Sultan Qaboos University Medical Journal

Sultan Qaboos University Medical Journal

Basic info

  • Publisher: Sultan Qaboos University
  • Country of publisher: oman
  • Date added to EuroPub: 2017/Sep/12

Subject and more

  • LCC Subject Category: Biochemistry, Biomedicine, Medicine
  • Publisher's keywords: Medicine, Biomedicine, Community Health, Family Medicine, Health Sciences, Biochemistry
  • Language of fulltext: english
  • Full-text formats available: PDF

Publication charges

  • Article Processing Charges (APCs): No
  • Submission charges: No
  • Waiver policy for charges? No

Editorial information

Open access & licensing

  • Type of License: CC BY
  • License terms
  • Open Access Statement: Yes
  • Year open access content began: 1999
  • Does the author retain unrestricted copyright? False
  • Does the author retain publishing rights? False

Best practice polices

  • Permanent article identifier: DOI
  • Content digitally archived in: LOCKSS
  • Deposit policy registered in: None

This journal has '1136' articles

Interpreting Neonatal Growth Parameters in Oman Are we doing it right?

Interpreting Neonatal Growth Parameters in Oman Are we doing it right?

Authors: Reem M. Abdulrahim| Department of Public Health & Policy, University of Liverpool, Liverpool, UK, Ahmed B. Idris| Department of Child Health, Sultan Q...
( 17 downloads)
Abstract

Objectives: Tis study aimed to compare reference anthropometric measures of Omani neonates with the international standard growth charts of the World Health Organization (WHO) in order to determine the appropriateness of these growth charts to assess the growth of Omani neonates. Methods: Tis cross-sectional study included all healthy full-term Omani neonates born between November 2014 and November 2015 at the Sultan Qaboos University Hospital, Muscat, Oman. Birth weight, length and head circumference measurements were identifed and compared to those of the 2006 WHO growth charts. Results: A total of 2,766 full-term neonates were included in the study, of which 1,401 (50.7%) were male and 1,365 (49.3%) were female. Mean birth weights for Omani males and females were 3.16 ± 0.39 kg and 3.06 ± 0.38 kg, respectively; these were signifcantly lower than the WHO standard measurements (P <0.001). Similarly, the mean head circumferences of Omani males and females (33.8 ± 1.27 cm and 33.3 ± 1.26 cm, respectively) were signifcantly lower than those reported in the WHO growth charts (P <0.001). In contrast, mean lengths for Omani males and females (52.0 ± 2.62 cm and 51.4 ± 2.64 cm, respectively) were signifcantly higher than the WHO standard measurements (P <0.001). Conclusion: Te WHO growth charts might not be appropriate for use with Omani neonates; possible alternatives should therefore be considered, such as national growth charts based on local data.

Keywords: Anthropometry, Growth Charts, Neonates, World Health Organization, Oman
Discrepancies Between Planned and Actual Operating Room Turnaround Times at a Large Rural Hospital in Germany

Discrepancies Between Planned and Actual Operating Room Turnaround Times at a Large Rural Hospital in Germany

Authors: Regula Morgenegg| Department of Anesthesiology & Pain Medicine, Bern University Hospital Inselspital, Bern, Switzerland, Franziska Heinze| Department...
( 15 downloads)
Abstract

Objectives: While several factors have been shown to influence operating room (OR) turnaround times, few comparisons of planned and actual OR turnaround times have been performed. Tis study aimed to compare planned and actual OR turnaround times at a large rural hospital in Northern Germany. Methods: Tis retrospective study examined the OR turnaround data of 875 elective surgery cases scheduled at the Marienhospital, Vechta, Germany, between July and October 2014. Te frequency distributions of planned and actual OR turnaround times were compared and correlations between turnaround times and various factors were established, including the time of day of the procedure, patient age and the planned duration of the surgery. Results: Tere was a signifcant difference between mean planned and actual OR turnaround times (0.32 versus 0.64 hours; P <0.001). In addition, signifcant correlations were noted between actual OR turnaround times and the time of day of the surgery, patient age, actual duration of the procedure and stafng changes affecting the surgeon or the medical specialty of the surgery (P <0.001 each). Te quotient of actual/planned OR turnaround times ranged from 1.733–3.000. Conclusion: Signifcant discrepancies between planned and actual OR turnaround times were noted during the study period. Such fndings may be potentially used in future studies to establish a tool to improve OR planning, measure OR management performance and enable benchmarking.

Keywords: Operating Room, organization and administration, Patient Care Management, Strategic Planning, Time Management, Quality Control
Mortality Rate and Years of Life Lost Due to Prostate Cancer in Yazd Province, Iran A 10-year study

Mortality Rate and Years of Life Lost Due to Prostate Cancer in Yazd Province, Iran A 10-year study

Authors: Mojtaba Mirzaei| Cancer Research Center, Tehran University of Medical Sciences & Health Services, Tehran, Iran, Mahboobehsadat Mirzadeh| Department of...
( 14 downloads)
Abstract

Objectives: Prostate cancer is a leading cause of cancer-related deaths. Te number of deaths and years of life lost (YLL) due to a disease can be used to monitor health status, assess healthcare needs and determine the prioritisation and allocation of health resources within a population; in addition, the latter calculation can serve as a baseline indicator of premature mortality. Tis study aimed to measure prostate cancer-related mortality and YLL in Yazd Province, Iran. Methods: Tis study included all prostate cancer-related deaths in Yazd Province reported between March 2001 and March 2010. Mortality data were obtained from a provincial death registration system which integrates data from different sources. YLL was calculated based on an individual’s age at death and their life expectancy according to age group. Results: During the study period, prostate cancer was the fourth most common fatal cancer among men, resulting in 324 deaths or 10.0% of all cancer-related deaths. Te crude mortality rate per 100,000 individuals increased from 4.7 in 2001 to 8.8 in 2010. Premature deaths caused 1,358.7 YLL and the YLL caused by prostate cancer deaths more than doubled from 94.7 in 2001 to 196.5 in 2010. Conclusion: Due to changes in population structure, it is likely that the burden of prostate cancer will continue to increase in Yazd Province. As such, it is necessary that the national health system implements screening programmes and improves public awareness of prostate cancer-associated risk factors.

Keywords: Prