2008.10.003. 5. O’Keefe KP, Dula DJ, Varano V. Duodenal obstruction by a non deflating Foley catheter gastrostomy tube. keywords: balloon; catheter; foley; patient cache: squmj-1945.pdf plain text: squmj-1945.txt item: #736 of 1636 id: squmj-1946 author: None title: squmj-1946 date: 2014-07-23 words: 895 flesch: 47 summary: J Dermatol 2002; 29:178–9. Indian J Dermatol 2012; 57:401–3. doi: 10.4103/0019-5154.100501. keywords: angiolymphoid; eosinophilia; hyperplasia cache: squmj-1946.pdf plain text: squmj-1946.txt item: #737 of 1636 id: squmj-1947 author: None title: squmj-1947 date: 2014-07-23 words: 740 flesch: 43 summary: In an interesting German study, the effect of different antibiotic regimes on vegetation size was evaluated by transoesophageal ECHO in 183 patients with IE.4 Significant differences in vegetation size were noted with different kinds of antibiotics: treatment with vancomycin showed a 45% reduction; ampicillin a 19% reduction; penicillin a 5% reduction; penicillase-resistant drugs a 15% increase, and cephalosporin a 40% increase.4 Penicillin, cephalosporin and penicillase-resistant drugs were associated with an increased embolic risk, while vancomycin was associated with the formation of abscesses and cephalosporin with increased mortality.4 The authors observed that “Plotting changes in vegetation size against the incidence of embolism and mortality, linear regression analysis suggested a 40–50% reduction in vegetation size, thereby greatly reducing the risk of embolism and mortality”.4 I presume that both clinicians and echocardiographers should not only consider discernible vegetations as the sole diagnostic parameter for IE, but also the size and mobility of the vegetations. During the patient’s clinical course, the large vegetation was dislodged and caused a pulmonary embolism.1 This embolic event is quite interesting, as anecdotal studies have shown that a mobile vegetation, or vegetations that are >10 mm in length, are significantly associated with embolic phenomena.2,3 I presume that the evolution of the patient’s pulmonary embolism, with a vegetation of less than 10 mm, could be explained by the observation that the different antibiotics used in the treatment of the IE had different effects on the size of the vegetation,4 and hence, the risk of vegetation dislodgement. keywords: endocarditis; size; vegetation cache: squmj-1947.pdf plain text: squmj-1947.txt item: #738 of 1636 id: squmj-1948 author: None title: squmj-1948 date: 2014-07-23 words: 6446 flesch: 41 summary: Generally, PH associated with lung disease does not require specific therapy other than long-term oxygen and optimal treatment for the primary chronic lung disease. OLD include obstructive lung diseases, restrictive lung diseases, respiratory cancer and mesothelioma. keywords: asthma; department; disease; health; hospital; lung; mail; management; medicine; muscat; oman; patients; pulmonary; qaboos; sultan; treatment; university cache: squmj-1948.pdf plain text: squmj-1948.txt item: #739 of 1636 id: squmj-1949 author: None title: squmj-1949 date: 2014-09-30 words: 2704 flesch: 47 summary: At the age of one month old, testing confirms the previous results, as PCR testing has a 96% sensitivity and 99% specificity for identifying HIV at this age.11 Once HIV infection has been diagnosed, the course of the infection must be frequently monitored by determining the number of cluster of differentiation 4 positive (CD4+) lymphocytes (otherwise known as the CD4+ count, which decreases as the infection worsens) and the number of virus particles in the blood (also termed the viral load, which increases as the infection worsens).2 Children born with HIV infections rarely display symptoms in the first few months of life. The authors hypothesised that treating the opportunistic infections, along with ART, might lead to both clinical and immunological recovery and a decreased incidence of future opportunistic infections.1 While opportunistic infections in adults are secondary to the reactivation of opportunistic pathogens acquired when the host’s immune system was still intact, opportunistic infections in children usually reflect a primary infection.4 Among children with perinatal HIV infection, the primary opportunistic infection occurs after HIV infection is established and the child’s immune system has already been compromised. keywords: aids; children; health; hiv; infants; infection; jul; virus; world cache: squmj-1949.pdf plain text: squmj-1949.txt item: #740 of 1636 id: squmj-1950 author: None title: squmj-1950 date: 2014-09-30 words: 8912 flesch: 67 summary: Long-term effect of the North Carolina graduated driver licensing system on licensed driver crash incidence: A 5-year survival analysis. Bates LJ, Davey J, Watson B, King MJ, Armstrong K. Factors contributing to young driver crashes: A review. keywords: accid; anal; crash; crashes; doi; driver licensing; drivers; driving; gdl; learner; licensing; new; parents; prev; res; research; restrictions; risk; safety; study; system; time; traffic; young cache: squmj-1950.pdf plain text: squmj-1950.txt item: #741 of 1636 id: squmj-1951 author: None title: squmj-1951 date: 2014-09-30 words: 4467 flesch: 52 summary: Additional training sessions seek to present TDT in the context of tobacco control in general; highlight ethical issues in TDT; present the water-pipe as a regional and global health hazard, and guide participants through establishing and sustaining Figure 1: Graph indicating the recent cumulative growth in the number of trained healthcare providers and advocates attending tobacco dependence treatment training conducted by the King Hussein Cancer Centre in the Eastern Mediterranean region. This review discusses the need for TDT training in the EMR and describes a model for providing regional evidence-based training in line with international standards. keywords: cessation; control; countries; dependence; doi; eastern; emr; health; region; services; smokers; smoking; tdt; tobacco; training; treatment cache: squmj-1951.pdf plain text: squmj-1951.txt item: #742 of 1636 id: squmj-1952 author: None title: squmj-1952 date: 2014-09-30 words: 5053 flesch: 55 summary: Is there a suitable method of anticoagulation in pregnant patients with mechanical prosthetic heart valves? This review evaluates the leading international guidelines concerning anticoagulant therapy in pregnant patients with mechanical prosthetic valves as well as proposing a simplified guideline which may be more relevant to hospitals in this region. keywords: anti; anticoagulation; doi; dose; factor; guidelines; heart; levels; lmwh; patients; pregnancy; valves; warfarin; women cache: squmj-1952.pdf plain text: squmj-1952.txt item: #743 of 1636 id: squmj-1953 author: None title: squmj-1953 date: 2014-09-30 words: 5729 flesch: 61 summary: الطريقة: مت ا�ستخدام قاعدة بيانات امل�سح ال�سحي العاملي بال�سلطنة لعام 2008 لتحديد املعدل الوطني لنت�سار املتالزمة الأي�سية، ومت ا�ستخدام معادلة النحدار للمتغريات امل�ستقلة العالقة على للتعرف وال�سلوكيات وال�رسيرية ال�سكانية الجتماعية- للعوامل الأ�سا�سية املتغريات لكل اللوج�ستي امل�ستقلة مع املتالزمة الأي�سية. واأظهر اأي�سا الأفراد الذين يجل�سون لأكرث من 6 �ساعات يوميا عالقة ذات دللة معنوية مع املتالزمة الأي�سية )الحتمال املرجح: 1.3 وحدود الثقة P = 0.035 ،1.1-1.7(. اخلال�صة: وجد اأنه من بني كل اأربعة بالغني يف عمان يوجد �سخ�س واحد م�ساب باملتالزمة الأي�سية. وهذا مما يزيد من وبائية الأمرا�س غري املعدية، خا�سة مع زيادة عدد امل�سنني. keywords: adults; age; components; diabetes; doi; health; metabolic; oman; population; prevalence; study; survey; syndrome; women; world cache: squmj-1953.pdf plain text: squmj-1953.txt item: #744 of 1636 id: squmj-1954 author: None title: squmj-1954 date: 2014-09-30 words: 3819 flesch: 66 summary: مت قيا�س م�شتوى تركيز الهيموجلوبني لكل مري�س بطريقة التاأك�شج النب�شي بوا�شطة جهاز )�رصكة ما�شيمو، اإرفني، كاليفورنيا، الوليات املتحدة الأمريكية( ثم مقارنتها بقيا�س الهيموجلوبني يف عينة دم وريدي بوا�شطة جهاز CELL-DYN Sapphire Hematology Analyzer )�رصكة اأبوت، اأبوت بارك، اإلينوي�س، الوليات املتحدة الأمريكية( لتحديد الهيموجلوبني املرجعي. النتائج: �شملت الدرا�شة 108 مر�شى ن�شفهم من الذكور والن�شف الآخر من الإناث وكان متو�شط العمر 21.6 �شنة )النحراف املعياري 7.3 �شنة؛ النطاق 38-2.5 �شنة(. وكان متو�شط تركيزالهيموجلوبني املرجعي تركيزالهيموجلوبني متو�شط اأما غرام/دي�شيليرت( 7.5-12.3 النطاق غرام/دي�شيليرت؛ 0.9 املعياري )النحراف غرام/دي�شيليرت 9.4 بطريقة التاأك�شج النب�شي فكان 11.1 غرام/دي�شيليرت ) keywords: device; levels; oximetry; patients; pulse; ref; study cache: squmj-1954.pdf plain text: squmj-1954.txt item: #745 of 1636 id: squmj-1955 author: None title: squmj-1955 date: 2014-09-30 words: 3490 flesch: 57 summary: Conclusion: EEG amplitude is an important factor in determining the presence of interictal epileptiform abnormalities in routine EEGs. This audit explored the relationship between EEG amplitude and the detection of interictal abnormalities by professionals in a busy clinical neurophysiology department. keywords: abnormalities; amplitude; audit; doi; eeg; eegs; epilepsy; figure; group; interictal; patients; study cache: squmj-1955.pdf plain text: squmj-1955.txt item: #746 of 1636 id: squmj-1956 author: None title: squmj-1956 date: 2014-09-30 words: 4930 flesch: 59 summary: The observed correlation of ACA and β2GP IgM levels during pregnancy and after delivery might be due to the similarities that are found in the patterns of fluctuation for IgM levels, which is not the case for IgG levels after delivery. In this study, ACA IgG levels increased during healthy pregnancies and after normal deliveries whereas β2GP IgG levels increased transiently during the pregnancies. keywords: aca; antibodies; control; delivery; doi; group; igg; igm; immunoglobulin; levels; pregnancy; women; β2gp cache: squmj-1956.pdf plain text: squmj-1956.txt item: #747 of 1636 id: squmj-1957 author: None title: squmj-1957 date: 2014-09-30 words: 6565 flesch: 58 summary: تدل نتائج هذ� �لبحث على �أن هرمون �لنمو له تاأثريوقائي من خالل تاأثريه على م�ستقبالت NMDAR �سد �سعف �لذ�كرة و �الإدر�ك �ملتعلقة بتقدم �لعمر و �لتوتر �لنف�سي و�لع�سب. وعالوة على ذلك ، وجدنا �أن �جلمع بني ��ستخد�م جرعة منخف�سة من هرمون �لنمو و هرمون �لكوتيكو�سترين لها �آثار �أعلى بكثري على تعزيز �نتقال اإل�سار�ت �لع�سبية يف �لفئر�ن �لكبرية فى �ل�سن مقارنة مع �سغار�ل�سن. keywords: acsf; cort; doi; effect; expression; growth; hippocampal; hormone; hour; nr2a; nr2b; protein; rats; second; slices; synaptic cache: squmj-1957.pdf plain text: squmj-1957.txt item: #748 of 1636 id: squmj-1958 author: None title: squmj-1958 date: 2014-09-30 words: 3299 flesch: 57 summary: The increase in antibiotic prescriptions, accompanied by their inappropriate use, augments the rates of antibiotic resistance and the burden on healthcare budgets worldwide.7,8 Antibiotic resistance can lead to prolonged hospitalisation, failed treatments, increased healthcare costs and mortality.9 To ensure the appropriate use of antibiotics, several factors need to be addressed concerning the individual microorganism, patient, disease and drug.9 The Centers for Disease Control and Prevention in the USA define appropriate antibiotic prescription practices as “prescribing antibiotics only when they are likely to be beneficial to the patient, selecting agents that will target the likely pathogens and using these agents at the correct dose and for the proper duration”.10 Moreover, the World Health Organization (WHO) defines appropriate use as “the cost-effective use of antimicrobials which maximises clinical therapeutic effect while minimising both drug-related toxicity and the development of antimicrobial resistance”.11 There are many reasons behind the misuse of antibiotics. The number of antibiotic prescriptions was similar between genders (70 and 68 for males and females, respectively). keywords: antibiotic; children; doi; drug; outpatients; paediatric; patients; prescribing; study cache: squmj-1958.pdf plain text: squmj-1958.txt item: #749 of 1636 id: squmj-1959 author: None title: squmj-1959 date: 2014-09-30 words: 4549 flesch: 52 summary: 1Department of Ear, Nose & Throat, Al Zahra Hospital, Dubai, United Arab Emirates; 2Department of Anaesthesia & Critical Care, Muscat Private Hospital, Muscat, Oman; 3Department of Oto-Rhino-Laryngology & Bronchology, Heim Pál Children's Hospital, Budapest, Hungary *Corresponding Author e-mail: levente.deak@azhd.ae مقارنة مدى شدة األمل الذي يعقب عملية استئصال اللوزة عند األطفال باستخدام طريقيت بضع اللوزة داخل احملفظة و الطريقة التقليدية اإلنضار الدقيق و الرتددات الشعاعية مقابل الطريقة التقليدية ليفنيت ديك، ديفيد ساكستون، كيث جونسون، باملا بينديك، جابور كاتونا abstract: Objectives: The aim of this study was to compare the duration and severity of postoperative pain for two different tonsillotomy techniques (radiofrequency [RF] and microdebrider [MD]) with the standard tonsillectomy. In this study, the results of both the MD and RF tonsillotomy methods were almost identical in terms of the duration of postoperative pain and recovery time. keywords: children; control; days; doi; group; methods; pain; patients; study; surgery; time; tissue; tonsillectomy cache: squmj-1959.pdf plain text: squmj-1959.txt item: #750 of 1636 id: squmj-1960 author: None title: squmj-1960 date: 2014-09-30 words: 5085 flesch: 58 summary: بني تركيز ري�سي�س�ستني وتركيزات طالئع ال�سايتو كينات اللتهابية يف م�سل الدم، وتقييم الفيزيلوجيا احلادة والتقييم ال�سحي املزمن النتائج: وجد اأن م�ستويات ري�سي�ستني عند مر�سى النتان اأعلى منها يف املجموعة ال�سابطة من الأ�سحاء )P >0.001(، واأن هنالك عالقة معنوية إح�سائيا وتهدف هذه الدرا�سة اإىل حتديد الرتباط بني م�ستويات تركيز ري�سي�ستني عند املر�سى امل�سابني بالإنتان داخل البطن ومعدل الوفيات الطرق: �سملت هذه الدرا�سة )والتي اأجريت بني دي�سمرب 2011 ودي�سمرب 2012( 35 مري�سا من اأ�سل 45 مري�سا بالنتان داخل بق�سم املركزة الرعاية لوحدات املر�سى هوؤلء اأدخل بال�سكري. keywords: apache; blood; correlation; glucose; levels; patients; resistin; resistin levels; scores; sepsis; shock; study cache: squmj-1960.pdf plain text: squmj-1960.txt item: #751 of 1636 id: squmj-1961 author: None title: squmj-1961 date: 2014-09-30 words: 6373 flesch: 53 summary: Similar manifestations of HIV infection have also been reported elsewhere in India. Verghese et al. studied the clinical manifestations of HIV infection among 88 children and reported hepatomegaly in 72%, lymphadenopathy in 60%, splenomegaly in 43%, failure to thrive in 58%, recurrent diarrhoea in 36%, M. contagiosum in 4% and pulmonary tuberculosis in 14%.15 Dhurat et al. noted non-specific presenting symptoms in 41 children with perinatally transmitted Table 5: Distribution of opportunistic infections or complications observed among human immunodeficiency virus- 1-infected children by mean age at presentation and immunological indicators (N = 20) Opportunistic infection/complication n Mean age in months Mean total lymphocyte count in mm3 Mean CD4 count in mm3 (range) keywords: cd4; children; clinical; count; haart; hiv; infections; mean; mm3; months; patients; status; study; therapy; treatment; weight cache: squmj-1961.pdf plain text: squmj-1961.txt item: #752 of 1636 id: squmj-1963 author: None title: squmj-1963 date: 2014-09-30 words: 5559 flesch: 59 summary: The annual report of the UAE Ministry of Health in 2008 showed that 28% of deaths attributed to breast cancer occurred in women less than 45 years of age.11 Data regarding breast cancer knowledge and preventative practices among female university students in the UAE are limited. Breast cancer knowledge and screening practices: A survey of 1,000 Asian women. keywords: breast; breast cancer; cancer; detection; factors; health; knowledge; methods; participants; risk; scores; students; study; university cache: squmj-1963.pdf plain text: squmj-1963.txt item: #753 of 1636 id: squmj-1964 author: None title: squmj-1964 date: 2014-09-30 words: 5301 flesch: 51 summary: االلتزام وت�سجيع ا�سرتاحة فرتات اأعطاء �سخ�سيا، املدر�س معرفة م�سرتكة، اأوقات ق�ساء الدعم، �سمان االإيجابي، االإرجتاع اخلال�صة: يجب ت�سجيع املدر�سني على اإدراك التحديات التي تعيق بناء عالقات فعالة مع الدار�سني يف املراحل االأوىل من التدري�س. A total of 21 preceptors from Sultan Qaboos University Hospital participated in the study as part of a training workshop for nurse preceptors. keywords: building; challenges; doi; experience; group; nursing; preceptee; preceptors; preceptorship; relationships; strategies; students; study cache: squmj-1964.pdf plain text: squmj-1964.txt item: #754 of 1636 id: squmj-1965 author: None title: squmj-1965 date: 2014-09-30 words: 6846 flesch: 56 summary: A self-reported 24-item questionnaire was used to measure EBP practices, attitudes and knowledge/skills among a convenience sample of 600 nurses working in four governmental hospitals in Muscat, Oman. Self-reported questionnaires were designed to fulfill the following research objectives: (1) to determine perceptions of EBP practice, attitudes, knowledge and skills among nurses in Oman; (2) to discover perceived barriers to the implementation of EBP; (3) to investigate associations between selected demographic variables (age, gender, nationality, academic qualifications, years of experience and year of last academic degree) and perceived EBP practice, attitudes, knowledge/skills and barriers, and (4) to detect associations between perceived barriers to EBP and perceived EBP practice, attitudes, and knowledge/ skills. keywords: attitudes; barriers; doi; ebp; evidence; knowledge; nurses; nursing; oman; practice; research; skills; study; years cache: squmj-1965.pdf plain text: squmj-1965.txt item: #755 of 1636 id: squmj-1966 author: None title: squmj-1966 date: 2014-09-30 words: 3536 flesch: 59 summary: مفتاح الكلمات: الأمرا�س الفريو�ضية؛ الفريو�ضات؛ الفريو�س امل�ضخم للخاليا؛ فريو�س اجلهاز التنف�ضي املخلوي؛ الر�ضع؛ الأطفال؛ عمان. Khamis FA, Al-Kobaisi MF, Al-Areimi WS, Al-Kindi H, Al- Zakwani I. Epidemiology of respiratory virus infections among infants and young children admitted to hospital in Oman. keywords: care; children; cmv; infants; infections; patients; picu; respiratory; study; virus; viruses cache: squmj-1966.pdf plain text: squmj-1966.txt item: #756 of 1636 id: squmj-1967 author: None title: squmj-1967 date: 2014-09-30 words: 3197 flesch: 52 summary: Proposal for medical school nutrition education: Topics and recommendations. However, nutrition education has remained more or less unchanged in the undergraduate medical curriculum. keywords: curriculum; education; graduates; instruction; medical; nutrition; respondents; survey; undergraduate; university cache: squmj-1967.pdf plain text: squmj-1967.txt item: #757 of 1636 id: squmj-1968 author: None title: squmj-1968 date: 2014-09-30 words: 4193 flesch: 57 summary: Conclusion: This study suggests that hepatobiliary complications are common among SCD patients and the likelihood of developing such complications increases as patients age. Gallstone prevalence often increases in SCD patients over the age of five years.8 To the best of the authors’ knowledge, no previous studies have been done to characterise hepatobiliary complications among SCD patients in Yemen. keywords: age; blood; cell; cholecystitis; complications; disease; gallstones; hepatitis; hospital; patients; scd; sickle; sludge; study; yemen cache: squmj-1968.pdf plain text: squmj-1968.txt item: #758 of 1636 id: squmj-1969 author: None title: squmj-1969 date: 2014-09-30 words: 3419 flesch: 57 summary: Keywords: Eosinophilic Pneumonia; Cytomegalovirus; Lymphocytic Leukemia; Bronchoalveolar Lavage; Immuno- compromised Patients; Case Report; Oman. امللخ�ص: يعترب ت�سخي�ص االلتهاب الرئوي االيزينوفيلي نادراً يف املر�سى امل�سابني ب�رسطان الدم الليمفاوي احلاد. تعافى املري�ص ب�سكل كامل بعد عالجه بعقاري الربيدنيزولون واجلان�سيكلوفري. keywords: acute; blood; case; cmv; doi; eosinophilic; infection; patient; pcr; pneumonia; report cache: squmj-1969.pdf plain text: squmj-1969.txt item: #759 of 1636 id: squmj-1970 author: None title: squmj-1970 date: 2014-09-30 words: 2766 flesch: 52 summary: مزيد من الفح�ش ال�رسيري والت�شوير ك�شف ورم �شحائي للجبهة الي�رسى مع تغريات عظمية مفتاح الكلمات: الورم ال�شحائي؛ داخل العظم؛ قبي؛ تقرير حالة؛ عمان. keywords: bone; bony; case; changes; meningioma; report; sinuses; sinusitis cache: squmj-1970.pdf plain text: squmj-1970.txt item: #760 of 1636 id: squmj-1971 author: None title: squmj-1971 date: 2014-09-30 words: 2508 flesch: 63 summary: Normal thyroid tissue gives the appearance of enhancement without a contrast injection due to the presence of iodine in the thyroid.2,10,11 The treatment of ectopic thyroid tissue depends on the size of the tissue as well as the presence or absence of symptoms and complicating factors such as ulceration, haemorrhage or malignancy. We report an unusual presentation of ectopic thyroid tissue occurring in the submental area. keywords: case; doi; ectopic; iodine-131; lingual; patient; report; thyroid; tissue cache: squmj-1971.pdf plain text: squmj-1971.txt item: #761 of 1636 id: squmj-1972 author: None title: squmj-1972 date: 2014-09-30 words: 2106 flesch: 58 summary: مت تخييط املوقع اجلراحي وخرجت املري�سة يف اليوم نف�سه. مفتاح الكلمات: االأورام اجللدية؛ غدد العرق؛ ال�سفة العليا؛ الت�سخي�س اخلاطئ؛ �رسطان اخلاليا القاعدية؛ تقرير حالة؛ عمان. مل تكن حماوالت ت�سخي�سه وعالجه ال�سابقة ناجحة. keywords: case; cells; lesion; lip; papilliferum; scap; syringocystadenoma; tumour cache: squmj-1972.pdf plain text: squmj-1972.txt item: #762 of 1636 id: squmj-1973 author: None title: squmj-1973 date: 2014-09-30 words: 2674 flesch: 54 summary: Cystic focal liver lesions in the adult: Differential CT and MR imaging features. A long-term survival case of adult undifferentiated embryonal sarcoma of liver. keywords: case; cystic; diagnosis; doi; lesion; liver; malaysia; sarcoma; tumour; ues; undifferentiated cache: squmj-1973.pdf plain text: squmj-1973.txt item: #763 of 1636 id: squmj-1974 author: None title: squmj-1974 date: 2014-09-30 words: 2334 flesch: 56 summary: اأظهرت الفحو�سات املخربية م�ستويات عالية من اإيجابية الأج�سام امل�سادة للنواة )1:640<(، ونتائج اإيجابية احلم�ض اخللوي ال�سبغي امل�سادة، ووجود م�ستويات منخف�سة من كل من مكونات تكملة 3 و شكل تورم عام يف اجلسم كوثر ال�سفيع، علي ال�سرياوي، بثينة امل�سكري، نفي�سة سمري abstract: Systemic lupus erythematosus (SLE) is an autoimmune disease of unknown aetiology affecting various systems within the body. keywords: anti; case; doi; erythematosus; lupus; oedema; patient; presenting; sle cache: squmj-1974.pdf plain text: squmj-1974.txt item: #764 of 1636 id: squmj-1975 author: None title: squmj-1975 date: 2014-09-30 words: 1088 flesch: 63 summary: In rare cases, Nevo syndrome and cortical lesions can also result in wrist drop.9 Bilateral wrist drop has been reported in cases of paediatric lead poisoning and infantile chronic immune- mediated demyelinating polyneuropathy.10,11 Guillain- Barré syndrome and human immunodeficiency virus can also produce neuropathy and wrist drop.8 Bilateral transient wrist drop was reported in a one-month-old baby after adhesive bandages were applied to both forearms in order to stabilise intravenous cannulas.12 SMA and poliomyelitis are other conditions which can result in wrist drop.11 The presentation of wrist drop in children with SMA type I is very rare. A case of SMA type I in an infant, with bilateral wrist drop at presentation, is described below. keywords: doi; drop; nerve; sma; type; wrist cache: squmj-1975.pdf plain text: squmj-1975.txt item: #765 of 1636 id: squmj-1976 author: None title: squmj-1976 date: 2014-09-30 words: 868 flesch: 51 summary: Comment Diffuse large B-cell lymphoma, leg type is a subset of primary cutaneous lymphoma, characterised by the presence of nodules or tumours on the legs of elderly people, mainly females.1 It represents 1–4% of all cutaneous lymphomas and has a five-year survival rate of less than 50%.2 This form of lymphoma was identified as an independent entity in the classification of cutaneous lymphomas developed by the European Organisation for Research and Treatment of Cancer.3 WHO-EORTC classification for cutaneous lymphomas. keywords: cell; diffuse; leg; lymphoma cache: squmj-1976.pdf plain text: squmj-1976.txt item: #766 of 1636 id: squmj-1977 author: None title: squmj-1977 date: 2014-09-30 words: 1377 flesch: 43 summary: plagiarism of text; mosaic plagiarism; duplicate publication or salami slicing; self-plagiarism, and cyber-plagiarism. The World Association of Medical Editors (WAME) has explicitly defined plagiarism as the “use of others’ published and unpublished ideas or words (or other intellectual property) without attribution or permission, and presenting them as new and original rather than derived from an existing source”.1 It can take various forms, including the plagiarism of ideas; keywords: article; author; editor; medical; plagiarism cache: squmj-1977.pdf plain text: squmj-1977.txt item: #767 of 1636 id: squmj-1978 author: None title: squmj-1978 date: 2014-09-30 words: 1039 flesch: 58 summary: Surprisingly, there were no cases of birth defects reported. Recently, there is increasing evidence that infertility or subfertility is an independent risk factor for obstetrical complications and adverse perinatal outcomes, even without the use of ART.4 Second, birth defects are common in Oman with a substantial birth prevalence of major malformations (25.2 per 1,000 births), where genetic factors were found to be generally implicated for 63.4% of congenital malformations.5 I presume that the reasons behind the lack of cases of birth defects in Al-Shukri et al.’s study might be related to the short three-year study period (between January 2009 and December 2011) as well as to the other three limitations already mentioned by the authors, namely the small study population (n = 18), the retrospective nature of the study and the fact that it was a single centre experience.1 keywords: birth; defects; oman cache: squmj-1978.pdf plain text: squmj-1978.txt item: #768 of 1636 id: squmj-1979 author: None title: squmj-1979 date: 2014-09-24 words: 10203 flesch: 42 summary: Since 10–15% of BC and OC cases may occur due to genetic mutations in, for example, the BRCA1 and BRCA2 genes, the National Genetic Centre was approached by clinicians and patients to start genetic testing services for BC and OC. Of all CRC cases, 5–10% are due to genetic mutations in certain genes such as the APC gene. keywords: author; cancer; cases; diagnosis; disease; families; family; genes; genetic; hospital; mail; medical; molecular; muscat; mutations; oman; patients; qaboos; study; sultan; syndrome; testing; university; years cache: squmj-1979.pdf plain text: squmj-1979.txt item: #769 of 1636 id: squmj-1980 author: None title: squmj-1980 date: 2015-01-21 words: 2337 flesch: 58 summary: 8 Nov 14 Accepted 11 Nov 14 In this issue of SQUMJ, Jafferbhoy et al. have shared their regional experience about the impact of adding positron emission tomography (PET)/computed tomography (CT) to conventional CT in the preoperative work-up and follow-up of a select group of patients with colorectal cancer.1 In their retrospective study, PET/CT had a major impact in the preoperative and follow-up groups, altering the management of 73% and 64% of cases, respectively. The main indication for using PET/CT in this cohort was either as a problem-solving measure, in cases where conventional CT was equivocal or patients had rising carcinogenic embryonic antigen levels with negative CT results, or as a confirmatory tool, for patients who had resectable metastatic disease or evidence of disease recurrence on conventional CT. keywords: cancer; doi; oman; patients; pet cache: squmj-1980.pdf plain text: squmj-1980.txt item: #770 of 1636 id: squmj-1981 author: None title: squmj-1981 date: 2015-01-21 words: 2142 flesch: 57 summary: 15 Nov 14 Accepted 18 Nov 14 In this issue of SQUMJ, Al-Maddah et al. reported a significant association between sleep deprivation among medical trainees and depressive indices using the Beck Depression Inventory-2.1 It increases via sleep deprivation and peaks 16 hours after morning awakening and then decreases again during sleep. keywords: chronic; depression; deprivation; disorders; doi; med; sleep cache: squmj-1981.pdf plain text: squmj-1981.txt item: #771 of 1636 id: squmj-1982 author: None title: squmj-1982 date: 2015-01-21 words: 971 flesch: 41 summary: Sudden onset of facial nerve palsy is common in 25–50% of patients with Heerfordt’s syndrome and is normally preceded by enlargement of the parotid gland.1,4 Other potential indications of the syndrome include sensorineural hearing loss, labyrinthine involvement with vestibular dysfunction, epistaxis, nasal pain or obstruction, low-grade non- specific fever, night sweats and visual disturbances.1–3 In their systematic review, Chappity et al. found that the most commonly documented features associated with Heerfordt’s syndrome included symptoms or signs demonstrating the involvement of the seventh or fifth cranial nerves; the presence of parotid swelling; fever, and an array of ophthalmic anomalies.1 Tamme T, Leibur E, Kulla A. Sarcoidosis (Heerfordt syndrome): keywords: heerfordt; nerve; sarcoidosis; syndrome cache: squmj-1982.pdf plain text: squmj-1982.txt item: #772 of 1636 id: squmj-1984 author: None title: squmj-1984 date: 2015-01-21 words: 3558 flesch: 69 summary: Table 1: Age- and sex-standardised prevalence of Paget’s disease of bone among hospital patients aged ≥55 years in various European towns16 Town Prevalence in % UK* 4.6 Bordeaux, France 2.7 Rennes, France 2.4 Nancy, France 2.0 Dublin, Ireland 1.7 Valencia, Spain 1.3 Essen, Germany 1.3 Palermo, Italy 1.0 Porto, Portugal 0.9 Galloway, Ireland 0.7 Athens, Greece 0.5 Crete, Greece 0.5 Malmo, Sweden 0.4 *Prevalence calculated from 31 towns in the UK. Table 2: Age-standardised prevalence of Paget’s disease of bone in African-American and Caucasian residents in two cities in the USA20 City Ethnic group Prevalence in % Men Women Both New York African 3.3 2.0 2.6 New York Caucasian 5.2 2.5 3.9 Atlanta African 1.9 0.6 1.2 Atlanta Caucasian 0.9 0.8 0.9 Figure 1: Radiograph of the pelvis of a 73-year-old patient originally from Sierra Leone with widespread Paget’s disease of the bone. keywords: bone; cases; disease; doi; european; med; new; paget; patients; pdb; populations; prevalence; years cache: squmj-1984.pdf plain text: squmj-1984.txt item: #773 of 1636 id: squmj-1985 author: None title: squmj-1985 date: 2015-01-21 words: 4991 flesch: 56 summary: In this respect, both policymakers and stakeholders in the Netherlands have accepted the health workforce planning system and the model.3 The aim of this review is to highlight the importance of health workforce planning and to describe available models and methods. In addition, this review will examine the extent to which health workforce planning processes have been successful in reaching a balance between supply and demand, both internationally and in Oman. keywords: approach; demand; doi; health; healthcare; hhr; human; needs; oman; planners; planning; public; resources; services; workers; workforce cache: squmj-1985.pdf plain text: squmj-1985.txt item: #774 of 1636 id: squmj-1986 author: None title: squmj-1986 date: 2015-01-21 words: 5843 flesch: 63 summary: Conversely, WHO/ISH risk prediction charts were published according to incremental risk categories and estimates were therefore presented as proportions of subjects with ≥30% risk over 10 years. Since WHO/ISH charts were developed to be region-, country- and income- specific, the Eastern Mediterranean Region charts in category B were utilised as Oman falls within this regional and income category.15 Tests for linear trends in CVD risk were conducted using logistic regression analyses, in which the survey period was used as a continuous independent variable and 10-year CVD risk as the dependent variable. keywords: adults; cardiovascular; cvd; decode; diabetes; disease; doi; factors; health; mean; oman; risk; score; study; survey; year cache: squmj-1986.pdf plain text: squmj-1986.txt item: #775 of 1636 id: squmj-1987 author: None title: squmj-1987 date: 2015-01-21 words: 5226 flesch: 62 summary: باالإ�ضافة اإىل اأن النتائج ت�ضري اإىل اأن املر�ضى احلاملني مل�ضادات االأج�ضام �ضد الفريو�س اأكرث عر�ضة للإ�ضابة بداء ال�ضكري مقارنة باملر�ضى الذين ال يحملونها. مفتاح الكلمات: الكبدي االلتهاب الكبدي الوبائي �ضي؛ االأج�ضام امل�ضادة للفريو�س؛ ثل�ضيميا بيتا؛ االنت�ضار امل�ضلي؛ نقل الدم؛ �ضلمة الدم؛ عمان. اخلال�صة: من املرجح اأن ارتفاع معدل انت�ضار فريو�س التهاب الكبدي الوبائي �ضي بني مر�ضى الثل�ضيميا متعددي نقل الدم يف عمان �ضببه عمليات نقل الدم التي يعود تاريخها قبل بدء تنفيذ keywords: blood; doi; hcv; hepatitis; infection; major; med; oman; patients; prevalence; screening; study; thalassaemia; transfusions; virus cache: squmj-1987.pdf plain text: squmj-1987.txt item: #776 of 1636 id: squmj-1988 author: None title: squmj-1988 date: 2015-01-21 words: 4856 flesch: 57 summary: خ�ضعوا لفح�س بالت�ضوير بـ وكانت اجلراحية، للإزالة قابل ال�رضطان يف انت�ضار لديهم املر�ضى اأولئك وكان التقليدية. امللخ�ص: الهدف: ت�ضتخدم فحو�ضات الت�ضوير املقطعي )CT( روتينيا يف التحديد االأويل ملر�س �رضطان القولون وامل�ضتقيم، ويف مراقبة يف اإال واالأذى االإ�ضابات keywords: 18f; cancer; colorectal; disease; fdg; findings; imaging; impact; metastases; patients; pet; results; study; tomography cache: squmj-1988.pdf plain text: squmj-1988.txt item: #777 of 1636 id: squmj-1989 author: None title: squmj-1989 date: 2015-01-21 words: 7625 flesch: 55 summary: اخلال�صة: عند املقارنة مع طريقة �ضانقر التقليدية لقيا�س الت�ضل�ضل جند اأن باإمكان �ضري عمل الـ MPS اأن يقلل تكلفة التحري الت�ضخي�ضي لـ BRCA1/2 ويخت�رض من زمنه. M Het Het Het Hom Het Het Het c.1365A>G p.Ser455Ser keywords: analysis; brca1/2; brca2; breast; cancer; data; dna; doi; genes; het; het het; hom; missense; mps; mutations; patients; pcr; regions; sanger; screening; sequence; sequencing; study; variants cache: squmj-1989.pdf plain text: squmj-1989.txt item: #778 of 1636 id: squmj-1990 author: None title: squmj-1990 date: 2015-01-21 words: 5168 flesch: 58 summary: Therefore, the aim of this meta-analysis was to determine the reliability of ESI triage scales. Conclusion: ESI triage scales showed an acceptable level of overall reliability. keywords: adult; agreement; analysis; doi; emergency; esi; index; inter; kappa; meta; paediatric; reliability; scale; scenario; scenario scenario; severity; studies; triage cache: squmj-1990.pdf plain text: squmj-1990.txt item: #779 of 1636 id: squmj-1991 author: None title: squmj-1991 date: 2015-01-21 words: 5048 flesch: 57 summary: Sleep deprivation is common among medical residents of all specialties. This study aimed to determine the prevalence of sleep deprivation and depressive symptoms among medical residents in King Fahd University Hospital (KFUH) in Al Khobar, Saudi Arabia. keywords: depressive; deprivation; hours; night; number; prevalence; residents; saudi; sleep; sleep deprivation; sleepiness; study; symptoms; working cache: squmj-1991.pdf plain text: squmj-1991.txt item: #780 of 1636 id: squmj-1994 author: None title: squmj-1994 date: 2015-01-21 words: 3788 flesch: 59 summary: The results of this study will raise awareness among primary care physicians in the GCC region regarding the favourable outcomes for HB patients receiving treatment in Oman. As can be seen by the minimal number of HB patients observed in the present study despite the lengthy study period, the incidence of HB in Oman is low. keywords: chemotherapy; doi; hepatoblastoma; liver; oman; paediatric; patients; study; survival; treatment; tumour cache: squmj-1994.pdf plain text: squmj-1994.txt item: #781 of 1636 id: squmj-1995 author: None title: squmj-1995 date: 2015-01-21 words: 5105 flesch: 60 summary: باالإ�ضافة اإىل ذلك كان �ضن الوليد عند حتقيقه التغذية املعوية الكاملة مرتبطا بطول مدة االإقامة ويقرتح اإجراء املزيد من االأبحاث حول هذا املو�ضوع ال�ضتك�ضاف هذه العلقة مبزيد من التف�ضيل يف امل�ضتقبل. مفتاح الكلمات: حديثي الوالدة؛ وحدة العناية املركزة لألطفال حديثي الوالدة؛ طول مدة االإقامة؛ االإ�ضابة باالأمرا�س؛ عمان. اأجريت هذه الدرا�ضة اال�ضتعادية يف م�ضت�ضفى جامعة ال�ضلطان قابو�س ، يف م�ضقط، �ضلطنة عمان. keywords: age; care; days; doi; factors; gestational; hospital; length; neonatal; neonates; prolonged; stay; study; surgery cache: squmj-1995.pdf plain text: squmj-1995.txt item: #782 of 1636 id: squmj-1996 author: None title: squmj-1996 date: 2015-01-21 words: 5434 flesch: 61 summary: In the comparison between the control and fasting intervention groups of overweight or obese Malay women, most baseline characteristics were similar. Two weight loss intervention programmes were developed and implemented among groups of overweight or obese Malay women living in the Malaysian cities of Putrajaya and Seremban: a standard programme promoting control of food intake according to national dietary guidelines (group B) and a faith-based programme promoting voluntary fasting in addition to the standard programme (group A). keywords: consumption; control; dietary; doi; faith; fasting; group; hdl; health; intervention; loss; post; ramadan; study; weight cache: squmj-1996.pdf plain text: squmj-1996.txt item: #783 of 1636 id: squmj-1997 author: None title: squmj-1997 date: 2015-01-21 words: 5128 flesch: 51 summary: The use of simulation as an effective educational methodology is well-recognised and its use is now widespread in the training of health professionals worldwide, including nursing.1–4 A recent systematic review and meta-analysis by Cook et al. concluded that, when used among healthcare professionals, technology-enhanced simulation training yields consistently positive outcomes with regards to the improvement of knowledge, skills and behaviours.5 Within the framework of nursing theory, Benner’s novice to expert model and Kolb’s experiential learning theory have provided support for the use of simulation in the nursing curriculum.6,7 Jeffries developed a framework for designing, implementing and evaluating simulations used as teaching strategies for nursing students while highlighting the importance of understanding student factors, including their comfort level.8 This study assessed the perceived benefits of a PSBT teaching-learning strategy in enhancing knowledge, skills, patient safety practices and confidence among nursing students at SQU. keywords: care; confidence; doi; knowledge; learning; maternity; nursing; outcomes; patient; psbt; safety; simulation; skills; students; study; training; undergraduate cache: squmj-1997.pdf plain text: squmj-1997.txt item: #784 of 1636 id: squmj-1998 author: None title: squmj-1998 date: 2015-01-21 words: 2706 flesch: 60 summary: يف الكويت كو�ضوم كابيل، برمي ن. �ضارما، �ضاره �س.جورج، عّزة Data management, analysis and graphical presentation were completed using the Statistical Table 1: Spectrum of cervical cytology smear diagnoses during three seven-year periods between 1992 and 2012 (N = 135,766) Period P value 1 1992–1998 2 1999–2005 3 2006–2012 Total 1992–2012 Period 1 versus 2 Period 2 versus 3 Period 1 versus 3 Total, n 40,806 52,728 46,870 140,404 Satisfactory smears, n (%) 38,079 (93.3) 51,990 (98.6) 45,697 (97.5) 135,766 (96.7) 0.001 0.001 0.001 Cytological diagnosis, n (%) ASCUS 587 (1.54) 1,363 (2.62) 1,262 (2.76) 3,212 (2.37) 0.001 0.183 0.001 AGUS/AGC 160 (0.42) 543 (1.04) 389 (0.85) 1,092 (0.80) 0.001 0.002 0.001 LSIL 400 (1.05) 487 (0.94) 410 (0.90) 1,297 (0.95) 0.094 0.540 0.026 HSIL 92 (0.24) 106 (0.20) 96 (0.21) 294 (0.22) 0.262 0.887 0.375 Carcinoma 28 (0.07) 60 (0.12) 30 (0.07) 118 (0.09) 0.060 0.014 0.764 keywords: ascus; cancer; cells; cytology; hospital; kuwait; period; smears; year cache: squmj-1998.pdf plain text: squmj-1998.txt item: #785 of 1636 id: squmj-1999 author: None title: squmj-1999 date: 2015-01-21 words: 3084 flesch: 62 summary: In addition, DM patients are predisposed to complications that are also associated with SCD, including infections, renal failure and retinopathy. ا�ضتملت هذه الدرا�ضة املقطعية على كل مر�ضى فقر الدم املنجلي البالغني الذين اأدخلوا اإىل م�ضت�ضفى ال�ضلمانية الطبي يف البحرين، من �ضنة 2003 اإىل �ضنة 2010 ) keywords: bahrain; cell; diabetes; disease; patients; population; prevalence; scd; study cache: squmj-1999.pdf plain text: squmj-1999.txt item: #786 of 1636 id: squmj-2000 author: None title: squmj-2000 date: 2015-01-21 words: 2673 flesch: 60 summary: متت هذه الدرا�ضة يف م�ضت�ضفى امللك في�ضل التخ�ض�ضي ومركز االأبحاث، الريا�س، اململكة العربية ال�ضعودية، وم�ضت�ضفى جامعة ال�ضلطان قابو�س، م�ضقط، �ضلطنة عمان، بني عامي 1988 و 2102م. ه لق�رض الكظر )ACTH( امل�ضبب ملر�س كو�ضنج غالبا ما يكون ب�ضبب ورم �ضغري يف الغدة امللخ�ص: الهدف: اإن زيادة اإفراز الهرمون املوِجّ النخامية ويف معظم االأحيان ال ميكن حتديد الورم باأ�ضعة الرنني املغناطي�ضي، كما اأن اإفراز هذا الهرمون keywords: acth; cortisol; cushing; ectopic; levels; octreotide; patients; pituitary; study; syndrome; trial cache: squmj-2000.pdf plain text: squmj-2000.txt item: #787 of 1636 id: squmj-2001 author: None title: squmj-2001 date: 2015-01-21 words: 3166 flesch: 55 summary: Heerfordt syndrome initially presenting with subcutaneous mass lesions: Usefulness of gallium-67 scans before and after treatment. [A case of abortive type of Heerfordt syndrome associated with paralysis of trigeminal nerve]. keywords: case; doi; heerfordt; involvement; nerve; palsy; parotid; present; sarcoidosis; syndrome; treatment; uveitis cache: squmj-2001.pdf plain text: squmj-2001.txt item: #788 of 1636 id: squmj-2002 author: None title: squmj-2002 date: 2015-01-21 words: 2090 flesch: 60 summary: A retrospective in-depth family history revealed the absence of trichilemmal cysts occurring in any other members of the family (either paternal or maternal). Trichilemmal cysts are lined by stratified squamous epithelium. keywords: case; cyst; excision; hypospadias; patient; penis; repair; trichilemmal cache: squmj-2002.pdf plain text: squmj-2002.txt item: #789 of 1636 id: squmj-2003 author: None title: squmj-2003 date: 2015-01-21 words: 1835 flesch: 56 summary: The child presented with clinical features of cerebellar mutism but underwent a rapid and spontaneous recovery. Magnetic resonance imaging (MRI) of the brain revealed right cerebellar oedema and a resolving small right cerebellar contusion without supratentorial lesions keywords: case; cerebellar; doi; mutism; oedema; report cache: squmj-2003.pdf plain text: squmj-2003.txt item: #790 of 1636 id: squmj-2004 author: None title: squmj-2004 date: 2015-01-21 words: 2747 flesch: 58 summary: �ضكل ازدواج القو�س االأبهري �ضغطا على الق�ضبة الهوائية يف جميع املر�ضى ، مما اأدى اإىل ظهور اأعرا�س اجلهاز التنف�ضي و م�ضاكل يف التغذية. يجب على االأطباء املمار�ضني حتويل جميع هوؤالء املر�ضى اإىل م�ضت�ضفى مركزي الإجراء مزيد من الفحو�ضات والعلج. مفتاح الكلمات: ت�ضوهات االأوعية الدموية؛ متلزمة القو�س االأبهري؛ الربو؛ الت�ضويراملقطعي الأ�ضعة اإك�س؛ ال�ضفري؛ �رضير؛ تقرير حالة؛ عمان. keywords: aortic; arch; case; chest; children; daa; oesophagus; symptoms; trachea; vascular; wheezing cache: squmj-2004.pdf plain text: squmj-2004.txt item: #791 of 1636 id: squmj-2005 author: None title: squmj-2005 date: 2015-01-21 words: 1666 flesch: 57 summary: Although his SF levels had fallen from 7,400 ng/mL to 6,042 ng/mL by the end of the trial in 2008, MRI T2* images revealed significant cardiac and hepatic siderosis (4.5 ms and 25.6 mg/gdw, respectively) MRI T2* imaging has been used at the Sultan Qaboos University Hospital (SQUH) in Muscat, Oman, as part of the regular management of TM patients since 2006. keywords: cardiac; iron; mri cache: squmj-2005.pdf plain text: squmj-2005.txt item: #792 of 1636 id: squmj-2006 author: None title: squmj-2006 date: 2015-01-21 words: 1514 flesch: 54 summary: This article reports a case of Bart syndrome with ear malformation in a female Egyptian Figure 1A–E: Photographs showing a case of Bart syndrome with ear malformation in a female Egyptian newborn. In some families, a link to the gene for type VII collagen has been demonstrated, suggesting that this is the mutational site.2 The diagnosis of aplasia cutis congenita, including Bart syndrome, is primarily a clinical diagnosis based on the classical cutaneous findings; the extent of involvement depends on the mode of inheritance.3 In the family of the current case, only female infants were affected. keywords: bart; dermatol; doi; lesions; skin; syndrome cache: squmj-2006.pdf plain text: squmj-2006.txt item: #793 of 1636 id: squmj-2007 author: None title: squmj-2007 date: 2015-01-21 words: 1241 flesch: 52 summary: Further investigations revealed low serum carnitine levels at 13 micromoles/L (normal range: 25–54 micromoles/L). In this case, low serum carnitine levels and the observed clinical recovery following supplementation of oral carnitine were enough to confirm the diagnosis of valproate-induced myopathy. keywords: absence; carnitine; deficiency; valproate cache: squmj-2007.pdf plain text: squmj-2007.txt item: #794 of 1636 id: squmj-2008 author: None title: squmj-2008 date: 2015-01-21 words: 684 flesch: 52 summary: Moreover, they mentioned that all three BTM women underwent T2* magnetic resonance imaging (MRI) before and soon after their pregnancy in order to determine iron status. All three patients, and in particular the first two patients, had increased liver iron loads during their pregnancies. keywords: iron; patients cache: squmj-2008.pdf plain text: squmj-2008.txt item: #795 of 1636 id: squmj-2009 author: None title: squmj-2009 date: 2015-05-27 words: 2002 flesch: 57 summary: E) Provide technical support to Member States in the implementation in particular regarding the safety of herbal medicines and of traditional and complementary medicine practices.17 Due to the rise of chronic and lifestyle diseases in Oman,12 emerging medical conditions require a more novel approach than the existing ‘cure-oriented’ healthcare system.18,19 By virtue of the chronic nature of a lifestyle disease, and as these diseases are often being impervious to available biomedical care, those afflicted by these diseases may be more inclined to utilise both allopathic medicine and alternative medicine. There is a wide misconception that herbal medicines are derived from natural sources and are therefore non- toxic and safe. keywords: drug; effects; health; medicines; public; safety cache: squmj-2009.pdf plain text: squmj-2009.txt item: #796 of 1636 id: squmj-2010 author: None title: squmj-2010 date: 2015-05-27 words: 2212 flesch: 52 summary: With the establishment of an oncology service at the Sultan Qaboos University Hospital and an oncology centre at the Royal Hospital in Muscat, Oman, PET imaging is becoming a necessity. Pilot study of change in MDCT attenuation as a surrogate marker for future FDG PET response. keywords: 18f; cancer; doi; imaging; patients; pet cache: squmj-2010.pdf plain text: squmj-2010.txt item: #797 of 1636 id: squmj-2011 author: None title: squmj-2011 date: 2015-05-27 words: 1554 flesch: 58 summary: It is debatable whether adult HB occurs as an entity. The main differential diagnosis of adult HB is HCC.1 Unfortunately, there are no typical features of HB that are visible on ultrasound, computed tomography (CT) or magnetic resonance imaging (MRI) of the liver. keywords: adult; doi; hepatoblastoma; liver cache: squmj-2011.pdf plain text: squmj-2011.txt item: #798 of 1636 id: squmj-2012 author: None title: squmj-2012 date: 2015-05-27 words: 10658 flesch: 52 summary: doi: 10.1016/j. trre.2011.02.003. 3. doi: 10.1517/14712598.7.10.1575. keywords: activation; alzheimer; cell; class; damage; damps; death; diseases; doi; factor; immune; immunity; immunol; inflammasome; inflammation; injury; innate; nlrp3; pathways; patterns; protein; receptors; response; role; signalling; stress; upr; vascular cache: squmj-2012.pdf plain text: squmj-2012.txt item: #799 of 1636 id: squmj-2013 author: None title: squmj-2013 date: 2015-05-27 words: 4450 flesch: 50 summary: Structurally, Ebola viruses consist of three layers: a surface glycoprotein layer, a lipid membrane envelope unit and an internal tubular helical nucleocapsid.4,9 The virus surface layer consists of glycoprotein spikes, each about 7–10 nm long, spaced at about 10 nm intervals. In their innate states, Ebola viruses exist as filamentous and pleomorphic structures, often taking on different shapes. keywords: bats; disease; doi; ebola; ebola virus; fever; haemorrhagic; infection; marburg; patients; response; transmission; virus; viruses cache: squmj-2013.pdf plain text: squmj-2013.txt item: #800 of 1636 id: squmj-2014 author: None title: squmj-2014 date: 2015-05-27 words: 5016 flesch: 63 summary: Thus, the data for the current study were obtained from reports of the Oman National Health Information Statistics (NHIS), which cover the period of 1970 to 2012; these data were included in the MOH’s 2012 Annual Health Report.16 Data were also extracted from other national-level health surveys such as the 2000 Oman National Health Survey (ONHS) and the 2008 Oman World Health Survey (OWHS).17,18 A recent hospital-based study reported that about 10% of births in Oman are Table 2: Regional variations in low birth weight rates in Oman* Region Rate per year 2012 2000 Muscat 9.95 5.5 Dhofar 7.79 6.0 Al-Dakhiliyah 11.12 10.4 Ash Sharqiyah (north) 9.90 10.8 Ash Sharqiyah (south) keywords: age; birth; data; doi; health; infants; lbw; mortality; nhis; oman; rate; weight cache: squmj-2014.pdf plain text: squmj-2014.txt item: #801 of 1636 id: squmj-2015 author: None title: squmj-2015 date: 2015-05-27 words: 5409 flesch: 60 summary: Advice issued for asthma control by GINA was mostly disregarded, especially in children, evidenced by the fact that 44% cited nocturnal awakenings due to asthma symptoms in the previous four weeks and 47% recalled exercise- induced asthma symptoms in the previous year. In addition, Oman features regional discrepancies in asthma prevalence, with Ash Sharqiyah playing host to the highest rate of asthma in the country. keywords: asthma; childhood; children; control; cost; doi; isaac; oman; patients; prevalence; study; symptoms; year cache: squmj-2015.pdf plain text: squmj-2015.txt item: #802 of 1636 id: squmj-2016 author: None title: squmj-2016 date: 2015-05-27 words: 8187 flesch: 60 summary: The main objective of this paper, therefore, is to describe key characteristics of heavy vehicle crashes in Oman and identify the key driving behaviours that influence fatality risks. In 2010, heavy vehicles represented 12.5% of registered vehicles in Oman.7 However, research from other countries suggests that mortality and morbidity as a result of heavy vehicle crashes are proportionally higher than their percentage of registrations.8 In Finland, between 1990 and 1997, heavy vehicles represented approximately 6% of registered vehicles yet accounted for 16% of crashes.8 Research to date has yet to explore heavy vehicle crashes within Oman. keywords: crashes; data; drivers; factors; fatalities; fatality; fatigue; heavy; likelihood; oman; research; road; safety; traffic; truck; vehicle cache: squmj-2016.pdf plain text: squmj-2016.txt item: #803 of 1636 id: squmj-2017 author: None title: squmj-2017 date: 2015-05-27 words: 4217 flesch: 55 summary: Moreover, two months after thyroid hormone replacement, serum Na levels in the infants had not changed significantly.31 In this study, the elimination of previously postulated factors that can affect Na handling in paediatric populations, such as malnutrition, acute gastroenteritis, renal tubular disorders and syndrome of inappropriate ADH secretion, did not confirm the claimed direct hyponatraemia-hypothyroidism link.31 Although serum Na did not show a significant correlation with TSH and free T4 levels, a significant correlation was seen between free T3 levels and serum Na levels. keywords: cases; doi; evidence; hyponatraemia; hypothyroidism; levels; mmol; patients; renal; serum; tsh; vasopressin; water cache: squmj-2017.pdf plain text: squmj-2017.txt item: #804 of 1636 id: squmj-2018 author: None title: squmj-2018 date: 2015-05-27 words: 3840 flesch: 58 summary: This is likely to contribute both to the under-diagnosis and to the under-reporting of ASD cases. هذا املقال ي�سلط ال�سوء على بع�ض العوامل التي ميكن اأن ت�سهم يف ظهور ذلك keywords: asd; autism; children; disorders; doi; factors; health; oman; population; prevalence; spectrum cache: squmj-2018.pdf plain text: squmj-2018.txt item: #805 of 1636 id: squmj-2019 author: None title: squmj-2019 date: 2015-05-27 words: 7365 flesch: 65 summary: The European Molecular Genetics Quality Network’s best practice guidelines for genetic analysis in hereditary breast ovarian cancer recommend that the identification of BRCA gene VUS do not “provide a basis for changing the clinical management of the patient or for offering predictive testing to at risk relatives”.6 The protocol which the authors have established for interpreting BRCA gene missense variants includes: (1) Checking the Breast Cancer Information Core (BIC)and IARC databases;8,16 (2) Checking the dbSNP for classification and minor allele frequency;19 (3) Undertaking splice site predictions using the online Splice Site Prediction by Neural Network and ASSP tools,11,13 and (4) Undertaking in silico protein analysis using the Grantham score PolyPhen SIFT BLink, SNPs&GO and PROVEAN.2,20,28,32,40 Clare Brookes, Stella Lai, Elaine Doherty and Donald R. Love Clinical and Basic Research | e223 Discussion The results presented here illustrate a major problem in interpreting missense BRCA1/2 gene variants. keywords: analysis; brca1; cancer; doi; gene; missense; oct; programmes; silico; variants cache: squmj-2019.pdf plain text: squmj-2019.txt item: #806 of 1636 id: squmj-2020 author: None title: squmj-2020 date: 2015-05-27 words: 6503 flesch: 63 summary: وا�ستخدمت �سجالت ال�سكري والدرا�سات املن�سورة لتحديد معدالت االإ�سابة بالنوعني االأول والثاين. الطريقة: جرى حتليل ثالثة م�سوح وطنية وثالثة م�سوح اإقليمية اأجريت بني عامي 1991م و 2010م للح�سول على معدل االنت�سار املعدل بح�سب العمر ون�سبة االأفراد غري امل�سخ�سني بالنوع الثاين من ال�سكري بني االأفراد الذين ترتاوح اأعمارهم 20 �سنة فاأكرث. keywords: cases; data; diabetes; doi; fpg; glucose; health; incidence; mellitus; national; oman; prevalence; rates; study; years cache: squmj-2020.pdf plain text: squmj-2020.txt item: #807 of 1636 id: squmj-2021 author: None title: squmj-2021 date: 2015-05-27 words: 5181 flesch: 56 summary: 15 (40) 16 (27) 0.203 Sildenafil, n (%) 2 (5) 4 (7) 1.000 Midazolam, n (%) 5 (13) 6 (10) 0.650 Caffeine, n (%) 32 (84) 52 (88) 0.580 PNAC = parenteral nutrition associated cholestasis; GA = gestational age; SD = standard deviation; BW = birth weight; SGA = small for gestational age; 28 Sep & 26 Dec 14 Accepted 15 Jan 14 1Department of Child Health, Sultan Qaboos University Hospital, Muscat, Oman; 2Department of Medicine, Armed Forces Hospital, Muscat, Oman; 3Department of Pharmacology & Clinical Pharmacy, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman; 4Oman Medical Speciality Board, Muscat, Oman *Corresponding Author e-mail: siham_ss@hotmail.com عوامل و نسبة حدوث اإلصابة بالركود الصفراوي املرتبط بالتغذية الوريدية يف األطفال العمانيني حديثي الوالدة خربة مركز �رشيف �رشيف، �سهام ال�سنانية، خالد النعماين، اإبراهيم الزكواين، زنيدة �ض. keywords: cholestasis; days; doi; duration; enteral; factors; incidence; neonatal; neonates; nutrition; pnac; risk; study cache: squmj-2021.pdf plain text: squmj-2021.txt item: #808 of 1636 id: squmj-2022 author: None title: squmj-2022 date: 2015-05-27 words: 6277 flesch: 63 summary: In addition, comparing the antigen frequencies in the current study to those from kidney recipients and donors of other ethnic groups (i.e. African-Americans, Caucasians, Asians and Hispanics) included in the UNOS renal registry data on HLA-A, B and DR loci showed that, while the population in the current study differed from the other groups in certain respects, there was a similarity with Hispanics and Caucasians in the highest frequencies of HLA alleles.17 The diversity of the findings of different researchers may be due to the considerable irregularity in the frequency of HLA alleles present in different populations or ethnic groups. The frequencies of HLA alleles and haplotypes and their distribution among donors and renal patients in the UNOS registry. keywords: alleles; controls; disease; drb1; end; failure; frequencies; frequency; hesrf; hla; patients; renal; stage; study; yemen cache: squmj-2022.pdf plain text: squmj-2022.txt item: #809 of 1636 id: squmj-2023 author: None title: squmj-2023 date: 2015-05-27 words: 5294 flesch: 56 summary: اأفاد امل�ساركون اأنهم ح�سلوا على معلومات اإ�سافية عن �سالمة الدواء من م�سادر خمتلفة، وكان االأطباء امل�سدر االأكرث�سيوعا. امل�ساركني يف اال�ستطالع مبعدل %83.5. keywords: adverse; behaviours; beliefs; drug; effects; information; knowledge; median; medicines; participants; patients; public; safety; study cache: squmj-2023.pdf plain text: squmj-2023.txt item: #810 of 1636 id: squmj-2024 author: None title: squmj-2024 date: 2015-05-27 words: 7020 flesch: 64 summary: Median sitting time by domain ± IQR in minutes/day Weekday Weekend day Trans- port Work TV Comp Other LA Trans- port Work TV Comp Other LA Total 30 ± 50 120 ± 210 30 ± 60 60 ± 150 60 ± 92.5 60 ± 120 0 ± 120 60 ± 120 60 ± 180 120 ± 123.5 Age in years 18–29 73 (39.7) 30 ± 80 120 ± 210 150 ± 60** 120 ± 120** 60 ± 105 60 ± 135 0 ± 70 60 ± 120 120 ± 180 120 ± 180 30–48 111 (60.3) 30 ± 60 120 ± 210 60 ± 75** 60 ± 90** 60 ± 105 60 ± 120 0 ± 120 60 ± 120 60 ± 180 120 ± 120 Level of education High school or lower 43 (24.0) 50 ± 111 105 ± 180** 60 ± 120 90 ± 175 60 ± 120 0 ± 58** 0 ± 64** 37 ± 120** 10.5 ± 23** 120 ± 180 Degree 128 (71.5) 30 ± 50 120 ± 199** 30 ± 60 60 ± 131 60 ± 90 120 ± 120** 20 ± 120** 60 ± 118** 120 ± 150** 120 ± 120 Postgraduate qualification 8 (4.5) 25 ± 29 270 ± 150** 30 ± 98 87 ± 128 30 ± 48 90 ± 134** 0 ± 28** 60 ± 68** 30 ± 148** 90 ± 128 Marital status Single 73 (39.9) 30 ± 80 180 ± 248** 2 ± 60** 120 ± 120** 60 ± 90 60 ± 120 0 ± 60 60 ± 120 60 ± 193 120 ± 128 Married 110 (60.1) 20 ± 50 120 ± 150** 60 ± 83** 60 ± 90** 60 ± 100 60 ± 108 0 ± 120 60 ± 120 60 ± 179 120 ± 143 Employment status Employed 119 (66.1) 30 ± 50** 120 ± 195** 30 ± 50 60 ± 90 60 ± 100 90 ± 105 10 ± 120 60 ± 110 60 ± 178 120 ± 120 Unemployed 61 (33.9) 35 ± 95** 120 ± 240** 30 ± 60 120 ± 150 60 ± 120 40 ± 120 0 ± 29 60 ± 120 60 ± 193 120 ± 178 Location Urban 106 (58.9) 30 ± 49 120 ± 210 30 ± 52 60 ± 120 60 ± 100 60 ± 105 0 ± 60 60 ± 120 60 ± 180 120 ± 128 Rural 74 (41.1) 30 ± 74 120 ± 195 30 ± 60 120 ± 150 60 ± 90 67.5 ± 150 0 Accelerometer (n = 80) Age in years 29.6 ± 7.3 31.0 ± 7.1 29.0 ± 8.0 Weight in kg 64.0 ± 16.0 65.1 ± 15.0 61.0 ± 15.0 Height in cm 161.0 ± 66.0 156.2 ± 4.9 156.0 ± 5.0 BMI in kg/m2 25.9 ± 6.3 26.7 ± 5.9 25.1 ± 6.1 SD = standard deviation; IPAQ = International Physical Activity Questionnaire; D-SSTQ = Domain-Specific Sitting Time Questionnaire; BMI = body mass index. keywords: activity; adult; day; health; levels; omani; participants; physical; sitting; study; time; total; women; working cache: squmj-2024.pdf plain text: squmj-2024.txt item: #811 of 1636 id: squmj-2025 author: None title: squmj-2025 date: 2015-05-27 words: 5921 flesch: 55 summary: اجلامعية ال�سنة يف الطبيعي العالج طالب من 14 ل ال�رشيري االأداء تقيم م�ستعر�سة درا�سة خالل من االأداة �سحة املحتوى الأداة ال CCEVI كانت 0.91، بينما تراوحت الن�سبة املئوية لالتفاق على حمتوى موؤ�رشات �سحة )1.00–0.83( مت تثبيت موثوقية تاأكيد ومت .0.97 عموما األفا( )كرونباخ الداخلي االت�ساق كان حني يف ،≥0.6 حتميل بعامل CCEVI ال البنائية ال�سالحية CCEVI مبدى ارتباط بري�سون بني )0.97–0.91 keywords: assessment; ccevi; clinical; competency; content; evaluation; experts; instrument; inter; items; physiotherapy; rater; reliability; students; study; validity cache: squmj-2025.pdf plain text: squmj-2025.txt item: #812 of 1636 id: squmj-2026 author: None title: squmj-2026 date: 2015-05-27 words: 6088 flesch: 63 summary: Table 3 shows the permissible intake levels of selected heavy Table 2: Estimated daily intake rates of selected heavy metals through the consumption of farm produce and seafood from Uyo, Nigeria Food item Daily intake rate of heavy metals in g person-1 day-1 Pb Cd Ni Co Cr Cereals Rice 0.00029 0.00075 0.00483 0.00029 0.00236 Wheat 0.00029 0.00092 0.00236 0.00029 0.00241 Soya bean 0.00029 0.00004 0.00138 0.00029 0.00334 Millet 0.00029 0.00121 0.00225 0.00029 0.00247 Maize 0.00029 0.00127 0.00466 0.00029 0.00270 Fruit Cucumber 0.00029 0.00029 0.00063 0.00029 0.00052 Orange 0.00029 0.00029 0.00029 0.00029 0.00052 Guava 0.00029 0.00029 0.00087 0.00029 0.00063 Watermelon 0.00029 0.00029 0.00080 0.00029 0.00069 Pawpaw 0.00029 0.00029 0.00075 0.00029 0.00052 Root crops Potato 0.00029 0.00063 0.00322 0.00029 0.00368 Yam 0.00029 0.00080 0.00426 0.00029 0.00477 Cocoyam 0.00029 0.00080 0.00477 0.00029 0.00483 Sweet potato 0.00029 0.00087 0.00524 0.00029 0.00495 Water yam 0.00040 0.00092 0.00426 0.00029 0.00466 Vegetables Pumpkin leaf 0.00040 0.00201 0.00895 0.00069 0.00621 Water leaf 0.00029 0.00029 0.00425 0.00029 0.00305 Scent leaf 0.00029 0.00029 0.00391 0.00029 0.00236 Bitter leaf 0.00029 0.00029 0.00431 0.00029 0.00219 Editan leaf 0.00029 0.00029 0.00397 0.00029 0.00225 Seafood Periwinkle 0.00005 0.00020 0.00003 0.00007 0.00061 Crayfish 0.00005 0.00012 0.00006 0.00009 0.00062 Stockfish 0.00005 0.00025 0.00008 0.00004 0.00061 Sabina fish 0.00005 0.00019 0.09398 0.00006 0.00060 Bonga fish 0.00005 0.00019 0.00082 0.00008 0.00061 Pb = lead; Cd = cadmium; Ni = nickel; Co = cobalt; Cr = chromium. Orish E. Orisakwe, Herbert O. C. Mbagwu, Godwin C. Ajaezi, Ukeme W. Edet and Patrick U. Uwana Clinical and Basic Research | e281 concerns associated with heavy metal consumption in Nigeria. keywords: consumption; doi; farm; food; g-1; health; heavy; intake; levels; metals; nigeria; produce; samples; seafood; thq; uyo; μg g-1 cache: squmj-2026.pdf plain text: squmj-2026.txt item: #813 of 1636 id: squmj-2027 author: None title: squmj-2027 date: 2015-05-27 words: 4146 flesch: 59 summary: Cultural differences relating to error disclosure are beginning to emerge from the literature.15 In Oman, the topic of medical errors is openly discussed at the governmental level as well as within the MOH.16 These findings regarding the Omani public’s preferences for error disclosure should be set within the patient safety context, where the overarching goal is to reduce the occurrence of medical errors in Oman. keywords: care; disclosure; doi; error; harm; medical; members; oman; patient; preferences; public; respondents cache: squmj-2027.pdf plain text: squmj-2027.txt item: #814 of 1636 id: squmj-2028 author: None title: squmj-2028 date: 2015-05-27 words: 3016 flesch: 57 summary: each year.4 In addition, it is a well-documented risk factor for coronary artery diseases and multiple malignancies in adults, as well as asthma, middle-ear infections and sudden infant death syndrome.5 In 2005, Oman acceded to the WHO Framework Convention on Tobacco Control (FCTC), a global treaty to reduce the world’s tobacco burden.6 Article 8 of this international framework requires parties to adopt and implement measures to protect individuals from exposure to tobacco smoke in indoor workplaces, indoor public places, public transport and other public places as appropriate.7 In October 2009, for the first time, the Muscat Municipal Council issued a ban on all forms of indoor smoking in public places in the capital city, effective from April 2010.8 This study, conducted in July 2010, aimed to test the extent of compliance with this ban and to monitor SHS levels in a variety of public indoor venues within the Muscat governorate, Oman. The concentration of PM2.5 was lowest in educational, Table 1: Observational findings of tobacco use in public indoor venues by venue type in Muscat, Oman, 2010 Venue type n Frequency in % Smoking Cigarette butts Tobacco smell Signs prohibiting smoking Educational colleges 6 0 0 0 100 Government hospitals 6 0 0 0 100 Government public offices 9 0 0 0 100 Transportation 3 0 0 0 67 Recreation 6 17 0 33 83 Measuring Secondhand Smoke in Muscat, Oman e290 | SQU Medical Journal, May 2015, Volume 15, Issue 2 places (schools, hospitals, government offices and public buses).11 SHS is a pollutant that causes serious illnesses in adults and children.12 There is no risk-free level of SHS exposure; even brief exposure can be detrimental to human health.13 In the current study, the average PM2.5 level detected in the recreational venue where smoking was observed (the waterpipe café), was 256 µg/m3 over a period of 30 minutes. keywords: health; muscat; oman; public; smoke; smoking; study; tobacco; venues cache: squmj-2028.pdf plain text: squmj-2028.txt item: #815 of 1636 id: squmj-2029 author: None title: squmj-2029 date: 2015-05-27 words: 3535 flesch: 64 summary: Dose reduction in automatic optimization parameter of full field digital mammography: Breast phantom study. Furthermore, in order to estimate the AGD for breast tomosynthesis, Dance et al. introduced T-factors for the calculation of breast dose from a single projection and T-factors for a complete exposure series from -7.5–7.5 degrees for 15 projection in less than four seconds of scanning time.13 keywords: agd; auto; breast; dose; filter; kvp; mode; phantom cache: squmj-2029.pdf plain text: squmj-2029.txt item: #816 of 1636 id: squmj-2030 author: None title: squmj-2030 date: 2015-05-27 words: 687 flesch: 53 summary: e297–298, Epub. Submitted 10 Sep 14 Accepted 6 Nov 14 Departments of 1Haematology and 2Medicine, Sultan Qaboos University Hospital, Muscat, Oman *Corresponding Author e-mail: arwa.alriyami@gmail.com عرض نادر ملريض عماين مصاب بلمفوما اخلاليا اللمفاويه الطبعيه القاتله اروى الرياميه، خليل الفار�سي، �ساهيمه املعمريه، احمد الفرقاين، مرت�سى اخلابوري Rare Presentation of Aggressive T/Natural Killer Lymphoproliferative Disorder in a Leukaemic Phase in an Omani Patient *Arwa Z. Al-Riyami,1 Khalil Al-Farsi,1 Sahimah Al-Mamari,1 Ahmed Al-Farqani,2 Murtadha Al-Khabori1 Natural killer (NK) cells are cytotoxic cells that target tumour, bacteria- and virus-infected cells.1 They produce cytokines such as interferon-γ and tumour necrosis factor-α. The patient’s blood film showed medium to large lymphoid cells with prominent nucleoli and deep basophilic cytoplasm with occasional vacuolation and cytoplasmic granulation [Figure 1]. keywords: cells cache: squmj-2030.pdf plain text: squmj-2030.txt item: #817 of 1636 id: squmj-2031 author: None title: squmj-2031 date: 2015-05-27 words: 625 flesch: 41 summary: e299–300, Epub. Submitted 16 Jun 14 Accepted 27 Aug 14 Department of Cardiology, Royal Hospital, Muscat, Oman E-mail: prashanthp_69@yahoo.co.in القلب والرئة اخلزفيني برا�سانث باندوراجنا Porcelain Heart and Lung Prashanth Panduranga Figure 1A–D: A: Transthoracic echocardiogram (TTE) in parasternal long-axis view showing calcification (arrow heads) of mitral valve prosthesis without involving the discs, extensive calcification of the mitral valve chordae and multiple pedunculated calcific nodular masses seen subvalvularly. A computed tomography scan of the chest confirmed cardiac calcification keywords: calcification; heart; valve cache: squmj-2031.pdf plain text: squmj-2031.txt item: #818 of 1636 id: squmj-2032 author: None title: squmj-2032 date: 2015-05-27 words: 879 flesch: 34 summary: *Khalid Al-Balushi1 and Ibrahim Al-Zakwani1,2 1Department of Pharmacology & Clinical Pharmacy, College of Medicine & Health Sciences, Sultan Qaboos University; 2Department of Pharmacy, Sultan Qaboos University Hospital, Muscat, Oman *Corresponding Author e-mail: mme51@squ.edu.om Reference 1. issue.1 Interestingly, although most of the children included in Al-Balushi et al.’s study were outpatients (64.3%) attending the paediatric outpatient clinic at Sultan Qaboos University Hospital (SQUH), the authors mentioned that there was a trend towards more antibiotic prescriptions (APs) among inpatients (58%; 80/138) than outpatients (42%; 58/138).1 I presume that Al-Balushi et al.’s study would be more constructive if the authors had considered listing the percentages of APs in various paediatric units at SQUH, such as the respiratory, gastroenterology, haematology and nephrology units, and addressed the diagnoses of the health problems encountered in these units. keywords: antibiotic; paediatric cache: squmj-2032.pdf plain text: squmj-2032.txt item: #819 of 1636 id: squmj-2033 author: None title: squmj-2033 date: 2017-06-20 words: 5378 flesch: 60 summary: من املعروف اأن ال ن-اأ�سيتيل �سي�ستئني وال�سي�ستئني، وامل�ستقلب الفعال لل ن-اأ�سيتيل �سي�ستئني، مواد حماية �سد االإ�سعاع. وحديثا اقرتح خليط كربيتات املغني�سيوم وال�سريين كم�ساد للت�سمم مببيدات االآفات الفو�سفاتية الع�سوية. keywords: cell; comparison; cysteine; damage; dna; doi; group; human; lymphocytes; magnesium; magnesium sulfate; mixture; nac; radiation; serine; study; sulfate; tail; viability cache: squmj-2033.pdf plain text: squmj-2033.txt item: #820 of 1636 id: squmj-2034 author: None title: squmj-2034 date: 2017-06-20 words: 4635 flesch: 57 summary: Sound localisation tasks were performed in the Secca della Torre, a bay with a rocky seabed located in Marciana Marina, Elba. As confirmed by Wightman et al., it is easier to identify the source of a sound which originates closer to the subject than those which are more remote; therefore, sound localisation tasks become much easier during execution as the subjects move closer to the source.24 In accordance with existing scientific literature, the current researchers observed that many divers started their route more medially than ideal, as if exposing one ear towards the sound so as to aid understanding of where the sound was generated.25 keywords: blindness; divers; doi; localisation; sound; source; study; subjects; task; underwater; years cache: squmj-2034.pdf plain text: squmj-2034.txt item: #821 of 1636 id: squmj-2036 author: None title: squmj-2036 date: 2015-08-24 words: 1566 flesch: 55 summary: A study carried out by the American Diabetes Association estimated that the total cost of diagnosed diabetes cases in the USA had risen from USD $174 billion in 2007 to USD $245 billion in 2012, which is a 40% increase over a five-year period.13 In India, the annual healthcare cost of diabetes cases has been reported as approximately USD $2.2 billion.14 The presence of these centres in all regions of Oman would facilitate patient compliance, help in lowering the number of undiagnosed diabetes cases and prevent a further increase in diabetes prevalence. keywords: diabetes; doi; global; healthcare; oman; prevalence cache: squmj-2036.pdf plain text: squmj-2036.txt item: #822 of 1636 id: squmj-2037 author: None title: squmj-2037 date: 2015-08-24 words: 10475 flesch: 52 summary: Cho SH, Sun B, Zhou Y, Kauppinen TM, Halabisky B, Wes P, et al. CX3CR1 protein signaling modulates microglial activation and protects against plaque-independent cognitive deficits in a mouse model of Alzheimer disease. Neuropathological alterations in Alzheimer disease. keywords: activation; ad patients; alzheimer; alzheimer disease; amyloid; beta; brain; cells; complement; cytokines; dementia; deposition; disease; doi; et al; expression; factor; ifn; inflammation; levels; mediators; microglial; motif; neurons; oxidative; pathogenesis; patients; production; protein; response; role cache: squmj-2037.pdf plain text: squmj-2037.txt item: #823 of 1636 id: squmj-2038 author: None title: squmj-2038 date: 2015-08-24 words: 3979 flesch: 53 summary: In a study of 414 nurses recruited from the four national referral hospitals in Oman, Ammouri et al. found that academic qualifications had a significant impact on evidence-based practice, with BSN nurses reporting fewer barriers to evidence-based research than diploma holders (34.6% versus 65.4%, Providing diploma nurses with the necessary support to achieve a baccalaureate education would be one fundamental step towards helping Omani nurses pursue lifelong learning.11 Salary increments for BSN nurses and differentiation between nursing qualifications are also recommended. keywords: baccalaureate; bridging; bsn; degree; diploma; doi; education; health; healthcare; nurses; nursing; oman; programmes cache: squmj-2038.pdf plain text: squmj-2038.txt item: #824 of 1636 id: squmj-2039 author: None title: squmj-2039 date: 2015-08-24 words: 7536 flesch: 62 summary: 1Department of Diagnostic Radiology, MD Anderson Cancer Center, Houston, Texas, USA; 2Department of Diagnostic Radiology, University of Michigan Health System, University of Michigan, Ann Arbor, USA; 3British Columbia Centre for Disease Control, Vancouver, British Columbia, Canada; 4School of Population & Public Health, University of British Columbia, Vancouver, British Columbia, Canada; 5Radiology Medical Group, Santa Cruz, California, USA *Corresponding Author e-mail: Tamara.Haygood@mdanderson.org نقيلة العضلة اهليكلية من سرطان اخلاليا الكلوية 21 حالة ومراجعة الدراسات املنشورة متارا منري هايجود، حممد �سيوح، جي�سون ووجن، جينفر لني، اآيريليو ماتامورو�س، كارل �ساندلر، جون مادويل abstract: Objectives: This study aimed to raise radiologists’ awareness of skeletal muscle metastases (SMM) in renal cell carcinoma (RCC) cases and to clarify their imaging appearance. - Furthermore, skeletal muscle metastases among the studied RCC patients were often hyperintense to the muscle on pre-contrast T1- weighted magnetic resonance images and invisible or barely visible on CT images without contrast. keywords: carcinoma; cases; cell; cell carcinoma; contrast; doi; group; literature; metastases; months; muscle; muscle metastases; paraspinal; patients; peripheral; rcc; renal; review; study cache: squmj-2039.pdf plain text: squmj-2039.txt item: #825 of 1636 id: squmj-2040 author: None title: squmj-2040 date: 2015-08-24 words: 3593 flesch: 58 summary: اخلال�صة: كانت نتائج هذه الدرا�سة تتفق مع الدرا�سات الخرى التي اأجريت لنف�س الغر�س. وهذا يدل على اأن م�سح اجل�سم با�ستخدام 67Ga هو اأداة مفيدة لهذه الأنواع من التقييمات يف املناطق التي ل تتوافر فيها خدمات. 90 م�سحا با�ستخدام 67Ga، مبا يف ذلك 59 م�سحا ل�رسطان الغدد الليمفاوية، 29 م�سحا للعدوى واثنان لتقييم مر�س ال�ساركويد. keywords: 67ga; assessment; imaging; infection; lymphoma; patients; pet; scans; scintigraphy; tomography cache: squmj-2040.pdf plain text: squmj-2040.txt item: #826 of 1636 id: squmj-2041 author: None title: squmj-2041 date: 2015-08-24 words: 5575 flesch: 58 summary: اخلال�سة: خل�ست الدرا�سة اإىل اأن العمر وال�سمنة وHTN، وارتفاع ن�سبة الكولي�سرتول و DM وم�ستويات TG يف الدم لها تاأثري معنوي على IMT لل�رسيان ال�سباتي، والذي يعترب ومت قيا�س )TG( التدخني وا�ستهالك الكحول، و م�ستويات الكول�سرتول الكلي والدهون keywords: age; bmi; carotid; correlation; factors; imt; intima; mean; risk; study; thickness cache: squmj-2041.pdf plain text: squmj-2041.txt item: #827 of 1636 id: squmj-2042 author: None title: squmj-2042 date: 2015-08-24 words: 3991 flesch: 61 summary: كان اأكرث الأمرا�س �سيوعا متالزمة ال�سائقة التنف�سية )%100(، اعتالل ال�سبكية للخدج )51.9%(، خلل التن�سج الق�سبي الرئوي )%34.6(، نزف داخل البطني )%30.9(، القناة ال�رسيانية ال�سالكة )%28.4(. اخلال�صة: اإجمايل معدل البقاء ملواليد 23-26 اأ�سبوع حمل خالل فرتة الدرا�سة حت�سنت ب�سكل ملحوظ مقارنة مع النتائج املتوفرة من نف�س امل�ست�سفى من 1991 اإىل 1998. However, there is limited information about the survival and long-term outcome of extremely preterm infants in Oman.9–11 Survival and short- and long-term morbidity rates are needed to determine if active perinatal management is rational for preterm infants born at or before 26 keywords: birth; infants; neonatal; oman; preterm; rate; squh; study; survival; weeks cache: squmj-2042.pdf plain text: squmj-2042.txt item: #828 of 1636 id: squmj-2043 author: None title: squmj-2043 date: 2015-08-24 words: 5710 flesch: 60 summary: This study aimed to measure SNS addiction rates among health sciences students at Sultan Qaboos University (SQU) in Muscat, Oman. The BFAS has been successfully used to measure Facebook addiction rates in numerous studies and has been acknowledged as psychometrically effective.18,20,24–26 Although initially designed to assess addiction to only one SNS, Andreassen et al. have noted that adjusting the scale to assess another SNS is feasible.23 Addiction can be disruptive to many aspects of life; for students, it may hinder their studies and impact their long-term career goals. keywords: addiction; california; doi; facebook; health; internet; oman; rates; sns; snss; social; students; usa; use; work cache: squmj-2043.pdf plain text: squmj-2043.txt item: #829 of 1636 id: squmj-2044 author: None title: squmj-2044 date: 2015-08-24 words: 4174 flesch: 62 summary: مت ت�سخي�س متالزمة ت�سلب العمود الفقري الأويل يف 10 من الأطفال اأما الثنان املتبقيان فتم ت�سخي�سهم مبتالزمة ت�سلب العمود الفقري الثانوي. الفح�س ال�رسيري اأو�سح اأن الأطفال امل�سابني مبتالزمة ت�سلب العمود الفقري الأويل لديهم ت�سلب �سديد يف ع�سالت العمود الفقري. keywords: children; disease; muscle; myopathy; oman; primary; rss; spine; study; syndrome; الفقري cache: squmj-2044.pdf plain text: squmj-2044.txt item: #830 of 1636 id: squmj-2045 author: None title: squmj-2045 date: 2015-08-24 words: 4660 flesch: 57 summary: Keywords: Ovarian Cancer; Diagnosis; Symptom Assessment; Triage; Algorithm; Reliability and Validity; India. امللخ�ص: الهدف: غالبا ما ل يتم ت�سخي�س �رسطان املبي�س اأو ي�سخ�س ب�سكل خاطئ يف املراحل املبكرة. 19 Dec 14 Accepted 30 Apr 15 1Department of Obstetrics & Gynecology, Kasturba Medical College, Manipal, Karnataka, India; 2Department of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman *Corresponding Author e-mail: deekshiiiobg@gmail.com نسخة معدلة من مؤشر األعراض جوف أداة بسيطة لتصنيف حاالت سرطان املبيض جيوثي �ستي، بريادار�سيني، ديك�سا باندي، ماجنوناث abstract: Objectives: Ovarian cancer often goes undiagnosed or misdiagnosed in the early stages. keywords: cancer; control; goff; group; index; ovarian; study; symptom; test; women cache: squmj-2045.pdf plain text: squmj-2045.txt item: #831 of 1636 id: squmj-2046 author: None title: squmj-2046 date: 2015-08-24 words: 4318 flesch: 54 summary: While PA has been shown to be a valuable tool for promoting student learning and professional accountability, many questions related to this evaluation strategy remain unanswered. Reginald P. Sequeira1 Advances in Knowledge - Peer assessment (PA) could be a valuable approach to improving self-directed learning and engagement in the educational process among medical students. keywords: analysis; assessment; doi; group; learning; medical; pbl; peer; problem; self; skills; students; study cache: squmj-2046.pdf plain text: squmj-2046.txt item: #832 of 1636 id: squmj-2047 author: None title: squmj-2047 date: 2015-08-24 words: 5846 flesch: 61 summary: وقد تبني اأن �سملتها الدرا�سة. اخلال�صة: تعترب هذه الدرا�سة هى الأوىل ميدانيًا فى ُعمان بخ�سو�س تف�سي وباء ال�سِّ حتديد يتم مل و املعوية النزلة حلالت الوبائي No 148 (96.1) Frequency of cleaning water tank At least once in six months 114 (74.0) Not clean 36 (23.4) Not answered 4 (2.6) keywords: batinah; case; consumption; control; drinking; gastroenteritis; health; households; oman; outbreak; practices; risk; shigellosis; south; study; water cache: squmj-2047.pdf plain text: squmj-2047.txt item: #833 of 1636 id: squmj-2048 author: None title: squmj-2048 date: 2015-08-24 words: 6228 flesch: 59 summary: However, there is still no clear evidence that increased risk perception or risk awareness reduces risky driving behaviour and ultimately the rate of road traffic accidents.10,12 For many individuals, driving is characterised by positive emotions associated with the pleasures of driving.13 Liking or enjoyment of (or positive feelings towards) specific driving behaviours, including risky behaviours, may be especially strong for young drivers.14 Many medical students, once qualified, will have direct contact with patients who have engaged in risky driving behaviours and those suffering the consequences of road traffic accidents. This study aimed to assess risky driving behaviours among medical students in Erbil, Iraq, and to explore the relationship between risky driving behaviours and perceptions of risky driving. keywords: behaviours; doi; drivers; driving; erbil; iraq; medical; perception; risky; road; students; study; traffic; young cache: squmj-2048.pdf plain text: squmj-2048.txt item: #834 of 1636 id: squmj-2049 author: None title: squmj-2049 date: 2015-08-24 words: 5842 flesch: 63 summary: Keywords: Adolescents; Diabetes Mellitus; Knowledge; Lifestyle Risk Reduction; Saudi Arabia. امللخ�ص: الهدف: اإن معدل الإ�سابة بالنوع الثاين من داء ال�سكري )T2DM( يف تزايد م�سطرد بني اأفراد املجتمع ال�سعودي تهدف هذه يف املراهقني بني ال�سكري داء من الثاين للنوع وقائي و�سلوك �سحي حياتي منط تبنى اجتاه ال�سحية املعتقدات قيا�س اإىل الدرا�سة اململكة العربية ال�سعودية با�ستخدام منوذج املعتقدات ال�سحية )HBM(. كما تهدف الدرا�سة إىل قيا�س التباين بني اجلن�سني يف املعلومات واملعتقدات ال�سحية للنوع الثاين من ال�سكري. مت ا�ستخدام ا�ستبيان باللغة داء من الثاين النمط من بالوقاية ال�سلة ذات واملواقف املعارف لتقييم ا�ستخدامها مت حيث الإجنليزية الن�سخة من واملقتب�س العربية ال�سكري. keywords: adolescents; arabia; diabetes; factors; health; knowledge; males; prevention; saudi; students; study cache: squmj-2049.pdf plain text: squmj-2049.txt item: #835 of 1636 id: squmj-2050 author: None title: squmj-2050 date: 2015-08-24 words: 3835 flesch: 49 summary: Keywords: Clinico-Pathological Conference; Anaplastic Large-Cell Lymphoma; Immunohistochemistry; Medical Education; Oman. امللخ�ص: ي�سف هذا املقال رحلة علمية متعددة اجلوانب قام بها طالب طب يف ملتقى عيادي-باثولوجي يعقد اأ�سبوعيا يف كلية الطب العيادية واملواد اجلراحة علوم يف مر�سية وحالت حما�رسات لتقدمي بعمان م�سقط يف قابو�س ال�سلطان جامعة يف ال�سحية والعلوم والأ�سعة والت�رسيح والأمرا�س الع�سبية والنف�سية وعلوم املختربات )يعرف اخت�سارا بـ SCRAPS(. وبعد اأن قدم الطالب احلالة اأ�رسك الطالب احلا�رسين يف طيف من اأهداف التعلم والتي �سملت التكامل يف عامل معقد من الطب الع�رسي، وتب�رس نافذ يف انت�سارات وإخفاقات التقنية )الكيمياء الهي�ستولوجية املناعية(، والتعاون بني الزمالء والأقران والتوا�سل والإر�ساد. keywords: alcl; cell; doi; education; learning; lymphoma; mass; med; medicine; patient; student cache: squmj-2050.pdf plain text: squmj-2050.txt item: #836 of 1636 id: squmj-2051 author: None title: squmj-2051 date: 2015-08-24 words: 2407 flesch: 52 summary: يختلف هذا الورم عن بقية اأنواع �ساركومة الأن�سجة الرخوية و الأورام الن�سيجية والتغ�سنية بقلة فحو�سات الوراثة اخللوية فيه ولكن مت ت�سجيل عدد من الزيغ املعقد و اأنواع خمتلفة من ال�سيغة ال�سبغية لهذا املر�س. نعر�س هنا حالة امراأة عمرها 39 عاما مت ت�سخي�سها ب�ساركومة اخللية التغ�سنية اجلريبية يف م�ست�سفى جامعة ال�سلطان قابو�س مب�سقط، �سلطنة عمان يف �سهر فرباير من ت�سخي�س املر�س يكون �سعبا جدا لعدم وجود طفرة وراثية حمددة ميكن الك�سف عنها keywords: case; cell; chromosomes; fdcs; findings; patient; report; sarcoma; tumour cache: squmj-2051.pdf plain text: squmj-2051.txt item: #837 of 1636 id: squmj-2052 author: None title: squmj-2052 date: 2015-08-24 words: 3104 flesch: 55 summary: ونعر�س يف هذا البحث وجود ت�ساعف �سبغي يف الذراع الأق�رس للكرومو�سوم 7 يف املنطقة 7p21.1p22.2 يف طفل Characterising the genes involved in duplication regions may help in understanding the genotype-phenotype correlation in 7p duplication patients. keywords: duplication; genet; novo; patient; region; report cache: squmj-2052.pdf plain text: squmj-2052.txt item: #838 of 1636 id: squmj-2053 author: None title: squmj-2053 date: 2015-08-24 words: 2426 flesch: 49 summary: However, vitamin B12 deficiency should be suspected in all patients with unexplained anaemia or neurological symptoms.2 Various dermatological manifestations associated with B12 deficiency are skin hyper- or hypopigmentation, angular stomatitis and hair changes.3 Hyperpigmentation as the primary presenting symptom of B12 deficiency is rarely reported in the literature.4 In the current patient, the associated Candida infection at the lower part of the oesophagus may also be explained by a B12 deficiency, as vitamin B group deficiencies have been reported as one of the causes for a Candida albicans infection.7 Pigmentation in B12 deficiency can also masque- rade as pigmentation due to Addison’s disease.4,8‒12 There are few reported cases of vitamin B12 deficiency in which mucocutaneous lesions predate other manifestations.4,8‒12 keywords: b12; case; chronic; deficiency; hands; hyperpigmentation; patient; skin; vitamin cache: squmj-2053.pdf plain text: squmj-2053.txt item: #839 of 1636 id: squmj-2054 author: None title: squmj-2054 date: 2015-08-24 words: 3630 flesch: 48 summary: الت�سخي�س ال�رسيع والعالج الفاعل هما اأمران اأ�سا�سيان لوقاية من الأ�رسار الع�سبية الدائم يف هذه املتالزمة. ت�سري النتائج النموذجية للت�سوير بالرنني املغناطي�سي )MRI( اإىل ا�ست�سقاء حتت الق�رسية املخية و يف الق�رسية، والتي توؤثر ب�سكل رئي�سي على منطقة الدماغ اخللفية. keywords: case; doi; findings; hypertension; mmol; mri; neurological; normal; patients; posterior; pres; range; syndrome cache: squmj-2054.pdf plain text: squmj-2054.txt item: #840 of 1636 id: squmj-2055 author: None title: squmj-2055 date: 2015-08-24 words: 2823 flesch: 53 summary: The authors recommend MRI as an excellent diagnostic modality to confirm rudimentary horn pregnancies and to expedite appropriate management. In 72% of cases, there is no communication between the two cavities and pregnancies in the horn occur following the transperitoneal migration of the sperm or of the fertilised ovum.1 The overall rupture rate in rudimentary horn pregnancies is 50% and the majority of these occur in the second trimester; Nahum et al. reported that only 30% of such pregnancies reach term.1 However, fetal salvage is rare, which emphasises the importance of the current case. keywords: anomalies; case; diagnosis; horn; mri; placenta; pregnancies; pregnancy; uterus cache: squmj-2055.pdf plain text: squmj-2055.txt item: #841 of 1636 id: squmj-2056 author: None title: squmj-2056 date: 2015-08-24 words: 3612 flesch: 54 summary: وقد ظلت الفتاة يف حالة �سحية جيدة ملدة 8 اأ�سهر عندما اأ�سيبت بعدوى فريو�س احلماق النطاقي ثم توفيت ب�سبب �سدمة اإنتانية مع ف�سل العديد من اأجهزة اجل�سم. من املهم زيادة الوعي بهذه الأورام غري الشائعة واآثارها ال�رسيرية لتجنب الت�سخي�س اخلاطئ. keywords: botryoid; case; cervix; chemotherapy; doi; gynecol; management; report; rhabdomyosarcoma; rms; sarcoma; surgery; tumours cache: squmj-2056.pdf plain text: squmj-2056.txt item: #842 of 1636 id: squmj-2057 author: None title: squmj-2057 date: 2015-08-24 words: 828 flesch: 61 summary: interesting medical image A seven-year-old girl was referred to the child neurology outpatient clinic of Sultan Qaboos University Hospital in Muscat, Oman, in June 2014 by an ear, nose and throat (ENT) specialist from another hospital for an evaluation of pain in her left ear. Comment Otalgia is uncommon in children and is mainly seen in the sixth and seventh decades of life.1 There are several mechanisms which can result in ear pain, including lesions of the fifth, seventh, ninth, tenth and auricular temporal nerves.1 Pain of the inner ear and keywords: ear; nerve; pain cache: squmj-2057.pdf plain text: squmj-2057.txt item: #843 of 1636 id: squmj-2058 author: None title: squmj-2058 date: 2015-08-24 words: 1070 flesch: 43 summary: Long-term outcomes of patients with congenital lingual melanotic macules are not known, as fewer than ten cases have been reported and the cause of origin of the lesion remains uncertain.6 There is no specific treatment for oral melanotic macules, although many researchers recommend complete excision and histological examination of the lesion.7 References 1. interesting medical image Chetan Kumar, Deepak Sharma, Aakash Pandita and Sweta Shastri Interesting Medical Image | e441 melanotic macule can be made: (1) the presence of single or multiple melanotic lesions on the tongue; (2) the presence of the lesion since birth and which continues to grow in size; and (3) no family history of any disease known to cause mucosal pigmentation.4 Patients with congenital lingual melanotic macules need to be followed up regularly to note any changes in the size, shape or colour of the lesion. keywords: doi; lesion; lingual; macules; pigmentation cache: squmj-2058.pdf plain text: squmj-2058.txt item: #844 of 1636 id: squmj-2059 author: None title: squmj-2059 date: 2015-08-24 words: 955 flesch: 42 summary: Chaudhry et al. reported a patient with mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) syndrome, in whom the MID became evident after the administration of valproate.6 Valproate has also been shown to cause myopathy in patients with acyl-CoA dehydrogenase deficiency, rhabdomyolysis in neonates with chromosomal defects and rhabdomyolysis in patients with carnitine palmitoyltransferase II deficiency.7 Mitochondrial toxicity of valproate was further documented to induce severe acute liver failure in patients with a mitochondrial depletion syndrome.8 Valproate-induced myopathy has additionally been observed in a patient with schizoaffective disorder, although this patient was also taking quetiapine, nifedipine, torsemide, levothyroxine and acetylsalicylic acid.9 The mitochondrion-toxic effect of valproate was also confirmed in a patient with MELAS syndrome, in whom valproate aggravated epilepsy.10 Mitochondrion-toxicity of valproate may be the reason why the compound is often ineffective as an anti-epileptic drug in MID patients.11 Concerning the case presented by Ahmed, it would be helpful to know: if there was consanguinity between the parents; if the family history was positive for epilepsy; if myopathy developed in any first-degree relative; if muscle cramps, easy fatigability, double vision, exercise intolerance, muscle weakness or myalgia were reported by the parents, grandparents or siblings; if there were complications during general anaesthesia in the individual or his family; the results of neurological investigations by specialists familiar with metabolic myopathies; and if there were elevated creatine kinase or lactate levels or myoglobinuria in any of the relatives.1 Overall, there is evidence that valproate may cause mitochondrial myopathy due to its mitochondrion-toxic effect. keywords: doi; myopathy; patient; valproate cache: squmj-2059.pdf plain text: squmj-2059.txt item: #845 of 1636 id: squmj-2060 author: None title: squmj-2060 date: 2015-08-24 words: 807 flesch: 47 summary: However, new advances in molecular genetic testing have provided an improved non-invasive diagnostic method with the presence of the carnitine palmitoyltransferase 2 gene (the only gene associated with CPT II deficiency).4 Although, to the best of my knowledge, no studies yet exist which investigate CPT II deficiency in Saudi Arabia, the high prevalence of consanguinity in this region might be a strong indicator of its potential existence.5 Consanguinity is significantly associated with various patterns of inborn errors of the metabolism.6 A myopathic form of CPT II deficiency ought to be seriously considered for this reported patient and suitable laboratory tests employed.1 However, the patient reported by Ahmed could still be included among the paediatric valproate-associated myopathy cases reported in the literature.1 Valproate is a broad-spectrum antiepileptic drug. keywords: carnitine; deficiency; myopathy; valproate cache: squmj-2060.pdf plain text: squmj-2060.txt item: #846 of 1636 id: squmj-2061 author: None title: squmj-2061 date: 2015-08-24 words: 1909 flesch: 45 summary: الندوة الوطنية الثانية للصحة العامة الغذاء و التغذية من أجل كوكب صحي الرابطة �لعمانية للصحة �لعامة، 18 �أكتوبر 2014 2nd National Public Health Symposium Food and Nutrition for a Healthy Planet Oman Public Health Society, 18 October 2014 abstracts Keynote: Food policy for a healthy planet Geof Rayner Centre for Food Policy, City University London, London, UK. Today, the quest for sustainable food policies requires a better balance between environment, social justice and the need for healthy sustainable diets. keywords: countries; food; health; nutrition; oman; public; world cache: squmj-2061.pdf plain text: squmj-2061.txt item: #847 of 1636 id: squmj-2062 author: None title: squmj-2062 date: 2015-11-22 words: 2674 flesch: 49 summary: In the cardiovascular field, identifying high-risk patients through genetic studies has been helpful for those susceptible to developing cardiomyopathies and channelopathies causing cer- tain arrhythmias. Genetic testing is still in its infancy and various genome-wide association studies form the foundation of future research. keywords: cvd; disease; doi; factors; gene; risk; studies; testing cache: squmj-2062.pdf plain text: squmj-2062.txt item: #848 of 1636 id: squmj-2063 author: None title: squmj-2063 date: 2015-11-22 words: 5926 flesch: 57 summary: هذه النتائج ت�سري اإىل احلاجة اإىل التقييم املبكر واملتابعة امل�ستمرة للمر�سى ال�سغار امل�سابني مبر�ض تكون العظم الناق�ض بتخطيط �سدى القلب الوظيفي. None of the subjects who had mild tricuspid valve regurgitation showed evidence of pulmonary hypertension (18.6 ± 1.4 mmHg [n = 7] versus 17.4 ± 2.7 mmHg [n = 22]; P = 0.278) and the other subjects did not have echocardiographic evidence of elevated right ventricular pressure from assessment of the septal curvature and pulmonary valve regurgitation jet. keywords: bsa; children; diastolic; doi; group; imperfecta; osteogenesis; patients; peak; ratio; study; systolic; valve; velocity cache: squmj-2063.pdf plain text: squmj-2063.txt item: #849 of 1636 id: squmj-2064 author: None title: squmj-2064 date: 2015-11-22 words: 4177 flesch: 52 summary: Impedance platelet count in severe microcytosis: Study of 161 patients. Enhanced accuracy of optical platelet counts in microcytic anemia. keywords: accuracy; blood; counts; impedance; mcv; method; microcytosis; platelet; samples; study; values cache: squmj-2064.pdf plain text: squmj-2064.txt item: #850 of 1636 id: squmj-2065 author: None title: squmj-2065 date: 2015-11-22 words: 5668 flesch: 62 summary: Moisture content is another major factor enhancing the permeability of both nicotine and TSNAs into the mucosal membrane of the mouth, since both are water- soluble.7,19 Higher nicotine levels are found in moist snuff in comparison to the dry form.1 Additionally, it has been found that American moist snuff contains higher levels of NO2 - and Cl- than the dry type.2 للسرطان يف التبغ عدمي الدخان أفضل الشائع االستعمال يف عمان نوال املخينية، طاهر باعمر، ال�سادق الطيب، عائ�سة ال�سحية abstract: Objectives: Afzal is a common smokeless tobacco product (STP) available illegally in Oman. keywords: afzal; anions; cancer; content; doi; health; levels; moisture; nicotine; no2; products; samples; smokeless; standard; stps; study; tobacco; unprotonated cache: squmj-2065.pdf plain text: squmj-2065.txt item: #851 of 1636 id: squmj-2066 author: None title: squmj-2066 date: 2015-11-22 words: 6808 flesch: 57 summary: Departments of 1Biochemistry and 2Medicine, Era’s Lucknow Medical College & Hospital, Lucknow, India *Corresponding Author e-mail: tasleem24@gmail.com ارتباط تعدد األشكال اجلينية ألنزمي حتويل األجنيوتنسني واجللوتاثيون س-ترانسفرييز مع مؤشر كتلة اجلسم بني اهلنود الشماليني املصابني بارتفاع ضفط الدم �سليحة ر�سوي، �سيد ت�سليم ر�سا، زيبا �سديقي، �سانيا عبا�ض، فرزانة مهدي abstract: Objectives: This study aimed to examine the association of angiotensin-converting enzyme (ACE) and glutathione S-transferase (GST) gene polymorphisms with body mass index (BMI) in hypertensive North Indians. Methods: This case-control study was carried out between May 2013 and November 2014 at the Era’s Lucknow Medical College & Hospital, Lucknow, India, and included 378 subjects divided into three groups. من الأفراد امل�سابني بارتفاع �سغط الدم )�سغط الدم النب�ساطي امل�ستمر 90> مم زئبق و�سغط الدم النقبا�سي 140> مم زئبق( الذين مت تق�سيمهم بعد ذلك ح�سب كتلة اجل�سم اىل )25< كجم/ م2( و)25≤ كجم/م2( وتاألفت املجموعة الثالثة keywords: ace; angiotensin; association; bmi; control; deletion; doi; enzyme; genotype; glutathione; group; gst; gstt1; hypertensive; insertion; obese; overweight; polymorphisms; study cache: squmj-2066.pdf plain text: squmj-2066.txt item: #852 of 1636 id: squmj-2067 author: None title: squmj-2067 date: 2015-11-22 words: 3527 flesch: 60 summary: Inter-ethnic differences in this receptor have been proposed to explain differences in responses to drugs such as terbutaline, isoproterenol and albuterol.23 Conclusion The present study provides further evidence of inter- ethnic differences in ADRB2 gene polymorphisms. Johnson AD, Newton-Cheh C, Chasman DI, Ehret GB, Johnson T, Rose L, et al. Association of hypertension drug target genes with blood pressure and hypertension in 86,588 individuals. keywords: adrb2; asthma; cohort; doi; frequencies; gene; omani; polymorphisms; receptor; rs1042714; study cache: squmj-2067.pdf plain text: squmj-2067.txt item: #853 of 1636 id: squmj-2068 author: None title: squmj-2068 date: 2015-11-22 words: 3953 flesch: 54 summary: This suggests that high DEFB4 genomic copy numbers may be associated with susceptibility to BD. They are encoded by the multiple-copy β-defensin gene family, copies of which are clustered on the short arm of chromosome eight, including the human defensin β-2 gene synthesised by defensin β-4 (DEFB4).8 This β-defensin cluster has a genomic copy number of between two and 12 copies per genome, with a mode of four copies.9 Such variation in genomic copy numbers may play a role in innate immunity; research has shown that hBD-2 has the ability to function as a chemokine that attracts inflammatory cells, such as dendritic cells and T lymphocytes, to the inflamed tissues.10,11 keywords: behçet; copy; copy numbers; defb4; defensin; disease; doi; genomic; numbers; patients; study cache: squmj-2068.pdf plain text: squmj-2068.txt item: #854 of 1636 id: squmj-2069 author: None title: squmj-2069 date: 2015-11-22 words: 3351 flesch: 57 summary: These findings are in agreement with those from a recent Japanese study which reported an incidence of 10.1% and 6.1% for PGDM and GDM women, respectively (P <0.05).11 Cetković et al. noted that adverse neonatal outcomes were common among women with PGDM; macrosomia occurred in 29.6% of infants born to PGDM women in their study.12 In contrast, the inci- dence of macrosomia was much lower in the current cohort of women with PGDM (10.3%) and those with GDM (4.9%). Neonatal complications such as RDS (8.5% versus 2.6%; P = 0.028), hypoglycaemia (6.8% versus 1.5%; P = 0.024) and jaundice requiring phototherapy (8.5% versus 2.4%; P = 0.022) were significantly higher in babies born to PGDM women compared to their GDM counterparts. keywords: complications; diabetes; gestational; mellitus; neonatal; outcomes; pgdm; women; احلمل; سكري cache: squmj-2069.pdf plain text: squmj-2069.txt item: #855 of 1636 id: squmj-2070 author: None title: squmj-2070 date: 2015-11-22 words: 4083 flesch: 54 summary: Demographic data and information regarding catheter placement, technical success and peri- and post-procedure complications (such as catheter-related infections or thrombosis) were collected. The most common reason for catheter placement was the initiation of dialysis (63.4%). keywords: aureus; blood; catheter; complications; dialysis; infections; oman; patients; placement; staphylococcus; study; thrombosis cache: squmj-2070.pdf plain text: squmj-2070.txt item: #856 of 1636 id: squmj-2071 author: None title: squmj-2071 date: 2017-10-05 words: 1915 flesch: 59 summary: In their elegant animal experiments, by using canine insulin extracts to reverse induced diabetes, they conclusively established that the deficiency of insulin was the cause of diabetes.12 Diagnosis Willis, a London physician, epitomised the true spirit of scientific enquiry by his bold action of tasting the urine of his patients—possibly because the passage of copious urine seemed to be the hallmark of the disease! One of the miracles of the last century was the discovery of insulin by Canadian surgeon Banting and his assistant Best. keywords: blood; diabetes; history; insulin; medical; medicine; mellitus; urine cache: squmj-2071.pdf plain text: squmj-2071.txt item: #857 of 1636 id: squmj-2072 author: None title: squmj-2072 date: 2017-10-05 words: 2888 flesch: 54 summary: The prevalent notions of epidemiology attributed ‘consumption of the rich’ to chronic diseases, laziness, flabbiness, overeating and ambition; ‘consumption of the poor’ was instead attributed to ignorance, overwork, malnutrition and a lack of hygiene. Oct 13 Submitted 25TH Aug 13 Peer-Reviewed Accepted 3RD Sep 13 Tuberculosis (TB) has occupied pride of place throughout the history of disease as a scourge with an unparalleled impact on humankind in terms of morbidity, mortality and economic cost. keywords: accessed; century; disease; era; history; koch; medical; medicine; new; scrofula; tuberculosis cache: squmj-2072.pdf plain text: squmj-2072.txt item: #858 of 1636 id: squmj-2073 author: None title: squmj-2073 date: 2014-01-28 words: 573 flesch: 57 summary: For Dr. Abdullah Al-Harthy, trauma surgeon and Deputy Director General of SQU Hospital, Prof. Grant was instrumental in his choice to specialise in trauma surgery. Prof. Grant, who joined the College of Medicine & Health Sciences just four years after SQU opened in 1986, was one of the pioneers who made immense contributions to both medical education and the healthcare sector in Oman. keywords: grant; prof cache: squmj-2073.pdf plain text: squmj-2073.txt item: #859 of 1636 id: squmj-2074 author: None title: squmj-2074 date: 2014-01-28 words: 2735 flesch: 56 summary: Seldom have so many discoveries of such decisive significance to humanity stemmed from the activity of a single man, as is the case with him.1 Nobel Prize for Medicine or Physiology, Presentation Speech, Professor the Count K.A.H. Mörner, Rector of the Royal Caroline Institute (Karolinska Institute), Stockholm, Sweden, 10th December 1905.2 Robert Koch (1843–1910)1 The Legacy of Robert Koch Surmise, search, substantiate e38 | SQU Medical Journal, February 2014, Volume 14, Issue 1 decimated the prevailing concept (spearheaded by luminaries like Virchow) that all diseases were endogenous in origin.7 Koch’s labour of love, that unveiled the anthrax and tubercle bacilli, was to spawn a generation of ‘microbe hunters’ who rapidly identified and linked specific bacteria to the diseases they caused. It is noteworthy that his co-workers, Hesse and Petri, were responsible for the establishment of agar as a vital base for solid media and the shallow ‘petri’ dish, respectively.5 Koch’s comprehensive approach to the scientific method is illustrated by his integration of these exacting techniques with animal innoculations and, in the case of cholera, with autopsies.14 Koch is also credited with replacing pencil drawings by microphotography as an established tool for scientific documentation and Figure 1: Original drawing by Koch of tubercle bacilli within infected tissue which accompanied his groundbreaking report on the aetiology of tuberculosis.7 Figure reproduced with permission. keywords: anthrax; bacillus; disease; koch; robert; robert koch; time; tubercle; tuberculosis cache: squmj-2074.pdf plain text: squmj-2074.txt item: #860 of 1636 id: squmj-2075 author: None title: squmj-2075 date: 2014-04-13 words: 2791 flesch: 56 summary: Breast cancer surgery at the turn of the century came to be synonymous with the name of William S. Halstead, Professor of Surgery at Johns Hopkins hospital in Baltimore, USA. The pathobiological basis of breast cancer that changed chirurgical practice from crudity to finesse is woven through the narrative. keywords: breast; breast cancer; cancer; century; disease; history; medical; spread; surgery; surgical cache: squmj-2075.pdf plain text: squmj-2075.txt item: #861 of 1636 id: squmj-2076 author: None title: squmj-2076 date: 2014-07-23 words: 2756 flesch: 56 summary: The hormone-dependence of breast cancer, long suspected through clinical observation became a scientific fact through Jensen’s identification of oestrogen and progesterone receptors (ER, PR) on breast cancer cells in 1967.29 Today, the immunohistochemical demonstration of ER/PR and the epidermal growth factor receptor (Her2/neu) on core biopsies has been standardised through well- established protocols.30 The modern-day pathologist is, thus, at the heart of therapeutic decision-making and shares the responsibility of rendering information on prognostication and prediction. Notable luminaries in the saga of the various forms of breast neoplasia in the 20th century include New York pathologists, Arthur Purdy Stout (1885–1967) and Cushman D. Haagensen (Columbia University 1933– 1975) who elucidated the nature of papillary lesions and lobular neoplasia.20 At the Memorial Hospital, New York, Fred Stewart and Frank Foote’s lifetime explorations into breast disease were documented through their classification of tumours.21 In the latter half of the 20th century, John G. Azzopardi (1929– 2013) at the University of London stood as a giant in breast pathology. keywords: breast; cancer; century; diagnosis; disease; doi; history; new; pathologist; pathology; surgical cache: squmj-2076.pdf plain text: squmj-2076.txt item: #862 of 1636 id: squmj-2077 author: None title: squmj-2077 date: 2014-09-30 words: 3202 flesch: 52 summary: These included the rational recording and analysis of case histories, case-controlled testing of therapeutic procedures, drug potency trials and even animal experimentation.30 Lessons from the Exemplars of Islamic Medicine Al-Razi, Avicenna and Ibn Al-Nafis’ lives enriched the medical fraternity and their patients through their philosophical insights, excellence in medical practice and the arduous scholarly preservation and assimilation of medical knowledge in their writings. Abdel-Halim Rel-S. The role of Ibn Sina (Avicenna)’s medical poem in the transmission of medical knowledge to medieval Europe. keywords: avicenna; doi; history; ibn; islamic; medicine; nafis; persian; physician; razi cache: squmj-2077.pdf plain text: squmj-2077.txt item: #863 of 1636 id: squmj-2078 author: None title: squmj-2078 date: 2015-01-21 words: 3875 flesch: 51 summary: This article is the last of a three-part series narrating a brief history of breast cancer that has traced the attempts by physicians to understand and conquer this disease since antiquity.2,3 The series chronicles the millennia during which crude and desperate surgery-only measures gave way to an understanding of the pathobiology of this hormone-responsive cancer. This assumption initiated the advent of neoadjuvant chemotherapy—another unique first for oncology— and breast cancer spearheaded its later application to other cancers. keywords: adjuvant; breast; breast cancer; cancer; chemotherapy; doi; group; history; treatment; trials; tumour; women cache: squmj-2078.pdf plain text: squmj-2078.txt item: #864 of 1636 id: squmj-2079 author: None title: squmj-2079 date: 2015-05-27 words: 3502 flesch: 57 summary: From the archival tissues of Hodgkin’s original cases available today, only two were authenticated by immunophenotyping.1 In 1872 and 1878, Langhan and Greenfield, respectively, provided microscopic descriptions of HL; however the cells that came to typify the diagnosis, Reed-Sternberg (R-S) cells, were attributed to observations and illustrations made by Carl Sternberg in 1898 and Dorothy Reed in 1902.7,8 Despite Reed’s unique diagnostic contribution to pathology, as well as her work in distinguishing Hodgkin disease from tuberculosis, Reed went on to become a paediatrician. Clonal growth of Hodgkin cells. keywords: cancer; cases; cells; chemotherapy; classification; disease; doi; hodgkin; lymphoma; treatment cache: squmj-2079.pdf plain text: squmj-2079.txt item: #865 of 1636 id: squmj-2080 author: None title: squmj-2080 date: 2015-08-24 words: 3378 flesch: 50 summary: The search for clarity is achieved most often through insight, pragmatism, the bridging of geographical divides and collaboration between They described two forms of molecularly distinct diffuse large B cell lymphoma (DLBCL); one type expressed genes characteristic of germinal centre B cells and the other expressed genes induced during the in vitro activation of peripheral blood B cells (activated B-like DLBCL). Two entities representing the polar ends of the spectrum of biological behaviour— aggressive B cell NHL and indolent B cell NHL—are addressed below. keywords: cancer; cell; chemotherapy; classification; doi; hodgkin; lymphoma; nhl; non; patients cache: squmj-2080.pdf plain text: squmj-2080.txt item: #866 of 1636 id: squmj-2082 author: None title: squmj-2082 date: 2015-11-22 words: 2576 flesch: 49 summary: Dogma and Disbelief Demolished In 2005, the Karolinska Institute in Stockholm, Sweden, awarded the Nobel Prize in Medicine or Physiology to J. Robin Warren and Barry J. Marshall for their discovery of a bacterial cause of gastritis and peptic ulcer disease.2 The pathologist-physician duo were paid homage for the struggle they encountered in establishing a revolutionary concept—a bacterial aetiology in the pathophysiology of gastric disease. The history of medical discoveries is replete with tales of individuals whose pursuit of knowledge and self-belief prompted them to become human guinea pigs. keywords: bacteria; disease; doi; experimentation; marshall; medicine; nobel; research; self; warren cache: squmj-2082.pdf plain text: squmj-2082.txt item: #867 of 1636 id: squmj-2083 author: None title: squmj-2083 date: 2015-11-22 words: 4457 flesch: 57 summary: A و اأعرا�ض الفم اأو الأ�سنان يف اأي من املجموعتني )ال�سكري والأ�سحاء(. اخلال�صة: ال�سخا�ض الذين لديهم اأ�سنان نخرة اأومفقودة اأو بها ح�سو اأ�سنان ودرجات موؤ�رس اللثة مرتفعة ولديهم داء املبي�سات الفموي لديهم ن�سبة اأعلى بكثري يف م�ستويات جلوبيولني املناعي A. ولكن لي�ض هناك فرق اإح�سائي يف م�ستويات جلوبيولني املناعي A املناعي جلوبيولني م�ستويات يف اإح�سائية زيادة فهناك ذلك، ومع الأ�سحاء. The relationship between salivary IgA levels and dental caries in children. keywords: control; diabetes; doi; iga; iga levels; immunoglobulin; levels; manifestations; oral; patients; salivary; study; subjects cache: squmj-2083.pdf plain text: squmj-2083.txt item: #868 of 1636 id: squmj-2084 author: None title: squmj-2084 date: 2015-11-22 words: 3909 flesch: 67 summary: This reduction in serum zinc levels may be related to either the excretion of zinc following acute diarrhoea or metabolic reactions against the infections (known as acute phase responses) or both.15,20,28,29 Many studies have reported contradictory results on the effect of zinc in the treatment of acute diarrhoea. Results: Mean serum zinc levels in the patients with acute bloody diarrhoea, acute watery diarrhoea and the control group were 74.1 ± 23.7 µg/dL, 169.4 ± 62.7 µg/dL and 190.1 ± 18.0 µg/dL, respectively (P = 0.01). keywords: acute; children; diarrhoea; group; levels; qazvin; serum; study; watery; zinc cache: squmj-2084.pdf plain text: squmj-2084.txt item: #869 of 1636 id: squmj-2085 author: None title: squmj-2085 date: 2015-11-22 words: 3902 flesch: 55 summary: وفقا اأمرا�ض تليها ،)19.7%( الطفيلية اأو املعدية الأمرا�ض ب�سبب الأحيان معظم يف املر�سى ترقيد مت لالأمرا�ض، الدويل الرتميز لت�سنيف الدورة الدموية )%16.4(، ثم اجلهاز اله�سمي )%16.4(، و اجلهاز البويل التنا�سلي )%13.8(. كانت اأكرث الأمرا�ض �سيوعا هي اأمرا�ض القلب والأوعية الدموية )%16.4( تليها املالريا )%11.3(، ثم التهاب املعدة / مر�ض القرحة اله�سمية )%9.8(، والتهابات امل�سالك البولية )7.2%( ومر�ض البول ال�سكري )%6.9(. بلغت ن�سبة الوفيات % الطريقة: اأجريت هذه الدرا�سة امل�ستعر�سة الراجعة من اأغ�سط�ض 2013 اإىل يوليو 2014، و�سملت جميع املر�سى املرقدين يف الأجنحة الطبية يف م�ست�سفى عطربة التعليمي اأثناء فرتة الدرا�سة. keywords: admission; atbara; communicable; diseases; health; hospital; patients; study; sudan; teaching; wards cache: squmj-2085.pdf plain text: squmj-2085.txt item: #870 of 1636 id: squmj-2086 author: None title: squmj-2086 date: 2015-11-22 words: 3937 flesch: 43 summary: هو بحث و�سفي ا�ستطالعي ي�ستمل على مرحلة ما قبل ومرحلة ما بعد تطبيق م�رسوع حت�سني اجلودة. The current study indicated that the implementation of a multidisciplinary quality improvement programme at the King Hussein Cancer Centre in Amman, Jordan, significantly improved compliance with surgical antimicrobial prophylaxis guidelines. keywords: adherence; antibiotics; guidelines; improvement; intervention; patients; pharmacist; project; prophylaxis; quality; study cache: squmj-2086.pdf plain text: squmj-2086.txt item: #871 of 1636 id: squmj-2087 author: None title: squmj-2087 date: 2015-11-22 words: 4495 flesch: 57 summary: يف م�سقط ب�سلطنة عمان يظهروا �سمات ا�سطراب نق�ض الإنتباه امل�ساحب لفرط الن�ساط. وقد هدفت الدرا�سة احلالية اإىل فح�ض التالزم املوجود بني اإ�سطرابات التعلم وا�سطراب نق�ض الإنتباه امل�ساحب لفرط الن�ساط لدى عينة من تالميذ املدار�ض ب�سلطنة عمان. keywords: adhd; attention; children; deficit; disorder; hyperactivity; lds; learning; omani; sample; study cache: squmj-2087.pdf plain text: squmj-2087.txt item: #872 of 1636 id: squmj-2088 author: None title: squmj-2088 date: 2015-11-22 words: 3603 flesch: 53 summary: The distribution of patients undergoing surgical evacuation by miscarriage type is shown in Figure 3. Early surgical evacuations (within 24 hours of the last dose of misoprostol) were performed for 65.18% of the subjects. Department of Obstetrics & Gynaecology, Royal Hospital, Muscat, Oman *Corresponding Author e-mail: nooralqabas@hotmail.com دراسة فاعلية ميسوبروستول كعالج غري جراحي حلاالت اإلجهاض يف الثلث األول من احلمل خربة املستشفى السلطاين، عمان قمرية اأمبو�سعيدية و اأنيتا زت�سي abstract: Objectives: Non-invasive methods of inducing a miscarriage are now considered an effective alternative to surgical evacuation (dilatation and curettage). keywords: evacuation; hospital; miscarriages; misoprostol; patients; pregnancy; study; termination; treatment; trimester cache: squmj-2088.pdf plain text: squmj-2088.txt item: #873 of 1636 id: squmj-2089 author: None title: squmj-2089 date: 2015-11-22 words: 4941 flesch: 55 summary: The diagnosis and treatment of Caesarean scar pregnancies (CSPs) are challenging and the optimal course of treatment is still to be determined. Vial et al. proposed two different types of CSP; the first occurs due to the implantation of the gestational sac on the scar with progression towards either the cervico- isthmic space or uterine cavity and the second as a result of a deep implantation into a post-Caesarean section defect with growth towards the bladder.12 Table 1: Clinical, radiological and interventional characteristics of each of the six presented patients with Caesarean scar pregnancies Age in years Obstetric history Years since last LSCS Symptoms Gestational weeks + days β-hCG in IU/L Imaging modality Treatment Follow-up period in weeks Blood loss 33 •G 7, P 6 •Four previous births via SVD •One previous birth via LSCS keywords: caesarean; case; csp; doi; evacuation; hcg; methotrexate; patient; pregnancy; scar; series; treatment cache: squmj-2089.pdf plain text: squmj-2089.txt item: #874 of 1636 id: squmj-2090 author: None title: squmj-2090 date: 2015-11-22 words: 2289 flesch: 58 summary: فقد قمنا بتحرير حالة لطفل يبلغ من العمر 13 عاما ًبعد قدومه للم�ست�سفى ال�سلطاين مب�سقط يف اأكتوبر من عام 2014 وبينت عينات الغ�سيل الرئوي، وارتفاع ن�سبة الغلوبني املناعيE والتاريخ املر�سي للم�ساب اأن املري�ض كان يعاين من داء النغف الق�سبي. لاللتهاب الأ�سباب كاأحد موؤخرا تعريفه ومت الب�رس يف النغف داء من العتيادية غري الأ�سكال من �سكل هو الرئوي النغف داء امللخ�ص: وكان يعاين من �سيق يف التنف�ض حيث اأدخل امل�ست�سفى، وك�سفت عينات الغ�سيل الرئوي اأن الطفل يعاين من اللتهاب الرئوي اليوزيني. keywords: case; eosinophilic; larvae; myiasis; oman; patient; pneumonia; report cache: squmj-2090.pdf plain text: squmj-2090.txt item: #875 of 1636 id: squmj-2091 author: None title: squmj-2091 date: 2015-11-22 words: 2423 flesch: 53 summary: Sebire et al. assessed 77 twin pregnancies with complete hydatidiform moles and healthy co-twins to ascertain the risk of continuing the pregnancy as opposed to termination.7 Termination of the pregnancy should be considered only if the patient develops severe pre-eclampsia, thyrotoxicosis or significant vaginal bleeding, or if there is evidence of trophoblastic embolisation.12 Measures to minimise blood loss during surgery for complete hydatidiform twin molar pregnancies with live co-twins are not described in the literature, although torrential haemorrhage is an expected complication. keywords: case; fetus; hydatidiform; hydatidiform mole; molar; mole; patient; pregnancy; report; twin cache: squmj-2091.pdf plain text: squmj-2091.txt item: #876 of 1636 id: squmj-2092 author: None title: squmj-2092 date: 2015-11-22 words: 2886 flesch: 51 summary: مت اأخ�ساع املري�سني للعالج امللتحمتني ثم و�سع فا�سل من الع�سلة واللفافة ال�سدغية، مما نتج عنه حَتَ ية، ثم متت متابعة كلتا احلالتني ملدة �سنتني على الأقل بعد العملية. مت اجراء عملية جراحية لفتح الق�سط ال�سدغي الفكي لكلتا احلالتني keywords: ankylosis; arthritis; case; joint; mouth; oman; report; septic; tmj cache: squmj-2092.pdf plain text: squmj-2092.txt item: #877 of 1636 id: squmj-2093 author: None title: squmj-2093 date: 2015-11-22 words: 2626 flesch: 54 summary: A high Ki-67 Table 1: Comparative analysis of cases of endometrial squamous cell carcinoma in situ in the literature Author and year of report Patient age in years Clinical presentation Gross findings Microscopy findings Associated pathology Kairys et نعر�ض حالة امراأة يف �سن الياأ�ض ،متعددة الولدات تبلغ من العمر 60 عاما قدمت keywords: carcinoma; case; cell; cell carcinoma; doi; endometrium; pescc; primary; report; situ; squamous cache: squmj-2093.pdf plain text: squmj-2093.txt item: #878 of 1636 id: squmj-2094 author: None title: squmj-2094 date: 2015-11-22 words: 780 flesch: 51 summary: Göhlich-Ratmann G, Wallot M, Baethmann M, Schaper J, Roggendorf M, Roll C, et al. Acute cerebellitis with near-fatal cerebellar swelling and benign outcome under conservative treatment with high dose steroids. A number of deaths have been reported due to fulminant cerebellitis.2 Acute cerebellar swelling has http://dx.doi.org/10.1177/08830738030180050901 http://dx.doi.org/10.1159/000050381 http://dx.doi.org/10.1016/S1090-3798%2898%2980032-9 http://dx.doi.org/10.1007/s00330-004-2247-y keywords: acute; cerebellitis; imaging; vermis cache: squmj-2094.pdf plain text: squmj-2094.txt item: #879 of 1636 id: squmj-2095 author: None title: squmj-2095 date: 2015-11-22 words: 666 flesch: 65 summary: ACBS is not genetic and is unlikely to recur in Figure 1A & B: Photographs of the (A) front and (B) side views of an amniotic constriction band (arrows) on the right leg of a six-year-old male child with associated common peroneal nerve mononeuropathy. Amniotic band syndrome. keywords: band; constriction; nerve cache: squmj-2095.pdf plain text: squmj-2095.txt item: #880 of 1636 id: squmj-2096 author: None title: squmj-2096 date: 2015-11-22 words: 915 flesch: 47 summary: The CT scan [Figure 2] and axial T2-weighted MRI images revealed a fatty mass in the left kidney (approximately 22 x 18 x 14 cm in Figure 1: Plain abdominal radiograph showing a mass with soft tissue density in the left upper quadrant pushing the colon segments medially (arrows) in a patient with renal replacement lipomatosis. It generally occurs unilaterally, contrary to renal sinus lipomatosis, and extends to the perirenal and periureteral areas.3,4 Calculi are also seen in approximately 70% of cases.3 Xanthogranulomatous pyelonephritis (XGP), malakoplakia and tumours including fat-like lipomas, Figure 2: Non-contrast computed tomography show- ing a fatty renal mass (arrows) in a patient with renal replacement lipomatosis. keywords: kidney; lipomatosis; mass; replacement cache: squmj-2096.pdf plain text: squmj-2096.txt item: #881 of 1636 id: squmj-2097 author: None title: squmj-2097 date: 2015-11-22 words: 1950 flesch: 53 summary: This may indicate that blind divers can substitute information from their missing visual system.4 Values obtained in the first two SOT tests were exceptionally high when compared with reference values for normal sighted subjects, potentially indicating that blind subjects recover postural control more quickly than sighted subjects.7 This is likely due to modified sensorimotor integration processes which control body orientation in space. Table 2: Sensory organisation test results among blind scuba divers and blind sedentary subjects (N = 20) SOT Test condition Sensory input Mean ± SD P value Divers Sedentary subjects 1 Eyes open on a firm surface with fixed visual surroundings Somatosensory, visual and vestibular 91.83 ± 3.65 93.01 ± 2.49 0.436 2 Eyes closed on a firm surface Somatosensory and vestibular 94.08 ± 2.05 92.72 ± 1.75 0.130 3 Eyes open on a firm surface with sway- referenced visual surroundings Somatosensory and vestibular 92.62 ± 3.01 91.23 ± 2.94 0.338 4 Eyes open on a sway-referenced surface with fixed visual surroundings Visual and vestibular 61.13 ± 8.92 51.18 ± 6.97 0.023* 5 Eyes closed on a sway-referenced surface Vestibular 66.90 ± 9.20 56.06 ± 11.27 0.040* 6 Eyes open on a sway-referenced surface with sway-referenced visual surroundings Vestibular 66.83 ± 10.08 55.92 ± 8.40 0.024* Composite 73.56 ± 6.89 73.22 ± 3.61 0.900 Somatosensory ratio† 1.025 ± 0.02 0.9975 ± 0.03 0.052 Visual ratio‡ 0.6667 ± 0.10 0.5513 ± 0.09 0.022* keywords: blind; divers; eyes; sot; subjects cache: squmj-2097.pdf plain text: squmj-2097.txt item: #882 of 1636 id: squmj-2098 author: None title: squmj-2098 date: 2015-11-22 words: 1352 flesch: 54 summary: Vascular dysfunction as an additional pathomechanism in glutaric aciduria type I. J Inherit Metab Dis 2004; 27:829–34. Pfeil J, Listl S, Hoffmann GF, Kölker S, Lindner M, Burgard P. Newborn screening by tandem mass spectrometry for glutaric aciduria type 1: A cost-effectiveness analysis. keywords: child; doi; med; type cache: squmj-2098.pdf plain text: squmj-2098.txt item: #883 of 1636 id: squmj-2099 author: None title: squmj-2099 date: 2015-11-22 words: 3169 flesch: 37 summary: ومستشفى جامعة السلطان قابوس، 2014-2015 Presentations of Sultan Qaboos University Clinico-Pathologic Conferences Sultan Qaboos University College of Medicine & Health Sciences and Sultan Qaboos University Hospital, 2014–2015 abstracts Paroxysmal Nocturnal Haemoglobinurea Arwa Al-Riyami,1 Fehmida Zia,1 Salam Al-Kindi4 Departments of 1Haematology, 2Radiology & Molecular Imaging and 3Medicine, Sultan Qaboos University Hospital; 4Department of Haematology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman. keywords: author; case; conference; mail; muscat; oman; qaboos university; sultan; sultan qaboos; university clinico; university hospital cache: squmj-2099.pdf plain text: squmj-2099.txt item: #884 of 1636 id: squmj-2100 author: None title: squmj-2100 date: 2016-02-01 words: 1342 flesch: 35 summary: Telfah S, Nazer L, Dirani M, Daoud F. Improvement in adherence to surgical antimicrobial prophylaxis guidelines after implementation of a multidisciplinary quality impro- vement project. A review of studies evaluating guideline imple- mentation strategies found only modest-to-moderate effects and noted that healthcare organisations’ resources for guideline implementation were usually insufficient to allow much more than the dissemination of educational materials or lunchtime educational meetings, interventions whose effects were usually only short-lived.12 Barlow et al. found that education and audit-based interventions used before the implementation of guidelines resulted in a significant increase in appropriate antibiotic prescriptions after the introduction of a multifaceted education programme.13 Audit feedback systems to improve the quality of care have also been shown to be feasible and effective in hospital settings in low-income countries.14 keywords: doi; guidelines; implementation; prophylaxis; sap cache: squmj-2100.pdf plain text: squmj-2100.txt item: #885 of 1636 id: squmj-2101 author: None title: squmj-2101 date: 2016-02-01 words: 4082 flesch: 52 summary: Linear scars usually result from surgery or localised trauma while widespread hypertrophic scars can be a consequence of extensive burns or soft tissue infections.1 Unlike hypertrophic scars, keloids involve excessive scarring that extends beyond the boundaries of the initial lesion. For instance, hypertrophic scars contain well organised type III collagen fibres while keloids contain a disarray of type I and III collagen bundles.5 Scar Prevention Prevention of scars is critical as it is much easier to prevent formation than to rely on management once Figure 1 A–F: Photographs of a (A) mature scar, (B) immature scar, (C) linear hypertrophic scar, (D) widespread hypertrophic scar, (E) minor keloid and (F) major keloid. keywords: doi; intralesional; keloids; management; prevention; scar; scarring; silicone; surg; surgery; therapies; therapy; treatment; wound cache: squmj-2101.pdf plain text: squmj-2101.txt item: #886 of 1636 id: squmj-2102 author: None title: squmj-2102 date: 2016-02-01 words: 4304 flesch: 48 summary: In the past decade, the laparoscopic approach in trauma patients has shown better diagnostic outcomes than traditional laparotomies. This article briefly reviews the extent of laparoscopy use and its significance in the management of trauma patients. keywords: abdominal; blunt; doi; injuries; injury; laparoscopies; laparoscopy; laparotomy; management; patients; penetrating; study; surg; trauma; use cache: squmj-2102.pdf plain text: squmj-2102.txt item: #887 of 1636 id: squmj-2103 author: None title: squmj-2103 date: 2016-02-01 words: 3417 flesch: 42 summary: It wasn’t until the late 1990s that the increasing involvement of nurses in disaster response situations strengthened the need to once again include disaster nursing education in the curriculum.7 In 2003, the National Student Nurses’ Association in the USA passed resolutions to include disaster preparedness content in the nursing curricula of all nursing schools.19 A few other nursing programmes worldwide have adopted the American curriculum.20 In the UK, as one of the requirements for nursing education pre-registration, nurses joining adult health specialties are mandated to recognise their role in disaster management, major incidents and public health emergencies and to respond appropriately according to their level of competence.21 Disaster nursing education for undergraduate students was recently introduced in 44 nursing schools in China.22 In contrast, less than half of the nursing education programmes in Japan included disaster nursing courses in 2009.7 Universities in Hong Kong and Australia did not include disaster content in their undergraduate nursing curricula in 2013.17,18 There is little information available on disaster training in nursing curricula among universities in Africa or the Middle Eastern region, apart from certain universities in Iran, Turkey and Jordan.23−25 Disaster Preparedness Education in Oman Currently, there is no information on the availability of disaster nursing content in the undergraduate curriculum for nursing students in Oman. The regulatory authority of professional nurses in Oman needs to ensure that all nursing graduates meet the WHO/ICN disaster competencies by including disaster nursing as a mandatory component in nursing curricula.7 keywords: curricula; disaster; doi; education; health; jul; management; nurses; nursing; oman; preparedness; training; undergraduate cache: squmj-2103.pdf plain text: squmj-2103.txt item: #888 of 1636 id: squmj-2104 author: None title: squmj-2104 date: 2016-02-01 words: 5569 flesch: 56 summary: مت حتليل اأربعة من�ذج �ش�ئعة من النتريوزامين�ت املخت�شة ب�لتبغ يف العينة الع�شوائية من م�دة اأف�شل عن طريق تقنية االأداء الع�يل للتخطيط اللوين ال�ش�ئل ب�ملقي��ص 1-butanone-)3-pyridyl(-1-)N-nitrosomethylamino(-4 هي: Chromatograms of TSNAs in the CRP-2 sample were comparable to those of Afzal samples, although there were slight differences between each analyte [Figure 3]. keywords: afzal; analysis; doi; levels; nab; nitrosamines; nnk; nnn; product; sample; smokeless; study; tobacco; tsnas cache: squmj-2104.pdf plain text: squmj-2104.txt item: #889 of 1636 id: squmj-2105 author: None title: squmj-2105 date: 2016-02-01 words: 6331 flesch: 55 summary: Conclusion: With careful assessment, potential DNR patients can be identified and futile CPR efforts avoided. This study aimed to assess the outcomes and estimate the associated healthcare costs of CPR among potential DNR patients admitted to the Sultan Qaboos Hospital (SQH), a secondary care centre in Salalah, Oman. keywords: cardiac; care; cases; clinical; costs; cpr; days; dnr; doi; healthcare; hospital; orders; patients; potential; resuscitate; resuscitation; study cache: squmj-2105.pdf plain text: squmj-2105.txt item: #890 of 1636 id: squmj-2106 author: None title: squmj-2106 date: 2016-02-01 words: 5556 flesch: 58 summary: يف جمال الرعاية الصحية األولية دراسة مستعرضة حممد العزري، امي�ن اللواتية، ري� الكمي�نية، م�ي�شة الكيومية، ع�ئ�شة الرواحية، روبن ديفد�شون، عبداهلل املنريي abstract: Objectives: This study aimed to identify the prevalence of antenatal depression and the risk factors associated with its development among Omani women. No previous studies on antenatal depression have been conducted in Oman. keywords: antenatal; care; conflict; depression; doi; factors; health; history; omani; pregnancies; pregnancy; prevalence; primary; risk; study; women cache: squmj-2106.pdf plain text: squmj-2106.txt item: #891 of 1636 id: squmj-2107 author: None title: squmj-2107 date: 2016-02-01 words: 3983 flesch: 55 summary: يف ق�بو�ص ال�شلط�ن ج�معة مب�شت�شفى 2013 م�ر�ص اإىل 2012 نوفمرب في�لفرتة �شجالت املري�ص االإلكرتونية ومتت مراجعته� ب�شكل م�شتقل من قبل �شتة من اأخ�ش�ئيي التوليد لتحديد موافقتهم على القرار املتخذ ب�إجراء العملي�ت القي�رضية. وحتليل ميكن حت�شني عملية اتخ�ذ القرار بوجود معدات لقي��ص معدل حمو�شة فروة راأ�ص اجلنني، عمل دورات منتظمة يف كيفية قراءة نت�ئج جه�ز قي��ص ت�أثر نب�ش�ت قلب اجلنني واجتم�ع�ت ملراجعة تخطيط قلب اجلنني. keywords: caesarean; cases; emergency; heart; hospital; obstetricians; oman; procedures; rate; study; university; women cache: squmj-2107.pdf plain text: squmj-2107.txt item: #892 of 1636 id: squmj-2108 author: None title: squmj-2108 date: 2016-02-01 words: 5528 flesch: 53 summary: Keywords: Mild Cognitive Impairment; Dance Therapy; Quality of Life; Anxiety; Depression; Malaysia امللخ�ص: الهدف: ال�شعف االإدراكي م�شكلة �ش�ئعة بني كب�ر ال�شن، ويعتقد اأن يكون من مقدم�ت اخلرف. هدفت هذه الدرا�شة اإىل ا�شتك�ش�ف فع�لية اإدراج الرق�ص و اال�شرتخ�ء مع� مق�رنة مع اال�شرتخ�ء وحده يف احلد من القلق واالكتئ�ب وحت�شني جودة احلي�ة ووظيفة االدراك جزيرة �شبه يف ودي�شمرب 2013 م�يو بني م� التجريبية �شبه الدرا�شة هذه اأجريت ال�شن. الطريقة: كب�ر يف االإدراكي ال�شعف مر�شى بني م�ليزي�على اأ�شخ��ص اأعم�رهم فوق ال�شتني ع�م يقطنون يف اأربع من�زل �شكنية لكب�ر ال�شن الت�بعة للحكومة. جمموعة االختب�ر �ش�ركت يف رق�شة بوكو بوكو مع مت�رين اال�شرتخ�ء يف حني �ش�ركت املجموعة ال�ش�بطة واالكتئ�ب للقلق الذاتي التقييم جرى اأ�ش�بيع. keywords: anxiety; control; dance; depression; doi; group; impairment; intervention; life; qol; quality; relaxation; scores; study; subjects; week cache: squmj-2108.pdf plain text: squmj-2108.txt item: #893 of 1636 id: squmj-2109 author: None title: squmj-2109 date: 2016-02-01 words: 5958 flesch: 53 summary: اأودي�ش� يف امل�شلولني ال�شوكي احلبل اإ�ش�ب�ت مر�شى بني احلي�ة وجودة البدين الن�ش�ط االإ�شتب�قية بني م�ر�ص 2010 ودي�شمرب 2013. ح�شل امل�ش�ركون على نتيجة منخف�شة ملتو�شط مع�دل االأي�ص )10.68 ± 18.18 �ش�عة/يوم(. keywords: activity; cord; doi; employment; health; individuals; injury; life; patients; qol; quality; sci; social; spinal; status; study cache: squmj-2109.pdf plain text: squmj-2109.txt item: #894 of 1636 id: squmj-2110 author: None title: squmj-2110 date: 2016-02-01 words: 4722 flesch: 60 summary: Chen D, Lew R, Hershman W, Orlander J. A cross-sectional measurement of medical student empathy. *Empathy was self-assessed by respondents using the English version of the 20-item Jefferson Scale of Physician Empathy-Student Version.8 Awring M. Raof and Bervian A. Yassin Clinical and Basic Research | e65 Discussion The current study sought to measure self-assessed empathy levels among a sample of medical students at a public university in Erbil city. keywords: doi; empathy; erbil; iraq; levels; mean; medical; physician; scores; students; study; year cache: squmj-2110.pdf plain text: squmj-2110.txt item: #895 of 1636 id: squmj-2111 author: None title: squmj-2111 date: 2016-02-01 words: 4499 flesch: 49 summary: Impact of medical student research in the development of physician-scientists. For an estimated population of 3,900 Saudi Arabian medical students, a sample size of at least 407 respondents (370 + 10% to compensate for non- participation) was needed to achieve a 95% confidence interval and a 7% margin of error with a study design effect of two.14 To calculate the sample size, it was assumed that 57% of medical students were involved in research projects.1 keywords: arabia; attitudes; clinical; doi; education; health; medical; research; saudi; students; study; undergraduate cache: squmj-2111.pdf plain text: squmj-2111.txt item: #896 of 1636 id: squmj-2112 author: None title: squmj-2112 date: 2016-02-01 words: 3281 flesch: 58 summary: من )LAMA( الطبية امل�شورة �شد املر�شى مغ�درة وراء الك�منة واالأ�شب�ب االإنت�ش�ر مدى حتديد هو الدرا�شة هذه من الهدف امللخ�ص: اأجنحة طب االأطف�ل يف �شلطنة عم�ن. هذه درا�شة ا�شتع�دية اأجريت بني ين�ير 2007 ودي�شمرب 2009 بتقييم املر�شى الذين غ�دروا اأق�ش�م االأطف�ل يف امل�شت�شفى ال�شلط�ين، م�شقط، عم�ن �شد امل�شورة الطبية. من 11،482 ح�لة مغ�درة ع�دية، ك�نت هن�ك 183 ح�لة LAMA )مدى االنت�ش�ر: %1.6(. عدم الر�ش� عن العالج والرغبة يف طلب راأي ث�ن جمتمعني ك�ن� اأكرث االأ�شب�ب LAMA ح�شب بي�ن�ت نظ�م امل�شت�شفى االلكرتوين امل�شت�شفى نظ�م يف LAMA اأ�شب�ب اأي توثيق يتم مل .)55.0 keywords: advice; cases; children; discharge; hospital; lama; oman; paediatric; patients; reasons; study cache: squmj-2112.pdf plain text: squmj-2112.txt item: #897 of 1636 id: squmj-2113 author: None title: squmj-2113 date: 2016-02-01 words: 3513 flesch: 61 summary: العالج علي التدريب قبل �شنة ملدة ومت�بعتهم )MRI T2*( ب��شتخدام االأ�ش��شي املغن�طي�شي اأخ�ش�ئي العالج الطبيعي على حب�ص اأنف��شهم ملدة 20-15 ث�نية بعد نه�ية الزفري قبل الت�شوير ب�لرنني املغن�طي�شي االأ�ش��شيومت�بعتهم ملدة �شنة ب��شتخدام *MRI T2. Keywords: Children; Iron Overload; Breath Holding; Physiotherapy; Thalassemia Major; Oman. امللخ�ص: الت�شوير ب�لرنني املغن�طي�شي ب��شتخدام *MRI T2*( T2( تقنية ح�ش��شة للغ�ية غريخ�رقة لالأن�شجة للك�شف عن زي�دة احلديد يف االأن�شجة. keywords: breath; doi; follow; hold; mri; patients; physiotherapy; procedure; scans; thalassaemia; training cache: squmj-2113.pdf plain text: squmj-2113.txt item: #898 of 1636 id: squmj-2114 author: None title: squmj-2114 date: 2016-02-01 words: 2902 flesch: 56 summary: In contrast, the American College of Chest Physicians recommended against the use of prophylactic IVC filters regardless of VTE risk in 2012.15 This recommendation was based on low-quality evidence (grade 2C) suggesting frequent complications with IVC filters and unclear long-term benefits.15 These conflicting recommendations, which were issued 10 years apart, exist due to the continuing absence of high-quality evidence to either support or refute the prophylactic use of IVC filters. For one of the most extensively used filters, the Greenfield™ filter (Boston Scientific Corp., Marlborough, Massachusetts, USA), the migration rate is 8–15%.24 Recurrence of PE has been reported to be as high as 4%.24 An increased risk of IVC occlusion and distant embolism despite IVC filter use has also been previously reported.25 Conclusion Trauma is a major risk factor for VTE. keywords: cava; doi; filters; ivc; patients; prophylactic; risk; trauma; use; vena; venous cache: squmj-2114.pdf plain text: squmj-2114.txt item: #899 of 1636 id: squmj-2115 author: None title: squmj-2115 date: 2016-02-01 words: 4043 flesch: 52 summary: Case Two A nine-year-old boy diagnosed with a recurrent medulloblastoma was admitted to the Royal Hospital in December 2013 with a two-day history of fever, Figure 1 A&B: Chest X-rays of an 11-month-old female infant (case one) with respiratory syncytial virus infection showing (A) right upper lobe consolidation and (B) complete consolidation resolution five days after admission. Figure 2 A&B: Chest X-rays of a nine-year-old boy (case two) with respiratory syncytial virus infection showing (A) upper airway narrowing which required (B) intubation. keywords: acute; admission; ane; case; children; day; days; doi; encephalopathy; infection; patient; rsv; series; virus cache: squmj-2115.pdf plain text: squmj-2115.txt item: #900 of 1636 id: squmj-2116 author: None title: squmj-2116 date: 2016-02-01 words: 3100 flesch: 56 summary: 49/51 52.0 59.0 41.0 56.0 NP 57.0 41.2 NP Sensory SNAP in μV 40.0 NP NP NP 28.8 15.5 55.0 40.0 NP 34.0 NP NP NCV in m/s 56.0 NP NP NP 59.0 60.0 63.0 56.0 NP 50.0 NP NP F-wave persistence NP NP NP NP 0/10 1/10 NP NP NP NP 0/10 NP U ln ar Motor dL in ms 3.3 NP 3.8 3.2 2.3 3.4 3.8 3.3 4.2 4.0 NP NP CMAP in mV 3.0 NP 2.8 3.2 6.2 8.3 2.7 2.9 0.9 1.9 NP NP NCV in m/s 59/43* NP 56/45 53/58 62/51 43/41 60/33 47/53 48/38 46/28 NP NP Sensory SNAP in μV 20.0 NP 20.0 5.0 18.8 9.5 11.0 NP NP NP NP NP NCV in m/s 61.0 NP 55.0 NP 51.0 54.0 48.0 NP NP 30.0 NP NP F-wave persistence NP NP NP NP 9/10 9/10 NP NP NP NP NP NP Pe ro ne al Motor dL in ms NP NP NP 5.5 4.5 4.0 4.5 5.1 4.8 NP NP NP CMAP in mV NP NP NP 4.0 8.9 10.1 NP 3.0 3.0 NP NP NP NCV in m/s NP NP NP NP 50.0 46.0 NP NP NP 44.0 NP NP Ti bi al Motor dL in ms NP NP NP NP 3.9 3.4 NP NP NP 4.8 NP NP CMAP in mV NP NP NP NP 18.5 12.7 NP NP NP 6.8 NP NP NCV in m/s NP NP NP NP 50.0 46.0 NP NP NP 44.0 NP NP Su ra l Sensory SNAP in μV NP NP NP 5.5 NP 6.1 2.0 6.0 NP NP NP NP NCV in m/s NP NP NP 40.0 NP 42.0 43.0 38.0 NP NP NP NP L = left; R = right; dL = distal latency; ms = milliseconds; CMAP = compound muscle action potential; mV = millivolt; NCV = nerve conduction velocity; m/s = metres per second; SNAP = sensory nerve action potential; μV = microvolts; NP = not performed. It is well established that mitochondrial disorders (MIDs) may phenotypically mimic motor neuron keywords: als; case; disease; doi; lateral; mid; motor; muscle; np np; patient; sclerosis cache: squmj-2116.pdf plain text: squmj-2116.txt item: #901 of 1636 id: squmj-2117 author: None title: squmj-2117 date: 2016-02-01 words: 3300 flesch: 52 summary: االأ�شعة ال�شينية لل�شدر والبطن اأظهرت بن�ء اأعيد و�شيلدين�فيل. ف�ِقيُّ ف�شل فع�ل للَجْنِبيُّ ال�شِّ مفتاح الكلمات: فتق احلج�ب احل�جز اخللقي؛ مولود؛ العملي�ت اجلراحية الرتميمية؛ زرع ذاتي؛ �شبكة جراحية ؛ �شيرتات ال�شيلدين�فيل؛ تقرير ح�لة؛ االإم�رات العربية املتحدة. keywords: agenesis; diaphragmatic; doi; dorsi; hernia; latissimus; mesh; muscle; neonate; repair; right; serratus cache: squmj-2117.pdf plain text: squmj-2117.txt item: #902 of 1636 id: squmj-2118 author: None title: squmj-2118 date: 2016-02-01 words: 3355 flesch: 51 summary: Keywords: Dengue Fever; Myocarditis; Complications; Child; Case Report; Pakistan. امللخ�ص: حّمى الدنك علة حّمىح�دة حمددة ذاتي�. غري اأن بع�ص املر�شى به� قد يع�نون من م�ش�عف�ت ت�شيب اأع�ش�ء اأخرى مثل الته�ب ع�شلة القلب. اأف�شل النت�ئج على الوعي، وال�شك الب�كر والعالج الداعم. keywords: acute; cardiac; case; child; dengue; doi; fever; involvement; myocarditis; patients cache: squmj-2118.pdf plain text: squmj-2118.txt item: #903 of 1636 id: squmj-2119 author: None title: squmj-2119 date: 2016-02-01 words: 2728 flesch: 53 summary: وع�دة م� يظهرمع وجود بيلة دموية، بيلة قيحية، اأعرا�ص تهيج عند االأ�شتفراغ واأمل اخل��رضة، لكن الظهور ككتلة كلوية يعترب غري ع�دي للغ�ية. Usually, genitourinary TB is a complication in 3–4% of pulmonary TB cases.3 Active genitourinary TB generally occurs between five and 15 years after a primary pulmonary infection with Mycobacterium tuberculosis.4 Despite its status as the most common form of genitourinary TB, renal TB is very rare in the paediatric population.5 Genitourinary TB mostly presents with irritative voiding symptoms, haematuria and flank pain.6 Presentation as a mass lesion is extremely rare and few cases have been published in the literature to keywords: case; doi; genitourinary; india; infection; mass; renal; report; tuberculosis; year cache: squmj-2119.pdf plain text: squmj-2119.txt item: #904 of 1636 id: squmj-2120 author: None title: squmj-2120 date: 2016-02-01 words: 2751 flesch: 49 summary: The combination of dissected ascending AA with multiple fistulae to the surrounding structures such as the pulmonary artery and left atrium, along with the concomitant presence of paravalvular leaks, is an exceedingly rare complication of prosthetic aortic valve endocarditis.1 Research has shown that aortic valve replacement is an independent variable for the development and progression of ascending AAs that may lead to dissection or rupture.2 Predisposing factors for the occurrence of post- aortic valve replacement aneurysms are well described in the literature. بعد العالج املبداأي لق�شور القلب االحتق�ين، خ�شعت املري�شة لعملية قلب مفتوح بوا�شطة طريقة Bentall التقليدية واإغالق الن��شور املزدوج. keywords: aneurysm; aortic; artery; cardiac; fistulae; patient; replacement; valve cache: squmj-2120.pdf plain text: squmj-2120.txt item: #905 of 1636 id: squmj-2121 author: None title: squmj-2121 date: 2016-02-01 words: 860 flesch: 51 summary: Considering its long half-life, methadone is considered an optimal medication for chronic pain management in opioid-tolerant cancer patients.2 Despite being in use for more than 40 years, the cardiovascular effects of methadone have only recently been identified.2,3 Methadone use, either chronic use or an acute increase in dosage, leads to the blockage of the voltage-activated delayed potassium current (the IK channel) and causes prolonged repolarisation of the ventricular myocardium. As a result, methadone use is associated with prolonged QTc intervals on ECGs.1,3 keywords: interval; methadone; qtc cache: squmj-2121.pdf plain text: squmj-2121.txt item: #906 of 1636 id: squmj-2122 author: None title: squmj-2122 date: 2016-02-01 words: 1145 flesch: 49 summary: Portal vein aneurysm: Case report and review of the literature. Sep 15 Accepted 8 Oct 15 doi: 10.18295/squmj.2016.16.01.023 Intrahepatic Portal Vein Aneurysm with Concurrent Hepatocellular Carcinoma e116 | SQU Medical Journal, February 2016, Volume 16, Issue 1 However, the incidence of portal hypertension and PVA is disproportionate, suggesting the existence of other contributory factors. keywords: aneurysm; liver; portal; pva; vein cache: squmj-2122.pdf plain text: squmj-2122.txt item: #907 of 1636 id: squmj-2123 author: None title: squmj-2123 date: 2016-02-01 words: 905 flesch: 47 summary: Kim BC, Choi WJ, Park EJ, Kwon IH, Cho HJ, Kim KH, et al. Cutaneous metaplastic synovial cyst of the first metatarsal head area. Cutaneous metaplastic synovial cyst of the cheek generated by repetitive minor trauma. keywords: cyst; metaplastic; synovial cache: squmj-2123.pdf plain text: squmj-2123.txt item: #908 of 1636 id: squmj-2124 author: None title: squmj-2124 date: 2016-02-01 words: 728 flesch: 49 summary: Sep 15 Accepted 25 Oct 15 doi: 10.18295/squmj.2016.16.01.025 Fox-Fordyce Disease e120 | SQU Medical Journal, February 2016, Volume 16, Issue 1 features include dilatation of the follicular infundibula with hyperkeratosis, acanthosis and spongiosis of the infundibular epithelium and perifollicular infiltration of lymphocytes and foamy histiocytes, leading to hair loss.3–5 Differential diagnoses which can be considered include Graham-Little-Piccardi-Lasseur syndrome and trichostasis spinulosa; however, patients with FF disease would not have cicatricial alopecia or lesions elsewhere on the body or the mucosa.5 Various treatments for FF disease have been suggested with limited improvement, including the administration of oral contraceptives; topical, intralesional or systemic corticosteroids; topical clindamycin; pimecrolimus; phototherapy; surgical treatments like electrocoagulation and curettage with liposuction; and topical and oral retinoids, as prescribed in the current case.1–5 References 1. The diagnosis of FF disease is based on characteristic clinical features, as well as non-specific histopathological features.1–5 keywords: disease; fordyce; fox cache: squmj-2124.pdf plain text: squmj-2124.txt item: #909 of 1636 id: squmj-2125 author: None title: squmj-2125 date: 2016-02-01 words: 1295 flesch: 43 summary: fissure.1,4 The optic nerve, cavernous sinus, suprasellar cistern, internal carotid artery, temporal lobe, pons and brainstem are all vulnerable to injury during transorbital penetration.1,2,4 Depending on the site of the injury, intracranial penetration can be immediately fatal or present asymptomatically for some time.1,2,4 Penetration through the orbital roof and superior orbital fissure are the most common events in transorbital penetrating injuries, resulting in a trajectory into the frontal lobe passing near the optic nerve or internal carotid artery, respectively, to the brainstem.3 Turbin et al. concluded that penetrating injuries involving the superior orbital fissure may result in temporal lobe, cavernous sinus and brainstem or cerebellar injuries.1 In the case of low-velocity penetrating brain injuries, immediate complications are associated with anatomical damage and could include cranial nerve or cerebral vascular injuries and haemorrhagic complications.4 The child remained asymptomatic for some time before developing a cerebral abscess.2 Al-Otaibi et al. reported a case of transorbital brain injury without serious neurological deficits in which the bulk of the pencil was removed under general anaesthesia.5 keywords: injuries; injury; pencil; penetrating; transorbital cache: squmj-2125.pdf plain text: squmj-2125.txt item: #910 of 1636 id: squmj-2126 author: None title: squmj-2126 date: 2016-02-01 words: 1039 flesch: 48 summary: e123–124, Epub. 2 Feb 16 Submitted 3 Dec 15 Accepted 20 Dec 15 doi: 10.18295/squmj.2016.16.01.027 http://dx.doi.org/10.18295/squmj.2015.15.04.012 http://dx.doi.org/10.3855/jidc.2349 http://dx.doi.org/10.1016/j.trstmh.2012.05.010 Re: Serum Zinc Concentrations in Children with Acute Bloody and Watery Diarrhoea e124 | SQU Medical Journal, February 2016, Volume 16, Issue 1 Response from the Authors Sir, We thank you for your comments on our recently published article.1 As mentioned in our article, the main objectives of our study were to compare serum zinc levels in children with acute diarrhoea and in healthy control subjects, as well as to compare serum zinc concentration in children with acute watery versus bloody diarrhoea, regardless of the identification of aetiological factors such as rotavirus infection or giardiasis. This is an interesting observation as it contrasts with previously reported observations; Strand et al. studied the association between plasma zinc concentration and several clinical and biochemical variables in a cohort of Nepalese children with acute diarrhoea.6 keywords: acute; children; diarrhoea; serum; zinc cache: squmj-2126.pdf plain text: squmj-2126.txt item: #911 of 1636 id: squmj-2127 author: None title: squmj-2127 date: 2017-10-05 words: 2124 flesch: 43 summary: However, some researchers have argued that that the true prevalence could be as high as 15–20%.3,7 Reportedly, 4.9% of Canadian children aged 6–15 years were found to have an LD; this prevalence varied across the age spectrum, from 1.6% among 6-year-olds to 7.2% among 10-year-olds.8 Data from public schools in the USA showed an estimated LD prevalence of 5% among school-aged children, with 2.4 million students found to have LDs.9 Dyslexia, which affects a complex range of abilities related to reading and language, represents the most common LD, as 80% of people with LDs are dyslexic.5,10,11 Other common types of LDs include dysgraphia, which affects writing abilities, dyscalculia, which affects the application of mathematical operations, and visual- spatial organisation problems.3,11 Nonverbal LDs are another type of learning difficulty whereby individuals demonstrate adequate verbal expression, vocabulary or reading skills, but have difficulties with certain nonverbal activities, such as problem-solving, visual- spatial tasks and reading body language or recognising social cues.3 The effects of LDs can persist during adulthood, as reading, writing and mathematical skills are usually essential to perform routine daily activities. 11 Jan 16; Revision Recd. 8 Feb 16 Accepted 22 Feb 16 doi: 10.18295/squmj.2016.16.02.001 Learning Disabilities Opportunities and challenges in Oman e130 | SQU Medical Journal, May 2016, Volume 16, Issue 2 view of the difficulties in diagnosing children with LDs, a three-level diagnostic approach has been advocated.13 keywords: children; disabilities; doi; lds; learning; oman; reading cache: squmj-2127.pdf plain text: squmj-2127.txt item: #912 of 1636 id: squmj-2128 author: None title: squmj-2128 date: 2017-10-05 words: 6984 flesch: 41 summary: This review summarises the biochemical, histological and macromolecular changes that contribute to oxidative liver damage among diabetic individuals. The production of oxidants such as ROS-like superoxide anions, hydrogen peroxide and hydroxyl radicals by activated Kupffer cells has been identified as central to hepatic injuries.29 Kupffer cells, also known as hepatic macrophages, are one type of nonparenchymal cell that help maintain the integrity of liver cells. keywords: cells; damage; diabetes; diabetic; disease; doi; factor; hepatic; inflammation; insulin; levels; liver; liver damage; liver disease; oxidative; patients; products; protein; resistance; role; stress cache: squmj-2128.pdf plain text: squmj-2128.txt item: #913 of 1636 id: squmj-2129 author: None title: squmj-2129 date: 2017-10-05 words: 7123 flesch: 43 summary: Nevertheless, a high index of clinical suspicion is indicated for patients who present with recurrent abdominal pain which cannot be attributed to any other obvious pathology.1–6,16,22,25 A considerable number of primary SEP patients present with an intestinal obstruction.2,15 Biopsy results from surgical interventions may indicate SEP unexpectedly.1–5,16,26,27 Li et al. found that 52.3% of a large series of 65 SEP patients were diagnosed during surgery in contrast to 47.7% who were diagnosed preoperatively.5 While the majority of SEP patients are asymptomatic, some symptoms may include nausea, vomiting, loss of appetite, weight loss and malnutrition as a consequence of acute, subacute or chronic episodes of complete or incomplete gastrointestinal obstruction.1–25 Symptomatic patients may present with tell-tale signs, including a painless soft abdominal mass and ascites in those with a severe form of the disease.1–6 However, acute emergencies due to perforation are rare.28 In patients with secondary SEP, a clinician may be alerted to the possible diagnosis due to predisposing factors such as PD, intraperitoneal shunts or autoimmune conditions.1–5 Diagnostic Modalities A diagnosis of SEP is facilitated by the patient’s history, existing predisposing factors, various biochemical parameters, radiological imaging and, above all, a high index of clinical suspicion.1–6,10–26 Clinical indicators of possible secondary SEP include predisposing factors presenting with unexplained abdominal discomfort such as abdominal tuberculosis, systemic lupus erythematosus or PD.1–6,16,20,26 Radiological imaging can also support the diagnosis, starting with abdominal X-rays, barium studies and ultrasonography and progressing to abdominal computed tomography (CT) and, in occasional cases, contrast-enhanced magnetic resonance imaging (MRI).11,12,17,24,27,29–32 Abdominal X-ray findings are likely to be non- specific and would indicate features of bowel obstruction, including dilated loops of the small intestine with multiple air fluid levels and, occasionally, bowel wall and peritoneal calcification Developmental anomaly • Derived from the yolk sac peritoneum in fetal life • Non-inflammatory • Mesothelium membrane • Membrane is usually thin • Usually asymptomatic • Often detected incidentally during a laparotomy • Between the mesocolon, omentum and small intestine - Primary SEP • Unknown • Thick fibrocollagenous membrane • Inflammatory cells • Complete mesothelium loss • Initially asymptomatic • Inflammatory phase: non-specific, including pain, nausea, vomiting, loss of appetite and malnutrition • Fibrosclerotic (advanced) phase: intestinal obstruction • Type I: part of small intestine • Type II: whole small intestine • Type III: small and large intestine, ovary, liver and stomach • Occurs in two forms: adolescent and adult Secondary SEP • Several* • See above • See above • See above - SEP = sclerosing encapsulating peritonitis.*See Table 2. Figure 1A‒C: Classifications of primary sclerosing encapsulating peritonitis (SEP) into (A) type I, (B) type II and (C) type III. keywords: abdominal; bowel; cocoon; condition; diagnosis; doi; idiopathic; inflammatory; membrane; obstruction; patients; peritoneal; peritonitis; review; sclerosing; sep cache: squmj-2129.pdf plain text: squmj-2129.txt item: #914 of 1636 id: squmj-2130 author: None title: squmj-2130 date: 2017-10-05 words: 6008 flesch: 50 summary: A Western study among Arab Americans reported a peak incidence of acne vulgaris occurring Figure 1: Photograph of a young female patient with moderate to severe acne vulgaris with pustular formation. Current challenges involve improving understanding of the underlying pathophysiology of acne vulgaris and developing a practical treatment consensus. keywords: acne; acne vulgaris; adapalene; bpo; clinical; dermatol; dermatology; doi; et al; management; patients; retinoids; severe; skin; study; therapy; topical; treatment; vulgaris cache: squmj-2130.pdf plain text: squmj-2130.txt item: #915 of 1636 id: squmj-2131 author: None title: squmj-2131 date: 2017-10-05 words: 5149 flesch: 51 summary: Fewer nurses obtain a specialised nursing education as there are only three graduate nursing programmes available in Uganda.25 Other factors affecting staff recruitment and retention include a lack of promotion opportunities, unequal remuneration of healthcare workers compared to other professionals, inadequate training/facilities, poor leadership, inadequate staff accommodation and staff fatalities due to HIV/AIDS, accidents and malaria.14,16,26,27 Task-Shifting Policy Fulton et al. define task-shifting as the delegation of tasks to an existing or new cadre of health workers with either less training or disease-/skill-specific training.10 The WHO describes task-shifting as the process whereby specific tasks are transferred, in a structured manner, to health workers with less training and fewer qualifications than normally required to provide a certain service or perform a specific task.8 Task-shifting strategies have the potential to meet the demands of NCD programmes since management principles for these diseases are based on screening, health promotion, initiation of treatment and referral of high-risk patients to physicians.28 Proponents of task-shifting point to significant positive outcomes for patients with HIV, obstetric care requirements, mental health issues and malaria.8,10,13,20 Trained Table 1: Number of units and percentage of staffing positions filled at various health facilities in Uganda Facility Units Positions filled, % Mulago Hospital 1 87 Butabika Hospital 1 93 Regional referral hospitals 13 72 General hospitals 39 63 District health offices 112 57 Health centres IV 164 60 keywords: africa; communicable; countries; dec; diseases; doi; health; healthcare; management; national; ncds; nurses; policy; shifting; task; training; uganda; workers; workforce cache: squmj-2131.pdf plain text: squmj-2131.txt item: #916 of 1636 id: squmj-2132 author: None title: squmj-2132 date: 2017-10-05 words: 4848 flesch: 57 summary: عزل وا�ستخال�س مركبات طبيعية والتحري عن الن�ساط امل�ساد لل�رسطان فيها ي�سري الفح�س الدقيق للخاليا اخلا�سعة للتجربة ايل وجود جتزئة يف نواة اخللية، مع بروز على الغ�ساء وتكوين فقاعات اىل جانب انعزال الكروماتني عند الغ�ساء النووي والتي تعترب من ال�سمات املميزة يف حالة موت اخللية املربمج. keywords: acetate; activity; anti; breast; cancer; cells; compounds; coral; dmso; doi; drugs; ethyl; extracts; marine; methanol; oman; organisms; products; sarcophyton; sponge; study cache: squmj-2132.pdf plain text: squmj-2132.txt item: #917 of 1636 id: squmj-2133 author: None title: squmj-2133 date: 2017-10-05 words: 5218 flesch: 45 summary: Departments of 1Microbiology and 2Medicine, Kasturba Medical College, Mangalore, India *Corresponding Author e-mail: jyoti.kumari1985@rediffmail.com البكترييا العنقودية الذهبية املقاومة للميثيسيلني املرتبطة بالرعلية الصحية B اخلصائص السريرية و مقاومة املضادات احليوية مع الرتكيز على مقاومة املاكروليد واللينكوساميد-سرتبتوغرامني جيوتي كوماري، �ساليني �سينوي، �رسيكال باليغا، �ساكرباين م.، خامتة: اإن ن�سبة مقاومة املكورات العنقودية احليوية للم�سادات احل�سا�سية اختبارات يف دائما D فح�س يوؤدي اأن ينبغي ومقلقة: عالية ال�سحية بالرعاية املرتبطة للميثي�سيلني الروتينية اإذا كانت العينة املعزولة مقاومة لالإريرثومي�سني لكن ح�سا�سة لكلينداماي�سني. keywords: antibiotic; aureus; clindamycin; clinical; doi; erythromycin; healthcare; hospitals; infections; isolates; methicillin; mrsa; resistance; staphylococcus; strains; study; susceptibility; vancomycin cache: squmj-2133.pdf plain text: squmj-2133.txt item: #918 of 1636 id: squmj-2134 author: None title: squmj-2134 date: 2017-10-05 words: 5672 flesch: 63 summary: While receiving CQ treatment, patients should be advised not to chew khat. This is the first study to reveal that the use of khat (Catha edulis) significantly reduces plasma chloroquine (CQ) levels among malaria patients receiving CQ treatment. - keywords: chewers; chewing; chloroquine; day; doi; khat; levels; malaria; non; patients; plasma; study; treatment; yemen cache: squmj-2134.pdf plain text: squmj-2134.txt item: #919 of 1636 id: squmj-2135 author: None title: squmj-2135 date: 2017-10-05 words: 6197 flesch: 61 summary: The results of this study highlight certain psycho-cognitive factors that require further exploration by healthcare services and researchers to enhance CHD risk factor knowledge and preventative lifestyle behaviours in Oman. *Using correct responses only. †Knowledge was self-assessed by participants using the modified version of the Heart Disease Facts Questionnaire.22,23 Ali A. Ammouri, Ayman Tailakh, Chandrani Isac, Joy K. Kamanyire, Joshua Muliira and Shreedevi Balachandran Clinical and Basic Research | 193 on the HDFQ scale by the participants indicated an inadequate level of CHD risk factor knowledge among adult Omanis. keywords: awareness; chd; chd risk; community; disease; doi; education; factors; health; heart; knowledge; levels; oman; participants; risk; risk factors; sample; study cache: squmj-2135.pdf plain text: squmj-2135.txt item: #920 of 1636 id: squmj-2136 author: None title: squmj-2136 date: 2017-10-05 words: 4722 flesch: 60 summary: مت ت�سميم ا�ستمارة ا�ستبيان باللغة العربية مت التحقق منها لتحديد احلالة الإجتماعية و الدميوغرافية والتاريخ العائلي و ال�سخ�سي ملر�س ال�سكري، ارتفاع �سغط الدم، مر�س ال�رسيان التاجي و اإ�سطراب الدهون يف الدم بني الن�ساء و اأزواجهن. لذلك فاإن اأزواج الأ�سخا�س امل�سابني بال�سكري ميكن اأن يكونوا من ال�سكان امل�ستهدفني بامل�سوحات ال�سحية ملر�س ال�سكري وفرط �سكر الدم. keywords: ajman; arab; concordance; diabetes; doi; emirates; health; husbands; spousal; study; united; women; سكري cache: squmj-2136.pdf plain text: squmj-2136.txt item: #921 of 1636 id: squmj-2137 author: None title: squmj-2137 date: 2017-10-05 words: 5189 flesch: 50 summary: Conclusion: This study suggests that AGU medical students perform poorly in prescription writing OSPE stations because of inadequate clinical pharmacology knowledge. However, the authors of the current study also recommend that AGU medical students should be encouraged to improve their approach to learning— moving from examination-oriented strategies to those that will facilitate the understanding of fundamental concepts and their application to different therapeutic scenarios. keywords: absenteeism; agu; clinical; doi; drug; lack; learning; medical; performance; prescription; reasons; sessions; students; study; writing cache: squmj-2137.pdf plain text: squmj-2137.txt item: #922 of 1636 id: squmj-2138 author: None title: squmj-2138 date: 2017-10-05 words: 5000 flesch: 58 summary: Furthermore, trauma injuries were rarely isolated and most deaths were due to multisystem involvement. Conclusion The main mechanism of torso trauma injury among children admitted to SQUH involved motor vehicle accidents. keywords: blunt; children; hospital; injuries; injury; management; oman; paediatric; patients; study; torso; trauma cache: squmj-2138.pdf plain text: squmj-2138.txt item: #923 of 1636 id: squmj-2139 author: None title: squmj-2139 date: 2017-10-05 words: 4458 flesch: 57 summary: والدميوغرافية الجتماعية باخل�سائ�س عالقتها اجللدية على التوايل ملدينة امللك عبد العزيز الطبية يف الريا�س، اململكة العربية ال�سعودية، يف �سهر اأغ�سط�س 2015. Keywords: Depression; Anxiety; Psychological Stress; Quality of Life; Social Support; Dermatology; Saudi Arabia. امللخ�ص: اأهداف: هدفت هذه الدرا�سة اإىل حتديد مدى انت�سار الكتئاب والقلق والتوتر لدى مر�سى الأمرا�س اجللدية ال�سعوديني، وتقييم بالأمرا�س م�ساب 300 على امل�ستعر�سة الدرا�سة هذه اأجريت : منهجية وال�رسيرية. keywords: anxiety; depression; dermatology; doi; family; patients; qol; saudi; stress; study; support cache: squmj-2139.pdf plain text: squmj-2139.txt item: #924 of 1636 id: squmj-2140 author: None title: squmj-2140 date: 2017-10-05 words: 4413 flesch: 47 summary: This study aimed to investigate patients’ perceptions of the participation of medical students in their care. Overall, 407 patients (98%) acknowledged the educational benefit of involving medical students in their care. keywords: 0.001; acceptance; attitudes; care; education; gender; medical; participation; patients; perceptions; students; study cache: squmj-2140.pdf plain text: squmj-2140.txt item: #925 of 1636 id: squmj-2141 author: None title: squmj-2141 date: 2017-10-05 words: 2578 flesch: 49 summary: Keywords: Epstein-Barr Virus Infections; Natural Killer Cell; Lymphoproliferative Disorders; Spontaneous Remission; Case Report; Oman. امللخ�ص: تعد ال�سطرابات التكاثرية اللمفية املزمنة للخاليا الفاتكة الطبيعية قليلة ال�سيوع، ويلعب فريو�س ابي�ستاين–بار دورا مهما يف اإحداثها. نتناول هنا حالة �ساب يف الع�رسين من عمره م�ساب بعدوى مزمنة ن�سطة لفريو�س ابي�ستاين–بار ومرتبطة با�سطراب تكاثري ب�سلطنة م�سقط يف قابو�س ال�سلطان جامعة مل�ست�سفى املري�س ح�رس معتاد. keywords: active; barr; cell; chronic; disease; doi; ebv; epstein; virus cache: squmj-2141.pdf plain text: squmj-2141.txt item: #926 of 1636 id: squmj-2142 author: None title: squmj-2142 date: 2017-10-05 words: 2415 flesch: 49 summary: ومت اجراء تدخل جراحي ناجح للمري�س، ومت تخريجه من امل�ست�سفى عقب ا�ستقرار حالته بعد ع�رسة اأيام من اجراء تلك العملية. واأو�سح ت�سوير الأوعية بوا�سطة الت�سوير املقطعي املحو�سب اأنه ل توجد ان�سمامات رئوية اأو ت�سلخ اأبهري، رغم وجود ت�سلب يف ال�رسايني التاجية. keywords: acute; case; echocardiography; infarction; muscle; myocardial; papillary; patient; regurgitation; rupture cache: squmj-2142.pdf plain text: squmj-2142.txt item: #927 of 1636 id: squmj-2143 author: None title: squmj-2143 date: 2017-10-05 words: 2415 flesch: 49 summary: ومت اجراء تدخل جراحي ناجح للمري�س، ومت تخريجه من امل�ست�سفى عقب ا�ستقرار حالته بعد ع�رسة اأيام من اجراء تلك العملية. واأو�سح ت�سوير الأوعية بوا�سطة الت�سوير املقطعي املحو�سب اأنه ل توجد ان�سمامات رئوية اأو ت�سلخ اأبهري، رغم وجود ت�سلب يف ال�رسايني التاجية. keywords: acute; case; echocardiography; infarction; muscle; myocardial; papillary; patient; regurgitation; rupture cache: squmj-2143.pdf plain text: squmj-2143.txt item: #928 of 1636 id: squmj-2144 author: None title: squmj-2144 date: 2017-10-05 words: 2567 flesch: 61 summary: يف اجلانب الأي�رس، مما قد ي�سبب �سعوبة يف الت�سخي�س. وبالإ�سافة لذلك، فاإن الإزالة اجلراحية باملنظار للزائدة واأكدت الأ�سعة اأجريت الأي�رس. جانبه يف الزائدة التهاب من ويعاين الو�سع، مقلوبة الأع�ساء حالة عنده املري�س اأن ال�سوتية فوق واملوجات ال�سينية بنجاح للمري�س عملية ا�ستئ�سال الزائدة متعددة الأبواب ب�سق واحد، دون حدوث اأي م�ساعفات. keywords: appendectomy; appendix; case; forceps; incision; laparoscopic; patient; port; report; situs cache: squmj-2144.pdf plain text: squmj-2144.txt item: #929 of 1636 id: squmj-2145 author: None title: squmj-2145 date: 2017-10-05 words: 2585 flesch: 49 summary: ومع ذلك، اأظهر الت�سوير املغناطي�سي خالل �ستة اأ�سابيع تطور عالج املري�س بنجاح بالأدوية امل�سادة للفطريات على مدى العامني التاليني. keywords: aspergillosis; aspergillus; brain; case; doi; fungal; lesion; patient; report; resection; voriconazole cache: squmj-2145.pdf plain text: squmj-2145.txt item: #930 of 1636 id: squmj-2146 author: None title: squmj-2146 date: 2017-10-05 words: 2486 flesch: 51 summary: كانت املري�سة م�سابة مبر�س بهجت مع تاريخ تلعثم، دوار، من تعاين املري�سة كانت التحويل عند القزحية. الآزوثيوبرين وال�سيكلوفو�سفاميد. keywords: aneurysm; artery; behçet; cardiac; case; disease; doi; patient; report; thrombus cache: squmj-2146.pdf plain text: squmj-2146.txt item: #931 of 1636 id: squmj-2147 author: None title: squmj-2147 date: 2017-10-05 words: 699 flesch: 52 summary: A physical examination showed several pearled papules of 0.3–0.5 cm located over the tattoo [Figure 1A]. A: Photograph showing several pearled molluscum contagiosum papules of 0.3–0.5 cm (arrows) located over a tattoo on the arm of a 33-year-old male patient. keywords: molluscum; papules; tattoo cache: squmj-2147.pdf plain text: squmj-2147.txt item: #932 of 1636 id: squmj-2148 author: None title: squmj-2148 date: 2017-10-05 words: 699 flesch: 52 summary: A physical examination showed several pearled papules of 0.3–0.5 cm located over the tattoo [Figure 1A]. A: Photograph showing several pearled molluscum contagiosum papules of 0.3–0.5 cm (arrows) located over a tattoo on the arm of a 33-year-old male patient. keywords: molluscum; papules; tattoo cache: squmj-2148.pdf plain text: squmj-2148.txt item: #933 of 1636 id: squmj-2149 author: None title: squmj-2149 date: 2017-10-05 words: 879 flesch: 47 summary: There is currently some debate as to whether TFFD and dermatosis neglecta are the same entity; however, patients with TFFD generally have satisfactory hygiene habits, whereas dermatosis neglecta usually results from inadequate cleansing.2 Delay in the maturation of keratinocytes—with melanin retention and a sustained accumulation of sebum, sweat and corneocytes in areas of the body where hygiene measures may be less rigorous—might explain the appearance of TFFD. Indian J Dermatol Venereol Leprol 2011; 77:62–3. doi: 10.4103/0378- 6323.74986. keywords: dermatosis; doi; neck; plaques cache: squmj-2149.pdf plain text: squmj-2149.txt item: #934 of 1636 id: squmj-2150 author: None title: squmj-2150 date: 2017-10-05 words: 1087 flesch: 51 summary: An emergency tracheostomy was performed and a biopsy revealed tumour cells arranged in cribriform structures, tubules and clusters amidst a fibrous stroma A cribriform pattern of tumour cells is typical of ADCC; however, this pattern is rarely seen in basal cell adenomas, basaloid squamous cell carci- nomas and mixed tumours. keywords: adenoid; carcinoma; cells; cystic; tumour cache: squmj-2150.pdf plain text: squmj-2150.txt item: #935 of 1636 id: squmj-2151 author: None title: squmj-2151 date: 2017-10-05 words: 2315 flesch: 56 summary: Gender differences in scholastic achievement: A meta-analysis. Gender differences in mathematics: A function of parental support and student sex typing? keywords: brain; differences; doi; education; gender; jul; learning; male; sex; women cache: squmj-2151.pdf plain text: squmj-2151.txt item: #936 of 1636 id: squmj-2152 author: None title: squmj-2152 date: 2017-10-05 words: 4981 flesch: 54 summary: Podiatric services The role and value of podiatrists in the primary and secondary prevention of DFD is recognised internationally.36 Regular access to podiatry services can decrease the prevalence and size of foot callosities, improve foot care knowledge and self-care Table 1: Levels of foot care required at the national level in the management of diabetic foot disease Level of care Description Level 1 General practitioner, podiatrist, and diabetic nurse Level 2 Diabetologist, surgeon (general and/or vascular and/or orthopaedic), podiatrist, and diabetic nurse Level 3 Specialized foot centre with multiple disciplines specialized in diabetic foot care Reproduced with permission from Bakker K, Apelqvist J, Schaper NC; International Working Group on Diabetic Foot Editorial Board. In addition to being a referral centre for patients with DFD, it provides nurses from all over the country with short training courses in foot examination, basic and advanced wound management and diabetic foot care. keywords: amputations; care; dfd; diabetes; doi; education; foot; health; limb; management; mar; ministry; national; oman; patients cache: squmj-2152.pdf plain text: squmj-2152.txt item: #937 of 1636 id: squmj-2153 author: None title: squmj-2153 date: 2017-10-05 words: 6408 flesch: 34 summary: Morphet J, Hood K, Cant R, Baulch J, Gilbee A, Sandry K. Teaching teamwork: An evaluation of an interprofessional training ward placement for health care students. In Australia, government and independent reports were released which emphasised the inclusion of IPE in health profession training programmes.14 Furthermore, the governments of Canada and the USA have awarded funding to universities to introduce IPE training for health professional students early in their curricula.15,16 keywords: activities; collaborative; community; doi; education; health; healthcare; interprofessional; ipe; learning; medical; medicine; nursing; patient; pharmacy; practice; professions; review; students; training; undergraduate; usa cache: squmj-2153.pdf plain text: squmj-2153.txt item: #938 of 1636 id: squmj-2154 author: None title: squmj-2154 date: 2017-10-05 words: 5232 flesch: 40 summary: 27 Feb 16 Accepted 13 Mar 16 doi: 10.18295/squmj.2016.16.03.004 The world health organization (who) defines health education as “any combination of learning experiences designed to help individuals and communities improve their health, by increasing their knowledge or influencing their attitudes”.1 Health education provides opportunities for both individuals and communities to acquire the necessary information/skills required to make health decisions or change health behaviours.2 Between the 1970s and 1990s, many Gulf Corporation Council countries witnessed a remarkable growth in their healthcare sectors, including Saudi Arabia.3 Since then, the government of Saudi Arabia has made efforts to improve healthcare through health education and this remains a focal point of healthcare policies today. التثقيف الصحي يف اململكة العربية السعودية حملة تارخيية اأنوار الها�صم abstract: This article provides a historical overview of the evolution of health education in Saudi Arabia. keywords: arabia; education; educators; feb; health; health education; healthcare; hospitals; king; ministry; moh; programmes; public; saudi; saudi arabia; university cache: squmj-2154.pdf plain text: squmj-2154.txt item: #939 of 1636 id: squmj-2155 author: None title: squmj-2155 date: 2017-10-05 words: 3958 flesch: 53 summary: Although blood transfusion consent policies have been applied in nearby countries as a result of accreditation requirements, to the best of the authors’ knowledge, this study is the first from Oman to assess the degree of adherence to an informed consent policy. Implementation of transfusion consent in other hospitals in the country is recommended. keywords: blood; consent; haematology; hospital; information; oman; paediatric; patients; policy; squh; study; transfusion cache: squmj-2155.pdf plain text: squmj-2155.txt item: #940 of 1636 id: squmj-2156 author: None title: squmj-2156 date: 2017-10-05 words: 3755 flesch: 48 summary: Surgical cancellation is a leading cause of OT underutilisation. This study aimed to report the rate and reasons for surgical cancellations and no-shows in a large regional hospital in Oman. keywords: cancellations; cases; hospital; ibri; oman; patient; rate; reasons; regional; shows; study; surgeries; surgery cache: squmj-2156.pdf plain text: squmj-2156.txt item: #941 of 1636 id: squmj-2157 author: None title: squmj-2157 date: 2017-10-05 words: 5648 flesch: 60 summary: In addition, AlP tablets contain ammonium carbamate which produces NH3 and CO2 gasses when in contact with water;4 these gasses also interfere with the results of AlP poisoning studies and should subsequently be excluded. This study aimed to investigate the neutralisation of PH3 gas with boric acid. keywords: acid; acidified; alp; charcoal; doi; gas; ph3; phosphide; poisoning; reaction; study; tablet; volume cache: squmj-2157.pdf plain text: squmj-2157.txt item: #942 of 1636 id: squmj-2158 author: None title: squmj-2158 date: 2017-10-05 words: 5467 flesch: 52 summary: PFV( مع تكل�ض .)CAD( التاجي ال�رضيان مر�ض ا�صتباه من يعانون الذين املر�صى بني )CAC( التاجي ال�رضيان وتكل�ض )ARC( االأبهر ال�رضيان جذر منهجية: اأجريت هذه الدرا�صة امل�صحية يف الفرتة ما بني يناير ودي�صمرب 2014م يف امل�صت�صفى التعليمي جلامعة الكوفة يف النجف، العراق، خالل فرتة الدرا�صة مت ح�رض ما جمموعه 130 مري�صًا على التوايل من بني امل�صتبه باإ�صابتهم مبر�ض نق�ض تروية القلب وخ�صعوا للفح�ض 130 جمموع من مري�ض، لكل اإ�صعاعي مقطع 64 وت�صوير )CT( املحو�صب املقطعي الك�صف متعدد الدموية االأوعية ت�صوير جهاز يف مري�صا،ً مت اإدراج 111 منهم يف الدرا�صة وتق�صيمهم اإىل جمموعات وفقًا لدليل كتلة اجل�صم. نتائج: كان هناك 28 مري�صًا يعانون من ال�صمنة و 42 من Keywords: Body Mass Index; Obesity; Pericardium; Coronary Vessels; Vascular Calcification; Atherosclerosis; Coronary Angiography. امللخ�ص: اأهداف: هدفت هذه الدرا�صة اإىل تقييم تاأثري دليل كتلة اجل�صم )BMI( على العالقة بني حجم الدهون يف التامور ) keywords: agatston; arc; artery; bmi; cac; calcification; coronary; disease; doi; fat; obesity; patients; pfv; risk; score; study cache: squmj-2158.pdf plain text: squmj-2158.txt item: #943 of 1636 id: squmj-2159 author: None title: squmj-2159 date: 2017-10-05 words: 3815 flesch: 61 summary: In contrast to the findings of the current study, some researchers have shown higher ALP levels in smokers.30,31 Another study found that smoking had no effect on ALP activity.28 Kibayashi et al. noted significantly lower levels of salivary ALP and albumin in current smokers compared to non- current smokers; smoking was therefore considered a risk factor for periodontitis and a potential biomarker for the disease.23 Higher salivary ALP levels have also been found among individuals with periodontal disease, pancreatitis and appendicitis, with treatment of the disease resulting in lowered enzyme levels.3,4,29 Therefore, non-invasive assessment of ALP levels may be useful in the diagnosis and prognosis of periodontal tissue function and treatment monitoring of abdominal inflammatory diseases.3,29 Smoking has been found to cause periodontal disease and bone destruction.32 However, in the current study, smokers with periodontal disease were not included and specific side-effects of smoking on the oral mucosa were not evaluated. Mean levels of salivary BC were also significantly lower among smokers compared to non- smokers (3.41 ± 0.54 versus 4.17 ± 0.71, respectively; P = 0.001). keywords: alkaline; alp; capacity; doi; levels; non; oral; salivary; smokers; smoking; study cache: squmj-2159.pdf plain text: squmj-2159.txt item: #944 of 1636 id: squmj-2160 author: None title: squmj-2160 date: 2017-10-05 words: 5435 flesch: 60 summary: A general index of anger expression can also be calculated from anger expression factors (i.e. AI plus AO minus AC plus 16).9 In this study, only trait anger and anger expression items of the STAXI were included since the primary purpose was to explore dimensions of habitual anger dispositions in a new population. Trait anger was found to have good internal consistency among both Yemeni and Tunisian samples, confirming data from the original STAXI.9 Results on anger expression items were predominantly in agreement with the original structures.9 Among both Yemeni men and women, items loaded on each component included all of those proposed by the authors of the original scale.9 Moreover, items loaded on AI among women were identical to those from the original scale.9 The internal consistency of the AC factor with original items was 0.79 in men and 0.68 in women, with Cronbach’s alpha improving up to 0.75 with the removal of the least correlated item. keywords: anger; anger expression; arabic; doi; expression; items; men; state; staxi; study; trait; women cache: squmj-2160.pdf plain text: squmj-2160.txt item: #945 of 1636 id: squmj-2161 author: None title: squmj-2161 date: 2017-10-05 words: 4641 flesch: 61 summary: Some parents of cancer patients may be able to cope adequately with the diagnosis, but a significant number suffer from mental weariness, nervousness, post-traumatic stress and feelings of hopelessness.4,5 Factors which can lead to depression or other psychological conditions among the parents of children diagnosed with cancer include the deterioration of the child’s health, any behavioural or conduct problems on the part of the child, frequent visits to hospitals and a previous diagnosis of cancer in the family.5,6 Looking after a child with cancer can also result in health problems that do not usually occur among parents with healthy children.7 One study investigating the parents of children or adolescents in chronic pain noted that the parents were required to pay exceptionally close attention to their sick child’s healthcare needs, a factor which notably increased their stress levels.8 Depression among parents of children with cancer has been strongly associated with conduct problems/externalising disorders on the part of the sick child; in addition, the degree of family cohesiveness may also play a role in sustaining symptoms of depression.9 Common symptoms of depression include help- lessness, hopelessness, feelings of guilt, reduced energy, restlessness, an inability to sleep or oversleeping and problems concentrating or making decisions.10,11 Levels of depression among the parents of children with cancer have been reported as high, even very soon after the diagnosis.12 Further research indicates that when symptoms of depression start at a moderate to high level, depression may affect the parent for a longer time.13 Unfortunately, depressed parents are often not able to adequately care for children who require intensive cancer treatment and health management.14 Kostak et al. reported that the parents of children with cancer who have predisposing factors to developing depression require support from expert consultants in order to make the required lifestyle adjustments to suitably manage the diagnosis.3 To the best of the authors’ knowledge, there is limited information from Basrah, Iraq, with regards to depression levels among the parents of children Shukrya K. Al-Maliki, Jasim Al-Asadi, Akeel Al-Waely and Sabah Agha Clinical and Basic Research | e331 Data were analysed using the Statistical Package for the Social Sciences (SPSS), Version 20 (IBM Corp., Chicago, Illinois, USA). Kostak MA, Avci G. Hopelessness and depression levels of parents of children with cancer. keywords: basrah; cancer; children; depression; doi; iraq; levels; mothers; parents; prevalence; study; years cache: squmj-2161.pdf plain text: squmj-2161.txt item: #946 of 1636 id: squmj-2162 author: None title: squmj-2162 date: 2017-10-05 words: 4888 flesch: 56 summary: For example, Comunian et al. found that the association between education and OC knowledge levels was not statistically significant; however, the study investigated a population with a high base level of education—professors, students and administrative staff at a university.18 Knowledge of OC was also affected by place of residence in the current study, with urban participants found to be more knowledgeable than their rural counterparts. Farmer 21 (4.0) Unemployed 12 (2.0) Table 2: Levels of oral cancer knowledge among outpatients at three major hospitals in Khartoum State, Sudan (N = 501) Level of knowledge n (%) keywords: age; background; cancer; education; effect; khartoum; knowledge; level; model; oral; study; sudan; variables cache: squmj-2162.pdf plain text: squmj-2162.txt item: #947 of 1636 id: squmj-2163 author: None title: squmj-2163 date: 2017-10-05 words: 4193 flesch: 60 summary: However, there was a significant correlation between general stress scores and years of job experience (P = 0.05) and number of patients treated daily (P = 0.03). General stress scores were calculated by summing the items. keywords: dental; dentists; doi; iran; kerman; occupational; patients; scores; stress; study; time; work cache: squmj-2163.pdf plain text: squmj-2163.txt item: #948 of 1636 id: squmj-2164 author: None title: squmj-2164 date: 2017-10-05 words: 2996 flesch: 49 summary: Samaresh Das, Ali Al-Mashani, Neelam Suri, Neeraj Salhotra and Nilay Chatterjee Case Report | e349 Figure 2A & B: Photographs of an awake craniotomy performed on a patient with a space-occupying brain lesion showing the (A) opening of the dura and (B) resection of the tumour. and patient are key.3 During awake craniotomies, patients do not always remain awake throughout the course of the entire surgery. A scalp block is frequently used for pain relief in both types of awake craniotomy techniques.3 keywords: awake; brain; case; craniotomy; dexmedetomidine; doi; fentanyl; lesion; patient; propofol; report cache: squmj-2164.pdf plain text: squmj-2164.txt item: #949 of 1636 id: squmj-2165 author: None title: squmj-2165 date: 2017-10-05 words: 3026 flesch: 49 summary: كلمات مفتاحية: فو�صفيد االألومينيوم؛ الف�صفني؛ ت�صمم؛ ديجوك�صني؛ غلوكاغون؛ م�صادات التاأك�صد؛ تقرير حالة؛ اإيران. مت اإخراجه من امل�صت�صفى بعد �صتة اأيام و هو يف و�صٍع �صحٍي جيد، لذا ينبغي اأن يوؤخذ بعني االإعتبار هذا املزيج من الغلوكاغون وديجوك�صني مع م�صادات التاأك�صد لعالج ت�صمم فو�صفيد االألومينيوم، كم اأنه البد من تقييم حاالت اأخرى لتح�صني �صيا�صات العالج يف مثل هذه احلاالت. keywords: alp; case; digoxin; doi; glucagon; patient; phosphide; poisoning; shock; treatment cache: squmj-2165.pdf plain text: squmj-2165.txt item: #950 of 1636 id: squmj-2166 author: None title: squmj-2166 date: 2017-10-05 words: 2297 flesch: 50 summary: In a study of 50 cadavers, Rajive et al. found obturator arteries arising from various locations, including the common trunk of the internal iliac artery (4%), anterior trunk of the internal iliac arteries (54%), inferior epigastric artery (22%), superior gluteal artery (2%), internal pudendal trunk (2%), inferior gluteal artery (2%) and the external iliac artery (4%).6 Bilgiç et al. reported a female newborn with a common arterial trunk arising from the medial side of the external iliac artery which subsequently divided into the obturator and inferior epigastric arteries.7 In more than one-third of cases, the anastomotic connection between the pubic branch of the inferior epigastric and obturator arteries can become enlarged; this is known as an “abnormal” obturator artery.8 Jusoh et al. reported that the origin of the obturator artery was the posterior division of the internal iliac artery in approximately 5.8% of cases and that this anomalous artery divided into an inferior vesical branch leading to the prostate.9 In the present case, the obturator artery originated from the superior gluteal artery on the left side and traversed the lateral pelvic wall along with the obturator nerve to enter the obturator canal. LST = lumbosacral trunk; OA = obturator artery; AT = anterior trunk; SP = sacral promontory. keywords: artery; gluteal; iliac; iliac artery; obturator; obturator artery; pelvic; vein cache: squmj-2166.pdf plain text: squmj-2166.txt item: #951 of 1636 id: squmj-2167 author: None title: squmj-2167 date: 2017-10-05 words: 3421 flesch: 46 summary: This case describes a patient with multivessel CAD who was treated successfully with a combination of drug-eluting stents and bioresorbable vascular scaffolds. A decision was made to combine rigid cage stents for the proximal wide lumen segments and bioresorbable vascular scaffolds for the diffuse infarction without significant clinical sequelae as confirmed by echocardiographic follow-up which showed normal dimensions with preserved systolic left ventricular function (left ventricular end-diastolic volume index: 65 mL/m2; ejection fraction: 58%) without wall motion abnormalities. keywords: artery; case; coronary; disease; doi; drug; multivessel; patient; scaffolds; stents; treatment; vascular cache: squmj-2167.pdf plain text: squmj-2167.txt item: #952 of 1636 id: squmj-2168 author: None title: squmj-2168 date: 2017-10-05 words: 2481 flesch: 58 summary: The mass measured 6 x 5 x 4 cm, enhanced non-uniformly with 1Department of Anatomic & Molecular Pathology, College of Medicine, University of Lagos, Lagos, Nigeria; Departments of 2Neurosurgery and 3Anatomic & Molecular Pathology, Lagos University Teaching Hospital, Lagos, Nigeria *Corresponding Author e-mail: dozieanunobi@yahoo.com ورم السحايا ذي اخلاليا الصافية يف منطقة فوق السرج لطفل رضيع تقرير حالة �صارلز �صيدوزي اأنونوبي، األوفيمي بانكويل، نزي�صوكو زميودو اأيكريي، نورالدين ابيوال اأديليكي abstract: Clear cell meningiomas are an uncommon subtype of meningioma rarely seen in infancy. We report a case of clear cell meningioma in an 8-month-old male infant. keywords: case; cell; clear; doi; lagos; meningioma; report; system; tumour cache: squmj-2168.pdf plain text: squmj-2168.txt item: #953 of 1636 id: squmj-2169 author: None title: squmj-2169 date: 2017-10-05 words: 2217 flesch: 51 summary: عن طريق العملية القي�رضية، ومت ترخي�ض الطفل بعد �صهرين، اإن ا�صتمرار تعاطي عقاقري املر�ض يف الثالثة �صهور االأوىل من احلمل اأّدى ذلك اإىل حدوث ق�صور يف امل�صيمة، يجب االإهتمام بتثقيف وتوعية املر�صى امل�صابني بالت�صلب املتعدد عن هذه املخاطر من اأجل نتائج ناجحة للحمل. كلمات مفتاحية: الت�صلب املتعدد؛ انرتفريون بيتا؛ ا�صيتات اجللتيمرات؛ ت�صمم احلمل؛ تاأخر منو اجلنني؛ ق�صور امل�صيمة؛ تقرير حالة. Keywords: Multiple Sclerosis; Interferon Beta; Pre-Eclampsia; Fetal Growth Retardation; Placental Insufficiency; Case Report; United Arab Emirates. امللخ�ص: يعترب عقاري البيتا انتريفريون وا�صيتات اجللتيمرات من االأدوية امل�صتخدمة الإبطاء االإعاقة يف مر�صى الت�صلب املتعدد، وهناك ت�صارب يف البيانات اخلا�صة بتاأثري هذه االأدوية علي احلمل، هذا تقرير حالة عن حدوث keywords: case; doi; ifn; patient; placental; pregnancy; sclerosis cache: squmj-2169.pdf plain text: squmj-2169.txt item: #954 of 1636 id: squmj-2170 author: None title: squmj-2170 date: 2017-10-05 words: 3093 flesch: 51 summary: مت ترقيد املري�ض يف م�صت�صفى جامعة ال�صلطان قابو�ض يف م�صقط، عمان، بتاريخ 2013 يف اليوم الثامن بعد الزراعه حيث و�صل معدل كرياتينني الدم ايل 400 ميكرومول/لرت م�صتمرا يف االأرتفاع حتي و�صل ايل قيم حتتاج الغ�صيل الكلوي. Keywords: Kidney Transplantation; Transplantation Rejection; Complement Activation; Eculizumab; Case Report; Oman. امللخ�ص: يهدد رف�ض زرع الكلى احلاد بوا�صطة اجل�صم امل�صاد بقاء الزرعه لفرتات ق�صرية وطويلة االأجل ويبقى من التحديات يف جمال زرع االأع�صاء. keywords: abmr; acute; antibody; case; complement; doi; eculizumab; kidney; rejection; transplant; transplantation; treatment cache: squmj-2170.pdf plain text: squmj-2170.txt item: #955 of 1636 id: squmj-2171 author: None title: squmj-2171 date: 2017-10-05 words: 2314 flesch: 56 summary: من ال�صابعة يف ذكر عماين لطفل حالة يف ت�صبهه فقط كانت التي واأمه املري�ض هذا يف FBN2 جني يف جديد جيني اختالف وجود اجلينية الفحو�ض اأثبتت بيلز، مبتالزمة مالمح الوجه بدون االأعرا�ض االأخرى املتعلقة باملر�ض ولكنها كانت م�صابة بالت�صنجات يف ال�صغر. Keywords: Congenital Contractural Arachnodactyly; Marfan Syndrome; Fibrillin-2; Seizures; Case Report; Oman. امللخ�ص: عنكبية االأ�صابع التقفعية اخللقية واملعروفة اأي�صا با�صم متالزمة بيلز هو ا�صطراب وراثي نادر للغاية ت�صببه طفرات جينية يف ويتميز ال�صام الن�صيجي باجلهاز املتعلقة ال�صائدة ال�صفة ذوات من املر�ض هذا .5q23 ال�صبغي املوقع على )FBN2( فربيلني-2 اجلني ب�صمات ج�صمية م�صابهة ملتالزمة مارفان، من تقفع keywords: beal; fbn2; features; patient; report; seizures; syndrome cache: squmj-2171.pdf plain text: squmj-2171.txt item: #956 of 1636 id: squmj-2172 author: None title: squmj-2172 date: 2017-10-05 words: 840 flesch: 51 summary: Duodenum inversum: A report and review of the literature. Duodenum inversum mimicking mesenteric artery syndrome. keywords: doi; duodenum; inversum cache: squmj-2172.pdf plain text: squmj-2172.txt item: #957 of 1636 id: squmj-2173 author: None title: squmj-2173 date: 2017-10-05 words: 629 flesch: 53 summary: Am Fam Physician 2003; 67:254. wavelengths between 320–400 nm and is useful in the diagnosis of disorders of pigmentation, skin infections (such as erythrasma) and porphyrias.2 interesting medical image Sultan Qaboos University Med J, August 2016, Vol. 16, Iss. 3, pp. e381–382, Epub. 19 keywords: erythrasma; granada cache: squmj-2173.pdf plain text: squmj-2173.txt item: #958 of 1636 id: squmj-2174 author: None title: squmj-2174 date: 2017-10-05 words: 788 flesch: 52 summary: Lichen Planus Pigmentosus with Blaschkoid Distribution e384 | SQU Medical Journal, August 2016, Volume 16, Issue 3 lesions of classical lichen planus can also occur over the Blaschko lines.7 The majority of LPP lesions are usually distributed in areas exposed to the sun; trunk lesions, such as those observed in the present case, are rarely observed.8 Both topical and oral treatments for LPP have been used with varying results, including topical steroids, keratolytics, tacrolimus, griseofulvin, prednisone, etretinate and chloroquine.3,4 References 1. The most frequent variant of LPP is linear, as was observed in the current case, with zosteriform or Blaschkoid LPP being keywords: doi; lichen; lpp; planus cache: squmj-2174.pdf plain text: squmj-2174.txt item: #959 of 1636 id: squmj-2175 author: None title: squmj-2175 date: 2017-10-05 words: 871 flesch: 53 summary: 27 Jan 16 Accepted 25 Feb 16 doi: 10.18295/squmj.2016.16.03.025 ‘Papaya Seed’ Appearance of Subependymal Nodules on Magnetic Resonance Imaging in a Patient with Tuberous Sclerosis e386 | SQU Medical Journal, August 2016, Volume 16, Issue 3 scans performed on children with tuberous sclerosis has shown that MRI imaging of multiple SEN attached to the ventricular wall closely resemble papaya seeds attached to the interior of the fruit [Figure 1B]. On physical examin- ation, the patient had several cutaneous features of tuberous sclerosis, including depigmented skin lesions and Shagreen patches. keywords: doi; features; papaya; sclerosis; tuberous cache: squmj-2175.pdf plain text: squmj-2175.txt item: #960 of 1636 id: squmj-2176 author: None title: squmj-2176 date: 2017-10-05 words: 7889 flesch: 38 summary: Prevalence of Maternal Risk Factors Associated with Intrauterine Growth Restriction at a Tertiary Referral Centre in Oman *Silja Pillai,1 Reham Al-Hinai,2 Sunita Kumari,1 Lovina Machado1 1Department of Obstetrics & Gynaecology, Sultan Qaboos University Hospital; 2Medical student, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman. Perinatal Outcomes of Babies with Intrauterine Growth Restriction at a Tertiary Healthcare Centre in Oman *Lovina Machado,1 Silja Pillai,1 Noof Al-Essaei,2 Sunita Kumari1 1Department of Obstetrics & Gynaecology, Sultan Qaboos University Hospital; 2Medical student, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman. keywords: author; author e; college; gynaecology; health; mail; medicine; methods; muscat; obstetrics; oman; patient; pregnancy; qaboos university; study; sultan; sultan qaboos; university hospital; women cache: squmj-2176.pdf plain text: squmj-2176.txt item: #961 of 1636 id: squmj-2177 author: None title: squmj-2177 date: 2016-11-28 words: 1766 flesch: 48 summary: There is also a need for collaboration with the media, both print and electronic, such as local newspapers and magazines as well as radio and television stations, in order to spread cancer awareness and support for breast cancer patients and the need for psychological support services. Breast cancer is the most frequently diagnosed cancer worldwide (23%) and the leading cause of cancer-related deaths among women (14%).1 In Oman, the incidence of breast cancer increased from 53 cases in 1996 to 104 cases in 2008, with 100–150 new cases reported annually.2 Moreover, in comparison to Western women, women in Oman are often diagnosed in the later stages of cancer, at an earlier age and have lower survival rates.2,3 A diagnosis of breast cancer can be devastating and can trigger distressing psychological reactions in patients, including feelings of hopelessness, anxiety, fear, lone- liness, negative self-image and self-blaming as well as sexual problems.4–6 Women with breast cancer have also reported suffering from social discrimination and stigma; hence, they may be less able to cope with the subsequent challenges and adjustments which come with their diagnosis.5–7 Psychological interventions are a form of couns- elling which can minimise the devastating effects and treatment-related symptoms of patients diagnosed with cancer.8,9 During direct face-to-face interpersonal sessions, counsellors use various techniques, such as education, coping skills training, psychotherapy and relaxation, either alone or in combination.8,9 keywords: breast; cancer; doi; oman; patients; women cache: squmj-2177.pdf plain text: squmj-2177.txt item: #962 of 1636 id: squmj-2178 author: None title: squmj-2178 date: 2016-11-28 words: 7232 flesch: 46 summary: LDL-C الكث�فة منخف�س الدهني ب�لع�شالت مع الرتكيز على اإ�شرتاتيجي�ت الإمرا�س وو�ش�ئل املع�جله. وبخ��شة الت�أثريات اجل�نبية املرتبطة ب�لع�شالت والتي تعد الأكرث �شيوع� بني الت�أثريات اجل�نبية املرتبطة ب�ل�شت�تني. keywords: autoimmune; cardiovascular; clinical; doi; drug; effects; events; ezetimibe; intolerance; ldl; levels; lowering; management; muscle; myopathy; non; patients; risk; samaes; statin; therapy cache: squmj-2178.pdf plain text: squmj-2178.txt item: #963 of 1636 id: squmj-2179 author: None title: squmj-2179 date: 2016-11-28 words: 4051 flesch: 46 summary: Moreover, Schnelldorfer indicated certain limitations which could have resulted in an overestimation in the reported incidence of gallbladder cancer among patients with PGB, including: (1) publication bias, in that publishers might prefer to publish rare or ‘curious’ cases only; (2) selection bias, whereby researchers selected subjects from a population of gallbladder cancer patients rather than from the general population or because most reported patients were published in case series and thus did not include a systematic selection of patients; and (3) sampling bias, as most studies represented institutional experiences of patients with gallbladder- related symptoms seeking medical advice.2 These factors are further compounded by the fact that most gallbladder wall calcifications are asymptomatic, and hence undiagnosed, resulting in an underreporting of benign cases.1,2 In a subgroup analysis of 13 studies without obvious selection bias, the rate of gallbladder malignancy was noted to be only 6% (0–33%) in patients with gallbladder calcification compared to 1% (0–4%) in a matched cohort of patients without gallbladder calcification (P = 0.036; relative risk: 8.0; 95% confidence interval However, a recent literature review suggests that the overall incidence of PGB and gallbladder cancer is 0.2% and 0.8%, respectively—with a 15% concomitant incidence—while another report notes the incidence of gallbladder malignancy in patients with gallbladder wall calcification to be 6%.2,9 Calcification and Risk of Malignancy c a l keywords: calcification; cancer; cholecystectomy; doi; gallbladder; incidence; malignancy; patients; pgb; porcelain; risk; املرارة cache: squmj-2179.pdf plain text: squmj-2179.txt item: #964 of 1636 id: squmj-2180 author: None title: squmj-2180 date: 2016-11-29 words: 5869 flesch: 60 summary: و�أظهرت �لبالزما �لغنية بال�سفائح �لدموية قدرة على تقوية خو��ص مادة �لهيدروك�سي �آباتيت، �إل �أن هذه �ملو�د �حليوية لي�ص لها تاأثري تاآزري. الكلمات املفتاحية: ُطْعم عظمي ذ�تي؛ �لهيدروك�سي �آباتيت؛ فقر�ت َقَطِنّية؛ بالزما غنية بال�سفائح �لدموية؛ دمج �لفقر�ت. ومتت مقارنة ن�سبة م�ساحة �لعظم �جلديد �إىل �أحجام �لفقر�ت �ملدجمة يف �ملجموعتني. keywords: autograft; bone; formation; fusion; granules; group; hydroxyapatite; mass; new; platelet; post; prp; spinal; tissue; transverse; weeks cache: squmj-2180.pdf plain text: squmj-2180.txt item: #965 of 1636 id: squmj-2181 author: None title: squmj-2181 date: 2016-11-28 words: 5549 flesch: 61 summary: عي�دة خ��شة للعالج الطبيعِي يف م�ليزي�, مت قي��س احلرك�ت يف املنطقة القطنية للظهر ب��شتخدام جم�ش�ت معلَّقة يف م�شتوى الفقرة القطنية الأوىل والفقرة العجزية الثَّ�نية اأ�شفل الظهر, كم� مت ا�شتخدام موؤ�رس اأو�س وي�شرتي لقي��س مدى العجز وا�شتبي�ن املعتقدات املتعلقة بتجنب اخلوف وذلك لتقييم درجة العجز الوظ�ئفي واملعتقدات املدرو�شة على التوايل. 1Physiotherapy Program, School of Rehabilitation Sciences, Faculty of Health Sciences and Departments of 4Orthopaedics & Traumatology, Faculty of Medicine and 5Electrical, Electronic & Systems Engineering, Faculty of Engineering & Built Environment, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia; 2Ministry of Health, Putrajaya; 3MyPhysio FiCoMo Specialist Centre, Petaling Jaya, Malaysia *Corresponding Author e-mail: devinderkas@gmail.com; devinder@ukm.edu.my احلركات يف منطقة الفقرات القطنية أسفل الظهر والعجز الوظائفي واملعتقدات املتعلقة بتجنب اخلوف بني البالغني الذين يعانون من آالم مزمنة وغري حمددة ملنطقة أسفل الظهر ن�ن�شي جورج جيتي, يي لني ليم, هوي لينج ليم, �ش�ب�رول اأفي�ن خمت�ر, كوك بنج ج�ن, ديفيندر كور اأجيت �شينج abstract: Objectives: keywords: adults; avoidance; beliefs; chronic; disability; doi; fear; flexion; lbp; lumbar; pain; right; rotation; study; velocity cache: squmj-2181.pdf plain text: squmj-2181.txt item: #966 of 1636 id: squmj-2182 author: None title: squmj-2182 date: 2016-11-28 words: 6480 flesch: 65 summary: ان الوعي الع�م ملر�س فقر الدم املنجلي واحل�جة للفح�س م� قبل الزواج �رسوري للحد من انت�ش�ر هذا املر�س. تهدف هذه الدرا�شة اإىل تقييم مدى الوعي الع�م واملعتقدات حول مر�س فقر الدم املنجلي والفح�س الطبي يف مرحلة م� قبل الزواج لدى العم�نيني الذين ح�رسوا لتلقي العالج الفح�س الطبي م� قبل الزواج, لكن %24.4 فقط ح�رسوا لفح�س الطبي م� قبل الزواج. keywords: awareness; beliefs; cell; cell disease; disease; doi; education; health; knowledge; oman; participants; pms; public; scd; screening; study cache: squmj-2182.pdf plain text: squmj-2182.txt item: #967 of 1636 id: squmj-2183 author: None title: squmj-2183 date: 2016-11-28 words: 4647 flesch: 58 summary: النتائج: اإن ا�شتخدام قثط�ر فويل يف حتري�س املخ��س يف الن�ش�ء ذوات الولدات القي�رسية ال�ش�بقة يبدو خي�را اآمن� مع ن�شبة جن�ح جيدة وم�ش�عف�ت قليلة لالأم واجلنني. الكلمات املفتاحية: الولدة املهبلية بعد القي�رسية؛ ولدة حمر�شة؛ قثط�ر؛ م�ش�عف�ت احلمل؛ عم�ن. Use of Intracervical Foley Catheter for Induction of Labour in Cases of Previous Caesarean Section Experience of a single tertiary centre in Oman Hazel Gonsalves,1 *Nihal Al-Riyami,1 Tamima Al-Dughaishi,1 Vaidayanathan Gowri,2 Mohammed Al-Azri,3 Ayesha Salahuddin1 clinical & basic research Sultan Qaboos University Med J, November 2016, Vol. 16, Iss. 4, pp. e445–450, Epub. 30 مل ت�شهد معظم احلوامل اأي م�ش�عف�ت خالل دور التحري�س )%85.3(, ولكن حدثت بع�س امل�ش�عف�ت يف عدد قليل وت�شمنت النزيف املهبلي )%5.9(, واحلمى اأثن�ء الولدة )%4.4(, ومتزق الأغ�شية )%2.9( وهبوط احلبل ال�رسي بعد فرتة وجيزة من اإدخ�ل قثط�ر فويل ) keywords: birth; caesarean; catheter; delivery; doi; foley; induction; labour; section; study; success; vbac; women cache: squmj-2183.pdf plain text: squmj-2183.txt item: #968 of 1636 id: squmj-2184 author: None title: squmj-2184 date: 2016-11-28 words: 5416 flesch: 57 summary: اأظهرت جميع موؤ�رسات املق�ومة ال�رسي�نية تنبوؤا �شلبي� )%85.6>( ودرجة جيدة تنبوؤا حدود 1.72 يف ب�ل�شك�ن اخل��شة النب�س موؤ�رس قطع لقيمة وك�ن انب�ش�طي. �شق وجود يف ال اخل�شو�شية )95.0%≤(, مع�مل من PI ع�يل ال�شلبية )%92.8( وقيمتي ح�ش��شية وخ�شو�شية جيدتني ) keywords: artery; doi; doppler; hypertension; indicators; pregnancy; pressure; resistance; study; weeks; women cache: squmj-2184.pdf plain text: squmj-2184.txt item: #969 of 1636 id: squmj-2185 author: None title: squmj-2185 date: 2016-11-28 words: 5091 flesch: 63 summary: = 0.015( ال�شفلى لالإ�ش�ب�ت العلي� اأو ال�شفلى. اخلال�صة: اإجراء اإجراء فغر الرغ�مى فى وقت مبكر يفيد مر�شى اإ�ش�ب�ت الفقرات العنقية من احلبل النخ�عي بغ�س النظر عن م�شتوى الإ�ش�بة علي� اأم �شفلى, وذلك من ن�حية تقلي�س عدد الأي�م التي يحت�ج فيه� املري�س اإىل تنف�س �شن�عى. الكلمات املفتاحية: اإ�ش�ب�ت احلبل النخ�عي؛ فغر الرغ�مى؛ نت�ئج العالج؛ التنف�س ال�شن�عى؛ وحدة العن�ية املركز. keywords: care; cord; csci; days; doi; duration; icu; injury; low; patients; spinal; tracheostomy; ventilation cache: squmj-2185.pdf plain text: squmj-2185.txt item: #970 of 1636 id: squmj-2186 author: None title: squmj-2186 date: 2016-11-28 words: 4025 flesch: 62 summary: ويعترب و�شع اأنبوب النزح بعد عملي�ت ا�شتئ�ش�ل الغدة الدرقية اأ�شلوبً� مقرتحً� ملنع حدوث هذه امل�ش�عف�ت. وتهدف هذه الدرا�شة اإىل تقييم و�شع اأنبوب النزح اجلراحي بعد عملي�ت ا�شتئ�ش�ل الغدة الدرقية وعالقته مب�ش�عف�ت العملية وحجم الورم. keywords: complications; drains; hospital; insertion; mass; patients; postoperative; study; surgery; thyroid; thyroidectomy cache: squmj-2186.pdf plain text: squmj-2186.txt item: #971 of 1636 id: squmj-2187 author: None title: squmj-2187 date: 2016-11-28 words: 4638 flesch: 60 summary: ب�لن�شبة مله�رات التقييم املح�شنة, 0.687 للمعرفة والجت�ه�ت وامله�رات املح�شنة, 0.697 للثقة املح�شنة, 0.674 مله�رات الإر�ش�د والتوجيه و 0.805 للنية امل�شتقبلية ل�شتخدام تدابري االرع�ية املتك�ملة لأمرا�س الطفولة �رسيري� يف امل�شتقبل. عن التمري�س طلبة ت�شورات لتقييم لحق وقت يف التحقق ا�شتب�نة تطوير مت وقد اال�رسيرية. keywords: childhood; constructs; doi; enhanced; future; health; illness; imci; integrated; knowledge; management; model; nursing; skills; students; study; training cache: squmj-2187.pdf plain text: squmj-2187.txt item: #972 of 1636 id: squmj-2188 author: None title: squmj-2188 date: 2016-11-28 words: 5265 flesch: 53 summary: التفصيلي للتقييم النظري التشكيلي يف تدريس علم األدوية تيج��س ب�تيل, م�نوج كوم�ر �شورب�ه, براف�تي ب�تيل abstract: Objectives: التف�شيلي خلق العديد من الأ�شئلة ال�شهلة )%10.00( اأو الكثري من الأ�شئلة ال�شعبة )%10.00(. �شعر معظم الطلبة اأن الورقة �شملت توزيع متم�ثل لالأ�شئلة من املنهج ) keywords: assessment; blueprint; education; faculty; learning; marks; medical; members; paper; pharmacology; questions; students; syllabus; test; theory cache: squmj-2188.pdf plain text: squmj-2188.txt item: #973 of 1636 id: squmj-2189 author: None title: squmj-2189 date: 2016-11-28 words: 4183 flesch: 56 summary: ب�لإ�ش�فة اإىل ذلك, ك�نت معدلت التحويل وم�ش�عف�ت م� بعد العملية اجلراحية منخف�شة جدا. A total of 71 children underwent laparoscopic splenectomies during the study period; of these, 50 children (28 male and 22 female) underwent laparoscopic splenectomies alone for SCD. keywords: cell; children; disease; doi; laparoscopic; patients; scd; splenectomies; splenectomy; study cache: squmj-2189.pdf plain text: squmj-2189.txt item: #974 of 1636 id: squmj-2190 author: None title: squmj-2190 date: 2016-11-28 words: 2579 flesch: 61 summary: وي�شري البحث اأي�ش� اإىل الفراط يف طلب فحو�ش�ت للمر�شى العم�نيني ال�شغ�ر ال�شن ن�شبي�. الكلمات املفتاحية: الو�شف�ت الطبية؛ املوارد الطبية؛ الرع�ية ال�شحية الأولية؛ عم�ن؛ اململكة املتحدة. Keywords: Prescriptions; Health Resources; Primary Health Care; Oman; United Kingdom. امللخ�ص: الهدف: يهدف هذا البحث التدقيقي للتحقق من و�شف الأدوية والفحو�ش�ت عند املتدربني من اأطب�ء الرع�ية ال�شحية الأولية يف �شلطنة عم�ن واململكة املتحدة. keywords: care; doctors; drugs; health; oman; patients; trainees cache: squmj-2190.pdf plain text: squmj-2190.txt item: #975 of 1636 id: squmj-2191 author: None title: squmj-2191 date: 2016-11-28 words: 3395 flesch: 61 summary: Tripathy PR, Preetam C. Unilateral absence of the sternohyoid muscle with contralateral tendinous belly of superior belly of omohyoid muscle: IJ = internal jugular vein; GP = glossopharyngeal nerve; H = hypoglossal nerve; EC = external carotid artery; SM = sub- mandibular salivary gland; L = lateral slip; CC = common carotid artery; AC = ansa cervicalis; TH = thyrohyoid muscle; keywords: belly; bone; case; doi; jugular; lgt; muscle; right; sigmoid; vein cache: squmj-2191.pdf plain text: squmj-2191.txt item: #976 of 1636 id: squmj-2192 author: None title: squmj-2192 date: 2016-11-28 words: 3119 flesch: 52 summary: Keywords: Dystrophic Epidermolysis Bullosa; Dentistry; Disease Management; General Anesthesia; Case Report; Oman. امللخ�ص: يعترب مر�س انحالل الب�رسة الفق�عي من ال�شطراب�ت اجلينية الن�درة والتي تتميز به�ش��شة اجللد والأغ�شية املخ�طية مع مظ�هر ع�مة اأخرى متف�وتة ال�شدة. ونظرا للح�لة ال�شيئة لالأ�شن�ن وال�شعوب�ت العالجية املتوقعة ب�شبب �شغر الفم وفتحة الفم املحدودة فقد خ�شع املري�س لإزالة جميع الأ�شن�ن حتت التخدير الع�م. keywords: bullosa; case; deb; doi; epidermolysis; figure; oral; patient; report; skin cache: squmj-2192.pdf plain text: squmj-2192.txt item: #977 of 1636 id: squmj-2193 author: None title: squmj-2193 date: 2016-11-28 words: 2774 flesch: 59 summary: ب�لإ�ش�فة اإىل ذلك, حدوث انتك��شة متفردة من الورم النقوي ال�شلط�ن ج�معة م�شت�شفى اإىل تقدمت ع�م� 56 العمر من تبلغ مري�شة ح�لة التقرير هذا يعر�س جدا. Keywords: Multiple Myeloma; Relapse; Head and Neck Neoplasms; Plasmacytoma; Case Report; Oman. امللخ�ص: الورم النقوي املتعدد هو ورم خبيث ن�در احلدوث ويتميز ب�إنت�ش�ر اخلالي� البالزمية. keywords: bone; case; cells; doi; myeloma; patient; plasma; relapse; report cache: squmj-2193.pdf plain text: squmj-2193.txt item: #978 of 1636 id: squmj-2194 author: None title: squmj-2194 date: 2016-11-28 words: 3150 flesch: 60 summary: �شم�ن تدخل �رسيع وفع�ل. الكلمات املفتاحية: العتالل الع�شبي الب�رسي غري ال�رسي�ين ب�شبب نق�س الرتوية الدموية؛ العمي؛ انخف��س �شغط الدم؛ الأطف�ل؛ الغ�شيل الربيتوين امل�شتمر املتنقل؛ عر�س ح�لة طبية؛ عم�ن. Bilateral Anterior Ischaemic Optic Neuropathy in a Child on Continuous Peritoneal Dialysis Case report and literature review *Abdullah Al-Kaabi,1 Agha S. Haider,2 Mohammed O. Shafeeq,3 Episodes of systemic hypotension occur frequently among patients on CPD, thus predisposing these 1Ophthalmology and 3Orthopaedics Residency Programs, Oman Medical Specialty Board, Muscat, Oman; Departments of 2Opthamology and 4Child Health, Sultan Qaboos University Hospital, Muscat, Oman *Corresponding Author e-mail: aj.alkaabi@hotmail.com اإلعتالل العصيب البصري األمامي غري الشرياين بسبب نقص الرتوية الدموية لدى طفلة جتري الغسيل الربيتوين املستم تقرير حالة و مراجعة لألدبيات عبداهلل الكعبي, اآغ� �شه�ب حيدر, حممد �شفيق, حممد النج�ري, ابت�ش�م النور, انورادا غ�ني�س abstract: Non-arteritic anterior ischaemic optic neuropathy (NAION) is a serious complication of continuous peritoneal dialysis (CPD) which can lead to poor vision and blindness. keywords: dialysis; doi; eye; hypotension; ischemic; loss; naion; nerve; neuropathy; optic; patient; vision cache: squmj-2194.pdf plain text: squmj-2194.txt item: #979 of 1636 id: squmj-2195 author: None title: squmj-2195 date: 2016-11-28 words: 2178 flesch: 57 summary: تعد اإ�ش�ب�ت املعدة غري امل�شخ�شة ن�درة وذات خطورة ع�لية٬ خ��شة يف مر�شى الر�شوح. ويعترب الت�أخري يف الت�شخي�س, اإىل ج�نب تزامنه� مع اإ�ش�ب�ت متعددة من العوامل امل�ش�همة يف ارتف�ع معدل الوفي�ت. اأجريت لهذا املري�س جراحة فتح بطن ا�شتك�ش�فية اأظهرت اإ�ش�ب�ت يف اجلزء الأق�شى من املعدة, والكبد, والقولون الن�زل. keywords: doi; gastric; injuries; injury; laparotomy; stomach; trauma cache: squmj-2195.pdf plain text: squmj-2195.txt item: #980 of 1636 id: squmj-2196 author: None title: squmj-2196 date: 2016-11-28 words: 3430 flesch: 63 summary: اإن اأغالق متزق جيب ف�ل�ش�لف� الوع�ئي املتمدد بطريقة الق�شطرة التداخلية هو بديل فع�ل عن التدخل اجلراحي اإل اأنه يف ح�لت التمزق متعدد الفتح�ت والأكرب حجم� ف�إنه ين�شح ب�أن يع�لج جراحي� ل�شم�ن الإغالق الك�مل ملك�ن التمزق. ع�مً� متت مع�ينته� ب�مل�شت�شفى ال�شلط�ين يف ع�م 2015 ومت ت�شخي�شه� بتمزق يف جيب ف�ل�ش�لف� الوع�ئي الدموي املتمدد يف منطقة البطني الأمين للقلب, اأم� احل�لة الث�نية فهي ملري�س يبلغ من العمر 39 ع�م� مت تقييمه يف م�شت�شفى ج�معة ال�شلط�ن ق�بو�س ووجد لديه متزق كبري يف جيب ف�ل�ش�لف� متمدد وذو فتح�ت متعددة جهة خمرج البطني الأمين, كال احل�لتني خ�شعت� لإجراء ق�شطرة تداخلية لإ�شالح التمزق وذلك مب�ش�ندة تخطيط ال�شدى ثالثي الأبع�د للقلب, ك�نت التدخالت للح�لتني ن�جحة من الن�حية الفنية, اإل اأن املري�س الث�ين تطلب اإجراء عملية جراحية لحقة نتيجة ل�شتمرار تدفق الدم للبطني الأمين نتيجة لوجود keywords: aneurysm; case; closure; defects; device; doi; patient; right; rsva; sinus; transcatheter; valsalva cache: squmj-2196.pdf plain text: squmj-2196.txt item: #981 of 1636 id: squmj-2197 author: None title: squmj-2197 date: 2016-11-28 words: 2448 flesch: 53 summary: وك�نت م�ش�به ب�شل بطني وم�ش�عف�ت خث�ر وريدي عميق مع Keywords: Deep Vein Thrombosis; Intracranial Sinus Thrombosis; Gastrointestinal Tuberculosis; Case Report; India. امللخ�ص: ذكرت الأدبي�ت الطبية ت�شجيل ح�لت �شل رئوي وخيمة, حدثت فيه� م�ش�عف�ت خث�ر وريدي عميق. keywords: case; dvt; intracranial; levels; patient; sinus; thrombosis; tuberculosis cache: squmj-2197.pdf plain text: squmj-2197.txt item: #982 of 1636 id: squmj-2198 author: None title: squmj-2198 date: 2016-11-28 words: 3370 flesch: 51 summary: Keywords: Autism Spectrum Disorder; Tuberous Sclerosis; Case Report; Oman. امللخ�ص: الت�شلب الدرين هو ا�شطراب ع�شبي جلدي متعدد يت�شم ب�شفة وراثية �ش�ئدة ويتميز بوجود اأورام حميدة يف عدة اأع�ش�ء حيوية ك�لدم�غ والقلب والعني والكلى واجللد والرئتني. An accurate assessment of the relationship between these two disorders is now possible with the availability of standardised criteria for ASD diag- nosis, such as those published in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), the revised Autism Diagnostic Interview™ (WPS, Torrance, California, USA) and the Autism Diagnos- tic Observation Schedule™ (WPS).3 The estimated prevalence rate of autism in TSC patients is Departments of 1Child Health and 2Genetics, Sultan Qaboos University Hospital, Muscat, Oman *Corresponding Author e-mail: watfa.almamari@gmail.com حدوث اضطراب طيف التوحد واضطراب التصلب الدرين يف وقت واحد يف ثالثة أطفال تقارير حاالت ومراجعة األدبيات اآمنة الفطي�شية, اأحمد اإدري�س, عبري ال�ش�يغ, وطفة �شعيد املعمرية abstract: Tuberous sclerosis complex (TSC) is a multisystem neurocutaneous disorder inherited in an autosomal dominant manner and characterised by benign tumours in the brain and other vital organs such as the heart, eyes, kidneys, skin and lungs. keywords: asd; autism; case; children; complex; disorders; doi; patients; sclerosis; spectrum; tsc; tuberous cache: squmj-2198.pdf plain text: squmj-2198.txt item: #983 of 1636 id: squmj-2199 author: None title: squmj-2199 date: 2016-11-28 words: 1125 flesch: 37 summary: 5. Treiyer A, Haben B, Stark E, Breitling P, Steffens J. Uni- vs. multiloculated pelvic lymphoceles: Differences in the treatment of symptomatic pelvic lymphoceles after open radical retropubic prostatectomy. In a retrospective study of 521 patients who had undergone robot-assisted extended pelvic lymph node dissection, Keskin et al. found that only 2.5% of patients developed symptomatic lymphoceles that required intervention; however, patients with diabetes mellitus had a signifi- cantly higher risk of developing symptomatic or infected lymphoceles.4 Figure 2: Axial computed tomography scan of a 55-year-old male with large bilateral pelvic lymphoceles six months after percutaneous catheter drainage and aspiration. keywords: lymphoceles; pelvic; prostatectomy cache: squmj-2199.pdf plain text: squmj-2199.txt item: #984 of 1636 id: squmj-2200 author: None title: squmj-2200 date: 2016-11-28 words: 850 flesch: 48 summary: Systemic therapy—such as corticosteroids, immunosuppressive therapy or even biological therapy—is needed to achieve remission in cases of extensive PG; cessation of cocaine use is also imperative.5 References 1. [Two cases of eruptive pyoderma gangrenosum associated with cocaine use]. keywords: cocaine; granada; patient cache: squmj-2200.pdf plain text: squmj-2200.txt item: #985 of 1636 id: squmj-2201 author: None title: squmj-2201 date: 2016-11-28 words: 1126 flesch: 40 summary: Despite the presence of potential tick vectors in Oman, clinical rickettsial infections were not reported until the late 1990s.1 However, a serological survey in the Dhofar province of southern Oman revealed that these infections are common among the rural population.2 The patient in the current case was diagnosed with a rickettsial infection following observation of typical clinical features, including rashes, headaches, hepatosplenomegaly, myalgia, meningism, hyponatremia, and elevated liver transaminase levels.3 Moreover, evidence of retinal changes supported the diagnosis as ocular manifestations have been a key element in previous reports of similar conditions.4–6 Despite these factors, the current case is indicative of the existence of rickettsial infections in Oman. keywords: infection; levels; oman; patient; rickettsial cache: squmj-2201.pdf plain text: squmj-2201.txt item: #986 of 1636 id: squmj-2202 author: None title: squmj-2202 date: 2017-03-30 words: 3412 flesch: 59 summary: This southern Italian port became the main hub of medical knowledge in Europe, after having imported important translations of medical knowledge from Arab and Muslim scholars.25 Two centuries later, the University of Bologna, which was initially a law school, incorporated medicine and other disciplines into its curriculum; it is believed that post-mortems were carried out here, possibly for medico-legal reasons, potentially leading to a revived interest in anatomical dissections to increase knowledge.26 At that time, Thaddeus Alderoti (c. 1206–1295 CE) was the most active anatomist in this field.26 The first human dissection manual ever written, the Anathomia corporis humani, was produced by one of Alderoti’s students, Mondino de Luzzi (also known as Mundinus), in approximately 1316 CE.27 The Renaissance Period (1301–1700 CE) During the Renaissance period, various anatomical sketches of the human body were made by artists like Leonardo Da Vinci and, to a lesser extent, Michelangelo di Buonarroti, Rembrandt van Rijn, Albrecht Dürer and Raphael da Urbino In particular, Herophilus developed a library of anatomical knowledge which was much more informed regarding the actual structure of the Department of Human & Clinical Anatomy, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman E-mail: habbal@squ.edu.om The Science of Anatomy A historical timeline Omar Habbal Sultan Qaboos University Med J, February 2017, Vol. 17, Iss. 1, pp. e18–22, Epub. 30 keywords: anatomy; bodies; body; dissection; doi; history; human; knowledge; medical; medicine; science; university cache: squmj-2202.pdf plain text: squmj-2202.txt item: #987 of 1636 id: squmj-2203 author: None title: squmj-2203 date: 2017-06-20 words: 5634 flesch: 57 summary: Treg cells are divided into two subgroups—natural Treg and inducible Treg cells.14,15 Moreover, diminished numbers of Treg cells and low gene expression of FOXP3 in PBMCs has previously been reported among HT patients.35,36 Certain Treg cell- related cytokines (TGF-β, IL-10 and IL-35) have been associated with low-grade thyroid inflammation and an improvement in HT symptoms.26 keywords: bet; cells; doi; expression; foxp3; gata3; hashimoto; patients; rorα; th1; th17; th2; thyroiditis; transcription; treg cache: squmj-2203.pdf plain text: squmj-2203.txt item: #988 of 1636 id: squmj-2204 author: None title: squmj-2204 date: 2017-06-20 words: 7371 flesch: 50 summary: A previous qualitative study has highlighted various factors that influence breast cancer awareness among Omani women and the desire among this population for enhanced breast cancer information systems and programmes.6 Various studies have recognised the need for breast cancer health education programmes.11–15 However, it is necessary to address barriers to breast cancer awareness and early detection in the context of the local population’s presiding social and cultural beliefs.9,10,16,17 Health education interventions therefore need to be culturally and linguistically tailored, while still portraying breast cancer as a treatable disease.14,18–20 Learning strategies, activities and tools should also be aligned with the local cultural context.21,22 The effect of breast cancer health education on the knowledge, attitudes, and practice: A community health center catchment area. keywords: arab; awareness; breast; breast cancer; cancer; detection; doi; education; education programme; educators; factors; health; health education; knowledge; oman; participants; programme; sessions; study; women cache: squmj-2204.pdf plain text: squmj-2204.txt item: #989 of 1636 id: squmj-2205 author: None title: squmj-2205 date: 2017-06-20 words: 3811 flesch: 61 summary: In order to obtain an intraclass correlation (ICC) of 0.8 to compare BT weight estimations with actual weight, the required sample size was calculated to be 300 subjects, assuming an ICC of 0.7, with α and β errors at 5% and 10%, respectively, and an expected dropout rate of 10%. Predicted weight measurements were then compared with actual weight to determine the accuracy of the estimation. keywords: accuracy; broselow; children; doi; emergency; med; paediatric; population; study; tape; weight cache: squmj-2205.pdf plain text: squmj-2205.txt item: #990 of 1636 id: squmj-2206 author: None title: squmj-2206 date: 2017-06-20 words: 4420 flesch: 60 summary: However, an interesting finding of the present study was that trauma patients attended by trauma surgeons were significantly more likely to undergo surgical interventions than those attended by non-trauma surgeons. A recent study from a rural trauma centre in the USA similarly found no difference in the mortality rate of trauma patients attended by trauma surgeons versus those attended by other surgeons.18 Podnos et al. also reported no difference in mortality among 1,427 patients at a level I trauma centre cared for either by trauma specialists or general surgeons.19 keywords: care; hospital; injury; mortality; non; oman; outcomes; patients; study; surgeons; trauma cache: squmj-2206.pdf plain text: squmj-2206.txt item: #991 of 1636 id: squmj-2207 author: None title: squmj-2207 date: 2017-06-20 words: 4420 flesch: 60 summary: However, an interesting finding of the present study was that trauma patients attended by trauma surgeons were significantly more likely to undergo surgical interventions than those attended by non-trauma surgeons. A recent study from a rural trauma centre in the USA similarly found no difference in the mortality rate of trauma patients attended by trauma surgeons versus those attended by other surgeons.18 Podnos et al. also reported no difference in mortality among 1,427 patients at a level I trauma centre cared for either by trauma specialists or general surgeons.19 keywords: care; hospital; injury; mortality; non; oman; outcomes; patients; study; surgeons; trauma cache: squmj-2207.pdf plain text: squmj-2207.txt item: #992 of 1636 id: squmj-2208 author: None title: squmj-2208 date: 2017-06-20 words: 2767 flesch: 52 summary: P = 0.0067( معنوية اح�سائيا ما عند الن�ساء يف و�سعي اال�ستلقاء ;133 ± 738 مقابل 260 ± 1,824( وكانت ن�سبة الرتدد املنخف�س للرتدد العايل اأكرب عند الرجال ب�سورة معنوية اإح�سائيا يف الو�سعني )P <0.0500 لكل حالة(. اخلال�صة: ت�سري هذه املالحظات االأولية اإىل اأن هنالك فروقا معنوية إح�سائيا بني اجلن�سني يف معدل �رشعة القلب عند االأ�سخا�س الذين يقومون بانتظام بتمارين مقاومة. الكلمات املفتاحية: اجلهاز الع�سبي الودي؛ التوازن؛ النوع )اجلن�س(؛ التمارين؛ تدريبات املقاومة؛ الربازيل. Keywords: Sympathetic Nervous System; Balance; Gender; Exercise; Resistance Training; Brazil. امللخ�ص: الهدف: يعد حتليل تردد تغري معدل �رشعة القلب اأداة فعالة لتقومي التوازن امل�ستقل )االأتونومي(. وهدفت هذه الدرا�سة لبحث تاأثري النوع )اجلن�س( يف تغري معدل �رشعة القلب. keywords: heart; hrv; men; rate; resistance; study; training cache: squmj-2208.pdf plain text: squmj-2208.txt item: #993 of 1636 id: squmj-2209 author: None title: squmj-2209 date: 2017-06-20 words: 3086 flesch: 53 summary: بناء على هذا فاأن ا�ستعمال بع�س االأدوية املرخ�سة قد ي�سبب م�ساكل يف تاأويل نتائج فح�س العقاقري املمنوعة. الكلمات املفتاحية: ترانيل �سيربومني؛ اأمفيتامني؛ اأي�س؛ علم ال�سموم ال�رشعي؛ التعرف على ادمان املواد؛ تقرير حالة؛ اإيران. As there are conflicting data regarding the production of amphetamine and methamphetamine in tranylcypromine overdose cases, further studies among larger samples are needed to confirm the in vivo biotransformation of tranyl- cypromine to amphetamine and methamphetamine. keywords: abuse; amphetamine; case; doi; drug; gas; methamphetamine; overdose; report; sample; tranylcypromine; urine cache: squmj-2209.pdf plain text: squmj-2209.txt item: #994 of 1636 id: squmj-2210 author: None title: squmj-2210 date: 2017-06-20 words: 1949 flesch: 57 summary: جن�سية خ�سائ�س الت�سوير بالرنني املغناطي�سي اأي ن�سيج للرحم اأو املبي�س يف احلو�س، وتبني وجود كي�س ال�سفن. غري تنا�سلية واأع�ساء ال�سفن، كي�س يف البول جمرى وفتحة البلوغ، مبا يف ذلك خ�سونة ال�سوت، وت�سخم الع�سو الذكري، وفرط ت�سبغ ال�سفن وزيادة كتلة الع�سالت. الكلمات املفتاحية: XY،46 ا�سطرابات النمو اجلن�سية؛ الت�ستو�ستريون 5-األفا-ريدوكتا�س؛ ديهدروت�ستو�سرتون؛ فتحة جمرى البول يف كي�س ال�سفن؛ بلوغ؛ تقرير حالة؛ اململكة العربية ال�سعودية. keywords: case; deficiency; diagnosis; female; patient; reductase; type cache: squmj-2210.pdf plain text: squmj-2210.txt item: #995 of 1636 id: squmj-2211 author: None title: squmj-2211 date: 2017-06-20 words: 2551 flesch: 56 summary: Keywords: Multiple Myeloma; Diabetes Insipidus; Pituitary Gland; Hypernatremia; Case Report, India. امللخ�ص: املايلوما املتعددة من املمكن اأن ت�ساحب خلل يف اجلهاز الع�سبي املركزي يظهر ك�سلل ع�سبي، اأو كتل خاليا البالزما اأونادرا هنا ن�سجل �سلبية. السكري الكاذب رودراجيت بول، اأديتيا فيكرام رويا، عا�سم �ساها، جاياتي موندال، تي جى �ساو، اإندرانيل ثاكور، كونال هالدار abstract: Multiple myeloma (MM) can present with involvement of the central nervous system in the form of nerve palsy, plasma cell masses or, rarely, with endocrinological effects due to involvement of the pituitary gland. keywords: case; day; diabetes; insipidus; involvement; myeloma; patient; pituitary; plasma; present cache: squmj-2211.pdf plain text: squmj-2211.txt item: #996 of 1636 id: squmj-2212 author: None title: squmj-2212 date: 2017-06-20 words: 2655 flesch: 52 summary: مر�س الجنرهانز هي�ستيو�سيتوزي�س؛ التهاب اجللد الدهني؛ ت�سارع النف�س؛ فقر الدم؛ ر�سيع؛ تقريرحالة؛ الهند. قد يحدث تاأخرييف ت�سخي�س املر�س يف حديثي الوالدة ب�سبب بدايته باأعرا�س غري حمددة واأي�سا عدم وجود الوعي الكايف باملر�س واأعرا�سه بني االأطباء. keywords: case; cell; histiocytosis; involvement; langerhans; lch; lesions; multisystem; neonatal; report cache: squmj-2212.pdf plain text: squmj-2212.txt item: #997 of 1636 id: squmj-2213 author: None title: squmj-2213 date: 2017-06-20 words: 3203 flesch: 62 summary: ينبغي اأن توؤخذ هذه احلالة النادرة يف االأعتبار يف الت�سخي�س التفريقي يف املر�سى الذين يعانون من اأورام املبي�س واال�ست�سقاء واأرتفاع م�ستويات امل�ست�سد كا 125-يف امل�سل. واأكد فح�س العينة املجمدة ت�سخي�س �سرتوما اأوفاري. keywords: ascites; case; doi; levels; mass; meigs; ovarian; pseudo; report; struma; syndrome cache: squmj-2213.pdf plain text: squmj-2213.txt item: #998 of 1636 id: squmj-2214 author: None title: squmj-2214 date: 2017-06-20 words: 2205 flesch: 51 summary: Peripheral osteomas of the maxilla are very uncommon. Compact osteomas usually have a sessile base with normal-appearing dense bone, while cancellous osteomas are generally pedunculated and resemble the bone of origin.14,15 Radiographically, peripheral osteomas appear as well- circumscribed pedunculated or sessile radiopaque masses which seem to have normal bone density.16 keywords: bone; case; doi; oral; osteoma; palate; peripheral; report cache: squmj-2214.pdf plain text: squmj-2214.txt item: #999 of 1636 id: squmj-2215 author: None title: squmj-2215 date: 2017-06-20 words: 2040 flesch: 51 summary: هذا التقرير ي�سلط ال�سوء على اأهمية الت�سوير املقطعي باملوجات املخروطية يف ت�سخي�س االأنياب غري طبيعية التكوين، مما ي�سمح بالعالج املنا�سب للجذر. الكلمات املفتاحية: الت�سخي�س الت�سويري؛ الت�سوير املقطعي باملوجات املخروطية؛ ت�سوهات االأ�سنان؛ تقرير حالة؛ الهند. هذا تقريرحلالة مري�س يبلغ من العمر 24 عاما قدم اإىل كلية طب االأ�سنان احلكومية يف كوزيكود، والية كرياال، الهند، keywords: beam; canine; cbct; cone; imaging; root; tomography; tooth cache: squmj-2215.pdf plain text: squmj-2215.txt item: #1000 of 1636 id: squmj-2216 author: None title: squmj-2216 date: 2017-06-20 words: 1858 flesch: 57 summary: هذا تقرير حالة عن ر�سيع يبلغ من العمر اأربعة اأ�سهر مت اإحالته اإىل امل�ست�سفى ال�سلطاين، م�سقط، عمان، تاريخ من احلمى ملدة اأ�سبوعني، مع �سيالن االأنف و�سيق يف التنف�س. وقد اأثبتت مزرعة الدم و�سائل التامور وجود امليكروب العقدي النوع اأ. keywords: case; doi; gas; group; infant; month; pericarditis; purulent cache: squmj-2216.pdf plain text: squmj-2216.txt item: #1001 of 1636 id: squmj-2217 author: None title: squmj-2217 date: 2017-06-20 words: 1059 flesch: 52 summary: A few cases have reported an association with breast cancer, although as yet no direct relationship has been established.1,4 In cases where the underlying aetiology is not obvious, patients with Mondor’s disease should be investigated to determine the cause of the disease, if possible, and to exclude breast cancer, lymphatic spread from a carcinoma, a hypercoagulable state or connective tissue disease.2,4 Recognition and differentiation of this rare condition from a breast abscess or malignancy is also essential.4 On mammography, thrombosed veins observed in cases of Mondor’s disease are superficial, tubular and beaded cord-like densities which correspond to the clinically palpable and tender cord-like breast lumps.1,2 R = right breast; L = left breast; CC = craniocaudal; MLO = mediolateral oblique. keywords: breast; disease; mondor; veins cache: squmj-2217.pdf plain text: squmj-2217.txt item: #1002 of 1636 id: squmj-2218 author: None title: squmj-2218 date: 2017-06-20 words: 894 flesch: 46 summary: A case of auricular pseudocyst. Kindem S, Sanmartin C, Serra-Guillén C, Guillén C. Compression treatment of auricular pseudocyst with thermoplastic splinting (Aquaplast®). keywords: auricular; doi; figure; granada; pseudocyst cache: squmj-2218.pdf plain text: squmj-2218.txt item: #1003 of 1636 id: squmj-2219 author: None title: squmj-2219 date: 2017-06-20 words: 1121 flesch: 51 summary: For lesions that are small, asymptomatic and unequivocally confirmed by biopsy, surgical excision can be avoided; in contrast, surgery is indicated for larger lesions, for patients where the preoperative histology cannot confirm a diagnosis or in cases with suspicious clinical or radiological features.2–5 References 1. Departments of 1Radiology and 2Pathology, Armed Forces Hospital, Muscat, Oman *Corresponding Author e-mail: drphilipsgm@yahoo.com فرط التنسج السدوي متعلق بشبه ورم وعائي حالة نادرة تشبه سرطان الثدي فيليب�س جورج مايكل، طاهرة ال�سعدي، راك�س جاخماندركار، ال�سكيمي راو Pseudoangiomatous Stromal Hyperplasia A rare mimic of breast malignancy *Philips G. Michael,1 Tahra Al-Saadi,1 Rakesh Jamkhandikar,1 Lakshmi Rao2 A 48-year-old premenopausal woman presented to the Breast Clinic of the Armed Forces Hospital, Muscat, Oman, in 2015 with a one-year history of a lump in her right breast which was progressively increasing in size. keywords: breast; hyperplasia; lesion; pash; stromal cache: squmj-2219.pdf plain text: squmj-2219.txt item: #1004 of 1636 id: squmj-2220 author: None title: squmj-2220 date: 2017-06-20 words: 745 flesch: 52 summary: Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: A randomized clinical trial. The estimated annual risk of a hernia is approximately three per thousand patients.1 Direct inguinal hernias usually occur only among older men, as ageing and stress/strain weaken the abdominal muscles around the inguinal canal; in comparison, women rarely suffer from this type of hernia.2 A recent study by Isik et al. interesting medical image Sultan Qaboos University Med J, May 2017, Vol. 17, Iss. 2, pp. e250–251, Epub. keywords: asymptomatic; doi; hernia cache: squmj-2220.pdf plain text: squmj-2220.txt item: #1005 of 1636 id: squmj-2221 author: None title: squmj-2221 date: 2017-10-10 words: 2980 flesch: 46 summary: Over the past 50–60 years, significant advances have been made in the screening, early detection, diagnosis and treatment of cancer, resulting in the current cure rate of 40–60%.1–3 Together with surgery and radiotherapy, systemic chemotherapy has been the mainstay of cancer treatment for over half a century. However, conventional cytotoxic chemotherapy is fraught with both short- and long- term side-effects, to the extent that many patients and caregivers consider the option of cancer treatment to represent a choice between ‘the devil and the deep sea’. keywords: cancer; cell; doi; medicine; molecular; patients; precision; therapy; treatment cache: squmj-2221.pdf plain text: squmj-2221.txt item: #1006 of 1636 id: squmj-2222 author: None title: squmj-2222 date: 2017-10-10 words: 6086 flesch: 39 summary: While PE and intravenous IG therapies result in rapid improvement for MG patients by removing/ interacting with the circulating autoantibodies against AChRs, the effects are unfortunately only temporary (approximately 4–10 weeks’ duration).14 Moreover, patients who underwent thymectomies demonstrated significant clinical improvement in terms of the reduced need for immunosuppressive therapy and hospitalisation to treat myasthaenic exacerbations.16 In total, 80% of MG patients show symptomatic improvement after undergoing a thymectomy.17,18 One year after a thymectomy, the MG remission rate is <20%, although this rises to 50% after keywords: aza; cases; delivery; disease; doi; effects; gravis; intravenous; management; myasthaenic; myasthenia gravis; patients; pregnancy; pyridostigmine; risk; symptoms; thymectomy; treatment; women cache: squmj-2222.pdf plain text: squmj-2222.txt item: #1007 of 1636 id: squmj-2223 author: None title: squmj-2223 date: 2017-10-10 words: 6856 flesch: 46 summary: جدل يف األورام سنية املنشأ مراجعة بوجا �سوا�ص، تابيا جوي، جادي�ص توبكاري، اأرو�ص ثاكر abstract: Odontogenic tumours are lesions that occur solely within the oral cavity and are so named because of their origin from the odontogenic (i.e. tooth-forming) apparatus. Odontogenic tumours comprise a variety of lesions ranging from non-neoplastic tissue proliferations to benign or malignant neoplasms. keywords: benign; cell; classification; doi; e n; entity; ghost; lesions; n t; o n; oral; surg; t o; tumours cache: squmj-2223.pdf plain text: squmj-2223.txt item: #1008 of 1636 id: squmj-2224 author: None title: squmj-2224 date: 2017-10-10 words: 6505 flesch: 50 summary: While previous research has examined the responsibility involved in training novice drivers, few studies have focused on the specific contributions of PDIs. Jawi ZM, Deros B M, Osman MR, Awang A. A systemic overview on driver training and driver licensing system in Malaysia. keywords: articles; doi; driver; driving; education; instructors; lds; novice; pdis; performance; research; road; roles; sample; study; traffic; training cache: squmj-2224.pdf plain text: squmj-2224.txt item: #1009 of 1636 id: squmj-2225 author: None title: squmj-2225 date: 2017-10-10 words: 5031 flesch: 63 summary: Clonal chromosomal abnormalities in MDS have been observed in 30–80% of patients, depending on the subtype and whether it is de novo or mutagen- induced.2,3 For the other 20–70% of MDS patients with normal karyotypes, there is substantial evidence for the presence of submicroscopic alterations—such as point mutations, microdeletions, microamplifications, epi- genetic changes or copy number neutral loss of information—which may form the genetic basis of the disease.4–6 Available reports on the incidence of MDS mostly originate from European countries, although major studies have been conducted in Japan.15–22 To the best of the authors’ knowledge, this is the first report detailing the cytogenetic profile of Omani patients with MDS. keywords: abnormalities; abnormality; anaemia; data; doi; mds; omani; patients; prognostic; refractory; syndromes cache: squmj-2225.pdf plain text: squmj-2225.txt item: #1010 of 1636 id: squmj-2226 author: None title: squmj-2226 date: 2017-10-10 words: 5903 flesch: 57 summary: مت تعري�ص عينات الدم املثبطة مبادة الديكلوروفو�ص ب�سكل منف�سل جلرعات منخف�سة ثم مرتفعة من الرباليدوك�سيم و ال ن-اأ�سيتيل �سي�ستني وال�سي�ستني )برتكيزات نهائية مقدارها 300 ميكروموالر 600 ميكروموالر علي التوايل(. بعد ذلك يف هذه الدرا�سة مت �سحب ثمانية ميلى ليرت عينات دم معالج مبادة ال�سيرتات من 22 �سخ�سا �سليما. keywords: acetylcysteine; ache; activity; buche; comparison; concentrations; cysteine; dichlorvos; doi; group; human; nac; pam; plasma; poisoning; reactivation; study; μmol.l-1 cache: squmj-2226.pdf plain text: squmj-2226.txt item: #1011 of 1636 id: squmj-2227 author: None title: squmj-2227 date: 2017-10-10 words: 6058 flesch: 60 summary: Sex differences in lung cancer survival: Do tumors behave differently in elderly women? Tammemagi CM, Neslund-Dudas C, Simoff M, Kvale P. Impact of comorbidity on lung cancer survival. keywords: cancer; cell; cell lung; chemotherapy; disease; doi; lung; lung cancer; median; nsclc; oman; patients; stage; study; survival; university cache: squmj-2227.pdf plain text: squmj-2227.txt item: #1012 of 1636 id: squmj-2228 author: None title: squmj-2228 date: 2017-10-10 words: 3623 flesch: 50 summary: This study demonstrates the impact of sustained targeted nursing educational activities in reducing non-conforming blood samples, a common cause of pre-analytical laboratory errors. This study aimed to ascertain the effect of educational nursing activities on the incidence of pre-analytical errors resulting in non-conforming blood samples. keywords: activities; blood; collection; errors; hospital; laboratory; non; nursing; pre; quality; samples; study cache: squmj-2228.pdf plain text: squmj-2228.txt item: #1013 of 1636 id: squmj-2229 author: None title: squmj-2229 date: 2017-10-10 words: 3538 flesch: 53 summary: The approximate mean gestational age at delivery is 36, 33, 29 and 28 weeks for twin, triplet, quadruplet and quintuplet pregnancies, respectively.5,8,11 While the pathophysiology of preterm birth in higher-order multiple pregnancies remains unclear, the most likely cause is overdistension of the uterus.12 Although routine prophylactic cervical cerclage has been suggested as a strategy for prolonging gestation and some evidence exists suggesting that its routine use in twin pregnancies is beneficial, its role or advantage in higher-order multiple pregnancies is unclear.8,9,13 This study therefore aimed to determine the effect of prophylactic cervical cerclage in the prolongation of higher-order multiple pregnancies. This study aimed to assess the value of prophylactic cervical cerclage in prolonging higher- order multiple pregnancies. keywords: birth; cerclage; doi; multiple; order; pregnancies; preterm; prophylactic; study; weeks; women cache: squmj-2229.pdf plain text: squmj-2229.txt item: #1014 of 1636 id: squmj-2230 author: None title: squmj-2230 date: 2017-10-10 words: 3242 flesch: 50 summary: Discussion In prostate cancer biopsy reports, recording the number of cores is important as this count is subsequently correlated with the number of biopsies taken, processed and present on the histology slide; this approach serves as an internal quality control measure to ensure that all tissues submitted for biopsy are duly processed. The findings of this study confirm the significant advantage of synoptic over narrative report formats in ensuring the completeness of histopathology reports for prostate cancer biopsies. - Recommendations are suggested to facilitate the adoption of the synoptic reporting template at other healthcare institutions. keywords: biopsy; cancer; cores; lagos; narrative; prostate; reporting; reports; synoptic; tumour; university cache: squmj-2230.pdf plain text: squmj-2230.txt item: #1015 of 1636 id: squmj-2231 author: None title: squmj-2231 date: 2017-10-10 words: 2743 flesch: 51 summary: Conclusion: Neurology research in Saudi Arabia has increased substantially over the last 20 years. Conclusion While neurology research in Saudi Arabia was found to have increased over the last 20 years, most articles were published in journals with low IFs. keywords: arabia; articles; january; journals; neurology; publications; research; saudi; study cache: squmj-2231.pdf plain text: squmj-2231.txt item: #1016 of 1636 id: squmj-2232 author: None title: squmj-2232 date: 2017-10-10 words: 3519 flesch: 51 summary: The global prevalence of hypertension (HTN) is projected to increase markedly by 2025.1 Poor HTN management increases healthcare expenditure and complication, mortality and morbidity rates; as such, medication adherence is key.1 However, patient adherence to antihypertensive medications is inadequate globally.1 Patient beliefs about health and illness are significant predictors of medication adherence.2 Moreover, beliefs regarding the severity of a disease, self-efficacy and the benefits of medication may explain patients’ attitudes towards medication adherence, as described in the Health Beliefs Model.3 In Oman, the prevalence of HTN is high, with up to 40% of the population affected.4 Among those with HTN, 5% have severe HTN (i.e. systolic blood pressure of ≥180 mmHg or diastolic blood pressure of ≥110 mmHg).4 While several studies in Oman have focused on understanding HTN-related risk factors, none to date have examined the relationship between patients’ health beliefs and their adherence to antihypertensive medications.5,6 Greater knowledge of the health beliefs and medication habits of Omani patients with HTN may help clinicians and researchers develop strategies to foster medication adherence and enhance HTN management. keywords: adherence; beliefs; efficacy; health; htn; medication; patients; questionnaire; self; study cache: squmj-2232.pdf plain text: squmj-2232.txt item: #1017 of 1636 id: squmj-2233 author: None title: squmj-2233 date: 2017-10-10 words: 3539 flesch: 50 summary: A summary of the demographic and operative features of each case is shown in Table 1. Discussion Diaphragmatic paralysis due to phrenic nerve injury is potentially life-threatening in infants.6 Phrenic nerve injuries due to thoracic surgeries—mainly open-heart surgeries for congenital heart disease—are the most common cause of diaphragmatic paralysis among children.7 The estimated incidence of unilateral diaphragmatic paralysis following cardiac surgery is 1.31%;8 however, the incidence of BDP is not clear as most reports are of single cases.2,9–11 In a study of 867 patients, van Onna et al. described 17 cases of postoperative diaphragmatic paralysis (1.9%), of which only one was bilateral (0.1%).12 A retrospective study by Dagan et al. identified nine BDP cases among 3,214 children who had undergone cardiac surgery, resulting in an incidence of 0.28%.13 Zhang et al. reported four cases of BDP out of 47 patients with diaphragmatic paralysis.14 In the current case series, a late diagnosis of BDP was made for the first patient. A tracheostomy is recommended as a relatively safe procedure for ventilating BDP patients with no major complications, as observed in the current case series. keywords: bdp; bilateral; case; days; diaphragm; doi; paralysis; patient; series; surgery cache: squmj-2233.pdf plain text: squmj-2233.txt item: #1018 of 1636 id: squmj-2234 author: None title: squmj-2234 date: 2017-10-10 words: 2508 flesch: 52 summary: قمنا بت�سجيل حالة مري�ص بفريو�ص العوز املناعي املكت�سب والذي يبلغ من العمر 48 عام وح�رص مل�ست�سفى النه�سة مبحافظة م�سقط يف �سلطنة عمان يف عام 2012، وكان ي�ستكي من فقدان �سى الربو ومر�ص جمرى الهواء االإن�سدادي املزمن، والذي يكون اأكرث عر�سة ب�سكل خا�ص لهذه التفاعالت ب�سبب خ�سائ�سه الف�سيولوجية . keywords: adrenal; case; doi; drug; fluticasone; hiv; insufficiency; patient; propionate; ritonavir cache: squmj-2234.pdf plain text: squmj-2234.txt item: #1019 of 1636 id: squmj-2235 author: None title: squmj-2235 date: 2017-10-10 words: 3432 flesch: 41 summary: Departments of 1Neurosurgery and 3Anaesthesia, Intensive Care Unit & Pain Management, Khoula Hospital, Muscat, Oman; 2Department of Cardiac Anaesthesia, Royal Hospital, Muscat, Oman; 4Anaesthesia Residency Programme, Oman Medical Speciality Board, Muscat, Oman *Corresponding Author e-mail: nilay.chatt@gmail.com إستخدام طريقة غري باضعة ملراقبة النتاج القليب لتحسني ديناميكا الدم ملريض صمام مرتايل خضع جلراحة دماغية وعائية علي حماد املع�سني، نرياجنان واجي، نرياج �سالهوترا، �ساماريت�ص داز، ميالن �سوري، را�سد اأحمد ال�سهيمي، نيالي �ساترجي abstract: Patients with mitral valve disease undergoing cerebrovascular surgery face increased inherent risks due to their associated cardiac comorbidities. النظر يف وقت واحد حلالة الدماغ الوعائية والقلب يحدد ق�سايا التخدير االأ�سا�سية، الأن ال�سوائل وروافع التوتر الوعائي اأو موؤثرات التوتر الع�سلي حتتاج اإىل معايرة وفقا ملتغريات ديناميكا الدم من اأجل حت�سني الرتوية الدماغية دون التاأثري على وظيفة القلب. keywords: aneurysm; blood; cardiac; doi; ev1000; index; monitoring; output; patient; pressure; svr; valve cache: squmj-2235.pdf plain text: squmj-2235.txt item: #1020 of 1636 id: squmj-2236 author: None title: squmj-2236 date: 2017-10-10 words: 2555 flesch: 51 summary: واأي�سا، فاإن املمار�سة ال�سائعة لتطبيق م�سبار قيا�ص التاأك�سج النب�سي فقط على القدم قد تكون حمدودة النتائج هذا يربهن ان فح�ص ما بعد الوالدة، مبا يف ذلك ا�ستخدام قيا�ص النب�ص، يلعب دورا هاما يف الت�سخي�ص املبكرلتعاك�ص ال�رصايني الكربى، ومع ذلك، فاإن هذه االأداة ال ت�ستخدم على نطاق keywords: aorta; case; doi; heart; infant; pulmonary; screening; tga; transposition cache: squmj-2236.pdf plain text: squmj-2236.txt item: #1021 of 1636 id: squmj-2237 author: None title: squmj-2237 date: 2017-10-10 words: 1972 flesch: 50 summary: In a prospective angiographic study of 1,950 consecutive adult cases, Angelini et al., reported the incidence of anomalous coronary arteries to be 5.6%; of these, the incidence of the RCA arising from the left coronary sinus was 0.92%.1 However, even though the incidence is relatively low, the consequences of this type of anomaly are often fatal.1 As with the current case, the diagnosis of an anomalous RCA is often made incidentally as physical examinations or tests like electrocardiograms, stress tests and perfusion scans are usually non-revealing.2 A precise diagnosis is often made as the result of cardiac CT imaging which can provide numerous three- dimensional image reconstructions that allow precise evaluation of the origin and course of the anomalous coronary artery.3 Multislice CT imaging of anomalous coronary arteries. keywords: artery; case; coronary; origin; patient; rca; sinus; التاجي cache: squmj-2237.pdf plain text: squmj-2237.txt item: #1022 of 1636 id: squmj-2238 author: None title: squmj-2238 date: 2017-10-10 words: 2418 flesch: 62 summary: ومبلغ علمنا، فهذه هي احلالة االأوىل التي ت�سجل عن مري�ص عماين م�ساب ب�سمور ع�سلي �سوكي ع فقط يف االأطراف ال�سفلى. قطعي ُمتمو�سِ الكلمات املفتاحية: حاالت ال�سمور الع�سلي ال�سوكي عند االأطفال؛ �سمور ع�سلي �سوكي، قطعي؛ �سعف ع�سلي؛ قدم خم�سية؛ ت�سجيل حالة؛ عمان. keywords: atrophy; case; doi; gene; limbs; motor; oman; sma; spinal; weakness cache: squmj-2238.pdf plain text: squmj-2238.txt item: #1023 of 1636 id: squmj-2239 author: None title: squmj-2239 date: 2017-10-10 words: 3357 flesch: 50 summary: ع�سوية كامليت–غورين(. الكلمات املفتاحية: ال�سل؛ لقاح ال�سل )ع�سوية كامليت–غورين(؛االآثار ال�سارة، تلقيح؛ التهاب العظم والنقي؛ �سجل حالة؛ عمان. واأو�ست منظمة ال�سحة العاملية يف برناجمها املو�سع للتطعيم يّل، واأنواع اإ�سابات ال�سل االأخرى االأ�سد وخامة التي با�ستخدام لقاح ع�سوية كامليت–غورين عند الر�سع حلمايتهم من انت�سار ال�سل االأوَّ تنتقل عن طريق الدم. keywords: bcg; calmette; case; doi; guérin; hip; osteomyelitis; report; tuberculosis; vaccination; vaccine cache: squmj-2239.pdf plain text: squmj-2239.txt item: #1024 of 1636 id: squmj-2240 author: None title: squmj-2240 date: 2017-10-10 words: 1533 flesch: 41 summary: In view of the lack of response to treatment and the patient’s impaired renal function, repeat non- contrast CT imaging of the brain was performed 48 hours after the initial scan. Intravenous contrast CT imaging and optimal contrast bolus timing may also play a crucial role in establishing the diagnosis of an intracranial aneurysm.4 In the present case, the final CT scan was in the angiographic (i.e. arterial) phase and unequivocally established the presence of an MCA aneurysm. keywords: imaging; patient; scan cache: squmj-2240.pdf plain text: squmj-2240.txt item: #1025 of 1636 id: squmj-2241 author: None title: squmj-2241 date: 2017-10-10 words: 865 flesch: 51 summary: However, subamniotic placental haematomas are rare and result from the rupture of chorionic vessels near the umbilical cord insertion; most of these types of haematomas are discovered after birth and result from excessive traction of the umbilical cord.1,2 However, some may occur during pregnancy, with Van Den Bosch et al. previously reporting an antenatal subamniotic haematoma diagnosed at 34 gestational weeks and associated with an uneventful pregnancy and labour.3 The presence of both a placental infarction and subamniotic haematoma is rather Nabil Abdalla, Robert Piorkowski, Pawel Stanirowski, Krzysztof Cendrowski and Wlodzimierz Sawicki Interesting Medical Image | 367 https://doi.org/10.1046/j.1469-0705.1998.11050319.x https://doi.org/10.1159/000020971 https://doi.org/10.2147/IJWH.S72178 https://doi.org/10.6061/clinics/2012%2810%2913 keywords: haematoma; labour; placental cache: squmj-2241.pdf plain text: squmj-2241.txt item: #1026 of 1636 id: squmj-2242 author: None title: squmj-2242 date: 2017-10-10 words: 1448 flesch: 33 summary: Comment The extrinsic compression of the third part of the duo- denum between the SMA and the abdominal aorta as the artery crosses the duodenum anteriorly—known as SMA syndrome—is a rare cause of upper gastro- intestinal obstruction.1 Patients may present with chronic or vague postprandial symptoms, such as upper abdominal pain, nausea, vomiting, weight loss and a feeling of early satiety or bloating, although acute presentations with symptoms of duodenal obstruction have also been described.1,2 The syndrome occurs due to an abnormally acute angle between the proximal part of the SMA and the abdominal aorta which ranges from 6–16 degrees in symptomatic patients compared to 38–56 degrees in normal individuals; this Figure 2: Sagittal contrast-enhanced computed tomography scan of the abdomen of a 28-year-old man demonstrating the acute angle of the superior mesenteric artery at its point of origin from the abdominal aorta, with a decreased aortomesenteric distance. Patient with both Wilkie syndrome and nutcracker syndrome. keywords: artery; nutcracker; patient; sma; syndrome cache: squmj-2242.pdf plain text: squmj-2242.txt item: #1027 of 1636 id: squmj-2243 author: None title: squmj-2243 date: 2017-10-10 words: 701 flesch: 28 summary: Extrapelvic or extragenital endometriosis has been described in several anatomical locations, including the skin, brain, lungs, gastrointestinal tract, urinary system and musculature.1 While umbilical endometriosis—also known as Villar’s nodule—is a rare site for endometriosis, it is the most common form of cutaneous endometriosis.2 There are many theories to explain the pathophysiology of umbilical endo- metriosis, including migration via the vascular or lymphatic vessels, metaplastic transformation and iatrogenic implants.2 Umbilical endometriosis is classified as primary if it occurs spontaneously or secondary if it results from iatrogenically-seeded endometrial implants following various surgical procedures, with the latter being more common.2,3 Umbilical endometriosis constitutes 3.2–40% of all extragenital endometrioses.2 Symptoms include umbilical masses with swelling and pain interesting medical image Sultan Qaboos University Med J, Aug 2017, Vol. 17, Iss. Clinical management and immunohistochemical analysis of umbilical endometriosis. keywords: doi; endometriosis; umbilical cache: squmj-2243.pdf plain text: squmj-2243.txt item: #1028 of 1636 id: squmj-2244 author: None title: squmj-2244 date: 2017-10-10 words: 901 flesch: 50 summary: Comment Idiopathic atrophoderma of Pasini and Pierini (IAPP) is a rare, exclusively cutaneous condition which occurs most frequently in female patients, with a peak incidence in the second and third decades of life.1 Overall, fewer than 100 cases have been reported interesting medical image Sultan Qaboos University Med J, Aug 2017, Vol. 17, Iss. 3, pp. Some researchers believe that IAPP should be included as a manifestation of the spectrum of localised scleroderma.3 Some cases of familial IAPP have been described; however, a genetic link has not yet been confirmed.2 From a clinical point of view, IAPP lesions may present in various patterns (i.e. rounded, oval or circular) and may be single or multiple.3 The edges of the patches are usually well defined and multiple lesions, such as in the present case, have been described as having a ‘swiss cheese’ or ‘footprints in the snow’ appearance. keywords: atrophoderma; granada; pasini; pierini cache: squmj-2244.pdf plain text: squmj-2244.txt item: #1029 of 1636 id: squmj-2245 author: None title: squmj-2245 date: 2017-10-10 words: 1277 flesch: 50 summary: doi: 10.18295/squmj.2017.17.03.025 Multiple Clustered Dermatofibromas Following Ustekinumab Treatment for Psoriasis Vulgaris e376 | SQU Medical Journal, August 2017, Volume 17, Issue 3 case has been reported, the age of onset for most patients with multiple clustered dermatofibromas is between the first and third decade of life.6,7 Systemic lupus erythematosus is the most common underlying disease associated with multiple eruptive dermatofibromas.9 However, it is important to note that the degree of immunosuppression does not seem to correlate with the number of dermatofibromas.11 Histologically, the differential diagnosis for multiple clustered dermatofibromas includes derma- tofibrosarcomas protuberans, dermatomyofibromas, leiomyomas and, in paediatric cases, plaque-like myo- fibroblastic tumours. keywords: dermatofibromas; dermatol; doi; granada; multiple; treatment cache: squmj-2245.pdf plain text: squmj-2245.txt item: #1030 of 1636 id: squmj-2246 author: None title: squmj-2246 date: 2017-10-05 words: 402 flesch: 53 summary: إشعار عن تراجع املؤلف االستخدام الوقائي ملرشحات الوريد األجوف السفلي يف حاالت اإلصابات والصدمات notice of authorship retraction Notice of Authorship Retraction Use of prophylactic inferior vena cava filters in trauma The Editors of Sultan Qaboos University Medical Journal (SQUMJ) have been informed that one of the authors of an article by Naiem et al. 2. International Committee of Medical Journal Editors. keywords: authorship cache: squmj-2246.pdf plain text: squmj-2246.txt item: #1031 of 1636 id: squmj-2247 author: None title: squmj-2247 date: 2017-10-05 words: 337 flesch: 61 summary: Sultan Qaboos Univ Med J 2016; 16:e197–202. doi: 10.18295/squmj.2016.16.02.010. notice of erratum for: al-sharbatti et al. spousal concordance of diabetes mellitus among women in ajman, united arab emirates. Sultan Qaboos Univ Med J 2016; 16:e197–202. doi: 10.18295/squmj.2016.16.02.010. 2. keywords: sharbatti cache: squmj-2247.pdf plain text: squmj-2247.txt item: #1032 of 1636 id: squmj-2248 author: None title: squmj-2248 date: 2017-10-05 words: 337 flesch: 61 summary: Sultan Qaboos Univ Med J 2016; 16:e197–202. doi: 10.18295/squmj.2016.16.02.010. notice of erratum for: al-sharbatti et al. spousal concordance of diabetes mellitus among women in ajman, united arab emirates. Sultan Qaboos Univ Med J 2016; 16:e197–202. doi: 10.18295/squmj.2016.16.02.010. 2. keywords: sharbatti cache: squmj-2248.pdf plain text: squmj-2248.txt item: #1033 of 1636 id: squmj-2361 author: None title: squmj-2361 date: 2018-01-10 words: 2445 flesch: 54 summary: Another study found that, in some Arabic countries, male family members held the dominant role in the TDM process, particularly if the patient was female.21 Nevertheless, while most cancer patients seem to prefer family involvement in the TDM process, many physicians in Western countries have raised concerns regarding the potential loss of patient autonomy when family members become involved in treatment.8 In such countries, the individual rights of cancer patients are respected and protected by physicians; therefore, family members retain only limited powers when it comes to intervening in medical care, particularly in cases wherein the patient is deemed competent enough to make their own decisions.14,16 However, physicians may sometimes encounter family members who ask them not to involve the patient in the TDM process or even, in some cases, not to inform the patient of their diagnosis at all.22 Although many physicians welcome varying levels of family involvement in TDM, most families are naturally cautious of challenging the physician’s professional authority and intervening with the patient’s treatment.23 Some physicians could react negatively to family members’ requests if they believe them to be in breach of the patient’s dignity and/or autonomy. In another study of patient-caregiver dyads in Korea, most patients and caregivers valued and expected family involvement in TDM; however, there was little explicit agreement regarding which party in the dyad should take decisional leadership and which should play a supporting role.7 Several studies have shown that cancer patients and their family members prefer family participation in TDM to some extent.7–9 Among patients with advanced lung cancer in Belgium, Pardon et al. keywords: cancer; decision; doi; family; making; members; patient; tdm cache: squmj-2361.pdf plain text: squmj-2361.txt item: #1034 of 1636 id: squmj-2362 author: None title: squmj-2362 date: 2018-01-10 words: 2400 flesch: 55 summary: In order to optimise the outcomes of initial resuscitation efforts among the severely injured, trauma care should be delivered by qualified and trained providers. Nevertheless, this course is a necessity, as most providers in acute care settings do not have any structured training in trauma care. keywords: care; doi; injury; oman; research; system; trauma cache: squmj-2362.pdf plain text: squmj-2362.txt item: #1035 of 1636 id: squmj-2363 author: None title: squmj-2363 date: 2018-01-10 words: 6782 flesch: 49 summary: In particular, there is a need for further exploration of the expression patterns of X-linked genes in cancer cells, especially those in head and neck squamous cell carcinoma (HNSCC), in order to identify different prognostic subpopulations with distinct clinical implications. This article proposes a functional relationship between the loss of the Barr body and the disproportional expression of X-linked genes in HNSCC development. keywords: barr; body; breast; cancer; carcinoma; cell; chromatin; chromosome; development; dna; doi; et al; expression; genes; head; hnscc; human; inactivation; loss; malignancy; neck; role; tumour; xist cache: squmj-2363.pdf plain text: squmj-2363.txt item: #1036 of 1636 id: squmj-2364 author: None title: squmj-2364 date: 2018-01-10 words: 4369 flesch: 58 summary: A total of 97 patients (16.5%) had a final diagnosis related to a cardiac condition, consisting of 31 patients (32.0%) with positive troponin tests and 66 (13.8%) with negative results [Table 4]. A total of 4,845 patients attended the emergency department during the study period; of these, troponin tests were ordered for 588 patients. keywords: 0.001; acs; cardiac; department; doi; emergency; hospital; patients; results; study; testing; troponin cache: squmj-2364.pdf plain text: squmj-2364.txt item: #1037 of 1636 id: squmj-2365 author: None title: squmj-2365 date: 2018-01-10 words: 4946 flesch: 55 summary: Changes in characteristics of hepatitis C patients seen in a liver centre in the United States during the last decade. Shahraki T, Shahraki M, Moghaddam ES, Najafi M, Bahari A. Determination of hepatitis C genotypes and the viral titer distribution in children and adolescents with major thalassemia. keywords: chc; chronic; cirrhosis; doi; genotypes; hcv; hepatitis; infection; liver; oman; patients; risk; study; virus cache: squmj-2365.pdf plain text: squmj-2365.txt item: #1038 of 1636 id: squmj-2366 author: None title: squmj-2366 date: 2018-01-10 words: 4396 flesch: 57 summary: In combination with gestational age, birth weight helps to group newborns into small for gestational age (SGA), appropriate for gestational age and large for gestational age (LGA) categories, according to a normal distribution curve for weight in which the 10th and 90th percentiles mark infants as either SGA or LGA, respectively.4 Neonates who are SGA are subject to extensive clinical interventions and investigations and are likely to have congenital abnormalities, while LGA newborns are prone to a wide range of neo- natal complications such as respiratory distress, hypo- glycaemia and polycythaemia.3,5 Additionally, head circumference values below the third percentile (i.e. microcephaly) might indicate serious genetic or acquired health problems.6 Two types of growth charts are regularly used to assess neonatal anthropometric measurements. Oct 17 Advances in Knowledge - The results of this study revealed that full-term Omani neonates have significantly lower birth weights and head circumferences and greater lengths than the international standards reported in the World Health Organization (WHO) 2006 growth charts. Application to Patient Care - This study provides preliminary evidence that the WHO standard growth charts might not be the best tool to assess the growth of full- term Omani neonates, indicating potential gaps in the interpretation of anthropometric measurements. - Based on these findings, clinicians are advised to balance the use of international growth charts with a degree of well-informed clinical judgment in order to help reduce unnecessary clinic visits, investigations, costs and parental anxiety. keywords: birth; charts; circumference; growth; head; health; length; neonates; omani; organization; study; weight; world cache: squmj-2366.pdf plain text: squmj-2366.txt item: #1039 of 1636 id: squmj-2367 author: None title: squmj-2367 date: 2018-01-10 words: 3419 flesch: 55 summary: Figure 2: Correlations between mean (A & B) planned and (C & D) actual operating room turnaround times and patient age and duration of surgery, respectively, among elective surgical cases scheduled at a large rural hospital in Northern Germany (N = 875). Figure 4: Correlations between mean (A) planned and (B) actual operating room turnaround times and staffing changes (i.e. either a change in surgeon or the medical specialty of the surgery) among elective surgical cases scheduled at a large rural hospital in Northern Germany (N = 875). keywords: cases; doi; germany; operating; patient; room; study; surgery; times; turnaround; turnaround times cache: squmj-2367.pdf plain text: squmj-2367.txt item: #1040 of 1636 id: squmj-2368 author: None title: squmj-2368 date: 2018-01-10 words: 4591 flesch: 62 summary: Future burden of prostate cancer mortality in Brazil: Prostate cancer mortality in areas with high and low prostate cancer incidence. keywords: cancer; deaths; doi; health; incidence; iran; mortality; prostate; prostate cancer; province; rate; study; yazd; years; yll cache: squmj-2368.pdf plain text: squmj-2368.txt item: #1041 of 1636 id: squmj-2369 author: None title: squmj-2369 date: 2018-01-10 words: 3820 flesch: 65 summary: This study aimed to evaluate the distribution of trauma care facilities in Oman with regards to their proximity to RTI-prevalent areas. The distribution of trauma care facilities was analysed by calculating distances between areas of peak RTI incidence and the closest trauma centre using Google Earth and Google Maps software (Google Inc., Googleplex, Mountain View, California, USA). keywords: care; centres; class; facilities; oman; rti; services; study; trauma cache: squmj-2369.pdf plain text: squmj-2369.txt item: #1042 of 1636 id: squmj-2370 author: None title: squmj-2370 date: 2018-01-10 words: 5363 flesch: 57 summary: This study aimed to evaluate family planning counselling sessions in selected governmental and private clinics in northern Jordan. 14 Aug & 14 Sep 17 Accepted 21 Sep 17 Advances in Knowledge - To the best of the authors’ knowledge, this study is the first to evaluate family planning counselling sessions in northern Jordan in terms of their adherence to the standard Greet, Ask, Tell, Help, Explain, Return (GATHER) framework. keywords: client; clinics; contraceptive; counselling; evaluation; family; gather; health; jafpp; jordan; moh; planning; services; sessions; study; women cache: squmj-2370.pdf plain text: squmj-2370.txt item: #1043 of 1636 id: squmj-2371 author: None title: squmj-2371 date: 2018-01-10 words: 5401 flesch: 56 summary: A study conducted in Kuwait in 1998 estim- ated the prevalence of DM among adults to be 14.8%.3 In 2013, another Kuwaiti study estimated the prevalence at 25.4% among adults, indicating it to be a major public health problem.4 Well-designed educational programmes have been developed worldwide for patients with DM in order to improve their knowledge of this chronic condition as an essential aspect of promoting self-care and self- management behaviours.5,6 High levels of DM-related knowledge have been associated with improved clinical outcomes, fewer complications and enhanced glycaemic control and quality of life.7–10 Several studies have been conducted worldwide to determine DM-related knowledge among different populations.11–13 In Canada, a community telephone survey among adults in the general population revealed a low level of general DM knowledge.11 Kheir et al. also reported relatively poor knowledge levels among 54 patients attending a diabetic clinic in Qatar; these findings were similar to those of a study of Saudi Arabian female patients with DM.12,13 Interestingly, most studies have evaluated patients with access to DM-related healthcare services who would therefore be expected to have greater DM knowledge than patients in the general community.2,7 In 2004, a Kuwaiti study revealed low levels of DM knowledge among 5,114 people with diabetes attending 24 primary healthcare clinics, with only 9.7% demonstrating adequate knowledge.7 In addition, the study reported that a younger age, higher levels of education and higher incomes were significantly associated with higher knowledge scores; however, the study did not assess preventative practices and their association with DM knowledge.7 In 2013, research from the United Arab Emirates revealed that 31% of patients had poor DM knowledge and 72% had negative attitudes towards the disease, concluding that low levels of DM awareness were prevalent in the region.14 This study aimed to assess DM-related knowledge and preventative practices among government employees with DM in Kuwait and to examine associations between DM knowledge, preventative practices and other variables. keywords: adherence; diabetes; doi; education; employees; knowledge; kuwait; levels; patients; practices; score; study cache: squmj-2371.pdf plain text: squmj-2371.txt item: #1044 of 1636 id: squmj-2372 author: None title: squmj-2372 date: 2018-01-10 words: 2185 flesch: 53 summary: يف م�صت�صفى ال�صلطان قابو�ض، �صاللة، عمان، Rosai J. Rosai and Ackerman’s Surgical Pathology, 10th ed. keywords: disease; doi; dorfman; histiocytes; lymphadenopathy; rosai; strdd; tissue cache: squmj-2372.pdf plain text: squmj-2372.txt item: #1045 of 1636 id: squmj-2373 author: None title: squmj-2373 date: 2018-01-10 words: 3409 flesch: 52 summary: ك�صف الت�صوير بالرنني املغناطي�صي للحو�ض عن وجود جتمع مائي )موه( يف املهبل واأظهرت الأ�صعة على الأع�صاء التنا�صبية وجود اجليب البويل امل�صتمر، وخ�صعت الطفلة لعملية ف�صل جراحي للم�صالك البولية والتنا�صلية. الكلمات املفتاحية: ت�صوهات اجلهاز البويل التنا�صلي؛ العيوب اخللقية؛ ق�صطرة نظيفة متقطعة؛ موه املهبل؛ ت�صوير املثانة؛ تقرير حالة؛ ماليزيا. يف التشخيص هوي هوي تان، �صونغ كني تان، راجح �صومنوجان، روزمان زكريا، زكريا زهاري keywords: bladder; case; doi; female; imaging; malaysia; persistent; pugs; sinus; vagina cache: squmj-2373.pdf plain text: squmj-2373.txt item: #1046 of 1636 id: squmj-2374 author: None title: squmj-2374 date: 2018-01-10 words: 2289 flesch: 56 summary: واأو�صحت درا�صات التو�صيل الع�صبي عن حالة اعتالل ع�صبي متعدد حمواري ومزيل للميالني Keywords: Thyrotoxicosis; Polyneuropathy; Hyperthyroidism; Flaccid Paraplegia; Case Report; Oman. امللخ�ص: يعد العتالل الع�صبي املتعدد احلاد عر�صا نادرا لفرط الدرقية الوخيم. keywords: acute; conduction; doi; hyperthyroidism; nerve; normal; paraplegia; patient; polyneuropathy; report cache: squmj-2374.pdf plain text: squmj-2374.txt item: #1047 of 1636 id: squmj-2375 author: None title: squmj-2375 date: 2018-01-10 words: 2757 flesch: 52 summary: الكلمات املفتاحية: مر�ض القر�ض بني الفقرتني؛ الفقرات القطنية؛ الأطراف ال�صفلى؛ وزمة؛ ا�صتئ�صال القر�ض؛ تقرير حالة؛ اإيران. To the best of the authors’ knowledge, this is the first reported case of lower limb pitting oedema which was completely resolved following the successful surgical treatment of LDH. keywords: case; doi; ldh; oedema; pain; patient; pitting; report cache: squmj-2375.pdf plain text: squmj-2375.txt item: #1048 of 1636 id: squmj-2376 author: None title: squmj-2376 date: 2018-01-10 words: 2774 flesch: 53 summary: يف مرحلة الوالدة مصابة بالنوع 1 من الورم الليفي العصيب و العامل اخلامس لطفرة ليدن خو�صيه لو�ض جالفيز، كارلو�ض لو�ض اإراندو، �صيلفيا �صريانو، مارجا مارتن-اآيو�صو، خو�صيه ميجيول فالفريدي-مانتيكون abstract: Type I neurofibromatosis is characterised by altered skin pigmentation and the growth of benign tumours, particularly along the peripheral nerves and central nervous system. مت معايرة ت�رشيب الراميفنتانيل عن طريق املري�صة نف�صها باإ�صتخدام مقيا�ض التنظري الب�رشي بجرعة ترتاوح من 0.01 اإىل 0.25 ملغ/كلغ/دقيقة. keywords: analgaesia; doi; factor; labour; neuraxial; neurofibromatosis; patient; remifentanil; type cache: squmj-2376.pdf plain text: squmj-2376.txt item: #1049 of 1636 id: squmj-2377 author: None title: squmj-2377 date: 2018-01-10 words: 3372 flesch: 51 summary: treatment.20–22 Currently, there are no standard criteria for therapy, although the complete excision of the tumour with wide surgical margins is reco- mmended.7,23,24 The five-year survival rate among patients with primary oral LMS is 55%, with bone involvement and metastasis significantly associated with poorer prognosis.24 Lung and cervical lymph node metastases frequently occur, with the regional lymph nodes affected in >15% of oral LMS cases.4 Distant metastases, mostly in the lungs, occur in approximately 39% of patients with oral LMS; in addition, LMS lesions arising in the uterus, gastrointestinal tract and retroperitoneum sometimes metastasise to the lungs, brain, bone and oral cavity.4,25 As such, preoperative staging of the whole body is mandatory. The presenting signs of oral LMS are generally nonspecific and the similarity of this entity to certain benign lesions typically delays its diagnosis. keywords: case; cell; diagnosis; doi; figure; leiomyosarcoma; lms; muscle; oral; patient; report; smooth; spindle cache: squmj-2377.pdf plain text: squmj-2377.txt item: #1050 of 1636 id: squmj-2378 author: None title: squmj-2378 date: 2018-01-10 words: 2258 flesch: 56 summary: Lipoleiomyomas account for approximately 0.03–0.2% of all uterine leiomyomas and are comprised of a mixture of variable amounts of mature adipocytes and smooth muscle cells.1–3 Lipoleiomyomas typically occur in older post-meno- pausal women, whereas leiomyomas occur mostly in women of reproductive age and usually regress after menopause.2,3 The most common location of a lipoleiomyoma is the uterus, while other reported sites include the cervix, ovaries and, on occasion, the retroperitoneum.2–4 However, lipoleiomyomas on the broad ligament—a peritoneal fold that connects the uterus to the pelvis—are extremely uncommon, with only seven cases reported in the literature to date.2,5–10 Broad ligament lipoleiomyomas are difficult to diagnose preoperatively upon radiology and may be mistaken for an ovarian carcinoma.11 However, it is important to distinguish between these entities as broad ligament lipoleiomyomas can be treated conservatively with a lumpectomy.6 This report des- cribes two cases of broad ligament lipoleiomyoma in which both patients were initially diagnosed with a solid malignant adnexal mass. keywords: cases; cells; doi; ligament; lipoleiomyoma; mass; ovarian; tumour cache: squmj-2378.pdf plain text: squmj-2378.txt item: #1051 of 1636 id: squmj-2379 author: None title: squmj-2379 date: 2018-01-10 words: 2228 flesch: 54 summary: Keywords: Hoarseness; Pulmonary Tuberculosis; Vocal Cord Paralysis; Cor Pulmonale; Pulmonary Hypertension; Case Report; India. امللخ�ص: بحة ال�صوت هي حالة �رشيرة �صائعة خمتلفة الأ�صباب، وميكن اأن تكون حالت رجوعية وحميدة، وميكن اأن تكون مهددة للحياة وخبيثة. Although reports exist of recurrent laryngeal palsy in TB, this case appears to be the first to report cardiovocal syndrome in a patient treated for pulmonary TB. keywords: hoarseness; hypertension; nerve; palsy; patients; pulmonary; right cache: squmj-2379.pdf plain text: squmj-2379.txt item: #1052 of 1636 id: squmj-2380 author: None title: squmj-2380 date: 2018-01-10 words: 2298 flesch: 60 summary: من اجلهة الي�رشى للجفن ال�صفلي خالل ال�صتة اأ�صهر املا�صية. Nevertheless, the incidence of calvarial TB is on the rise due to malnutrition, poor socioeconomic conditions and an increase in the prevalence of HIV/AIDS and other immunodeficiency conditions.2 keywords: att; calvarial; case; child; doi; india; skull; swelling; tuberculosis cache: squmj-2380.pdf plain text: squmj-2380.txt item: #1053 of 1636 id: squmj-2381 author: None title: squmj-2381 date: 2018-01-10 words: 1003 flesch: 44 summary: doi: 10.18295/squmj.2017.17.04.021 Paget’s Disease of the Breast A dangerous imitator of eczema e488 | SQU Medical Journal, November 2017, Volume 17, Issue 4 usually bilateral, without accompanying induration and responds quickly to the application of topical corticosteroids.1 Treatment for Paget’s disease is based on surgery, radiation therapy and chemotherapy, either alone or in combination.3 [Paget disease of the breast]. keywords: breast; disease; paget cache: squmj-2381.pdf plain text: squmj-2381.txt item: #1054 of 1636 id: squmj-2382 author: None title: squmj-2382 date: 2018-01-10 words: 1134 flesch: 44 summary: Diagnosis and therapy of neutropenia in large granular lymphocyte leukemia. The spectrum of large granular lymphocyte leukemia and Felty’s syndrome. keywords: cell; doi; figure; leukaemia; lgl; lymphocyte cache: squmj-2382.pdf plain text: squmj-2382.txt item: #1055 of 1636 id: squmj-2383 author: None title: squmj-2383 date: 2018-01-10 words: 704 flesch: 44 summary: In light of this, using a journal’s IF as the sole indicator of research quality—especially for studies conducted in low-income countries and those with emerging economies, such as those in the Arabian Gulf region—should be avoided. Another proxy measure of research quality is the prevalence of scientific collaboration with other local (i.e. Gulf-based) and international research institutions.4 Collaboration between different research bodies within a country and/or with external institutions may reflect the complexity of the research and mirror an increasing trend in multicentre studies. keywords: arabia; research; saudi cache: squmj-2383.pdf plain text: squmj-2383.txt item: #1056 of 1636 id: squmj-2384 author: None title: squmj-2384 date: 2018-01-10 words: 303 flesch: 51 summary: Sultan Qaboos University Med J, November 2017, Vol. 17, Iss. 4, p. e493, Epub. 10 Jan 18 doi: 10.18295/squmj.2017.17.04.024 https://doi.org/10.18295/squmj.2017.17.03.006 Erratum Notice | e493 إشعار بتصحيح التنسيق اإلضافة للسيستني يعيد تنشيط أنزمي کولينسرتاز البشري اليت يثبطها مبيد احلشرات العضوية الفوسفاتية الديكلوروفوس erratum notice Erratum Notice of Formatting Correction In Vitro Cysteine Reactivates Organophosphate Insecticide Dichlorvos-Inhibited Human Cholinesterases The Editors of Sultan Qaboos University Medical Journal (SQUMJ) have been informed of formatting errors in an article by Mohammadi et al. in the August 2017 issue of SQUMJ.1 keywords: μmol.l-1 cache: squmj-2384.pdf plain text: squmj-2384.txt item: #1057 of 1636 id: squmj-2515 author: None title: squmj-2515 date: 2018-04-04 words: 1551 flesch: 50 summary: Effect of peer education on stroke prevention: Chronicity and use of health services: Peer education of the School of Patients. keywords: doi; education; medical; patients; peer cache: squmj-2515.pdf plain text: squmj-2515.txt item: #1058 of 1636 id: squmj-2516 author: None title: squmj-2516 date: 2018-04-04 words: 8421 flesch: 49 summary: Indications for blood transfusions require local recommendations and guidelines to ensure standardised levels of care. Keywords: Hemoglobinopathies; Sickle Cell Disease; Thalassemia Major; Blood Transfusion; Blood Banks; Oman. امللخ�ص: يعترب مر�ض اخلاليا املنجلية والثال�سيميا النوع بيتا املتماثل من keywords: alloimmunisation; banks; blood; cell; cell disease; children; disease; doi; levels; management; oman; patients; rbc; red; risk; scd; sickle; stroke; thalassaemia; transfusion cache: squmj-2516.pdf plain text: squmj-2516.txt item: #1059 of 1636 id: squmj-2517 author: None title: squmj-2517 date: 2018-04-04 words: 9211 flesch: 49 summary: Weisz G, Généreux P, Iñiguez A, Zurakowski A, Shechter M, Alexander KP, et al. Ranolazine in patients with incomplete revascularisation after percutaneous coronary intervention (RIVER-PCI): A multicentre, randomised, double-blind, placebo- controlled trial. Bunch TJ, Mahapatra S, Murdock D, Molden J, Weiss JP, May HT, et al. Ranolazine reduces ventricular tachycardia burden and ICD shocks in patients with drug-refractory ICD shocks. keywords: acute; angina; cardiovascular; chronic; combination; coronary; doi; effects; elevation; failure; fibrillation; guidelines; heart; management; non; patients; placebo; randomised; ranolazine; study; treatment; trial; use; ventricular cache: squmj-2517.pdf plain text: squmj-2517.txt item: #1060 of 1636 id: squmj-2518 author: None title: squmj-2518 date: 2018-04-04 words: 4705 flesch: 54 summary: Although the implementation of such legislation would require collaboration between different sectors and may negatively affect the autonomy of certain individuals, mandatory premarital screening would help to alleviate the burden of hereditary blood disorders on the national health- care system, as well as reduce avoidable suffering among carriers and their families. This article discusses the possibility of reducing the burden of hereditary blood disorders like SCD and β-thalassaemia by implementing mandatory premarital screening. keywords: blood; carrier; cell; disease; disorders; doi; health; individuals; oman; premarital; risk; screening cache: squmj-2518.pdf plain text: squmj-2518.txt item: #1061 of 1636 id: squmj-2519 author: None title: squmj-2519 date: 2018-04-04 words: 3120 flesch: 51 summary: Similarly, the link between food allergies, asthma and eczema has been well-studied.7,8 However, the same cannot be said of the relationship between food allergies and allergic rhinitis. This article explores the available body of knowledge on food allergies and allergic rhinitis in order to elucidate potential pointers for future research. keywords: allergens; allergies; allergy; asthma; children; doi; food; food allergies; prevalence; rhinitis; سية cache: squmj-2519.pdf plain text: squmj-2519.txt item: #1062 of 1636 id: squmj-2520 author: None title: squmj-2520 date: 2018-04-04 words: 8118 flesch: 62 summary: Prior to the transfusion, 1 mL of fetal blood was tested to assess baseline Hct proportion, complete blood count and reticulocyte count. Forestier F. A new procedure for fetal blood sampling in utero: Preliminary results of fifty- three cases. keywords: anaemia; anti; blood; cases; cell; doi; fetal; fetalis; fetuses; gynecol; hdfn; hydrops; intrauterine; iut; obstet; oman; procedure; study; transfusion; weeks cache: squmj-2520.pdf plain text: squmj-2520.txt item: #1063 of 1636 id: squmj-2521 author: None title: squmj-2521 date: 2018-04-04 words: 2937 flesch: 53 summary: في�رص احلرارية با�سم االآن )املعروفة ال�سويد للر�سا�سيات فوميغاتو�ض منحنى املعدل الطبيعي مما تتطلب تطبيق التحويل اللوغاريثمي على البيانات والذى اأدى بدوره اإىل احل�سول على توزيع طبيعي ومقبول للبيانات. على مليغرام/لرت 48.0–76.0 و مليغرام/لرت 2.0–3.0 بني للر�سا�سيات فوميغاتو�ض للبالغني االأ�سحاء العمانيني م�سابه ملا keywords: antibodies; aspergillosis; aspergillus; doi; fumigatus; igg; immunoglobulin; mga; range; reference; study cache: squmj-2521.pdf plain text: squmj-2521.txt item: #1064 of 1636 id: squmj-2522 author: None title: squmj-2522 date: 2018-04-04 words: 5183 flesch: 63 summary: Maternal and neonatal complications were compared between obese women and those of normal weight. In the study cohort, there were 901 (34%) obese women and 912 (34.4%) women of normal weight; of these, 440 (48.8%) and 672 (73.7%) had uncomplicated pregnancies, respectively. keywords: complications; delivery; doi; hospital; maternal; obesity; oman; postpartum; pregnancy; risk; study; weight; women cache: squmj-2522.pdf plain text: squmj-2522.txt item: #1065 of 1636 id: squmj-2523 author: None title: squmj-2523 date: 2018-04-04 words: 4957 flesch: 50 summary: In comparison, 48.71% of Indian participants in Balasubramanian et al.’s study considered clinical trial participation to be risky.12 The reason for this difference in results is unclear, especially as the level of knowledge of clinical trials in both cohorts was poor. مرت�سى خمي�ض اخلابوري abstract: Objectives: Clinical trials are prospective studies on human subjects designed to answer various clinical questions. keywords: attitudes; knowledge; oman; participants; participation; patients; questionnaire; relatives; study; trials; رصيرية cache: squmj-2523.pdf plain text: squmj-2523.txt item: #1066 of 1636 id: squmj-2524 author: None title: squmj-2524 date: 2018-04-04 words: 4830 flesch: 54 summary: Dehghani A, Kermanshahi SM, Memarian R, Baharlou R. The effect of peer group education on anxiety of patients with multiple sclerosis. In contrast, there was a significant reduction in post-intervention anxiety among all three intervention groups compared to the control group (F = 27.71; P <0.01); however, there was no significant difference in anxiety level in terms of the type of intervention used. keywords: angiography; anxiety; control; education; group; intervention; iran; levels; patients; peer; procedure; study; training; video cache: squmj-2524.pdf plain text: squmj-2524.txt item: #1067 of 1636 id: squmj-2525 author: None title: squmj-2525 date: 2018-04-04 words: 5285 flesch: 62 summary: However, item analysis studies are limited, particularly in medical schools in Arabian Gulf countries. - Mukherjee et al. reported a similar Figure 2: Scatter plot showing the relationship between difficulty index and discrimination index among multiple choice question items in end-of-rotation paediatric examinations at the Arabian Gulf University, Manama, Bahrain (N = 800). keywords: analysis; choice; difi; examination; index; items; mcq; mcqs; mean; nfds; questions; study cache: squmj-2525.pdf plain text: squmj-2525.txt item: #1068 of 1636 id: squmj-2526 author: None title: squmj-2526 date: 2018-04-04 words: 4486 flesch: 52 summary: P >0.01 124.7؛ = )aOR( لالإ�سابة بالعدوى املرتبطة بالرعاية ال�سحية التي ت�سببها بكترييا اأ�سينيتوباكرت بوماين املقاومة للكاربابنيم. مت ادراج املر�سى امل�سابني بالعدوى املرتبطة بالرعاية ال�سحية الناجتة عن بكترييا اأ�سينيتوباكرت بوماين املقاومة للكاربابنيم يف جمموعة الدرا�سة يف حني keywords: acinetobacter; baumannii; carbapenem; care; crab; doi; factors; hais; infections; nicu; patients; risk; stay cache: squmj-2526.pdf plain text: squmj-2526.txt item: #1069 of 1636 id: squmj-2527 author: None title: squmj-2527 date: 2018-04-04 words: 5594 flesch: 56 summary: Drug related problems and reactive pharmacist interventions for inpatients receiving cardiovascular drugs. وكانت معظم امل�ساكل الدوائية متو�سطة ال�سدة، وكان من املمكن اأن حتدث نتائج ذات اآثار متو�سطة ال�سدة لوال تدخل ال�سيديل ال�رصيري، اإذ اأف�سى ذلك التدخل خلف�ض معنوي يف اأعداد واأنواع امل�ساكل ال�رصيرية والدوائية عند املر�سى ) keywords: chd; clinical; disease; doi; drps; drug; heart; hospital; indonesia; intervention; number; patients; pharmacist; problems; study cache: squmj-2527.pdf plain text: squmj-2527.txt item: #1070 of 1636 id: squmj-2528 author: None title: squmj-2528 date: 2018-04-04 words: 3177 flesch: 56 summary: Since then, OK-432 has been investigated to determine its potential benefits in treating head and neck cystic masses in both children and adults.10 Patients who fail to respond to surgical management are often successfully treated with OK-432, with even more promising results in conjunction with surgery.11 Overall, OK-432 has proven effective in the treatment of malignant ascites, pleural effusion and lymphatic malformations.12 This case series describes five patients with cystic head or neck lesions who were successfully treated with OK-432 therapy at the Bahrain Defence Force Royal Medical Services Hospital, Ar-Rifaa, Bahrain. Figure 1: Photographs of a 54-year-old woman with a left branchial cyst which had (A) recurred following surgery but (B) resolved following OK-432 treatment. keywords: branchial; case; cystic; cysts; doi; head; masses; neck; ok-432; patients; sclerotherapy; treatment cache: squmj-2528.pdf plain text: squmj-2528.txt item: #1071 of 1636 id: squmj-2529 author: None title: squmj-2529 date: 2018-04-04 words: 2763 flesch: 51 summary: الزاللية مع�سلة ت�سخي�سية. ويربز تقرير احلالة هذه بع�ض خوا�ض ال�سور التي متيز هذه احلالة من غريها بالت�سخي�ض التفريقي. الكلمات املفتاحية: غ�ساء زليلي؛ ورم وعائي دموي؛ �ساركوما؛ ت�سوير الرنني املغنطي�سي؛ الت�سوير الت�سخي�سي؛ تقرير حالة؛ ماليزيا. keywords: case; diagnosis; elbow; haemangioma; imaging; lesion; mass; synovial; weighted cache: squmj-2529.pdf plain text: squmj-2529.txt item: #1072 of 1636 id: squmj-2530 author: None title: squmj-2530 date: 2018-04-04 words: 1894 flesch: 57 summary: This case report describes two patients who developed PAB following total knee replacement surgeries performed by the same surgeon. Discussion The pes anserinus bursa is one of the 13 bursae around the knee; it is located approximately 5 cm below the medial knee joint line.5 Patients in whom the bursa has a circumscribed anechoic fluid collection of 2 mm or greater on ultrasonography can be considered to have bursitis.6 The inflammation of this conjoined insertion of tendons was first recognised as a unique condition in 1937.7 Most cases of PAB have been reported among patients with underlying degenerative or inflammatory Figure 1: X-ray images of a 70-year-old woman with intermittent pain in the left medial knee joint line following total knee replacement surgery. keywords: knee; malaysia; pain; pes; replacement; surgery; total cache: squmj-2530.pdf plain text: squmj-2530.txt item: #1073 of 1636 id: squmj-2531 author: None title: squmj-2531 date: 2018-04-04 words: 2534 flesch: 55 summary: و لدى �رصطان اخلاليا ال�سغرية من هذه االأورام ميول عدوانية وعلى هذا النحو، ميكن لهذه االأورام اأن متثل حتديا �رصيريا وت�سخي�سيا. keywords: carcinoma; case; cell; cervix; diagnosis; doi; fibroid; neuroendocrine; report; tumour cache: squmj-2531.pdf plain text: squmj-2531.txt item: #1074 of 1636 id: squmj-2532 author: None title: squmj-2532 date: 2018-04-04 words: 2433 flesch: 55 summary: وعلى الرغم من ندرة حدوث القيلة احلنجرية الغائرة، اإال اأنه ينبغي على االأطباء اأن ي�سعوا يف اعتبارهم احتمال حدوث مثل هذه احلالة التي قد تهدد احلياة عند الر�سى امل�سابني ب�سيق التنف�ض. الكلمات املفتاحية: قيلة حنجرية؛ �سيق التنف�ض؛ َتْنظرُي احَلْنَجَرة؛ طب االأنف واالأذن واحلنجرة؛ عر�ض حالة؛ اإيطاليا. In fact, even though laryngocele surgeries are usually elective, the current patient required urgent management due to the extreme severity of her dyspnoea, for which an emergency tracheotomy was considered.8 Imaging is essential for the diagnosis of a laryngocele. keywords: airway; case; doi; dyspnoea; laryngocele; mass; neck; patient cache: squmj-2532.pdf plain text: squmj-2532.txt item: #1075 of 1636 id: squmj-2533 author: None title: squmj-2533 date: 2018-04-04 words: 1976 flesch: 51 summary: Departments of 1Obstetrics & Gynaecology, 2Minimally Invasive Surgery and 3Reproductive Medicine & Infertility, Faculty of Medicine, Hashemite University, Zarqa, Jordan; 4Department of Obstetrics & Gynaecology, Jordan Healthcare Centre, Amman, Jordan *Corresponding Author’s e-mail: iabumahfouz@gmail.com حالة نادرة من الناسور شرجي-مهبلي بسبب اجلماع اجلنسي بالرتاضي فداء الع�سلي، رامي كيالين، فرا�ض ر�سود، اإ�سماعيل اأبو حمفوظ abstract: Rectovaginal fistulae after sexual intercourse are rare. Keywords: Rectovaginal Fistula; Sexual Intercourse; Dyspareunia; Case Report; Jordan. امللخ�ص: ن�سوء نا�سور �رصجي-مهبلي بعد اجلماع حالة نادرة. keywords: fistula; intercourse; jordan; patient; repair; rvf; weeks cache: squmj-2533.pdf plain text: squmj-2533.txt item: #1076 of 1636 id: squmj-2534 author: None title: squmj-2534 date: 2018-04-04 words: 1600 flesch: 55 summary: امللخ�ص: اأنابيب املعدة االأنفية مهمة للتغذية وتفتيح اأو اإزالة ال�سغط على املنطقة اجلراحية يف قناة اله�سم، باالأخ�ض يف اجلزء العلوي للجهاز اله�سمي، لكن مقاومة هذه االأنابيب لالإزالة تعترب من امل�ساعفات اجلراحية النادرة احلدوث التي قد يكون املت�سبب فيها هو عقدة يف االأنبوب اأو غرزة ت�سبك االأنبوب باملفاغرة، نعر�ض هنا حالة عن مري�ض يبلغ من العمر 41 عامًا مت اإدخاله اإىل م�ست�سفى امللك في�سل التخ�س�سي ومركز االأبحاث يف الريا�ض باململكة العربية ال�سعودية يف عام 2015 وكان م�سابًا ب�رصطان املعدة، خ�سع لعملية ا�ستئ�سال املعدة الكلي ومفاغرة املريء مع ال�سائم بطريقة Roux-en-Y، بعد اأ�سبوع واحد من اجلراحة، مت حماولة اإزالة اأنبوب املعدة االأنفي، مع اله�سمي للجهاز منظارعلوي عمل مت اأ�سابيع �ستة بعد اأنه اإال موؤقت، كتدبري جراحيًا االأنبوب طرف نهاية قطع قرر ال�سعوبة، من �َسْيٍء فاكت�سف اأن طرف االأنبوب البعيد قد The role of endoscopy in nasogastric tube removal following esophageal surgery: A case report. keywords: ngt; patient; removal; roux; tube cache: squmj-2534.pdf plain text: squmj-2534.txt item: #1077 of 1636 id: squmj-2535 author: None title: squmj-2535 date: 2018-04-04 words: 615 flesch: 48 summary: Isolated preauricular pits and tags: Is it necessary to investigate renal abnormalities and hearing impairment? Darwin’s tubercles contribute to the individuality of human ears and may have applications in the fields of personal identification or forensic sciences.1 keywords: darwin; ear; tubercle cache: squmj-2535.pdf plain text: squmj-2535.txt item: #1078 of 1636 id: squmj-2536 author: None title: squmj-2536 date: 2018-04-04 words: 914 flesch: 45 summary: Upon histological examination, the neoplasia consisted of double cellular components. Comment Visceral carcinosarcomas have been described in num- erous locations, including the adrenal glands, breast tissue, colon, endometrium, lungs and urogenital tract.1 First described in 1953, cutaneous carcinosarcomas (CCSs) are uncommon cutaneous neoplasms involving biphasic malignant epithelial and sarcomatous comp- onents.2 keywords: component; doi; figure; granada cache: squmj-2536.pdf plain text: squmj-2536.txt item: #1079 of 1636 id: squmj-2537 author: None title: squmj-2537 date: 2018-04-04 words: 875 flesch: 43 summary: Figure 3: Haematoxylin and eosin stain at x10 magnif- ication showing a well-circumscribed dermal nodular tumour comprised of small spindle cells (asterisk) without atypia or mitotic evidence of malignancy. Comment Also known as palisaded encapsulated neuromas, SCNs usually present in adulthood as asymptomatic small nodules of between 2–6 mm, mainly located on the face. keywords: cells; circumscribed; doi; figure; neuroma cache: squmj-2537.pdf plain text: squmj-2537.txt item: #1080 of 1636 id: squmj-2538 author: None title: squmj-2538 date: 2018-04-04 words: 780 flesch: 49 summary: A case of right atrial obliteration caused by intracardiac extension of hepatocellular carcinoma. An ultrasound showed a right hepatic lobe hepatocellular carcinoma (HCC) in segments 6 and 7 of the liver, with tumour extension into the inferior vena cava (IVC) and a right atrial mass lesion. keywords: atrium; carcinoma; hcc; hepatocellular cache: squmj-2538.pdf plain text: squmj-2538.txt item: #1081 of 1636 id: squmj-2539 author: None title: squmj-2539 date: 2018-04-04 words: 874 flesch: 53 summary: As a result of the development of more potent antitubercular drugs and improved socioeconomic standards, there has been a remarkable reduction in the number of TB cases worldwide; however, atypical and extrapulmonary TB cases among HIV/AIDs patients nevertheless represent a major proportion of new TB cases.2 In particular, HIV and TB remain distressing health hazards in India, with a substantial prevalence of co-infection (12.3%); moreover, 56% of TB lesions among co-infected Indian patients are extrapulmonary.3 3. Manjareeka M, Nanda S. Prevalence of HIV infection among tuberculosis patients in Eastern India. keywords: calvarial; hiv; india cache: squmj-2539.pdf plain text: squmj-2539.txt item: #1082 of 1636 id: squmj-2707 author: None title: squmj-2707 date: 2018-09-09 words: 1879 flesch: 58 summary: Poor sleep hygiene—which refers to habits and practices that are unconducive to sleeping well on a regular basis—is usually the cause of insufficient sleep duration, while sleeping disorders such as sleep-disordered breathing (SDB) and obstr- uctive sleep apnoea (OSA) can result in poor-quality sleep.3 Identifying patients with chronic sleep deprivation can be challenging, especially those suffering from partial sleep deficit over longer periods of time.4 One manifestation of sleep deprivation is excessive day- time sleepiness (EDS), defined as an inability to stay awake and alert during the major waking hours of the day, with sleep occurring unintentionally or at inappro- priate times almost daily for at least three months.5 In addition, patients may experience brief involuntary episodes of ‘microsleep’, in which there is a temporary lapse in consciousness that can last up to 30 seconds, during which the individual is unable to respond to sensory stimuli. In a recent large prospective study by Deng et al., short sleep duration was assoc- iated with the development of several cardiometabolic conditions—including central obesity, elevated fasting glucose hypertension, low- and high-density lipopro- tein cholesterol levels, hypertriglyceridaemia and meta- bolic syndrome—among over 160,000 healthy non- obese adults over an 18-year period.8 Similarly, Baldwin et al. found that the health scores of subjects with severe SDB (in terms of difficulty initiating and maint- aining sleep) and EDS were comparable to those of patients with hypertension, type 2 diabetes mellitus and clinical depression.9 Apart from physical manifestations, sleep depriv- ation can impair a number of important cognitive funct- ions such as judgment, attention, executive function, cognitive processing speed, memory, reaction time and muscular coordination, all of which are critical when driving.10 In a survey conducted by the Foun- dation for Traffic Safety in the USA, 41% of participants reported having nodded off or fallen asleep at the wheel at least once in their lifetime; of these, 11% admitted to having done so within the past year and 3.9% within the past month.11 Unfortunately, sleep deprivation and associated daytime sleepiness increases the risk of being involved in a motor vehicle crash, which can be up to 2.5–7-fold higher compared to non-sleepy drivers.12–14 Moreover, sleepy driving accounts for approximately one in six fatal crashes and one in eight crashes leading to the hospitalisation of the driver or passengers.11 keywords: deprivation; doi; driving; osa; patients; sleep; sleepiness cache: squmj-2707.pdf plain text: squmj-2707.txt item: #1083 of 1636 id: squmj-2708 author: None title: squmj-2708 date: 2018-09-09 words: 5394 flesch: 58 summary: 14 Jan & 4 Feb 18 Accepted 15 Feb 18 doi: 10.18295/squmj.2018.18.02.002 Zariyantey A. Hamid, Hui Y. Tan, Paik W. Chow, Khairul A. W. Harto, Chin Yi Chan and Jamaludin Mohamed Clinical and Basic Research | e131 Haematopoietic stem/progenitor cells (HSPCs) constitute a highly promising avenue for medical treatment and research; however, their potency is determined by their ability to self- renew and differentiate into multiple lineages.1,2 Prior to clinical use, stem cells often undergo ex vivo exp- ansion—in which the cells are harvested from an intact organism and directly cultured in a laboratory setting without any biological modification—so as to ensure a sufficient number of functional cells can be harvested.3,4 In contrast, in vitro stem cells are obtained from a repository or cell lines that have been genetically transformed. Hematopoietic stem cell: Self-renewal versus differentiation. keywords: acetylcysteine; cells; control; doi; group; hspcs; lineage; nac; potential; progenitor; ros; stem; supplementation; vivo cache: squmj-2708.pdf plain text: squmj-2708.txt item: #1084 of 1636 id: squmj-2709 author: None title: squmj-2709 date: 2018-09-09 words: 4810 flesch: 61 summary: However, physicians at GCs were significantly more likely to prescribe antihistamines than physicians at ACs (34% Figure 2: Chart showing the percentage of complete documentation of various clinical assessment comp- onents in the medical records of asthma cases seen at asthma clinics versus general clinics in Seeb wilayat, Oman (N = 452). Figure 3: Chart showing the frequency of prescriptions and follow-up appointments for asthma cases seen at asthma clinics versus general clinics in Seeb wilayat, Oman (N = 452). keywords: acs; asthma; cases; clinics; documentation; doi; gcs; history; management; oman; patients; study cache: squmj-2709.pdf plain text: squmj-2709.txt item: #1085 of 1636 id: squmj-2710 author: None title: squmj-2710 date: 2018-09-09 words: 4431 flesch: 67 summary: P = 0.006(، ومع ذلك، كان ال�شائقون الذكور اأكرث عر�شة لالإبالغ عن النعا�ض اأثناء القيادة ) ومع ذلك، فاإن هناك ندرة يف الدرا�شات التي ُتعنى بدرا�شة مدى انت�شار النعا�ض اأثناء قيادة املركبة بني العمانيني، لذلك هدفت هذه الدرا�شة اإىل حتديد ن�شبة ال�شباب العماين الرا�شدين الذين يعرتفون التنف�ض انقطاع متالزمة وخطر النهاري والنعا�ض اجلن�ض بني الرتابط من وللتحقق النهار اأثناء فرتة القيادة اأثناء بالنعا�ض باإ�شابتهم 2014 ويوليو مايو بني عمان، keywords: adult; bmi; daytime; doi; drivers; driving; osas; risk; scores; sleepiness; study; اأثناء cache: squmj-2710.pdf plain text: squmj-2710.txt item: #1086 of 1636 id: squmj-2711 author: None title: squmj-2711 date: 2018-09-09 words: 4078 flesch: 51 summary: يف احلقل الواحد املحدد كانت اأعلى ب�شكل كبري يف القطع امللونة ب�شبغة الفلوجني مقارنة بالقطع امللونة ب�شبغة البنف�شج البلوري )P = 0.050(، كما اأظهرت اأي�شًا اأن معدلت كل من املناطق اخللوية، املحيط النووي، املحيط اخللوي، والن�شبة النووية حلجم الهالم مقابل النواة يف جمموعة احلالت زادت اأكرث الفلوجني �شبغة اخلال�صة: .)P >0.001( الفموي احلر�شفية اخلاليا ل�رضطان اخللوي التمايز �شعف درجة زيادة مع وا�شح ب�شكل موثوقية من �شبغة البنف�شج البلوري )تركيز %1( عند ا�شتخدامه قي ال�شبغ الإنتقائي للت�شكالت الإنق�شامية، بال�شافة اىل ذلك ت�شري نتائج هذه الدرا�شة اإىل اأن ا�شتخدام حتليل قيا�ض الأ�شكال مب�شاعدة احلا�شوب ُيعد اأداة فعالة للتفريق بني الدرجات التمايزية املختلفة ل�رضطان اخلاليا احلر�شفية الفموي. باتل يف مومباي يف مهار�شرتا بالهند، بني �شهري يونيو ودي�شمرب من عام 2016، مت ح�رض جمموع 51 عينة من �شجالت امل�شت�شفى، من هذه العينات ُوجدت 15 عينة keywords: carcinoma; cell; crystal; feulgen; mitotic; nuclear; oral; oscc; samples; stains; study; violet cache: squmj-2711.pdf plain text: squmj-2711.txt item: #1087 of 1636 id: squmj-2712 author: None title: squmj-2712 date: 2018-09-09 words: 4838 flesch: 57 summary: Keywords: Out-of-Hospital Cardiac Arrest; Cardiopulmonary Resuscitation; Patient Outcome Assessment; Survival Rate; Coronary Angiography; Oman. امللخ�ص: الهدف: تعترب ال�شكتات القلبية خارج امل�شت�شفى ال�شبب الرئي�شي للوفيات حول العامل. اخلال�صة: لوحظ انخفا�ض �شديد يف جمموع ن�شبة الناجني من ال�شكتات القلبية خارج امل�شت�شفى. keywords: angiography; arrest; cardiac; cpr; doi; hospital; ohca; oman; outcomes; patients; resuscitation; study; survival cache: squmj-2712.pdf plain text: squmj-2712.txt item: #1088 of 1636 id: squmj-2713 author: None title: squmj-2713 date: 2018-09-09 words: 4421 flesch: 64 summary: While 73.1% of students in the current study believed that children with asthma do not pretend to be sick and 61.4% believed that asthmatic children were ill due to factors other than carelessness, only 34.9% reported that they would be happy to accept children with asthma as their friends. This study aimed primarily to examine the association between attitudes towards peers with asthma among non-asthmatic children and having a family history of asthma or knowing someone with asthma. keywords: asthma; attitudes; children; doi; family; jordan; knowledge; peers; scores; study; بالربو cache: squmj-2713.pdf plain text: squmj-2713.txt item: #1089 of 1636 id: squmj-2714 author: None title: squmj-2714 date: 2018-09-09 words: 4679 flesch: 58 summary: اخلال�صة: كانت على املرتجمة الن�شخة جتربة متت عندما موثوقية و م�شداقية ذات ال�شبعة العنا�رض ذي لالإكتئاب هاميلتون ملقيا�ض العربية الرتجمة عينتني من املتحدثني باللغة العربية يف اململكة العربية ال�شعودية، لكن ي�شتلزم اإجراء املزيد من الأبحاث لتجربة املقيا�ض املرتجم على املر�شى امل�شخ�شني بالإكتئاب واملتحدثني باللغة العربية لإثبات فاعلية املقيا�ض يف تقدير �شدة اأعرا�ض الإكتئاب. الكلمات املفتاحية: الطب النف�شي؛ اإكتئاب؛ قيا�ض العمليات النف�شية؛ م�شداقية وموثوقية؛ ترجمة؛ ت�شميم ا�شتبيان؛ اململكة العربية ال�شعودية. Keywords: Psychiatry; Depression; Psychometrics; Validity and Reliability; Translation; Questionnaire Design; Saudi Arabia. امللخ�ص: االهدف: يعد الإكتئاب من الإ�شطرابات النف�شية ال�شائعة الذي يتم تقدير �شدة اأعرا�شه با�شتخدام مقايي�ض �رضيرية مثل مقيا�ض هاميلتون لالإكتئاب املحتوي على �شبعة عنا�رض، تهدف هذه الدرا�شة لرتجمة املقيا�ض للغة العربية والتاأكد من م�شداقيته ودقته. keywords: arabic; depression; doi; hamd-7; hamilton; item; rating; samples; scale; scores; study; version cache: squmj-2714.pdf plain text: squmj-2714.txt item: #1090 of 1636 id: squmj-2715 author: None title: squmj-2715 date: 2018-09-09 words: 6538 flesch: 64 summary: doi: 10.18295/squmj.2018.18.02.009 مقياس دندي جلاهزية بيئة التعليم دراسة مقارنة استباقية إلدراك طلبة الطب واملتدربني يف عمان جودا بارام�شورا برا�شناث و �شامل خ�شري اإ�شماعيل abstract: Objectives: This study aimed to assess perceptions of the educational environment in Oman among medical undergraduate students and interns using the Dundee Ready Education Environment Measure (DREEM) tool. Conclusion: Overall, medical undergraduate students and interns viewed the educational environment in Oman in a positive light. keywords: doi; dreem; education; environment; interns; learning; mean; medical; oman; perceptions; scores; squ; students; study; undergraduate; university cache: squmj-2715.pdf plain text: squmj-2715.txt item: #1091 of 1636 id: squmj-2716 author: None title: squmj-2716 date: 2018-09-09 words: 6344 flesch: 61 summary: 1Department of Orthodontics, M. S. Ramaiah University of Applied Sciences, Bangalore, India; 2Department of Orthodontics, Military Dental Centre, Ministry of Defence, Muscat, Oman; 3Department of Orthodontics, Oman Dental College, Muscat, Oman *Corresponding Author’s e-mail: pacchi77@yahoo.com املعايري الطبيعية لقياس الرأس لدى السكان العمانيني العرب البالغني بار�شنثا �شيافامورتي جوفيناكويف، اإبراهيم البو�شعيدي، في�شوابورنا �شنجوتوفان abstract: Objectives: The results were presented as means ± SD for continuous variables and numbers and percentages for discrete variables. keywords: angle; arab; cephalometric; degrees; doi; eastman; norms; omani; orthod; point; population; standard; subjects cache: squmj-2716.pdf plain text: squmj-2716.txt item: #1092 of 1636 id: squmj-2717 author: None title: squmj-2717 date: 2018-09-09 words: 4623 flesch: 57 summary: In addition, although the hospital does not have arterial blood gas analysis facilities, blood samples from ICU patients are transported to a nearby laboratory for immediate analysis. A semi-closed system is used, in which an intensive care consultant is responsible for ICU patients, conducts daily rounds and discusses patient management with the primary team. keywords: admission; care; characteristics; hospital; icu; icus; intensive; khartoum; patients; stay; study; sudan cache: squmj-2717.pdf plain text: squmj-2717.txt item: #1093 of 1636 id: squmj-2718 author: None title: squmj-2718 date: 2018-09-09 words: 4345 flesch: 53 summary: The reported prevalence of plagiarism was 54.3%, with a slightly higher prevalence among male students compared to female students (54.9% versus 53.8%; P = 0.820) and medical students compared to nursing students (58.9% versus 43.3%; (P = 0.004). Results A total of 280 (70%) medical students and 120 (30%) nursing students were included in the study. keywords: doi; erbil; iraq; medical; nursing; nursing students; plagiarism; students; study; undergraduate; university cache: squmj-2718.pdf plain text: squmj-2718.txt item: #1094 of 1636 id: squmj-2721 author: None title: squmj-2721 date: 2018-09-09 words: 2774 flesch: 52 summary: ي�شلط تقرير احلالة هذا ال�شوء على اأهمية الت�شخي�ض املبكر لهذا ال�شبب النادر للغاية ملتالزمة ال�شائقة التنف�شية الوليدية والذي ُيحتمل اأن يهدد احلياة ، ولكنه �شهل ال�شفاء. واأكد حتليل الأن�شجة املر�شية بعد ا�شتئ�شال الكتلة ت�شخي�ض ورم الغدد اللعابية الأنف بلعومية البدائي. keywords: anlage; case; distress; doi; gland; mass; nasal; nasopharynx; salivary; sgat cache: squmj-2721.pdf plain text: squmj-2721.txt item: #1095 of 1636 id: squmj-2722 author: None title: squmj-2722 date: 2018-09-09 words: 2444 flesch: 52 summary: 1Department of Dermatology, Complejo Hospitalario de Granada, Granada, Spain; 2Department of Dermatology, Hospital Universitario Reina Sofia, Córdoba, Spain; 3Department of Dermatology, Hospital Universitario Campus de la Salud, Granada, Spain *Corresponding Author’s e-mail: ismenios@hotmail.com ردود الفعل االلتهابية ألحبار الوشم االمحر ثالث حاالت تسلط الضوء على مشكلة مستجدة ريكاردو رويز-فيالفريدي، بابلو فرنانديز-كراويت، باول اأغوايو-كاريرا�ض، خو�شيه لوي�ض هرينانديز-�شينتينو، كارلو�ض كوينكا-بارالي�ض abstract: In recent years, tattoos have become more commonplace. Høgsberg T, Thomsen BM, Serup J. Histopathology and immune histochemistry of red tattoo reactions: Interface dermatitis is the lead pathology, with increase in T-lymphocytes and Langer- hans cells suggesting an allergic pathomechanism. keywords: cases; doi; inflammatory; ink; inks; patient; reactions; tattoo; treatment cache: squmj-2722.pdf plain text: squmj-2722.txt item: #1096 of 1636 id: squmj-2723 author: None title: squmj-2723 date: 2018-09-09 words: 2232 flesch: 59 summary: مب�شت�شفى �شونغاي بوله، �شيلنجور، ماليزيا، يف 2015 باأعرا�ض بحة، �رضير و ف�شل تنف�شي و�شيك. ب�شكل �شائعًا اأمراً واحلرجة احلادة الرعاية طب يف ال�شدى تخطيط ا�شتخدام اأ�شبح امللخ�ص: حالة نعر�ض ال�شتخدام. keywords: airway; care; case; cricothyroidotomy; doi; emergency; management; med; stridor; ultrasonography; year cache: squmj-2723.pdf plain text: squmj-2723.txt item: #1097 of 1636 id: squmj-2724 author: None title: squmj-2724 date: 2018-09-09 words: 3414 flesch: 56 summary: The cond- ition is most often seen in the adult population; in a previously reported series of MG patients from Oman, only 10% were children.2 Acetylcholinesterase inhibitors and immune-modifying medications such as steroids, mycophenolate, azathioprine, intravenous immunoglobulins (IVIGs) and plasmapheresis are considered the mainstay of treatment for MG; however, these treatments must be maintained over the course of the patient’s life.1 The drug was first used for the treatment of MG in 2003.12 Since then, several reports have been published indicating a good clinical response to the drug.4,5,13–15 In a recent systematic review, Tandan et al. reported that 71% of MG patients have shown improvement with keywords: antibody; case; doi; gravis; infusion; myasthenia; patients; rituximab; treatment; years cache: squmj-2724.pdf plain text: squmj-2724.txt item: #1098 of 1636 id: squmj-2725 author: None title: squmj-2725 date: 2018-09-09 words: 2109 flesch: 56 summary: al. concluded the myoid areas in DFSP to be the result of vascular smooth muscle cell hyperplasia or the proliferation of pericytes.10 Another study demonstrated a close relationship between blood vessels in the tumour and areas of myoid differ- entiation.11 Ohtani et al. found smooth muscle actin- expressing myoid cells in a case of fibrosarco- matous DFSP which had metastasised to the lung; the researchers suggested that myoid differentiation may therefore be neoplastic in origin.12 يف م�شت�شفى لوك ناياك جاي بركا�ض يف منطقة نيودلهي يف عام 2017، وكانت م�شابة بورم متكرر يف الذراع من نوع الن�شيج الليفي اجللدي اخلبيث الناتئ وامل�شاحب بالت�شبغ، واأظهرت التحاليل املجهرية وفحو�ض الأن�شجة با�شتخدام الكيميائية املناعية وجود متايز للخاليا اإىل اأن�شجة ع�شلية داخل الورم، كما يتم عر�ض املن�شورات ال�شابقة عن اخلوا�ض ال�رضيرية واملجهرية ملثل هذه احلالة النادرة احلدوث. keywords: case; cells; dermatofibrosarcoma; dfsp; differentiation; doi; fibrosarcomatous; myoid; protuberans; tumour cache: squmj-2725.pdf plain text: squmj-2725.txt item: #1099 of 1636 id: squmj-2726 author: None title: squmj-2726 date: 2018-09-09 words: 3136 flesch: 48 summary: قد ترتبطا هذه احلالة بحدوث ق�شور متاأخر يف التنّف�ض ولذلك، فاإن درجة عالية من الريبة ال�رضيرية اأمر �رضوري للت�شخي�ض املبكر وبخا�شة يف يف املر�شى الذين يحدث لهم هبوط غري مربرة يف وظائف اجلهاز التنف�شي و القلب اأثناء اأو بعد العالج الت�شليبي باملنظار. He subsequently developed acute respiratory distress syndrome secondary to a glue embolism following emergency sclerotherapy for bleeding gastric varices. keywords: bleeding; cyanoacrylate; doi; embolism; endoscopic; gastric; glue; injection; lipiodol; patient; pulmonary; sclerotherapy; varices cache: squmj-2726.pdf plain text: squmj-2726.txt item: #1100 of 1636 id: squmj-2727 author: None title: squmj-2727 date: 2018-09-09 words: 2201 flesch: 45 summary: عام 2017 وهي تعاين منذ �شنتني من تدهور تدريجي يف �شيق التنف�ض و�شعال جاف، مت ت�شخي�ض ن الأعرا�ض طفيفًا، بعد معاينة املراأة �شابقًا يف مكان اآخر مبر�ض ال�شل الرئوي وو�شف لها اآنذاك العالج امل�شاد لل�شل، ولكن كان حت�شُّ املري�شة، مت ت�شخي�شها بالإ�شابة باحل�شّيات الدقيقة يف حوي�شالت الرئة الهوائية بناءاً على ما اأظهرته نتائج الت�شوير املقطعي عايل الدقة والك�شف عن وجود ح�شّيات دقيقة بوفرة يف عينة اإفرازات الق�شبات الهوائية، هي والتي احلالت هذه اأحد ت�شجيل هنا يتم ت�شخي�شًيا، الطبية يف مدينة بوبال يف الهند يف keywords: alveolar; case; doi; india; lung; microlithiasis; pam; pulmonary cache: squmj-2727.pdf plain text: squmj-2727.txt item: #1101 of 1636 id: squmj-2728 author: None title: squmj-2728 date: 2018-09-09 words: 2992 flesch: 51 summary: The causative bacteria can be transmitted through aerosols as well as in settings which promote close physical contact, such as homes, schools, military barracks and dormitories.3 The post-exposure incub- ation period is between two to three weeks and infections are more prevalent among children and young adults.4 Common risk factors include age (i.e. younger children or older adults), immune status (i.e. immunocompromised individuals with HIV or those undergoing chemotherapy or taking steroids), smoking and pre-existing lung disease.5 Classic symptoms of M. pneumoniae infection include fever, cough and the production of sputum; in most cases, the disease is self-limiting and results in a good prognosis.6 Thrombocytosis can occur as a feature of M. pneumoniae infection and probably represents an acute phase response, while thrombocytopenia is unusual.16 keywords: case; chest; diagnosis; doi; effusion; infection; level; mycoplasma; patient; pneumoniae; report cache: squmj-2728.pdf plain text: squmj-2728.txt item: #1102 of 1636 id: squmj-2729 author: None title: squmj-2729 date: 2018-09-09 words: 904 flesch: 45 summary: If left untreated, patients with ULO may develop severe disfigurement, dysphagia, speech impairment, respiratory distress and blindness.2–4 The management of ULO cases should focus on controlling secondary or tertiary hyperparathyroidism, either with medication or surgically with a parathyroidectomy.3 Unfortunately, surgical resection was not feasible in the current case and the patient did not adhere to prescribed medical therapy. Comment Chronic kidney disease-associated mineral and bone disorders (CKD-MBDs), previously termed renal osteo- dystrophy, include hormonal abnormalities such as secondary hyperparathyroidism, deranged bone turn- over and mineralisation and extraskeletal calcification.1 Also known as maxillary hyperplasia and hyperostosis cranialis, ULO is the rarest and most severe form of CKD-MBDs; it usually occurs in young adults with long- standing chronic renal failure and poorly controlled secondary or tertiary hyperparathyroidism, as in the current case.2–4 While the specific pathogenesis of ULO is unknown, deranged bone turnover and minerali- sation caused by poorly controlled secondary hyper- parathyroidism is likely a key feature.2 https://doi.org/10.4158/EP12291.RA https://doi.org/10.1148/radiology.199.1.8633151 https://doi.org/10.1016/j.amjms.2017.07.004 https://doi.org/10.1016/j.amjms.2017.07.004 https://doi.org/10.1097/SCS.0000000000000819 https://doi.org/10.1097/SCS.0000000000000819 keywords: angeles; hyperparathyroidism; patient; ulo cache: squmj-2729.pdf plain text: squmj-2729.txt item: #1103 of 1636 id: squmj-2730 author: None title: squmj-2730 date: 2018-09-09 words: 995 flesch: 42 summary: Mehta AA, Gupta A, Venkitakrishnan R. A case of young woman with recurrent right pleural effusion. 25 Apr 18 Accepted 10 May 18 Figure 1: A: Chest X-ray of a 36-year-old woman with menstruation-associated coughing and breathlessness showing right-sided hydropneumothorax (arrow) and left pleural effusion (arrowhead). keywords: endometriosis; figure; pneumothorax; thoracic cache: squmj-2730.pdf plain text: squmj-2730.txt item: #1104 of 1636 id: squmj-2731 author: None title: squmj-2731 date: 2018-09-09 words: 900 flesch: 55 summary: This may therefore complicate attempts to simply transfer existing skill-based systems from Western to Arab countries.2 In secondary schools with teacher-centred educational systems, students are generally less independent within the learning process; one might claim that such students are ‘spoon-fed’ the requisite knowledge by their teachers.3,4 Furthermore, the examination process encourages students to focus solely on their grades, inhibiting them from learning information outside of the set curricula. Consequently, students may feel forced to turn to tutors, follow predetermined learning objectives or partake in rote learning in order to maintain their grade point average.6,7 keywords: learning; self; spoon; students cache: squmj-2731.pdf plain text: squmj-2731.txt item: #1105 of 1636 id: squmj-2732 author: None title: squmj-2732 date: 2018-09-09 words: 1413 flesch: 34 summary: Siwach P, Joy T, Tupkari J, Thakur A. Controversies in odontogenic tumours: Review. 10.1177/00220345990780010201. Response from the Authors Dear Reader, Thank you very much for reading our article and for your suggestion to include adenoid ameloblastomas with dentinoid to the current debate regarding odontogenic tumours. keywords: adenoid; ameloblastoma; doi; oral; tumours cache: squmj-2732.pdf plain text: squmj-2732.txt item: #1106 of 1636 id: squmj-2733 author: None title: squmj-2733 date: 2018-09-09 words: 1153 flesch: 51 summary: Zhang Q, Xiong Y, Ye J, Zhang L, Li L. Influence of clinicopathological characteristics and comprehensive treatment models on the prognosis of small cell carcinoma of the cervix: A systematic review and meta-analysis. Next-generation sequencing reveals recurrent somatic mutations in small cell neuroendocrine carcinoma of the uterine cervix. keywords: carcinoma; cervix; doi; hiv; neuroendocrine cache: squmj-2733.pdf plain text: squmj-2733.txt item: #1107 of 1636 id: squmj-2734 author: None title: squmj-2734 date: 2018-09-09 words: 406 flesch: 42 summary: 2. International Committee of Medical Journal Editors. e254 | Retraction Notice إشعار عن تراجع املعارف املتعلقة بالسكري واملمارسات الوقائية بني املوظفني احلكوميني املصابني بالسكري يف الكويت rEtraction noticE Retraction Notice Diabetes-Related Knowledge and Preventative Practices Among Government Employees with Diabetes in Kuwait The Editors of Sultan Qaboos University Medical Journal (SQUMJ), in association with the authors, have retracted the above article by Abdulsalam et al. which appeared in the November 2017 issue of SQUMJ.1 keywords: editors; kuwait cache: squmj-2734.pdf plain text: squmj-2734.txt item: #1108 of 1636 id: squmj-2735 author: None title: squmj-2735 date: 2018-09-09 words: 2366 flesch: 55 summary: 2 Nov 17 & 8 Jan 18 Accepted 25 Jan 18 doi: 10.18295/squmj.2018.18.02.014 Schizophrenia is a serious mental disorder characterised by the distortion of thought, perc-eption and affect.1 Overall, the disease has a massive global burden, with a lifetime prevalence of four cases per 1,000 individuals.2,3 In younger patients, extra care needs to be taken when prescribing anti- psychotic medications, since such individuals are at higher risk of developing side-effects.4 In general, second-generation antipsychotics (SGAs) are the first line of treatment for children and adolescents, whereas first-generation antipsychotics (FGAs) should be avoided due to the high risk of extrapyramidal side- effects.5 Nevertheless, adherence to oral antipsychotic medications remains an ongoing challenge among patients with schizophrenia; the administration of medication in the form of a long-acting injection (LAI) can help overcome this issue, thus reducing the chance of relapse and rehospitalisation.6 يف تناول الأدوية عن طريق الفم من اأ�شباب اأنتكا�شة املري�ض و�شببا لإعادة تنومي املر�شى. نعر�ض هنا تقرير حلالة مراهق ذكر م�شاب بالف�شام مت حتويلة اإىل موؤ�ش�شة جنوب لندن ومود�شلي للخدما ت ال�شحية الوطنية، لندن، اململكة املتحدة عام 2015 ب�شبب تفاقم اأعرا�ض ذهانية نتيجة �شوء اللتزام يف تناول الدوية keywords: acting; antipsychotic; case; doi; paliperidone; palmitate; patient; report; schizophrenia cache: squmj-2735.pdf plain text: squmj-2735.txt item: #1109 of 1636 id: squmj-2736 author: None title: squmj-2736 date: 2018-09-09 words: 3611 flesch: 45 summary: Aching pain involving the right side of the body following dense right-sided hemiparesis and hemihypoesthesia, with evidence of left thalamocapsular haemorrhage upon computed tomography, strongly suggests the possibility of thalamic pain syndrome or central pain syndrome.8 This is reported in 4–9.5% of stroke patients and may occur either a few days, months or even years after the insult. وجه على املري�ض هذا وعالج ت�شخي�ض اأثناء والأعرا�ض املتنوعة الناجتة عن متالزمة ال�شكتات الدماغية ال�شائعة التي ت�شيب �شاق املخ. keywords: cerebral; csvd; disease; haemorrhage; hemiparesis; lacunar; nerve; patient; stroke; syndrome cache: squmj-2736.pdf plain text: squmj-2736.txt item: #1110 of 1636 id: squmj-2844 author: None title: squmj-2844 date: 2018-12-19 words: 2637 flesch: 51 summary: Diabetes is known to influence almost all varieties of stroke, including large artery stroke due to atherosclerosis, lacunar stroke and, possibly, intracerebral haemorrhage due to microvasc- ular injury and embolic stroke due to diabetes; the latter of which is a significant risk factor for atrial fibrillation and hence part of risk factor assessment.8 Diabetic indiv- iduals have a 2.5–3.6-times higher risk of stroke compared to non-diabetics, with diabetic women at an increased risk compared to men.5,9–11 Rammal et al. estimated the prev- alence of diabetes in ischaemic stroke to be 37.5% in the Arab world, based on an analysis of 29 studies of 10,242 patients.12 In an unpublished case-control study conducted in Oman, the prevalence of DM was 62.3% versus 44.7% among ischaemic stroke cases compared to controls (P <0.001).13 In another study from Oman based on stroke registry data, 52% of 600 patients with ischaemic stroke had diabetes.14 A growing body of literature in recent decades has recognised the link between DM and cerebral atrophy, as well as cognitive dysfunction.8,15–18 keywords: brain; carotid; changes; diabetes; diabetic; disease; doi; risk; stroke; study cache: squmj-2844.pdf plain text: squmj-2844.txt item: #1111 of 1636 id: squmj-2845 author: None title: squmj-2845 date: 2018-12-19 words: 14188 flesch: 60 summary: These molecules facil- itate the binding of stem cells to BM and their disruption allows for their release into the circulation. The skin- derived MSCs (S-MSCs) of human newborns exhibit a higher proliferation rate during long-term cultures than human AT-MSCs and skin stromal cells.68,73 Further- more, stem cells can be obtained from several regions of the skin, including the epidermis (epidermal stem cells), interfollicular epidermis, hair follicles, sebaceous glands and subcutaneous AT. keywords: applications; c el; cells; clinical; differentiation; doi; e ce; es e; et al; human; mesenchymal; mscs; potential; sc s; stem; stem cells; te m; te s cache: squmj-2845.pdf plain text: squmj-2845.txt item: #1112 of 1636 id: squmj-2846 author: None title: squmj-2846 date: 2018-12-19 words: 6326 flesch: 52 summary: Sivieri EM, Gerdes JS, Abbasi S. Effect of HFNC flow rate, cannula size, and nares diameter on generated airway pressures: Accordingly, children with high SpO2/FiO2 ratios—indicating milder forms of lung injuries—and those with lower respiratory rates are likely to respond to therapy.35 Roca et al. conducted a four-year multicentre prospective observational cohort study to assess possible predictors of HFNC failure, in which the respiratory rate oxygenation (ROX) index (i.e. the ratio of pulse oximetry/FiO2 to respiratory rate) was used to assess therapy success.56 At a cut-off value of ≥4.88, the ROX index 12 hours after the initiation of HFNC therapy yielded a sensitivity of 70% and specificity of 72.4% in predicting successful treatment for patients with pneumonia.56 Clinical indicators for HFNC therapy failure include a lack of improvement in oxygenation, thoraco- abdominal asynchrony and the presence of haemody- namic and neurological impairment.42,57,58 According to Oto et al., a drop in heart or respiratory rate and improvement in the mean dyspnoea score 30 minutes and 12 hours after the initiation of HFNC are indic- ative of successful treatment.55 keywords: acute; care; children; doi; failure; flow; hfnc; infants; intensive; med; nasal; niv; noninvasive; rate; study; therapy; treatment; ventilation cache: squmj-2846.pdf plain text: squmj-2846.txt item: #1113 of 1636 id: squmj-2847 author: None title: squmj-2847 date: 2018-12-19 words: 3807 flesch: 50 summary: However, it is important to distinguish between advocacy workshops and an actual advocacy curriculum. Using existing research and innovative tools, two workshops were developed, representing the first formalised approach to health advocacy for medical trainees in Oman. keywords: advocacy; advocate; health; medical; oman; participants; physicians; role; skills; students; teaching; training; workshops cache: squmj-2847.pdf plain text: squmj-2847.txt item: #1114 of 1636 id: squmj-2848 author: None title: squmj-2848 date: 2018-12-19 words: 6386 flesch: 59 summary: Saldaña-Alvarez Y, Salas-Martínez MG, García-Ortiz H, Luckie- Duque A, García-Cárdenas G, Vicenteño-Ayala H, et al. Gender- dependent association of FTO polymorphisms with body mass index in Mexicans. García-Calzón S, Martínez-González MA, Razquin C, Corella D, Salas-Salvadó J, Martínez JA, et al. Pro12Ala polymorphism of the PPARγ2 gene interacts with a Mediterranean diet to prevent telomere shortening in the PREDIMED-NAVARRA random- ized trial. keywords: adolescents; body; doi; fto; gender; gene; homa; index; insulin; levels; mass; metabolic; obesity; polymorphisms; pparγ; presence; r =; snps; study cache: squmj-2848.pdf plain text: squmj-2848.txt item: #1115 of 1636 id: squmj-2849 author: None title: squmj-2849 date: 2018-12-19 words: 4217 flesch: 58 summary: This study aimed to assess the prognostic significance of blood glucose levels and blood glucose alterations (i.e. hyper- or hypoglycaemia) among patients with aluminium phosphide (AlP) poisoning. Blood glucose levels were recorded at presentation and every six hours thereafter. keywords: alp; alterations; blood; blood glucose; doi; glucose; levels; patients; phosphide; poisoning; study; survivors cache: squmj-2849.pdf plain text: squmj-2849.txt item: #1116 of 1636 id: squmj-2850 author: None title: squmj-2850 date: 2018-12-19 words: 5507 flesch: 58 summary: Although no significant gender or age differences were reported in schistosomiasis cure rates at four weeks post-treatment in the current study, females and 1–5- year-olds nevertheless had higher cure rates. Advances in Knowledge - This follow-up study found that a single dose of praziquantel was highly effective in treating urinary schistosomiasis among a previously reported sample of infected children in Nigeria. - However, proximity to bodies of water and participation in water-related activities such as fishing were significant factors predisposing children to reinfection one year after treatment. keywords: burden; children; cure; dose; haematobium; nigeria; parasite; post; praziquantel; rates; schistosoma; schistosomiasis; state; study; treatment; weeks cache: squmj-2850.pdf plain text: squmj-2850.txt item: #1117 of 1636 id: squmj-2851 author: None title: squmj-2851 date: 2018-12-19 words: 5370 flesch: 60 summary: مع تر�شبات ال�رسيان ال�شباتي )P = 0.360(. بالإ�شافة اإىل ذلك، كان هناك ارتباط كبري بني داء ال�شكري وارتفاع �شماكة بطانة ال�رسيان ال�شباتي ) P = 0.045(، ولكن لي�ص مع تر�شبات ال�رسيان ال�شباتي )P = 0.075(. واأخريا، keywords: artery; carotid; cimt; disease; doi; hba1c; intima; levels; media; patients; plaques; risk; stroke; study; thickness cache: squmj-2851.pdf plain text: squmj-2851.txt item: #1118 of 1636 id: squmj-2852 author: None title: squmj-2852 date: 2018-12-19 words: 4213 flesch: 54 summary: Furthermore, Avezov et al. reported a 34% reduction in LDH activity when salivary samples were exposed to different levels of cigarette smoke.22 Nevertheless, although tobacco smoke significantly altered enzyme activity in the current study, these changes did not invalidate the predictive value of salivary LDH and β-glucuronidase as diagnostic biomarkers. In addition, various factors may cause enzymatic alterations, such as temperature, pH, and enzyme and substrate concentrations of inhibitors or activators.10 For example, tobacco smoke compounds have been found to impair salivary enzyme activities at the molecular level.11 keywords: activity; dehydrogenase; disease; doi; enzyme; glucuronidase; lactate; ldh; non; periodontitis; salivary; smokers; study cache: squmj-2852.pdf plain text: squmj-2852.txt item: #1119 of 1636 id: squmj-2853 author: None title: squmj-2853 date: 2018-12-19 words: 3716 flesch: 62 summary: يف مستشفى مبارك الكبري، الكويت يف الفرتة مابني 2014–1997 رنا العو�شي، عزة ال�شاهني، اأحالم اجلوي�رس، �شارا �شرييل جورج، برم �شارما، كو�شوم كابيال abstract: Objectives: %1.27( وفريو�ص الهرب�ص الب�شيط )%0.43(. وقد لوحظ اأن هناك حالت عدوى بعوامل فطريات امُلبي�شة وفريو�ص الورم احلليمي الب�رسي وجرثومية امل�شعرات املهبلية والكائنات امل�شابهة جلرثومة ال�ُشعاعي اأكرث ب�شكل ملحوظ يف العينات امل�شتخرجة بالطرق العتيادية مقارنة بالطريقة امل�شتحدثة )P >0.050 لكل منها(، بينما ،)P = 0.938( ل يوجد فرق ملحوظ يف عدد حالت keywords: agents; candida; hospital; hpv; kuwait; mubarak; organisms; samples; smears; study cache: squmj-2853.pdf plain text: squmj-2853.txt item: #1120 of 1636 id: squmj-2854 author: None title: squmj-2854 date: 2018-12-19 words: 6594 flesch: 53 summary: Risk factors were present in 16 patients (53%), including pregnancy/puerperium (17%), systemic malignancy (13%), oral contraceptive use (7%), systemic lupus erythematosus (3%) and protein Table 1: Sociodemographic and clinical characteristics of cerebral venous thrombosis patients at the Sultan Qaboos University Hospital, Muscat, Oman (N = 30) 4. Narayan D, Kaul S, Ravishankar K, Suryaprabha T, Bandaru VC, Mridula KR, et al. Risk factors, clinical profile, and long-term outcome of 428 patients of cerebral sinus venous thrombosis: Insights from Nizam’s Institute Venous Stroke Registry, Hyde- rabad (India). keywords: brain; cerebral; cvt; doi; imaging; infarcts; oman; patients; sinus; sss; stroke; study; thrombosis; treatment; vein; venous cache: squmj-2854.pdf plain text: squmj-2854.txt item: #1121 of 1636 id: squmj-2856 author: None title: squmj-2856 date: 2018-12-19 words: 4715 flesch: 54 summary: مت مالحظة ازدياد عدد املن�شورات ب�شكل كبري من ل �شيء يف �شنة 1991 اإىل 15 يف �شنة P >0.01( 2015(. �شكلت البحوث املخربية/ال�رسيرية %96.9 من اإجمايل املن�شورات فيما كان هناك ثالثة جتارب ع�شوائية حمكومة وعدم وجود اأي مراجعات منهجية/حتاليل تلوية. However, it is widely acknowledged that original research articles are an accurate reflection of research activity in a particular field and represent higher-quality evidence when compared to other types of publications.17 Finally, it was outside the scope of this study to estimate the contribution of GCC-researchers to international literature. keywords: articles; countries; dfd; diabetes; doi; factor; foot; gcc; gulf; journal; number; publications; research; study cache: squmj-2856.pdf plain text: squmj-2856.txt item: #1122 of 1636 id: squmj-2857 author: None title: squmj-2857 date: 2018-12-19 words: 4502 flesch: 56 summary: In addition, this study aimed to compare differences in the attitudes and perceptions of Omani nurse leaders and staff nurses as these individuals hold key roles in the provision of high-quality nursing care. Methods This descriptive cross-sectional study was conducted between August and October 2016. This study aimed to explore the attitudes of Omani nurses towards evidence-based practice (EBP) and their perceptions of the barriers to and facilitators of EBP implementation in Oman. keywords: attitudes; barriers; ebp; evidence; leaders; nurses; nursing; oman; practice; staff; study cache: squmj-2857.pdf plain text: squmj-2857.txt item: #1123 of 1636 id: squmj-2858 author: None title: squmj-2858 date: 2018-12-19 words: 4321 flesch: 63 summary: This study aimed to assess potential associations between self-reported symptoms of laryngo- pharyngeal reflux (LPR) and voice disorders among two undiagnosed cohorts in Saudi Arabia. The RSI is a self-administered nine-item questionnaire which has been validated and translated into several languages, including Arabic.6,7 Up to 50% of patients with voice disorders also have LPR.8 The Voice Handicap Index (VHI) is among the most widely used tools worldwide for the measurement of the physical, functional and emotional aspects of voice disorders.9 keywords: arabia; disorders; doi; index; lpr; population; reflux; rsi; saudi; scores; study; teachers; vhi-10; voice cache: squmj-2858.pdf plain text: squmj-2858.txt item: #1124 of 1636 id: squmj-2859 author: None title: squmj-2859 date: 2018-12-19 words: 4881 flesch: 55 summary: This study aimed to evaluate fetomat- ernal outcomes among pregnant Indian Hajj pilgrims. 28 Feb & 19 Mar 18 Accepted 12 Apr 18 doi: 10.18295/squmj.2018.18.03.015 Advances in Knowledge - This prospective study is the first of its kind to evaluate fetomaternal outcomes among pregnant Indian Hajj pilgrims. keywords: antenatal; care; doi; hajj; indian; khan; medical; neonatal; outcomes; patients; pilgrimage; pilgrims; pregnancy; pregnant; saudi; study; women cache: squmj-2859.pdf plain text: squmj-2859.txt item: #1125 of 1636 id: squmj-2860 author: None title: squmj-2860 date: 2018-12-19 words: 3466 flesch: 54 summary: اأجريت هذه الدرا�شة يف ق�شم طب الأورام الإ�شعاعي بامل�شت�شفى ال�شلطاين يف م�شقط، ُعمان، وذلك خالل �شهر دي�شمرب 2016، مت اإن�شاء خريطة تدفق القيمة ل�شل�شلة العمليات املتبعة يف الق�شم، مت بعدها مت اإجراء حتليل للهدر لتحديد العمليات التي مل تكن لها اأي قيمة اإ�شافية �شواءاً للمري�ص اأو للموظف ال�شحي. keywords: department; hospital; oncology; patient; principles; radiation; simulation; study; treatment; value; waste cache: squmj-2860.pdf plain text: squmj-2860.txt item: #1126 of 1636 id: squmj-2861 author: None title: squmj-2861 date: 2018-12-19 words: 5415 flesch: 51 summary: This study aimed to evaluate the appropriateness of antibiotic use and factors associated with outcomes among sepsis patients in an intensive care unit (ICU). Conclusion: Inappr- opriate doses of antibiotics, a diagnosis of septic shock and the presence of at least two comorbidities were found to significantly increase the mortality rate of sepsis patients admitted to an ICU in Indonesia. keywords: antibiotics; cancer; care; doi; hospital; icu; indonesia; infection; intensive; mortality; patients; sepsis; shock; study cache: squmj-2861.pdf plain text: squmj-2861.txt item: #1127 of 1636 id: squmj-2862 author: None title: squmj-2862 date: 2018-12-20 words: 3399 flesch: 52 summary: The NICE guidelines recommend that clinicians assess and stratify all indiv- iduals admitted to hospital in order to administer pro- Christopher Saunderson, Sally Hickman, Elaine Wilkinson and Muzahir Tayebjee Brief Communication | e375 phylactic anticoagulants to those at risk of VTE.5 The European Heart Rhythm Association (EHRA) guidelines on the use of antithrombotics in EP procedures suggest the peri-procedural administration of therapeutic unfr- actionated heparin (UFH) to achieve an activated clotting time (ACT) of ≥300 seconds for left-sided procedures and consideration of its use in right-sided procedures.9 However, they do not specifically recommend the use of oral anticoagulants or antiplatelets following EP procedures, except in cases of atrial fibrillation, flutter ablation or left-sided ventricular tachycardia ablation.9 No No No BMI in kg/m2 41 34 24 Procedural Type of procedure EP study and RFA for AVNRT EP study EP study and attempted VT ablation Duration in minutes 150 30 135 Access site RFV RFV RFV and artery with a retroaortic approach to the LV Sheath sizes 2 × 5F 2 × 7F 2 × 5F 2 × 7F 1 × 4F 3 × 7F 1 × 8F Number of catheters used 4 4 5 Peri-procedural heparin administered in U 3,000 2,000 9,000* Previous history of EP procedures in the past year keywords: ablation; centres; heart; leeds; patients; procedures; study; venous; vte cache: squmj-2862.pdf plain text: squmj-2862.txt item: #1128 of 1636 id: squmj-2863 author: None title: squmj-2863 date: 2018-12-20 words: 2708 flesch: 41 summary: Keywords: Temporomandibular Joint Disorders; Temporomandibular Ankylosis; Retrognathia; Obstructive Sleep Apnea; Case Report; Oman. واإنقطاع ال�شفلي الفك تراجع مع ال�شفلي الفكي ال�شدغي املف�شل بق�شط امل�شابني الأطفال للمر�شى اجلراحي التدخل يعترب امللخ�ص: النف�ص الإن�شدادي النومي اأحد التحديات الطبية. كانت النتيجة الإجمالية للمري�ص ناجحة مع حت�شن يف الأعرا�ص املتعلقة باإنقطاع النف�ص الإن�شدادي النومي ومتاثل جيد للوجه keywords: airway; ankylosis; doi; joint; osa; patient; retrognathia; tmj cache: squmj-2863.pdf plain text: squmj-2863.txt item: #1129 of 1636 id: squmj-2864 author: None title: squmj-2864 date: 2018-12-19 words: 2158 flesch: 60 summary: ومت ا�شتعاديا فح�ص ال�رسائح التي عملت من املعدة امل�شتاأ�شلة جراحيا، واأثبت الفح�ص اأن لها �شكال منوذجيا مطابقا لورم كي�ص حمي، وكانت �شالبة بالن�شبة للموؤ�رسات الظهارية. Although the role of radiation in treating the recurrence of primary mediastinal germ cell tumours is well established, little information is available regarding primary gastric yolk sac tumours. keywords: case; doi; gastric; patient; primary; report; sac; tumour; yolk cache: squmj-2864.pdf plain text: squmj-2864.txt item: #1130 of 1636 id: squmj-2865 author: None title: squmj-2865 date: 2018-12-19 words: 2149 flesch: 61 summary: To date, 10 variants of dual LAD artery anomalies have been described. This report describes a unique case which, to the best of the authors’ knowl- edge, does not fall into any of the 10 categories of dual LAD artery anomalies currently reported in the literature.5,6 Case Report A 44-year-old woman was referred to the Department of Radiology, Royal Hospital, Muscat, Oman, in 2017 for coronary computed tomography angiography (CCTA). keywords: aivg; artery; coronary; course; lad; left; proximal cache: squmj-2865.pdf plain text: squmj-2865.txt item: #1131 of 1636 id: squmj-2866 author: None title: squmj-2866 date: 2018-12-19 words: 3078 flesch: 56 summary: وكانت احلالة الأوىل لر�شيع عمره �شبعة اأ�شهر توقف منوه، م�شابة باأمل بطني ومغ�ص كلوي نتيجة حت�شي احلالب الذي �شببه فرط كال�شيوم الدم. keywords: age; case; children; doi; hypercalcaemia; levels; mmol; normal; parathyroid; patient; syndrome cache: squmj-2866.pdf plain text: squmj-2866.txt item: #1132 of 1636 id: squmj-2867 author: None title: squmj-2867 date: 2018-12-19 words: 2317 flesch: 47 summary: A histopathological examination of biopsied lung tissue confirmed a diagnosis of nodular pulmonary amyloidosis. Nodular pulmonary amyloidosis can mimic other nodular pulmonary disorders, such as neoplastic and granulomatous processes.7,8,17 Therefore, a biopsy is required for diagnosis and to differentiate it from other nodular pulmonary disorders. keywords: amyloidosis; case; doi; nodules; patients; pulmonary; report; systemic cache: squmj-2867.pdf plain text: squmj-2867.txt item: #1133 of 1636 id: squmj-2868 author: None title: squmj-2868 date: 2018-12-19 words: 3345 flesch: 59 summary: A peripheral Plasma cell leukaemia (pcl) is a rare and aggressive form of plasma cell dyscrasia.1 Primary PCL occurs de novo, whereas secondary PCL is the leukaemic transformation of relapsed or refractory multiple myeloma (MM). Mature plasma cells as well as plasma cells with bipolar cytoplasm were present. keywords: blood; bone; case; cell; doi; leukemia; marrow; pcl; plasma; report cache: squmj-2868.pdf plain text: squmj-2868.txt item: #1134 of 1636 id: squmj-2869 author: None title: squmj-2869 date: 2018-12-19 words: 1669 flesch: 56 summary: Fixed drug eruptions: Presentation, diagnosis, and management. Mucosal fixed drug eruption due to mefen- amic acid: Report of a case and a review. keywords: case; doi; drug; eruption; fde; report; silodosin cache: squmj-2869.pdf plain text: squmj-2869.txt item: #1135 of 1636 id: squmj-2870 author: None title: squmj-2870 date: 2018-12-19 words: 908 flesch: 53 summary: This case illus- trates that multifocal skin FDG uptake can be due to benign lesions in patients with suspected malignancies and that diffuse facial skin FDG uptake may be due to emotional stress. Multifocal skin FDG uptake in the interesting medical image Sultan Qaboos University Med J, August 2018, Vol. 18, Iss. 3, pp. keywords: fdg; patient; skin; uptake cache: squmj-2870.pdf plain text: squmj-2870.txt item: #1136 of 1636 id: squmj-2871 author: None title: squmj-2871 date: 2018-12-19 words: 952 flesch: 48 summary: Emergency surgery may be necessary for patients with left-sided PVT and New York Heart Association (NYHA) functional class III–IV symptoms or a large clot burden, while thrombolysis is the first line of therapy for patients with NYHA class I–II symptoms and a small clot burden.3 Fluoroscopy or TEE is indicated to assess valve motion and clot burden and to differentiate the formation of a thrombus from that of a pannus.3,4 The current case increases awareness of the need for detailed discussion before and after pregnancy for childbearing women with prosthetic heart valves. LA = left atrium; PMV = prosthetic mitral valve; LV = left ventricle. keywords: doi; heart; pregnancy; thrombus; valve cache: squmj-2871.pdf plain text: squmj-2871.txt item: #1137 of 1636 id: squmj-2872 author: None title: squmj-2872 date: 2018-12-19 words: 896 flesch: 47 summary: Australas J Dermatol 2016; 57:e144−5. doi: 10.1111/ajd.12418. J Dermatol Case Rep 2011; 5:5−7. keywords: dermatol; doi; granuloma; isotretinoin; pyogenic cache: squmj-2872.pdf plain text: squmj-2872.txt item: #1138 of 1636 id: squmj-2873 author: None title: squmj-2873 date: 2018-12-19 words: 1191 flesch: 50 summary: Although nailfold dermo- scopic features may not be specific to DLE, these feat- ures have been associated with higher disease activity and internal organ involvement and suggest an important role for chronic microvascular damage in the clinical development of systemic autoimmune disease.7 Urowitz et al. described common nail features among patients affected by SLE.9 However, little has been published regarding nail trophic changes among patients with DLE. Nail lesions in systemic lupus erythematosus. keywords: changes; dle; doi; erythematosus; lupus; nail cache: squmj-2873.pdf plain text: squmj-2873.txt item: #1139 of 1636 id: squmj-2874 author: None title: squmj-2874 date: 2018-12-19 words: 340 flesch: 45 summary: However, an interesting question is whether unethical publication problems are due to a lack of knowledge or arise from other factors.2 Many cases of plagiarism as well as other unethical publication practices involve senior professors or scientists.3 Undoubted, such individuals should already be knowledgeable regarding plagiarism by this point in their careers. In this study, the author concluded that “there is an urgent need to increase students’ understanding of plagiarism and its consequences so as to reduce the incidence of this type of academic misconduct”.1 We agree that further education would be a good preventative action to deter unethical publications. keywords: doi; plagiarism cache: squmj-2874.pdf plain text: squmj-2874.txt item: #1140 of 1636 id: squmj-2875 author: None title: squmj-2875 date: 2018-12-19 words: 9702 flesch: 39 summary: Online Conference Abstracts | e419 Sultan Qaboos University, Muscat, Oman, 4–6 February 2018 Outcomes of Simulation Among Novice Nursing Students *Suja Karkada,1 Jayanthi Exploring Nursing Students’ keywords: author; care; college; conclusion; group; health; hospital; learning; mail; methods; muscat; nurses; nursing; nursing students; objectives; oman; patients; qaboos; results; students; study; sultan; university cache: squmj-2875.pdf plain text: squmj-2875.txt item: #1141 of 1636 id: squmj-2982 author: None title: squmj-2982 date: 2019-03-28 words: 1718 flesch: 52 summary: The application of lean management in Omani healthcare e432 | SQU Medical Journal, November 2018, Volume 18, Issue 4 Oman.11 These factors are: (1) leadership support; (2) the identification of LM principles in a strategic agenda; (3) an understanding of the concept of value and specific customer groups in healthcare; (4) having a complete end-to-end view of the entire process; (5) the training and involvement of personnel; (6) the implementation of measurement and reward systems; and (7) matching of demand and capacity levels.11 Maijala et al. found that the characteristics of leadership and management associated with the successful adoption of LM thinking in healthcare were mainly conceptualised as skills and capabilities, such as making changes occur, being empow- ered, communicating, facilitating and organisational success.13 Nevertheless, it is also important to evaluate the results of such studies in view of the limitations assoc- iated with LM implementation. There is a growing body of research regarding the applications and potential benefits of LM principles in healthcare; however, much of this research is sourced from hospitals in developed countries, with very limited research in other contexts.10 In particular, a recent review of the literature found that there was limited research on this topic being conducted in the GCC region.11 keywords: feb; healthcare; lean; oman; principles cache: squmj-2982.pdf plain text: squmj-2982.txt item: #1142 of 1636 id: squmj-2983 author: None title: squmj-2983 date: 2019-03-28 words: 6920 flesch: 64 summary: Conclusion Nurses and clinicians should promote cost-effect- iveness in wound care in terms of both efficacy and economy, by considering healing rates and patient prognosis while maintaining low treatment costs in light of the duration of treatment. Finally, certain patient-related characteristics will affect care costs, such as age and the presence of comorbidities such as diabetes mellitus or other conditions affecting health such as decreased immunity or immobility.2–4 Cost-Effectiveness of Wound Care keywords: care; cost; effectiveness; en t; f t; os t; treatment; wound cache: squmj-2983.pdf plain text: squmj-2983.txt item: #1143 of 1636 id: squmj-2984 author: None title: squmj-2984 date: 2019-03-28 words: 5038 flesch: 52 summary: This study therefore aimed to evaluate the ability of a modified G2-assay to identify heterozygous ATM carriers in the families of A-T patients. Conclusion: The modified G2-assay demonstrated adequate precision and relatively high sensitivity and specificity in detecting heterozygous ATM carriers. keywords: assay; ataxia; atm; caffeine; carriers; checkpoint; chromatid; controls; gene; heterozygous; medical; patients; radiosensitivity; study; telangiectasia cache: squmj-2984.pdf plain text: squmj-2984.txt item: #1144 of 1636 id: squmj-2985 author: None title: squmj-2985 date: 2019-03-28 words: 6231 flesch: 58 summary: T1DM patients (n = 82) T2DM patients (n = 243) In the prospective period, 61.7% (95% CI: 54.4–68.5%) of T2DM patients and 36.7% (95% CI: 24.6–50.1%) of T1DM patients reported severe hypoglycaemic events. keywords: diabetes; emirates; events; hypoglycaemia; insulin; patients; period; study; type; united cache: squmj-2985.pdf plain text: squmj-2985.txt item: #1145 of 1636 id: squmj-2986 author: None title: squmj-2986 date: 2019-03-28 words: 4704 flesch: 60 summary: من املمكن مالحظة هذه التغريات خالل ثالثة اأ�شهر بعد التدخل اجلراحي. الكلمات املفتاحية: ا�شتئ�شال حلمية الأنف؛ انقطاع النف�س الإن�شدادي اأجريت هذه الدرا�شة املبنية على املالحظة مب�شت�شفى جامعة ال�شلطان قابو�س مب�شقط، عمان يف الفرتة املمتدة من �شهر يناير 2012 اىل �شهر دي�شمرب 2014. keywords: adenotonsillectomy; adhd; apnea; children; function; hyperactivity; number; osa; post; score; sleep; study; symptoms; test cache: squmj-2986.pdf plain text: squmj-2986.txt item: #1146 of 1636 id: squmj-2987 author: None title: squmj-2987 date: 2019-03-28 words: 4678 flesch: 62 summary: As such, Figure 1: Immunophenotypic findings of chronic lymphocytic leukaemia patients in Erbil, Iraq (N = 105). Table 2: Laboratory results of chronic lymphocytic leukaemia patients in Erbil, Iraq (N = 105) Investigation Mean ± SD Median Range Normal range Haemoglobin in g/dL 10.6 ± 2.3 11 5–15.4 13.5–17.5/11.5–15.5* Whole blood count × 109/L 94.8 ± 106.6 65 8.9–491 4–11 keywords: blood; chronic; clinical; cll; erbil; iraq; leukemia; patients; rate; stage; study; survival; years cache: squmj-2987.pdf plain text: squmj-2987.txt item: #1147 of 1636 id: squmj-2988 author: None title: squmj-2988 date: 2019-03-28 words: 5759 flesch: 55 summary: Wazaify et al. also reported that pharmacists in Jordan often dispense non-prescribed medications, including antibiotics.9 As such, it is imperative that pharmacists in Jordan have the necessary knowledge to provide safe and adequate care to paediatric patients, including the information needed to dispense medic- ations and counsel paediatric patients or their guardians.7,10 However, due to a lack of national guidelines regarding paediatric care, pharmacists often rely on knowledge received during their education and training. Conclusion: The findings of this study highlight an alarming deficiency in paediatric pharmaceutical knowledge among final-year pharmacy students in Jordan. keywords: attitudes; care; children; clinical; education; jordan; knowledge; label; paediatric; patients; pharmaceutical; pharmacists; pharmacy; pharmacy students; students; study; university; year cache: squmj-2988.pdf plain text: squmj-2988.txt item: #1148 of 1636 id: squmj-2989 author: None title: squmj-2989 date: 2019-03-28 words: 5318 flesch: 57 summary: Data were collected from the participants using a self- reported questionnaire, including sociodemographic characteristics, previous experience with computers and awareness, knowledge and use of e-prescribing systems and their functional features. However, many respondents indicated that e-prescribing systems required additional improvements in terms of functionality. keywords: centres; computer; emr; emr e; healthcare; kuwait; med; median; patient; perceptions; physicians; prescribing; primary; study; system; use cache: squmj-2989.pdf plain text: squmj-2989.txt item: #1149 of 1636 id: squmj-2990 author: None title: squmj-2990 date: 2019-03-28 words: 4663 flesch: 62 summary: Upon subsequent exposure, the crosslinking of IgE receptors on mast cells triggers the activation and release of mediators responsible for the symptoms, primarily histamine, leukotrienes, prosta- glandins and tryptase.3,4 Food is a common cause of allergic symptoms, although the exact prevalence of food allergies varies in different countries due to differences in dietary habits. Double-blind placebo-controlled food challenges are the gold-standard diagnostic tool for food allergies and are usually used in research centres; however, such testing is time- consuming and often requires special precautions.10,11 To the best of the authors’ knowledge, local food allergen sensitisation patterns have not been previously studied in Oman. keywords: allergen; allergies; allergy; anaphylaxis; clin; food; ige; immunol; levels; manifestations; omani; patients; sensitisation; study; total cache: squmj-2990.pdf plain text: squmj-2990.txt item: #1150 of 1636 id: squmj-2991 author: None title: squmj-2991 date: 2019-03-28 words: 3728 flesch: 58 summary: In addition, RS patients often demonstrate digit sucking and orofacial motor functional disorders; in the early stages of the disease, these charact- eristics can give rise to malocclusions such as anterior open bite and a high-arched palate.20 To the best of the authors’ knowledge, this prelim- inary study is the first to show a significant association between malocclusion and dysphagia severity in patients with RS. Severe dysphagia was observed Table 1: Oral and dental characteristics of patients with Rett syndrome admitted to the University Hospital of Siena, Siena, Italy (N = 56) keywords: dysphagia; malocclusion; maxillary; molar; patients; rett; severity; siena; study; syndrome; tongue cache: squmj-2991.pdf plain text: squmj-2991.txt item: #1151 of 1636 id: squmj-2992 author: None title: squmj-2992 date: 2019-03-28 words: 4793 flesch: 60 summary: As such, the treatment goal in HF is not only to enhance survival rates, but to improve the patient’s QOL (i.e. meaningful survival).6,7 However, most existing QOL measures for HF patients are based on expert opinions, with only a limited number based on actual patient exp- [Table 1].15 All of the reviewers rated the final version of the questionnaire to be relevant and adequate to measure the QOL of HF patients. keywords: factor; failure; health; heart; hfqol; items; life; malaysia; patients; qol; quality; questionnaire; social; study; wellbeing cache: squmj-2992.pdf plain text: squmj-2992.txt item: #1152 of 1636 id: squmj-2993 author: None title: squmj-2993 date: 2019-03-28 words: 4036 flesch: 48 summary: Although the publication rate of resident abstracts in Oman was within acceptable international limits for conference abstracts, it was nevertheless considerably lower than reported rates for abstracts presented by trainees at intramural resident research meetings. - Although this rate falls within the range of reported publication rates of conference abstracts across specialties (8–81%), it is considerably lower than those reported by studies specifically examining the publication rates of abstracts presented by trainees at intramural resident research meetings (40–64%).7,8,15 Nevertheless, the relatively high conversion rates reported in these other studies may be partly explained by the fact that the examined cohorts were residents Figure 1: Time between presentation and publication of articles converted from resident abstracts presented at Oman Medical Speciality Board scientific meetings (N = 10)*. keywords: abstracts; authors; board; medical; medicine; meetings; oman; publication; rate; research; resident; specialty cache: squmj-2993.pdf plain text: squmj-2993.txt item: #1153 of 1636 id: squmj-2994 author: None title: squmj-2994 date: 2019-03-28 words: 4111 flesch: 60 summary: اجلذيلي، فار�س الع�شيمي، اأ�شامة ال�شايع، عبداهلل الأ�شمري، حممد املخ�شوب، �شالح اخلنيزان، �شالح الدين خان abstract: Objectives: This study aimed to evaluate knowledge and attitudes towards first aid (FA) measures among medical students at the Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia. - However, there were significantly higher levels of FA knowledge among medical students who had previously received FA training ; this finding supports the inclusion of FA training within the medical curriculum. Application to Patient Care - Proper FA interventions can reduce patient mortality and morbidity. keywords: ibn; islamic; knowledge; mohammad; saud; students; training; university cache: squmj-2994.pdf plain text: squmj-2994.txt item: #1154 of 1636 id: squmj-2995 author: None title: squmj-2995 date: 2019-03-28 words: 5523 flesch: 57 summary: الكلمات املفتاحية: املوقف اتجاه ال�شحة؛ ال�شلوكيات ال�شحية؛ الكفاءة الذاتية؛ التزام املري�س؛ �شكري احلمل؛ عمان. بالإ�شافة للرعاية ال�شحية القيا�شية تلقت مجموعة التدخل جل�شة توعية �شحية اإ�شافية ور�شائل ن�شية كل اأ�شبوعني لت�شجيع الإلتزام بال�شلوكيات ال�شحية. keywords: adherence; behaviours; care; diabetes; effect; efficacy; gdm; gestational; group; health; intervention; mellitus; seei; self; study; women cache: squmj-2995.pdf plain text: squmj-2995.txt item: #1155 of 1636 id: squmj-2996 author: None title: squmj-2996 date: 2019-03-28 words: 2610 flesch: 58 summary: مت تقييم احلكة/عدم الراحة با�شتخدام مقيا�س التماثلية الب�رصية. من املر�شى يف الأ�شبوع الثاين وال�شاد�س والعا�رص على التوايل. keywords: betamethasone; calcipotriol; cbd; dermatitis; dipropionate; gel; improvement; patients; scalp; seborrhoeic; treatment cache: squmj-2996.pdf plain text: squmj-2996.txt item: #1156 of 1636 id: squmj-2997 author: None title: squmj-2997 date: 2019-03-28 words: 3228 flesch: 62 summary: 1Rehabilitation Research Center, Department of Orthotics & Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran; 2Department of Mechanical Engineering, Sharif University of Technology, Tehran, Iran; 3Department of Biomechanics, Djavad Mowafaghian Research Centre of Intelligent Neuro-Rehabilitation Technologies, Tehran, Iran *Corresponding Author’s e-mail: saeedi.h@iums.ac.ir تصميم وتنفيذ واختبار منوذج جديد ملفصل اصطناعي للركبة مع درجيت حرية حركة يف مريض مصاب بالتهاب مفصل الركبة �شيامك اآقاجاين ف�شاركي، فرزام فرهمند، ح�شن �شعيدي، اإح�شان عبدالهي abstract: Knee braces are a conservative treatment option for patients with knee osteoarthritis (KOA). 11 Jul 18 Accepted 2 Aug 18 doi: 10.18295/squmj.2018.18.04.016 Knee braces are a conservative treat-ment option for patients with medial knee osteoarthritis (KOA).1–3 Nevertheless, despite the positive effects of various types of knee braces, they limit the motion of the joint in all directions.4,5 This is partly due to the structural design of these orthotic devices, which generally follow simpler kinematic path- ways than those of the natural anatomic knee joint. keywords: degrees; dof; force; joint; knee; knee joint; motion; plane; prototype; subject; transverse cache: squmj-2997.pdf plain text: squmj-2997.txt item: #1157 of 1636 id: squmj-2998 author: None title: squmj-2998 date: 2019-03-28 words: 3172 flesch: 58 summary: ومت اإجراء عالج خملبي للمري�س اأدي لتح�شن حالة املري�س ب�شورة ملحوظة. وعند مراجعة املري�س للم�شت�شفى بعد عام على ذلك العالج وجد اأنه �شليم ع�شبيا ولي�شت لديه اأي اأعرا�س. الكلمات املفتاحية: اإدمان الأفيون؛ الت�شمم بالر�شا�س؛ اأمرا�س اجلهاز الع�شبي التي ي�شببها الر�شا�س؛ َمَذل؛ تقرير حالة؛ اإيران. keywords: case; iran; lead; limbs; motor; nerve; neuropathy; opium; patient; poisoning; year cache: squmj-2998.pdf plain text: squmj-2998.txt item: #1158 of 1636 id: squmj-2999 author: None title: squmj-2999 date: 2019-03-28 words: 2498 flesch: 55 summary: ت�شخي�س ال�شاركويد الرئوي عند مر�شى التليف الكي�شي ي�شكل حتدي كون معظم مر�شى التليف الكي�شي البالغني يعانون من مرحلة متقدمة من �شت�شفى جامعة ال�شلطان قابو�س، م�شقط، عمان، يف عام 2013. keywords: case; cystic; fibrosis; hypercalcaemia; levels; patient; sarcoidosis; serum; vitamin cache: squmj-2999.pdf plain text: squmj-2999.txt item: #1159 of 1636 id: squmj-3000 author: None title: squmj-3000 date: 2019-03-28 words: 2810 flesch: 59 summary: Although transoesophageal echocardiography (TEE) aids in the assessment of such masses, histopathology is considered the gold-standard method to confirm a diagnosis.4,5 This report describes an atypical case of aortic valve myxoma and patent foramen ovale (PFO) presenting with a cerebral stroke. Discussion To the best of the authors’ knowledge, only 11 cases of aortic valve myxoma have been previously reported in the literature [Table 1].4–14 Interestingly, nine of these previously reported patients were male, as in the current case; this is contrary to the usual female pre- ponderance of myxoma cases.1,4–9,11,13,14 Overall, six aortic valve myxoma patients were symptomatic, with symptoms largely attributable to distal embolisation and ischaemia, including three cases with stroke, two with myocardial infarctions and one with limb ischaemia.4,6,8,11–13 Clinicians should therefore be aware of stroke as a potential presentation of aortic valve myxoma. keywords: aortic; case; mass; myxoma; patient; pfo; report; stroke; tte; valve cache: squmj-3000.pdf plain text: squmj-3000.txt item: #1160 of 1636 id: squmj-3001 author: None title: squmj-3001 date: 2019-03-28 words: 2494 flesch: 53 summary: مت تاأكيد ت�شخي�س الت�شوه الهوائي الرئوي اخللقي عن طريق الفح�س الن�شيجي. 1Department of Radiology, Pusat Perubatan Universiti Kebangasaan Malaysia, Kuala Lumpur, Malaysia; 2Department of Radiology Diagnostic Imaging, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia; 3Department of Radiology, Hospital Tengku Ampuan Rahimah, Klang, Malaysia *Corresponding Author’s e-mail: dr.leechungyuen@gmail.com خطأ يف تشخيص عرض متأخر لتشوه جمرى اهلواء الرئوي اخللقي على أنه فقاعة كبرية منتنه �شوجن يون يل، �شيازارينا �رصي�س عثمان، حلمي حممد نور، نور �شفريا عبد عي�شى abstract: A congenital pulmonary airway malformation (CPAM) is a rare cystic anomaly that may occur during development of the fetal airways. keywords: airway; bulla; case; chest; congenital; cpam; cystic; lung; malformation; patient cache: squmj-3001.pdf plain text: squmj-3001.txt item: #1161 of 1636 id: squmj-3002 author: None title: squmj-3002 date: 2019-03-28 words: 2972 flesch: 55 summary: على اإثرها مت اإجراء عملية ل�شق املف�شل، وخاللها لوحظ ا�شتخراج كمية ال�شائل ي�شتبه اأنه قيح؛ ودرا�شة امليكروبات ا�شتخرجت خالل هذا الإجراء مل تظهر وجود اأي منو ميكروبي. الكلمات املفتاحية: �رصطان عظمي؛ مف�شل الورك؛ اإلتهاب املفا�شل التقيحي؛ اإلتهاب العظمي النخاعي؛ الت�شخي�س التفريقي؛ تقرير حالة؛ عمان. keywords: arthritis; bone; diagnosis; hip; joint; osteosarcoma; pain; patient; septic cache: squmj-3002.pdf plain text: squmj-3002.txt item: #1162 of 1636 id: squmj-3003 author: None title: squmj-3003 date: 2019-03-28 words: 2671 flesch: 52 summary: ذكر املري�س اأنه زار و�شط الهند ملدة ق�شرية قبل ت�شعة اأ�شهر. مل ينجح، وازداد تطور املر�س و�شبب ت�شوها خارجيا وداخليا يف الأنف، keywords: antifungal; case; cavity; conidiobolomycosis; conidiobolus; coronatus; disease; infection; nasal; patient; treatment cache: squmj-3003.pdf plain text: squmj-3003.txt item: #1163 of 1636 id: squmj-3004 author: None title: squmj-3004 date: 2019-03-28 words: 2502 flesch: 54 summary: النُُّموِّ الالَّ اأي�شا عددا من املعايري الت�شخي�شية مل�شاعدة الأطباء ال�رصيريني يف الت�شخي�س التفريقي لها. The condition is usually present at birth and stops at puberty.3–5 A variety of terms are often used to describe ML cases, such as macromelia, digital or limited gigantism, megalo- or macro- dactyly, partial acromegaly, dactylomegaly, macroceir and club finger.3,4,6 The hallmark of ML is an increase in all mesen- chymal elements of the affected digits, particularly the fibro-fatty tissue.4 keywords: case; criteria; enlargement; lipomatosa; macrodystrophia; medical; nerve; overgrowth; report; tissue cache: squmj-3004.pdf plain text: squmj-3004.txt item: #1164 of 1636 id: squmj-3005 author: None title: squmj-3005 date: 2019-03-28 words: 2182 flesch: 60 summary: At this time, an A Case of Pure Matrix Ureteral Stone A rare type of urinary calculi that may be overlooked e558 | SQU Medical Journal, November 2018, Volume 18, Issue 4 Discussion Overall, matrix stones are more common in female patients; Rowley et al. reported that seven out of nine patients in a cases series were female.2 This may be explained by the higher frequency of UTIs among women, another risk factor for matrix stone formation; in Rowley et al.’s cases series, all nine patients had UTIs, while Shah et al. reported that 80% of 17 patients with matrix calculi had pyuria.2,5 In the present case, the patient was female and had a UTI, as determined by elevated levels of RBCs and WBCs in her urine and a positive E. coli culture. The endourological treatment of renal matrix stones. keywords: calculi; case; matrix; patient; renal; sohar; stone; urinary cache: squmj-3005.pdf plain text: squmj-3005.txt item: #1165 of 1636 id: squmj-3006 author: None title: squmj-3006 date: 2019-03-28 words: 1192 flesch: 47 summary: Comment Overall, CVG cases are classified into primary and sec- ondary forms; primary CVG cases are sometimes further subclassified as either non-essential (i.e. those with assoc- iated neurological, psychiatric and ophthalmological manifestations) or essential (i.e. those without abnorm- alities or secondary disorders).1–3 Primary essential interesting medical image Sultan Qaboos University Med J, November 2018, Vol. 18, Iss. 4, pp. e560–562, Epub. Schepis C, Palazzo R, Cannavo SP, Ragusa RM, Barletta C, Spina E. Prevalence of primary cutis verticis gyrata in a psychiatric population: Association with chromosomal fragile sites. keywords: cutis; cvg; gyrata; scalp; verticis cache: squmj-3006.pdf plain text: squmj-3006.txt item: #1166 of 1636 id: squmj-3007 author: None title: squmj-3007 date: 2019-03-28 words: 1329 flesch: 53 summary: The absence of CD56 (NCAM) on malignant plasma cells is a hallmark of plasma cell leukemia and of a special subset of multiple myeloma. Subsequently, a diagnosis of primary plasma cell leukaemia (PCL) was confirmed and bortezomib-based chemotherapy was administered, resulting in a good response.1 Myeloma cells can travel to the peripheral blood if expression of the cell adhesion molecule cluster of differ- entiation (CD)56 decreases.2,3 Along with CD19, CD20 and CD23 positivity, this phenomenon is often observed among patients with primary PCL, while the positive expression of CD28 and interleukin-6 are considered imp- ortant in secondary cases.2,3 Leukocytosis, high levels of lactate dehydrogenase and β2-microglobulins and the presence of bone lesions can help to differentiate primary PCL from myeloma.4 Singh et al. therefore highlighted the need for consensus guidelines in primary healthcare for the purposes of early diagnosis and prompt and adequate treatment.1 keywords: cell; myeloma; patient; plasma cache: squmj-3007.pdf plain text: squmj-3007.txt item: #1167 of 1636 id: squmj-3008 author: None title: squmj-3008 date: 2019-03-28 words: 2285 flesch: 46 summary: Healthcare Workers’ Attitudes Towards Individuals with Malingering Phenomenon at the Department of Behavioural Medicine, Sultan Qaboos University Hospital Ibtisam S. Al-Zakwani Department of Behavioural Medicine, Sultan Qaboos University, Muscat, Oman. Sultan Qaboos University Med J, November 2018, Vol. 18, Iss. 4, pp. e565–567, Epub. 28 keywords: emergency; hospital; muscat; oman; qaboos; study; sultan; university cache: squmj-3008.pdf plain text: squmj-3008.txt item: #1168 of 1636 id: squmj-3009 author: None title: squmj-3009 date: 2019-03-28 words: 304 flesch: 49 summary: Prior to an Emergency Cricothyroidotomy Case report The Editors of Sultan Qaboos University Medical Journal (SQUMJ) have been informed that the authors of an article by Iqhbal et al. in the May 2018 issue of SQUMJ wish to make a correction to the affiliation details of the authors of the above article.1 The first and corresponding author, Mohamad Iqhbal, contacted SQUMJ in January 2019 notifying the editors of a mistake in the spelling of the institution in the authors’ affiliation details: Department of Emergency Medicine, Faculty of Medicine, MARA University of Technology, Selangor, Malaysia. https://doi.org/10.18295/squmj.2018.18.02.017. Sultan Qaboos University Med J, November 2018, Vol. 18, Iss. 4, p. e568, Epub. 28 keywords: affiliation; emergency cache: squmj-3009.pdf plain text: squmj-3009.txt item: #1169 of 1636 id: squmj-3114 author: None title: squmj-3114 date: 2019-05-30 words: 5574 flesch: 47 summary: وت�سري جمموعة متزايدة من الأدلة اإىل اأن الك�سف املبكر والإدارة الفعالة ل�سكري احلمل باإ�ستخدام اإ�سرتاتيجيات غري طبية ميكن اأن يح�سن كثريا من النتائج بالن�سبة للحوامل واأطفالهن. وت�سجع التقيد بال�سلوكيات ال�سحية املذكورة اأعاله خالل فرتة احلمل. الكلمات املفتاحية: نتائج احلمل؛ �سحة الأم؛ �سحة حديثى الولدة؛ ال�سلوكيات ال�سحية؛ �سكري احلمل. keywords: control; diabetes; dietary; gdm; gestational; group; intervention; mellitus; neonatal; outcomes; pregnancy; rate; risk; strategies; studies; study; weight; women cache: squmj-3114.pdf plain text: squmj-3114.txt item: #1170 of 1636 id: squmj-3115 author: None title: squmj-3115 date: 2019-05-30 words: 2846 flesch: 57 summary: A study from China, also a country with a collectivistic culture, revealed that the majority (77.3%) of adult female patients preferred their family to make decisions on their behalf.15 In Saudi Arabia, patients preferred the involvement of their families when dealing with a diagnosis of a terminal or chronic illness.16 It was previously suggested that the dependence of female patients on their families may be attributed to their psychosocial development and that females develop a sense of autonomy at a slower rate than males due to societal influences.17 : Female patients in Oman face a certain amount of pressure from their families when making high-stakes decisions regarding personal healthcare. keywords: consent; decision; family; forms; health; information; informed; making; oman; patients cache: squmj-3115.pdf plain text: squmj-3115.txt item: #1171 of 1636 id: squmj-3116 author: None title: squmj-3116 date: 2019-05-30 words: 3139 flesch: 63 summary: بينت الدرا�سات ال�سابقة اأن زمن الو�سول اإىل مركز زراعة اخلاليا اجلذعية ترتبط ب�سكل �سلبي مع البقاء علي احلياة ب�سكل عام. كانت الدرا�سة حمدودة ب�سبب الت�سميم ال�ستعادي وحجم العينة ال�سغري.نو�سي على تاأكيد هذه النتائج يف درا�سة ا�ستباقية. الكلمات املفتاحية: زراعة اخلاليا اجلذعية املكونة للدم؛ داء الطعم حيال الثوي؛ حتليل البقاء على احلياة؛ ال�سفر؛ عمان. keywords: centre; dtc; hsct; impact; oman; patients; study; transplant cache: squmj-3116.pdf plain text: squmj-3116.txt item: #1172 of 1636 id: squmj-3117 author: None title: squmj-3117 date: 2019-05-30 words: 5146 flesch: 58 summary: تهدف هذه الدرا�سة اإىل قيا�ض معدل انت�سار العنف �سد طاقم التمري�ض العاملني يف م�ست�سفيات الأمرا�ض النف�سية يف اململكة العربية ال�سعودية الطريقة: اأجريت هذه الدرا�سة امل�ستعر�سة يف ثالثة م�ست�سفيات لالأمرا�ض النف�سية يف اململكة العربية ال�سعودية بني مار�ض 2017 ومايو 2017. Speroni KG, Fitch T, Dawson E, Dugan L, Atherton M. Incidence and cost of nurse workplace violence perpetrated by hospital patients or patient visitors. keywords: arabia; care; factors; health; healthcare; hospitals; nurses; participants; patients; psychiatric; saudi; study; violence; workplace; wpv cache: squmj-3117.pdf plain text: squmj-3117.txt item: #1173 of 1636 id: squmj-3118 author: None title: squmj-3118 date: 2019-05-30 words: 4944 flesch: 63 summary: To the best of the authors’ knowledge, this is the first study investigating the applicability of chronological age estimating methods in the Yemeni population. الكلمات املفتاحية: العمر ال�سني؛ العمر العظمي؛ اأطفال؛ اأطفال بالغني؛ الت�سوير الت�سخي�سي؛ اليمن. keywords: age; children; demirjian; dental; females; fishman; males; method; study; years cache: squmj-3118.pdf plain text: squmj-3118.txt item: #1174 of 1636 id: squmj-3119 author: None title: squmj-3119 date: 2019-05-30 words: 4155 flesch: 55 summary: Perceptions, barriers, and practices of medical research among students at Taibah College of Medicine, Madinah, Saudi Arabia. The current study aimed to compare research practices and perceptions among undergraduate medical students who graduated in 2015 and 2017 from King Abdulaziz University. keywords: abdulaziz; arabia; graduates; king; medical; perceptions; research; saudi; students; study; university cache: squmj-3119.pdf plain text: squmj-3119.txt item: #1175 of 1636 id: squmj-3120 author: None title: squmj-3120 date: 2019-05-30 words: 4742 flesch: 57 summary: �ست�سفى جامعة اإيلورين التعليمي، يف نيجرييا يف الفرتة ما بني اإبريل 2014 ونوفمرب 2015، �سملت الدرا�سة ن�ساءاً حوامل يحملن اأعرا�ض �رسيرية لإجها�ض غري مكتمل يف عمر احلمل املبكر اأي 13 اأ�سبوًعا اأو اأقل، مت تخ�سي�ض ما جمموعه 200 م�ساركة اخرتن ب�سكل ع�سوائي ووزعن اإما ملجموعة العالج باإجراء ال�سفط اليدوي اأو عن طريق اإعطاء دواء اخلال�صة: كان العالج بدواء امليزوبرو�ستول والـعالج باإجراء ال�سفط اخلوائي اليدوي فاعاًل لإجالء للرحم بالكامل ومعدلت القبول والر�سا، مع ذلك كان معدل الإخالء الكامل اأعلى ب�سكل وا�سح يف جمموعة ال�سفط اليدوي من جمموعة دواء امليزوبرو�ستول. keywords: abortion; aspiration; evacuation; group; hospital; misoprostol; mva; participants; study; treatment; vacuum cache: squmj-3120.pdf plain text: squmj-3120.txt item: #1176 of 1636 id: squmj-3121 author: None title: squmj-3121 date: 2019-05-30 words: 5692 flesch: 64 summary: �ستبيان �سادق وموثوق بناء على درا�سة التعب عند الن�ساء الإيرانيات. This study provides further evidence that the MAF scale may be an internationally reliable and valid instrument to measure fatigue in pregnant women. keywords: factor; farsi; farsi maf; fatigue; gfi; index; items; maf; maf scale; pregnancy; scale; scores; study; validity; women cache: squmj-3121.pdf plain text: squmj-3121.txt item: #1177 of 1636 id: squmj-3122 author: None title: squmj-3122 date: 2019-05-30 words: 5121 flesch: 53 summary: - Knowledge about perceptions of authors and their attitudes and practices towards emerging journals in developing regions provide crucial insight for regional editors and publishers to develop editorial strategies to meet the expectations of their readers and potential authors. Application to Patient Care - Emerging journals provide a better platform for publishing peculiarities and challenges in diagnosis and management of patients in developing regions, which will aid local physicians to better manage their patients. 20 Attitudes toward emerging journals (without considering your choices to items 17–19): If you are based in a devel- oping region/country, how supportive would you be to publish your work and/or peer review for emerging journal? 21 Current practices of authors to emerging journals. keywords: africa; attitudes; authors; east; factors; jif; journals; medical; middle; research; respondents; status; study; submission cache: squmj-3122.pdf plain text: squmj-3122.txt item: #1178 of 1636 id: squmj-3123 author: None title: squmj-3123 date: 2019-05-30 words: 3906 flesch: 57 summary: اأكرث العوامل جذبًا لتخ�س�ض الن�ساء والولدة للم�ساركني الذكور هو توفرالفر�ض اجلراحية )%80.6( و حمتوى املادة العلمية للتخ�س�ض )%77.4( بينما كانت اأكرث العوامل جذبًا للم�ساركات الإناث هو حمتوى املادة العلمية )%88.6( ورغبة املر�سى بطبيبات )%85.1(. اخلال�صة: اأغلب العوامل املثبطة لختيار تخ�س�ض الن�ساء والولدة للخريجات الإناث قابلة للتعديل اإىل حٍد ما. keywords: career; factors; female; graduates; medical; obgyn; obstetrics; oman; speciality; students; study cache: squmj-3123.pdf plain text: squmj-3123.txt item: #1179 of 1636 id: squmj-3124 author: None title: squmj-3124 date: 2019-05-30 words: 3451 flesch: 53 summary: We report a 63-year-old man with ischaemic heart disease on dual antiplatelet therapy (aspirin plus ticagrelor) who was diagnosed as a primary angle-closure suspect and was to undergo a neodymium-doped yttrium aluminium garnet laser iridotomy at Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia in 2016. This case revealed that massive hyphaema can complicate laser iridotomy in patients on dual antiplatelet therapy, although this is rare. keywords: antiplatelet; aspirin; bleeding; case; eye; hyphaema; iridotomy; laser; patients; report; risk; therapy; ticagrelor; yag cache: squmj-3124.pdf plain text: squmj-3124.txt item: #1180 of 1636 id: squmj-3125 author: None title: squmj-3125 date: 2019-05-30 words: 3741 flesch: 54 summary: ون�سف يف هذه ال�سل�سلة نتائج اأول ع�رس حالت ل�ستئ�سال الغدة الدرقية باملنظار Navarra G, Bartolo V, Rizzo AG, Marullo M, Cancellieri A, Catalfamo A, et al. Pre- and post-operative patient care for trans- oral thyroidectomy. keywords: approach; cases; endoscopic; hospital; nodule; patients; right; surgery; thyroidectomy; toetva; transoral; vestibular cache: squmj-3125.pdf plain text: squmj-3125.txt item: #1181 of 1636 id: squmj-3126 author: None title: squmj-3126 date: 2019-05-30 words: 3057 flesch: 57 summary: We report three cases of early onset pre-eclampsia with nephrotic range proteinuria and subsequent diagnosis of LN at the Women and Children hospital attached to Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India, between 2014 and 2017. Nearly two-thirds of the women affected have lupus nephritis (LN) and usually have nephrotic-range protein- uria (>3.5 g/day) with active urinary sediments.2,3 Pre- eclampsia occurs in 10–15% of pregnant women with SLE and is more frequent in those with LN (20–40%).4,5 Women with SLE are reported to have an increased risk of early onset pre-eclampsia. keywords: case; day; eclampsia; lupus; nephritis; onset; pre; pregnancy; proteinuria; range cache: squmj-3126.pdf plain text: squmj-3126.txt item: #1182 of 1636 id: squmj-3127 author: None title: squmj-3127 date: 2019-05-30 words: 765 flesch: 48 summary: No nail changes were found prior to treatment. Following approval of the hospital’s pharmaceutical committee, treatment with tofacitinib 5 mg/12 hours was prescribed five months after the last unsuccessful treatment (dexa- methasone minipulses). keywords: alopecia; months; tofacitinib; treatment cache: squmj-3127.pdf plain text: squmj-3127.txt item: #1183 of 1636 id: squmj-3128 author: None title: squmj-3128 date: 2019-05-30 words: 859 flesch: 46 summary: 4. Solak B, Kara RO, Kosem M. Palmoplantar lichen planus successfully treated with acitretin. This disease has a male predilection and the average age of onset of 38 years with a range of 9–72 years.2 The absence of the typical polygonal violaceous papules, which were found on the dorsal aspect of both hands of the current patient, is not unusual; on the palms, the fingertips are usually spared.3,4 In general, of localised lichen planus cases become generalised with Sultan Qaboos University Med J, February 2019, Vol. 19, Iss. 1, pp. e79–80, Epub. 30 keywords: lichen; palmoplantar; patient; planus cache: squmj-3128.pdf plain text: squmj-3128.txt item: #1184 of 1636 id: squmj-3129 author: None title: squmj-3129 date: 2019-05-30 words: 1128 flesch: 47 summary: The first ‘R’ is for ‘reddish’ and highlights the need to examine visible characteristics of AK lesions. AK lesions are often easily recognised by palpation, presenting a rough surface with a sandpaper-like structure. keywords: lesions; risk cache: squmj-3129.pdf plain text: squmj-3129.txt item: #1185 of 1636 id: squmj-3131 author: None title: squmj-3131 date: 2019-05-30 words: 2051 flesch: 53 summary: While informed consent has been developed with good intent, sometimes, when applied in non-Western societies, it may be deemed as being ethnocentric or simply insensitive to the ‘norm’ in traditional societies. The uni- versal applicability of Western bioethical approaches, including issues pertinent to confidentiality, determin- ation of death, doctor-patient relationship and the topic of present scrutiny, informed consent.10 Informed consent refers to the process of obtaining the permission of a patient before proceeding with health- care intervention.10 In essence, informed consent requires the treatment team to enlighten the patient about the nature of the treatment, risks and benefits and alter- native treatments, if any. keywords: autonomy; consent; patient; self; societies; western cache: squmj-3131.pdf plain text: squmj-3131.txt item: #1186 of 1636 id: squmj-3233 author: None title: squmj-3233 date: 2019-09-08 words: 1200 flesch: 51 summary: The countries that had the highest increase in the number of measles cases were Philippines, Yemen, Sudan, Thailand, Ukraine, France, Brazil, Venezuela, Serbia and Madagascar.1,2 In Oman, no cases of measles have been reported in 2018, which reflects a significant drop since a measles outbreak in 2016–2017.3 However, measles should be constantly monitored worldwide as, for example, Brazil declared the eradication of measles in 2017 yet had 10,262 cases in 2018.2 Measles is a very contagious disease that can be transmitted via aerosol particles or through contact with infected throat and nasal secretions. According to the United Nations International Children's Emergency Fund (UNICEF), 98 countries have reported a rise in measles cases in 2018. keywords: health; jun; measles; spread; vaccination cache: squmj-3233.pdf plain text: squmj-3233.txt item: #1187 of 1636 id: squmj-3234 author: None title: squmj-3234 date: 2019-09-08 words: 6189 flesch: 48 summary: Despite these differences, study findings shared commonalities regarding factors facilitating or compromising patient safety—such as Figure 1: Flow chart of the search process for articles on patient safety culture. A Narrative Synthesis of Qualitative Studies Conducted to Assess Patient Safety Culture in Hospital Settings e94 | SQU Medical Journal, May 2019, Volume 19, Issue 2 Table 1: Summary of the methods adopted in 22 studies on patient safety culture Author and year of publication Study design Tradition Sampling Data collection technique Data saturation Form of data Data analysis approach Analytical model(s) used Rathert et al.21 (2006) Mixed methods Not adopted Whole population Survey Not applicable Electronic data Not stated Not adopted Zhu et al.22 (2012) keywords: analysis; care; content; culture; data; factors; healthcare; hospital; interview; methods; patient; psc; purposive; qualitative; records; research; review; safety; safety culture; sampling; studies; study; usa cache: squmj-3234.pdf plain text: squmj-3234.txt item: #1188 of 1636 id: squmj-3235 author: None title: squmj-3235 date: 2019-09-08 words: 2880 flesch: 48 summary: This technology has provided healthcare workers with the ability to take high quality photographs that are automatically stored electronically on user- friendly devices at a low cost.1 Medical photographs are important in the manage- ment and follow-up of medical conditions, especially in visually oriented specialities such as dermatology and plastic surgery.2 These images are also used for teaching, research and publication purposes in addition to getting a second opinion from colleagues or consultants in the same or other specialities.3,4 In Oman, Article 332 of the Royal Decree 7/2018 is concerned with the photography of individuals with- out their consent; however, this law is not explicit for medical photography.5 In other jurisdictions, there are guidelines that regulate the practice of medical photo- graphy.6,7 Guidelines on this topic should address five main areas—consent, storage, retention, audit and transmission.8 Case Scenario The following is a fictitious case scenario to exemplify the ethical and legal dilemmas of using personal smart- phones to take medical photographs. During a pre-operative visit, the surgeon asked permission for medical photograph to be taken of her keywords: clinical; consent; ethics; medical; patient; photographs; physician; smartphones; use cache: squmj-3235.pdf plain text: squmj-3235.txt item: #1189 of 1636 id: squmj-3236 author: None title: squmj-3236 date: 2019-09-08 words: 3846 flesch: 51 summary: ثروت جمال الدين، طارق ها�شم، �شاهان�س �شاثوث، عبد اهلل ال�شويد abstract: Objectives: This study aimed to determine the effects of propolis on immune mediators and tissue histopathology in rats with L-arginine-induced acute pancreatitis (AP). Results Serum proinflammatory cytokines (IL-1β, IL-6 and TNF-α) and anti-inflammatory IL-22 in the three studied groups are shown in Table 1. keywords: acute; anti; arginine; effect; group; il-22; pancreatic; pancreatitis; propolis; rats; study; tissue; tnf cache: squmj-3236.pdf plain text: squmj-3236.txt item: #1190 of 1636 id: squmj-3237 author: None title: squmj-3237 date: 2019-09-08 words: 4506 flesch: 59 summary: Department of Radiology, Royal Hospital, Muscat, Oman *Corresponding Author’s e-mail: alumairi1@yahoo.com معدل انتشار وأنواع الشذوذ اخللقية للشرايني التاجية املكتشفة باستخدام التصوير املقطعي احملوسب لالوعية الدموية جتربة مركز واحد يف سلطنة عمان را�شد �شيف العمري، فايزة الكندي، �شقر الطائي abstract: Objectives: Coronary artery anomalies (CAAs) are uncommon congenital abnormalities with a prev- alence ranging from 0.2–2%. The findings of this study demonstrate that there is no significant difference in the prevalence and spectrum of coronary artery anomalies (CAAs) between this study’s population and the rest of the world. keywords: angiography; anomalies; artery; caas; coronary; course; left; patients; prevalence; rca; right; sinus; study cache: squmj-3237.pdf plain text: squmj-3237.txt item: #1191 of 1636 id: squmj-3238 author: None title: squmj-3238 date: 2019-09-08 words: 5212 flesch: 58 summary: socio- economic status were four times more likely to have positive practice regarding ear infections than parents with low socioeconomic status; this finding was also Table 4: Attitudes towards and care-seeking practices for paediatric ear infections among parents with children ≤10 years old in Riyadh, Saudi Arabia (N = 782) Item n (%) Parents who sought modern approaches to treatment were found to be almost nine times more likely to have a good attitude towards ear infections than those who did not seek treatment (odds ratio = 8.907, 95% confidence interval = 2.655–34.928; P <0.001). keywords: arabia; attitude; care; children; ear; infections; knowledge; media; otitis; parents; practices; saudi; study; years cache: squmj-3238.pdf plain text: squmj-3238.txt item: #1192 of 1636 id: squmj-3239 author: None title: squmj-3239 date: 2019-09-08 words: 4791 flesch: 65 summary: Specifically, patients reported a need to know about the physical and psychological aspects of medication, diet, physical education and wound care as well as potential complications of surgery.2,8 Although one study in Oman found that intensive health education and close patient monitoring was key in managing CHD among Omani patients, no study has examined nurses’ and patients’ perceptions of post-CABG learning needs.9 Therefore, this study aimed to identify patients’ and nurses’ perceptions of post-CABG learning needs. Nurses of all nationalities were included if they were willing to participate and had been caring for post-CABG patients for at least one year. keywords: chest; complications; coronary; information; learning; needs; nurses; patients; perceptions; study cache: squmj-3239.pdf plain text: squmj-3239.txt item: #1193 of 1636 id: squmj-3240 author: None title: squmj-3240 date: 2019-09-08 words: 4849 flesch: 51 summary: Any treatment modifications in psychiatric patients such as switching to agents with no or only a minor effect on prolactin levels (e.g. bupropion, mirtazapine and aripiprazole) or even initiating dopamine agonist therapy should be done cautiously and in consultation with the treating psychiatrist to avoid exacerbating underlying psychiatric conditions.8,21 PCOS is a common disorder in young adults and contributes to 13–16% of all cases of hyperprolac- tinaemia.7 - Knowledge of prolactin levels may predict the aetiology of hyperprolactinaemia and narrow the differential diagnosis. keywords: aetiologies; cause; hyperprolactinaemia; levels; masses; patients; prolactin; seizures; study; transient; الدم; بروالكتني cache: squmj-3240.pdf plain text: squmj-3240.txt item: #1194 of 1636 id: squmj-3241 author: None title: squmj-3241 date: 2019-09-08 words: 4743 flesch: 57 summary: %19( من النوع التحليلي، بالن�شبة حلجم العيوب يف االأ�شئلة املوؤلفة ح�شب ال�شيوع امل�شتنتجة كاالآتي: اإ�شتعمال )ماعدا اأو ال يوجد( يف ال�شوؤال، اإ�شتخدام مفردات خمادعة اأو غري وا�شحة مقارنة الفم اأمرا�س من الوقاية اإختبار يف االأ�شئلة يف العيوب من اأكرب عدد هناك كان عام وب�شكل املقاربة، اإ�شرتاتيجَية واإ�شتخدام باإختبار طب االأطفال العام و لكن الفرق مل يكن كبرياً اإح�شائّيًا .)P = 0.105(حدد م�شتوى � All future MCQ examinations will be subject to rigorous peer review, potentially improving the quality of MCQs by reducing/eliminating IWFs and constr- ucting high cognitive level items with average diffi- culty and high discrimination. keywords: choice; cognitive; examinations; high; item; iwfs; learning; level; mcq; mcqs; quality; questions; students; study; writing cache: squmj-3241.pdf plain text: squmj-3241.txt item: #1195 of 1636 id: squmj-3243 author: None title: squmj-3243 date: 2019-09-08 words: 3334 flesch: 60 summary: Jaturapatporn D, Dellow A. Does family medicine training in Thailand affect patient satisfaction with primary care doctors? يتم توفري الرعاية ال�شحية االأولية يف عمان بوا�شطة اأطباء االأ�رشة املدربني واأطباء العموم. keywords: care; communication; doctor; health; healthcare; oman; patients; phc; physicians; skills; study cache: squmj-3243.pdf plain text: squmj-3243.txt item: #1196 of 1636 id: squmj-3244 author: None title: squmj-3244 date: 2019-09-08 words: 2306 flesch: 49 summary: وبعد انتكا�شة املري�س يف عمر اخلم�س �شنوات، ك�شفت االختبارات اجلزيئية عن تغري Figure 2: Haematoxylin and eosin stains (A) at x20 showing a highly cellular neoplasm (arrow) (B) at x100 magnification showing tumour cells arranged in a spongioblastic pattern and palisading necrosis with apoptotic lakes (arrows) and (C) at x400 magnification showing numerous mitotic figures. keywords: alteration; bcor; cns; grade; hgnet; patient; report; tumour; year cache: squmj-3244.pdf plain text: squmj-3244.txt item: #1197 of 1636 id: squmj-3245 author: None title: squmj-3245 date: 2019-09-08 words: 2856 flesch: 52 summary: The first case was a 71-year-old male patient who presented in 2010 with a dry cough, weight loss and bilateral pulmonary nodules. Chest X-ray showed bilateral pulmonary nodules and further evaluation This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License. keywords: case; chest; granuloma; lung; nodules; patient; phg; pulmonary; report; year cache: squmj-3245.pdf plain text: squmj-3245.txt item: #1198 of 1636 id: squmj-3246 author: None title: squmj-3246 date: 2019-09-08 words: 2424 flesch: 56 summary: Right atrial blood cyst with total occlusion of the right coro- nary artery. Keywords: Cyst; Coronary Sinus; Adult; Operative Surgical Procedure; Case Report; Iran. امللخ�ص: اأكيا�س دم القلب هي اأورام حميدة نادرة وت�شمل عادة ال�شمامات القلبية وهي بقايا من �شبكة �شياري. keywords: blood; case; cyst; cystic; mass; network; patient; pfo; right; sinus; valve cache: squmj-3246.pdf plain text: squmj-3246.txt item: #1199 of 1636 id: squmj-3247 author: None title: squmj-3247 date: 2019-09-08 words: 566 flesch: 56 summary: Air leaks are classified as: grade 1, during forced expiration (cough) only; grade 2, expiratory only; grade 3, inspiratory only; or grade 4, continuous.1 A common cause of persistent air leak is an alveolar-pleural fistula, a communication between the pulmonary parenchyma, distal to a segmental bronchus and the pleural space. Management of persistent air leaks. keywords: air; lung; pneumothorax cache: squmj-3247.pdf plain text: squmj-3247.txt item: #1200 of 1636 id: squmj-3248 author: None title: squmj-3248 date: 2019-09-08 words: 996 flesch: 50 summary: At 8:00 a.m. on post-operative day 1, ACTH level was 2 pg/ml and cortisol 4 µg/dL; on post-operative day 2, at the same time, ACTH level was 7 pg/ml and cortisol 2 µg/dL, indicating complete remission of ACTH- dependent Cushing’s syndrome. Levels of 24-hour urinary free cortisol, mid- night salivary cortisol, morning cortisol levels after 1 mg dexamethasone and random morning adreno- corticotropic hormone (ACTH) were elevated over multiple measurements [Table 1]. keywords: acth; cortisol; cushing; levels; syndrome cache: squmj-3248.pdf plain text: squmj-3248.txt item: #1201 of 1636 id: squmj-3249 author: None title: squmj-3249 date: 2019-09-08 words: 747 flesch: 41 summary: N Engl J Med 2013; 368:1536. https://doi.org/10.1056/NEJMic m1207155. 3. Despite the various treatment modalities described for AV fistula (e.g. ligation of feeders, embolisation and injection of sclerosing agents), an early surgical excision is recommended to alleviate local and systemic complications.3,5 This case highlights that both these conditions may mimic each other especially in small wounds following a trauma. keywords: figure; thumb cache: squmj-3249.pdf plain text: squmj-3249.txt item: #1202 of 1636 id: squmj-3250 author: None title: squmj-3250 date: 2019-09-08 words: 641 flesch: 56 summary: In addition to the author’s other suggestions, I would like to add that electronic language tools can be used to test consent form language level. The author raised the important issue of informed consent and ensuring that patients understand consent. keywords: consent; language; patient cache: squmj-3250.pdf plain text: squmj-3250.txt item: #1203 of 1636 id: squmj-3251 author: None title: squmj-3251 date: 2019-09-08 words: 4565 flesch: 62 summary: This study aimed to measure the prevalence of Internet use and addiction and determine its association with gender, academic performance and health among medical students. A chi-square test was used to determine significant relationships between Internet use and addiction and gender, academic performance and health. keywords: addiction; health; internet; medical; performance; qassim; questionnaire; students; study; test; university; use cache: squmj-3251.pdf plain text: squmj-3251.txt item: #1204 of 1636 id: squmj-3307 author: None title: squmj-3307 date: 2019-11-04 words: 2674 flesch: 37 summary: Professor Richard Maroun from Saint Joseph University in Lebanon, stressed the importance of developing strategic plans to solve this growing issue in the Middle East.10 Suggestions were proposed to purify natural antioxidant molecules from food waste and by-products through innovative technologies in order to reintegrate them as valuable additives in several industrial products. The ISANH has posed various questions such as ‘What are the determinants of oxidative stress related disorders in the Middle East?’, ‘Are preventive and intervention measures handled effectively?’, ‘What are the risks of uncontrolled consumption of synthetic antioxidant supplements?’ and ‘Are natural antioxidant resources appreciated and efficiently utilised?’ keywords: antioxidants; cancer; congress; east; food; health; isanh; middle; oxidative; stress; waste cache: squmj-3307.pdf plain text: squmj-3307.txt item: #1205 of 1636 id: squmj-3308 author: None title: squmj-3308 date: 2019-11-04 words: 1758 flesch: 58 summary: The case of informed consent e182 | SQU Medical Journal, August 2019, Volume 19, Issue 3 Wikan noted in her anthropological study of women in Sohar, a city in northern Oman, that the husband- wife relationship within a family is mostly complementary.7 This leads to acceptance of role variation in the community. Al Balushi reiterated that Omani female patients face pressure from their families, particularly male members, when making high-stake decisions and echoed the need to empower females to overcome this dependency on males.1 Any practicing clinician in Oman will observe that paternalism in IC is not unique to females, as males are also denied, albeit to a lesser extent, their right for IC. keywords: consent; females; issue; oman cache: squmj-3308.pdf plain text: squmj-3308.txt item: #1206 of 1636 id: squmj-3309 author: None title: squmj-3309 date: 2019-11-04 words: 6118 flesch: 53 summary: In 1754, Sulzer first described the ‘ferro-sulphate’- like metallic taste which occurs when two dissimilar metals come into contact with the tongue.34 In 1955, Skouby invented the first electrogustometer based on taste thresholds determined by placing chemical solutions on the tongue.35 Subsequently, the measure- ment of taste using an electric stimulus was reported by Krarup in 1958.34 Over time, electrogustometers have evolved in terms of their design, electrode composition and size.33,35 Electrogustometry is now a viable clinical tool to estimate taste function, though this method is yet to be commonly used. Advantages and disadvantages Electrogustometry is a quick and quantitative tool to assess taste threshold, particularly among patients with taste disorders such as hemiageusia and ageusia.32,36 keywords: buds; cells; chemical; chorda; count; electrogustometry; fungiform; human; methods; nerve; oral; papillae; patients; perception; review; sensation; taste; thresholds; tongue; tympani cache: squmj-3309.pdf plain text: squmj-3309.txt item: #1207 of 1636 id: squmj-3310 author: None title: squmj-3310 date: 2019-11-04 words: 6970 flesch: 57 summary: Saini RA, Sharma D, Shah N. Shoe lace technique, a simple and less expensive method for fasciotomy wound closure following compartment syndrome. وعادة ما تعالج �جلروح �لَعُيو�س وغري �مل�صابة بالعدوى بطرق �ملقاربة �لتدريجية، مثل طريقة رباط �حلذ�ء �لب�صيطة �أو �ملعدلة، �أو طريقة �خلياطة د�خل �جللد �ملعمولة ب�صكل م�صبق، �أو با�صتخد�م �لعديد من �الأدو�ت �مليكانيكية �ملتوفرة جتاريا. keywords: closure; compartment; device; fasciotomy; grafting; patients; shoelace; skin; stsg; surg; suture; syndrome; technique; therapy; tissue; treatment; usa; vac; wound; wound closure cache: squmj-3310.pdf plain text: squmj-3310.txt item: #1208 of 1636 id: squmj-3312 author: None title: squmj-3312 date: 2019-11-05 words: 5828 flesch: 57 summary: اخلال�صة: ت�صري نتائج هذه �لدر��صة �إىل �أن غالبية �ملر�صى �مل�صابني ب�رصطان �لثدي �لثالثي �ل�صلبي يف عمان يتم ت�صيخ�صهم يف مرحلة متقدمة؛ عالوة على ذلك، فاإن هوؤالء �لن�صاء لديهم معدالت منخف�صةلالإ�صتجابة �ملجهرية �لكاملة للعالج �لكيميائي و ن�صب منخف�صة للبقاء على قيد �حلياة ملدة خم�س �صنو�ت. مت ح�رص جميع �ملر�صى �لذين مت ت�صخي�صهم من �رصطان �لثدي �لثالثي �ل�صلبي غري �ملنت�رص بني دي�صمرب 2000 ودي�صمرب 2015. keywords: breast; breast cancer; cancer; clinical; disease; lymph; median; node; oman; patients; size; stage; study; survival; tnbc; tumour; women cache: squmj-3312.pdf plain text: squmj-3312.txt item: #1209 of 1636 id: squmj-3313 author: None title: squmj-3313 date: 2019-11-04 words: 5753 flesch: 62 summary: ركز �جلزء �لبيانات من طالب �ل�صف ذ�تيا جلمع ثالثة �أجز�ء يتم تعبئته من للم�صتجيبني، يف حني تناول �جلزء �لثاين مدى �لوعي بالربنامج �لوطني للفح�س ما قبل �لزو�ج و�جلزء �لثالث ��صتك�صف موقفهم اجتاه �لربنامج �لوطني للفح�س ما قبل �لزو�ج. ُتعد زيادة �لوعي بربنامج ُعمان للفح�س ما قبل �لزو�ج �أمًر� مهًما وقد ي�صاهم حتفيز �لطالب بازدياد ملمو�س يف ��صتخد�م برنامج �لفح�س ما قبل �لزو�ج و�حلد من ��صطر�بات �لدم �لور�ثية. keywords: blood; disorders; health; marriage; oman; pms; premarital; programme; results; school; screening; students cache: squmj-3313.pdf plain text: squmj-3313.txt item: #1210 of 1636 id: squmj-3315 author: None title: squmj-3315 date: 2019-11-04 words: 4698 flesch: 52 summary: Keywords: Third Molar; Tooth Extraction; Complications; Lingual Nerve; Inferior Alveolar Nerve; Oman. امللخ�ص: الهدف: هدفت هذه �لدر��صة �ال�صتعادية �إىل �لتحقيق يف �مل�صاعفات �ملرتبطة بقلع �لرحى �لثالثة يف مركز رعاية �صحية ثالثي يف �لعام �لتخدير حتت �أكرث �أو و�حدة منح�رصة ثالثة رحى لقلع خ�صعو� �لذين �ملتتالني �ملر�صى جميع ت�صمني مت ُعمان. ت�صاعد هذه �لنتائج يف توجيه تخطيط �لعالج و�ملو�فقة �مل�صتنرية وتثقيف �ملري�س. الكلمات املفتاحية: �لرحى �لثالثة؛ قلع �ل�صن؛ م�صاعفات؛ �لع�صب �لل�صاين؛ �لع�صب �ل�صنخي �ل�صفلي؛ ُعمان. keywords: cases; complications; damage; extraction; ian; injury; molars; nerve; oral; patients; removal; study cache: squmj-3315.pdf plain text: squmj-3315.txt item: #1211 of 1636 id: squmj-3316 author: None title: squmj-3316 date: 2019-11-04 words: 4768 flesch: 56 summary: الطريقة: �أجريت هذه �لدر��صة �ال�صتعادية بني يناير 2006 و�أكتوبر 2016 و�صملت 247 من مر�صى �رصطان �لدم �لنخاعي �ملزمن و�لذين عوجلو� يف مركز �لب�رصة لالأور�م و�أمر��س �لدم، تق�صيم ومت �مل�صرتك لالعتالل ت�صارل�صون معيار نقاط جمموع وب�صكل عام كان عمر مر�صى �ملجموعة �الأوىل �أ�صغر بكثري مقارنة مبر�صى �ملجموعة �لثانية )متو�صط �لعمر: 35 مقابل 60 �صنة على ،1:1.18 مقابل 1:1.06 من �الإناث �إىل �لذكور ) keywords: age; basra; cci; chronic; cml; comorbidities; comorbidity; iraq; leukaemia; myeloid; patients; scores; study; survival cache: squmj-3316.pdf plain text: squmj-3316.txt item: #1212 of 1636 id: squmj-3317 author: None title: squmj-3317 date: 2019-11-04 words: 3794 flesch: 56 summary: غري �أن �الفتقار �إىل �لتمويل و�لتدريب و�ل�صيا�صات �لتي حتث �أع�صاء هيئة �لتدري�س قد يعوق �إقامة ثقافة بحثية وي�صاهم يف �لتقدم �لبطيء الأبحاث �ل�صحة �لنف�صية يف باك�صتان. امللخ�ص: الهدف: �ل�صحة �لنف�صية هي جمال �أقل �صرب� يف �الأبحاث �لطبية حيث تفتقر كل من �لبلد�ن �لنامية و�ملتقدمة �إىل �ملو�رد �لب�رصية وحتديد فهم يف �لتقدم تقدير يف �لطبيني �ملهنيني ت�صاعد �ن ميكنها �لنف�صية �ل�صحة �أبحاث مر�جعة �لغر�س. keywords: articles; college; countries; figure; funding; health; healthcare; journal; medical; mental; pakistan; research; study cache: squmj-3317.pdf plain text: squmj-3317.txt item: #1213 of 1636 id: squmj-3318 author: None title: squmj-3318 date: 2019-11-04 words: 3004 flesch: 55 summary: Keywords: Fingers; Traumatic Amputation; Crush Injuries; Replantation; Case Report; Oman. امللخ�ص: برت �الأ�صابع �ملتعددة بكلتا �ليدين هو �إ�صابة نادرة وخطرية. Although, some Asian studies have reported excellent results following replantation for zone 1 amputations, the technical and decision-making aspects of finger replantation are still being discussed.8–12 Bilateral multi-finger amputations are fortunately rare and only a few cases have been reported.13–15 Ischaemia time is a major concern when dealing with cases of multi-finger amputation.16 There should be good communication between the referring team and the receiving team with an emphasis on appropriate preservation of amputated parts, resuscitation of the patient and immediate transfer, which at times may require transport by air. keywords: amputations; case; digit; fingers; hand; patient; replantation; report; surg; time cache: squmj-3318.pdf plain text: squmj-3318.txt item: #1214 of 1636 id: squmj-3319 author: None title: squmj-3319 date: 2019-11-04 words: 2961 flesch: 52 summary: Keywords: Carcinoid Tumor; Orbital Neoplasm; Metastasis; Exophthalmos; Scintigraphy; Case Report; Qatar. امللخ�ص: بالرغم من ندرة �الأور�م �لثانوية �لتي تنتج من �الأور�م �ل�رصطانية )كار�صينويد( �لتي ت�صيب �الأمعاء �لو�صطى �إال �ن هذه �الأور�م قد تتو�جد فى �لعديد من �ع�صاء �جل�صم، وب�صورة رئي�صية فى �لرئتني و �لكبد لكنها �قل �صيوعا فى حمجر �لعني. تطورت حالة �ملري�س بعد �لعملية باأ�صبوع و ��صبح يعانى من زيادة حادة keywords: bowel; carcinoid; lesions; metastasis; patient; treatment; tumour; year cache: squmj-3319.pdf plain text: squmj-3319.txt item: #1215 of 1636 id: squmj-3320 author: None title: squmj-3320 date: 2019-11-04 words: 2955 flesch: 49 summary: ينبغي �عتبار هذ� �لت�صوه �صمن �لت�صخي�س �لتفريقي الآفات �لكتلة �لكي�صية يف و�صط �لر�أ�س و�لعنق. كان �ثنان من �ملر�صى من �لذكور وو�حدة من �الإناث وترت�وح �أعمارهم بني 29 يوما �إىل ثماين �صنو�ت. keywords: case; cystic; cysts; developmental; diagnosis; duplication; epithelium; fcdm; foregut; neck; swelling cache: squmj-3320.pdf plain text: squmj-3320.txt item: #1216 of 1636 id: squmj-3321 author: None title: squmj-3321 date: 2019-11-04 words: 889 flesch: 38 summary: With the differential diagnosis of giant vascular malformation, infantile haemangioma and tufted angioma involving proximal part of all fingers, palmer and dorsal surface of the hand, further interventions were planned. Recently, the common antifungal agent itraco- nazole has been found to be useful in the treatment of infantile haemangioma by inhibiting proliferation and promoting apoptosis of infantile primary haeman- gioma endothelial cells.6 In addition to pharmacological treatment, laser therapy and surgical interventions are alternative treatment options. keywords: haemangioma; hand; infantile; swelling; vascular cache: squmj-3321.pdf plain text: squmj-3321.txt item: #1217 of 1636 id: squmj-3322 author: None title: squmj-3322 date: 2019-11-04 words: 1210 flesch: 41 summary: The utility of ultrasound in the diagnosis of muscle hernias in the Dermatology Clinic. 5. Çarli AB, Turgut H, Bozkurt Y. Choosing the right imaging method in muscle hernias: Musculoskeletal ultrasonography. keywords: fascia; muscle; patient cache: squmj-3322.pdf plain text: squmj-3322.txt item: #1218 of 1636 id: squmj-3324 author: None title: squmj-3324 date: 2019-11-04 words: 1207 flesch: 31 summary: Risk factors and microbial profile of central venous catheter related blood stream infection in medical cardiac care units, National Heart Institute, Egypt. العدوى ذات الصلة بالقسطرة الوريدية يف املرضى ذوي احلاالت احلرجة Central Venous Catheter-Related Infection in Critically Ill Patients Dear Editor, We read with great interest recent studies about infections related to central venous catheter (CVC) and associated risk factors in critically ill postoperative patients evaluated in Iran, Oman and Egypt.1–4 Beigmohammadi evaluated 66 Iranian patients who were in the intensive care unit (ICU) following cancer surgery.1 keywords: catheter; cvcs; infections; patients; venous cache: squmj-3324.pdf plain text: squmj-3324.txt item: #1219 of 1636 id: squmj-3325 author: None title: squmj-3325 date: 2019-11-04 words: 5675 flesch: 58 summary: ل�صحية للموؤ�ص�صة� لدى �الأطباء و�ملمر�صني من غري �لعمانيني عنه لدى �لعمانيني، فيما كان م�صتوى �اللتز�م بحقوق �ملر�صى لديهم �أكرب بــ 2.769 مرة، مقارنة بالكادر �ل�صحي �لعماين ) Nurses awareness of patients rights in a teaching hospital. keywords: adherence; awareness; healthcare; importance; institutions; level; med; nurses; oman; patients; physicians; practice; primary; rights; staff; study cache: squmj-3325.pdf plain text: squmj-3325.txt item: #1220 of 1636 id: squmj-3326 author: None title: squmj-3326 date: 2019-11-04 words: 3731 flesch: 58 summary: اخلال�صة: كان �لتاأثري �لنف�صي و�الجتماعي لفرتة �النتظار حتى وقت �خل�صوع لفح�س ت�صوير �لثدي �صئياًل يف �لعينة �حلالية. �جلزء �الأول من �ال�صتبيان ت�صمن �لبيانات �ل�رصيرية و�لدميغر�فية. keywords: breast; cancer; impact; mammography; oman; participants; screening; social; study; women; years cache: squmj-3326.pdf plain text: squmj-3326.txt item: #1221 of 1636 id: squmj-3380 author: None title: squmj-3380 date: 2019-12-22 words: 1149 flesch: 43 summary: ملن ال يقرع هلم اجلرس القصة امللحمية غري املرئية ملقدمي رعاية مرضى السرطان ريتو لكتاكيا و اإكرام بريين For Whom the Bell Does Not Toll The invisible saga of cancer caregivers Ritu Lakhtakia1 and *Ikram Burney2,3 editorial Sultan Qaboos University Med J, November 2019, Vol. 19, Iss. 4, pp. e275–276, Epub. https://creativecommons.org/licenses/by-nd/4.0/ For Whom the Bell Does Not Toll The invisible saga of cancer caregivers e276 | SQU Medical Journal, November 2019, Volume 19, Issue 4 life and instil pride and a sense of purpose. keywords: cancer; care; caregivers; caregiving; patient cache: squmj-3380.pdf plain text: squmj-3380.txt item: #1222 of 1636 id: squmj-3381 author: None title: squmj-3381 date: 2019-12-22 words: 6684 flesch: 62 summary: Corresponding Author’s e-mail: a.shalaby@squ.edu.om The role of the immune system in cancer has been studied extensively; immunity in the cancer microenvironment has a role in different phases of cancer development.1 Cancer cells usually express abnormal antigens which trigger the immune response to be activated against these cancerous cells.2 Tumour-infiltrating lymphocytes (TIL), including cyto- toxic T-cells, are usually involved in tumour antigen recognition and anti-tumour immunity to destroy cancer cells during immune-surveillance.1,3 Normally, the initiation of the immune response by T-cells is mediated through T-cell receptor (TCR) recognition of the antigen and regulated by inhibitory and stimul- atory molecules expressed in these T-cells. يف مرضى السرطان الذين تلقوا املعاجلة الكيميائية املسبقة مليكة الدغي�صية، عا�صم �صلبي، خولة الربخية، عمار بودقه، حممد را�صد بولع�صل، جمانة �صالح abstract: Programmed death ligand 1 (PD-L1) is an inhibitory molecule expressed by cancer cells to supress T-cell activity and escape anti-tumour immunity. keywords: breast; cancer; cell; chemotherapy; death; expression; immune; l1 expression; ligand; nac; patients; response cache: squmj-3381.pdf plain text: squmj-3381.txt item: #1223 of 1636 id: squmj-3382 author: None title: squmj-3382 date: 2019-12-22 words: 5483 flesch: 51 summary: Cost- effectiveness of pre- pregnancy bariatric surgery [9C]. Costa MM, Belo S, Souteiro P, Neves JS, Magalhães D, Silva RB, et al. Pregnancy after bariatric surgery: Maternal and fetal outcomes of 39 pregnancies and a literature review. keywords: birth; complications; deficiency; et al; gastric; gdm; maternal; obesity; obstet; outcomes; pregnancies; pregnancy; review; sga; studies; surgery; women cache: squmj-3382.pdf plain text: squmj-3382.txt item: #1224 of 1636 id: squmj-3383 author: None title: squmj-3383 date: 2019-12-22 words: 11634 flesch: 48 summary: Furthermore, DG patients usually have poor quality of life and poor glycaemic control; in addition, the disease imposes a significant financial burden on healthcare systems.6 The prevalence of DG varies in the literature; in general, the risk of gastroparesis is higher in patients with type 1 diabetes mellitus (T1DM) compared to type 2 diabetes mellitus (T2DM). Therefore, it is necessary to determine the most appropriate therapeutic options bearing in mind the prevention of potential gastrointestinal complications in DG patients including gastroesophageal reflux disease, bacterial and fungal infections of the gastrointestinal tract and intestinal dysmotility. keywords: agonist; day; diabetes; domperidone; efficacy; emptying; et al; gastric; gastroparesis; ghrelin; groups; metoclopramide; nausea; patients; placebo; receptor; relamorelin; review; score; study; symptoms; treatment; trials; usa; vomiting; weeks cache: squmj-3383.pdf plain text: squmj-3383.txt item: #1225 of 1636 id: squmj-3384 author: None title: squmj-3384 date: 2019-12-22 words: 3781 flesch: 57 summary: مت جمعا لبيانات من ثالثة مراكز رئي�صية لت�صخي�ض اإ�صطراب طيف التوحد يف عمان، و هم م�صت�صفى جامعة ال�صلطان قابو�ض، امل�صت�صفى ال�صلطاين و م�صت�صفى امل�رسة. The increase in ASD prevalence world- wide has raised concern among national governments and international agencies to take action in terms of advocacy and policy, research and service keywords: age; asd; autism; cases; children; disorders; muscat; oman; population; prevalence; spectrum; study; years cache: squmj-3384.pdf plain text: squmj-3384.txt item: #1226 of 1636 id: squmj-3385 author: None title: squmj-3385 date: 2019-12-22 words: 4943 flesch: 62 summary: مت ح�صاب متو�صط الفرق يف معايري قيا�ض التنف�ض عند املر�صى يف و�صعيتي اجللو�ض وال�صتلقاء. هدفت هذه الدرا�صة اإىل مقارنة معايري قيا�ض التنف�ض عند مر�صى هذه املتالزمة الذين يعانون من ال�صمنة املفرطة مبر�صى املتالزمة الذين ل يعانون من ال�صمنة املفرطة وذلك اثناء انتقال املري�ض من اجللو�ض اإىل ال�صتلقاء. keywords: fev1; fvc; obese; osas; patients; position; sitting; sleep; spirometry; supine; volume cache: squmj-3385.pdf plain text: squmj-3385.txt item: #1227 of 1636 id: squmj-3386 author: None title: squmj-3386 date: 2019-12-22 words: 5768 flesch: 47 summary: This can be attributed to the reflex tachycardia produced due to peripheral vasodilation.2 Manjusha et al. compared intraoral NTG spray versus IV ligno- caine to attenuate the haemodynamic response due to laryngoscopy and endotracheal intubation.19 Their findings support those of the current study, with similar results observed among the three groups at one, three and five minutes post-induction.19 In the present study, SBP was significantly reduced in both the lignocaine and NTG groups compared to the control group at 1–4 minutes post-induction. Fassoulaki and Kaniaris observed that SBP did not increase significantly with intranasal NTG spray administration during the initial minutes post-intubation and significantly decreased at minutes three and five; in contrast, the control group showed a significant increase in SBP at all recorded time intervals.10 Both DBP and MAP were significantly reduced at 1–3 minutes in the present study in both the lignocaine and NTG groups compared to the control group. keywords: control; control group; endotracheal; group; haemodynamic; induction; intubation; laryngoscopy; lignocaine; minutes; ntg; ntg group; patients; pressure; response; spray; study cache: squmj-3386.pdf plain text: squmj-3386.txt item: #1228 of 1636 id: squmj-3387 author: None title: squmj-3387 date: 2019-12-22 words: 8054 flesch: 50 summary: Variants within the BRCA1 gene are associated with an 80–90% lifetime risk of breast cancer.2 Patients with pathogenic variants in the BRCA1 gene frequently have a positive family history of breast and ovarian cancer and are often diagnosed at a young age. There is an elevated risk for prostate cancer in BRCA2 gene carriers and an increased risk of pancreatic, head and neck, stomach and other cancers in patients with a mutation in either of these genes.5 Germline pathogenic variants in both the BRCA1 and BRCA2 genes are expressed in an autosomal dominant manner.6 Most BRCA1 or BRCA2 gene variants are point mutations or small insertions or deletions.7 In 2–12% of high-risk families, there may be a large genomic rearrangement.5 Therefore, it is important to identify patients with disease-causing variants within the BRCA1 or BRCA2 genes as this may enable early treatment options such as surgery, including bilateral prophylactic mastectomy or bilateral prophylactic oophorectomy. keywords: brca; breast; cancer; class; classification; clinvar; databases; evidence; exac; frameshift; gene; genomes; guidelines; pathogenic; pm2; population; pp5; pp5 pvs1; pvs1; source; stars; variants cache: squmj-3387.pdf plain text: squmj-3387.txt item: #1229 of 1636 id: squmj-3388 author: None title: squmj-3388 date: 2019-12-22 words: 8137 flesch: 66 summary: (59) 24 (66.7) 23 (65.7) 13 (59.1) 110 (62.5) Mean age ± SD in years 19.98 ± 2.0 21.22 ± 2.1 22.20 ± 2.5 22.85 ± 2.28 23.18 ± 1.05 21.70 ± 2.37 Mean global DREEM score ± SD (% of maximum score) 135.41 ± 22.13 (67.7) 123.33 ± 22.58 (61.7) 130.3 ± 21.61 (65.2) 126.11 ± 20.96 (63.1) 135.27 ± 14.49 (67.6) 129.79 ± 21.43 (64.9) Syed I. Shehnaz Clinical and Basic Research | e339 Discussion The role of curriculum is important to the EE because curriculum changes are essentially changes in the EE.1 GMU’s curricular reform emphasises a student-centred approach that had an encouraging influence on the studied EE as reflected in the significantly higher scores of second year students in the integrated curriculum.12 keywords: curriculum; dreem; environment; learning; mean; medical; n =; perceptions; scores; students; study; subscale; teachers; year cache: squmj-3388.pdf plain text: squmj-3388.txt item: #1230 of 1636 id: squmj-3389 author: None title: squmj-3389 date: 2019-12-22 words: 5261 flesch: 55 summary: The research questions for the study were: (1) what is the prevalence of iron deficiency in children with cyanotic congenital heart disease; and (2) what is the prevalence of iron deficiency anaemia in children with cyanotic congenital heart disease. The null hypotheses were: (1) there is no statistically significant difference between the prevalence of iron deficiency in children with cyanotic congenital heart disease and those of the appropriate age- and gender-matched controls; and (2) there is no statistically significant difference between the prevalence of iron deficiency anaemia in children with cyanotic congenital heart disease and those of the appropriate age- and gender-matched controls. keywords: cchd; children; control; deficiency; disease; group; heart; iron; iron deficiency; lagos; nigeria; serum; study cache: squmj-3389.pdf plain text: squmj-3389.txt item: #1231 of 1636 id: squmj-3390 author: None title: squmj-3390 date: 2019-12-22 words: 5074 flesch: 52 summary: Transition of Care in Paediatric Surgery Current practices and perspectives of paediatric surgeons in Malaysia e356 | SQU Medical Journal, November 2019, Volume 19, Issue 4 even in more developed countries, many young adults are often still admitted to paediatric care, most likely due to disease complexity, failure of transition planning and the lack of appropriate services within the adult healthcare sector.23 These observations show that the implementation of TOC procedures can be challenging worldwide and require careful planning and consideration. This study aimed to explore current practices and perspectives regarding TOC among paediatric surgeons in Malaysia. keywords: adolescent; adult; care; conditions; healthcare; malaysia; paediatric; patients; perspectives; practices; study; surgeons; surgery; toc; transition; years cache: squmj-3390.pdf plain text: squmj-3390.txt item: #1232 of 1636 id: squmj-3391 author: None title: squmj-3391 date: 2019-12-22 words: 3456 flesch: 55 summary: اأظهرت نتائج فحو�صات الدم اأن كال من املر�صيتني تعاين من احلما�ض الأي�صي مرتفع الفارق اليوين، احلما�ض الكيتوين ونق�ض ال�صكر يف الدم. ت�صتكي من ال�صداع، وال�صعور بالإعياء ال�صديد، والأمل يف املعدة، وتفاقم اأعرا�ض البلعوم املعدي. keywords: anion; breastfeeding; case; dextrose; diet; gap; ketoacidosis; lactation; metabolic; mmol; patient; woman cache: squmj-3391.pdf plain text: squmj-3391.txt item: #1233 of 1636 id: squmj-3392 author: None title: squmj-3392 date: 2019-12-22 words: 3229 flesch: 45 summary: In this paper, we report three uncommon cases of maxillary artery pseudoaneurysm recognised during the surgical management of maxillofacial injuries in Muscat, Oman. Figure 2: Digital subtraction angiography images of the lateral view of the left external carotid artery of a 24-year-old male patient showing (A) an artefact area (asterisk) representing a gauze pack used for packing the bleeding site and just posterior to it an area of dilatation representing maxillary artery pseudoaneurysm (MAP; white arrow). keywords: artery; carotid; case; hospital; map; maxillary; oman; patient; pseudoaneurysm; report; surgery; vascular cache: squmj-3392.pdf plain text: squmj-3392.txt item: #1234 of 1636 id: squmj-3393 author: None title: squmj-3393 date: 2019-12-22 words: 1829 flesch: 55 summary: ومت ا�صتبعاد الإ�صابة بفريو�ض بارو ب19 ك�صبب لهذا املر�ض عن طريق ال�صريولوجي ال�صالبة. Departments of 1Pharmacy, 2Dermatology and 3Pathology, Complejo Hospitalario de Granada, Granada, Spain *Corresponding Author’s e-mail: b.cancela.diez@gmail.com حالة َطَفِحيَّة َمَذِحّية ثـَنـَْيِويّة سببها دواء اموكسيسيللني باربرا كان�صيال-دياز، ديفيد اوبز-ديلقادو، هوزي انريو�ض-فريناندز، ريكاردو رويز-فيالفريدي abstract: We report a 50-year-old male patient who presented to the Dermatological Outpatient Clinic at the Hospital Universitario San Cecilio, Granada, Spain, in 2017 with symmetrical inguinal eruption and eruption on the dorsum of both feet four hours after the intake of amoxicillin. keywords: amoxicillin; contact; dermatitis; drug; exanthema; flexural; patient; sdrife cache: squmj-3393.pdf plain text: squmj-3393.txt item: #1235 of 1636 id: squmj-3394 author: None title: squmj-3394 date: 2019-12-22 words: 1091 flesch: 38 summary: Khonkarn et al. attempted to develop a quercetin-incorporated microemulsion-based gel formulation for topical delivery against keloids and concluded that the developed gel may be a promising vehicle for topical drug delivery.6 Doersch and Newell-Rogers found that quercetin diminishes fibrosis at wound sites in quercetin-treated mice by altering cell interactions with the extracellular matrix (ECM) through increasing αV- and decreasing β1-integrin expression levels.1 Onion extract and quercetin induce matrix metalloproteinase-1 in vitro and in vivo. keywords: extract; gel; keloids; onion; quercetin; treatment cache: squmj-3394.pdf plain text: squmj-3394.txt item: #1236 of 1636 id: squmj-3395 author: None title: squmj-3395 date: 2019-12-22 words: 11645 flesch: 44 summary: Patients with preoperative serum albumin of ≤3.5 had 7.8 times higher odds of postoperative complications than patients who had a serum albumin of >3.5. First lines of evidence have shown that metformin inhibits cancer cell growth and prevents cancer occurrence in patients with type 2 diabetes. keywords: author; bladder; cancer; cases; complications; group; hospital; kidney; mail; medical; methods; objectives; patients; renal; results; stones; study; surgery; surgical; total; treatment; tumour; university cache: squmj-3395.pdf plain text: squmj-3395.txt item: #1237 of 1636 id: squmj-3500 author: None title: squmj-3500 date: 2020-03-08 words: 2160 flesch: 54 summary: The surge in polio cases in 2019 has threatened the goal of its global eradication. Progress toward polio eradication—Worldwide, January 2017–March 2019. keywords: cases; dec; eradication; health; polio; type; wpv cache: squmj-3500.pdf plain text: squmj-3500.txt item: #1238 of 1636 id: squmj-3501 author: None title: squmj-3501 date: 2020-03-08 words: 6434 flesch: 47 summary: These two products strengthen the immune system and—through their lytic activities—protect the newborn from various viruses, bacteria and some protozoa, specifically those of the Giardia family.52 Nucleotides are also present in human breast milk and enhance immune function in infants.53 Finally, apart from vitamin D, breast milk contains sufficient quantities of all vitamins essential for normal growth in children.54 enhanced thymus size and function During both the fetal and neonatal periods, the primary function of the thymus is to assist in the development and maturation of T-lymphocytes or T-cells.77 This specific type of white blood cell protects the body from microbial infections and other risks by either controlling immune reactions or directly attacking infected or cancerous cells.77,78 við Streym S, Højskov CS, Møller UK, Heickendorff L, Vestergaard P, Mosekilde L, Rejnmark L. Vitamin D content in human breast milk: A 9-mo follow-up study. keywords: association; autoimmune; bacteria; bioactive; breast; breast milk; breastfeeding; cell; development; diabetes; et al; factors; function; growth; gut; infant; insulin; mellitus; microbiota; milk; molecules; risk; study; thymus; type; vitamin cache: squmj-3501.pdf plain text: squmj-3501.txt item: #1239 of 1636 id: squmj-3502 author: None title: squmj-3502 date: 2020-03-08 words: 9240 flesch: 55 summary: In order to be eligible for inclusion, the RCTs had to involve the administration of at least one of three therapeutic interventions (prebiotics, probiotics and/ or synbiotics) to a specific cohort of IBS patients and compare outcomes with another group receiving a placebo. Furthermore, the link between GI microbial disruption and IBS is corroborated by the fact that 10–53% of patients are diagnosed with IBS following a GI infection.20 Such findings have opened a new avenue of treatment to control IBS symptoms, namely the manipulation of gut microbiota. keywords: analysis; bowel; bowel syndrome; effects; gastroenterol; ibs; iii; irritable; meta; pain; patients; placebo; probiotic; rcts; review; smd; symptoms; synbiotics; syndrome; trial cache: squmj-3502.pdf plain text: squmj-3502.txt item: #1240 of 1636 id: squmj-3503 author: None title: squmj-3503 date: 2020-03-08 words: 3006 flesch: 48 summary: Psychiatrists can use social media profiles of their patients to gain additional collateral history as some patients cannot provide a reliable history.18 Neurol- ogists or intensive care unit professionals can also use social media to find the profiles of trauma or comatose patients. Oct 19 Accepted 3 Dec 19 Muscat Directorate of General Health Services, Ministry of Health, Muscat, Oman E-mail: amel.albulushi@gmail.com The use of social media has significantlyreduced personal privacy of individuals.1 Health- care professionals are no exception as they often use social media as a marketing tool for their services, a way to provide health education, for research or as a socialisation keywords: accounts; healthcare; media; medical; online; patient; privacy; professionals; public; social; use cache: squmj-3503.pdf plain text: squmj-3503.txt item: #1241 of 1636 id: squmj-3504 author: None title: squmj-3504 date: 2020-03-08 words: 5727 flesch: 67 summary: ن�صبة ال�صتجابة %92(. وكانت الواجبات الروتينية، مثل ت�صميد اجلروح، As per the joint united nations (un) Programme on HIV/AIDS (UNAIDS), HIV stigma is the “process of devaluation” of people living with HIV, compounded by negative assoc- iations attached to the two primary methods of HIV transmission (i.e. sexual intercourse and intravenous drug use).1 Subsequently, stigma may result in active discrimination, defined as “the unfair and unjust treat- ment of an individual based on his or her real or perceived HIV status”.1 Overall, negative judgements and actions towards people living with HIV tend to stem from pre-existing beliefs regarding gender, sexuality, race and class within a broader social context.2 Elements of stigma and discrimination can seriously undermine quality of life (QOL) and can create barriers to accessing and adhering to essential HIV services, both for people living with HIV and high-risk populations.3–5 Many deficiencies in HIV prevention, testing and treat- ment services are due to the stigma associated with the disease shown by healthcare workers themselves.6 keywords: aids; answer; attitude; discrimination; healthcare; hiv; knowledge; mean; oman; people; practice; stigma; study; workers cache: squmj-3504.pdf plain text: squmj-3504.txt item: #1242 of 1636 id: squmj-3505 author: None title: squmj-3505 date: 2020-03-08 words: 6130 flesch: 54 summary: وا�صع وب�صكل قائم على الأدلة. وا�صع. keywords: child; children; cmp; data; dimension; health; maltreatment; oman; participants; prevention; programmes; readiness; resources; scores; study cache: squmj-3505.pdf plain text: squmj-3505.txt item: #1243 of 1636 id: squmj-3506 author: None title: squmj-3506 date: 2020-03-08 words: 6969 flesch: 62 summary: UI was reported by 369 (34.5%) women, of whom 182 (49.3%) had stress UI, 97 (26.3%) had urgency UI, 88 (23.8%) had mixed UI and two (0.5%) had other UI. A classification of other UI is used for those who answer ‘yes’ to the following statements: urine leaks occur (1) during sleep, (2) when finished urinating and dressed, (3) for no obvious reason or (4) all the time. keywords: age; birth; delivery; factors; health; impact; incontinence; life; prevalence; qol; risk; studies; study; urinary; women cache: squmj-3506.pdf plain text: squmj-3506.txt item: #1244 of 1636 id: squmj-3507 author: None title: squmj-3507 date: 2020-03-08 words: 6189 flesch: 63 summary: This study aimed to examine the proportion of needle stick and sharp injuries (NSSIs) among healthcare workers at King Hussein Medical Center (KHMC), Amman, Jordan. The current study highlights work-related factors associated with needle stick and sharp injuries (NSSIs) in settings where a surveillance system does not exist. keywords: hand; health; healthcare; hospital; injuries; injury; jordan; medical; needle; nssis; nurses; proportion; sharp; stick; study; workers cache: squmj-3507.pdf plain text: squmj-3507.txt item: #1245 of 1636 id: squmj-3508 author: None title: squmj-3508 date: 2020-03-08 words: 5908 flesch: 54 summary: The exposure health risks of aluminium, arsenic and mercury from consumption of infant formulas were based on estimated daily intake (EDI) and comp- ared with the JECFA PTDI.17,18 Where EDI is the estimated daily intake of aluminium, arsenic and mercury (mg/kg/day), C is the mean concentration of aluminium, arsenic or mercury in infant formula samples (mg/kg), IR is the intake of infant formula (kg/BW/day) and BW is the infant’s body weight. These levels are within the PTWI of aluminium established by the JECFA.8 However, this aluminium content of infant formulas is higher than the aluminium content of breast milk, which is usually approximately 15–30 μg/L.26 This may be of concern in infants with impaired renal function and premature infants who should be on infant formula with an aluminium level of less than 100 ng/g.27 Fat concentrates, lactose and mineral mixtures have been reported as contributing to the total aluminium content in infant formulas and could be reduced by over 70% by replacing these components with low-aluminium equivalents.27 More than 90% of the infant formulas in this study were packaged in some form of aluminium. keywords: aluminium; arsenic; cereal; food; formulas; health; infant; infant formulas; intake; mercury; milk; nigeria; ptdi; study cache: squmj-3508.pdf plain text: squmj-3508.txt item: #1246 of 1636 id: squmj-3509 author: None title: squmj-3509 date: 2020-03-08 words: 4281 flesch: 57 summary: The findings of this study may improve understanding of factors which influence the use of herbal medicines during pregnancy, particularly those related to local cultural beliefs, such as the belief in the safety and efficacy of herbal medicine. 1Department of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana, Kazakhstan; 2Department of Clinical Pharmacy, University of Hail, Hail, Saudi Arabia; 3Department of Pharmaceutical Chemistry, College of Pharmacy, Jerash University, Jordan *Corresponding Author’s e-mail: m.aljofan@gmail.com This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License. معدل االنتشار والعوامل املؤثرة يف استخدام األدوية العشبية أثناء احلمل يف حائل باململكة العربية السعودية دراسة مستعرضة حممد اجلوفان و �صهيب اخلماي�صة abstract: Objectives: The increasing prevalence of herbal medicine use is a global public health concern. keywords: arabia; hail; health; herbal; knowledge; medicine; medicine use; pregnancy; prevalence; saudi; study; use; women; years cache: squmj-3509.pdf plain text: squmj-3509.txt item: #1247 of 1636 id: squmj-3510 author: None title: squmj-3510 date: 2020-03-08 words: 4353 flesch: 47 summary: 1Division of Plastic Surgery, Department of Surgery, 2College of Medicine, Imam Mohammad ibn Saud Islamic University, Riyadh, Saudi Arabia; 3Division of Plastic Surgery, Department of Surgery, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia *Corresponding Author’s e-mail: bindahmash.a@gmail.com املعرفة والسلوك جتاه االنتحال األديب لدى طالب كلية الطب يف السعودية عبداملجيد �صعد الهدلق، عبداملجيد بن دهم�س، فرا�س ال�صومر abstract: Objectives: This study aimed to determine attitudes towards and perceptions of plagiarism among medical students in Saudi Arabia. The previously validated Attitude Towards Plagiarism questionnaire was used to evaluate approval (i.e. a positive attitude) and disapproval of plagiarism (i.e. a negative attitude) among medical students. keywords: arabia; attitude; courses; ethics; mean; plagiarism; saudi; students; study; writing cache: squmj-3510.pdf plain text: squmj-3510.txt item: #1248 of 1636 id: squmj-3511 author: None title: squmj-3511 date: 2020-03-08 words: 5037 flesch: 46 summary: Faculty members perceived the two most effective items to be addressed in an FDP as the improvement of personal qualities and making provisions for greater educational involvement (mean = 4.22 ± 0.88 Table 1: Characteristics of faculty members of medical schools in Saudi Arabia who participated in this study (N = 210) The items of the questionnaire were divided into two sections that addressed two different aspects of faculty development (i.e. needs and effectiveness). keywords: arabia; development; education; effectiveness; faculty; fdps; med; members; needs; research; saudi; skills; study; teaching cache: squmj-3511.pdf plain text: squmj-3511.txt item: #1249 of 1636 id: squmj-3512 author: None title: squmj-3512 date: 2020-03-09 words: 3320 flesch: 54 summary: A randomised controlled trial conducted over 4.3 years reported a significant decrease in serum vitamin B12 concentration after metformin treatment.9 Patients were found to be at a higher risk of developing vitamin B12 deficiency if they took larger doses of metformin and for a longer duration.10 In such patients, early detection of vitamin B12 deficiency is important to avoid subsequent haematological and neurological manifestations.11 https://creativecommons.org/licenses/by-nd/4.0/ Ahmed Al-Hamdi, Mohammed Al-Gahhafi, Shihab Al-Roshdi, Sanjay Jaju, Ali Al-Mamari and Abdulaziz M. Al Mahrezi brief communication | e91 While the exact role of vitamin B12 in the pathogenesis of T2DM is still unknown, studies have indicated a possible association between vitamin B12 deficiency and serious diabetic complications such as peripheral neuropathy.12 It is hypothesised that oxidative stress is the common associated factor in both conditions.12 Therefore, screening and periodic monitoring of serum vitamin B12 could be a useful tool in any clinical guideline for diabetes. This finding is similar to a study conducted in the Netherlands in which the dose of metformin, but not the duration, was associated with vitamin B12 deficiency.8 Studies have reported conflicting findings regarding the consequences of vitamin B12 deficiency in T2DM patients.6,10,11 Hendrawati et al. reported higher pro- portions of neuropathy symptoms and haematologic abnormalities among patients who took metformin for a longer period of time (>3 years versus 1–3 years).11 Aroda et al.’s large cohort study of 2,155 participants found a higher prevalence of neuropathy and anaemia in the metformin group compared to the placebo group.6 On the other hand, Alharbi et al.’s study found no significant differences in the prevalence of peripheral neuropathy between metformin users and non-met- formin users.10 Anaemia was highly prevalent in this study’s population but there was no significant association with vitamin B12 levels. keywords: association; b12; deficiency; diabetes; health; metformin; patients; prevalence; study; vitamin cache: squmj-3512.pdf plain text: squmj-3512.txt item: #1250 of 1636 id: squmj-3513 author: None title: squmj-3513 date: 2020-03-08 words: 3591 flesch: 63 summary: Smoking cessation programmes are among the most cost-effective and successful strategies for helping people to quit smoking.20 In Saudi Arabia, compr- ehensive tobacco control measures, including bans on smoking in public places and high taxation on tobacco products, have also contributed to high cessation rates in the general population.9 Based on the findings of the present study, smoking dependence clinics should be established on the campuses of Saudi Arabian colleges and tobacco smoking cessation programmes integrated into the curricula. Discussion In the current study, the majority of Saudi women attending smoking cessation clinics were ≤40 years old. keywords: arabia; cessation; clinics; data; health; reasons; saudi; smoking; study; women; التدخني cache: squmj-3513.pdf plain text: squmj-3513.txt item: #1251 of 1636 id: squmj-3514 author: None title: squmj-3514 date: 2020-03-08 words: 2632 flesch: 45 summary: 1Department of Dermatology, Bahla Hospital, Bahla, Oman; 2Dermatology Program, Oman Medical Specialty Board, Muscat, Oman; 3Department of Pathology, Khoula Hospital, Muscat, Oman; 4Department of Dermatology, Al Nahdha Hospital, Muscat, Oman *Corresponding Author’s e-mail: mhhh1414@gmail.com التهاب اجللد الورمي احلبييب حول الفم يف شخص بالغ تقرير حالة مع مراجعة املعت�صم الق�صابي، خالد البو�صعيدي، كوثر البكو�س، عبلة الإ�صماعيلية abstract: Granulomatous periorificial dermatitis (GPD) is a benign, self-limiting eruption that is considered a clinical variant of periorificial dermatitis, also known as perioral dermatitis. The vermilion border Granulomatous periorificial dermatitis (GPD), also known as childhood granulo- matous periorificial dermatitis (CGPD), is an uncommon, benign inflammatory skin disease that affects primarily dark-skinned prepubertal children; few cases have been reported in adults.1–5 It is characterised by a monomorphic, skin-coloured to yellow-brown or red papular eruption around the mouth, nose and eyes that usually heals with no scarring. keywords: case; dermatitis; dermatol; face; gpd; granulomas; granulomatous; papules; report cache: squmj-3514.pdf plain text: squmj-3514.txt item: #1252 of 1636 id: squmj-3515 author: None title: squmj-3515 date: 2020-03-08 words: 3057 flesch: 51 summary: �صفيت املري�صة ب�صورة كاملة بعد هذا العالج، وا�صتعادت م�صيتها الطبيعية. كان عالج ال�صعف الع�صلي الداين للمري�صة يتم على اأنه ب�صبب نق�س فيتامني د، وعولج بطريقة خاطئة على هذا الأ�صا�س. الكلمات املفتاحية: ال�صعف الع�صلي؛ كارنتني؛ اعتالل ع�صلي؛ حام�س فالبوريك؛ نق�س فيتامني د؛ م�صية؛ تقرير حالة؛ الهند. keywords: carnitine; deficiency; gait; myopathy; patient; proximal; serum; sodium; supplementation; therapy; valproate; vitamin cache: squmj-3515.pdf plain text: squmj-3515.txt item: #1253 of 1636 id: squmj-3516 author: None title: squmj-3516 date: 2020-03-08 words: 1688 flesch: 54 summary: Keywords: Caffey Disease; Infant; Prostaglandin E1; Thrombocytosis; Case Report; India. دوُد ذاِتيَّا، ويتميز بفرط تعظم ق�رشي، والتهاب اللفافات والع�صالت املجاورة، ويظهر امللخ�ص: مر�س كايف مر�س نادر احلدوث وحَمْ حدوث واإدراك ال�صمحاق. 1Department of Pediatrics, Sarojini Naidu Children Hospital, Moti Lal Nehru Medical College, Allahabad, India; 2Department of Medicine, Central Research Institute of Unani Medicine, Hyderabad, India *Corresponding Author’s e-mail: sha.akht@yahoo.com مرض كايف يف سن الرَّضاع معضلة تشخيصية ألطباء الرعاية الصحية األولية �صاهد اأخ�رش �صدقي، جوليناز فاطمة �صدقي، ماني�صا موريا، اأنباها �رشيفازتافا، موك�س فري �صينق abstract: Caffey disease is a rare and self-limiting condition characterised by cortical hyperostosis with inflammation of adjacent fascia and muscles. keywords: bone; caffey; disease; india; infant; irritability; shoulder cache: squmj-3516.pdf plain text: squmj-3516.txt item: #1254 of 1636 id: squmj-3517 author: None title: squmj-3517 date: 2020-03-08 words: 930 flesch: 47 summary: He stated that he used to wear closed and tight shoes and there was no specific foot care or foot hygiene in prison. Green foot syndrome: A case series of 14 patients from an armed forces hospital. keywords: foot; patient; ulcers cache: squmj-3517.pdf plain text: squmj-3517.txt item: #1255 of 1636 id: squmj-3518 author: None title: squmj-3518 date: 2020-03-08 words: 1031 flesch: 50 summary: This requires the employment of population- specific reference values.2 Normal pulmonary function is controlled by genetic, physiological, environmental, psychological, nutritional, socioeconomic and racial determinants.2 Consequently, many population-specific reference values of spirometry have been formulated to be used in clinical settings and research institutions.3,4 Interestingly, Omani population-specific prediction equations for reference values of spirometry have already been established.5 The novel results from our study showed that obesity plays a major role in spirometry changes while changing posture rather than OSAS; this could lead to the development of obesity hypoventilation in obese OSAS patients.4 Additionally, international standards of spirometry indices were used as a reference only.5 keywords: patients; spirometry; values cache: squmj-3518.pdf plain text: squmj-3518.txt item: #1256 of 1636 id: squmj-3659 author: None title: squmj-3659 date: 2020-06-25 words: 2797 flesch: 49 summary: Knowledge, atti- tudes, and practices regarding travel health among Muscat International Airport travelers in Oman: Identifying the gaps and addressing the challenges. Protecting Travellers in Oman The purpose of the TH service is to establish and integrate pre-TH services into PHC in Oman’s public and private healthcare facilities. keywords: country; health; infections; malaria; oman; population; service; travel; travellers cache: squmj-3659.pdf plain text: squmj-3659.txt item: #1257 of 1636 id: squmj-3660 author: None title: squmj-3660 date: 2020-06-25 words: 10648 flesch: 55 summary: Specifically, the test-retest reliability, criterion validity and sensitivity of Arabic QOL scales requires further validation. يجب على الباحثني والأطباء التفكري فيما اإذا كانت اخل�سائ�س النف�سية والقيا�سات الفرعية keywords: arabic; assessment; cancer; cross; eortc; general; health; life; patients; population; properties; psychometric; qlq; qol; quality; reliability; scales; sf-36; standard; studies; study; validity; version cache: squmj-3660.pdf plain text: squmj-3660.txt item: #1258 of 1636 id: squmj-3661 author: None title: squmj-3661 date: 2020-06-25 words: 7336 flesch: 45 summary: In the skin, TRPV4 channel is present in various cell types such as keratinocytes, melanocytes and sensory neurons, as well as immune and inflammatory cells, and engages in several physiological actions, from skin homeostasis to sensation. These varied functions, combined with the fact that TRPV4 channel owns pharmacologically-accessible sites, make this channel an attractive therapeutic target for skin disorders. keywords: activation; barrier; biol; calcium; cell; channel; chem; epidermal; et al; expression; function; human; hyperalgesia; itching; keratinocytes; mice; pain; potential; receptor; role; skin; transient; trpv4; trpv4 channel; vanilloid cache: squmj-3661.pdf plain text: squmj-3661.txt item: #1259 of 1636 id: squmj-3662 author: None title: squmj-3662 date: 2020-06-25 words: 2731 flesch: 43 summary: و ي�سمل هذ� �أي�سا مناق�سة �الأ�سا�ص �ملنطقي و�لفو�ئد �ل�رسيرية و�لتعليمية وكذلك �ملو�رد �لالزمة الإن�ساء هذه �خلدمة. الكلمات املفتاحية: �لطب �لنف�سي؛ �لتعليم �لطبي. م�ساحبة �أمر��ص من يعانون �لذين �ملر�سى و�إد�رة ت�سخي�ص و�الت�سال للت�ساور و�لتحديات �لعملية �ملرتبطة باإن�ساء خدمة �لطب �لنف�سي للت�ساور و�الت�سال يف م�ست�سفى جامعي يف منطقة �خلليج. keywords: care; challenges; clp; consultation; general; health; hospital; liaison; patients; psychiatry; service cache: squmj-3662.pdf plain text: squmj-3662.txt item: #1260 of 1636 id: squmj-3663 author: None title: squmj-3663 date: 2020-06-25 words: 10966 flesch: 58 summary: %¶ 95% CI// %¶ 95% CI// %¶ 95% CI// %¶ 95% CI// %¶ 95% CI// Age in months P <0.001** Moreover, obesity or overweight was more common in children of mothers who had completed their secondary school education or higher (5.0% versus 2.1–2.2%; P <0.050). keywords: age; anaemia; blood; children; deficiencies; deficiency; health; households; iron; levels; micronutrient; n =; national; obesity; omani; overweight; p =; plasma; prevalence; rates; status; vdd; vitamin; women cache: squmj-3663.pdf plain text: squmj-3663.txt item: #1261 of 1636 id: squmj-3664 author: None title: squmj-3664 date: 2020-06-25 words: 6354 flesch: 54 summary: The use of Information and Communication Technology (ICT) to deliver healthcare services locally and at a distance is described by the term “e-health,” which also includes telehealth and telemedicine. The provision of e-health, underpinned by ICT, can be seen as the delivery or augmentation of healthcare services and information brought about by the nexus of business, public health and medical informatics.20 In general, the effect of ICT on operations is to improve customer service and provide better results for an organisation. keywords: competition; example; goods; government; healthcare; industries; information; insurance; life; market; price; risk; services; � ل; � � cache: squmj-3664.pdf plain text: squmj-3664.txt item: #1262 of 1636 id: squmj-3665 author: None title: squmj-3665 date: 2020-06-25 words: 4245 flesch: 60 summary: reported the prevalence of mucosal abnormalities to be 29% with 84 mucosal abnormalities/symptoms detected in 61 out of 220 subjects.15 The researchers concluded that oral cancer screening is an efficient and effective way of detecting potentially malignant lesions in high- risk individuals.15 Based on the findings of the current study, the level of knowledge among the Omani general population regarding the risk factors and signs and symptoms of HNC was low. Discussion Up to 40,000 deaths from oral cancer can be prev- ented in high-risk individuals as a result of visual screening.19,20 keywords: awareness; campaign; cancer; head; hnc; national; neck; oman; oral; participants; screening; study; symptoms cache: squmj-3665.pdf plain text: squmj-3665.txt item: #1263 of 1636 id: squmj-3666 author: None title: squmj-3666 date: 2020-06-25 words: 5775 flesch: 56 summary: Antenatal depression is considered a major cause of disability among women world- wide, particularly in low-income countries; both antenatal and postnatal depression are associated with detrimental effects on child development.1,2 Several risk factors for antenatal depression have been reported, including low socioeconomic status and educational level, a lack or unavailability of social support, experiencing physical violence from a spouse, poor partner relationships, alcohol abuse and a history of psychiatric morbidities such as depression, anxiety and stress.3–5 A recent study conducted in Oman revealed that unplanned pregnancy and marital conflicts were significant predictors of antenatal depression.6 Antenatal depression is frequently undetected by doctors and therefore left untreated, which may lead to adverse effects on both mother and baby.7 For the mother, antenatal depression increases the risk of preeclampsia, Caesarean section (CS), assisted vaginal delivery, epidural analgaesia use during delivery, suicidal ideation and the development of postnatal depression.8,9 For the baby, antenatal depression has been found to increase the risk of spontaneous preterm delivery, low birth weight (LBW), intensive neonatal care admission and sudden death.8 This study aimed to identify the relationship between antenatal depression and pregnancy outcomes, including the risk of developing postpartum depression in Oman. keywords: antenatal; birth; delivery; depression; development; health; oman; outcomes; postnatal; pregnancy; risk; study; women; الولدة cache: squmj-3666.pdf plain text: squmj-3666.txt item: #1264 of 1636 id: squmj-3667 author: None title: squmj-3667 date: 2020-06-25 words: 4932 flesch: 54 summary: MD = Doctor of Medicine. Figure 2: Motivating reasons for choosing to intercalate among medical students (N = 18). What happens to medical students who complete an honours year in public health and epidemiology? keywords: bsc; career; degree; health; medical; phase; programme; research; sciences; squ; students; study; years cache: squmj-3667.pdf plain text: squmj-3667.txt item: #1265 of 1636 id: squmj-3668 author: None title: squmj-3668 date: 2020-06-25 words: 5718 flesch: 64 summary: No 454 (95) Unknown 7 (1.5) OMR = Omani riyal; BC = breast cancer. 34.3) BSE = breast self-examination ; CBE = clinical breast examination ; BC = breast cancer. keywords: awareness; breast; bse; cancer; factors; knowledge; methods; participants; risk; screening; study; symptoms; teachers cache: squmj-3668.pdf plain text: squmj-3668.txt item: #1266 of 1636 id: squmj-3669 author: None title: squmj-3669 date: 2020-06-25 words: 4267 flesch: 55 summary: BinDahmash.A@gmail.com أعراض اجلهاز العضلي اهليكلي املرتبطة ابلعمل لدى األطباء املقيمني يف ختصص األنف واألذن واحلنجرة وجراحة الرأس والعنق عبد املجيد بن دهم�س، فرا�س اخلليوي، عبدال�سالم االحمري، عا�سم م�سطفى �سديد، عبدالرحمن واأ�سفل الظهر يف هذه الدرا�سة. االإقامة الطبية هي الوقت املثايل يف مهنة طبيب االأنف واالأذن واحلنجرة لتنفيذ برامج يف اأف�سل املمار�سات املريحة قبل تنامي العادات ال�سيئة. الكلمات املفتاحية: طب االأنف واالأذن واحلنجرة؛ االأ�سطرابات الع�سلية الهيكلية؛ االأعرا�س والعالمات؛ مكان العمل؛ املمار�سات املريحة؛ اململكة العربية ال�سعودية. keywords: complaints; hours; neck; operating; otorhinolaryngology; residents; shoulder; study; surgeons; surgery; survey; symptoms; work cache: squmj-3669.pdf plain text: squmj-3669.txt item: #1267 of 1636 id: squmj-3670 author: None title: squmj-3670 date: 2020-06-25 words: 4887 flesch: 42 summary: Sein and Tombo revealed that various factors were associated with effective medical intern training at a hospital in South Africa, including the quality of supervisors, effective supervision, opportunities for learning, learning environment, support system, personal characteristics and workload.9 Similarly, Heidarnia and Yasin studied medical interns’ satis- faction in Iran using a SERVQUAL model assessing five dimensions (reliability, tangibility, responsibility, assurance and empathy).10 Salari et al. also assessed medical interns’ satisfaction with the quality of clinical education in teaching hospitals in Iran using six dimensions (familiarity with teaching objectives, clinical training methods, evaluation methods, equipment and clinical facilities, ability to perform acquired clinical skills and teachers’ theoretical and practical skills).11 In Saudi Arabia, Abdulghani et al. assessed self-perceived stress among medical interns at three universities.4 This study aimed to assess the perceptions of medical interns with regards to the internship training programme offered at Saudi medical schools and to explore factors influencing their overall satisfaction with this progamme. keywords: activities; dimensions; factors; hospital; internship; items; medical; programme; quality; satisfaction; saudi; schools; study; training cache: squmj-3670.pdf plain text: squmj-3670.txt item: #1268 of 1636 id: squmj-3671 author: None title: squmj-3671 date: 2020-06-25 words: 4988 flesch: 55 summary: A content analysis of beliefs regarding waterpipe smoking was performed. Results: Five categories of beliefs were extracted during the content analysis, including beliefs related to addiction, health-related beliefs, preferential beliefs for waterpipe versus cigarette smoking, beliefs related to the social function of waterpipe smoking and beliefs attributed to waterpipe smoking. keywords: analysis; beliefs; cigarette; health; hookah; iran; participants; smoke; smoking; study; tobacco; turkmen; waterpipe; waterpipe smoking cache: squmj-3671.pdf plain text: squmj-3671.txt item: #1269 of 1636 id: squmj-3672 author: None title: squmj-3672 date: 2020-06-25 words: 2596 flesch: 59 summary: We believe that Arabic mnemonics effectively enhance memorisation by linking the new learning material to familiar information. Therefore, we have composed Arabic mnemonics that could be used by nursing and other Arabic-speaking healthcare students to enhance the memorisation of the names of these bones. keywords: anatomy; arabic; bones; carpal; human; learning; mnemonics; nursing; students; tarsal cache: squmj-3672.pdf plain text: squmj-3672.txt item: #1270 of 1636 id: squmj-3673 author: None title: squmj-3673 date: 2020-06-25 words: 3071 flesch: 55 summary: Keywords: Paraparesis; Guillain-Barré Syndrome; Demyelination; Postpartum Period; Case Report; Saudi Arabia. امللخ�ص: ُمَتاَلِزَمُة غيَّان-باريه هي ا�سطراب متغاير املن�ساأ، ويجيء ب�سور �رسيرية متنوعة، ترتاوح بني �سعف يف اأجزاء معينة من اجل�سم اإىل خزل رباعي يرتافق مع خلل وظيفي اتونومي )م�ستقل( وف�سل تنف�سي. حيث اأظهرت الت�سوير اال�سعاعي �سالمته(. keywords: barré; case; extremities; gbs; guillain; paraparetic; patient; study; syndrome; variant; weakness cache: squmj-3673.pdf plain text: squmj-3673.txt item: #1271 of 1636 id: squmj-3674 author: None title: squmj-3674 date: 2020-06-25 words: 1435 flesch: 43 summary: Two months later, he developed multiple, sudden onset, unprovoked and uncontrollable laughing episodes that were occurring for no obvious reasons, suggestive of gelastic seizures. The episodes of gelastic seizures were difficult to control and required the administration of topiramate (6 mg/ kg/day) as well as a short course of phenytoin (6 mg/ kg/day) to control a cluster of focal seizures. keywords: hamartoma; hypothalamic; oman; patient; seizures cache: squmj-3674.pdf plain text: squmj-3674.txt item: #1272 of 1636 id: squmj-3675 author: None title: squmj-3675 date: 2020-06-25 words: 890 flesch: 44 summary: Uterine artery pseudoaneurysm after caesarean section: Case report and literature review. أم دم كاذبة رمحية سبب اندر لنزيف نِفاس آجل مع اْنِصمام الشراين الَرمِحي بلي�سي جون، بهاباين بيغو، �أجيث �أنانثاكري�سنا بيالي، ديليب كومار موريا، �آني�ش كيبانا�سرييل Uterine Pseudoaneurysm A rare cause of delayed postpartum haemorrhage managed with uterine artery embolisation Blessy John,1 Bhabani Pegu,1 keywords: artery; caesarean; pseudoaneurysm cache: squmj-3675.pdf plain text: squmj-3675.txt item: #1273 of 1636 id: squmj-3676 author: None title: squmj-3676 date: 2020-06-25 words: 662 flesch: 45 summary: Importantly, DSM-5 criteria could impact which children fulfil the ASD diagnostic criteria, that ultimately influences the access to healthcare services.4 Accordingly, the adoption of the DSM-5 criteria would likely lower the ASD prevalence estimate compared to DSM-IV diagnostic criteria.5 Surprisingly, ASD prevalence reported by Al-Mamri et al. was much greater than that reported in 2011 despite the variation in the version of ASD diagnostic criteria.1 With the notion that the studied population in Al-Mamri et al.’s study involved a hospital- based sample, I presume that the worryingly high reported ASD prevalence (20.35 per 10,000 children) represents only the tip of the iceberg of a sizable paediatric health problem in Oman.1 Therefore, I agree with Al-Mamri et al.’s recommendation of implementing strategic action, including registry, screening and rehabilitations programmes that are deemed justifiable to contain a further spike in ASD prevalence among the Omani paediatric population. Potential impact of DSM-5 criteria on autism spectrum disorder prevalence estimates. keywords: asd; prevalence cache: squmj-3676.pdf plain text: squmj-3676.txt item: #1274 of 1636 id: squmj-3677 author: None title: squmj-3677 date: 2020-06-25 words: 3508 flesch: 38 summary: ASD children in the CDC were problematic feeders based on the BAMBI scoring. In this study, we ascertained using BAMBI that the majority of ASD children in CDC had feeding abnormalities, with up to a third eating a limited variety of food. keywords: asd; autism; children; conclusion; methods; oman; qatar; results; social; study; university cache: squmj-3677.pdf plain text: squmj-3677.txt item: #1275 of 1636 id: squmj-3811 author: None title: squmj-3811 date: 2020-10-04 words: 2468 flesch: 50 summary: Hence, the focus of this article is on crisis management through the lens of five critical generic organisational skills that give healthcare systems an opportunity to grow and thrive amid the COVID-19 pandemic. The current global outbreak of COVID-19 presents exceptional challenges that can serve as an opportunity for healthcare systems to thrive and boost their anti- fragility as the pandemic continues to spread and evolve over time. keywords: antifragility; covid-19; crisis; healthcare; leadership; skills; systems cache: squmj-3811.pdf plain text: squmj-3811.txt item: #1276 of 1636 id: squmj-3812 author: None title: squmj-3812 date: 2020-10-04 words: 4337 flesch: 46 summary: Use of high flow nasal cannula in critically ill infants, children, and adults: A critical review of the literature. High flow nasal cannula (HFNC) versus nasal continuous positive airway pressure (nCPAP) for the initial respiratory man- agement of acute viral bronchiolitis in young infants: A multi- center randomized controlled trial (TRAMONTANE study). keywords: care; children; flow; hfnct; infants; intensive; med; nasal; niv; paediatric; patients; study; transport; ventilation cache: squmj-3812.pdf plain text: squmj-3812.txt item: #1277 of 1636 id: squmj-3813 author: None title: squmj-3813 date: 2020-10-04 words: 6744 flesch: 52 summary: s i t u at i o n From the beginning of the reign of the former ruler Sultan Qaboos bin Said in 1970, Oman has invested greatly in health services and medical research, as evidenced by successful efforts over the last two decades to control the burden of communicable and preventable diseases.39 In addition, the number of medical schools, academic centres and funding bodies has increased dramatically.39–41 However, global reports point towards a gradual decline in the clinical academic workforce, for instance in North America, the UK, Europe, New Zealand and Australia.2–6 In many cases, clinicians are disinclined to pursue training in order to establish careers as clinical academics due to a lack of research training pathways, appropriate mentorship and funding.6,7 keywords: degree; health; master; medical; medicine; national; new; oman; pathways; phd; programme; research; students; time; training; university; year; zealand cache: squmj-3813.pdf plain text: squmj-3813.txt item: #1278 of 1636 id: squmj-3814 author: None title: squmj-3814 date: 2020-10-04 words: 8609 flesch: 53 summary: In contrast, the remaining study revealed no change in the rate of re-admission.17 Nine studies (25%) measured length of patient stay.14,16,17,19,22–24,37,38 The majority (n = 8; 88.9%) found that the duration of hospital stay was reduced following the implementation of DRG-based reim- bursement mechanisms; reasons for this included preserving resources, reducing costs and improving efficiency.14,17,19,22–24,37,38 Only one indicated that the average length of stay increased.16 Two studies (5.6%) examined the number of services provided to patients; in the first, there was no change in the number of services provided to patients after implementation of the reimbursement mechanism, while the second found that access to certain services or technologies was restricted after implementation of the reimbursement mechanism since the system increased performance monitoring.17,23 Mortality rate was assessed as an outcome in four studies (11.1%).14,15,20,23 One study showed that the mortality rate increased following implementation of a DRG-based reimbursement mechanism.20 In contrast, two studies showed a reduction in mortality rate.14,23 Challenges and Adverse Outcomes of Implementing Reimbursement Mechanisms Based on the Diagnosis-Related Group Classification System A systematic review 264 | SQU Medical Journal, August 2020, Volume 20, Issue 3 Table 2: Challenges in the implementation of reimbursement mechanisms based on the diagnosis-related group classification system25–49 Author and year of study Setting Type of study Type of challenges Management process Organisation environment Technical systems Personnel Sodzi-Tettey et al.25 (2012) Ghana Mixed-method • Delays in reimbursement • Poor compliance with guidelines • Inadequate filing system • Classification problems • Severe personnel shortage • Lack of familiarity with DRG among physicians Roeder et al.26 (2001) Germany Quantitative N/A N/A • DRG variants differed in degree and detail • Questionable grouping of cases • Inaccuracies in diagnostic coding • Classification problems N/A Sanderson et al.27 (1989) UK Quantitative N/A N/A • Irregularities in diagnostic and operative coding • Inaccuracies in diagnostic coding N/A Horn et al.28 (1985) USA Quantitative N/A N/A • Failure to account for illness severity N/A Notman et al.29 (1987) USA Qualitative N/A N/A N/A • Lack of familiarity with DRG among physicians • Misconceptions regarding DRG among physicians Bray et al.30 (1994) USA Mixed-method • Increased costs per discharge in rural hospitals N/A N/A • Less effort made by physicians to improve the hospital’s financial performance Bredenberg and Lagoe31 (1987) USA Quantitative N/A N/A • Lack of sensitivity to different types of procedures N/A Zhan et al.32 (2007) USA Quantitative • Low-quality medical recordkeeping • Lack of rules and standards for coding N/A • DRG creeping N/A Wisensale and Waldron33 (1991) USA Qualitative N/A • Pressure on doctors to discharge patients prematurely ما �أدت �آليات �ل�سد�د �مل�ستندة �إىل �ملجموعة �ملرتبطة بالت�سخي�ض �إىل �إحالة �ملر�سى �إىل موؤ�س�سات �أخرى، وبالتايل حتويل �لتكاليف �إىل قطاعات �أخرى. keywords: articles; care; challenges; diagnosis; drg; groups; health; hospital; implementation; loss n; mechanisms; n et; outcomes; patients; quality; quantitative n; reimbursement; review; studies; system; usa; usa quantitative cache: squmj-3814.pdf plain text: squmj-3814.txt item: #1279 of 1636 id: squmj-3815 author: None title: squmj-3815 date: 2020-10-04 words: 5445 flesch: 44 summary: It is now understood that to develop the art of teaching, teachers require training.2 Many medical schools have realised the importance of teacher training to improve faculty performance in their academic instructional roles and most schools now offer faculty development programmes to enhance faculty members’ teaching and assessment skills. Although participation in the course was not mandatory for SQUH or COMHS faculty, as is the case in the majority of faculty development programmes, it was strongly recommended by the dean of the college.8 Attendance to this course, however, was required for affiliation with the college for teachers who were coming from other health institutes in Oman. keywords: assessment; college; comhs; courses; development; education; faculty; health; learning; medical; participants; programme; qaboos; skills; teaching cache: squmj-3815.pdf plain text: squmj-3815.txt item: #1280 of 1636 id: squmj-3816 author: None title: squmj-3816 date: 2020-10-04 words: 6461 flesch: 62 summary: In general, short sleep duration in children has been linked to obesity.36 Other mechanisms, including dietary intake, time of eating and obesogenic dietary behaviours have been linked to sleep and obesity.35 These mechanisms need to be investigated from a cultural perspective to further understand the relationship between sleep and obesity among Omani children. This study is the first to examine lifestyle-related determinants of obesity among Omani children aged 6–10 years. keywords: activity; bmi; childhood; children; day; intake; mean; nutrition; obesity; omani; relationship; scores; screen; study; time cache: squmj-3816.pdf plain text: squmj-3816.txt item: #1281 of 1636 id: squmj-3817 author: None title: squmj-3817 date: 2020-10-04 words: 4373 flesch: 62 summary: Conclusion: The findings from this study can be used for predicting cancer epidemiology in Basra, Iraq, and to identify subsets of the population at high risk of cancer incidence. Although incidence, survival and mortality rates have been reported in many populations, very little is known about cancer incidence specifically in Iraq.6,7 Basra, located in the southern part of Iraq, has witnessed an increase in its cancer incidence and mortality rates since 2005.8 keywords: age; basra; breast; cancer; cases; children; females; incidence; iraq; males; rate; study; types cache: squmj-3817.pdf plain text: squmj-3817.txt item: #1282 of 1636 id: squmj-3818 author: None title: squmj-3818 date: 2020-10-04 words: 6951 flesch: 64 summary: Nevertheless, the key issue is not only recognition of cervical cancer symptoms themselves, but also whether such symptoms are perceived by women as a serious concern.26 For example, less than 50% of the women in the present study reported that they would seek early medical help (i.e. within two weeks) for unexplained weight loss, which is often not perceived to be a specific symptom of cervical cancer. Figure 2: Recognition of cervical cancer symptoms among Omani women attending Sultan Qaboos University Hospital (N = 490). keywords: awareness; cancer; factors; help; hpv; knowledge; medical; omani; risk; seeking; study; symptoms; university; women cache: squmj-3818.pdf plain text: squmj-3818.txt item: #1283 of 1636 id: squmj-3819 author: None title: squmj-3819 date: 2020-10-04 words: 4686 flesch: 49 summary: Of the students, 98.4% Table 1: Statements used to determine students’ satisf- action with clinical simulation sessions at the Arabian Gulf University, Manama, Bahrain Statement number Statement* 1 The pre-briefing was easy to understand 2 Although this study did not aim to compare simulation-based teaching with clinical placements, previous studies have recommended that simulated sessions should only be an addition to medical curricula and should not replace clinical placements.18 The present study found high satisfaction levels of students in simulation sessions, suggesting that more sessions should be planned for various specialties such as anaesthesia, intensive care medicine, radiology and emergency medicine and for paramedics, nurses and respiratory therapists.19–21 Expanding exposure to simulations would provide learning experiences that can improve healthcare practices broadly. keywords: clinical; group; medical; medicine; obgyn; patient; practice; satisfaction; sessions; simulation; skills; students; study; training cache: squmj-3819.pdf plain text: squmj-3819.txt item: #1284 of 1636 id: squmj-3820 author: None title: squmj-3820 date: 2020-10-04 words: 5918 flesch: 55 summary: كما اأو�صحت الدرا�صة اأن The improvements in medical facilities with designated screening programmes similarly expected to help increase the detection rate and, therefore, improve the outcome of HCC.4–9 Despite recent marked improvements in treatment modalities, the prognosis for HCC patients remains poor, with an average five-year survival rate of approximately ~5–6%.10 Unfortunately, this is largely attributable to a lack of access to medical facilities in many underdeveloped countries.11 International guidelines recommend that HCC surveillance be performed on a six-month basis using liver ultrasonography (US), with or without measurement of alpha-fetoprotein (AFP) levels, for adults with liver cirrhosis and high-risk patients without cirrhosis such as patients with hepatitis B virus (HBV) infections.12,13 keywords: afp; analysis; cancer; carcinoma; cases; cirrhosis; hcc; hepatitis; hepatocellular; liver; oman; patients; risk; study; surveillance; treatment; الكبد cache: squmj-3820.pdf plain text: squmj-3820.txt item: #1285 of 1636 id: squmj-3821 author: None title: squmj-3821 date: 2020-10-04 words: 4233 flesch: 43 summary: Increased years of experience increased the rate of ultrasonography use for PCOS diagnosis in both groups. This report is the first from the Middle East to demonstrate disparities between gynaecologists and endocrinologists in the use of This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License. https://creativecommons.org/licenses/by-nd/4.0/ Disparity among Endocrinologists and Gynaecologists in the Diagnosis of Polycystic Ovarian Syndrome 324 | SQU Medical Journal, August 2020, Volume 20, Issue 3 Polycystic ovarian syndrome (pcos), the most common endocrine disorder in women of reproductive age, presents with heterogeneous manifestations and a wide spectrum of severity.1 Among all specialty society guidelines, PCOS diagnosis is made when two of the following three criteria are met: clinical and/or biochemical signs of hyperandrogenism, chronic oligomenorrhea/ anovulation and morphological changes of the ovaries on ultrasound.2 According to these criteria, PCOS can be classified into four phenotypes labelled A–D. Patients who experience phenotypes keywords: criteria; diagnosis; endocrinologists; experience; gynaecologists; hyperandrogenism; pcos; physicians; saudi; study; syndrome; use cache: squmj-3821.pdf plain text: squmj-3821.txt item: #1286 of 1636 id: squmj-3822 author: None title: squmj-3822 date: 2020-10-05 words: 5702 flesch: 59 summary: مل يتم الك�سف عن البكترييا املغزلية املنخرة يف اأي من العينات اخلال�صة: يجب اأن يكون ت�سخي�ض التهاب البلعوم وعالجه متنا�سًبا مع م�سببات الأمرا�ض ال�سائعة يف املنطقة. ال�رسيرية وما قبلها امللتحقني تفاعل اختبار با�ستخدام بكتريية م�سببات 9 و الفريو�سية الأمرا�ض م�سببات من 16 لـ العينات اختبار مت الدرا�سة. keywords: centor; nasopharyngeal; pathogens; pharyngitis; pneumoniae; prevalence; pyogenes; samples; score; students; study; symptomatic; symptoms cache: squmj-3822.pdf plain text: squmj-3822.txt item: #1287 of 1636 id: squmj-3823 author: None title: squmj-3823 date: 2020-10-04 words: 4905 flesch: 56 summary: Table1: Comparison of treatment response to the bacillus Calmette-Guérin vaccine or conventional treatment with salicylic acid among patients with viral warts (N = 190) Type of wart Response, n (%) P value BCG group* (n =133) SA group†(n =57) Complete Partial None Complete Partial None Common 5 (8.5) 45 (76.3) 9 (15.3) 0 Figure 4: Comparison of treatment response to the bacillus Calmette-Guérin vaccine or conventional treatment with salicylic acid according to number of warts among patients with viral warts (N = 190). keywords: bacillus; bcg; calmette; dermatol; guérin; immunotherapy; patients; response; results; topical; treatment; vaccine; warts cache: squmj-3823.pdf plain text: squmj-3823.txt item: #1288 of 1636 id: squmj-3824 author: None title: squmj-3824 date: 2020-10-04 words: 4915 flesch: 53 summary: Interestingly, family medicine applicants in the current study reported being greatly influenced by the opportunity to teach and perform research; this conflicts with the findings of other studies.6,7,20 This difference might be due to the growing need for general medical research in this region, as well as research specific to the field of family medicine. In order to meet universal health coverage targets by 2030, the World Health Organization (WHO) Regional Office for the Eastern Mediterranean (EMRO), together with the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/ Family Physicians (WONCA), recommend that a minimum of three family physicians be employed per 10,000 individuals in the population.2 In Oman, family medicine was first recognised as a unique medical speciality in 1987 at the College of Medicine & Health Sciences at Sultan Qaboos University in Muscat.3 Under the Oman Medical Specialty Board (OMSB), a four-year postgraduate training programme was established in 1994 and subsequently recognised by the Royal College of General Practitioners in 2001 and accredited by the Accreditation Council for Graduate Medical Education-International in 2017.3,4 However, as of 2015, Oman had an average of 0.4 family physicians per 10,000 individuals, a number far below that recommended by the WONCA and WHO EMRO.2 Other countries have reported similar shortages of family physicians in their workforce.5,6 Few junior doctors and medical students select family medicine as their top choice; for instance, the rate of selection of this specialty among Canadian medical graduates dropped from 40% in 1982 to 32% in 2010, falling as low as 23% in some schools.7 In addition, a national survey of 39 medical schools in France indicated that the level of interest in primary care specialities was only 20%.8 In southern Saudi Arabia, Mehmood et al. reported that the preferred specialty choices of medical students were surgery, internal medicine, paediatrics, orthopaedics and ophthalmology.9 Another study from eastern Saudi Arabia found that only 9% of medical students and interns selected family medicine as a career choice in 2014.10 keywords: applicants; career; choice; doctors; factors; family; medical; medicine; oman; residency; specialties; specialty; study cache: squmj-3824.pdf plain text: squmj-3824.txt item: #1289 of 1636 id: squmj-3825 author: None title: squmj-3825 date: 2020-10-04 words: 5727 flesch: 54 summary: With regards to Table 1: Sociodemographic and clinical characteristics of bariatric surgery patients in Bahrain (N = 340) Characteristic n (%) Effect of Bariatric Surgery on Weight Loss, Nutritional Deficiencies, Postoperative Complications and Adherence to Dietary and Lifestyle Recommendations A retrospective cohort study from Bahrain e348 | SQU Medical Journal, August 2020, Volume 20, Issue 3 Figure 2: Difference in reduction in preoperative and postoperative body mass index according to (A) type of surgery (P = 0.025)* and (B) time since surgery (P = 0.008)† among bariatric surgery patients in Bahrain (N = 341). keywords: adherence; bahrain; bmi; complications; deficiencies; health; lifestyle; loss; obesity; patients; recommendations; study; surgery; time; type; weight cache: squmj-3825.pdf plain text: squmj-3825.txt item: #1290 of 1636 id: squmj-3826 author: None title: squmj-3826 date: 2020-10-04 words: 3905 flesch: 60 summary: The second part of the questionnaire collected data on their knowledge, attitudes and practices with regards to salt intake. However, only few (11.6%) were aware that other conditions besides hypertension, such as renal stones and osteoporosis, can also be caused by excess dietary Table 2: Responses to the questionnaire about attitude, knowledge and practice of salt intake in a sample from Muscat Governorate, Oman (N = 1,214) keywords: apr; awareness; health; intake; muscat; oman; participants; population; public; questionnaire; salt; salt intake; study cache: squmj-3826.pdf plain text: squmj-3826.txt item: #1291 of 1636 id: squmj-3827 author: None title: squmj-3827 date: 2020-10-04 words: 3328 flesch: 65 summary: Sehgal S, Goyal P, Ghosh S, Mittal D, Kumar A, Singh S. Clear cell hidradenoma of breast mimicking atypical breast lesion: A diagnostic pitfall in breast cytology. 1Department of General Surgery, Oman Medical Speciality Board, Muscat, Oman; Departments of 4General Surgery, 2Radiology and 3Pathology, Sultan Qaboos University Hospital, Muscat, Oman *Corresponding Author’s e-mail: sara93916@gmail.com تشخيص ورم غدي عرقي صايف اخلالاي يف الثدي إبستخدام خزعة اإلبرة اللبية تقرير حالة ومراجعة األدبيات �سارة العدوية، بدرية الق�سابية، ميا البحرية، عادل اجلراح، �سعاد الأغربية abstract: Clear cell hidradenoma (CCH) is a tumour originating from the eccrine sweat glands. keywords: breast; case; cch; cell; clear; hidradenoma; mass; needle; nipple; quadrant; report cache: squmj-3827.pdf plain text: squmj-3827.txt item: #1292 of 1636 id: squmj-3828 author: None title: squmj-3828 date: 2020-10-04 words: 3801 flesch: 42 summary: مع ت�شوه هيكلي عظمي ج�شيم يف الوجه والأ�شنان والذي اأ�شهم يف م�شاكلها النف�شية والجتماعية. The encountered pre-, intra- and post-operative findings and their management are in line with other published reports.8–10,16 The facial surgical correction had a positive impact on the patient’s social and psychological status which is in line with the literature.7,8,10,17,22 A successful outcome of the dentofacial deformity correction in β-thalassaemia patients is dependent on understanding the medical status of the patient, coordinating with the haematologist and anaesthesiologist, good surgical planning and preventing complications.8 keywords: case; deformity; facial; fort; iron; major; maxillary; osteotomy; patient; report; showing; thalassaemia cache: squmj-3828.pdf plain text: squmj-3828.txt item: #1293 of 1636 id: squmj-3829 author: None title: squmj-3829 date: 2020-10-04 words: 2683 flesch: 52 summary: 1Department of Radiology, Oman Medical Specialty Board, Muscat, Oman; Departments of 2Radiology, 3Histopathology, 4Surgery and 5Pathology, the Royal Hospital, Muscat, Oman *Corresponding Author’s e-mail: alumairi1@yahoo.com ساركوما ليفية جلدية حدبية ُتاكي اورام الثدي األولية تقرير حالة واستعراض االدبيات العلمية لسمات التصوير التشخيصي عبري الفار�شية، عزا الربا�شدية، �شامية ال�شاحلية، نا�رص الرحبي، �شامل الرحبي، حممد املسقري، زينب املنجية، را�شد العمريي abstract: Dermatofibrosarcoma protuberans (DFSP) is a rare, slow-growing mesenchymal neoplasm of the dermis and subcutaneous tissues that has a low- to intermediate-grade malignancy. On mammography, breast DFSP appears as a skin- based or intra-mammary located well-circumscribed oval-shaped lesion with no microcalcification nor speculation. keywords: breast; case; dermatofibrosarcoma; dfsp; imaging; lesion; patient; protuberans; report; subcutaneous; year cache: squmj-3829.pdf plain text: squmj-3829.txt item: #1294 of 1636 id: squmj-3830 author: None title: squmj-3830 date: 2020-10-04 words: 1012 flesch: 42 summary: The physiopathology of KA formation remains unclear. Involution may occur spontaneously after a few months.1 Eruptive KA has been rarely described in the literature. keywords: ink; skin; tattoo; therapy cache: squmj-3830.pdf plain text: squmj-3830.txt item: #1295 of 1636 id: squmj-3831 author: None title: squmj-3831 date: 2020-10-04 words: 1021 flesch: 38 summary: These immunological surrogate markers could be beneficial because of their association with the severity of COVID-19 infection.2 Data on paediatric COVID-19 cases are rare. Up to 6.7% of cases might be severe but are generally seen in patients younger than 1 year of age and in those who have underlying diseases.3 The numbers of paediatric COVID-19 cases is a matter of concern in Iraq and worldwide. keywords: cases; children; covid-19; disease; iraq cache: squmj-3831.pdf plain text: squmj-3831.txt item: #1296 of 1636 id: squmj-3934 author: None title: squmj-3934 date: 2020-12-21 words: 2077 flesch: 46 summary: The purpose of telemedicine is to ensure the provision of cost-effective, timely and equitable services to all with safe communication between patients and doctors during pandemics.3 The use of telemedicine as a modality to deliver healthcare services remotely has been practiced for decades; however, data remains scarce with regard to the extent of its use in various countries around the world. The overall disruption of healthcare services caused by this highly contagious disease resulted in a noticeable reduction of outpatient service activities – locally and internationally.8–10 Avoiding exposure to COVID-19 is the best prevention method thus far; therefore, many outpatient clinic appointments have been cancelled and elective operations rescheduled to minimise the risk of transmission – limiting the outbreak and enabling healthcare providers to deal with the acute influx of COVID-19 cases. keywords: appointments; clinics; covid-19; healthcare; pandemic; patients; services; telehealth; telemedicine; use cache: squmj-3934.pdf plain text: squmj-3934.txt item: #1297 of 1636 id: squmj-3936 author: None title: squmj-3936 date: 2020-12-21 words: 7764 flesch: 56 summary: HRQOL = health-related quality of life; SCA = sickle cell anaemia; PedsQL™ = Pediatric Quality of Life Inventory™; V4 = Version 4.0; SCD = sickle cell disease; FGDs = focus group discussions; QOL = quality of life; HU = hydroxyurea; CHQ-PF50 = Child Health Questionnaire - Parent Form 50; BTM = β-thalassemia major; 75% (6/8) Amr et al.50 (2011) To evaluate HRQOL deficiencies among adolescents with SCD Case- control Saudi Arabia Adolescents with SCD aged 14–18 years and age- and gender-matched healthy controls 382 (180 cases and 202 controls) SF-36 V2 Self • Adolescents with SCD reported poorer HRQOL scores compared to healthy adolescents, particularly in several HRQOL domains, including physical functioning, body pain and general health 88.9% (8/9) HRQOL = health-related quality of life; SCA = sickle cell anaemia; PedsQL™ = Pediatric Quality of Life Inventory™; V4 = Version 4.0; SCD = sickle cell disease; FGDs = focus group discussions; QOL = quality of life; HU = hydroxyurea; CHQ-PF50 = Child Health Questionnaire - Parent Form 50; BTM = β-thalassemia major; DFX = deferasirox; WHO- QOL-BREF = World Health Organisation Quality of Life Brief Version; SF-36 V2 = 36-item Medical Outcomes Study Short-Form Version 2. keywords: adolescents; africa; articles; cell; cell disease; children; disease; et al; health; hrqol; life; pain; patients; quality; region; review; saudi; sca; scd; scores; sickle; studies; study; years cache: squmj-3936.pdf plain text: squmj-3936.txt item: #1298 of 1636 id: squmj-3938 author: None title: squmj-3938 date: 2020-12-21 words: 4661 flesch: 47 summary: Once these suggested appr- oaches start to permeate medical education, research and practice, culture will become an integrative part of medical practice. Healthcare practitioners are rarely taught the philosophical background of medical practice. keywords: communication; competence; cultural; culture; education; health; healthcare; knowledge; medical; medicine; philosophy; practice; research; systems; worldviews cache: squmj-3938.pdf plain text: squmj-3938.txt item: #1299 of 1636 id: squmj-3939 author: None title: squmj-3939 date: 2020-12-21 words: 5531 flesch: 58 summary: For example, sociology, psychology, anthropology and epidemiology are fields that have addressed the drug dependence phenomenon and evidence from these fields suggests that the aetiology of drug use is multifactorial.7 Genetic, psychological and social factors are considered determinants of drug abuse.8 Studies have also shown that socioeconomic and demographic factors such as inadequate education, poverty, homelessness and depression are associated with IDU in the developed world.7 Empirical evidence also suggests an inverse association between socioeconomic status and adult drug abuse.9 There is evidence that primary prevention activities that focus on improving the socioeconomic conditions of drug users would help change injection behaviours to a non-injecting mode of drug use or even prevent further drug use.10 Therefore, information about socio-demographic characteristics can be practical in setting preventive strategies.11 Oman is located in the southeastern corner of the Arabian Peninsula and is divided into 11 admin- istrative governorates or provinces. For comparison, in the United States males were reported to be 1.9 times more likely to have had drug dependence than females.19 Moreover, women constitute 20–30% of drug users under treatment at the global level and are more likely than men to be infected with HIV.3 Possible reasons for Omani women’s underreporting drug use may be fear of social stigma, losing child custody, facing legal consequences or a lack of special services to address drug use in women. keywords: alcohol; cannabis; cases; characteristics; data; drug; hcv; health; idus; national; oman; opiates; proportion; study; substance; total; use; users cache: squmj-3939.pdf plain text: squmj-3939.txt item: #1300 of 1636 id: squmj-3942 author: None title: squmj-3942 date: 2020-12-21 words: 5761 flesch: 59 summary: Alharbi MF, Alahmadi BA, Alali M, Alsaedi S. Quality of nursing work life among hospital nurses in Saudi Arabia: 1Oman College of Health Sciences, North Sharqyia, Oman; 2Directorate of Nursing, Directorate General of Health Services, Ministry of Health, Nizwa, Oman; 3Department of Nursing Affairs, Ministry of Health, Izki, Oman *Corresponding Author’s e-mail: mohammed.almaskari20@gmail.com جودة احلياة العملية بني املمرضني دراسة حالة من حمافظة الداخلية، عمان حممد عامر امل�سكري، جونا�س ا�سبال دوبو، نا�رص خلفان ال�سليمي abstract: Objectives: Quality of work life (QWL) is an important indicator of job-related satisfaction among nurses; however, there is little information regarding the QWL of nurses in Oman. keywords: care; dakhiliyah; governorate; health; high; institutions; job; life; nurses; nursing; oman; quality; qwl; study; work cache: squmj-3942.pdf plain text: squmj-3942.txt item: #1301 of 1636 id: squmj-3943 author: None title: squmj-3943 date: 2020-12-21 words: 4710 flesch: 54 summary: النتائج: كان متو�سط تركيزي �سي�ستاتن �سي وكرياتنني هما 1.37 ± 1.77 جمم/لرت، و1.80 ± 1.23 جمم /100 ومت قيا�س تركيز �سي�ستاتني �سي عن طريق مقاي�سة مناعية عكرة معززة باجل�سيمات، ومت قيا�س تركيز كرياتنني عن طريق تفاعل جايف. keywords: acute; aki; children; creatinine; criteria; cystatin; egfr; injury; kidney; levels; malaria; renal; serum; study cache: squmj-3943.pdf plain text: squmj-3943.txt item: #1302 of 1636 id: squmj-3944 author: None title: squmj-3944 date: 2020-12-21 words: 4396 flesch: 60 summary: In the current study, the most common HR- HPV types among HR-HPV-positive patients with confirmed ASC-US were HPV types other than 16 and 18/45 (45%). However, Al-Awadhi et al. reported contradictory findings indicating that HPV type 16 was most frequent in a cohort of women in Kuwait.11 In the present study, the most common HR-HPV genotypes among HR-HPV-positive Kuwaiti women regardless of cytological diagnosis were both HPV 16 and 18/45 (37.5%), followed by HR-HPV types other than 16 and 18/45 (31.3%), HPV 16 (25%) and HPV 18/45 (6.3%). keywords: asc; cases; cells; cytology; genotypes; hpv; kuwaiti; nilm; papillomavirus cache: squmj-3944.pdf plain text: squmj-3944.txt item: #1303 of 1636 id: squmj-3945 author: None title: squmj-3945 date: 2020-12-21 words: 6225 flesch: 58 summary: يف �ختبار �جللو�س �إىل �لوقوف، �أدى �رتد�ء �لتقومي �إىل �نخفا�س كبري يف نطاق �حلركة �مل�ستعر�س للركبة )P ≤0.05(. كان هناك �نخفا�س مبقد�ر 8.34 ± 41.31 نيوتن يف �لقوة �ملعيقة لثني �لركبة. خالف ذلك، كان �أد�ء �لدعامات يف �ملفا�سل �لتقوميية �لأحادية و�لثنائية متماثال. keywords: brace; comfort; conditions; dof; gait; joint; knee; orthosis; osteoarthritis; participants; patients; set; sit; stand; study; transverse cache: squmj-3945.pdf plain text: squmj-3945.txt item: #1304 of 1636 id: squmj-3946 author: None title: squmj-3946 date: 2020-12-21 words: 5475 flesch: 58 summary: This study aimed to compare thyroid hormone levels between nephrotic children and healthy controls as well as between nephrotic children in the active phase of the disease and those in remission. Discussion This study aimed to compare thyroid hormone levels between nephrotic children and healthy controls as well as between nephrotic children in the active phase of the disease and those in remission. keywords: children; disease; free; hypothyroidism; levels; miu; normal; patients; syndrome; thyroid; total; tsh; years cache: squmj-3946.pdf plain text: squmj-3946.txt item: #1305 of 1636 id: squmj-3947 author: None title: squmj-3947 date: 2020-12-21 words: 5691 flesch: 61 summary: The Diabetes Self-Management Questionnaire, which consists of 27 items with a four-point Likert scale, was used to assess DSM levels. Furthermore, DSM levels were statistically significant across HbA1c categories; the DSM mean score for participants with good glycaemic control (7.2 ± 1.3) was higher compared to those with poor glycaemic control (6.5 ± 1.4; P = 0.02). keywords: control; diabetes; dse; dsm; glycaemic; management; omanis; participants; self; study; type cache: squmj-3947.pdf plain text: squmj-3947.txt item: #1306 of 1636 id: squmj-3948 author: None title: squmj-3948 date: 2020-12-21 words: 3757 flesch: 58 summary: The presence of splenic fissures in bilobed spleens can serve as a guide for surgeons during conservatory splenectomy procedures. These avascular planes between segments can be used to minimise blood loss during subtotal splenectomies.28 Moreover, splenic fissures in bilobed spleens can serve as a guide to assist surgeons in the ligation of vessels during partial splenectomies. keywords: anatomy; border; clinical; fissures; lobes; notches; presence; spleen; study; superior; surface; visceral; الطِّ cache: squmj-3948.pdf plain text: squmj-3948.txt item: #1307 of 1636 id: squmj-3949 author: None title: squmj-3949 date: 2020-12-21 words: 5167 flesch: 59 summary: VSD = ventricular septal device. Methods This retrospective study included all patients who underwent percutaneous VSD device closure at the NHC from November 2008 to December 2017. keywords: age; closure; complications; defects; device; heart; median; patients; procedure; range; septal; study; vsd cache: squmj-3949.pdf plain text: squmj-3949.txt item: #1308 of 1636 id: squmj-3950 author: None title: squmj-3950 date: 2020-12-21 words: 6140 flesch: 56 summary: Psychosocial impact of breast cancer diagnosis among Omani women. Conclusion: A BC diagnosis impacts Omani women severely, affecting their lives dramatically. keywords: breast; cancer; diagnosis; family; health; life; oman; participants; patients; perceptions; quality; research; strategies; study; women cache: squmj-3950.pdf plain text: squmj-3950.txt item: #1309 of 1636 id: squmj-3951 author: None title: squmj-3951 date: 2020-12-21 words: 4712 flesch: 43 summary: This study aimed to review the prevalence rate and features of unplanned gynaecological reoperations at a major general hospital in Jordan. Conclusion: The rate of unplanned reoperation at a hospital in Jordan was 0.3%. keywords: abu; bleeding; care; cases; complications; hospital; hysterectomy; jordan; procedures; rate; reoperation; study; surgery; unplanned; women cache: squmj-3951.pdf plain text: squmj-3951.txt item: #1310 of 1636 id: squmj-3952 author: None title: squmj-3952 date: 2020-12-21 words: 4464 flesch: 47 summary: Acknowledging the influence of self-efficacy on the execution of IPL skills is crucial to ensure healthcare students are able to adequately prepare for future interprofessional collaboration in real clinical settings. The current study found that healthcare students studying at a university in Malaysia demonstrated moderately-high levels of self- efficacy with regards to interprofessional learning (IPL) skills. keywords: efficacy; healthcare; interprofessional; ipl; learning; malaysia; self; skills; students; study; undergraduate; year cache: squmj-3952.pdf plain text: squmj-3952.txt item: #1311 of 1636 id: squmj-3953 author: None title: squmj-3953 date: 2020-12-21 words: 3831 flesch: 58 summary: كانت الأ�سباب الرئي�سية التي حتول دون اإجراء النا�س للإنعا�س القلبي الرئوي هي عدم معرفتهم بطريقة تقدمي الإنعا�س القلبي الرئوي واخلوف من الت�سبب مبزيد من ال�رضر. يف اأماكن العمل واملوؤ�س�سات التعليمية. الكلمات املفتاحية: الإنعا�س القلب الرئوي؛ توقف القلب خارج امل�ست�سفى؛ ُعمان. keywords: bls; bystander; cpr; knowledge; oman; participants; public; resuscitation; study cache: squmj-3953.pdf plain text: squmj-3953.txt item: #1312 of 1636 id: squmj-3954 author: None title: squmj-3954 date: 2020-12-21 words: 3466 flesch: 54 summary: �أدى نق�ص كال�شيوم وبروتينات �لدم وحالة �ل�شعف �ملحتمل يف عام 2015، ولديه �ل�شفات �ملميزة ل�شِ للمناعة و�لناجتة عن �ملتلزمة �لكلوية �إىل حدوث نوبات �رصع وق�شور يف �لغدة �لدرقية وَنَت تظهر هذه �لطفر�ت كمتلزمة كلوية خلقية و�شِ ا �إىل �ختلالت ع�شبية مثل نق�ص �لتوتر �لع�شلي و�لتخلف و�لتي تعترب من �ل�شمات �لب�رصية �ملميزة لهذ� �ملر�ص. keywords: blood; case; hypothyroidism; laminin; level; microcoria; patient; pierson; syndrome cache: squmj-3954.pdf plain text: squmj-3954.txt item: #1313 of 1636 id: squmj-3955 author: None title: squmj-3955 date: 2020-12-21 words: 2957 flesch: 49 summary: لالأ�سف اأ�سيب املري�ض بنزيف دماغي موؤقت و تعافى منه ب�سكل كامل بدون اأي اآثار متبقية. Keywords: Ectasia; Mechanical Thrombolysis; Myocardial Infarction; Case Report; Oman. امللخ�ص: تعترب معاجلة وتفتيت كميات هائلة من اخلرثة التاجية اأحد التحديات الكبرية التي تعوق عالج مري�ض القلب امل�ساب باحت�ساء قلبي حاد keywords: aspiration; burden; coronary; elevation; infarction; patients; stemi; thrombolysis; thrombus cache: squmj-3955.pdf plain text: squmj-3955.txt item: #1314 of 1636 id: squmj-3956 author: None title: squmj-3956 date: 2020-12-21 words: 1851 flesch: 55 summary: 1Department of Cardiovascular Surgery, Tehran University of Medical Sciences, Tehran, Iran; 2Department of Cardiovascular Surgery, Shahrekord University of Medical Sciences, Shahrekord, Iran *Corresponding Author’s e-mail: behshakerian@yahoo.com رتج األذين األمين يف امرأة ابلغة مع إحصار احلزمية اليسرى بهنام �ساكريان وحممد ح�سني مانديغار abstract: Right atrial diverticulum is a very rare anomaly. Case of single right atrial diverticulum and review of etiology and management. keywords: arrhythmia; block; case; diverticulum; figure; lbbb; patient cache: squmj-3956.pdf plain text: squmj-3956.txt item: #1315 of 1636 id: squmj-3957 author: None title: squmj-3957 date: 2020-12-21 words: 846 flesch: 43 summary: https://creativecommons.org/licenses/by-nd/4.0/ Dragon Warts e398 | SQU Medical Journal, November 2020, Volume 20, Issue 4 surrounding normal skin raised suspicion regarding the localisation of the warts. This suggests that the immune system is able to control the infection and that the development of cutaneous viral warts could depend on a local persistent dysregulation of the skin immune system. keywords: skin; tattoo; warts cache: squmj-3957.pdf plain text: squmj-3957.txt item: #1316 of 1636 id: squmj-3958 author: None title: squmj-3958 date: 2020-12-21 words: 977 flesch: 48 summary: ‘Raccoon eyes’ occurs due to increased vascular fragility propagated by accumulation of amyloid fibrils.3,4 Kidneys are the most frequently involved organ and are seen in 70–80% of the patients followed by the heart (50–60%).1 Macroglossia, a pathognomonic sign of this disorder, is seen in only 10% of patients.1 ‘Raccoon eyes’ is another uncommon but highly characteristic sign of AL amyloidosis. Clinical image: Bilateral black eyes (raccoon's eyes) in AL amyloidosis. keywords: amyloidosis; eyes; figure; raccoon cache: squmj-3958.pdf plain text: squmj-3958.txt item: #1317 of 1636 id: squmj-3959 author: None title: squmj-3959 date: 2020-12-21 words: 1910 flesch: 42 summary: Response from the Authors Dear Reader, We appreciate the interest in our article describing maxillary artery pseudoaneurysm as a complication of maxillofacial injuries.1 In conclusion, maxillary artery pseudoaneurysm is a rare complication of maxillofacial trauma. keywords: cases; complication; pseudoaneurysm; trauma; vascular cache: squmj-3959.pdf plain text: squmj-3959.txt item: #1318 of 1636 id: squmj-3960 author: None title: squmj-3960 date: 2020-12-21 words: 1285 flesch: 49 summary: Arnhem, The Netherlands: European Association of Urology Guidelines Office; 2020. However, the number of COVID-19 positive cases who underwent operations is not known mainly because screening of patients who were scheduled for surgery and were asymptomatic or at risk of COVID-19 had not yet been implemented. keywords: covid-19; guidelines; oman; telemedicine; urology cache: squmj-3960.pdf plain text: squmj-3960.txt item: #1319 of 1636 id: squmj-3961 author: None title: squmj-3961 date: 2020-12-21 words: 1424 flesch: 46 summary: Recently, publications on the role of hydroxycholoquine in COVID-19 management have been retracted from reputed journals due to uncertainty of data and evidence, which influenced decision-making worldwide.4 There are several reasons behind the shifting of focus towards COVID-19 research during the current pandemic which resulted in a healthcare crisis. Reports suggest that researchers are confined to COVID-19 research and all other dimensions of healthcare have been put aside.1,2 Knowledge related to COVID-19 has been ubiquitously disseminating during the current pandemic raising everybody’s concern, with researchers being no exception.3 keywords: articles; covid-19; health; pandemic; research cache: squmj-3961.pdf plain text: squmj-3961.txt item: #1320 of 1636 id: squmj-3962 author: None title: squmj-3962 date: 2020-12-21 words: 1131 flesch: 36 summary: COVID-19 implications on clinical clerkships and the residency application process for medical students. Substantial efforts were geared to reform medical curriculum, promote students skills and plan opportunities for development.6 keywords: covid-19; iraq; students; teaching cache: squmj-3962.pdf plain text: squmj-3962.txt item: #1321 of 1636 id: squmj-4077 author: None title: squmj-4077 date: 2021-03-15 words: 2136 flesch: 52 summary: The increased demand on the healthcare facilities in providing medical care during pandemics creates unique challenges of providing care while ensuring the safety of vulnerable patients and healthcare workers (HCWs). Ran L, Chen X, Wang Y, Wu W, Zhang L, Tan X. Risk factors of healthcare workers with coronavirus disease 2019: A retrospective cohort study in a designated hospital of Wuhan in China. keywords: control; coronavirus; covid-19; hcws; healthcare; infection; risk; sars; workers cache: squmj-4077.pdf plain text: squmj-4077.txt item: #1322 of 1636 id: squmj-4078 author: None title: squmj-4078 date: 2021-03-15 words: 5824 flesch: 56 summary: [Table 1].21,29 Lomoro et al. confirmed bilateral lung consolidation to be the most common chest radiograph finding among 32 patients with COVID-19.21 Similarly, Wong et al. found bilateral and lower lung peripheral consolidation to be most frequent among 64 patients.29 In contrast, chest CT findings were reported in 29 studies [Table 2].8–28,30–37 Simpson S, Kay FU, Abbara S, Bhalla S, Chung JH, Chung M, et al. Radiological Society of North America expert consensus statement on reporting chest CT findings related to COVID-19: Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA. keywords: 2020; chest; consolidation; coronavirus; covid-19; disease; et al; findings; imaging; patients; pneumonia; review cache: squmj-4078.pdf plain text: squmj-4078.txt item: #1323 of 1636 id: squmj-4094 author: None title: squmj-4094 date: 2021-03-15 words: 6855 flesch: 43 summary: Bupropion EFLR EFLR OS EFLR EFLR Clonidine EFLR NRF OS EFLR EFLR Guanfacine NRF NRF NRF EFLR NRF Modafinil - EFLR NRF EFLR EFLR Pemoline NRF NRF - - NRF TCA EFLR EFLR OS EFLR EFLR Pre-treatment safety Measures EFLR EFLR NRF NRF EFLR Explicit dose For some agents only EFLR EFLR NRF EFLR Titration EFLR EFLR OS NRF EFLR Monitoring EFLR EFLR EFLR EFLR EFLR Adverse effects EFLR EFLR EFLR EFLR EFLR Contra-indications NRF EFLR EFLR NRF EFLR Cost consideration NRF EFLR NRF EFLR EFLR Drug holidays NRF NRF (Exceptions permitted) NRF NRF NRF (Exceptions permitted) Psychosocial treatment Individual interventions NRF EFLR NRF NRF EFLR Group interventions NRF NRF NRF NRF EFLR Family-based interventions EFLR EFLR NRF NRF EFLR School-based interventions EFLR EFLR EFLR EFLR EFLR Occupational interventions NRF EFLR NRF EFLR NRF Behavioural training for parents EFLR EFLR EFLR NRF EFLR Behavioural management NRF EFLR NRF NRF EFLR Psychoeducation EFLR EFLR EFLR EFLR EFLR Family therapy NRF EFLR NRF NRF NRF Social skills training NRF EFLR NRF NRF EFLR Cognitive therapy NRF NRF - NRF NRF CBT NRF EFLR - NRF EFLR SIGN = Scottish Intercollegiate Guideline Network; CADDRA = Canadian Attention Deficit Hyperactivity Disorder Resource Alliance; keywords: adhd; adolescents; attention; children; cpgs; deficit; diagnosis; disorder; eflr eflr; evaluation; flo; guidelines; health; hyperactivity; hyperactivity disorder; nice; nrf eflr; nrf nrf; practice; review; treatment cache: squmj-4094.pdf plain text: squmj-4094.txt item: #1324 of 1636 id: squmj-4095 author: None title: squmj-4095 date: 2021-03-15 words: 9335 flesch: 49 summary: For instance, an ACE-inhibitor lisinopril weakened in vitro proliferation of mouse NIH 3T3 fibroblasts and collagen expression by suppressing phosphorylation of SMAD2/3 and TAK1.24 In rats with acute dermal wounds, scars treated with ramipril (an ACE-inhibitor) were narrower compared to the control groups, which had their wounds treated with water; the treated wounds also exhibited augmented neovascularisation and re- epithelialisation.24 Interestingly, complete recovery from keloid scars was reported in a 54-year-old female patient following daily oral administration of the ACE-inhibitor enalapril (10 mg).25 In a second case, satisfactory results were reported in a 70-year-old Figure 1: Possible mechanisms of action for emerging and novel treatments of keloids. 1 = Anti-hypertensive pharmaceuticals; 2 = Botulinum toxin A; 3 = Calcineurin inhibitors; 4 = Doxorubicin; 5 = Electrical stimulation; 6 = Microneedle physical contact; 7 = Extracorporeal shockwave therapy; 8 = Fat grafting; 9 = Stem cell therapy; 10 = Imidazoquinolines; 11 = Interferons; 12 = Tamo- xifen; 13 = RNA-based therapies; TGF-β = transforming growth factor beta; α-SMA= alpha-smooth muscle actin; ECM = extracellular matrix; IGF = insulin-like growth factor; IFN-α = interferon-alpha. For example, an intralesional injection of verapamil (2.5 mg/mL) led to a decrement in pliability, vascularity, height and width of scars after three weeks of treatment.28 A double- blind randomised controlled trial (RCT) revealed that intralesional verapamil injections (2.5 mg/mL) at monthly intervals (four doses) in half of the wounds were safe but not as effective as a similar regimen (10 mg/mL) of triamcinolone (TAC) for prevention of keloid scar recurrence following excision removal.29 It has been suggested that increasing the dose or frequency of injections would improve treatment outcomes when verapamil is exploited as an adjunct to surgical excision.29 In a recent retrospective study, combination of verapamil and intralesional TAC led to a pronounced improvement of keloid scars with a long-lasting result.30 Lawrence also demonstrated that intralesional verapamil hydrochloride after earlobe surgical keloid excision had a 52% cure rate in 31 African-American patients.31 Similarly, one study revealed that keloidectomy with core fillet flap and intralesional verapamil injection is a reliable and cost-effective method in the treatment of earlobe keloids with a low rate of recurrence.32 Overall, keloid recurrence rates for verapamil have been found to range from 1.4–48%.29 Botulinum toxin A Botulinum toxin, a potent neurotoxin produced by Clostridium botulinum, has a wide range of applications in medicine including the United States Food and Drug Administration (FDA)-approved treatments for strabismus, blepharospasm, hemifacial spasm, cervical dystonia, axillary hyperhidrosis, chronic migraine, neurogenic detrusor overactivity and for cosmetic use.33 With regard to keloids, intralesional injection of the toxin abates scar proliferation by reducing muscle tension during wound healing, halting fibroblast cell cycles in the non-proliferative stage and modulating TGF-β1 expression.34,35 Patients have also reported higher satisfaction rates and improvements in erythema, pain, pliability and itching.36,37 A prospective, uncontrolled study revealed that intralesional injections of botulinum toxin A (70–140 units per session every three months) into keloids resulted in peripheral regression and lesion flattening without recurrence after one year.38 keywords: anti; botulinum; cell; clinical; collagen; dermatol; effects; evidence; expression; fibroblasts; imiquimod; injection; intralesional; keloids; memariani; microneedle; novel; patients; proliferation; recurrence; review; scars; skin; stem; studies; study; surg; tamoxifen; therapies; therapy; topical; toxin; treatment; verapamil; wound cache: squmj-4095.pdf plain text: squmj-4095.txt item: #1325 of 1636 id: squmj-4096 author: None title: squmj-4096 date: 2021-03-15 words: 5340 flesch: 50 summary: A progressive decrease in stain intensity can be attributed to collagen lysis, a feature observed in both the intermediate and late PMI stages; alternatively, this may be due to a decrease in the thickness of the submucosa or lamina propria.15,19 In a previous study, Mahalakshmi et al. evaluated histological changes in gingival tissue based on an evaluation of unfixed antemortem tissues alone.9 Yadav et al. also studied post-mortem changes in oral mucosa without comparison with antemortem mucosa.15 Agarwal S, Chaudhary M, Gawande M, Gupta P. Documentation of post-mortem changes in salivary gland architecture and staining characteristics. keywords: buccal; cellular; changes; death; degeneration; hours; lysis; microscopic; mortem; mucosa; pmi; post; samples; study; tissue cache: squmj-4096.pdf plain text: squmj-4096.txt item: #1326 of 1636 id: squmj-4097 author: None title: squmj-4097 date: 2021-03-15 words: 7283 flesch: 59 summary: ،95% �لثقة :فا�سل 5.2–14.2 P؛ >0.001( �ملرتفعة �لدخل م�ستويات ومع 12.2+(؛ ،95% �لثقة :فا�سل 6.8–17.6 �إىل ذلك، ز�دت درجات �لدعم �الجتماعي ب�سكل ملحوظ بني �أفر�د جمموعة �لتدخل �لذين تلقو� دعًما من �الأ�سدقاء ) ومع ذلك، هناك حاجة �إىل مزيد من �الأدو�ت لتقييم �لتاأثري�ت �لنف�سية و�الجتماعية على �لن�ساط �لبدين يف �لبلد�ن �لعربية. الكلمات املفتاحية: ن�ساط بدين؛ د�ء �ل�سكري من �لنوع �لثاين؛ �إد�رة ذ�تية؛ �سلوكيات �سحية؛ دعم �جتماعي؛ كفاءة ذ�تية؛ رعاية �سحية �أولية؛ ُعمان. keywords: activity; adults; baseline; changes; diabetes; group; health; intervention; levels; months; oman; scores; self; study; support cache: squmj-4097.pdf plain text: squmj-4097.txt item: #1327 of 1636 id: squmj-4098 author: None title: squmj-4098 date: 2021-03-15 words: 5771 flesch: 53 summary: البكالوريو�ض درجات على احلا�سالت باأولئك مقارنة ُبعد عن ال�سحية الرعاية بتعريف وعيًا اأكرث املاج�ستري بالإ�سافة اإىل ذلك، اأظهرت القابالت ب�سكل ملحوظ ومتكرر موقًفا اإيجابًيا جتاه الرعاية ال�سحية والتمري�ض عن بعد مقارنة باملمر�سات ) الطريقة: ال�سحة با�سم ا ي�سار اإليها اأي�سً والتي بعد عن ال�سحية با�ستخدام اإيران م�سهد، يف الطبية للعلوم م�سهد جلامعة التابعة امل�ست�سفيات من ع�سوائي ب�سكل والقابالت املمر�سات اختيار مت اإيران. keywords: attitude; awareness; care; healthcare; ict; internet; knowledge; medical; midwives; nurses; participants; research; study; telehealth; telemedicine; telenursing; use cache: squmj-4098.pdf plain text: squmj-4098.txt item: #1328 of 1636 id: squmj-4099 author: None title: squmj-4099 date: 2021-03-15 words: 5660 flesch: 49 summary: �لفروق عن خط �الأ�شا�ض �أعلى بكثري يف �ملجموعة �لتجريبية مقارنة باملجموعة �ملرجعية )لكل منهما P = 0.001(. اخلال�صة: تظهر هذه �لنتائج �أن �لعالج �ملعريف �ل�شلوكي �أكرث فعالية من �مل�شورة غري �لتوجيهية لتح�شني �اللتز�م �لعالجي و�ملعايري �لف�شيولوجية و�ل�رشيرية بني �ملر�شى �مل�شابني مبر�ض �لكلى �ملزمن �لذين يخ�شعون للغ�شيل �لكلوي. تعر�شت �ملجموعة �لتجريبية )n = 33( للعالج �ملعريف �ل�شلوكي، بينما تلقت �ملجموعة �ملرجعية )n = 34( م�شورة غري توجيهية. keywords: adherence; blood; cbt; control; dialysis; disease; effect; fluid; group; haemodialysis; months; patients; pressure; size; study; therapy cache: squmj-4099.pdf plain text: squmj-4099.txt item: #1329 of 1636 id: squmj-4100 author: None title: squmj-4100 date: 2021-03-15 words: 4450 flesch: 43 summary: This study aimed to investigate the antibiotic susceptibility patterns and risk factors contributing to S. maltophilia infections. The present study investigated antibiotic susceptibility patterns as well as underlying risk factors in patients who acquired S. maltophilia infections. keywords: antibiotic; care; clinical; factors; hospital; infections; maltophilia; oman; pathogen; patients; resistance; risk; stenotrophomonas; study; susceptibility; tmp cache: squmj-4100.pdf plain text: squmj-4100.txt item: #1330 of 1636 id: squmj-4101 author: None title: squmj-4101 date: 2021-03-15 words: 3913 flesch: 51 summary: �سملت الدرا�سة على عينة ع�سوائية من 399 طفًل اأعمارهم 5≥ �سنوات ممن �رصف لهم م�ستعلق الكو اموك�سيكلف خلل اأ�سهر ال�ستاء االأربعة من عام 2016. الكلمات املفتاحية: امل�سادات احليوية؛ اأطفال؛ كو اموك�سيكلف؛ و�سف غري منا�سب؛ مقاومة امل�ساد احليوي؛ عمان. keywords: antibiotic; children; general; health; ibri; moh; oman; polyclinic; prescribed; prescribing; study cache: squmj-4101.pdf plain text: squmj-4101.txt item: #1331 of 1636 id: squmj-4102 author: None title: squmj-4102 date: 2021-03-15 words: 6898 flesch: 51 summary: كان �لتحليل ��ستقر�ئًيا ومو�سوعًيا. ��ستخدمت هذه �لدر��سة نهجا نوعيا ال�ستك�ساف ت�سور�ت طاقم �لرعاية �ل�سحية و�ملر�سى عن ثقافة �سالمة �ملري�س وكيف ميكن حت�سينها. keywords: culture; data; department; healthcare; hospital; interviews; kuwaiti; medical; participants; patient; professionals; psc; qualitative; research; safety; staff; study; � � cache: squmj-4102.pdf plain text: squmj-4102.txt item: #1332 of 1636 id: squmj-4103 author: None title: squmj-4103 date: 2021-03-15 words: 5828 flesch: 60 summary: An internationally validated tool was used to assess fall risk factors.28,29 Fourth, the true prevalence of falls may have been underreported by the participants, especially as memory impairment is a common concern among elderly people.32,33 Finally, the necessary sample size for the study was powered for prevalence alone; as such, the sample size may not have been adequate for determining associations with fall risk. Various risk factors were associated with fall risk including being aged >80 years (adjusted odds ratio [aOR]: 5.17, 95% confidence interval keywords: age; arabia; care; city; factors; falls; home; participants; patients; prevalence; risk; risk factors; saudi; study; years; سقوط cache: squmj-4103.pdf plain text: squmj-4103.txt item: #1333 of 1636 id: squmj-4104 author: None title: squmj-4104 date: 2021-03-15 words: 7084 flesch: 64 summary: Methods: Seven victims of catastrophic coastal erosion in the Kollam District of Kerala, India, were interviewed from December 2013 to February 2014. The study helps understand the nature and dynamics of catastrophic coastal erosion and the problems encountered. - keywords: apr; catastrophe; coastal; data; disaster; erosion; experiences; fear; health; houses; impact; living; management; participant; recovery; researchers; sea; study; suffering; time; victims; waves cache: squmj-4104.pdf plain text: squmj-4104.txt item: #1334 of 1636 id: squmj-4105 author: None title: squmj-4105 date: 2021-03-15 words: 5554 flesch: 57 summary: اخلال�صة: كانت �لعدوى هي �أكرث �مل�ساعفات �سيوًعا و�لتي ��ستلزمت �إز�لة منفذ �لو�سول �لوريدي. ت�سمنت �لدر��سة متابعة رجعية وم�ستقبلية للمر�سى �لذين تلقو� عالج �ل�رسطان من خالل منفذ �لو�سول �لوريدي �ملركزي ومت قبولهم يف م�ست�سفى جامعة �ل�سلطان قابو�ض بني يناير 2007 و�أبريل 2019. keywords: access; cancer; cath; catheter; complications; days; hospital; infection; patients; port; removal; study; time; treatment; university; venous cache: squmj-4105.pdf plain text: squmj-4105.txt item: #1335 of 1636 id: squmj-4106 author: None title: squmj-4106 date: 2021-03-15 words: 4284 flesch: 48 summary: كانت اجلراحة بعد املري�سة ر�سى ت�سمنت الثانوية النتيجة الطبية. لذلك من املمكن اعتبار هذه التقنية بدياًل ممكًنا ل�سق غ�ساء البكارة التقليدي لأنها ت�سمح با�ستئناف ت�رصيح غ�ساء البكارة الطبيعي دون عالج keywords: cases; hymen; imperforate; novel; pain; patency; patients; postpubertal; study; technique; البكارة; ساء cache: squmj-4106.pdf plain text: squmj-4106.txt item: #1336 of 1636 id: squmj-4107 author: None title: squmj-4107 date: 2021-03-15 words: 2170 flesch: 53 summary: يف م�ست�سفى جامعة ال�سلطان قابو�س ‘م�سقط‘ �سلطنة عمان. املنهجية: �سملت هذه الدرا�سة 14 حالة طارئة مت التعامل معها خالل منت�سف �سهر مار�س اىل ابريل �سنة 2020 keywords: cases; covid-19; htn; patients; surgery; vascular cache: squmj-4107.pdf plain text: squmj-4107.txt item: #1337 of 1636 id: squmj-4108 author: None title: squmj-4108 date: 2021-03-15 words: 2651 flesch: 57 summary: يهدف هذا البحث اإىل ت�سليط ال�سوء على اأهمية الت�سخي�ض املبكر لإ�سابات ال�رشيان الأورطي ال�سدري املزمنة. الكلمات املفتاحية: متدد الأوعية الدموية لل�رشيان الأورطي؛ عمليات الأوعية الدموية؛ متدد الأوعية الدموية؛ اجلروح؛ احلوادث، حركة املرور؛ ُعمان. يجب اأن يخ�سع املر�سى للمراقبة الدورية بعد الت�سخي�ض بتمدد �رشياين يف ظل خلوهم من الأعرا�ض٬ مع و�سع التدخل اجلراحي كخياٍر مهم ب�سبب خطر حدوث مزق اأورطي. keywords: aortic; blunt; chronic; injury; management; patient; surg; thoracic; trauma; years cache: squmj-4108.pdf plain text: squmj-4108.txt item: #1338 of 1636 id: squmj-4110 author: None title: squmj-4110 date: 2021-03-15 words: 2107 flesch: 44 summary: Mishra V, Saha A, Bandyopadhyay D, Das A. Bilateral system- atized epidermolytic verrucous epidermal nevus: A rare entity. EHK is present in about 5–10% of epidermal nevi and tends to be more warty.7 VEN may occur as part of an epidermal nevus syndrome that includes central nervous system and skeletal abnormalities; however, a literature review showed that the epidermolytic variant of epidermal nevus does not have any extracutaneous features.8 Mishra et al. reported epidermolytic epidermal nevus in a 3-year-old boy who had no history of blistering at birth and had no extracutaneous features.9 Similar findings were evident in the current case. keywords: case; epidermal; hyperkeratosis; linear; nevi; nevus; report; ven; verrucous cache: squmj-4110.pdf plain text: squmj-4110.txt item: #1339 of 1636 id: squmj-4111 author: None title: squmj-4111 date: 2021-03-15 words: 3946 flesch: 64 summary: يعد �لتعرف �ملبكر على هذ� �لكيان �ل�رسيري عند �ملر�ضى �ل�ضباب �أمًر� مهًما لأن �لعالج �ملبكر ميكن �أن يوؤثر على تطور �ملر�ض. الكلمات املفتاحية: مر�ض باجيت �لعظام؛ �ضباب بالغني؛ ت�ضخي�ض؛ تقرير حالة؛ تون�ض. تعاين من �آلم مزمنة �أ�ضفل �لظهر. keywords: alp; bone; case; disease; paget; patients; pdb; years cache: squmj-4111.pdf plain text: squmj-4111.txt item: #1340 of 1636 id: squmj-4112 author: None title: squmj-4112 date: 2021-03-15 words: 3328 flesch: 54 summary: التنف�شي اأثناء ا�شتئ�شال الف�س الرئوي للمري�شة. يف هذا املقال، نعر�س حالة طفلة تبلغ من العمر 16 �شهراً كانت تعاين من نوبات متكررة من �شيق التنف�س تطلبت دخوًل متكررا اإىل امل�شت�شفى ومت ت�شخي�شها يف م�شت�شفى جامعة ال�شلطان قابو�س مب�شقط يف عمان عام 2019 بقو�س الأبهر املزدوج الذي ي�شغط على الق�شبة الرغامية م�شببا انتفاخ يف الف�س العلوي للرئة اليمنى. keywords: aortic; arch; bronchus; case; double; endotracheal; lobe; lung; patient; report; suis; tracheal; tube cache: squmj-4112.pdf plain text: squmj-4112.txt item: #1341 of 1636 id: squmj-4113 author: None title: squmj-4113 date: 2021-03-15 words: 888 flesch: 52 summary: A combination of rivaroxaban and clopidogrel resulted in partial thrombus regression in their patient.4 Left atrial volume reduction surgery in AF patients with enlarged LA have shown superior freedom rates from AF up to five years compared with patients in the non-reduction group.5 AF plays a vital role in LA thrombus formation along with an increase in left ventricular (LV) volume overload and enlargement. Comments GLA is a rare condition with a reported incidence of 0.3%.1 It is defined as an excessive dilatation of the left atrium by >8 cm.2 GLA is usually associated with rheumatic mitral pathology, but there are few reports of GLA in patients with non- keywords: atrium; gla; patients; thrombus cache: squmj-4113.pdf plain text: squmj-4113.txt item: #1342 of 1636 id: squmj-4114 author: None title: squmj-4114 date: 2021-03-15 words: 947 flesch: 41 summary: According to a system proposed by Mulliken and Glowacki, they are classified as capillary haeman- giomas, venous vascular malformations, venous lymphatic malformations, arterial and arteriovenous lesions or neoplasms.1 This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License. Left eye proptosis secondary to retrobulbar mass was the most likely aetiology and a magnetic resonance imaging (MRI) scan was performed. keywords: eye; images; oman; orbital cache: squmj-4114.pdf plain text: squmj-4114.txt item: #1343 of 1636 id: squmj-4115 author: None title: squmj-4115 date: 2021-03-15 words: 1213 flesch: 49 summary: They found that BCG vaccine was more effective compared to topical SA in the treatment of viral warts with the best response observed in treating genital warts, followed by flat warts; plantar warts showed the least response to this therapy.1 They concluded that the BCG vaccine could be regarded as an alternative therapy with a simple and cheap implementation in the clinical field.1 4. Subramani R, Datta M, Swaminathan S. Does effect of BCG vaccine decrease with time since vaccination and increase tuberculin skin test reaction? keywords: bcg; iraq; vaccine; warts cache: squmj-4115.pdf plain text: squmj-4115.txt item: #1344 of 1636 id: squmj-4116 author: None title: squmj-4116 date: 2021-03-15 words: 1514 flesch: 45 summary: Moreover, without a clear direction in the form of robust medical professional presence on social media, public health education, particularly in the Arab world, will suffer. For many, social media have been the primary sources of information and insight into the COVID-19 pandemic.2 keywords: covid-19; education; health; media; medical; public cache: squmj-4116.pdf plain text: squmj-4116.txt item: #1345 of 1636 id: squmj-4117 author: None title: squmj-4117 date: 2021-03-15 words: 13989 flesch: 42 summary: Determination of the Prevalence of Methicillin-Resistant-Staphylococcus aureus in Sultan Qaboos University Hospital Healthcare Workers *Loai Al-Wahaibi,1 Rajaa Al-Sudairi,1 Abdullah Balkhair,2 Huda Al-Owaisi,3 Mohamed Mabruk1 1Department of Allied Health Sciences, Sultan Qaboos University, Muscat, Oman; 2Department of Medicine, Infectious Diseases Unit, Sultan Qaboos University Hospital, Muscat, Oman; 3Department of Nursing Affairs, Sultan Qaboos University Hospital, Muscat, Oman. Assessment of Estrogen Receptor, Progesterone Receptor and Human Epider- mal Growth Factor Receptor 2 Immunohistochemistry of Breast Cancer Fine- Needle Aspiration Cell Blocks *Hajer M. Al-Badi,1 Noha M. Al-Masrouri,1 Nasar Y. Al-Wahaibi,1 Shadia S. Al-Sinawi,2 Najat Al-Dairi2 1Department of Allied Health Sciences, Sultan Qaboos University, Muscat, Oman; 2Department of Pathology, Sultan Qaboos University Hospital, Muscat, Oman. keywords: activity; analysis; anti; apoptosis; author; biomedical; blood; breast; cancer; cases; cells; conclusion; conference; effect; expression; group; health; hospital; mail; methods; mrsa; muscat; objectives; oman; patients; prl; qaboos; qaboos university; receptor; results; samples; sciences; study; sultan; sultan qaboos; university cache: squmj-4117.pdf plain text: squmj-4117.txt item: #1346 of 1636 id: squmj-4175 author: None title: squmj-4175 date: 2021-08-29 words: 5959 flesch: 56 summary: Furthermore, the mean of nonverbal IQ (73.5 ± 17.5) was significantly higher than that of verbal IQ (65.5 ± 17.6). However, not all components or subscales of nonverbal IQ were higher than the corresponding components or subscales of verbal IQ. keywords: age; asd; autism; children; intelligence; level; mean; nonverbal; profile; spectrum; study; subscales cache: squmj-4175.pdf plain text: squmj-4175.txt item: #1347 of 1636 id: squmj-4176 author: None title: squmj-4176 date: 2021-08-29 words: 2365 flesch: 47 summary: https://doi.org/10.18295/squmj.4.2021.002 CASE REPORT abstract: Stevens Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are acute life-threatening mucocutaneous drug reactions. The patient had Stevens johnson syndrome (sjs) and toxic epidermal necrolysis (TEN) are skin conditions that have been observed following reactions to certain drugs.1–4 Several therapies can be used to treat SJS/TEN; however, there is currently no standard treatment option.5 keywords: csa; epidermal; johnson; necrolysis; patient; sjs; syndrome; treatment cache: squmj-4176.pdf plain text: squmj-4176.txt item: #1348 of 1636 id: squmj-4177 author: None title: squmj-4177 date: 2021-08-29 words: 3673 flesch: 48 summary: The results showed that exposure to e-cigarette smoke caused an increase in free radicals, triggered an inflammatory process and degraded the type-2 collagen present in the lung tissue. While various studies have shown the short-term adverse effects, such as an increase in free radicals and/or respiratory/airway inflammation, the long-term risks of exposure and use remain unknown because it is still a recent innovation.3,4 However, various physiological disorders arising from cell damage caused by e-cigarette smoke pose a safety concern.5 The e-cigarette is an electronic device that utilises battery power.6 Its use is different from tobacco cigarettes, which require the burning of natural tobacco leaves. keywords: cells; cigarette; collagen; damage; group; lung; matrix; smoke; study; tissue; type-2 cache: squmj-4177.pdf plain text: squmj-4177.txt item: #1349 of 1636 id: squmj-4178 author: None title: squmj-4178 date: 2021-08-29 words: 5005 flesch: 46 summary: Hence, considering the higher positive perception towards spectacle wear, stressing the importance of spectacle correction and ensuring spectacle compliance would not pose a difficulty as there is already acceptance in the population of such an initiative. Those from a health science background including Nursing and Optometry had a higher positive perception towards spectacle wear than others (P = 0.012). keywords: health; oman; participants; perception; population; spectacle; spectacle wear; students; study; university; wear cache: squmj-4178.pdf plain text: squmj-4178.txt item: #1350 of 1636 id: squmj-4179 author: None title: squmj-4179 date: 2021-08-29 words: 3709 flesch: 49 summary: The current researchers previously conducted a cross-sectional study to investigate truth disclosure practices of physicians in Jordan.10 In 2018, the researchers reported that 23% of physicians do not https://creativecommons.org/licenses/by-nd/4.0/ Attitudes of Physicians in Jordan Towards Non-Disclosure of Health Information 424 | SQU Medical Journal, August 2021, Volume 21, Issue 3 usually disclose the truth to a patient with a serious illness and are commonly motivated by a direct request from the patient’s family. Attitudes of Physicians in Jordan Towards Non-Disclosure of Health Information 426 | SQU Medical Journal, August 2021, Volume 21, Issue 3 of responses in favour of direct disclosure was similar for physicians who were ‘always truthful’ and those who were ‘not always truthful’ (94% and 84%, respectively; χ2(1) keywords: attitudes; disclosure; health; jordan; non; patients; physicians; truth cache: squmj-4179.pdf plain text: squmj-4179.txt item: #1351 of 1636 id: squmj-4180 author: None title: squmj-4180 date: 2021-08-29 words: 5458 flesch: 43 summary: These findings are in agreement with those found in the literature, showing that antibiotic use in human medicine does not only vary according to patient characteristics but also according to geographical location, reimbursement systems, medical education and cultural considerations.18,31 Overall, participants residing in urban areas had significantly better knowledge and awareness towards antibiotic resistance and antibiotic consumption, which supports this study’s hypothesis that socio-demographic factors can be related to antibiotic resistance knowledge and awareness.25 Thus, an antibiotic knowledge index Table 1: Characteristics of study participants compared to antibiotic knowledge index (N = 623) keywords: antibiotic; education; factors; health; income; index; knowledge; level; participants; public; residence; resistance; study; use cache: squmj-4180.pdf plain text: squmj-4180.txt item: #1352 of 1636 id: squmj-4181 author: None title: squmj-4181 date: 2021-08-29 words: 6562 flesch: 39 summary: Lubbers J, Rossman C. Satisfaction and self-confidence with nursing clinical simulation: Novice learners, medium-fidelity, and community settings. In particular, the American Organization of Nurse Executives (AONE) developed the Nurse Managers Competencies Framework to guide nursing schools in the development of their undergraduate and graduate curricula to successfully educate nursing students with essential management and leadership skills required in the performance of nurse manager roles.3 keywords: articles; educ; fidelity; leadership; learning; management; nurse; nursing; nursing students; review; simulation; skills; students; studies; study; teaching cache: squmj-4181.pdf plain text: squmj-4181.txt item: #1353 of 1636 id: squmj-4182 author: None title: squmj-4182 date: 2021-08-29 words: 6041 flesch: 47 summary: The present study identified a significant positive relationship between Internet addiction and the total duration of social media use, with individuals who had used social media for a greater number of years being more likely to be addicted to it. This study aimed to estimate the prevalence of social media usage and Internet addiction among Oman Medical Specialty Board (OMSB) residents and to determine associations between Internet addiction, sociodemographic characteristics and symptoms of depression. keywords: addiction; depression; internet; internet addiction; media; medical; networking; oman; research; residents; scores; sites; social; study; use cache: squmj-4182.pdf plain text: squmj-4182.txt item: #1354 of 1636 id: squmj-4183 author: None title: squmj-4183 date: 2021-08-29 words: 4928 flesch: 40 summary: Using the pathologic basis of disease as a fulcrum and critical reasoning as an anchor, a digitally-enabled generation of medical students have embraced this educational tool for tutor-guided, student-centred learning. Once mastered, the ease of image manipulation provided a gaming effect to stimulate student learning. keywords: case; clinical; digital; disease; education; learning; microscopy; pathology; reasoning; slide; students; study; teaching cache: squmj-4183.pdf plain text: squmj-4183.txt item: #1355 of 1636 id: squmj-4184 author: None title: squmj-4184 date: 2021-08-29 words: 8844 flesch: 49 summary: J Clin Endocrinol Metab 2002; 87:4564–8. J Clin Endocrinol Metab 2007; 92:3973–8. https://doi.org/10.1210/jc.2007-0232. keywords: cdi; clin; copeptin; ddavp; diabetes; diabetes insipidus; diagnosis; endocrinol; fluid; following; insipidus; management; patients; pituitary; polyuria; postoperative; serum; sodium; surgery; treatment; urine; vasopressin; water cache: squmj-4184.pdf plain text: squmj-4184.txt item: #1356 of 1636 id: squmj-4187 author: None title: squmj-4187 date: 2021-11-25 words: 3009 flesch: 53 summary: Surgical options for dealing with vallecular cysts in infants and children include cyst aspiration, marsupialisation (i.e. deroofing) and extirpation (i.e. resection and excision).4 However, aspiration of cyst is not advocated for its high recurrence rate.9 Hence, aspiration should be considered either as a palliative procedure or as an initial step in cases of difficult intubation for decompression of the cyst.9,12 A definitive treatment of vallecular cyst is marsupialisation or extirpation.4,9 In a retrospective analysis, Li et al. found successful outcomes from marsupialisation using micro-instruments, electrocautery, potassium-titanyl-phosphate (KTP) laser and micro-debrider and a 15% recurrence rate.3 Gutierrez et al. reported success and safety with marsupialisation using cup forceps and CO2 laser. An urgent computed tomography (CT) scan was performed to evaluate A vallecular cyst is a unilocular cystic mass which contains clear and non-infected fluid.1 Vallecular cysts are rare anomalies presented with respiratory distress, dysphagia and failure to thrive and they can lead to potentially life- threatening conditions and sudden airway obstruction.2 Symptoms such as chest retraction, apnoeic/cyanotic episodes, choking, postprandial vomiting, coughing and hoarse cry are also seen occasionally.1,3 Any infant showing such symptoms should be considered to be having laryngomalacia, upper airway anatomical anomalies or upper airway obstructive lesions such as haemangioma, cystic hygroma, teratoma, hamartoma, dermoid cyst, thyroglossal duct cyst or thyroid remnant.1 Nasopharyngolaryngoscopy and imaging are required to confirm the diagnosis and to observe the extension of the cyst.1 The treatment options include cyst aspiration, marsupialisation deroofing of the cyst wall and complete excision.4 This case series details the presentation and management of vallecular cysts in three paediatric cases. keywords: airway; approach; base; case; cyst; figure; tongue; vallecular cache: squmj-4187.pdf plain text: squmj-4187.txt item: #1357 of 1636 id: squmj-4188 author: None title: squmj-4188 date: 2021-08-29 words: 6277 flesch: 56 summary: *29 participants had normal sleep quality and 69 had poor sleep quality. Sleep Patterns and Their Association with Blood Pressure and Heart Rate Variability Parameters in Young Saudi Females 400 | SQU Medical Journal, August 2021, Volume 21, Issue 3 other morbidity, as evident in these apparently healthy study participants.26,27 BP variables did not differ significantly in partic- ipants with poor sleep vs normal sleep quality. keywords: blood; daytime; duration; heart; hrv; mean; normal; parameters; participants; pressure; quality; rate; sleep; sleepiness; study cache: squmj-4188.pdf plain text: squmj-4188.txt item: #1358 of 1636 id: squmj-4189 author: None title: squmj-4189 date: 2021-08-29 words: 1641 flesch: 52 summary: https://creativecommons.org/licenses/by-nd/4.0/ A Rare Case of Apophysomyces Variabilis Skin and Soft Tissue Infection 500 | SQU Medical Journal, August 2021, Volume 21, Issue 3 old colony), day 38 (10-day-old colony) and day 43 (15-day-old colony). No microbiological evaluation was requested by the treating surgeon on day 0. keywords: apophysomyces; day; fungal; patient; wound cache: squmj-4189.pdf plain text: squmj-4189.txt item: #1359 of 1636 id: squmj-4190 author: None title: squmj-4190 date: 2021-08-29 words: 2787 flesch: 47 summary: Peripheral nerve schwannoma: A review of varying clinical presentations and imaging findings. B: Histology of normal obturator nerve of the right-side using H&E staining at ×40 magnification showing the bundles of nerve fascicles enclosed in the perineurium (arrows). keywords: benign; case; mass; nerve; obturator; pelvic; report; schwannoma; tumour cache: squmj-4190.pdf plain text: squmj-4190.txt item: #1360 of 1636 id: squmj-4191 author: None title: squmj-4191 date: 2021-08-29 words: 1650 flesch: 50 summary: A case of cardiac hydatid cyst localized in the lungs bilaterally and on anterior wall of right ventricle. Cardiac hydatid cyst successfully managed with Albendazole: A case report. keywords: cardiac; case; cyst; heart; hydatid; patient; report cache: squmj-4191.pdf plain text: squmj-4191.txt item: #1361 of 1636 id: squmj-4192 author: None title: squmj-4192 date: 2021-08-29 words: 2348 flesch: 50 summary: We report a case of bilateral chylothorax following total thyroidectomy with central and left lateral neck dissection which was managed conservatively. Thoracic duct injury associated with left internal jugular vein catheterization: Anatomic consid- erations. keywords: case; chylothorax; dissection; duct; neck; patient; surgery; thoracic; thyroid; thyroidectomy cache: squmj-4192.pdf plain text: squmj-4192.txt item: #1362 of 1636 id: squmj-4193 author: None title: squmj-4193 date: 2021-08-29 words: 5274 flesch: 47 summary: Al-Qahtani M, Roff S. Using the Dundee Polyprofessionalism Inventory I: Academic integrity to map student professionalism in 3 Arab Gulf countries. The current literature shows an increased focus on medical professionalism in various contexts due to the positive impact of professional performance on the healthcare provided. - keywords: accountability; education; level; median; medical; medicine; professionalism; saudi; scores; students; study; subscale; year cache: squmj-4193.pdf plain text: squmj-4193.txt item: #1363 of 1636 id: squmj-4194 author: None title: squmj-4194 date: 2021-08-29 words: 3766 flesch: 53 summary: Methods: A total of 13 patients from a tertiary care centre in India with transverse LV band were investigated during a six-month period from January 2019 to July 2019. This study aimed to evaluate the relationship between BAVs and the presence of transverse LV bands. keywords: aortic; band; bav; bicuspid; lv band; patients; presence; study; transverse; valve; ventricular cache: squmj-4194.pdf plain text: squmj-4194.txt item: #1364 of 1636 id: squmj-4195 author: None title: squmj-4195 date: 2021-08-29 words: 1438 flesch: 52 summary: https://doi.org/10.18295/squmj.4.2021.021 CASE REPORT abstract: Multiple sclerosis (MS) is an autoimmune demyelinating disorder of the central nervous system that shares similar immunopathogenic mechanisms with chronic plaque psoriasis, such as the overexpression of the Th17 pathway. Assefa GT, Kaneko S, Oguro H, Morita E. Treatment of psoriasis and psoriatic arthritis with secukinumab after unsatisfactory response to ustekinumab in multiple sclerosis patient. keywords: ixekizumab; patient; psoriasis; report; sclerosis cache: squmj-4195.pdf plain text: squmj-4195.txt item: #1365 of 1636 id: squmj-4196 author: None title: squmj-4196 date: 2021-08-29 words: 4917 flesch: 60 summary: This study aimed to assess knowledge of cervical cancer and its prevention among Omani women aged 20–65 years. The results indicated that 86.7% of surveyed women had previously heard of cervical cancer and 13.0% expected this disease to affect them in the future. keywords: cancer; health; hpv; knowledge; oman; participants; primary; study; vaccine; women; years cache: squmj-4196.pdf plain text: squmj-4196.txt item: #1366 of 1636 id: squmj-4198 author: None title: squmj-4198 date: 2021-11-25 words: 4134 flesch: 57 summary: This study aimed to assess the awareness of the general population regarding vaccines to determine the prevalence of vaccine hesitancy in Aseer Region in the southern part of Saudi Arabia. - This study is the first to examine the prevalence and determinants of vaccine hesitancy among parents in Aseer Region, Saudi Arabia. keywords: awareness; children; efficacy; health; hesitancy; parents; participants; safety; saudi; study; vaccination; vaccine cache: squmj-4198.pdf plain text: squmj-4198.txt item: #1367 of 1636 id: squmj-4199 author: None title: squmj-4199 date: 2021-08-29 words: 4957 flesch: 51 summary: The effect of increased maternal age was found to be monotonic and, by virtue of the logistic regression analysis, was independent of the paternal age’s effect. In a multivariate logistic regression, the OR of maternal age as a risk for ASD increased dramatically with advancing age category (using age <25 as reference, OR = 3.39, 6.12, 7.86 and 13.13 for age categories 25–29, 30–34, 35–39 and ≥40 years, respectively). keywords: advanced; age; asd; autism; cases; child; effect; oman; risk; spectrum; study; years cache: squmj-4199.pdf plain text: squmj-4199.txt item: #1368 of 1636 id: squmj-4200 author: None title: squmj-4200 date: 2021-08-29 words: 1023 flesch: 47 summary: https://doi.org/10.18295/squmj.4.2021.025 INTERESTING MEDICAL IMAGE Figure 1: Contrast-enhanced multi-detector row computed tomography images of the abdomen of an 80-year-old female patient with (A) the axial section image showing a sac-like cluster of dilated small bowel loops (within the circle) and (B) an axial maximum intensity projection image showing engorged and crowded vessels in the vascular pedicle (arrow). A transition zone can be seen between the proximal dilated small bowel loops and the normal or collapsed distal bowel. keywords: bowel; loops; patient; pedicle cache: squmj-4200.pdf plain text: squmj-4200.txt item: #1369 of 1636 id: squmj-4201 author: None title: squmj-4201 date: 2021-08-29 words: 1209 flesch: 45 summary: B: Intraoperative image showing dilated sigmoid volvulus. Although AGD is reported most commonly in patients with psychogenic polyphagia and eating disorders, it is also found to occur in association with other conditions.2,3 There are very few reports in the literature on gastric necrosis in association with bowel obstruction.4 keywords: gastric; necrosis; patient; sigmoid; volvulus cache: squmj-4201.pdf plain text: squmj-4201.txt item: #1370 of 1636 id: squmj-4202 author: None title: squmj-4202 date: 2021-11-25 words: 932 flesch: 42 summary: EM targetoid lesions are often palpable and should be distinguished from the atypical ‘targets’ that can be seen in Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), which are round, asymmetric, non-palpable lesions with only two zones and a poorly defined border.1 The EM spectrum has been classified into major and minor forms, the latter associated with mild or absent mucosal affection and acral location of the skin lesions. Severe mucosal involvement is characteristic of major EM and usually consists in vesiculobullous lesions which rapidly develop into painful erosions that can give rise to serohaemorrhagic crusts. keywords: erythema; lesions; skin cache: squmj-4202.pdf plain text: squmj-4202.txt item: #1371 of 1636 id: squmj-4203 author: None title: squmj-4203 date: 2021-08-29 words: 2208 flesch: 46 summary: Moreover, hospital resources were diverted to accommodate patients with severe illness due to COVID-19; as such, many essential cancer diagnostic procedures such as radiology and endoscopic procedures were suspended or continued operating solely in an extremely limited capacity.8 Elective surgeries for those already diagnosed with cancer were deferred indefinitely, while only urgent surgeries were permitted, often resulting in severe psychological distress to the affected patients and caregivers.9 Services in the primary care sector were restructured to implement mandatory COVID-19 triaging, screening, swab-taking and quarantine or isolation procedures, with staff training implemented to ensure the appropriate referral and management of symptomatic and asymptomatic patients.10 Although these measures were undoubtedly necessary, such changes have had a profound effect on existing essential cancer services, leading to further delays in cancer diagnosis and worsening patient outcomes, including their survival rate.11 In some countries, the rate of referral for potential cancer cases has decreased by 80% or more, even for patients in whom cancer is highly likely and who would normally be directed into urgent two-week- wait referral pathways.12 In April 2020, the number of urgent referrals of cancer patients by primary care physicians in Scotland and England decreased by more than 70% compared to the average rate over the preceding three years.13 Instead, the only way in which patients can currently present to doctors with possible cancer symptoms is through emergency departments. Unfortunately, this fear is justified given that COVID-19-related mortality appears to be higher among cancer patients compared to those without cancer (6% versus 2%), likely due to immunocompromise resulting both from the disease itself as well as its various treatment modalities such as surgery, radiation and chemotherapy.17 Various measures have been implemented in order to limit the risk of transmission of COVID-19 while still delivering and facilitating health-related services. keywords: cancer; care; countries; covid-19; health; jan; pandemic; patients cache: squmj-4203.pdf plain text: squmj-4203.txt item: #1372 of 1636 id: squmj-4204 author: None title: squmj-4204 date: 2021-11-25 words: 6011 flesch: 57 summary: Briefel et al. estimated that the prevalence of DS use was 19% among infants.2 Research has shown that several factors have led individuals to take DS: maintaining health and wellbeing, providing the body with nutrients that are deficient in the food and improving cognitive and physical However, pharmacists seem to insist on contributing to a patient’s requirements of the DS.5 Reportedly, community pharmacists appear to rarely use reliable references that were part of the pharmacy curriculum.5,14 Pharmacists serving the frontline of the healthcare practitioners are required to be equipped with knowledge about DS alongside possible drug interactions. keywords: advice; attitudes; community; dietary; knowledge; palestine; participants; pharmacists; practices; study; supplements; use cache: squmj-4204.pdf plain text: squmj-4204.txt item: #1373 of 1636 id: squmj-4205 author: None title: squmj-4205 date: 2021-11-25 words: 6968 flesch: 53 summary: Their respective HOMA-IR means and standard deviations (0.88 ± 0.43, 2.71 ± 0.88) were used to estimate the 95% confidence intervals of the NIR and IR population’s means (0.84–0.91 and 2.58–2.84, respectively).21 Additionally, sub-clinical hypothyroidism is associated with higher insulin levels and IR, which correlates positively with thyroid-stimulating hormone (TSH) levels and negatively with FT3 and FT4.30 LEPT is a body fat biomarker that can play a major role as a predictor of IR syndrome; a study conducted on 80 individuals showed a positive relationship between LEPT and IR syndrome.31 The current study described an unsupervised ML approach for assessing the IR condition using the clinical data of a sample representing an ethnic group while taking into consideration the confounding variables. keywords: cut; glucose; homa; individuals; insulin; means; model; resistance; risk; samples; study; subjects; value; variables cache: squmj-4205.pdf plain text: squmj-4205.txt item: #1374 of 1636 id: squmj-4206 author: None title: squmj-4206 date: 2021-11-25 words: 7063 flesch: 50 summary: • Lack of sufficient skills of mental health professionals • No separate room • Crowded healthcare centres • Lack of follow-up due to a large number of patients • Not evaluating the ability and skill of mental health professionals Need for change in mental health services • Promising steps in diagnosis and treatment • Informing the community and ensuring social contribution • Supporting mothers • Empowering healthcare providers • Changing the attitudes and beliefs of the community • Insurance support and coverage of mental health services • Informing people about PPD • Educating spouses about depression among women • Training mental health professionals on PPD • Cultural diversity and mental health • Fighting PPD and its stigma • Increasing access to mental health services PPD = postpartum depression. This study aimed to describe the experience of healthcare professionals in providing mental health services to women with postpartum depression (PPD). keywords: centres; depression; experience; factors; health; health services; healthcare; lack; mothers; participants; postpartum; ppd; professionals; providers; services; study; women cache: squmj-4206.pdf plain text: squmj-4206.txt item: #1375 of 1636 id: squmj-4207 author: None title: squmj-4207 date: 2021-11-25 words: 4915 flesch: 52 summary: Advances in Knowledge - The survival of Omani patients with neuroblastoma is similar to that of other patients in developed countries despite the considerable challenges. - Patients older than 13 years of age during diagnosis, patients who abandoned treatment, benign histology cases (very low risk) and patients of non-Omani nationality were excluded from the study cohort. keywords: age; centre; children; clinical; group; neuroblastoma; oman; patients; risk; study; survival; treatment; years cache: squmj-4207.pdf plain text: squmj-4207.txt item: #1376 of 1636 id: squmj-4208 author: None title: squmj-4208 date: 2021-11-25 words: 3361 flesch: 65 summary: Regarding the low incidence of assault cases in the years 2007 and 2008, this might not have reflected the true incidence during those years, as the HIS was in its early stages then. Since 2016, the incidence of assault cases presenting to the emergency department has been doubling each year. keywords: ait; assault; cases; incidence; injuries; oman; patients; study; trauma cache: squmj-4208.pdf plain text: squmj-4208.txt item: #1377 of 1636 id: squmj-4209 author: None title: squmj-4209 date: 2021-11-25 words: 6409 flesch: 54 summary: Furthermore, specialised TDT clinics should be established and staffed by trained physicians in order to provide appropriate Knowledge, Attitudes and Practices of Primary Care Physicians Regarding Tobacco Dependence Treatment in Muscat Governorate, Oman A cross-sectional study 564 | SQU Medical Journal, November 2021, Volume 21, Issue 4 motivational counselling and prescriptions for nicotine replacement therapy (NRT), most forms of which are usually available over the counter.7,8 In June 2019, the price of tobacco products doubled due to the addition of tax; this change is expected to increase demand for tobacco cessation services, particularly in low- and middle-income countries.3,9 Assorted tobacco control measures have been implemented in the Gulf Cooperation Council (GCC) region with varying degrees of success.10 Overall, the majority of GCC countries have made important strides in tobacco control in recent years, such as implementing bans on the advertisement or marketing of tobacco products; moreover, all GCC states, apart from Bahrain, have a national body dedicated to tobacco control measures.11 Al-Turkstani et al. reported the opposite to be true among PCPs in Makkah, where females were significantly more knowledgeable than males.25 Finally, job position was significantly linked with TDT knowledge in the present study, with GPs demonstrating significantly lower mean knowledge scores compared to physicians in other positions. keywords: care; cessation; health; knowledge; oman; pcps; physicians; primary; services; study; tdt; tobacco cache: squmj-4209.pdf plain text: squmj-4209.txt item: #1378 of 1636 id: squmj-4210 author: None title: squmj-4210 date: 2021-11-25 words: 4034 flesch: 56 summary: Selecting samples from a variety of neighbourhood environments would help in better measuring the variability in perceptions about the built environment and confirming the utility of this tool in the Omani context.10 Table 2 (cont’d): Neighbourhood social environment 14 I see many people being physically active in my neighbourhood and doing things like walking, jogging, cycling or playing sports and active games. keywords: activity; environment; health; item; neighbourhood; oman; panes; reliability; test; walking cache: squmj-4210.pdf plain text: squmj-4210.txt item: #1379 of 1636 id: squmj-4215 author: None title: squmj-4215 date: 2021-11-25 words: 2354 flesch: 46 summary: There are two distinct types of MRKHS: type 1 which is typical MRKHS with uterovaginal aplasia and type 2 which is atypical MRKHS that is additionally associated with systemic congenital anomalies of different penetrance.4 MRKHS does not present with clearly identifiable genetic causes although familial clustering of the syndrome is seen.5 Genetic and environmental dynamics may add to the development of MRKHS although their specific contribution is often unknown.1 The patient history, clinical examination, ultrasound, magnetic resonance imaging (MRI) and laparoscopy can assist in the initial diagnosis of MRKHS.6 The diagnosis of MRKHS type 2 was confirmed based on clinical, biochemical and radiological findings. keywords: hauser; küster; mayer; mrkhs; patient; rokitansky; syndrome cache: squmj-4215.pdf plain text: squmj-4215.txt item: #1380 of 1636 id: squmj-4216 author: None title: squmj-4216 date: 2021-11-25 words: 4760 flesch: 54 summary: Delays in the admission or treatment of emergency cases have a significant impact on patient outcomes besides placing an additional financial burden on the healthcare system by increasing subsequent length of stay and inpatient costs once such patients are eventually admitted.18 Unfortunately, many primary care physicians report being unprepared to deal with emergency cases or perform common emergency procedures, such as needle and surgical cricothyrotomies.3,19 A cross- sectional study conducted in Dammam, Saudi Arabia, revealed a severe lack of the resources necessary for the provision of emergency care at the PHC level; for instance, none of the centres had crucial emergency drugs or equipment, such as tracheostomy sets or cervical collars and only 38.46% were equipped with electrocardiography and X-ray machines.20 Accordingly, the management of emergency cases is an integral part of primary healthcare (PHC). keywords: care; cases; centres; emergencies; emergency; muscat; oman; phc; primary; study cache: squmj-4216.pdf plain text: squmj-4216.txt item: #1381 of 1636 id: squmj-4218 author: None title: squmj-4218 date: 2021-11-25 words: 2552 flesch: 47 summary: CMR is a useful tool not only for the assessment of cardiac involvement in EGPA patients but also for stratifying patients according to the risk and guiding their therapy. Patients are considered to have a good prognosis if they have a score of zero; they are classified as having a poor prognosis if they score ≥1 point.16 Corticosteroids are classically used for the treatment of patients with a good prognosis, with the addition of immunosuppressive medication, usually Rashid S. Al Umairi, Khalid Al Manei, Fatma Al Lawati, Yaqoob Al Mahrouqi and Farida Al Balushi Case Report | 647 5. keywords: cardiac; chest; churg; egpa; eosinophilic; involvement; patient; strauss cache: squmj-4218.pdf plain text: squmj-4218.txt item: #1382 of 1636 id: squmj-4219 author: None title: squmj-4219 date: 2021-11-25 words: 2536 flesch: 52 summary: Hyperglycaemia did not respond to high insulin infusion. Survey of health status and complications among propionic acidemia patients. keywords: gir; glucose; high; hyperglycaemia; insulin; metabolic; mmol; propionic cache: squmj-4219.pdf plain text: squmj-4219.txt item: #1383 of 1636 id: squmj-4220 author: None title: squmj-4220 date: 2021-11-25 words: 7368 flesch: 59 summary: Types of online learning can range from a supplementary tool to a fully online degree programme that offers enriched instructional features.1 Online learning is beneficial for students and instructors as it provides multiple advantages such as flexibility, convenience and reduced educational costs.2,3 With regard to the evaluation based on generations of the students and faculty, the present study revealed that 40.9% of the Generation Z students felt anxious during online learning compared with 35.9% of Generation Y students [Table 3]. keywords: anxiety; baby; educ; faculty; generation; internet; learning; members; online; students; study; teaching cache: squmj-4220.pdf plain text: squmj-4220.txt item: #1384 of 1636 id: squmj-4221 author: None title: squmj-4221 date: 2021-11-25 words: 4003 flesch: 55 summary: The most common screening method for cervical cancer is Papanicolaou (Pap) smear cytology, which is the cornerstone for cervical cancer screening guidelines.10 However, while these risk factors have been studied extensively in Western populations, inconsistent results have been reported from countries in the Arabian Gulf region, including different patterns and prevalence rates of cervical cytological abnormalities and other cervical cancer risk factors.11–13 Significant declines in cervical cancer cases have been reported following the introduction of cervical cancer screening and HPV vaccine programmes; in Eman Al Sekri, Asma Al Musalhi, Khadija Al Abri, Hunaina Al Kindi and Asma A. Al Salmani Clinical and Basic Research | 599 the UK, the incidence rate decreased by 24%, while cervical cancer fell from the top 10 to 14th place in terms of cancer-related deaths in the USA.14–16 Unfortunately, up to 85% of global deaths due to cervical cancer occur in developing countries, which can be attributed to the lack of structured screening and HPV vaccine programmes as well as inadequate awareness and knowledge regarding cervical cancer and the importance of routine screening among members of the public.17,18 Hence, this study aimed to estimate the prevalence of cervical cytological abnormalities and explore cervical cancer risk factors in an asymptomatic Omani population. In 2018, cervical cancer was one of seven cancers that together represented half of the annual global incidence and mortality burden of all cancers; moreover, this type of cancer ranked fourth in both incidence and mortality among female cancers, with 570,000 cases and 311,000 deaths.1 Worldwide, the distribution of cervical cancer cases varies according to region, with the highest rate reported in sub-Saharan Africa and Southeast Asia; in contrast, incidence rates are 7–10 times lower in Western Asia.3 keywords: abnormalities; cancer; cell; hpv; prevalence; risk; study; women; years cache: squmj-4221.pdf plain text: squmj-4221.txt item: #1385 of 1636 id: squmj-4222 author: None title: squmj-4222 date: 2022-02-27 words: 4240 flesch: 52 summary: Table 2: Association between lipid parameters and scavenger receptor class B type 1 rs5888 polymorphism in participants with type 2 diabetes mellitus compared to healthy controls Lipid parameter SRB1 rs5888 polymorphism, Mean ± SD P value TT CT CC Controls Number of cases 80 147 73 HDL in mg/dL 43.1 ± 11.5 39.5 ± 9.7 39.7 ± 10.2 0.03 LDL in mg/dL 97.2 ± 27.6 95.2 ± 30.1 104.1 ± 29.4 0.10 VLDL in mg/dL 41.4 ± 9.4 40.3 ± 9.1 43.1 ± 10.6 0.12 TG in mg/ dL 144.2 ± 23.5 142.6 ± 33.1 147.5 ± 26.1 0.841 TC in mg/ dL 172.1 ± 39.7 177.2 ± 29.6 176.8 ± 33.8 0.544 T2DM cases Number of cases 63 129 108 HDL in mg/dL 35.1 ± 7.5 33.1 ± 12.5 30.3 ± 7.2 0.03 LDL in mg/dL 116.5 ± 22.4 123.7 ± 17.2 130.3 ± 36.4 0.02 VLDL in mg/dL 41.4 ± 10.3 43.5 ± 10.2 44.5 ± 12.5 0.31 TG in mg/ dL 179.7 ± 28.2 182.5 ± 29.4 176.3 ± 32.3 0.835 TC in mg/ dL 222 ± 28.1 228.3 ± 21.1 223.5 ± 26.1 0.16 SRB1 = scavenger receptor class B type 1; HDL = high-density lipoprotein; Results showed that the protein expression of SRB1 was significantly higher in the SCARB1 TT variant of healthy controls compared to participants in the T2DM group and the variant might affect SRB1 protein expression levels keywords: diabetes; expression; polymorphism; protein; receptor; scarb1; scavenger; srb1; study; type cache: squmj-4222.pdf plain text: squmj-4222.txt item: #1386 of 1636 id: squmj-4223 author: None title: squmj-4223 date: 2021-11-25 words: 4768 flesch: 56 summary: “Addressing the impact of stroke risk factors in a case control study in tertiary care hospitals”: A case control study in tertiary care hospitals of Peshawar, Khyber Phukhtoonkhwa (KPK) Pakistan. The overall prevalence of risk factors in the current study appeared to be similar to those reported by a Table 3: Results of multiple logistic regression analysis exploring the relationship of ischaemic stroke risk factors in Oman Factor OR (95% CI) keywords: cases; control; factors; history; hypertension; oman; patients; risk; stroke; study cache: squmj-4223.pdf plain text: squmj-4223.txt item: #1387 of 1636 id: squmj-4224 author: None title: squmj-4224 date: 2021-11-25 words: 4718 flesch: 54 summary: Moreover, a weak significant positive correlation was found between COVID-19 stigma and both perceived severity and knowledge about prevention and control measures (r = 0.247 and 0.131, respectively; P <0.001). No 168 (22) 375 (49) 222 (29) Fatmah Almoayad, Samira Mahboub, Lujain Bin Amer, Alaa Alrabiah and Anwar Alhashem Clinical and Basic Research | 529 correlation between COVID-19 stigma and perceived susceptibility was found (r = −0.080; P = 0.021). keywords: arabia; covid-19; health; healthcare; knowledge; people; public; riyadh; saudi; stigma; stigmatisation; study cache: squmj-4224.pdf plain text: squmj-4224.txt item: #1388 of 1636 id: squmj-4225 author: None title: squmj-4225 date: 2021-11-25 words: 5111 flesch: 57 summary: Herbal treatments are common world- wide and particularly in Arab countries, as they are integrated into Arab culture.1,2 Pregnant women use herbs for multiple reasons, such as to treat nausea and vomiting, and are generally preferred to prescribed medications because herbs are perceived as a safer option.3 In Saudi Arabia, herbal treatments are traditional; they are widely available and culturally accepted as a result of being promoted by certain religious leaders.4 Almost a quarter of Saudi women use herbal treatments during pregnancy, whereas a third of these women use them during labour and almost half use herbal treatments after delivery.1 Some of the most common herbs reported to have been used during pregnancy in Saudi Arabia are ginger (Zingiber officinale), liquorice (Glycyrrhiza glabra), ginseng (Panax ginseng), clove (Syzygium aromaticum), fenugreek (Trigonella foenum-graecum), sage (Salvia officinalis), senna (Senna alexandrina), chamomile (Matricaria recutita), fennel flower seed (Nigella sativa), cinnamon (Cinnamomum verum), castor oil (Ricinus communis), myrrh (Commiphora myrrha), thyme (Thymus vulgaris), anise (Pimpinella anisum), parsley (Petroselinum crispum), turmeric (Curcuma longa) and peppermint (Mentha piperita).5 Some of these are considered potentially unsafe including liquorice, myrrh, fenugreek, castor, parsley and turmeric. Table 2: Attitude of study’s participants towards herbal treatment in Saudi Arabia (N = 400) Item n (%) Strongly agree Agree Neutral Disagree Strongly disagree I feel herbal treatments are helpful during pregnancy 12 (3) 60 (15) 154 (39) 112 (28) 62 (16) I feel it is safe for pregnant women to use herbs as treatment 11 (3) 56 (14) 118 (30) 143 (36) 72 (18) I feel herbal treatments are safe because they come from nature 22 (6) 59 (15) 118 (30) 134 (34) 67 (17) keywords: attitude; herbal; herbs; knowledge; participants; practice; pregnancy; saudi; study; treatments; use; women cache: squmj-4225.pdf plain text: squmj-4225.txt item: #1389 of 1636 id: squmj-4226 author: None title: squmj-4226 date: 2021-11-25 words: 2113 flesch: 53 summary: Ucpinar BA, Sahin C, Yanc U. Spontaneous pneumothorax and subcutaneous emphysema in COVID-19 patient: Case report. Other investigations, including electrocardiogram, urea and electrolytes, liver function tests, coagulation profiles Severe acute respiratory syndrome corona- virus 2 (SARS-CoV-2), a novel coronavirus, represents an unprecedented global threat, with more than 12.3 million confirmed cases and 556,335 deaths at the time of the writing.1 There have been many trials of therapeutic agents, but none of them have proved to be efficacious to date.2,3 Spontaneous pneumothorax is a very rare manifestation of COVID-19 and the exact mechanism is not fully understood.4 This article reports the first case of spontaneous pneumothorax in a patient with idiopathic pulmonary fibrosis (IPF) who was admitted with COVID-19 pneumonia. keywords: case; chest; covid-19; lung; patient; pneumothorax; report cache: squmj-4226.pdf plain text: squmj-4226.txt item: #1390 of 1636 id: squmj-4227 author: None title: squmj-4227 date: 2021-11-25 words: 2995 flesch: 49 summary: NS patients exhibit severe atopic diathesis and a predisposition to allergies, asthma and eczema, with hypereosinophilia, elevated serum immunoglobulin (Ig)E and trichorrhexis invaginata (hair-shaft abnormality which leads to bamboo-like hair).2 Owing to its dermatological manifestations, NS is often misdiagnosed as severe atopic dermatitis or hyper-IgE syndrome.3,4 In NS patients, early genetic testing and diagnosis can prove critical to the provision of correct clinical management and decreased mortality. However, IVIg replacement therapy has been reported to be quite effective in NS patients as was seen in the current patient.14 Retrospective evaluation of the case histories of the previously deceased paternal cousins of the index patient indicated that they had likely been affected with NS as well. keywords: case; index; mutation; netherton; patient; spink5; syndrome cache: squmj-4227.pdf plain text: squmj-4227.txt item: #1391 of 1636 id: squmj-4228 author: None title: squmj-4228 date: 2021-11-25 words: 1291 flesch: 49 summary: A bone marrow aspiration and biopsy done for staging purposes revealed hyper cellular marrow with erythroid hyperplasia and mild megalobastosis with no evidence of marrow infiltration by tumour cells. A: Haematoxylin and eosin stain at ×200 magnification showing tumour cells that are seen encircling lumen forming rosettes at certain places. keywords: askin; chest; lesion; mass; patient; tumour cache: squmj-4228.pdf plain text: squmj-4228.txt item: #1392 of 1636 id: squmj-4229 author: None title: squmj-4229 date: 2021-11-25 words: 2081 flesch: 52 summary: Discussion The current study found that, when compared to cisplatin, hymenialdisine was less toxic against both A2780S and A2780CP ovarian cancer cell lines. This study investigated the cytotoxic effect of hymenialdisine in both cisplatin-sensitive and cisplatin-resistant ovarian cancer cell lines to determine whether the compound would be effective against ovarian cancer cells. keywords: a2780cp; cancer; cell; cisplatin; hymenialdisine; lines; ovarian cache: squmj-4229.pdf plain text: squmj-4229.txt item: #1393 of 1636 id: squmj-4230 author: None title: squmj-4230 date: 2021-11-25 words: 1583 flesch: 54 summary: - First reported case of second trimester uterine rupture after a single low dose. The posterior aspect of the uterus was avulsed completely above the level of the internal os and Termination of pregnancy in the first and second trimesters in patients with prior uterine scarring is challenging.1 Misoprostol is a commonly used drug for induction of abortion even in unsupervised clinical settings.2 However, its dosing regimen has remained controversial.3,4 Over-the-counter use of misoprostol has resulted in documented or undocumented incidents of varying grades of uterine rupture. keywords: abortion; misoprostol; patient; rupture; trimester; uterine cache: squmj-4230.pdf plain text: squmj-4230.txt item: #1394 of 1636 id: squmj-4231 author: None title: squmj-4231 date: 2021-11-25 words: 910 flesch: 54 summary: CD21 highlighted irregular follicular dendritic cell (FDC) meshwork inside the follicles. Occurrence of numerous large giant cells in the tonsils and pharyngeal mucosa in the prodromal stage of measles. keywords: cells; follicles; magnification; warthin cache: squmj-4231.pdf plain text: squmj-4231.txt item: #1395 of 1636 id: squmj-4232 author: None title: squmj-4232 date: 2021-11-25 words: 1197 flesch: 55 summary: Mediastinal lipomas commonly originate within the anterior mediastinum and constitute 1.6–2.3% of all primary mediastinal Those reaching more than five cm are called giant lipomas and are an exceedingly rare entity.1 keywords: figure; intrathoracic; lipomas; mass cache: squmj-4232.pdf plain text: squmj-4232.txt item: #1396 of 1636 id: squmj-4233 author: None title: squmj-4233 date: 2021-11-25 words: 2310 flesch: 43 summary: The covid-19 pandemic, defined as a public Health Emergency of International Concern by the World Health Organisation (WHO) on 30 January 2020, has forced governments to take several public health mitigation measures including social and physical distancing, mask-wearing and hand hygiene.1 Such public health measures might become barriers to physical activity with major consequences on lifestyle during the COVID-19 pandemic.2,3 Physical activity is defined as any movement of the body, involving skeletal muscles and consuming energy.4 Based on the WHO recommendations, 150 minutes of moderate-intensity physical activity or 75 minutes of high-intensity physical activity is mandated for individuals to achieve health benefits.5 Physical activity and participation in sports have been shown to have protective effects against COVID-19.6–8 keywords: activity; covid-19; exercise; health; level; med; pandemic; public; sports cache: squmj-4233.pdf plain text: squmj-4233.txt item: #1397 of 1636 id: squmj-4234 author: None title: squmj-4234 date: 2022-02-28 words: 5496 flesch: 56 summary: In another patient, diffuse linear uptake of iodine was seen in the lung, which was characterised as infective on CT images and showed resolution after a course of antibiotic. All the patients with only thyroid bed residual uptake showed no contradiction between WBS planar and SPECT/ CT findings. keywords: cancer; images; imaging; iodine; lymph; metastases; patients; risk; spect; therapy; thyroid; uptake; wbs cache: squmj-4234.pdf plain text: squmj-4234.txt item: #1398 of 1636 id: squmj-4235 author: None title: squmj-4235 date: 2022-02-28 words: 6384 flesch: 54 summary: The relationship among organizational structures, patient safety practices, and patient safety event reporting among nurses in hospitals in the United States. Methods: This cross-sectional study used standardised questionnaires of hospital survey on patient safety culture, a fatigue assessment scale, the Maslach burnout inventory-human services survey, the NASA task load index and the practice environment scale of the nursing work index. keywords: burnout; care; culture; environment; errors; event; fatigue; frequency; hospital; nurses; oman; patient; reporting; safety; study; work cache: squmj-4235.pdf plain text: squmj-4235.txt item: #1399 of 1636 id: squmj-4236 author: None title: squmj-4236 date: 2022-02-28 words: 4815 flesch: 59 summary: Similarly, the sixth- Table 3: Perceived medical conditions that make the donor unfit for eye donation, reasons for donating and not donating eyes and source of eye donation knowledge among medical students in Saudi Arabia (N = 141) Perceived medical condition n (%) AIDS 66 (47) Don’t know 65 (46) To raise awareness of eye donation in society as well as to correct any misconceptions, topics related to eye donation must be included in medical curricula, as it may result in an increase in awareness of eye donations from future physicians and the society they interact with. keywords: awareness; donation; eye; knowledge; medical; participants; saudi; students; study; year cache: squmj-4236.pdf plain text: squmj-4236.txt item: #1400 of 1636 id: squmj-4237 author: None title: squmj-4237 date: 2022-02-28 words: 4455 flesch: 51 summary: Discussion In most healthcare systems worldwide, trauma centres are designated at different levels according to their capacity to treat critically injured patients, with level I centres typically being considered most capable and level III centres being least capable.9 Generally, higher- level trauma centres provide the greatest level of care and have access to specialised trauma surgeons (i.e. neurosurgeons and orthopaedic surgeons) and nurses as well as trauma-specific diagnostic equipment. In Oman, primary care centres do not provide in-patient or specialised care and would, therefore, transfer trauma cases requiring such services to nearby hospitals or trauma centres. keywords: care; cases; centres; doctors; guidelines; health; muscat; oman; primary; resources; study; trauma cache: squmj-4237.pdf plain text: squmj-4237.txt item: #1401 of 1636 id: squmj-4238 author: None title: squmj-4238 date: 2022-02-28 words: 2814 flesch: 56 summary: Table 2: Summarisation of the comparison between the clinical characteristics of emphysematous pyelonephritis patients from the present study and seven other studies Author (year) Frequency Patients Class This gap in extant literature may lead to the suboptimal treatment of patients, which affects the clinical outcomes. keywords: class; drainage; management; patients; pcd; pcn; pyelonephritis; study cache: squmj-4238.pdf plain text: squmj-4238.txt item: #1402 of 1636 id: squmj-4239 author: None title: squmj-4239 date: 2022-02-28 words: 4738 flesch: 50 summary: Tibial plateau fractures comprise approx- Meanwhile, tibial plateau fractures are usually a result of low- energy trauma in females around the age of 70.1 These injuries are often associated with soft tissue damage such as vasculature, nerves, ligaments and meniscus.2 Schatzker proposed a classification system based on the two-dimensional radiological features, dividing tibial plateau fractures into six types, from type I to VI.3 As a supplement to the Schatzker Classification, in 2010, Luo et al. introduced the three-column classification based on computed tomography scan images and three-dimensional reconstruction, thereby increasing the ability to identify the posteromedial fragment.4 keywords: dual; fractures; functional; patients; plateau; radiological; schatzker; study; tibial; type cache: squmj-4239.pdf plain text: squmj-4239.txt item: #1403 of 1636 id: squmj-4240 author: None title: squmj-4240 date: 2022-02-28 words: 5957 flesch: 53 summary: Discussion Raised cardiac troponins, in the absence of significant CAD, have been described in many clinical scenarios, including sepsis, renal failure, generalised or localised infections and post-operative states and especially in critically ill patients.1 Previous studies have stated a median value of 43% (IQR: 21–59%) of ICU patients exhibiting raised troponin levels, with the figure rising to more than 60% for those with sepsis or septic shock.8,9 Conversely, type 2 MI is associated with a demand–supply mismatch and is commonly found in critically ill patients admitted into the intensive care unit (ICU) and in patients with other severe systemic illnesses. keywords: cardiac; care; coronary; hospital; infarction; injury; iqr; myocardial; patients; study; troponin; type cache: squmj-4240.pdf plain text: squmj-4240.txt item: #1404 of 1636 id: squmj-4241 author: None title: squmj-4241 date: 2022-02-28 words: 5218 flesch: 58 summary: Evolution patterns of lung changes on serial CXRs were classified into five patterns: I) progression of CXR findings followed by an improvement; II) fluctuation of CXR findings with at least two CXR peaks and an intervening, mild improvement of more than 25% from the overall mean of CXR scores; III) static CXR findings with no peaks or improvement of more than 25% from the overall mean of CXR scores; IV) progressive deterioration of CXR scores; and V) progressive improvement of CXR scores. Borghesi et al. used a different scoring system to quantify the severity of CXR findings of patients with COVID-19 pneumonia. keywords: chest; clinical; covid-19; cxr; findings; lung; patients; pneumonia; score; study cache: squmj-4241.pdf plain text: squmj-4241.txt item: #1405 of 1636 id: squmj-4242 author: None title: squmj-4242 date: 2022-02-28 words: 5211 flesch: 57 summary: This study was conducted to describe the characteristics of stroke patients presenting to a tertiary care hospital in Oman. The mean age of stroke patients was 61.05 years. keywords: age; cases; factors; haemorrhagic; health; hospital; oman; patients; risk; stroke; study; years cache: squmj-4242.pdf plain text: squmj-4242.txt item: #1406 of 1636 id: squmj-4243 author: None title: squmj-4243 date: 2022-02-28 words: 3432 flesch: 46 summary: Case Three An 11-month-old female infant diagnosed with trisomy 21 who underwent surgery for ventricular septal defects was admitted with acute bronchiolitis Figure 1: Chest X-ray of a six-month-old infant (case one) with measles infection showing bilateral infiltrates. Samiya Al-Hashmi, Kholoud Al-Mukhaini, Samiuddin Shaikh, Ahmad ElKhamisy, Nuha Al Tahir and Nawal Al Maskari Case Report | 131 Figure 2: Chest X-ray of an 11-month-old infant (case three) with measles infection showing bilateral chest infiltration two days after paediatric intensive care unit admission. keywords: acute; care; case; hospital; infants; measles; oman; picu; report; severe cache: squmj-4243.pdf plain text: squmj-4243.txt item: #1407 of 1636 id: squmj-4244 author: None title: squmj-4244 date: 2022-05-26 words: 4411 flesch: 58 summary: There was also a significant association between nicotine dependence level and depth of inhalation (P = 0.023). This study aimed to assess the predictors of nicotine dependence among cigarette or midwakh smokers in the United Arab Emirates (UAE). keywords: cigarette; cotinine; dependence; increase; level; midwakh; nicotine; risk; smokers; smoking; study; tobacco cache: squmj-4244.pdf plain text: squmj-4244.txt item: #1408 of 1636 id: squmj-4245 author: None title: squmj-4245 date: 2022-02-28 words: 4410 flesch: 51 summary: https://doi.org/10.18295/squmj.4.2021.065 CLINICAL & BASIC RESEARCH Depression is a mental health disorder which commonly manifests as symptoms of low mood or sadness, loss of interest and pleasure in normal activities or surroundings, decreased energy, feelings of guilt or low self-esteem, sleep or appetite disturbances and difficulties concentrating.1 This public health problem is a significant contributor to the global burden of diseases; according to the World Health Organization (WHO), an estimated 264 million people worldwide are affected by depression.1,2 In 2011, results from the World Mental Health Survey indicated that approximately one in 20 people had experienced a depressive episode in the previous year.1 Indeed, depression has been identified as the third leading cause of disease burden and years lost due to disability worldwide.2 Diabetes mellitus is a chronic metabolic disorder which represents the fourth leading cause of disability globally.2 Estimates from the WHO indicate that 422 million adults were affected by diabetes in 2014, with the global age-standardised prevalence of this disease rising from 4.7% in 1980 to 8.5% in 2014.3 Moreover, both diabetes and diabetes-related complications have a tremendous financial impact, particularly in low- and middle-income countries, both in terms of direct and indirect medical costs and premature mortality as well as productivity loss and labour market effects.3,4 While patients with type 2 diabetes mellitus (T2DM) have a 24% increased risk of depression compared to non- diabetic individuals, the mechanisms underlying this relationship are still unclear.5,6 In particular, depressive symptoms in diabetic individuals have been associated with worsened glycaemic control, an increased prevalence of diabetes-related complications, increased functional disability, lower adherence to antidiabetic medications, higher health-related costs and increased mortality.7–12 Depression in Urban Omani Adults with Type 2 Diabetes A cross-sectional study 48 | SQU Medical Journal, February 2022, Volume 22, Issue 1 confirmed that depression had a stronger negative influence on health status compared to other chronic diseases; as such, the timely diagnosis and treatment of depressive disorders is imperative.24 The current study found the rate of depression to be 26% among adult Omani patients with T2DM attending urban primary health centres. keywords: adults; depression; diabetes; health; omani; patients; prevalence; primary; study; type cache: squmj-4245.pdf plain text: squmj-4245.txt item: #1409 of 1636 id: squmj-4246 author: None title: squmj-4246 date: 2022-05-26 words: 4507 flesch: 53 summary: This study aimed to evaluate sympathetic skin response (SSR) among patients with Raynaud phenomenon (RP). Sympathetic skin response in patients with systemic sclerosis and rheumatoid arthritis. keywords: amplitude; control; group; latency; nerve; patients; phenomenon; raynaud; response; skin; ssr; study; sympathetic cache: squmj-4246.pdf plain text: squmj-4246.txt item: #1410 of 1636 id: squmj-4247 author: None title: squmj-4247 date: 2022-02-28 words: 5750 flesch: 63 summary: The findings of the current study were similar to an extensive Chinese study that reported psychological distress in almost 35% of the respondents.19 On the other hand, a recent survey from Malaysia reported 72.1% experienced moderate to severe anxiety levels, whereas in a study from Egypt, 18% reported minimal anxiety, 34% reported mild anxiety and 48% reported moderate anxiety symptoms.20,21 The fear of COVID-19 scale: Development and initial validation. keywords: anxiety; covid-19; days; depression; fear; hcws; health; healthcare; level; pakistan; scale; study cache: squmj-4247.pdf plain text: squmj-4247.txt item: #1411 of 1636 id: squmj-4248 author: None title: squmj-4248 date: 2022-02-28 words: 3029 flesch: 52 summary: Figure 3: Intraoperative images showing (A) scrotal trocar (arrow) and (B) trans-scrotal endoscopic view of the scrotal sac with the opening of communication (arrow) with abdominal sac as well as (C) communication between abdominal sac and scrotal sac by passage of laparoscopic suction cannula (arrows). These theories explain disease occurrence either as an extension of the scrotal sac into the abdomen or abdominal sac into scrotum or both. keywords: abdominoscrotal; ash; hydrocele; left; patient; sac; scrotal; swelling cache: squmj-4248.pdf plain text: squmj-4248.txt item: #1412 of 1636 id: squmj-4249 author: None title: squmj-4249 date: 2022-05-26 words: 4069 flesch: 59 summary: Departments of 1Clinical Physiology and 2Medicine, Sultan Qaboos University Hospital, Muscat, Oman *Corresponding Author’s e-mail: sunilnadar@gmail.com Delays in Presentation by Patients with ST Elevation Myocardial Infarction A single centre experience from Oman Suhaib Almashari,1 Yasir Al-Malki,1 Adil Al-Riyami,2 *Sunil K. Nadar2 Sultan Qaboos University Med J, May 2022, Vol. 22, Iss. 2, pp. Methods: Patients who presented with STEMI to the Emergency Department at the Sultan Qaboos University Hospital, Muscat, Oman between January 2017 and December 2019 and were admitted for primary angioplasty were included in this study. keywords: acute; delay; hospital; infarction; pain; patients; study; time cache: squmj-4249.pdf plain text: squmj-4249.txt item: #1413 of 1636 id: squmj-4250 author: None title: squmj-4250 date: 2022-02-28 words: 3749 flesch: 50 summary: COVID-19 patients may develop pulmonary complications due to a combination of direct viral lung damage, hypoxaemia and high stress ventilation. Discussion Chest imaging is indicated in COVID-19 patients for establishing a baseline for the patient’s pulmonary condition, identification of cardiopulmonary comor- bidities and for monitoring disease progression. keywords: case; chest; complications; covid-19; day; lung; patient; pneumothorax; pulmonary; report cache: squmj-4250.pdf plain text: squmj-4250.txt item: #1414 of 1636 id: squmj-4251 author: None title: squmj-4251 date: 2022-05-26 words: 1877 flesch: 51 summary: The effects of NYT on frailty, cachexia and sarcopenia in patients with malignant and non-malignant diseases have been studied.2,5 However, in English literature, only a few studies have reported the long-term effects of this kampo medicine on body weight gain in patients with various chronic wasting diseases.2,5 Given this background, this study sought to examine the effects of NYT on the maintenance of body weight and nutritional status in elderly patients with chronic wasting diseases. Follow-up sessions were conducted with patients for more than six months and it was confirmed that no patients received drugs that might affect the nutrition of the patients after the start of NYT administration. keywords: body; chronic; nyt; patients; study; weight cache: squmj-4251.pdf plain text: squmj-4251.txt item: #1415 of 1636 id: squmj-4252 author: None title: squmj-4252 date: 2022-05-26 words: 2068 flesch: 45 summary: 6. Arinc S, Kosif A, Ertugrul M, Arpag H, Alpay L, Unal O, et al. Evaluation of pulmonary hydatid cyst cases. Mediastinal hydatid cyst: A case report. keywords: case; chest; cyst; disease; hydatid; hydatidosis; mediastinal; report cache: squmj-4252.pdf plain text: squmj-4252.txt item: #1416 of 1636 id: squmj-4339 author: None title: squmj-4339 date: 2022-02-28 words: 2321 flesch: 47 summary: i v e r palliative care during a pandemic Tele-palliative medicine There is strong support for maximising the use of telemedicine in the provision of palliative care for inpatients, outpatients and patients at home; successful implementation requires robust health infrastructure support and technical expertise.19–24 Tele-palliative care allows for remote delivery of palliative care services such as symptom assessments, discussion of goals of care as well as counselling and bereavement support. Telephonic support by a palliative care team assisted clinicians in conducting complex goals-of-care discussion and symptoms management during the peak of the COVID-19 pandemic in New York City and helped families to receive clear and timely information about their loved one’s condition, enabled patients and families to participate in decision-making, increased the development of trust and facilitated the process of grieving and healing.27 Developing hotline access to palliative care teams in Oman will allow provision of palliative care services in clinical sites in the highest need of support during pandemics and healthcare emergencies. keywords: care; covid-19; health; healthcare; palliative; pandemic; patients; services; support cache: squmj-4339.pdf plain text: squmj-4339.txt item: #1417 of 1636 id: squmj-4340 author: None title: squmj-4340 date: 2022-05-26 words: 4335 flesch: 55 summary: Celiac disease: Summary. Utility in clinical practice of immunoglobulin a anti-tissue transglutaminase antibody for the diagnosis of celiac disease. keywords: celiac; deficiency; disease; ida; iga; iron; level; oman; patients; prevalence; study; ttg cache: squmj-4340.pdf plain text: squmj-4340.txt item: #1418 of 1636 id: squmj-4341 author: None title: squmj-4341 date: 2022-05-26 words: 3620 flesch: 58 summary: Methods: The present study retrospectively analysed the records of patients who had percutaneous renal biopsy between March 2013 and March 2018. The technique has seen substantial evolution since the introduction of percutaneous renal biopsy in the 1940s.2,3 The main aim of the technique and needle development is to increase diagnostic yield while simultaneously decreasing the rate of complications. keywords: biopsy; complications; kidney; patients; percutaneous; reference; renal; transplant cache: squmj-4341.pdf plain text: squmj-4341.txt item: #1419 of 1636 id: squmj-4342 author: None title: squmj-4342 date: 2022-02-27 words: 1057 flesch: 50 summary: Skin depigmentation areas showed irregular edges [Figure 1C]. Apr 21 A 45-year-old male patient who was a construction worker, with no personal history of psoriasis, atopic dermatitis or vitiligo, was referred to the Contact Eczema Department of a tertiary care hospital in Granada, Spain with chronic hand eczema and skin depigmentation over a period of 12 months. keywords: contact; depigmentation; dermatitis; patient; vitiligo cache: squmj-4342.pdf plain text: squmj-4342.txt item: #1420 of 1636 id: squmj-4344 author: None title: squmj-4344 date: 2022-02-27 words: 1300 flesch: 38 summary: However, the temporal profile, absence of OCB in CSF and reversibility of imaging findings were uncharacteristic of a demyelinating aetiology. https://doi.org/10.18295/squmj.5.2021.080 INTERESTING MEDICAL IMAGE Figure 1: Magnetic resonance imaging scans of the brain of a 44-year-old male patient showing (A) the splenium of corpus callosum with evidence of diffusion restriction (arrow) and (B) hyperintensity (arrow) on fluid attenuation inversion recovery scans. keywords: findings; imaging; metronidazole; patient; scans cache: squmj-4344.pdf plain text: squmj-4344.txt item: #1421 of 1636 id: squmj-4347 author: None title: squmj-4347 date: 2022-05-26 words: 2442 flesch: 48 summary: This case highlights the significance of thorough evaluation of acute abdominal pain in pregnancy in avoiding unnecessary surgical intervention and iatrogenic prematurity. Case Report A 27-year-old female patient at 31 weeks of gestation (gravida 2 para 1) with history of previous lower segment caesarean section (LSCS), was referred from a regional hospital to a tertiary care hospital in Muscat, Oman, in 2019 for acute abdominal pain. keywords: case; haematoma; pain; patient; placenta; pregnancy; uterus cache: squmj-4347.pdf plain text: squmj-4347.txt item: #1422 of 1636 id: squmj-4349 author: None title: squmj-4349 date: 2022-02-27 words: 4164 flesch: 57 summary: Sitasuwan T, Lertwattanarak R. Prediction of type 2 diabetes mellitus using fasting plasma glucose and HbA1c levels among individuals with impaired fasting plasma glucose: A cross- sectional study in Thailand. The current recommendations emphasise the standardised measurement of fasting plasma glucose (FPG) after overnight fasting for at least eight hours to assess the magnitude of basal glucose abnormalities.1–5 However, the discordance with other diagnostic tests and uncertainty regarding the duration of fasting reported by some individuals raises a doubt about the applicability of the current diagnostic criteria for diagnosing diabetes mellitus (DM).6,7 Although plasma is devoid of red and white blood cells, they still contain platelets, which consume glucose over time. keywords: diabetes; fasting; glucose; hours; individuals; insulin; study cache: squmj-4349.pdf plain text: squmj-4349.txt item: #1423 of 1636 id: squmj-4350 author: None title: squmj-4350 date: 2022-05-26 words: 5600 flesch: 49 summary: The multivariable regression analysis showed that children with frequent consumption of leafy green vegetables had 0.12-fold lower odds of conduct behaviour problem and 0.23-fold lower odds of prosocial behaviour problems than children consuming leafy green vegetables rarely. Additionally, children with frequent consumption of light-coloured vegetables have 0.19-fold lower odds of conduct behaviour problem and 0.19-fold lower odds of prosocial behaviour problems than children consuming these vegetables rarely. keywords: behaviour; behaviour problems; childhood; children; conduct; consumption; eating; food; frequency; health; problems; study; vegetables cache: squmj-4350.pdf plain text: squmj-4350.txt item: #1424 of 1636 id: squmj-4351 author: None title: squmj-4351 date: 2022-05-26 words: 3945 flesch: 47 summary: This study aimed to describe the socio-demographic and clinical characteristics of adult ADHD patients in Oman and evaluate their association with the disorder’s different subtypes. This study sought to address the current gap in the literature as no studies from Oman, or its neighbouring countries, have compared the clinical characteristics of patients from the Middle East to those from the West or examined the psychiatric comorbidities among adult ADHD patients. keywords: adhd; adult; attention; clinical; deficit; disorder; hyperactivity; patients; study; subtype cache: squmj-4351.pdf plain text: squmj-4351.txt item: #1425 of 1636 id: squmj-4352 author: None title: squmj-4352 date: 2022-02-27 words: 9442 flesch: 48 summary: Characteristics of 26 studies assessing domestic violence against infertile women15,16,18,20,25–46 Author (Year) Country Study design Sampling Tool N Relevant findings Quality using CASP Yildizhan et al.18 (2009) Turkey Cross- sectional Convenient Structured questionnaire modified from AAS 122 •Total DV = 33.6% •Physical abuse = 31.7% •Forced sexual intercourse = 7.3% •DV in case of a female infertility factor = 78% •Verbal abuse = 63.4% •Economic deprivation = 29.2% High N = total number of infertile women; CASP = critical appraisal skills program; DV = domestic violence; AAS = abuse assessment scale; SDVW = questionnaire and scale for marital violence against women; CTS2 = revised conflict tactics scale; HAM-A = hamilton anxiety rating scale; HAM-D = hamilton depression rating scale; IPV = intimate partner violence; DHS = demographic and health survey instrument; IWEVDS = interview questionnaire of infertile women’s exposure to violence determination scale; PSS = perceived stress scale; ICSI = intracytoplasmic sperm injection; SFPS = stigma of fertility problems scale; NFHS-3 = national family health survey 3; FSFI = domestic violence inventory and female sexual function index; IVF = in vitro fertilisation; MQS = marital quality scale; PASNP = partner abuse scale, non-physical; NPAPS = non-physical abuse of partner scale. https://doi.org/10.18295/squmj.5.2021.075 abstract: Domestic violence (DV) against infertile women is an important health concern affecting their well-being. keywords: abuse; analysis; articles; crosssectional; factors; health; high; infertility; meta; partner; prevalence; review; scale; studies; study; systematic; total; violence; women cache: squmj-4352.pdf plain text: squmj-4352.txt item: #1426 of 1636 id: squmj-4353 author: None title: squmj-4353 date: 2022-05-26 words: 3452 flesch: 55 summary: Mohan BP, Meyyur Aravamudan V, Khan SR, Chandan S, Ponnada S, Asokkumar R, et al. Prevalence of colorectal cancer in cryptogenic pyogenic liver abscess patients. The majority of PLA patients (n = 46; 86.8%) were treated in the general ward, while the remaining seven (13.2%) were admitted directly to the intensive care unit due to sepsis. keywords: abscess; characteristics; clinical; liver; oman; patients; pla; pneumoniae; pyogenic; study cache: squmj-4353.pdf plain text: squmj-4353.txt item: #1427 of 1636 id: squmj-4354 author: None title: squmj-4354 date: 2022-02-28 words: 2194 flesch: 45 summary: users.6 However, more recent studies have reported that the majority of non-HACEK IE was among patients with implanted endovascular devices, including prosthetic valves, permanent pacemakers and implantable cardioverter-defibrillators.6 Likewise, E. coli IE is rare with limited number of reported cases in the literature and it is usually associated with a higher mortality rate compared to HACEK gram-negative IE.4–6 Blood culture grew Escherichia coli and the diagnosis of E. coli emphysematous IE was made based on modified Duke criteria. keywords: case; coli; endocarditis; hacek; mitral; patient; valve cache: squmj-4354.pdf plain text: squmj-4354.txt item: #1428 of 1636 id: squmj-4355 author: None title: squmj-4355 date: 2021-11-25 words: 6007 flesch: 60 summary: This report described five children with medical child abuse (formerly MSBP) from 1996–1999. Some of those trends were as follows: increasing divorce rates; short maternity leave; increasing reliance on untrained, expatriate and overburdened housemaids for raising children; and fathers’ absence, often due to work and minimal involvement in their families.16 From 2006 until 2012, Al-Saadoon studied all cases suspected to be victims of medical child abuse registered at the Sultan Qaboos University Hospital, Muscat, Oman. keywords: abuse; cases; child; children; health; literature; neglect; oman; protection; review cache: squmj-4355.pdf plain text: squmj-4355.txt item: #1429 of 1636 id: squmj-4356 author: None title: squmj-4356 date: 2022-03-08 words: 6585 flesch: 54 summary: Starting from admissions to the end of the year, preparatory year officials must regard clear instructions, effective communication and support for the achievement of all means of success as their responsibilities.12,25,26 For the success of any academic curriculum, suitable and enough educational facilities should be made available to students.27 In a similar study, Alghamdi reported an average level of satisfaction of preparatory year students with the services offered by the university.28 Although cafeterias and food purchasing areas are not educational facilities, they are considered to play a very important role in making students’ on-campus life easier. Satisfaction of preparatory year students with university services. keywords: abdulaziz; colleges; dentistry; education; faculty; health; perception; preparatory; professions; pyp; students; study; university; year cache: squmj-4356.pdf plain text: squmj-4356.txt item: #1430 of 1636 id: squmj-4358 author: None title: squmj-4358 date: 2022-05-26 words: 6181 flesch: 47 summary: Methods: An online survey was answered by 1,916 Uruguayan citizens between March and April 2020 regarding psychoactive substance use before and after the instauration of a recommended quarantine, increases in frequency and volume of use (during the quarantine) of the psychoactive substance they reported as having consumed the most in the year prior to the quarantine and psychological distress experienced during the last month. Moreover, the Global Drug Survey reported that cannabis and alcohol were the most consumed psychoactive substances during the COVID-19 pandemic.17 In South America, a recent study has shown that the quarantine imposed in Argentina to mitigate the spread of COVID-19 was associated with temporal displacement of alcohol consumption (i.e. consumption during the weekend shifted to weekdays) as well as an increase in marijuana use among those who already consumed it before the pandemic.18 Overall, these results are consistent with McKay’s hypothesis, which postulates an increase in psychoactive substance use during the COVID-19 pandemic due to overstimulation of interoceptive awareness and arousal as well as an increase in anxiety.19 These changes promote the consumption and potential abuse of psychoactive substances in general; however a specific increase in alcohol and marijuana use has been reported due to their rewarding and anti- anxiety effects. keywords: age; alcohol; covid-19; distress; drug; increase; participants; quarantine; study; substance; substance use; uruguay; use; volume cache: squmj-4358.pdf plain text: squmj-4358.txt item: #1431 of 1636 id: squmj-4376 author: None title: squmj-4376 date: 2021-08-29 words: 5793 flesch: 43 summary: According to Petrucci et al., 33% of deaths in neonates undergoing mBT shunt procedures occurred within 24 hours of surgery, with 75% occurring within the first month.10 Moreover, the procedure can result in complications such as pulmonary overcirculation (30%) and shunt failure including shunt thrombosis or stenosis (8–23%).11,12 Risk factors for shunt failure include the use of small shunts or a central shunt, as well as postoperative extracorporeal membrane oxygenation (ECMO) support.11,12 To the best of the authors’ knowledge, no established data have yet been reported regarding the outcomes of mBT shunt procedures among paediatric cases in Oman, particularly in terms of morbidity and mortality. Notwithstanding these limitations, the findings of this study contribute to knowledge regarding the outcomes of palliative mBT shunt procedures in infants with CCHD in Oman. keywords: blalock; heart; infants; mbt; mortality; oman; outcomes; patients; procedures; pulmonary; shunt; study; surgery cache: squmj-4376.pdf plain text: squmj-4376.txt item: #1432 of 1636 id: squmj-4379 author: Mohamed Ahmed Salaheldin Gomaa title: squmj-4379 date: 2021-06-15 words: 2719 flesch: 45 summary: Direct histological examination of the tissue biopsy remains the gold standard in the diagnosis of invasive fungal infections. Computed tomography bronchial angiography revealed an air-crescent sign and the histopathological examination showed a fungal ball (aspergillus and mucor) in the upper lobe and foci of fungal infection in the middle lobe. keywords: aspergillosis; aspergillus; case; fungal; infections; mucor; mucormycosis; patient; pulmonary; treatment cache: squmj-4379.pdf plain text: squmj-4379.txt item: #1433 of 1636 id: squmj-4381 author: None title: squmj-4381 date: 2022-05-26 words: 4934 flesch: 45 summary: This material then releases potentially toxic substances such as formaldehyde, methacrylic acid and residual MMA monomers, among others.4,6 In vivo toxicity tests allow the study of the mechanisms of adverse reactions to a material through the analysis of interactions among cells and tissues, simulating a condition similar to what would occur in humans.7,8 The implantation of a sample in the subcutaneous tissue of rats allows for the analysis of local effects of a given stimulus and enables, for example, the identification of inflammatory cells and the analysis of the local tissue response.9,10 The MW group exhibited the highest number of inflammatory cells [Figures 2–6], while the WB group presented a higher number of eosinophils [Figure 3] and lymphocytes [Figure 4] after 15 days. keywords: acrylic; cells; days; energy; figure; group; immunolabeling; inflammatory; microwave; polymerisation; rats; response; tissue; water cache: squmj-4381.pdf plain text: squmj-4381.txt item: #1434 of 1636 id: squmj-4382 author: None title: squmj-4382 date: 2022-05-26 words: 3628 flesch: 39 summary: massiliense does not have inducible resistance to clarithromycin due to the non-functioning erm gene, making therapeutic response to macrolide-based therapy more effective and efficient.2,21,22 Unavailability of recently validated techniques such as multi-locus sequence typing of hsp65, rpoB and secA genes for differentiation into sub-species levels, was an additional limitation in optimising antibiotic treatment in our case.23 Conclusion The current case report describes a fatal case of disseminated M. abscessus infection in an infant who had two chronic comorbid conditions of CF and PFIC along with the diagnostic and therapeutic challenges associated with case management. Mycobacterium abscessus infection in cystic fibrosis: molecular typing and clinical outcomes. keywords: abscessus; case; cystic; dose; fibrosis; infant; infection; mycobacterium; ntm; report cache: squmj-4382.pdf plain text: squmj-4382.txt item: #1435 of 1636 id: squmj-4383 author: None title: squmj-4383 date: 2022-05-26 words: 2971 flesch: 59 summary: This spread often leads to ALA formation, but in rare cases, the trophozoite can even spread to other organs.2 Almost 90% of infected patients are asymptomatic and fewer than 1% of patients with amoebic colitis have associated extra-intestinal disease manifestation, most often ALA.11 Studies in Saudi Arabia and Qatar show that a very large proportion of ALA patients are either foreigners or local citizens that have travelled to endemic areas.6,7 keywords: abscess; ala; amoebic; endemic; hospital; liver; oman; patients; study cache: squmj-4383.pdf plain text: squmj-4383.txt item: #1436 of 1636 id: squmj-4385 author: None title: squmj-4385 date: 2022-08-25 words: 2159 flesch: 50 summary: To date, there are no randomised clinical trials evaluating the efficacy of intralesional MMR vaccines in the treatment of genital warts nor clear guidelines as to when to use them. Meena et al. reported two cases of genital warts that had an excellent response to a 0.5 mL intralesional injection of the MMR vaccine at a similar interval.10 Side effects were minimal and temporary, however, with flu-like symptoms being the most common side effect reported from studies of intralesional MMR vaccines to treat extra-genital warts.11 In the current cases, a slightly higher dose (0.6 mL and 1.2 mL, respectively) of the MMR vaccine was used, as the patients had extensive bilateral warts. keywords: genital; intralesional; mmr; rubella; treatment; vaccine; warts cache: squmj-4385.pdf plain text: squmj-4385.txt item: #1437 of 1636 id: squmj-4386 author: None title: squmj-4386 date: 2022-08-25 words: 2306 flesch: 36 summary: Gross examination revealed a mass with an approximate dimension of 10 × 10 × 5 Gastrointestinal tract duplications or enteric duplication cysts are rare congenital malformations formed during the embryonic development of the digestive system with an incidence of 1:4,500 births. https://doi.org/10.18295/squmj.6.2021.095 CASE REPORT abstract: Enteric duplication cysts are rare congenital malformations with a low incidence and there are only a few reports in the literature. keywords: case; communication; cyst; duplication; enteric; mass; surg cache: squmj-4386.pdf plain text: squmj-4386.txt item: #1438 of 1636 id: squmj-4387 author: None title: squmj-4387 date: 2022-08-25 words: 4585 flesch: 54 summary: According to the findings of this study, peer education may improve the level of hope in thalassaemia major (TM) patients. - Peers can help other patients because of their successful experiences in improving hope. Considering the positive role and importance of suitable educational methods, this study aimed to determine the effect of peer education on the hope of patients with TM. keywords: education; group; hope; life; patients; peer; score; study; thalassaemia; thinking cache: squmj-4387.pdf plain text: squmj-4387.txt item: #1439 of 1636 id: squmj-4388 author: None title: squmj-4388 date: 2022-05-26 words: 966 flesch: 56 summary: Rare reports of cavity disappearance may be related to this. 17 May 21 Accepted 2 jun 21 The disappearance of cavities associated with pulmonary fungal infections is rare.1 A 79-year-old male patient was admitted to a local hospital in Mito-city, Japan, in 2017 complaining of cough and fever for the previous two weeks. keywords: cavities; cavity; disappearance; patient cache: squmj-4388.pdf plain text: squmj-4388.txt item: #1440 of 1636 id: squmj-4390 author: None title: squmj-4390 date: 2022-08-25 words: 2963 flesch: 53 summary: However, there was no difference in response to IVIG or plasma exchange between para-infectious and post-infectious GBS in COVID-19 cases as per the few cases reported in the existing literature.4 Although ribonucleic acid was detected in the nasopharyngeal swab, it is unclear evidence of an active infection as it only represents the shedding of viral RNA.21,22 Zito A, Alfonsi E, Franciotta D, Todisco M, Gastaldi M, Cotta Ramusino M, et al. COVID-19 and Guillain–Barré Syndrome: A Case Report and Review of Literature. keywords: barré; case; covid-19; gbs; guillain; nerve; patient; report; syndrome cache: squmj-4390.pdf plain text: squmj-4390.txt item: #1441 of 1636 id: squmj-4391 author: None title: squmj-4391 date: 2022-08-25 words: 3117 flesch: 53 summary: This awareness was more likely to affect the decision of healthcare college students to join the University than non-healthcare students (108 [59.6%] versus 190 [48.2%]; P = 0.012). Discussion The results from the current study indicate that healthcare students have a higher perception of and a better attitude towards academic integrity policies than non-healthcare students. keywords: academic; colleges; healthcare; honour; integrity; policies; students; university cache: squmj-4391.pdf plain text: squmj-4391.txt item: #1442 of 1636 id: squmj-4392 author: None title: squmj-4392 date: 2022-08-25 words: 3389 flesch: 41 summary: We report a case of ruptured liver metastasis from an adenocarcinoma of the lung mimicking ruptured liver abscess, challenging the clinical diagnosis. The commonly observed symptoms in patients with ruptured liver metastasis are non- specific abdominal pain, discomfort followed by haemodynamic instabilities, fever in case of infected collection or as a part of the systemic inflammatory response (SIRS), acute liver failure and multi-organ dysfunction syndrome.8 In the present case, the patient presented with fever, non-specific abdominal pain, SIRS (heart rate >90 beats/min and respiratory rate >20/min) and a soft and tender mass in the right hypochondrium. keywords: cancer; case; hepatic; lesion; liver; lung; metastasis; patient; report; rupture; thrombosis cache: squmj-4392.pdf plain text: squmj-4392.txt item: #1443 of 1636 id: squmj-4398 author: None title: squmj-4398 date: 2021-06-21 words: 2203 flesch: 46 summary: These students should be trained so that they could be able to report ADRs in their area.7 Competence in handling ADRs in clinical practice is also important for drug safety monitoring at the population and individual patient levels.12 Healthcare professionals should possess the skills required to critically evaluate drug information and decide how a drug’s safety profile might be applied to a particular patient.6 Educating and training healthcare professionals and linking the clinical experience of drug safety with research and health policies can enhance effective patient care.9 p h a r m a c o Although basic knowledge about ADRs can be acquired through undergraduate pharmacology textbooks and curricula, additional educational efforts are needed to inculcate the habit of drug safety and pharmacovigilance among medical students.2,7 keywords: drug; healthcare; monitoring; pharmaceutical; pharmacovigilance; professionals; safety cache: squmj-4398.pdf plain text: squmj-4398.txt item: #1444 of 1636 id: squmj-4399 author: None title: squmj-4399 date: 2021-06-21 words: 1395 flesch: 47 summary: The impact can be more visible in individuals with previous history of mental health disorders.17 Future research should focus on whether social distancing changes normal social behaviours and interest in peers as this could lead to a change in diagnostic criteria of ASD. In March 2020, the World Health Organization (WHO) characterised the COVID-19 epidemic as a pandemic.4 During the COVID-19 pandemic, experts suggested social distancing as an effective way of controlling the spread of this viral respiratory infection. keywords: asd; autism; covid-19; pandemic; spectrum cache: squmj-4399.pdf plain text: squmj-4399.txt item: #1445 of 1636 id: squmj-4400 author: None title: squmj-4400 date: 2021-06-21 words: 4487 flesch: 42 summary: Camara BS, Delamou A, Diro E, Béavogui AH, El Ayadi AM, Sidibé S, et al. Effect of the 2014/2015 Ebola outbreak on reproductive health services in a rural district of Guinea: an ecological study. For women, the effects of an unmet demand for contraceptives may be devastating, leading to high maternal mortality and illegal abortions.35 Issues of stigma and social norms can result in health providers and the individuals’ families to marginalise unmarried pregnant teenage girls when they attempt to pursue SRH services.36 Evidence shows that the effect of reduced reproductive health services and products between March and August 2020 in 37 countries has led to an extra 1.3 million unintended pregnancies.37 This may result in an additional 1.2 million unsafe abortions and 5,000 pregnancy-related complications.37 Maternal Mental Health keywords: access; care; covid-19; girls; health; nations; nov; pandemic; reproductive; rights; services; srh; united; violence; women cache: squmj-4400.pdf plain text: squmj-4400.txt item: #1446 of 1636 id: squmj-4401 author: None title: squmj-4401 date: 2021-06-21 words: 7709 flesch: 44 summary: Work related risk factors and pregnancy outcome between working women. abstract: Workplace environment can have a considerable impact on the physical, psychological and maternal health of pregnant healthcare workers. keywords: articles; birth; delivery; disorders; environ; ergonomics; factors; healthcare; healthcare workers; hours; impact; lifting; med; nurses; occupational; outcomes; pain; physical; pregnancy; preterm; review; risk; safety; stressors; study; women; work; workers; working; workplace cache: squmj-4401.pdf plain text: squmj-4401.txt item: #1447 of 1636 id: squmj-4402 author: None title: squmj-4402 date: 2021-06-21 words: 6931 flesch: 49 summary: Parental communicative behaviour change and child language outcomes at 3 and 4 years of age. Genetics and early language development: A UK study of twins. keywords: children; delay; development; disorders; emergence; j speech; language; language development; late; learning; lts; months; res; review; speech; study; talkers; talking; toddlers; vocabulary; words; years cache: squmj-4402.pdf plain text: squmj-4402.txt item: #1448 of 1636 id: squmj-4403 author: None title: squmj-4403 date: 2021-06-21 words: 2885 flesch: 44 summary: Patients may be reluctant to come to hospitals or be examined by medical students. Furthermore, there will be a need to enhance medical students and teachers’ skills to utilise information communication technology (ICT) facilities. keywords: covid-19; education; learning; medical; online; pandemic; phase; students; teaching cache: squmj-4403.pdf plain text: squmj-4403.txt item: #1449 of 1636 id: squmj-4404 author: None title: squmj-4404 date: 2021-06-21 words: 5013 flesch: 57 summary: People in the 51–60 year old age group (RR = 1.97), males (RR = 1.24), non-Omanis (RR = 2.33) and those living in Muscat (RR = 2.14) emerged as categories with significant demographic risk for COVID-19 cases when compared to the national average. Conclusion: The overall rate of COVID-19 cases and deaths were low in Oman compared to the rest of the world during the study period. keywords: cases; characteristics; china; coronavirus; covid-19; disease; governorate; health; nov; oman; population; rate; study cache: squmj-4404.pdf plain text: squmj-4404.txt item: #1450 of 1636 id: squmj-4405 author: None title: squmj-4405 date: 2021-06-21 words: 5027 flesch: 55 summary: abstract: Objectives: This study aimed to examine acceptance levels of and attitudes towards telemedicine among users in the United Arab Emirates (UAE) and assess associations between perceived usefulness (PU), perceived ease of use (PEOU), attitudes towards use (ATU) and behavioural intention of use (BIU) in relation to telemedicine technology. Initial costs and a deficiency of technical expertise and reimbursement of capital costs have also emerged as obstacles in utilisation of telemedicine.15 Additionally, appropriate telemedicine technological understanding specifically by healthcare professionals is required for successfully implementing and deploying technology.9 The more capabilities with and knowledge of telemedicine users have, the more optimistic they are about such technology.16 Previous studies have demonstrated an underst- anding of telemedicine among patients and clinical staff. keywords: acceptance; atu; biu; peou; study; technology; telemedicine; uae; united; use cache: squmj-4405.pdf plain text: squmj-4405.txt item: #1451 of 1636 id: squmj-4406 author: None title: squmj-4406 date: 2021-06-21 words: 6850 flesch: 54 summary: Of these, nine (12%) had no insomnia, 34 (45.3%) had subthreshold insomnia, 22 (29.3%) had moderate insomnia and 10 (13.3%) had severe insomnia. The ISI scale has been previously validated in Lebanon and measures insomnia severity on a 5-point Likert scale ranging from 0 (not at all severe) to 4 (very severe).19,20 Total scores range from 0–28, with scores of 0–7, 8–14, 15–21 and 22–28 deemed indicative of no clinically significant insomnia, subthreshold insomnia, moderate insomnia and severe insomnia, respectively.19 The internal consistency of this section was acceptable (Cronbach’s alpha: 0.88). keywords: factors; history; hospital; insomnia; mean; new; onset; onset insomnia; patients; scores; sleep; study cache: squmj-4406.pdf plain text: squmj-4406.txt item: #1452 of 1636 id: squmj-4407 author: None title: squmj-4407 date: 2021-06-21 words: 8974 flesch: 60 summary: Based on a standardised item analysis, the Cronbach’s alpha values of the Arabic version were 0.75, 0.87 and 0.88 for the perceptions of cancer patients, personal barriers for cancer patients and social barriers for cancer patients domains, respectively. This study aimed to evaluate patients’ and attendees’ attitudes towards cancer patients. keywords: attitudes; cancer; cancer patients; family; oman; participants; patients; study cache: squmj-4407.pdf plain text: squmj-4407.txt item: #1453 of 1636 id: squmj-4408 author: None title: squmj-4408 date: 2021-06-21 words: 4203 flesch: 58 summary: The prevalence and correlations of medical student burnout in the pre-clinical years: A cross-sectional study. Burnout syndrome is a condition that is well-documented globally among medical students and affects their academic performance due to high levels of associated stress and psychiatric morbidities. keywords: academic; arabia; burnout; hail; medical; saudi; students; study; university cache: squmj-4408.pdf plain text: squmj-4408.txt item: #1454 of 1636 id: squmj-4409 author: None title: squmj-4409 date: 2021-06-21 words: 4962 flesch: 53 summary: abstract: Objectives: This study aimed to report the clinicopathological features, management and long-term outcomes of patients with gastrointestinal stromal tumours (GISTs) in Oman. Gastrointestinal stromal tumours (GISTs) are the most common mesenchymal tumours of the gastrointestinal tract (GIT), yet account for only 2% of all GIT cancers.1 While GISTs can arise from any part of the GIT, the most commonly affected sites are the stomach (60%) and small intestine (30%); however, GISTs can also arise from other intra-abdominal sites including the mesentery and omentum.2,3 Although a diagnosis of a GIST can be indicated based on histological features, it is established via the immunohistochemical expression of either the cluster of differentiation (CD)117 protein coding for the c-Kit gene or the discovered on GIST- 1 (DOG-1) protein.4,5 Overall, CD117 is expressed in approximately 90–95% of cases, although such patients may harbour mutations on different exons.4 Patients with GISTs without CD117 expression may harbour mutations in the platelet-derived growth factor receptor-α (PDGFR-α) gene or may have wild- type tumours with substantial reductions in the expression of succinate dehydrogenase.6 Complete surgical resection is the mainstay of treatment for GIST cases with localised disease.4 More recently, it has become possible to stratify patients based on risk of recurrence into various categories using either the National Institutes of Health (NIH), Armed Forces Institute of Pathology (AFIP) or modified Jonessu criteria.4,7,8 keywords: cases; disease; gastrointestinal; gists; imatinib; metastatic; oman; patients; risk; stromal; study; tumours cache: squmj-4409.pdf plain text: squmj-4409.txt item: #1455 of 1636 id: squmj-4410 author: None title: squmj-4410 date: 2021-06-21 words: 6467 flesch: 57 summary: Pregnancy Outcomes in Systemic Lupus Erythematosus Women A single tertiary centre experience e246 | SQU Medical Journal, May 2021, Volume 21, Issue 2 Clinical and Basic Research | e247 Table 3: Association of laboratory parameters and maternal lupus disease activity with adverse pregnancy outcomes (N = 149) Clinical and Lab findings Adverse pregnancy outcomes MC Fetal Loss IUFD PTB CS LN Joint pain APH PPH E Pre-E DVT PE HTN A miscarriage incidence of 11–24% was reported in SLE pregnancies in a prospective study in France.19 On the other hand, a range of fetal loss rates were reported in rheumatic disease clinics in North America, with cases occurring in 10% of mild LN cases and in up to 60% of severe cases.16,20 In contrast, this study found four (2.7%) women with fetal loss and only one of the women had LN. keywords: anti; erythematosus; htn; lupus; outcomes; patients; preeclampsia; pregnancies; pregnancy; sle; study; women cache: squmj-4410.pdf plain text: squmj-4410.txt item: #1456 of 1636 id: squmj-4411 author: None title: squmj-4411 date: 2021-06-21 words: 5317 flesch: 48 summary: Conclusion: Medical students were highly interested in PS and recommended implementing a comprehensive undergraduate PS programme to fulfil their educational needs. The confidence of medical students to report an error is negatively implicated by the unprofessional role modeling within a dominant clinical hierarchy. keywords: arabia; attitudes; education; error; medical; patient; safety; saudi; students; study; undergraduate cache: squmj-4411.pdf plain text: squmj-4411.txt item: #1457 of 1636 id: squmj-4412 author: None title: squmj-4412 date: 2021-06-21 words: 4161 flesch: 54 summary: Preterm birth (ptb) is a leading causeof perinatal morbidity and mortality worldwide.1 Threatened preterm labour (TPL) is defined as regular uterine contractions leading to cervical changes before 37 gestational weeks that may result in PTB.2 Globally, the incidence of preterm labour has increased dramatically in recent years, mainly due to a rise in multiple pregnancies, use of assisted reproductive techniques and increase in birth rate among women over 34 years of age.3 In 2014, approximately 10.6% of live births were preterm, of which 84.7% occurred in the late preterm period (i.e. at 34–37 gestational weeks).4 The highest rate of PTB worldwide was reported in Asia and sub-Saharan Africa (81.1%).4 In 30% of PTBs, preterm rupture of the membranes occurs at least one hour prior to the onset of uterine contractions, whereas 15–20% result from iatrogenic causes such as pre-eclampsia and fetal growth restriction which necessitate medically indicated or elective preterm deliveries due to maternal or fetal indications.1,5 Late PTB occurs more often than early PTB and has significantly greater risks of adverse complications and outcomes compared to full-term births.4 https://creativecommons.org/licenses/by-nd/4.0/ Clinical and Basic Research | e261 Tocolytic drugs are the primary form of pharmacological management for TPL and are used to inhibit uterine contractions in a current episode of preterm labour as a first-line therapy or to maintain uterine relaxation after an acute episode as maintenance therapy.6,7 Tocolytic agents aim to prolong pregnancy by at least 48 hours so that pregnant women with TPL can be transferred to a tertiary care centre and fetal lung maturation can be induced with glucocorticoids. keywords: atosiban; delivery; hours; labour; neonatal; oman; preterm; study; women; ≥48 cache: squmj-4412.pdf plain text: squmj-4412.txt item: #1458 of 1636 id: squmj-4413 author: None title: squmj-4413 date: 2021-06-21 words: 6361 flesch: 51 summary: ‡Total sum scores ranged from 0–6, with scores of <3, 3–4 and 5–6 indicative of severe functional disability, moderate functional disability and complete independence, respectively.14 Table 5: Changes in caregiver burden* at baseline and six weeks post-discharge according to group allocation† among family caregivers of patients undergoing coronary artery bypass graft surgery at a specialist heart centre in Tehran, Iran (N = 80) Level of burden‡ n (%) Intervention group (n = 40) Control group (n = 40) Baseline After 6 weeks Baseline After 6 weeks Low 24 (60) 32 (80) 30 (75) 11 (27.5) Discussion Family caregivers often experience a great deal of physical and emotional distress and require additional support to alleviate the burden of caregiving.11,18,19 As such, health problems not only impact the affected Table 6: Changes in specific dimensions of caregiver burden* at baseline and six weeks post-discharge according to group allocation† among family caregivers of patients undergoing coronary artery bypass graft surgery at a specialist heart centre in Tehran, Iran (N = 80) Dimension Mean sum CBI score‡ ± SD t keywords: baseline; burden; bypass; caregivers; control; coronary; family; group; intervention; iran; patients; study; support; surgery cache: squmj-4413.pdf plain text: squmj-4413.txt item: #1459 of 1636 id: squmj-4414 author: None title: squmj-4414 date: 2022-11-06 words: 4749 flesch: 54 summary: abstract: Objectives: This study aimed to identify the main barriers that prevent patients with diabetes mellitus from accepting insulin therapy. The questionnaire, which was administered in Arabic, includes demographic data and 19 specific items on barriers to insulin therapy. keywords: barriers; concern; diabetes; initiation; insulin; insulin therapy; participants; patients; study; therapy; type cache: squmj-4414.pdf plain text: squmj-4414.txt item: #1460 of 1636 id: squmj-4415 author: None title: squmj-4415 date: 2021-06-21 words: 4705 flesch: 54 summary: - Laser acupuncture is a non-invasive, aseptic and painless therapy which can reduce the withdrawal symptoms associated with smoking cessation. The effectiveness of laser acupuncture for smoking cessation, however, needs to be explored further.6 Studies conducted on laser acupuncture for smoking cessation have shown inconsistent results due to heterogeneity of subjects’ and control groups’ ages, wavelength and power of lasers used, duration of treatment and acupoints treated. keywords: acupuncture; auricular; cessation; counselling; dependence; group; intervention; laser; levels; nicotine; smoking; study cache: squmj-4415.pdf plain text: squmj-4415.txt item: #1461 of 1636 id: squmj-4416 author: None title: squmj-4416 date: 2021-06-21 words: 5330 flesch: 51 summary: It is not uncommon to find negative serology during chronic or relapsing infection phases, as SAT results tend to be falsely negative due to the switching from agglutinating to non-agglutinating antibodies.24 A wide range of clinical features are observed among brucellosis patients, both in the current study and in reports from other countries.25–29 This study aimed to evaluate the clinical presentation, geographical distribution and risk factors of brucellosis cases admitted over a four-year period to two hospitals in Muscat, Oman. keywords: blood; brucella; brucellosis; cases; clinical; cultures; dairy; hospital; muscat; oman; patients; period; products; serology; study; year cache: squmj-4416.pdf plain text: squmj-4416.txt item: #1462 of 1636 id: squmj-4417 author: None title: squmj-4417 date: 2021-06-21 words: 5983 flesch: 45 summary: A validated questionnaire was utilised to determine knowledge, attitudes and practices regarding antibiotic use for children with URTIs. This study found moderate knowledge, attitudes and practices regarding antibiotic use in children with upper respiratory tract infections (URTIs) among Omani parents. keywords: antibiotic; attitudes; children; health; infections; knowledge; medical; oman; parents; practices; study; tract; urtis; use cache: squmj-4417.pdf plain text: squmj-4417.txt item: #1463 of 1636 id: squmj-4418 author: None title: squmj-4418 date: 2021-06-21 words: 3315 flesch: 45 summary: Significant changes were observed in bone mineral content, mineral-to-organic content and collagen fibril orientation in necrotic compared to control areas (P ≤0.050). The volume of bone mineral content was assessed by comparing phosphate and carbonate bands at 958 and 1,070 cm−1, respectively, relative to that of the amide band at 1,656 cm−1. keywords: avn; bone; carbonate; cm−1; collagen; disease; mineral; necrotic; raman; ratio cache: squmj-4418.pdf plain text: squmj-4418.txt item: #1464 of 1636 id: squmj-4419 author: None title: squmj-4419 date: 2021-06-21 words: 4660 flesch: 55 summary: f s ix c hi ld re n ag ed 1 – 11 y ea rs w it h m ul ti sy st em in fla m m at or y sy nd ro m e ad m itt ed to a te rt ia ry c ar e ho sp it al in O m an C as e C li n ic al fe at ur es A ge (i n ye ar s) G en de r PI C U / H D U ad m is si on Sy m pt om s Fe ve r du ra ti on in d ay s A bd om in al pa in D ia rr ho ea C on ju nc ti vi ti s/ ra sh Ly m ph ad en op at hy Ex tr em it y oe de m a H ep at os pl en om eg al y A lt er ed m en ta l st at us Sh oc k R es pi ra to ry sy m pt om s C as e 1 1 M Ye s 6 Ye s/ 4 d Ye s/ 4 d Ye s/ 4 d N o Ye s Ye s N o N o N o C as e 2 3 M Ye s 6 Ye s Ye s Ye s Ye s Ye s N o Ye s Ye s Ye s C as e 3 6 M N o 1 Ye s N o N o N o N o N o N o N o N o C as e 4 5 M Ye s 6 Ye s N o N o N o N o Ye s N o Ye s N o C as e 5 4 F N o 7 N o N o Ye s Ye s Ye s N o Ye s N o Ye s C as e 6 11 F Ye s 5 N o N o Ye s Ye s Ye s N o N o Ye s N o PI C U = p ae di at ri c C as e 1 Po si tiv e Po si tiv e 19 9 27 7 23 5 8 19 .5 1. 5 N ot D on e 13 3 17 C as e 2 Po si tiv e Po si tiv e 24 0 27 7 85 18 8. 5 2. 4 3. 6 12 7 10 0 C as e 3 Po si tiv e Po si tiv e 59 33 6 48 8 29 5. 5 12 .4 4 13 7 17 C as e 4 Po si tiv e Po si tiv e 15 8 40 0 N A 12 3. 8 0. 84 4. 64 12 8 97 C as e 5 Po si tiv e Po si tiv e 18 4 53 8 N A 15 3. 4 1. 4 7. 5 13 6 75 C as e 6 N eg at iv e Po si tiv e 21 9 26 3 30 0 64 3. 2 0. 2 4 13 6 30 N P = na so ph ar yn ge al ; S A RS -C oV -2 = se ve re a cu te re sp ira to ry sy nd ro m e c or on av ir us -2 ; P C R = po ly m er as e c ha in re ac tio n; Ig G = im m un og lo bu lin G ; C RP = C -r ea ct iv e p ro te in ; I L- 6 = in te rl eu ki n- 6; W BC = w hi te b lo od ce ll co un t; A LC = ab so lu te ly m ph oc yt e c ou nt ; A LT = a la ni ne a m in ot ra ns fe ra se ; N A = n ot a va ila bl e. Nawal Al Maskari, Kholoud Al Mukhaini, Safiya Al Abrawi, Mohammed Al Reesi, Juhaina Al Abulsalam and Nagi Elsidig Case One A 22-month-old male child from Barka was admitted to the paediatric intensive care unit (PICU) at Royal Hospital on 6 July 2020 with a fever and other KD- like symptoms followed by gastrointestinal (GI) symptoms. keywords: case; inflammatory; mis; n o; o ye; syndrome; ye s cache: squmj-4419.pdf plain text: squmj-4419.txt item: #1465 of 1636 id: squmj-4420 author: None title: squmj-4420 date: 2021-06-21 words: 2191 flesch: 48 summary: However, pressure effects from giant cysts may affect neighbouring organs and lead to pain or torsion, perforation and even haemorrhage.12 While giant paraovarian cysts in adolescents are a rare occurrence, bilateral paraovarian cysts in this age group are even rarer. Giant paraovarian cyst. keywords: bilateral; case; cyst; giant; paraovarian; patient; report cache: squmj-4420.pdf plain text: squmj-4420.txt item: #1466 of 1636 id: squmj-4421 author: None title: squmj-4421 date: 2021-06-21 words: 2639 flesch: 49 summary: If SIADH is truly an Figure 1: The course of sodium, serum osmolality and urine output during admission of a nine-year-old female patient with hereditary tyrosinaemia type 1. Syndrome of Inappropriate Antidiuretic Hormone Secretion in a Patient with Uncontrolled Tyrosinemia Type 1 e314 | SQU Medical Journal, May 2021, Volume 21, Issue 2 Case Report | e315 under-recognised or under-reported complication in patients with tyrosinaemia type 1, it may have significant therapeutic implications for such patients admitted with acute porphyria crisis. Although SIADH is a well-reported complication of the acute porphyria crisis, it is not known why only a fraction of patients with acute porphyria crisis develop SIADH.8 This may in part reflect the limited understanding of the pathogenesis behind SIADH in porphyria crisis, its multifactorial nature or the fact that it may truly be under-reported.10 Questions have also been raised about whether some patients with acute intermittent porphyria were truly euvolaemic.11 The pathophysiology of hyponatraemia in acute porphyria, despite being frequently reported in as many as 40% of cases, is still not very well understood.12 While it has been attributed in some reports to the syndrome of inappropriate antidiuresis, there may also be elements of renal or gastrointestinal sodium loss.13 Despite the number of patients with tyrosinaemia known worldwide and the likelihood of the existence of non-adherent older patients with complications and morbidities, to the best of the authors’ knowledge, SIADH has not been reported among patients with tyrosinaemia type 1. keywords: acute; hour; patient; porphyria; siadh; type; tyrosinaemia cache: squmj-4421.pdf plain text: squmj-4421.txt item: #1467 of 1636 id: squmj-4422 author: None title: squmj-4422 date: 2021-06-21 words: 2156 flesch: 44 summary: Initially, he presented with a history of This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License. https://doi.org/10.18295/squmj.2021.21.02.024 case report https://creativecommons.org/licenses/by-nd/4.0/ Case Report | e317 Discussion Cardiac haemangiomas are rare benign cardiac tumours that account for approximately 1–5% of primary cardiac tumours and can present at any age with a reported higher incidence among females.2–4 Cardiac haemangiomas can arise from any cardiac layer (epicardium, myocardium and endocardium) and are typically located in the walls of the ventricles, but can be found in any cardiac chambers.8 Han et al. reviewed 56 cases of cardiac haemangioma and found that haemangiomas were located in the right ventricle in 19 (33.9%) cases, the left ventricle in 20 (35.7%) cases, the right atrium in 13 (23.2%) cases, the interatrial and interventricular septum in six (10.7%) cases each and the left atrium in four (7.1%) cases.9 Histologically, cardiac haemangiomas are classified into three subtypes: capillary, cavernous and arteriovenous. However, sometimes cardiac haemangiomas can show a combination of all the three types.4 While most patients are symptomatic and cardiac haemangiomas are detected incidentally, some patients can present related to cardiac haemangioma. keywords: cardiac; case; haemangioma; heart; mass; patient; report cache: squmj-4422.pdf plain text: squmj-4422.txt item: #1468 of 1636 id: squmj-4423 author: None title: squmj-4423 date: 2021-06-21 words: 2747 flesch: 56 summary: 4. Navarro-Belmonte MR, Navarro-López V, Ramírez-Boscà A, Martínez-Andrés MA, Molina-Gil C, González-Nebreda M, et al. Case series of familial frontal fibrosing alopecia and a review of the literature. Report of familial frontal fibrosing alopecia and fibrosing alopecia in a pattern distribution. keywords: alopecia; case; caucasian; dermatol; familial; ffa; frontal; sisters cache: squmj-4423.pdf plain text: squmj-4423.txt item: #1469 of 1636 id: squmj-4424 author: None title: squmj-4424 date: 2021-06-21 words: 2043 flesch: 44 summary: Therefore, HYAL2 deficiency may not explain the pathogenesis of CTS membrane in humans. The risk of death is over 75% if untreated.2 Other common differential diagnoses for CTS clinical presentation include obstructed anomalous pulmonary venous drainage and congenital heart disease with left to right shunts such as ventricular septal defects and patent ductus arteriosus. keywords: atrium; cor; cts; left; membrane; triatriatum cache: squmj-4424.pdf plain text: squmj-4424.txt item: #1470 of 1636 id: squmj-4425 author: None title: squmj-4425 date: 2021-06-21 words: 924 flesch: 49 summary: Figure 2: (A) Coronal short-TI inversion recovery (STIR) images, (B) axial STIR image at C7-T1 level and (C) axial fat- saturated contrast-enhanced T1 weighted image at C7-T1 level of a 48-year-old female patient before commencing sorafenib treatment showing a T2 hyperintense enhancing lesion in the left posterior supra-clavicular and the supra- scapular regions and an ipsilateral cervical lymph node (marked with arrows). Recently, a prospective randomised trial compared sorafenib to a placebo.3 Out of the 49 patients, the objective response rate (ORR) was 33% with only one complete response in the sorafenib group, compared to an ORR of 20% in the placebo group. keywords: fibromatosis; patient; response; sorafenib cache: squmj-4425.pdf plain text: squmj-4425.txt item: #1471 of 1636 id: squmj-4426 author: None title: squmj-4426 date: 2021-06-21 words: 966 flesch: 45 summary: In patients with absent left pericardium, the left ventricle is also attached to the lateral chest wall, which may resemble pulmonary collapse or pleural effusion. Paroxysmal exertional stabbing chest pain has been described as a potential symptom for congenital absent pericardium but the current patient did not experience this. keywords: absence; heart; left; pericardium cache: squmj-4426.pdf plain text: squmj-4426.txt item: #1472 of 1636 id: squmj-4427 author: None title: squmj-4427 date: 2021-06-21 words: 664 flesch: 46 summary: In the study methodology, it is mentioned that BMI were estimated and BMI z-scores was established based on the World Health Organization (WHO) growth charts for children aged 5–19 years.1 There was no significant correlation between BMI z-scores and nutrition intake, moderate-to-vigorous physical activity time or screen time (P ≥0.05). keywords: centiles; children; growth cache: squmj-4427.pdf plain text: squmj-4427.txt item: #1473 of 1636 id: squmj-4428 author: None title: squmj-4428 date: 2021-06-21 words: 613 flesch: 49 summary: 2. Chaker L, Korevaar TI, Medici M, Uitterlinden AG, Hofman A, Dehghan A, et al. compared thyroid hormone levels between patients with nephrotic syndrome (NS) and healthy controls as well as between patients with NS in the active stage of the disease and those in remission. keywords: patients; thyroid cache: squmj-4428.pdf plain text: squmj-4428.txt item: #1474 of 1636 id: squmj-4495 author: None title: squmj-4495 date: 2022-05-26 words: 4311 flesch: 48 summary: This study identified the biomedical factors related to women’s attitudes towards menstruation, including the features of the menstrual cycle. - Women who experienced menstrual pain and had a longer duration of and heavier menstrual flow perceived menstruation as a more negative event. Application to Patient Care - Health policy-makers should be aware of the potential factors that influence menstrual attitudes so as to promote more favourable attitudes towards this phenomenon across different populations. - Chang Y-T, Chen Y-C. Study of menstrual attitudes and distress| among postmenarcheal female students in Hualien County. keywords: age; attitudes; dimensions; event; health; menstrual; menstruation; study; women cache: squmj-4495.pdf plain text: squmj-4495.txt item: #1475 of 1636 id: squmj-4514 author: None title: squmj-4514 date: 2022-05-26 words: 1727 flesch: 58 summary: Some authors have used the Ilizarov apparatus for correction of cleft foot at an adult age, but this can’t be used in children owing to the cartilaginous nature of foot bones.9 A: Clinical photograph showing cleft foot. keywords: cleft; deformity; foot; metatarsal; suture cache: squmj-4514.pdf plain text: squmj-4514.txt item: #1476 of 1636 id: squmj-4516 author: None title: squmj-4516 date: 2022-08-25 words: 5657 flesch: 49 summary: abstract: Objectives: This study aimed to discover the extent to which medical students can evaluate medical websites, evaluation criteria used, factors affecting their abilities and whether a teaching intervention could rectify problems. Medical students and practitioners are required to evaluate medical information available on the Internet. keywords: ability; comments; criteria; data; evaluation; information; internet; intervention; research; skills; students; study; website cache: squmj-4516.pdf plain text: squmj-4516.txt item: #1477 of 1636 id: squmj-4517 author: None title: squmj-4517 date: 2022-11-06 words: 2759 flesch: 47 summary: Departments of 1Pediatric Hematology Oncology, 2Radiology and 3Histopathology, Royal Hospital, Muscat, Oman *Corresponding Author’s e-mail: nhm39076@hotmail.com Extrarenal Wilms’ Tumour of the Ovary A case report Khalil A. Albiroty,1 Amal Al Sabahi,1 Saud Al Shabibi,2 Zakyia I. Al’Ajmi,3 Karima Al Hinai,1 *Nawal Al-Mashaikhi1 Sultan Qaboos University Med J, November 2022, Vol. 22, Iss. 4, pp. After one cycle of chemotherapy, the expert’s histopathology report found a poorly differentiated malignant neoplasm consisting mainly of the rounded cells with limited amounts of amphophilic cytoplasm Wilms’ tumour (nephroblastoma), is the most frequently occurring abdominal malignancy of childhood and comprises more than two-thirds of the paediatric renal masses in the first five years of life.1 Extrarenal Wilms’ tumour (ERWT) is rare, but there have been a few reports.1–3 The estimated incident rate of ERWT is almost 0.5–1% of all cases of Wilms’ tumour.2–4 Common reported location of Wilms' tumour outside the kidney include the retroperitoneum, inguinal canal, scrotum and vagina.4 Misdiagnosis for other common retroperitoneal masses of that region is not uncommon.1 Case Report A two-year-old girl was admitted to a tertiary care hospital in Muscat, Oman, in 2019 for evaluation of an abdominal mass with a history of two months of poor appetite, night sweats, fever and undocumented weight loss. keywords: case; chemotherapy; mass; ovary; patient; report; tumour; wilms cache: squmj-4517.pdf plain text: squmj-4517.txt item: #1478 of 1636 id: squmj-4518 author: None title: squmj-4518 date: 2022-11-06 words: 2349 flesch: 42 summary: In the medical literature, one study reported a patient with HC cutaneous fistula accompanied by rib erosion.8 Salerno S, Cracolici E, Lo Casto A. Subcutaneous rupture of hepatic hydatid cyst: CT findings. keywords: case; cyst; disease; fistula; liver; patient; report cache: squmj-4518.pdf plain text: squmj-4518.txt item: #1479 of 1636 id: squmj-4519 author: None title: squmj-4519 date: 2022-08-25 words: 4569 flesch: 50 summary: The procedure was performed using the anatomic subunit technique of cleft lip repair by single surgeon over a period of 5 years—July 2015 to April 2020—for varying degrees of cleft lip ranging from unilateral incomplete cleft lip to complete cleft lip. All children who underwent cleft lip repair from July 2015 to April 2020 using the anatomic subunit technique of cleft lip repair at Khoula hospital, Muscat, Oman were included in this study. keywords: cases; children; cleft; lip; lip repair; repair; study; subunit; subunit technique; technique cache: squmj-4519.pdf plain text: squmj-4519.txt item: #1480 of 1636 id: squmj-4520 author: None title: squmj-4520 date: 2022-08-25 words: 4618 flesch: 47 summary: According to the results of this study, happiness training may improve the psychological well-being of TM patients. Considering the important role of education in improving and reducing TM patients’ psychological problems, the aim of the present study was to determine the effect of happiness training on the psychological well-being of TM patients. keywords: control; experimental; fordyce; groups; happiness; iran; patients; score; study; test; training cache: squmj-4520.pdf plain text: squmj-4520.txt item: #1481 of 1636 id: squmj-4521 author: None title: squmj-4521 date: 2022-08-25 words: 3171 flesch: 49 summary: Notably, the study’s finding regarding the reduced length of hospital stay for eosinophilic AECOPD patients is in line with previous studies.17,23 About 40% of patients with eosinophilic AECOPD required mechanical ventilation compared to 50.9% of patients with non-eosinophilic AECOPD. Patients with non-eosinophilic AECOPD stayed in the hospital for a longer duration than those with eosinophilic AECOPD (P = 0.02). keywords: aecopd; blood; count; disease; eosinophilic; hospital; patients; prevalence; study cache: squmj-4521.pdf plain text: squmj-4521.txt item: #1482 of 1636 id: squmj-4522 author: None title: squmj-4522 date: 2022-08-25 words: 4830 flesch: 59 summary: Schain F, Vago E, Song C, He J, Lewing J, Löfgren C, et al. Survival outcomes in myelofibrosis patients treated with ruxo- litinib: The performance status of MF patients significantly affected their overall survival. keywords: bat; mean; myelofibrosis; patients; ruxolitinib; study; survival; treatment cache: squmj-4522.pdf plain text: squmj-4522.txt item: #1483 of 1636 id: squmj-4523 author: None title: squmj-4523 date: 2022-02-27 words: 1549 flesch: 57 summary: Ali EE, Cheung KL, Lee CP, Leow JL, Yap KY, Chew L. Prevalence and determinants of adherence to oral adjuvant endocrine therapy among breast cancer patients in Singapore. Adjuvant hormonal therapy for early breast cancer: An epidemiologic study of medication adherence. keywords: adherence; breast; cancer; patients cache: squmj-4523.pdf plain text: squmj-4523.txt item: #1484 of 1636 id: squmj-4524 author: None title: squmj-4524 date: 2022-08-25 words: 3062 flesch: 45 summary: The natural history of Chlamydia trachomatis infection in women: A multi-parameter evidence synthesis. A systematic review and analysis of prevalence studies. keywords: chlamydia; gonorrhoea; infections; sti; study; women cache: squmj-4524.pdf plain text: squmj-4524.txt item: #1485 of 1636 id: squmj-4525 author: None title: squmj-4525 date: 2022-05-26 words: 1278 flesch: 41 summary: This report demonstrates how multiple imaging modalities can help in diagnosing SAPHO syndrome along with the provided history and medical background. Faint radiotracer uptake were noted at the left sternoclavicular joint and left first rib. https://creativecommons.org/licenses/by-nd/4.0/ Asma AlHatmi and Sameer B. Raniga Interesting Medical Image | 307 SAPHO syndrome is a benign condition affecting mainly young and middle-aged adults and can be managed conservatively.3 Early diagnosis and proper management will improve the clinical outcomes and prognosis.1 Clinical history, along with dermatological and radiological manifestations, is essential to diagnose SAPHO syndrome. keywords: acne; hyperostosis; osteitis; sapho; syndrome cache: squmj-4525.pdf plain text: squmj-4525.txt item: #1486 of 1636 id: squmj-4526 author: None title: squmj-4526 date: 2022-11-06 words: 2278 flesch: 47 summary: Although, the treatment of CRMO is currently not classified, the most promising results have been observed in patients under treatment with bisphosphonates (BPs).4 Here we describe the case of a patient with CRMO who developed a seizure post-BP administration. While the most promising results have been observed in patients under treatment with bisphosphonates (BPs), the initial decision to treat the current patient with a dose of zoledronic acid every six months was recalled as the patient developed tonic-clonic seizures immediately following the second dose BP administration. keywords: case; chronic; crmo; dose; osteomyelitis; patient; seizure; treatment cache: squmj-4526.pdf plain text: squmj-4526.txt item: #1487 of 1636 id: squmj-4527 author: None title: squmj-4527 date: 2022-11-06 words: 2467 flesch: 46 summary: Yet, due to anatomical factors and critical structures, laryngeal NF lesions can be unamenable to simple complete laryngoscopic local excision. Due to its benign nature, the lesion was debulked trans-orally via laser and histologic diagnosis was in favour of laryngeal NF. keywords: case; fasciitis; laryngeal; mass; myxolipoma; nodular; report; tissue cache: squmj-4527.pdf plain text: squmj-4527.txt item: #1488 of 1636 id: squmj-4533 author: None title: squmj-4533 date: 2022-02-27 words: 4695 flesch: 54 summary: They may be found up to 1–2 years post- burn.12 The most prevalent among the phobias are specific phobias that manifest after discharge and may increase the comorbidity in burn patients.12 Personality changes appearing in burn patients are usually classified as neuropsychiatric complications and may be due to the result of direct hypoxic injury to the brain.27 In a study on neuropsychiatric complications in burn patients, it was found that severe regression, a form of personality change, occurs in approximately 20% of adult burn patients and is characterised by child-like and primitive behaviour patterns such as throwing tantrums.28 In a recent systemic review by Kornhaber et al., the feeling of guilt, shame and self-blame were emphasised as important manifesting problems among burn survivors.29 One of the most extreme psychological sequelae of burn injuries is suicide.30,31 According to Van Loey and Van Son’s extensive systemic review, 18 studies showed that previous psychiatric history such as depression, anxiety or mood disorders had the most impact on post-burn mental health changes. Another study reported accidental burns in 83.78% of their sample while 9.88% were homicidal and 6.34% were of a suicidal nature.5 Public and private sector hospitals throughout Pakistan face a large influx of burn patients, which places significant burden on the healthcare system.2 Despite a decrease in mortality, morbidity from burns is a significant cause of disability-adjusted life-years lost in low- and middle-income countries.1 In Pakistan, there is a shortage of burn rehabilitation centres.6 Civil Hospital Karachi is the only hospital in the Sindh province that has a burns centre, catering to patients from all parts of the province.7 Baluchistan province does not have a single burn rehabilitation centre. keywords: ali; anxiety; burn; burn patients; care; complications; depression; health; hospital; injury; pakistan; patients; rehabilitation; review; study cache: squmj-4533.pdf plain text: squmj-4533.txt item: #1489 of 1636 id: squmj-4534 author: None title: squmj-4534 date: 2022-02-27 words: 1133 flesch: 41 summary: This led to the development of SABER®-bupivacaine (Durect Corp., Cupertino, California, USA) and HTX-011 (Heron Therapeutics Inc., San Diego, California, USA). HTX-011 (Heron Therapeutics Inc.) is an extended-release, fixed-ratio agent which consists of bupivacaine along with low-dose meloxicam, which is a cyclooxygenase-2 inhibitor, to enhance the effectiveness of infiltrated bupivacaine. keywords: bupivacaine; inc; pain; patients; therapeutics cache: squmj-4534.pdf plain text: squmj-4534.txt item: #1490 of 1636 id: squmj-4535 author: None title: squmj-4535 date: 2022-05-26 words: 8125 flesch: 54 summary: Although one (0.2%) case of neonatal infection with COVID-19 was confirmed at 36 hours after birth via pharyngeal swab, there was no evidence of vertical transmission as samples from the placenta, cord blood and breast milk tested negative [Table 3].21 Discussion There is limited information regarding the effect of COVID-19 infection on pregnancy and childbirth due to the short time-frame since the start of the Nihal Al Riyami and Shahila Sheik Review | 169 Table 1: Maternal outcomes of pregnant women infected with SARS-CoV-2 No. Adhikari EH, Moreno W, Zofkie AC, MacDonald L, Mclntire DD, Collins RRJ, et al. Pregnancy outcomes among women with and without severe acute respiratory syndrome coronavirus 2 infec- tion. keywords: articles; case; case series; coronavirus; corticosteroids; cov-2; covid-19; disease; infection; outcomes; pregnancy; report; review; sars; series; thromboprophylaxis; ventilation; women cache: squmj-4535.pdf plain text: squmj-4535.txt item: #1491 of 1636 id: squmj-4536 author: None title: squmj-4536 date: 2022-05-26 words: 5023 flesch: 53 summary: Keywords: Body Image; Body Image Dissatisfaction; Body Mass Index; Medical Students; Oman. Body image refers to “a person’s perceptions, thoughts and feelings about his or her body”. keywords: bid; bmi; body; dissatisfaction; health; image; medical; normal; overweight; students; study; weight cache: squmj-4536.pdf plain text: squmj-4536.txt item: #1492 of 1636 id: squmj-4537 author: None title: squmj-4537 date: 2022-05-26 words: 4261 flesch: 55 summary: GA <28 weeks was found to be the main predictor Table 3: Predictors of infant extubation failure Variable OR (95% CI) Univariate Multivariate* PDA 2.775 (1.251–6.154 2.326 (0.967–5.592) GA<28 weeks 2.570 (1.168–5.655) 2.621 (1.118–6.146) 1-minute Apgar 2.997 (1.190–7.548) 2.533 (0.958–6.695) OR = odds ratio; CI = confidence interval; PDA = patent ductus arteriosus; GA = gestational age. abstract: Objectives: This study aimed to determine extubation failure (EF) rate among intubated preterm infants (<37 weeks gestational age keywords: care; extubation; failure; infants; preterm; study; weeks cache: squmj-4537.pdf plain text: squmj-4537.txt item: #1493 of 1636 id: squmj-4547 author: None title: squmj-4547 date: 2021-08-29 words: 883 flesch: 53 summary: It was renamed from “Sultan Qaboos University Journal for Scientific Research - Medical sciences” to “Sultan Qaboos University Medical Journal”. Lamk mohamed al lamki has served as the Editor-in-Chief of Sultan Qaboos University Medical Journal (SQUMJ) for the last 14 years. keywords: journal; qaboos; squmj cache: squmj-4547.pdf plain text: squmj-4547.txt item: #1494 of 1636 id: squmj-4548 author: None title: squmj-4548 date: 2021-08-29 words: 3159 flesch: 39 summary: https://creativecommons.org/licenses/by-nd/4.0/ Safe Return to Exercise after COVID-19 Infection 374 | SQU Medical Journal, August 2021, Volume 21, Issue 3 activities of daily living and exercise.7 It is, therefore, critical to guide an athlete diagnosed with COVID-19 for their safe return to exercise. Exercise acts as a modulator of the immune system, stimulating cellular immunity while reducing the risk of developing systemic inflammatory processes.15 Various studies have suggested that exercise is directly related to decreased mortality that may be caused by pneumonia and influenza, improvements in the cardiorespiratory function and metabolic profile, including those concerning triglycerides, cholesterol, fasting plasma glucose, blood pressure and waist circumference.7,9–11,16 The additional potential benefits of exercise, especially exercise of low-to-moderate intensity, includes a reduction in respiratory infection rate and improved recovery rate following a viral infection.16 Apart from the positive effects of exercise on the overall cardiorespiratory and metabolic function, it has also been shown to alleviate various mental health issues as it reduces anxiety and depression while improving self-esteem and cognitive function.16 keywords: athletes; covid-19; exercise; infection; intensity; med; return; sports; symptoms cache: squmj-4548.pdf plain text: squmj-4548.txt item: #1495 of 1636 id: squmj-4549 author: None title: squmj-4549 date: 2021-08-29 words: 3426 flesch: 48 summary: Incomplete AIS patients may have normal breasts and sparse pubic and axillary hair, with some abnormal form of male external genitalia. MRI provides comprehensive imaging before surgical treatment and can, thus, be considered a ‘one-stop shop’ for AIS imaging. keywords: ais; androgen; case; cell; insensitivity; mri; patient; resonance; syndrome; testes cache: squmj-4549.pdf plain text: squmj-4549.txt item: #1496 of 1636 id: squmj-4550 author: None title: squmj-4550 date: 2021-08-29 words: 2802 flesch: 41 summary: These drugs are appropriate options for the initial treatment and in salvage therapy of Aspergillus infections in resource-limited settings and conditions where voriconazole cannot be administered.15 Itraconazole is one of the preferred agents used to treat aspergillosis.16 Surgical excision of the cavity and the involved segment or lobe in the aspergilloma can be done with relatively low morbidity and mortality to achieve complete remission and a symptom-free state.17 Intravenous AmB (a lipid formulation) is the drug of choice for initial therapy in the case of mucormycosis. Computed tomography bronchial angiography revealed an air-crescent sign and the histopathological examination showed a fungal ball (aspergillus and mucor) in the right upper lobe and foci of fungal infection in the middle lobe. keywords: aspergillosis; aspergillus; case; fungal; infection; mucor; mucormycosis; patient; pulmonary; treatment cache: squmj-4550.pdf plain text: squmj-4550.txt item: #1497 of 1636 id: squmj-4551 author: None title: squmj-4551 date: 2021-08-29 words: 5430 flesch: 27 summary: Therefore, this study aimed to identify significant dimensions of developing programmes for the management and evaluation of NCDs through a systematic review of existing literature. Identification of Remarkable Dimensions in Management and Evaluation of Non-Communicable Disease Programmes A systematic review and meta-synthesis 368 | SQU Medical Journal, August 2021, Volume 21, Issue 3 Table 1: Context, input, process and product dimensions necessary for plan developing Dimension Subset Subcategory Prerequisites Context Objective Stages of development Considering the process of forming a team, identifying dimensions of the programme, drafting, feedback to members and developing final goals Clarity Considering realistic, clear trends in goal development Feasibility of implementation Feasibility of implementation via considering adequate resources Coverage Achieving health system goals, improving community health, reducing health inequality, identifying budgets and creating accountable systems International databases and targets, surveillance organisation, non-communicable disease control and prevention centres Programme Development Partnerships, clear policies, specific strategies and activities, stakeholders, outcomes, evaluation criterion and resource Coverage Developing intervention programmes Developing an operational plan and roadmap Developing programmes at national and international levels Nature Covering long-term, short-term and mid-term standards in the fields of home, school and workplace health Mission Developing policies and documents aimed at capacity building, accessibility enhancement, cost reduction, careful monitoring and evaluation, multi-dimensionality, political commitment and prioritisation. keywords: articles; context; development; dimensions; diseases; evaluation; health; management; model; ncds; process; programme; resources; studies; study; system cache: squmj-4551.pdf plain text: squmj-4551.txt item: #1498 of 1636 id: squmj-4585 author: None title: squmj-4585 date: 2022-08-25 words: 1082 flesch: 45 summary: Traditionally, cutaneous leishmaniasis (CL) has been classified into old world cutaneous leishmaniasis (OWCL) and new world cutaneous leishmaniasis (NWCL) depending on the geographical distribution. In a study by Firooz et al., patients were randomly assigned to receive a combined 4-week course of imiquimod or placebo with meglumine antimoniate treatment in an endemic area of L. tropica.4 keywords: figure; imiquimod; leishmaniasis; treatment cache: squmj-4585.pdf plain text: squmj-4585.txt item: #1499 of 1636 id: squmj-4586 author: None title: squmj-4586 date: 2022-11-06 words: 6056 flesch: 60 summary: The unavailability of cervical cancer screening and Pap smear testing at the primary healthcare level has led to a lack of knowledge regarding cervical cancer. Cervical cancer screening in Kolkata, India: Beliefs and predictors of cervical cancer screening among women attending a women’s health clinic in Kolkata, India. keywords: cancer; health; healthcare; history; hpv; knowledge; oman; participants; study; total; vaccine; women cache: squmj-4586.pdf plain text: squmj-4586.txt item: #1500 of 1636 id: squmj-4587 author: None title: squmj-4587 date: 2022-11-07 words: 5351 flesch: 53 summary: https://doi.org/10.18295/squmj.9.2021.129 CLINICAL & BASIC RESEARCH abstract: Objectives: This study aimed to assess the effectiveness of the new traffic law enforcement regulations (TLERs) on the incidence and severity of maxillofacial injuries in Oman, as road traffic accidents (RTAs) are the main cause of facial injuries in Oman. Such injuries are serious and can cause https://creativecommons.org/licenses/by-nd/4.0/ The Impact of Traffic Law Enforcement Regulations on the Incidence and Severity of Maxillofacial Injuries 480 | SQU Medical Journal, November 2022, Volume 22, Issue 4 severe blood loss, airway obstruction, facial deformity and, occasionally, death.3,5,7 Studies have reported a marked reduction in the number and severity of maxillofacial injuries as an outcome of increased awareness within society as well as the amplification of traffic law enforcement regulations (TLERs).5,7,8 In Oman, the implementation of the new TLERs, new road network and monitoring technologies have resulted in major improvements and upgrades, especially in the period between the end of 2009 and early 2014.6 Assessing the impact of these measures and regulations on the incidence and severity of maxillofacial injuries is crucial to establishing their effectiveness and to marking the need for their continuous improvements. keywords: incidence; injuries; injury; new; oman; road; severity; study; tlers; traffic; trauma cache: squmj-4587.pdf plain text: squmj-4587.txt item: #1501 of 1636 id: squmj-4588 author: None title: squmj-4588 date: 2022-11-06 words: 3306 flesch: 44 summary: The European Association of Cardiothoracic Anaesthesiology Thoracic Subspecialty Committee published updated recommendations for the management of thoracic anaesthesia patients with suspected or confirmed COVID-19 infection.4 The PPE donned by the team comprised of hair covers, two N95 face masks each, face shield, long sleeve fluid-resistant gown, double gloves and overshoes as prescribed.4 According to the European Guidelines, lung separation with a bronchial blocker maybe the preferred mode in COVID-19 patients undergoing thoracic surgery.4 This technique mandates the use of an FOB guidance. keywords: anaesthesia; covid-19; lung; management; patient; room; sars; surgery; thoracic cache: squmj-4588.pdf plain text: squmj-4588.txt item: #1502 of 1636 id: squmj-4589 author: None title: squmj-4589 date: 2022-08-25 words: 11022 flesch: 56 summary: The peculiar feature of AOT that led to the derivation of the term is the presence of duct-like structures lined by cuboidal or columnar epithelial cells.26 Previous studies on the retention of extracellular matrix molecules in the duct-like structures of AOT suggested a key role of Osteonectin in the formation and maintenance of duct-like architecture.37 Duct-like structures were detected in the histopathological images of 19 out of 29 reported AAD cases in this study. Adenoid Ameloblastoma with Dentinoid A systematic review 332 | SQU Medical Journal, August 2022, Volume 22, Issue 3 in AAD cases, wherein only one case, reported by Salehinejad et al., presented features of keywords: aad; al e; ameloblastoma; aot; c k; c m; cases; cells; dentinoid; e t; l r; lesion; m al; m n; m o; n =; o t; oral cache: squmj-4589.pdf plain text: squmj-4589.txt item: #1503 of 1636 id: squmj-4590 author: None title: squmj-4590 date: 2022-08-25 words: 3066 flesch: 49 summary: This study aimed to analyse both the chest high resolution computed tomography (HRCT) findings of patients with confirmed pulmonary nocardiosis and review the imaging features of pulmonary nocardiosis in the literature. Advances in Knowledge - The findings of this study demonstrate that pulmonary nocardiosis can have different findings in chest computed tomography (CT) including pulmonary nodules, masses and consolidation. keywords: chest; findings; nocardiosis; nodules; patients; pulmonary; tomography cache: squmj-4590.pdf plain text: squmj-4590.txt item: #1504 of 1636 id: squmj-4591 author: None title: squmj-4591 date: 2022-11-07 words: 4883 flesch: 53 summary: The primary outcome, which was correlation between prevalence of H. pylori and the incidence of bleeding/rebleeding from varices as well as encephalopathy found that patients with oesophageal varices (adjusted risk [AR] = 0.714) and H. pylori infection (AR = 0.682) had a lower risk of variceal rebleeding. It is now known that H. pylori infection is associated not only with chronic gastritis and peptic ulcer disease but also with mucosa-associated lymphoid tissue lymphoma and gastric adenocarcinoma.2 Bleeding from varices is one of the most common causes of upper gastrointestinal (UGI) bleeding and is at times fatal in patients with liver cirrhosis.4 Oesophageal varices cause the oesophagogastric junction patulous to increase acid reflux into the oesophagus, thus increasing the risk of bleeding.5 The prevalence of H. pylori infection is significantly less in patients with gastro-oesophageal reflux disease (GERD) compared to those without GERD, indicating a possible low acid output with H. pylori. keywords: h. pylori; helicobacter; infection; patients; pylori; rebleeding; study; variceal; varices cache: squmj-4591.pdf plain text: squmj-4591.txt item: #1505 of 1636 id: squmj-4592 author: None title: squmj-4592 date: 2022-08-25 words: 3862 flesch: 52 summary: - Rapid screening for hydronephrosis in the emergency department using renal POCUS might exclude obstruction, help focus assessment on other potential diagnoses and allow physicians to select patients for further analyses. Studies have demonstrated promising results regarding the sensitivity and specificity of renal POCUS performed by EPs in detecting hydronephrosis. keywords: care; colic; emergency; hydronephrosis; ncct; patients; pocus; renal; sensitivity; study; ultrasound cache: squmj-4592.pdf plain text: squmj-4592.txt item: #1506 of 1636 id: squmj-4593 author: None title: squmj-4593 date: 2022-11-06 words: 5307 flesch: 62 summary: Strategies should be designed to reduce salt intake among the urban population, including health education to increase knowledge about the complications of high salt intake. For example, in Kuwait, the major food items contributing to salt intake are Kuwaiti composite dishes, bread and sandwiches and pastries, while in the Netherlands, the major sources are bread and cereal products, cheese and meat.19,30 One of the main issues that hinders the reduction of salt intake by the public is their perception of the recommended salt levels and high salt intake. keywords: day; food; health; intake; knowledge; participants; population; questionnaire; salt; salt intake; sodium; study cache: squmj-4593.pdf plain text: squmj-4593.txt item: #1507 of 1636 id: squmj-4594 author: None title: squmj-4594 date: 2022-11-07 words: 5363 flesch: 56 summary: The strength of the present study is that it assessed remission scores that are easily used in current practice. To study the validity of the various criteria, the absence of a Doppler signal on the sonogram was considered as the gold standard to define US remission. keywords: activity; arthritis; clinical; criteria; das28; disease; patients; remission; rheumatoid; score; sdai; study cache: squmj-4594.pdf plain text: squmj-4594.txt item: #1508 of 1636 id: squmj-4595 author: aiims title: squmj-4595 date: 2021-09-23 words: 1968 flesch: 59 summary: We have employed the same method of gradual 113 progressive dilatation of anterior urethra in the case of Y duplication of the urethra. Less than 50 cases of Y duplication of urethra have been described in English 99 literature.2 keywords: dilatation; duplication; patient; urethra; vesicostomy cache: squmj-4595.pdf plain text: squmj-4595.txt item: #1509 of 1636 id: squmj-4596 author: None title: squmj-4596 date: 2022-11-06 words: 6846 flesch: 53 summary: Failure to identify and address topics of concern among cancer patients through informational support and resource availability can result in depression, anxiety and feelings of fear.18,21 Insufficient time for adequate information provision during consultations may also exacerbate unmet supportive care needs in the information and psychological domains.19 Patient–physician interaction is central to the process of healthcare delivery, in conjunction with adequate informational support associated with various desirable health outcomes for cancer patients.22 *Self-assessed using a previously validated Arabic version of the 34-item Supportive Care Needs Survey-Short Form.8 Items were scored in terms of perceived level of need for additional support on a 5-point scale as either 1 (no need/not applicable), 2 (no need/satisfied), 3 (low need), 4 (moderate need) or 5 (high need).15 The Unmet Supportive Care Needs of Omani Women Diagnosed with Breast Cancer 520 | SQU Medical Journal, November 2022, Volume 22, Issue 4 incorporating the social, spiritual, educational and informational needs of cancer patients—require a substantial improvement in most healthcare systems; moreover, until such services are easily available and accessible, the needs of cancer patients will continue to go unfulfilled.3 Nonetheless, although there were slight variations between different domains of supportive care needs in this study, the Omani women demonstrated a need for additional support across most domains, with the greatest unmet needs attributed to the domain of health system and information. keywords: breast; cancer; care; domain; information; needs; oman; patients; study; supportive; unmet; women cache: squmj-4596.pdf plain text: squmj-4596.txt item: #1510 of 1636 id: squmj-4597 author: None title: squmj-4597 date: 2022-08-25 words: 1235 flesch: 45 summary: It is possible that polymorphism located in 9qh+ might be part of the underlying aetiology as well.4,5 In over 50% of patients, aphallia presents as a symptom of a broader spectrum of congenital malformations; renal, urinary tract and anorectal malformations are frequently associated with each other. However, aphallia may also present as an isolated disorder, such as in cases where the genitourinary system has a normal configuration.2 Most children with this disorder of sex development have 46,XY karyotype; however, it may also be seen in patients with congenital adrenal hyperplasia and 46,XX karyotype. keywords: absence; aphallia; corpus; patient; spongiosum cache: squmj-4597.pdf plain text: squmj-4597.txt item: #1511 of 1636 id: squmj-4598 author: None title: squmj-4598 date: 2022-08-25 words: 1306 flesch: 38 summary: A conservative approach may be deemed possible with the availability of resources and high standard of care.4 A literature review also recommended preoperative placement of bilateral uterine artery balloon catheters to minimise blood loss from the molar pregnancy during the process of delivering healthy and live coexisting twins as torrential hemorrhage is an expected complication of this rare entity.5 Comprehensive counselling regarding the risks and management approach, long-term follow-up and timely intervention are imperative for the expectant management of this rare yet clinically relevant presentation of complete hydatidiform mole and co- existing twin gestation. Twin pregnancy with concomitant occurrence of live fetus and coexisting complete hydatidiform mole is also known as ‘sad fetus syndrome’, due to the coexisting fetus is potentially viable and usually has normal chromosomes.2 However, in the current case scenario, there was fetal demise at 20 weeks of gestation due to haemorrhage, which is a known and potentially fatal complication associated with this condition. keywords: fetus; hydatidiform; mole; patient; pregnancy cache: squmj-4598.pdf plain text: squmj-4598.txt item: #1512 of 1636 id: squmj-4639 author: None title: squmj-4639 date: 2022-11-06 words: 4916 flesch: 56 summary: Knowledge and practices of parents about child eye health care in the public sector in Swaziland. Building consensus for the development of child eye care services in South Darfur State in Sudan using the Delphi technique. keywords: awareness; care; childhood; children; eye; eyeglasses; knowledge; parents; res; study; vision cache: squmj-4639.pdf plain text: squmj-4639.txt item: #1513 of 1636 id: squmj-4640 author: None title: squmj-4640 date: 2022-08-25 words: 1327 flesch: 41 summary: Patients with emphysematous gastritis are usually symptomatic and may present with sudden acute abdominal pain, haematemesis, fever, leukocytosis or septic shock with sign of instability and systemic toxicity.4 Emphysematous gastritis is an emergency condition which needs to be considered in the differential diagnosis of acute abdomen especially in presence of risk factors and requires urgent CT scan of the abdomen for early diagnosis and intervention.5 Emphysematous gastritis is different from gastric emphysema in which the latter is a benign condition caused by disrupted mucosa and secondary air entry to the wall due to variable causes such as after endoscopy, extension of pneumomediastinum or pneumothorax, severe vomiting or pneumatosis cystoides.2 The histopathology report revealed emphysematous gastritis with acute ischaemic infarction. keywords: air; gastric; gastritis; patient; stomach cache: squmj-4640.pdf plain text: squmj-4640.txt item: #1514 of 1636 id: squmj-4641 author: None title: squmj-4641 date: 2022-11-06 words: 825 flesch: 40 summary: https://creativecommons.org/licenses/by-nd/4.0/ Primary ‘False’ Enterolith A rare cause of small bowel obstruction 588 | SQU Medical Journal, November 2022, Volume 22, Issue 4 Bile acid-containing stones are classically radiolucent, while calcium-containing are radio-paque. Sep 21 A 72-year-old male who had undergone an open cholecystectomy (uncomplicated with normal small bowel) for calculous cholecystitis in 1999, presented in 2021 at a tertiary care medical college hospital with colicky abdominal pain, bilious vomiting, distension and obstipation (in that order) lasting for four days. keywords: bowel; enteroliths; obstruction cache: squmj-4641.pdf plain text: squmj-4641.txt item: #1515 of 1636 id: squmj-4714 author: None title: squmj-4714 date: 2022-11-06 words: 5350 flesch: 47 summary: Likewise, there were no significant differences in these markers when the participants were further subcategorised into control, osteopenia and osteoporosis groups. These findings may be explained by the large number of factors affecting white blood cells, such as infection, cardiovascular diseases, ulcerative colitis, acute appendicitis, metabolic syndrome, malignancy, pharmacological agents and non-alcoholic fatty liver disease.6,27,28 However, conflicting findings regarding the relationship between NLR and BMD values have been reported. keywords: age; bmd; bone; inflammatory; lymphocyte; markers; mlr; nlr; osteoporosis; plr; postmenopausal; ratio; study; values; women cache: squmj-4714.pdf plain text: squmj-4714.txt item: #1516 of 1636 id: squmj-4716 author: None title: squmj-4716 date: 2021-11-25 words: 723 flesch: 53 summary: I first met Prof. Bazdawi in 1984 in Glasgow, Scotland, during my undergraduate studies at the University of Glasgow, where he was doing his Ph.D. in respiratory medicine. Prof. Bazdawi completed his medical degree at the University of Baghdad, Iraq, and started his career as a junior doctor at Salalah Hospital, Dhofar region, in 1972. keywords: bazdawi; prof; research cache: squmj-4716.pdf plain text: squmj-4716.txt item: #1517 of 1636 id: squmj-4718 author: None title: squmj-4718 date: 2021-11-25 words: 3065 flesch: 54 summary: 6. Özpulat F, Kabasakal E. Knowledge levels of nursing students on disaster nursing and their state of disaster preparedness. Kalanlar B. Effects of disaster nursing education on nursing students’ knowledge and preparedness for disasters. keywords: disaster; management; nursing; oman; preparedness; response; students; study cache: squmj-4718.pdf plain text: squmj-4718.txt item: #1518 of 1636 id: squmj-4820 author: None title: squmj-4820 date: 2022-05-26 words: 2917 flesch: 49 summary: A low incidence of 2.1% was noted in severe asthma patients from Belgium and none of them experienced a severe disease course or death.15 Similarly low incidence was reported from Italy, Russia and Australia.16 However, contradictory data were reported from Germany and the United States, where higher asthma prevalence was noted among patients with COVID-19.16 Yan et al. noted that eosinophil levels were significantly low in COVID-19 patients with critical disease and the eosinophil counts remained low or progressively declined in those with fatal outcomes.7 Similarly, in another study, maximum reduction in eosinophils was observed on the fourth day from onset and these patients with low eosinophil counts were more likely to have fever, fatigue, dyspnoea and worse lesions in their computed tomography scan than those with normal counts.8 Peripheral eosinophil counts typically return to near normal levels as patients recover from moderate-to-severe infection suggesting that normalisation of the blood eosinophil count indicates recovery.9 On admission, a low eosinophil count was found to improve continuously, reaching significantly higher levels in survivors than among non-survivors with a greater increase indicating a better outcome.10 Surprisingly, the prognostic utility of peripheral eosinophil counts varied with patient race and ethnicity.11 keywords: allergy; asthma; copd; covid-19; disease; eosinopenia; eosinophils; patients; risk; role cache: squmj-4820.pdf plain text: squmj-4820.txt item: #1519 of 1636 id: squmj-4821 author: None title: squmj-4821 date: 2022-08-25 words: 3443 flesch: 48 summary: This article attempts to systematically challenge the age-old practice of cold bubble humidification by questioning the norm of prescribing ‘moist oxygen’ to all patients irrespective of oxygen flow rate. They found a very high rate of microbial contamination in samples from reusable oxygen humidifiers in comparison to the disposable ones. keywords: air; bubble; care; devices; flow; gas; heat; humidification; humidifiers; humidity; oxygen; therapy; water cache: squmj-4821.pdf plain text: squmj-4821.txt item: #1520 of 1636 id: squmj-4822 author: None title: squmj-4822 date: 2022-08-25 words: 7727 flesch: 56 summary: NA NA NA NA keywords: analysis; countries; fgtb; income; india; infertile; infertility; meta; middle; patients; pcr; prevalence; review; studies; study; test; tuberculosis; women cache: squmj-4822.pdf plain text: squmj-4822.txt item: #1521 of 1636 id: squmj-4823 author: None title: squmj-4823 date: 2022-11-06 words: 963 flesch: 38 summary: Pigmented purpuric dermatoses: an overview. The differential diagnoses included pigmented purpuric dermatoses (PPD), diabetic dermatopathy, medication-induced pigmentation and purpuric contact dermatitis. keywords: linear; pigmented; purpuric cache: squmj-4823.pdf plain text: squmj-4823.txt item: #1522 of 1636 id: squmj-4824 author: None title: squmj-4824 date: 2022-01-23 words: 4354 flesch: 60 summary: al concluded that there was better scar in tissue adhesive group than suture group at tenth 207 day, but at three months, there was no difference.19 Pronio20, Amin21 and Yang22 also showed 208 that there was no significant difference in the scar outcome at the 3rd month between both the 209 groups. The mean age of patients in the suture group was 42.62 ± 12.28 157 years and of tissue adhesive group was 42.03 ± 11.8. keywords: adhesive; closure; group; outcome; patients; scar; skin; study; surgery; suture; time; tissue cache: squmj-4824.pdf plain text: squmj-4824.txt item: #1523 of 1636 id: squmj-4825 author: Raza Sayani title: squmj-4825 date: 2022-01-23 words: 4046 flesch: 47 summary: 33 Keywords: Uterine artery embolization; Pseudoaneurysm; Arteriovenous malformation; 34 Ultrasound; Computed tomography; Magnetic resonance imaging. Kim T, Shin JH, Kim J, Yoon HK, Ko GY, Gwon DI, et al. Management of bleeding 287 uterine arteriovenous malformation with bilateral uterine artery embolization. keywords: artery; avm; bleeding; cases; embolization; imaging; patients; post; ultrasound; uterine; vascular cache: squmj-4825.pdf plain text: squmj-4825.txt item: #1524 of 1636 id: squmj-4826 author: user title: squmj-4826 date: 2022-01-23 words: 6207 flesch: 61 summary: The findings of this study can help governmental 104 institutions devise strategies to control and incorporate the use of traditional practices in modern 105 medicine. Patterns of use however suggest that the 214 more physical forms of traditional practices such as massage, acupuncture, branding and cupping 215 are used more by men, whilst women tend to use herbal medications more than other forms. keywords: cupping; form; health; knowledge; massage; medications; medicine; modern; oman; pain; practices; study; use cache: squmj-4826.pdf plain text: squmj-4826.txt item: #1525 of 1636 id: squmj-4827 author: None title: squmj-4827 date: 2022-01-23 words: 6545 flesch: 61 summary: 16 Table 2: Parenting practice in baseline year and movement performance of children three years' later N = 225 Items Categories n % Parenting practice Play games with child Few 44 19.6 Frequently 181 80.4 Shopping with child Few 21 9.3 Frequently 204 90.7 Read books to child Few 56 24.9 Frequently 169 75.1 Sing songs with child Results: Children in this 34 study were grouped into three movement performance pattens, labelled as ‘least difficulties’ 35 (58.2%, n = 131), ‘low back pain’ (30.2%, n = 68), and ‘most difficulties’ (11.6%, n = 26). keywords: age; children; class; difficulties; family; low; movement; movement performance; parenting; performance; physical; practice; study cache: squmj-4827.pdf plain text: squmj-4827.txt item: #1526 of 1636 id: squmj-4828 author: AKASH PATI title: squmj-4828 date: 2022-01-23 words: 1447 flesch: 53 summary: The exact etiology of urethral caruncle is unknown; however, chronic inflammation and estrogen 67 deficiency have been implicated.1 According to Jeffcott, a true caruncle is a vascular papilloma 68 that arises as a polyp from the posterior lip of the urethra, whereas a pseudo caruncle is a granuloma 69 arising as a diffuse, sessile red lesion. No 89 reports available regarding malignancy in urethral caruncle in children. keywords: caruncle; case; meatus; renal; urethral cache: squmj-4828.pdf plain text: squmj-4828.txt item: #1527 of 1636 id: squmj-4829 author: Thekra Ali Talib Al Hadhrami title: squmj-4829 date: 2022-01-23 words: 1889 flesch: 49 summary: One of the earliest cases of iatrogenic AVF was published by 29 James and Myers in 1973.3 The incidence of iatrogenic AVFs has previously been described to be 30 mailto:edwinmay2013@gmail.com less than 0.6% of central line insertions.4 However, the introduction of ultrasound guidance causes 31 reduction in the incidence.5 Our case report describes an iatrogenic AVF that presented as a neck 32 swelling that developed several weeks after an attempt of central venous catheterization through 33 the internal jugular vein (IJV). There are various modalities that can be used to diagnose iatrogenic AVF, including duplex, 92 Magnetic Resonance Angiography (MRA) and CTA. keywords: avf; fistula; iatrogenic; ijv; right; venous cache: squmj-4829.pdf plain text: squmj-4829.txt item: #1528 of 1636 id: squmj-4838 author: Sangeetha Mahadevan title: squmj-4838 date: 2022-02-01 words: 2581 flesch: 56 summary: 16 SEP 21 2 ACCEPTED 21 OCT 21 3 ONLINE-FIRST: JAN 2022 4 DOI: https://doi.org/10.18295/squmj.1.2022.011 5 6 Leukocytoclastic Vasculitis 7 A peculiar presentation of Scrub typhus 8 Anila Vasireddy, 1 Kanthilatha Pai, 2 Varsha M. Shetty, 3 Raviraja V. Acharya, 4 9 Ramamoorthi K., 4 Akhila Doddamani, 5 *Sharath Madhyastha P. 4 10 11 Departments of 2 Pathology, 3 Dermatology, 4 Medicine and 5 Community Medicine, 1 Kasturba 12 Medical College, Manipal Academy of Higher Education, Manipal, India 13 *Corresponding Author’s e-mail: dr.sharathymc@gmail.com 14 15 Scrub typhus among other acute febrile illnesses present with prodromal 32 symptoms of fever, malaise, myalgia, anorexia followed by a distinct maculopapular rash, 33 hepatosplenomegaly, and lymphadenopathy. keywords: case; organism; patient; pmid; scrub; skin; tsutsugamushi; typhus; vasculitis cache: squmj-4838.pdf plain text: squmj-4838.txt item: #1529 of 1636 id: squmj-4877 author: None title: squmj-4877 date: 2022-08-25 words: 5502 flesch: 49 summary: The Objective Structured Clinical Exam is an effective assessment strategy for measuring the clinical competence of nursing students to ensure patient safety and quality of care. https://creativecommons.org/licenses/by-nd/4.0/ Nursing Students’ Perception and Attitude towards Objective Structured Clinical Examination in Oman 344 | SQU Medical Journal, August 2022, Volume 22, Issue 3 nursing educator provides feedback to students as part of the teaching process.1 While the OSCE has been found to be an effective method in clinical education and assessment,2,4 it may also induce high levels of anxiety in students due to its interactive nature.8,9 Several studies have documented that nursing students found the OSCE to be quite stressful, such that they were unable to perform well compared to their relative performance in the actual clinical environment. keywords: assessment; attitude; clinical; examination; nursing; objective; osce; perception; students; study; time cache: squmj-4877.pdf plain text: squmj-4877.txt item: #1530 of 1636 id: squmj-4879 author: None title: squmj-4879 date: 2022-11-06 words: 5883 flesch: 52 summary: Nursing students are equipped with basic nursing skills in the Fundamentals of Nursing Laboratory course. The quality of patient care and patient safety can be compromised when basic skills are not learned properly and this compromise can even cause permanent disability or endanger patients’ lives in severe cases.1 General laboratory-based demonstrations of skills are the most common strategies used to teach basic nursing skills to nursing students. keywords: demonstration; group; knowledge; learning; nursing; procedure; satisfaction; skills; students; video cache: squmj-4879.pdf plain text: squmj-4879.txt item: #1531 of 1636 id: squmj-4881 author: None title: squmj-4881 date: 2022-11-06 words: 911 flesch: 49 summary: Plexiform neurofibromas have significant morbidity due to the way it infiltrates surrounding structures, it’s unpredictable growth and its potential to bleed.5 a u t h 1Oman Medical Specialty Board, Muscat, Oman; Departments of 2Surgery and 3Radiology, Sultan Qaboos University Hospital, Muscat, Oman *Corresponding Author’s e-mail: edwinmay2013@gmail.com Don’t Miss the Target A case of neurofibromatosis type 1 Ola Hamdani,1 Buthaina Al-Yahyai,1 *Edwin Stephen,2 Ibrahim Abdelhady,2 keywords: neurofibromatosis; plexiform; sign; target cache: squmj-4881.pdf plain text: squmj-4881.txt item: #1532 of 1636 id: squmj-4887 author: None title: squmj-4887 date: 2022-11-06 words: 757 flesch: 44 summary: Comment The curved shadow of skin folds can mimic the visceral pleural margin and can often be misinterpreted as a pneumothorax leading to unnecessary interventions.1 The area lateral to this sharp margin can often be perceived darker than the lung medial to it.2 Optical illusions such as Mach band effect are often helpful in demarcating the boundaries of anatomic structures with different optical densities on radiographs.3 However, they sometimes can also be mistaken for disease as was seen in the current case where a negative Mach band effect near a skin fold suggested pneumothorax. https://doi.org/10.18295/squmj.2.2022.015 INTERESTING MEDICAL IMAGE Figure 1: A: Chest radiograph of a 73-year-old male patient showing features suggestive of pneumothorax bilaterally with curvilinear lines (arrows) mimicking collapsed lung borders. keywords: patient; pneumothorax; skin cache: squmj-4887.pdf plain text: squmj-4887.txt item: #1533 of 1636 id: squmj-4888 author: Aliya AL-Ansari title: squmj-4888 date: 2022-02-17 words: 5602 flesch: 62 summary: 210 211 Interactions between T1D associated alleles 212 Since T1D association with HLA alleles reported at the haplotypic context as well as the genotypic 213 context, we also analyzed the associated allele interactions. The results showed that 201 six residues (Glu-9, E9; Ser-11, S11; Ser-13, S13; Tyr-30, Y30; Val-70, V70; and Lys-71, K71) in 202 pockets 4, 6, 7 and 9 of HLA class II DRB1 chain are significantly associated with T1D 203 susceptibility [Table 3] keywords: alleles; associated; association; cases; class; diabetes; doi; dqb1; drb1; hla; protection; risk; susceptibility; t1d; type cache: squmj-4888.pdf plain text: squmj-4888.txt item: #1534 of 1636 id: squmj-4890 author: omar title: squmj-4890 date: 2022-02-17 words: 2859 flesch: 53 summary: Black widow spider bites experience from tertiary care 159 center in Saudi Arabia. The effects of BWS bites ranges from local damage to systemic 20 manifestations including paresthesia, stiffness, abdominal cramps, nausea, vomiting, headache, 21 anxiety, hypertension, and tachycardia. keywords: bite; bws; cardiac; doi; myocarditis; pain; spider cache: squmj-4890.pdf plain text: squmj-4890.txt item: #1535 of 1636 id: squmj-4893 author: Author 1 title: squmj-4893 date: 2022-02-17 words: 1913 flesch: 51 summary: KS skin lesions manifest as 113 red, purple, and brownish patches and dots, which can be misidentified as malignant or vascular 114 lesions in some phases due to the rise in superficial vascularity (9). We describe two cases of cholesterol embolization syndrome and Kaposi sarcoma 22 mimicking primary systemic vasculitis, both of which were characterized by features such as 23 livedo reticularis, blue toe syndrome, a brown, purpuric skin rash, and positive p-ANCA 24 associated with Kaposi sarcoma. keywords: anca; case; patient; vasculitis cache: squmj-4893.pdf plain text: squmj-4893.txt item: #1536 of 1636 id: squmj-4903 author: None title: squmj-4903 date: 2022-02-27 words: 2990 flesch: 46 summary: Conclusion Oman’s aim is to use this adaptation of the End TB Strategy to understand the current gaps in its TB programme at all levels using innovative measures to make a significant shift in TB incidence. Al Abri S, Kowada A, Yaqoubi F, Al Khalili S, Ndunda N, Petersen E. Cost-effectiveness of IGRA/QFT-Plus for TB screening of migrants in Oman. keywords: expatriates; incidence; ltbi; oman; screening; strategy; treatment; tuberculosis cache: squmj-4903.pdf plain text: squmj-4903.txt item: #1537 of 1636 id: squmj-4904 author: None title: squmj-4904 date: 2022-02-27 words: 2687 flesch: 48 summary: 159–161, Epub. 28 Feb 22 https://doi.org/10.18295/squmj.2.2022.021 CONFERENCE ABSTRACTS Health-Related Stigma, Social Support, Self-Efficacy and Self-Care Actions among Adults with Sickle Cell Disease in Oman *Huda Al Ruqaishi,1 Mohammed Al Qadire,2 Omar Al Zaabi,2 Omar Al Omari2 1Department of Emergency Medicine, Sultan Qaboos University Hospital, Muscat, Oman; 2College of Nursing, Sultan Qaboos University, Muscat, Oman. *Fatma A. Y. Al Rajhi,1 Amal Al-Mandhari,2 Aisha H. Al Khamisi2 1College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman; 2Department of Emergency Medicine, Sultan Qaboos University Hospital, Muscat, Oman. keywords: hospital; muscat; oman; patients; qaboos; study; sultan; university cache: squmj-4904.pdf plain text: squmj-4904.txt item: #1538 of 1636 id: squmj-4942 author: None title: squmj-4942 date: 2022-11-06 words: 2933 flesch: 43 summary: For patients with significant LVOT obstruction, septal reduction strategies in the form of surgical septal myectomy (SM) or alcohol septal ablation (ASA) should be considered. Figure 1: Baseline standard 12-lead electrocardiogram of a 51-year-old female patient showing (A) normal sinus rhythm and voltage criteria for left ventricular hypertrophy with secondary repolarisation abnormalities seen in the lateral leads and (B) complete right bundle branch with ST elevation in V1/V2 consistent with a septal infarction taken after alcohol septal ablation. keywords: ablation; alcohol; asa; cardiomyopathy; gradient; hypertrophic; patient; reduction; septal cache: squmj-4942.pdf plain text: squmj-4942.txt item: #1539 of 1636 id: squmj-4943 author: john title: squmj-4943 date: 2022-03-16 words: 5815 flesch: 56 summary: Second 90 and third trimester A1c levels are predictive of several obstetric complications: 6.5%, > 48 mmol/mol).4 77 78 Many authors recommend A1c as a screening and even as a diagnostic test for gestational 79 diabetes mellitus (GDM).2,5 In 2011, the California State Diabetes and Pregnancy Program 80 ‘Sweet Success’ adopted a new algorithm for the diagnosis and treatment of hyperglycemia 81 in pregnancy.6 Accordingly, all women with A1c values of 5.7–6.4% (39–46 mmol/mol) in 82 early pregnancy are advised to undergo GDM treatment without further confirmatory OGTT. keywords: a1c; diabetes; gdm; groups; hba1c; levels; mmol; non; pregnancy; pregnant; reference; study; trimester; values; women cache: squmj-4943.pdf plain text: squmj-4943.txt item: #1540 of 1636 id: squmj-4944 author: None title: squmj-4944 date: 2022-03-16 words: 4066 flesch: 57 summary: 1.The reference values of orbital dimensions including orbital index, interorbital distance 45 and interzygomatic distance reported in this study are essential for diagnosing and treating 46 various orbital pathologies. 32 Conclusions: Results of the present study provide reference values of orbital dimensions in 33 mailto:srinivasa@squ.edu.om 2 Omani subjects. keywords: dimensions; distance; mean; omani; orbit; population; right; study; subjects cache: squmj-4944.pdf plain text: squmj-4944.txt item: #1541 of 1636 id: squmj-4945 author: sudipta mohakud title: squmj-4945 date: 2022-03-16 words: 1011 flesch: 53 summary: Post-gadolinium injection T1 fat-28 suppressed images showed avid homogeneous lesion enhancement (Figure- 2A). Sagittal CT bone window image shows an expansile soft tissue density lytic 89 lesion involving the S2 to S5 sacral vertebrae with a presacral bulge and extension into sacral 90 foramina. keywords: doi; imaging; lesion; tissue cache: squmj-4945.pdf plain text: squmj-4945.txt item: #1542 of 1636 id: squmj-4946 author: None title: squmj-4946 date: 2022-03-16 words: 3533 flesch: 54 summary: The Rhizopus species, the causative agent in our patient, is responsible 136 for about one third of mucormycosis cases overall and accounts for 85% of rhino-cerebral 137 cases.2,6,7 Paediatric mucormycosis: 256 tailoring surgical strategies to compliment antifungal chemotherapy. keywords: amphotericin; case; diagnosis; https://doi; infect; infection; mucormycosis; patient; therapy cache: squmj-4946.pdf plain text: squmj-4946.txt item: #1543 of 1636 id: squmj-4954 author: Sheherajoy Cagape Biruar title: squmj-4954 date: 2022-03-23 words: 4751 flesch: 63 summary: Is it due to child neglect? Child neglect is the 15 most common form observed. keywords: abuse; case; child; children; home; hospital; mother; neglect; oman; scan; team cache: squmj-4954.pdf plain text: squmj-4954.txt item: #1544 of 1636 id: squmj-5029 author: None title: squmj-5029 date: 2022-11-07 words: 4828 flesch: 39 summary: https://doi.org/10.18295/squmj.4.2022.027 SPECIAL CONTRIBUTION abstract: This article aimed to discuss the scope of reverse mentoring and intergenerational learning in nursing. Therefore, this paper aimed to discuss the scope of the RM approach for intergenerational learning in nursing practices and academia. keywords: education; generations; intergenerational; knowledge; learning; mentee; mentoring; millennials; nursing; reverse; skills cache: squmj-5029.pdf plain text: squmj-5029.txt item: #1545 of 1636 id: squmj-5030 author: None title: squmj-5030 date: 2022-11-06 words: 3403 flesch: 42 summary: An acceptable balance of benefit and risk is well recognised to be provided by positioning the intervention within about two weeks of onset of an index stroke or TIA.10 However, the need for recognising suitable surgical candidates for revascularisation surgery emphasises an urgency in completing the evaluation process of such patients. This study aimed to define the role of vascular surgeons in ischaemic stroke management and hence improve referral patterns by creating an algorithm for the referral process. keywords: artery; carotid; cea; disease; intervention; patients; stenosis; stroke; vascular cache: squmj-5030.pdf plain text: squmj-5030.txt item: #1546 of 1636 id: squmj-5031 author: Kawther Al Adawi title: squmj-5031 date: 2022-04-25 words: 3935 flesch: 54 summary: Future research should examine 219 possible genetic mutations in Omani PCD patients and correlate them with the clinical and 220 ultrastructural phenotypes of patients. The effects may vary between patients but are common in that they never 54 fully resolve despite using systemic antibiotics.4 Outside the respiratory system, PCD patients 55 can suffer from fertility issues and hearing difficulties due to glue ear, and approximately 45–56 50% have situs inversus.5,7,8 PCD patients also can have inborn heart defects due to situs 57 ambiguuus.6 58 59 keywords: ciliary; class; defects; doi; dyskinesia; normal; patients; pcd; tem; ultrastructure cache: squmj-5031.pdf plain text: squmj-5031.txt item: #1547 of 1636 id: squmj-5032 author: Moody title: squmj-5032 date: 2022-04-25 words: 4250 flesch: 56 summary: Rahbi2 9 10 1Department of General Surgery, Oman Medical Specialty Board, Muscat, Oman; 2Department 11 of Surgery, The Royal Hospital, Muscat, Oman 12 *Corresponding Author’s e-mail: mahmood.alawfi@gmail.com 13 14 15 Abstract 16 Objective: This study aims to retrospectively describe the clinicopathological pattern and 17 management experience of idiopathic granulomatous mastitis in women attending care at royal 18 hospital, a tertiary care center at sultanate of Oman. 36  Multi-modality management of idiopathic granulomatous mastitis tend to have the best 37 clinical outcome. keywords: breast; diagnosis; disease; history; igm; management; mastitis; patients; rate; treatment cache: squmj-5032.pdf plain text: squmj-5032.txt item: #1548 of 1636 id: squmj-5033 author: ANE title: squmj-5033 date: 2022-04-25 words: 2820 flesch: 56 summary: The evolution of laparoscopic adrenal surgery has witnessed an expansion of indications. This study demonstrates that laparoscopic adrenalectomy is being performed with good 42 results comparable to any other good center in the world. keywords: adrenalectomy; laparoscopic; mean; min; open; patients; surgery cache: squmj-5033.pdf plain text: squmj-5033.txt item: #1549 of 1636 id: squmj-5034 author: None title: squmj-5034 date: 2022-04-25 words: 4812 flesch: 57 summary: Patients with diabetes had higher odds of having cataract (odds ratio (OR) 7.43; 95% 28 CI, 3.26, 16.95) and any retinal changes (OR 109.48, 95% CI, 33.85, 354.05) than patients 29 without diabetes. Any 103 vitreous or retinal changes in non-diabetic patients such as arteriovenous nipping or tortuous and 104 vitreous haemorrhage were classified as retinal changes. keywords: cataract; changes; diabetes; disease; haemodialysis; manifestations; patients; study; yes cache: squmj-5034.pdf plain text: squmj-5034.txt item: #1550 of 1636 id: squmj-5035 author: GENETIC title: squmj-5035 date: 2022-04-25 words: 3282 flesch: 51 summary: We present a female infant (proband), with severe congenital 18 anomalies. Although the prognosis for SRS patients is generally good, our 22 proband presented with a clinically severe phenotype culminating in death at nine months. keywords: chromosome; duplication; figure; locus; proband; russell; silver; srs; syndrome cache: squmj-5035.pdf plain text: squmj-5035.txt item: #1551 of 1636 id: squmj-5036 author: User title: squmj-5036 date: 2022-05-26 words: 1947 flesch: 58 summary: Abdominal and pelvis computed tomography 58 (CT) showed left scrotal arteriovenous malformation with enlarged small and 59 medium-sized serpiginous structures with a feeder artery arising from the proximal 60 superficial artery. 31 Keywords: arteriovenous malformation, AVM, scrotal swelling, scrotal malformation. keywords: arteriovenous; avms; case; malformation; patient; scrotum cache: squmj-5036.pdf plain text: squmj-5036.txt item: #1552 of 1636 id: squmj-5088 author: None title: squmj-5088 date: 2022-05-23 words: 5802 flesch: 54 summary: The Index of Social Interaction was 27 used to evaluate social relationships, and the instrumental activities of daily living (IADL) 28 mailto:tokieanme@gmail.com 2 subscale of the Tokyo Metropolitan Institute of Gerontology Index of Competence was used 29 to examine functional status. Conclusion: The finding suggests that functional limitation was influenced by social 34 relationships among the disabled older adults, and the influence of social relationships on 35 functional limitation differed based on gender. keywords: adults; chronic; diseases; functional; gender; health; iadl; index; relationships; social; study; women cache: squmj-5088.pdf plain text: squmj-5088.txt item: #1553 of 1636 id: squmj-5089 author: Dr.Dibyendu Bikash Bhanja title: squmj-5089 date: 2022-05-23 words: 2874 flesch: 50 summary: 27 Keywords: Loeffler's syndrome; peripheral eosinophilia; cutaneous larva migrans; multifocal; 28 disseminated; helminths, albendazole. In 1946, Wright and Gold first described 26 patients with cutaneous larva migrans who 76 developed Loeffler’s syndrome.4 Subsequently this rare complication of CLM has been 77 reported only in handful of cases.3, 5-16 Table 1 summarizes the previous published case report 78 of CLM with LS. keywords: albendazole; case; clm; days; larva; loeffler; migrans; oral; resolution; syndrome cache: squmj-5089.pdf plain text: squmj-5089.txt item: #1554 of 1636 id: squmj-5090 author: fntmed@gmail.com title: squmj-5090 date: 2022-05-23 words: 790 flesch: 55 summary: 42 43 The application of barrier creams with glutathione and iron sulphate could inhibit the 44 elicitation phase of patients predisposed to develop allergic contact dermatitis to 45 hexavalent chromium3. Lejding T, Engfeldt M, Bruze M, Isaksson M, Svedman C, Zimerson E, Verma 70 K, Mowitz M. Skin application of glutathione and iron sulfate can inhibit 71 elicitation of allergic contact dermatitis from hexavalent chromium. keywords: contact; dermatitis; dichromate; potassium cache: squmj-5090.pdf plain text: squmj-5090.txt item: #1555 of 1636 id: squmj-5091 author: Ruth Mabry title: squmj-5091 date: 2022-05-23 words: 7166 flesch: 62 summary: 40 Keywords: Breastfeeding, Breastfeeding barriers, Breastfeeding support, Exclusive 41 breastfeeding, Nutrition policy, Oman, Health Promotion. Existing programmes such as the Community Support Group and the WHO Baby 59 Friendly Hospital initiatives should continue to engage in individual and group 60 counseling, immediate breastfeeding support following delivery, and lactation 61 management; renewed efforts to increase knowledge and skills of health professionals 62 and community volunteers would ensure their sustainability. keywords: baby; birth; breastfeeding; doers; health; milk; months; mother; non; oman; women cache: squmj-5091.pdf plain text: squmj-5091.txt item: #1556 of 1636 id: squmj-5092 author: Laila Al Yazidi title: squmj-5092 date: 2022-05-26 words: 3559 flesch: 64 summary: Studies 163 assessing the rates of HIV resistance among neonates are highly required. In conclusion, we believe that the postnatal prophylaxis regimen for newborns born to 158 mothers with known or suspected drug resistance should be determined with 159 knowledge of the level of transmission risk and maternal HIV resistance profile 160 notwithstanding the limited therapeutic options in this vulnerable group. keywords: age; daily; dose; hiv; resistance; weeks cache: squmj-5092.pdf plain text: squmj-5092.txt item: #1557 of 1636 id: squmj-5093 author: None title: squmj-5093 date: 2022-05-23 words: 3734 flesch: 53 summary: 312 313 Table 1: Clinical Characteristics of reported pediatric patients with Guillian-Barre syndrome –associated with SARS-Cov-2 314 315 Abbreviations: This course is similar to that of a previously reported pediatric 187 patient with axonal GBS associated with SARS-Cov-2.10 This patient had multiple poor 188 prognostic factors, including the rapid deterioration of her clinical status requiring 189 mechanical ventilation on presentation, the axonal variant of GBS and the presence of 190 dysautonomia.22, 23 Peak disability has been reported as an independent risk factor for 191 outcomes.22 keywords: acute; clinical; cov-2; gbs; guillain; patient; pediatric; sars; syndrome; variant cache: squmj-5093.pdf plain text: squmj-5093.txt item: #1558 of 1636 id: squmj-5098 author: Microsoft Office User title: squmj-5098 date: 2022-05-26 words: 1685 flesch: 53 summary: The right 46 costophrenic angle was obliterated, suggestive of right pleural effusion (Figure 1). A clinic follow-up at the 22 end of the antibiotic course revealed complete symptoms resolution with a repeated CXR 23 showed significant right chest opacity improvement. keywords: chest; empyema; haemophilus; influenzae; lung; neonatal cache: squmj-5098.pdf plain text: squmj-5098.txt item: #1559 of 1636 id: squmj-5150 author: None title: squmj-5150 date: 2022-11-14 words: 5277 flesch: 50 summary: The exact incidence remains unclear; however, the incidence was reported to be 0.15% among 2000 diagnostic hysteroscopies.9,11 Apart from subfertility, retained fetal bones may also present with chronic pelvic pain, dysmenorrhoea, abnormal uterine bleeding and dyspareunia.10 Prolonged retention of fetal bones may lead to chronic inflammation and endometrial damage, making it harder to achieve fertility.10 The present review was focused on outlining the pathophysiology, clinical presentations, diagnostic modal- ities and treatment options and outcomes in patients with secondary infertility due to fetal bone retention. i o n Prolonged intrauterine retention of any fetal bone can lead to secondary infertility. keywords: abortion; bones; case; hysteroscopy; infertility; intrauterine; patients; pregnancy; retention; review; ultrasound cache: squmj-5150.pdf plain text: squmj-5150.txt item: #1560 of 1636 id: squmj-5153 author: Huriya Al Balushi title: squmj-5153 date: 2022-06-22 words: 5939 flesch: 46 summary: 15 *Corresponding Author’s e-mail: dr.abdullahalalawi@gmail.com 16 17 Abstract 18 Objective: This study aims to assess the incidence of inappropriate hospital stay and to identify 19 reasons behind inappropriate hospitalisation. Delay in complementary tests (29.0%), and unavailability of extra-hospital 29 resources (21.7%) were the most common reasons associated with inappropriate hospital stay. keywords: admissions; care; days; diseases; health; hospital; hospital stay; hospitalization; inappropriate; length; medical; medicine; patients; services; stay; study cache: squmj-5153.pdf plain text: squmj-5153.txt item: #1561 of 1636 id: squmj-5156 author: None title: squmj-5156 date: 2022-06-22 words: 4597 flesch: 59 summary: Intra-operative oedematous 27 hypertrophied middle ear mucosa was observed only in OME patients (n=18, P 28 <0.050). Granulation tissues 126 were seen in only 1 case (0.6%) in OME group compared to 2 (1%) cases in non- 127 OME group, with no statistically significant difference. keywords: children; cochlear; complications; group; ome; otitis; patients; study; surgery cache: squmj-5156.pdf plain text: squmj-5156.txt item: #1562 of 1636 id: squmj-5159 author: Ricardo Grillo title: squmj-5159 date: 2022-06-22 words: 4789 flesch: 58 summary: We searched MEDLINE, Cochrane Library, and Dimensions 20 evaluating if waterpipe smokers (P) have any cytotoxic or genotoxic effects on oral cells 21 (I) compared to non-smokers (C) regarding mouth neoplasms (O). Waterpipe smoking is harmful to oral health, causing 26 cytotoxic and genotoxic effects on oral cells with a Risk Difference of 0.16. keywords: cancer; cells; changes; cytotoxic; effects; genotoxic; oral; review; risk; smokers; smoking; studies; tobacco; use; waterpipe cache: squmj-5159.pdf plain text: squmj-5159.txt item: #1563 of 1636 id: squmj-5235 author: None title: squmj-5235 date: 2022-08-25 words: 2940 flesch: 48 summary: An outbreak of human monkeypox (HMPX) 22 in multiple non-endemic countries has been announced by the World Health Organization 23 (WHO) in early May 2022 with the majority of cases having no confirmed travel to endemic 24 countries.2 It has been confirmed that the West African clade is indeed the clade associated with the 70 current HMPX outbreak and is characterized by a lower CFR (3.6%, 95% CI 1.7 – 6.8%).14 71 An important and urgent call for modification of the MPXV clades’ nomenclature has been 72 advocated to make it non-discriminatory and non-stigmatizing with reliance on Arabic 73 numerals for clade assignment rather than geographic location.15 74 75 The cumulative number of confirmed HMPX cases that have been reported to WHO exceeded 76 3500 and one fatality reported from 50 countries between April and till 27 June 2022.16 keywords: cases; countries; disease; health; hmpx; human; monkeypox; outbreak; virus cache: squmj-5235.pdf plain text: squmj-5235.txt item: #1564 of 1636 id: squmj-5236 author: Microsoft Office User title: squmj-5236 date: 2022-08-23 words: 2753 flesch: 53 summary: The operative treatment with core decompression is suggested for early and 49 pro-collapse stages of the disease.6-8 In this regard, there have been described various 50 techniques for performing femoral condyle core decompression with the majorities 51 aided by arthroscopy, fluoroscopy and navigation systems, in order to safe drill the 52 necrotic area.1-3 Thus, the purpose of this technical note is to present a simple technique, 53 which enables retroarticular core decompression with an anterior cruciate ligament 54 (ACL) tibial guide and a marked pin, without the need of fluoroscopic or/and navigation 55 assistance. Magnetic resonance imaging (MRI) showed characteristic high intensity portions in 91 the subchondral area of medial femoral condyle, surrounded by diffuse high signal 92 intensity and a medial meniscal tear [Figure 4]. keywords: bone; condyle; decompression; doi; guide; knee; osteonecrosis; pin cache: squmj-5236.pdf plain text: squmj-5236.txt item: #1565 of 1636 id: squmj-5237 author: Sangeetha Mahadevan title: None date: 2022-08-23 words: 976 flesch: 52 summary: Sharma B, Sharma AK, Sharma U. Sporotrichosis: a Comprehensive Review on 77 Recent Drug-Based Therapeutics and Management. 83 3. Poester VR, Basso RP, Stevens DA, Munhoz LS, de Souza Rabello VB, 84 Almeida-Paes R, Zancopé-Oliveira RM, Zanchi M, Benelli JL, Xavier MO. 85 Treatment of Human Sporotrichosis Caused by Sporothrix brasiliensis. keywords: days; doi; lesions; sporotrichosis; treatment cache: squmj-5237.pdf plain text: squmj-5237.txt item: #1566 of 1636 id: squmj-5238 author: tamadhiralmahrouqi@gmail.com title: squmj-5238 date: 2022-08-23 words: 5316 flesch: 62 summary: Parents who disagreed with giving psychotropic medications to their children were three 33 times (OR=3.7, p<.001) more likely to consult a FH than were parents who agreed to give 34 psychotropic medications to their children if necessary. Conclusion: Most parents agreed to give 35 their children psychotropic medications if it were deemed necessary. keywords: attitudes; children; disorder; doi; health; medications; mental; oman; parents; psychotropic; ref; study cache: squmj-5238.pdf plain text: squmj-5238.txt item: #1567 of 1636 id: squmj-5239 author: User title: squmj-5239 date: 2022-08-23 words: 6182 flesch: 55 summary: The aims of the current study were twofold: To examine physician job satisfaction rate; and to 109 assess job satisfaction across several factors including demographic features, quality of care, ease 110 of practice, relationship with leadership, and inter-professional collaboration. The purpose of the study was to examine 20 physician satisfaction; and to assess job satisfaction across several factors, such as quality of 21 care, ease of practice, relationship with leadership, and inter-professional collaboration. keywords: care; factors; health; job; job satisfaction; leadership; oman; physicians; professional; quality; relationship; satisfaction; study; work cache: squmj-5239.pdf plain text: squmj-5239.txt item: #1568 of 1636 id: squmj-5240 author: Shakiba Hassanzadeh title: squmj-5240 date: 2022-08-23 words: 2317 flesch: 45 summary: Post-COVID-19 cardiac complications include myocarditis 106 (42.1%), pericardial effusion (15.8%), acute MI (15.8%), cardiac arrhythmias (10.5%), RV 107 mural thrombus with pulmonary embolism (5.3%), acute HF with cardiogenic shock (5.3%), 108 cardiac tamponade, Takotsubo cardiomyopathy, pericarditis, and myopericarditis.1 In addition, 109 the majority of symptoms of post-COVID-19 cardiac complications include shortness of breath 110 (52.6%), chest pain (36.8%), fever (26.3%), cough (26.3%), fatigue (10.5%), abnormal troponin 111 levels (68.4%), abnormal B-type natriuretic peptide (BNP) levels (42.1%), and ST-segment 112 elevation (52.6%).1 Different factors are involved in myocardial injury and the development of 113 cardiovascular complications of COVID-19 and include an increased hypercoagulable status, 114 systemic inflammatory response to a viral infection which may lead to increased metabolic 115 activity, angiotensin-converting enzyme 2 (ACE2) expression on cardiac cells (which act as a 116 receptor for the SARS-CoV2 virus leading to the invasion of the cardiac cells by the virus), and 117 direct viral injury of cardiac cells.1 118 119 On the other hand, around 90% of primary cardiac tumors are benign including myxoma (50%), 120 fibroelastoma (26%), fibroma (6%), lipoma (4%), inflammatory myofibroblastic tumors (IMTs) 121 (< than 5%), and other benign tumors.2 Primary pericardial masses are also usually benign and 122 constitute about 6% to 10% of primary cardiac tumors. The patient underwent cardiac surgery since the mass was 23 attached to the pericardium and was causing constrictive pericarditis. keywords: cardiac; cov-2; infection; mass; patient; sars cache: squmj-5240.pdf plain text: squmj-5240.txt item: #1569 of 1636 id: squmj-5241 author: Ahmed alkharousi title: squmj-5241 date: 2022-08-23 words: 2593 flesch: 55 summary: Wei CS, Becher N, Friis JB, Ott P, Vogel I, Grønbæk H. New tight junction protein 2 187 variant causing progressive familial intrahepatic cholestasis type 4 in adults: A case report. Molecular 184 overview of progressive familial intrahepatic cholestasis. keywords: cholestasis; doi; liver; patient; pfic; tjp2; variant cache: squmj-5241.pdf plain text: squmj-5241.txt item: #1570 of 1636 id: squmj-5247 author: None title: squmj-5247 date: 2022-08-25 words: 3105 flesch: 53 summary: According to the world health organiz- ation, chronic obstructive pulmonary disease (COPD) will become the third leading cause of death by 2030.1 Bronchial asthma and chronic obstructive pulmonary disease: Research activity in Arab countries. keywords: defects; function; lung; patients; pft; pulmonary; spirometry; study cache: squmj-5247.pdf plain text: squmj-5247.txt item: #1571 of 1636 id: squmj-5274 author: APADANA title: squmj-5274 date: 2022-09-19 words: 5481 flesch: 60 summary: The mean total volume and 29 diameter of the penis increased in the surgery +AM group (p<0.03 and p<0.04, respectively). 30 2 The stereological evaluation showed a significant increase in the mean volumes of the tunica 31 albuginea and corpora cavernosa in the surgery +AM group compared to the sham group 32 (p<0.01, p< 0.03). keywords: cavernosa; cells; corpora; figure; graft; group; https://doi; muscle; penile; penis; pge; sham; surgery; tunica; volume cache: squmj-5274.pdf plain text: squmj-5274.txt item: #1572 of 1636 id: squmj-5275 author: None title: squmj-5275 date: 2022-09-19 words: 1306 flesch: 46 summary: [Figure 1] and MRI [Figure 2] of the brain, which revealed unilateral left-56 sided cerebral atrophy with ipsilateral compensatory hypertrophic thickening of skull bones. The classical imaging features of this condition are unilateral cerebral atrophy 49 with ipsilateral calvarial thickening and hyperpneumatization of the ipsilateral frontal sinus.1,3 50 Other reported findings are ipsilateral falcine displacement, elevation of the petrous ridge and 51 wing of sphenoid bone, atrophy of ipsilateral basal ganglia and brainstem and contralateral 52 cerebellum, and hyperpneumatization of ipsilateral mastoid air cells.2 53 54 keywords: atrophy; cerebral; imaging; syndrome cache: squmj-5275.pdf plain text: squmj-5275.txt item: #1573 of 1636 id: squmj-5276 author: Windows User title: squmj-5276 date: 2022-09-19 words: 4909 flesch: 63 summary: 38 Keywords: Enuresis, sickle cell disease, children, prevalence, hyposthenuria 39 40 Advances in Knowledge 41 - Enuresis is prevalent in sickle cell disease children (SCD). 27 245 246 Our findings revealed that the well-documented decrease in enuresis prevalence with 247 age in children without SCD 20,36 was less evident in children with SCD, implying 248 that some SCD-related morbidities, such as intravascular sickling and vaso-occlusion, 249 improved less spontaneously in children with SCD. keywords: cell; children; disease; doi; enuresis; factors; hyposthenuria; nocturnal; prevalence; scd; sickle; sleep; study cache: squmj-5276.pdf plain text: squmj-5276.txt item: #1574 of 1636 id: squmj-5277 author: arij ksingh title: squmj-5277 date: 2022-09-19 words: 4347 flesch: 63 summary: 69 hrs in patients with PECS block and 5.87 ±1.47 hrs in 226 individuals with ESP block.13 227 228 Similar to our study Altiparmak B et al, also observed that PECS group patients had lower 229 consumption of tramadol in postoperative period. Kamiya Y 211 et al studied the effect of PECS block on postoperative pain and QoR score in breast cancer 212 surgery patients and observed that pain score in PECS group was lower than control group 213 till 24 hrs. keywords: analgesia; block; erector; group; pain; patients; pecs; rescue; score; spinae; study; surgery cache: squmj-5277.pdf plain text: squmj-5277.txt item: #1575 of 1636 id: squmj-5278 author: Srinivasa Rao Sirasanagandla title: squmj-5278 date: 2022-10-10 words: 4457 flesch: 60 summary: In the previous study by 202 Whitehead et al., the majority of choroid plexus calcifications were single or punctate 203 (93.1%).4 Similarly, in our study, single or punctate choroid plexus calcifications were 204 observed in majority of the subjects (83.51%). Deng H, Zheng W, Jankovic J. Genetics and molecular biology of brain calcification. keywords: age; brain; calcifications; choroid; gland; intracranial; pgc; pics; pineal; plexus; study; subjects; years cache: squmj-5278.pdf plain text: squmj-5278.txt item: #1576 of 1636 id: squmj-5346 author: None title: squmj-5346 date: 2022-11-06 words: 1716 flesch: 53 summary: https://doi.org/10.18295/squmj.10.2022.061 “This century is a special one, where we as humans destroy ourselves.” Martin Rees https://creativecommons.org/licenses/by-nd/4.0/ Climate Projections Indicate Catastrophic Consequences in the Middle East and North Africa Region Why healthcare workers are conspicuously absent in climate change discourse 442 | SQU Medical Journal, November 2021, Volume 21, Issue 4 disorders.4 Related to this, living in a polluted setting has been documented to be critically associated with diminution of efficiency of higher human faculty, namely cognition with all the consequences this may entail.11 Second, climate changes increase pollen concentrations in the atmosphere, which exacerbates the conditions that are associated with pollen and allergens. Why healthcare workers are conspicuously absent in climate change discourse Samir Al-Adawi Sultan Qaboos University Med J, November 2022, Vol. 22, Iss. 4, pp. keywords: change; climate; health; mena; region; weather cache: squmj-5346.pdf plain text: squmj-5346.txt item: #1577 of 1636 id: squmj-5347 author: None title: squmj-5347 date: 2022-11-06 words: 22779 flesch: 59 summary: newborn.1 Moreover, determining women’s satisfaction with postnatal care is essential as it has a direct influence on the utilisation of the postnatal follow-up care.2 Utilisation of healthcare services is crucial for not only women’s physical health but also their mental health. Impediments included lack of perceived need and not being provided with information about postnatal care. keywords: care; d w; e m; e w; io n; n c; postnatal; th e; w om cache: squmj-5347.pdf plain text: squmj-5347.txt item: #1578 of 1636 id: squmj-5348 author: None title: squmj-5348 date: 2022-11-07 words: 897 flesch: 39 summary: Re: Elevated Peripheral Blood Eosinophils during Acute Exacerbation of Chronic Obstructive Pulmonary Disease Prevalence and clinical significance 596 | SQU Medical Journal, November 2022, Volume 22, Issue 4 With steroid therapy, a remarkable reduction in eosinophils count was noted from 0.6 cells × 109/L on admission to 0.2 cells × 109/L on discharge; however, there are no follow-up data on eosinophils counts when patients returned to the pre-exacerbation state. Our findings support the possibility that elevated eosinophils count is a unique entity related to a subtype of COPD rather than a manifestation of overlap between COPD and bronchial asthma, hence eosinophilic count should be used as a surrogate marker to guide steroid use in acute exacerbation of COPD and to guide long-term steroid treatment. keywords: disease; eosinophils; patients cache: squmj-5348.pdf plain text: squmj-5348.txt item: #1579 of 1636 id: squmj-5349 author: None title: squmj-5349 date: 2022-11-06 words: 328 flesch: 44 summary: ERRATUM NOTICE Erratum Notice of Figure Legend Correction Pulmonary Aspergillus and Mucor Co-Infection A report of two cases The Editors of Sultan Qaboos University Medical Journal (SQUMJ) have been informed of an error in an article by Ravindra et al. in the August 2021 issue of SQUMJ.1 Pulmonary Aspergillus and Mucor Co-Infection: A report of two cases. keywords: mucor cache: squmj-5349.pdf plain text: squmj-5349.txt item: #1580 of 1636 id: squmj-5351 author: None title: squmj-5351 date: 2022-11-06 words: 4465 flesch: 52 summary: Figure 3: Distribution of clinical trials as per the phase when obtained from the clinical trials registry Table 1: Clinical trials from each country after normalisation for gross domestic product per one billion and population per one million Country Average GDP per billion Publication per GDP per billion Average population size per million Publication per million population Oman 51.21 0.49 3.21 7.796 Bahrain 23.39 0.73 1.117 15.221 Kuwait 107.06 0.47 2.95 16.969 Saudi Arabia 491 0.92 26.95 16.846 Qatar 109 0.64 1.64 42.776 United Arab Emirates Conclusion: Saudi Arabia is the leading country in clinical trial productivity in the GCC region. keywords: arabia; countries; gcc; productivity; region; research; saudi; study; trials cache: squmj-5351.pdf plain text: squmj-5351.txt item: #1581 of 1636 id: squmj-5423 author: Madhusmita Mohapatra title: hp date: 2022-12-21 words: 4458 flesch: 58 summary: Results: It was observed that Neutrophil Lymphocyte Ratio, 27 Platelet Distribution Width, Erythrocyte Sedimentation Rate and C-Reactive Protein were 28 increased in AECOPD patients when compared with stable COPD patients which was 29 statistically significant with p value of <0.001. 32 Conclusion: We found that neutrophil lymphocyte ratio and platelet distribution width values 33 increased significantly in AECOPD patients when compared to stable COPD patients. keywords: aecopd; copd; correlation; exacerbation; mean; patients; platelet; ratio; study; value cache: squmj-5423.pdf plain text: squmj-5423.txt item: #1582 of 1636 id: squmj-5425 author: Toshimasa Yamaguchi title: squmj-5425 date: 2022-12-21 words: 1245 flesch: 46 summary: 35 36 Comment 37 Isolated sphenoid sinus aspergillosis is rare due to the preferential seeding of fungal spores in 38 the ethmoid and maxillary sinuses.1,2 The incidence of sphenoid sinus aspergillosis is low, 39 between 0.5 and 1.2% per year.1 The most common symptom is retroorbital and occipital 40 headaches, followed by nasal blockage or discharge and recurrent mild epistaxis.1 Therefore, a prompt diagnosis is 48 essential for patients with sphenoid sinus aspergillosis because its delayed diagnosis may lead 49 to serious complications such as cerebral nerve involvement and cavernous sinus thrombosis 50 due to bone destruction and invasion to adjacent organs. keywords: aspergillosis; diagnosis; sinus; sphenoid cache: squmj-5425.pdf plain text: squmj-5425.txt item: #1583 of 1636 id: squmj-5426 author: ADIL AL KINDI title: squmj-5426 date: 2022-12-21 words: 1340 flesch: 57 summary: Although 90% of mediastinal 66 WDL show 12q12-15 amplicon that represents amplified oncogenes MDM2 and CDK-4, no 67 genetic aberration has been associated with myxoid pleomorphic liposarcoma.3,9 68 69 In conclusion, primary mediastinal myxoid pleomorphic liposarcoma is a rare entity and tend to 70 present at an advanced stage. In contrast, high grade liposarcoma show low intensity in 53 T1 images. keywords: figure; liposarcoma; mediastinum; myxoid; pleomorphic cache: squmj-5426.pdf plain text: squmj-5426.txt item: #1584 of 1636 id: squmj-5427 author: Abdulmalik title: squmj-5427 date: 2022-12-21 words: 4339 flesch: 65 summary: This will help in raising public 74 awareness to prevent trauma injuries in such overwhelming situations, as well as providing a 75 baseline data for stakeholders to prepare healthcare services to deal with such problems. 14 *Corresponding Author’s e-mail: halqadhi@squ.edu.om 15 16 Abstract 17 Objective: We noticed a change in the pattern of presentation of trauma cases at SQUH, before 18 the pandemic and during the two waves. keywords: age; cases; covid; injuries; number; pandemic; penetrating; phase; study; trauma cache: squmj-5427.pdf plain text: squmj-5427.txt item: #1585 of 1636 id: squmj-5430 author: Alaister Biag Denoyo title: squmj-5430 date: 2022-12-21 words: 5347 flesch: 33 summary: 50  Reactivation of Dkk1 gene could be a valuable strategy to antagonize Wnt signaling 51 pathway in endometrioid endometrial carcinoma. 18 Studies on Dkk1 expression profiles and its inhibitory role in Wnt signaling pathway in genesis 19 and development of endometrial carcinoma are very few. keywords: cadherin; carcinoma; catenin; dkk1; endometrioid; endometrium; hyperplasia; immunopositivity; myc; pathway; proliferative; secretory; wnt cache: squmj-5430.pdf plain text: squmj-5430.txt item: #1586 of 1636 id: squmj-5431 author: None title: squmj-5431 date: 2022-12-21 words: 7132 flesch: 59 summary: 314 Less chance of being in PD classes among people with a seminary education may indicate that 315 spirituality is involved in controlling emotions, and this can play a beneficial role in preventing 316 and treating mental illness and developing treatment plans for authorities. Sometimes 0.0 18.0 42.0 most of the time 0.0 2.0 35.0 Always 0.0 0.0 1.0 Question 4 Helpless Never / Rarely 95.0 60.0 14.0 Slightly 5.0 26.0 22.0 Sometimes 0.0 12.0 37.0 most of the time 0.0 2.0 21.0 Always 0.0 0.0 6.0 Question 5 Hopeless Never / Rarely 96.0 58.0 6.0 Slightly 4.0 31.0 20.0 Sometimes 0.0 10.0 39.0 most of the time 0.0 1.0 27.0 Always 0.0 0.0 9.0 Question 6 Worthless Never / Rarely 99.0 77.0 23.0 Slightly 1.0 18.0 26.0 Sometimes 0.0 4.0 30.0 most of the time 0.0 1.0 15.0 Always 0.0 0.0 5.0 Class size 46.00 40.0 14.0 523 Table 4: Results of Independent Variables Regression on PD Classes Using LCR 524 Variables (Reference) low PD severe PD OR (95% CI) OR keywords: class; classes; disorders; distress; health; iran; mental; people; psychological; questionnaire; results; severe; study; symptoms; women cache: squmj-5431.pdf plain text: squmj-5431.txt item: #1587 of 1636 id: squmj-5432 author: 2ta t title: squmj-5432 date: 2022-12-21 words: 5591 flesch: 59 summary: A stigma can be defined as “the co-82 occurrence of labeling, stereotyping, separation status loss, and discrimination [in] a context 83 in which power is exercised.7 More than 60 years ago, racial and ethnic discrimination was 84 more prevalent in the world, while current statistics have demonstrated that obesity stigma is 85 becoming more prevalent compared to similar attitudes regarding race and ethnicity.8 The present study’s 149 uniqueness comes from its attempt to understand the root cause of stigmatisation by using the 150 attribution-value model to assess obesity stigma and its relation to a perception of 151 controllability. keywords: controllability; level; obese; obesity; saudi; stigma; stigmatisation; study; weight cache: squmj-5432.pdf plain text: squmj-5432.txt item: #1588 of 1636 id: squmj-5433 author: Al-Shareedah title: squmj-5433 date: 2022-12-21 words: 5727 flesch: 59 summary: Conclusion: We have designed 28 and validated an explainable framework to predict SLE patients and provide reasoning for its 29 prediction. This is 240 supported by Al Adhoubi (2020),4 where 52% of SLE patients have developed LN. keywords: age; clinical; data; doi; erythematosus; features; lupus; model; patients; plot; prediction; renal; shap; sle cache: squmj-5433.pdf plain text: squmj-5433.txt item: #1589 of 1636 id: squmj-5434 author: sunil nadar title: squmj-5434 date: 2022-12-21 words: 6325 flesch: 59 summary: The cardiac 383 diagnostic work-up in stroke patients-A subanalysis of the Find-AFRANDOMISED trial. Frequent atrial 406 premature beats predict paroxysmal atrial fibrillation in stroke patients: an opportunity for a 407 new diagnostic strategy. keywords: abnormalities; artery; atrial; burden; cardiac; cryptogenic; ecg; fibrillation; left; monitoring; patients; risk; stroke; study cache: squmj-5434.pdf plain text: squmj-5434.txt item: #1590 of 1636 id: squmj-5435 author: Windows User title: squmj-5435 date: 2022-12-21 words: 2409 flesch: 51 summary: 200 201 202 Figure 1: Chest radiographs showing A - left side pneumothorax with tracheal and mediastinal 203 shift to the right, B – persistent left hydropneumothorax with left chest tube in place, C –totally 204 filled up post pneumonectomy space (July 2018), D – drop in the air fluid level in the 205 pneumonectomy space (September 2020), E – reaccumulation of fluid in the post 206 pneumonectomy space (2 weeks later). Paone G, Rose GD, Giudice GC, Cappelli S. Physiology of pleural space after pulmonary 179 resection. keywords: air; beps; chest; fistula; fluid; pneumonectomy; space cache: squmj-5435.pdf plain text: squmj-5435.txt item: #1591 of 1636 id: squmj-5436 author: Stella Papamichail title: squmj-5436 date: 2022-12-21 words: 2578 flesch: 44 summary: 31 Keywords: Direct inguinal hernia; Appendix epiploica. 149 150 Conclusion 151 Strangulation and incarceration occur scarcely among direct inguinal hernias. keywords: case; complications; hernia; patient; repair; thessaloniki; year cache: squmj-5436.pdf plain text: squmj-5436.txt item: #1592 of 1636 id: squmj-5484 author: None title: squmj-5484 date: 2023-05-30 words: 4596 flesch: 55 summary: This study aimed to estimate the prevalence and evaluate risk factors of hypersensitivity reactions (HSRs) to platinum-based compounds (PBCs) in cancer patients. Conclusion: HSRs to PBCs impact therapy decisions and understanding the risk factors is important to improve treatment outcomes in cancer patients. keywords: cancer; carboplatin; chemotherapy; hsrs; hypersensitivity; patients; pbcs; platinum; reactions; study cache: squmj-5484.pdf plain text: squmj-5484.txt item: #1593 of 1636 id: squmj-5485 author: EMAN.IBRAHIEM title: squmj-5485 date: 2023-01-18 words: 4618 flesch: 60 summary: Most studies reporting on cancer survival, including clinical trials, have 72 addressed either 5-year or 10-year survival rates.6–9 However, looking into survival rates from 73 a more holistic approach that goes beyond 10 years is imperative; though this is usually 74 impractical to address in short-term studies or even in the context of prospective clinical trials. Similar data were reported in the United Kingdom (UK) by Quaresma et 166 al., who have reported the highest 10-year survival in patients with testicular cancer (98.2%).19 167 168 6 Although some data support the notion that the highest rates of cancer survival are reported in 169 the US and Canada,18 trends in our survival analysis were consistent with findings from other 170 studies in other parts of the world. keywords: age; cancer; data; patients; rates; study; survival; term; time; year cache: squmj-5485.pdf plain text: squmj-5485.txt item: #1594 of 1636 id: squmj-5486 author: Amal Al Hadi title: squmj-5486 date: 2023-01-18 words: 8101 flesch: 59 summary: Our findings reveal that postnatal women need more information regarding postnatal care. 293 Increasing health literacy, including knowledge and awareness, and thereby empowering 294 women in their own healthcare is not unique to Oman, having been reported in studies from 295 many countries.14, 24,25 Two studies found that postnatal women in Indonesia and Ethiopia 296 were not provided with adequate information and thus had poor knowledge and awareness of 297 the importance of postnatal care.24,25 Engaging and empowering consumers in health care and 298 health promotion appears to remain a challenge despite discussion and policy development 299 over the last few decades. keywords: care; family; follow; health; information; need; oman; pnfc; postnatal; study; support; table; utilisation; women cache: squmj-5486.pdf plain text: squmj-5486.txt item: #1595 of 1636 id: squmj-5487 author: Office 365 title: squmj-5487 date: 2023-01-18 words: 6545 flesch: 60 summary: This represented 57 a significant decline from an incidence rate of 11-15/100,000 between 1990–1994 in Palestine, 58 which has been attributed to adapting the HBV vaccine into the national vaccination schedule since 59 1992.6 The HBV vaccine is a reliable and cost-effective preventive tool with over 90% 60 effectiveness against chronic HBV infection and nearly 70% protection against HBV-related 61 hepatocellular carcinoma (HCC).7,8 62 63 Risk factors for HBV transmission in Palestine include undergoing blood transfusion or dental 64 procedures, sharing contaminated sharp objects such as shaving blades and Hejamat tools, and 65 intravenous drug use.4 Hemodialysis patients and patients who receive treatment in neighboring 66 countries also are at increased risk.9 HCWs are at a several-fold higher risk of contracting HBV 67 infection compared to the general population,10-12 and the hazard is higher for professions that 68 include performing invasive procedures or handling human blood and specimens (e.g., surgeons, 69 nurses, dentists).13,14 Therefore, besides HBV vaccination, additional preventive measures are 70 necessary to protect HCWs against HBV infection, including the use of personal protective 71 equipment (PPE), proper sterilization of medical equipment, disinfection of health facilities, and 72 post-exposure prophylaxis after accidental exposure to contaminated blood or body fluids.15 73 Finally, 287 28 (64.2%) demonstrated a good level of practice toward HBV infection. keywords: attitude; gaza; hbv; hcws; health; hepatitis; infection; knowledge; participants; practice; ref; ref ref; study; table; years cache: squmj-5487.pdf plain text: squmj-5487.txt item: #1596 of 1636 id: squmj-5535 author: None title: squmj-5535 date: 2023-05-30 words: 5463 flesch: 41 summary: †The duration of antibiotics was fixed at five days in all the patients in short course group. Trial of short course antimicrobial therapy for intra-abdominal infections. keywords: antibiotics; course; days; duration; group; infection; patients; primary; study; therapy cache: squmj-5535.pdf plain text: squmj-5535.txt item: #1597 of 1636 id: squmj-5536 author: None title: squmj-5536 date: 2023-05-30 words: 708 flesch: 49 summary: One hypothesis suggests that myelofibrosis could induce hepatotoxicity leading to liver disfunction and PCT.3 In the current case, the patient required multiple blood transfusions for treating anaemia caused by myelofibrosis. Here we report a case of PCT in a patient with idiopathic myelofibrosis and we suggest the use of Wood’s light as a tool to aid diagnosis of such cases. keywords: myelofibrosis; patient; pct; porphyria cache: squmj-5536.pdf plain text: squmj-5536.txt item: #1598 of 1636 id: squmj-5537 author: None title: squmj-5537 date: 2023-02-21 words: 6157 flesch: 52 summary: 47 - This study found that the prevalence of asymptomatic COVID-19 infections among 48 HCWs working at a tertiary hospital in Muscat, Oman, was 4.1% (95% confidence 49 interval 226 227 Discussion 228 In the current study, the overall prevalence of asymptomatic COVID-19 infections among 229 HCWs working at a large tertiary hospital in Muscat was 4.1%; of these, 20.8% developed 230 mild symptoms within two weeks of swab collection. keywords: areas; asymptomatic; cov-2; covid-19; hcws; hospital; infection; patients; risk; risk areas; sars; study cache: squmj-5537.pdf plain text: squmj-5537.txt item: #1599 of 1636 id: squmj-5538 author: WIN10 title: squmj-5538 date: 2023-02-21 words: 4743 flesch: 55 summary: The findings of the 235 present study regarding reduction if the intensity of myoclonic movements due to the 236 pretreatment sufentanil are in line with the results of other studies. Pretreatment with dexmedetomidine and magnesium sulphate 330 in prevention of etomidate induced myoclonus–A double blinded randomised 331 controlled trial. keywords: anesthesia; etomidate; granisetron; group; intensity; movements; myoclonic; myoclonus; patients; pretreatment; study; sufentanil cache: squmj-5538.pdf plain text: squmj-5538.txt item: #1600 of 1636 id: squmj-5539 author: User title: squmj-5539 date: 2023-02-21 words: 4924 flesch: 52 summary: Homogeneity test results showed that 197 both the intervention and control groups were homogenous (p>0.05) 198 199 Effectiveness of lifestyle modification intervention on bone mineral density 200 As the data was not normally distributed, Mann-Whitney U test was used to compare the 201 differences in the median pre-test and post-test scores between the experimental and control 202 groups among postmenopausal osteoporotic women (Table 2). Integrating lifestyle modification interventions with pharmacological 53 treatment would aid postmenopausal osteoporotic women in reversing bone 54 loss and speeding recovery. keywords: bmd; bone; control; density; follow; group; intervention; lifestyle; modification; osteoporosis; postmenopausal; study; test; women cache: squmj-5539.pdf plain text: squmj-5539.txt item: #1601 of 1636 id: squmj-5540 author: sornavallialagappan@gmail.com title: squmj-5540 date: 2023-02-21 words: 3150 flesch: 51 summary: Natural history 219 and outcome of hepatic vascular malformations in a large cohort of patients with hereditary 220 hemorrhagic telangiectasia. Recent studies have demonstrated the frequent 32 occurrence of pulmonary, hepatic and cerebral vascular malformations, with an estimate that at 33 least 30% of HHT has hepatic involvement.2,3 With such high prevalence, it is fundamental for 34 all radiologists, physicians and hepatologists to be acquainted with hepatic vascular involvement 35 in HHT. keywords: arterial; artery; case; hemorrhagic; hepatic; hereditary; hht; liver; patients; telangiectasia; vascular cache: squmj-5540.pdf plain text: squmj-5540.txt item: #1602 of 1636 id: squmj-5541 author: saran title: squmj-5541 date: 2023-02-21 words: 2698 flesch: 49 summary: Here we describe a case of left lung 19 hypoplasia and congenital cardiac malformations with MRKH syndrome and Leiomyoma of 20 the ovary. Patient was advised for pulmonary rehabilitation (Breathing exercises, Active cycle 102 breathing technique and postural drainage for left lung), pneumococcal and influenza 103 vaccination and advised for pneumonectomy. keywords: case; hypoplasia; left; lung; mrkh; patient; pulmonary; rokitansky; syndrome cache: squmj-5541.pdf plain text: squmj-5541.txt item: #1603 of 1636 id: squmj-5542 author: Aref Zribi title: squmj-5542 date: 2023-02-21 words: 2546 flesch: 42 summary: 29 30 Introduction 31 Glomerulopathy in the field of cancer was first described in 1922.1 Glomerulonephritis has been 32 reported in patients with solid tumors, and only a few cases have been reported in patients with 33 tubo-ovarian/peritoneal cancer.2 Renal 37 impairment is a limiting factor in the prescription of chemotherapy, especially nephrotoxic agents, 38 and thus can compromise the survival of patients. keywords: cancer; glomerulonephritis; nephropathy; ovarian; patient; peritoneal; proteinuria; tubo cache: squmj-5542.pdf plain text: squmj-5542.txt item: #1604 of 1636 id: squmj-5543 author: None title: squmj-5543 date: 2023-05-30 words: 3635 flesch: 46 summary: This is regrettable, but in many aspects, it illustrates how little is known about the brain’s mechanisms that develop, maintain and limit sensitive periods in human development.13 International Experiences of Early Childhood Development Programmes The Jamaica Early Childhood Stimulation intervention project, which studied the effects of an early childhood home-visiting programme on education and labour market results at age 31, is one of the most renowned studies in early child development.11 The Jamaica programme was a two-year home-based intervention meant to increase the quality of mother-child EDITORIAL This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License. The initiative calls for a closer examination of governmental investments in child development and increases in the resources that provide advantages to families in vulnerable situations. keywords: care; childhood; children; development; ecd; health; oman; programmes; years cache: squmj-5543.pdf plain text: squmj-5543.txt item: #1605 of 1636 id: squmj-5631 author: Dr. Ali Ibrahim Al Galib title: squmj-5631 date: 2023-03-29 words: 2464 flesch: 57 summary: To raise awareness of HIV among 114 the general population, culturally-sensitive information about HIV prevention, diagnosis and 115 prevention can be disseminated through mass media, including social platforms. In addition, HIV prevention 73 services targeting key populations and their partners are very limited. keywords: aids; diagnosis; health; hiv; oman; risk cache: squmj-5631.pdf plain text: squmj-5631.txt item: #1606 of 1636 id: squmj-5633 author: mouaad amraoui title: squmj-5633 date: 2023-03-29 words: 710 flesch: 45 summary: 34 35 Comment 36 The incidence of pulmonary pseudotumor tuberculosis varies from 2 to 4%.1-3 Clinical and 37 radiological manifestations are not specific and may suggest malignancy, bronchoscopic 38 explorations can be negative. Arul P, Varghese RG, Ramdas A. Pleural tuberculosis mimicking inflammatory 50 pseudotumour. keywords: doi; figure; mass; tuberculosis cache: squmj-5633.pdf plain text: squmj-5633.txt item: #1607 of 1636 id: squmj-5635 author: None title: squmj-5635 date: 2023-03-29 words: 1084 flesch: 51 summary: Undergoing antimicrobial schedule of doxycycline, 20 the patient improved in three weeks.1 In fact, the authors emphasized the major 21 infectious causes of leukocytoclastic vasculitis; but in the current global scenario one 22 could include COVID-19 among the etiologies.2-5 23 24 Capoferri G et al.2 described a 93-year-old man who had COVID-19 infection 25 and 8 days later presented LV evolving with extensive skin necrosis in the lower 26 extremities. 84 2. Capoferri G, Daikeler T, Mühleisen B, Trendelenburg M, Müller S. Cutaneous 85 leukocytoclastic vasculitis secondary to COVID-19 infection leading to extensive skin 86 necrosis. keywords: covid-19; vasculitis cache: squmj-5635.pdf plain text: squmj-5635.txt item: #1608 of 1636 id: squmj-5636 author: hp title: squmj-5636 date: 2023-03-29 words: 6067 flesch: 51 summary: 92.9% hVISA strains had vancomycin MIC in the range 1-2 µg/mL. Majority of 30 hVISA and vancomycin susceptible MRSA were isolated from skin and soft tissue infections. The majority of hVISA 201 (6/14; 42.9%) were isolated from patients belonging to age group 61-70 years whereas 202 majority of vancomycin susceptible MRSA (48/206; 23.3%) were isolated from patients 203 belong to age group 41-50 years. keywords: aureus; hvisa; india; infections; intermediate; isolates; methicillin; mic; mrsa; sccmec; staphylococcus; strains; study; vancomycin cache: squmj-5636.pdf plain text: squmj-5636.txt item: #1609 of 1636 id: squmj-5638 author: Dr Vaibhav Londhe title: Copy of case report today.docx date: 2023-03-29 words: 2642 flesch: 55 summary: Nezhat C, Kalyoncu S, Johnson E, Berlands N, Nezhat C, Nezhat F. Laparoscopic management 195 of ovarian dermoid cysts: Ten years’ experience. https://doi: 10.1016/s1074-3804(05)60079-5. 204 9. Campo S, Garcea N. Laparoscopic conservative excision of ovarian dermoid cysts with and 205 without an endobag. keywords: contents; cysts; dermoid; lavage; management; patient; peritoneal; peritonitis cache: squmj-5638.pdf plain text: squmj-5638.txt item: #1610 of 1636 id: squmj-5639 author: 1RED USERS title: squmj-5639 date: 2023-03-29 words: 2348 flesch: 54 summary: 24 Keywords: Varicella Zoster Virus; Ramsay Hunt Syndrome; Encephalitis; Children. Çiçek M, Kılıç Z, Mercen Y, Karaoğlan E, Öztarhan K. A Rare Cause of Facial Paralysis 174 in Children: A Case of Ramsay Hunt Syndrome. keywords: ear; encephalitis; hunt; patient; rhs; syndrome; vzv cache: squmj-5639.pdf plain text: squmj-5639.txt item: #1611 of 1636 id: squmj-5708 author: Sanpreet Singh title: squmj-5708 date: 2023-05-10 words: 6297 flesch: 55 summary: On the contrary, an equal sex 123 distribution (1:1) in reported cases of PKA was reported by Rathore et al With an increasing number of reported cases, more insights 318 could be gained with respect to the possible links between the pathogenesis of OKC, AA, KA, and 319 PKA. keywords: ameloblastoma; cases; cells; doi; et al; features; follicles; keratin; oral; papilliferous; pka; pmid; present cache: squmj-5708.pdf plain text: squmj-5708.txt item: #1612 of 1636 id: squmj-5709 author: Alyaqadhan Said Khalfan Abdollah Al Hatmi title: squmj-5709 date: 2023-05-10 words: 2122 flesch: 41 summary: Rana P, Gupta P, Kalage D, Soundararajan R, Kumar-M P, Dutta U. Grayscale 161 ultrasonography findings for characterization of gallbladder wall thickening in non-acute 162 setting: a systematic review and meta-analysis. The 80 most common CT finding of XGC is diffuse gallbladder wall thickening with presence of 81 intramural hypodense nodules or bands and luminal surface enhancement with continuous 82 mucosal line.3,4,5 keywords: cholecystitis; diagnosis; gallbladder; liver; wall; xgc cache: squmj-5709.pdf plain text: squmj-5709.txt item: #1613 of 1636 id: squmj-5710 author: Roshan Koul title: squmj-5710 date: 2023-05-10 words: 1287 flesch: 61 summary: Intrathecal methotrexate is widely used and there are 68 few reports in literature about association of ATM and intrathecal methotrexate. 51 52 Comment 53 There are many neurological complications seen in liver transplant recipients. keywords: atm; liver; myelitis; transplant; transverse cache: squmj-5710.pdf plain text: squmj-5710.txt item: #1614 of 1636 id: squmj-5711 author: None title: squmj-5711 date: 2023-05-10 words: 1102 flesch: 48 summary: Prenatal 46 ultrasonography can detect cavum septum pellucidum between 18 and 37 weeks of gestation, 47 or with a biparietal diameter of 44-88mm. Ben M'Barek I, Tassin M, Guët A, Simon I, Mairovitz V, Mandelbrot L, et al. 76 Antenatal diagnosis of absence of septum pellucidum. keywords: asp; optic; pellucidum; septum cache: squmj-5711.pdf plain text: squmj-5711.txt item: #1615 of 1636 id: squmj-5712 author: Ani title: squmj-5712 date: 2023-05-10 words: 3020 flesch: 45 summary: Treatment process becomes further challenging 23 when ongoing management is compounded by failed previous alveolar cleft grafting 24 procedures along with the patient’s reluctance to undergo further grafting of alveolar clefts. Promising results with the use of hyrax distractor (for anteroposterior maxillary 53 advancement) in terms of its efficacy, patient's satisfaction, and stability have also been 54 demonstrated in literature.8 However, AMDO is difficult in a patient with alveolar cleft 55 where there is a discontinuity of the defect that presents difficulty in terms of vector control 56 of movement of anterior segment and the probable risk of tipping of teeth which already have 57 compromised anchorage/bone support on the cleft side. keywords: bone; cleft; distraction; hyrax; maxillary; osteogenesis; palate; screw cache: squmj-5712.pdf plain text: squmj-5712.txt item: #1616 of 1636 id: squmj-5713 author: user title: squmj-5713 date: 2023-05-10 words: 4589 flesch: 56 summary: The primary outcome 97 was pain score during cervical biopsy measured by visual analog scale (VAS), while secondary 98 outcomes were VAS pain score during speculum insertion, immediately after the procedure, Five 99 minutes after the procedure, and duration of the cervical biopsy. On the other hand, the overall effect from Kuhn et al.19 and Nakiet al.5 showed no statistically 169 significant difference in pain score during speculum insertion between FC and no pain 170 management group (MD = -0.06; 95% CI keywords: bias; biopsy; coughing; doi; group; internet; pain; procedure; studies cache: squmj-5713.pdf plain text: squmj-5713.txt item: #1617 of 1636 id: squmj-5714 author: Alaister Biag Denoyo title: squmj-5714 date: 2023-05-10 words: 5223 flesch: 55 summary: They concluded that intra-umbilical incision should be 219 promoted in gynecologic laparoscopy.19 220 221 Postpartum sterilization using intra-umbilical skin incision was more efficient regarding aesthetic 222 concerns and operation time in a RCT.8 What’s new in the current prospective RCT is to assess 223 the impact of modifications of the intra-umbilical incision on intraoperative and postoperative 224 outcomes (Darwish laparoscopic entry). 212 213 Nowadays, the intra-umbilical incision is being used more frequently, with the increasing cases 214 of single incision laparoscopic surgery (SILS), which has recently been proven to be a feasible 215 alternative for conventional laparoscopic surgery with better cosmetic outcome.18 In a 216 retrospective comparison of gynecologic laparoscopy cases, intra-umbilical incision, and peri-217 umbilical incision (longitudinal/transverse oblique/arc incision according to the bellybutton 218 natural skin folds) were compared. keywords: cases; doi; group; incision; infra; insertion; laparoscopic; patients; skin; study; trocar; umbilicus cache: squmj-5714.pdf plain text: squmj-5714.txt item: #1618 of 1636 id: squmj-5715 author: Eilean Victoria Lazarus Rathinasamy title: squmj-5715 date: 2023-05-10 words: 6708 flesch: 55 summary: 9-12 (Moderate) ≤ 8 (Severe) 47.2 52.8 Glasgow coma scale at the point of discharge Mild (14–15) Moderate (9–13) 64.2 35.8 FCs, family caregivers502 OMAN FAMILY CAREGIVERS OF TBI PATIENTS 20 Table 2: Symptom Profile of Patients with TBI at the Time of Discharge 503 Symptom Rating (n =36) M ± SD No Difficulty Mild Difficulty Moderate Difficulty Severe Difficulty 13.9 11.1 22.2 52.8 4.00 ± 1.39 Ability to live independently -- -- 2.8 97.2 4.97 ± 0.17 504 OMAN FAMILY CAREGIVERS OF TBI PATIENTS 21 Table 3: Changes in Patient Disability, Caregiver Quality of Life, and Caregiving Preparedness at 8 Weeks Post-discharge (n = 35) 505 Variable level n M SD SEM t p-value MD 95% CI TBI patient’s disability rating scale score At the time of discharge 35 16.74 4.15 0.70 2.33 0.026 1.40 0.18-2.62 At eight weeks post- discharge 35 15.34 5.00 0.85 Family caregiver’s caregiving preparedness At the time of discharge keywords: brain; caregivers; caregiving; discharge; family; fcs; health; injury; patients; preparedness; qol; study; tbi; time; weeks cache: squmj-5715.pdf plain text: squmj-5715.txt item: #1619 of 1636 id: squmj-5716 author: Fatma Salim title: squmj-5716 date: 2023-05-10 words: 4282 flesch: 58 summary: A retrospective 178 study conducted in the United Arab Emirates (UAE) reported a comparable distribution of 179 these subtypes among Emirati MS patients (77.8%, 12.3%, and 8.2%, respectively).15 180 Moreover, there was a significant association between the RRMS subtype and ON 181 presentation in the current Omani cohort, with 83.7% of patients with both ON and MS 182 having the RRMS subtype; this result was found to be slightly higher in comparison to other 183 research reporting that 70% of MS patients with ON demonstrated relapsing-remitting 184 disease activity.16 This finding was lower in comparison with data originating from Hong 200 Kong showing the mean age of ON patients to be 40 years; however, 90% of MS patients 201 presenting with ON in Bosnia and Herzegovina were between 18–30 years of age.7,21 keywords: incidence; multiple; patients; sclerosis; study cache: squmj-5716.pdf plain text: squmj-5716.txt item: #1620 of 1636 id: squmj-5717 author: Alaister Biag Denoyo title: squmj-5717 date: 2023-05-10 words: 3979 flesch: 53 summary: Factors determining the knowledge of dental avulsion management Many factors can determine the actual level of knowledge of avulsion management, as shown in Figure 1. Many studies have assessed avulsion management knowledge among physicians.4– 6,9,13 keywords: avulsion; emergency; knowledge; level; management; participants; physicians; study; tooth cache: squmj-5717.pdf plain text: squmj-5717.txt item: #1621 of 1636 id: squmj-5718 author: Alaister Biag Denoyo title: squmj-5718 date: 2023-05-10 words: 6182 flesch: 57 summary: Association of nurse work environment and 411 safety climate on patient mortality: A cross-sectional study. Nantsupawat A, Kunaviktikul W, Nantsupawat R, Wichaikhum OA, Thienthong H, 471 Poghosyan L. Effects of nurse work environment on job dissatisfaction, burnout, intention to 472 leave. keywords: empowerment; environment; job; job satisfaction; job stress; levels; nurses; satisfaction; stress; study; work cache: squmj-5718.pdf plain text: squmj-5718.txt item: #1622 of 1636 id: squmj-5719 author: seshanv2018@gmail.com title: squmj-5719 date: 2023-05-10 words: 7775 flesch: 51 summary: In order to succeed in their mission of addressing 93 4 4 the healthcare needs of pregnant women, providers of antenatal education services must build 94 professional relationships, exchange information and involve the women in decision-making.13.14 95 96 This research reports the challenges experienced by healthcare providers and pregnant women 97 while delivering and receiving antenatal education services including some remedial strategies. keywords: antenatal; care; education; hcp; health; healthcare; midwife; need; pregnancy; providers; services; staff; study; women cache: squmj-5719.pdf plain text: squmj-5719.txt item: #1623 of 1636 id: squmj-5720 author: Laila Yazidi title: squmj-5720 date: 2023-05-10 words: 4645 flesch: 63 summary: 26 Forty-eight (79%) children with HPeV infection required hospitalization and their median 27 hospital length of stay was 5 days (IQR, 3 - 8 days). 43 44 Application to patient care 45 - This study focused on assessing the burden of HPeV infection among children in 46 Oman and describe their clinical and laboratory features. keywords: children; hpev; human; infection; iqr; median; parechovirus; patients; respiratory; study cache: squmj-5720.pdf plain text: squmj-5720.txt item: #1624 of 1636 id: squmj-5721 author: Ricardo Ruiz title: squmj-5721 date: 2023-05-10 words: 888 flesch: 47 summary: 2020;15:29. 10.1186/s13000-72 020-00952-w 73 4. Payapvipapong K, Nakakes A, Tanaka M. Lava lake structure and cloud-like 74 structureless area: new clues for diagnosing extramammary Paget disease. Physical examination revealed an 17 erythematous plaque with no desquamative component (Fig. 1A). keywords: disease; examination; paget; plaque cache: squmj-5721.pdf plain text: squmj-5721.txt item: #1625 of 1636 id: squmj-5722 author: None title: squmj-5722 date: 2023-05-10 words: 2202 flesch: 48 summary: Pierrotti LC, Urbano PRP, Nali L, Romano CM, Bicalho CDS, Arnone M et al. 217 Viremia and viruria of trichodysplasia spinulosa-associated polyomavirus before the 218 development of clinical disease in a kidney transplant recipient. 141 142 Jose et al. reviewed TS cases associated with solid organ transplant and emphasized that 143 it appears during the first year after transplant with the highest level of 144 immunosuppression.2 Our patient had developed TS within the first year following his 145 renal transplant. keywords: case; patient; polyomavirus; spinulosa; transplant; trichodysplasia cache: squmj-5722.pdf plain text: squmj-5722.txt item: #1626 of 1636 id: squmj-5723 author: Alaister Biag Denoyo title: squmj-5723 date: 2023-05-10 words: 2465 flesch: 63 summary: Majority 33 of cases of gestational CC are intra-uterine, and only 0.8-4 % develop in ectopic locations.2.3 A limited cases of 35 gestational CC develop after a long dormant period.4.5 Gestational CC has been reported to 36 develop between 5 weeks and up to 38 years after gestation, and even after menopause.4 37 Approximately 30 % of cases of gestational CC are metastatic at the time of diagnosis.4 keywords: case; choriocarcinoma; doi; patient; pregnancy; years cache: squmj-5723.pdf plain text: squmj-5723.txt item: #1627 of 1636 id: squmj-5724 author: Alaister Biag Denoyo title: squmj-5724 date: 2023-05-10 words: 2086 flesch: 61 summary: Echocardiogram 96 is considered to be the gold standard for the diagnosis of BFCs, and in rare cases where a 97 thrombus or bacterial vegetations are suspected, contrast echocardiogram might help 98 differentiate it from cardiac cysts.13 99 100 To date, it is still unknown where the source of BFCs in cardiac valves arise from. Liese GJ, Brainard SC, Goto U. Giant blood cyst of the pulmonary valve. keywords: bfcs; blood; case; cyst; doi; pulmonary; valve cache: squmj-5724.pdf plain text: squmj-5724.txt item: #1628 of 1636 id: squmj-5725 author: Younis Hashil Saleem Al Mafrigi title: squmj-5725 date: 2023-05-10 words: 2524 flesch: 58 summary: 84 85 Discussion 86 Peri-ictal water drinking was first reported upon a statistical review of aura in epilepsy among 87 1359 cases by Lennox,6 defined as the urge of drinking water ictally or up to 2-minutes in the 88 post-ictal phase of epileptic seizures.1 Seeking water in epileptic patients has been noticed 89 mostly in ictal phase, yet post-ictal water drinking has been reported as well.1 Reported cases of 90 PIWD in literature remain infrequent all over the world, with around 65 cases have been reported 91 to date, including one case in our region.4,7 92 93 Water-seeking behavior has been correlated electro-clinically and neuropathologically with 94 pathologies in the mesial temporal lobe, emphasizing further on the value of localization 95 hypothesis.8 : Summary of seizures, EEG onset, duration and details of water drinking phenomenon. keywords: drinking; epilepsy; ictal; lobe; peri; seizure; water cache: squmj-5725.pdf plain text: squmj-5725.txt item: #1629 of 1636 id: squmj-5745 author: None title: squmj-5745 date: 2023-05-30 words: 7784 flesch: 44 summary: Ahmed Al Salmi,2 Ammar Al Rahbi,3 Amal Al Mandhari,4 Mahmood Al Jufaili4 1,2,3Oman Medical Specialty Board, Muscat, Oman; 4Emergency Department, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman *Corresponding Author’s e-mail: modizoom@gmail.com Identification of intracardiac masses in an emergency setting can be tricky and requires expert skills. Maximising Result of Bedsore Prevention in a Mechanically Ventilated Patient Abeer Al Ghafri,1 Asad Al Ghafri,2 *Mohammed Abdullah Al Shuhoumi3,4 1COVID-19 Department, Ibri Regional Hospital, Ibri, Oman; 2Center of Studies and Research, Directorate General of Health Services, Muscat, Oman; 3Laboratory Department, Ibri Hospital, Ibri, Oman; 4Oman College of Health Sciences, Muscat, Oman. keywords: author; blood; case; conclusion; department; diabetes; health; hospital; ibri; ibri hospital; laboratory; mail; muscat; oman; patients; regional; results; study; test; transfusion; university cache: squmj-5745.pdf plain text: squmj-5745.txt item: #1630 of 1636 id: squmj-5788 author: joshua title: squmj-5788 date: 2023-06-21 words: 6208 flesch: 56 summary: 36 37 Advances in Knowledge 38 • This is the first study to explore caregiving preparedness and caregiver burden in FCs 39 of ABI patients in Oman. The findings indicate a gap in neurorehabilitation care for ABI patients in Oman and 48 the need for caregiver support programs to augment their efficacy and caregiving 49 preparedness before resuming the caregiver role. keywords: abi; brain; burden; caregiver; caregiving; discharge; family; fcs; health; injury; patients; preparedness; study; symptom; time cache: squmj-5788.pdf plain text: squmj-5788.txt item: #1631 of 1636 id: squmj-5789 author: malchi title: squmj-5789 date: 2023-06-21 words: 5789 flesch: 60 summary: Intra uterine fetal death (n = 1) Analyzed (n = 145) Allocated to intervention group (n = 147) Follow-up (n = 144) Moved away (n = 1) Not attending group care sessions (n = 2) Analyzed (n = 144) Excluded (n = 236) Not meeting inclusion criteria (n = 220) Declined to participate (n = 16) E n ro lm e n t A ll o c a ti o n F o ll o w -u p A n a ly si s 17 Table 1: Topics discussed in group prenatal care sessions. This study aimed to evaluate the effect of group prenatal care on empowerment of 20 pregnant adolescents. keywords: adolescent; care; empowerment; gpnc; group; health; intervention; iran; participants; pregnancy; prenatal; self; study; support; women cache: squmj-5789.pdf plain text: squmj-5789.txt item: #1632 of 1636 id: squmj-5790 author: CHEF SERVICE title: squmj-5790 date: 2023-06-21 words: 826 flesch: 48 summary: 71 https://doi.org/10.1186/s43163-020-00016- 72 2.Vijay V, Vaishya R. Tuberculous suprasternal notch abscess in a child. The patient received anti-tubercular treatment: 2 months of Rifampicin (R)-Isoniasid (H) - 33 Pyrazinamide (Z) and 4 months of Rifampicin - Isoniasid (2RHZ- 4RH) with a good clinical 34 response. keywords: notch; rabat; suprasternal; tuberculosis cache: squmj-5790.pdf plain text: squmj-5790.txt item: #1633 of 1636 id: squmj-5837 author: Michael title: squmj-5837 date: 2023-07-19 words: 5154 flesch: 47 summary: There has been an 17 increasing trend in the use of robotic surgery in abdominal surgery. The major drawback of robotic surgery is its high cost and limited availability. keywords: laparoscopic; patients; procedures; robotic; study; surgery; system cache: squmj-5837.pdf plain text: squmj-5837.txt item: #1634 of 1636 id: squmj-5841 author: Saurabh Trivedi title: squmj-5841 date: 2023-07-19 words: 2748 flesch: 66 summary: 23 Keywords: Bupivacaine; Ropivacaine; Scorpion sting; Spinal anaesthesia 24 25 Introduction 26 Spinal anesthesia or Sub-arachnoid block (SAB) is a commonly practised technique of 27 anaesthesia for most below-umbilical procedures.1 Clinical data has shown a correlation 28 between previous history of scorpion sting and resistance to SAB with bupivacaine, an 29 amino-amide local anaesthetic.2,3 30 31 Ropivacaine (2,6-dimethylphenyl, 1-propylpiperidine,2-carboxamide) is a piperidine-32 carboxamide- based amide, prepared as pure S-enantiomer.4 Multiple studies have shown that 33 ropivacaine is a safe and effective local anesthetic (LA) for regional anaesthesia techniques. I N G S M E A N T IM E ( S E C O N D S ) NUMBER OF SCORPION STING ( A ) keywords: blockage; patients; scorpion; sting cache: squmj-5841.pdf plain text: squmj-5841.txt item: #1635 of 1636 id: squmj-5842 author: sunil nadar title: squmj-5842 date: 2023-07-19 words: 4596 flesch: 60 summary: This is especially true for hypertensive 43 patients who are often asymptomatic but experience various side effects to medications.4 44 The reported rates of adherence with cardiovascular medications range from 30-70%, with 45 patients often not taking all or part of their prescribed medications.5 Poor adherence is a major 46 public health issue such that, the World Health Organisation (WHO) in their report on adherence 47 to long term therapies, state that interventions to improve medication adherence might have a far 48 greater impact on the health of the population than any improvement in a specific medical 49 treatment itself.6 50 51 There are many factors that are responsible for poor adherence and understanding these factors in 52 a particular population is key to improving medication adherence and ultimately improving 53 patient care and outcomes. The aim of this study was to assess the levels of medication adherence in patients 71 with IHD and the patient related factors affecting it in Oman. keywords: adherence; cardiovascular; factors; health; medications; number; oman; patients; study cache: squmj-5842.pdf plain text: squmj-5842.txt item: #1636 of 1636 id: squmj-5843 author: HP title: squmj-5843 date: 2023-07-19 words: 6379 flesch: 54 summary: On the other hand, among the Her-2+ category, a smaller number of ER/PR-334 Her-2/neu+ was observed representing breast cancer cases where both the ER and PR are negative, 335 while the Her-2/neu is overexpressed. Recent 26 molecular studies show that breast cancer is a heterogeneous disease, and several molecular changes 27 may accumulate over time to influence treatment response. keywords: breast; cancer; cases; expression; grade; her-2; negative; neu; p53; receptor; score; staining; study; tumor cache: squmj-5843.pdf plain text: squmj-5843.txt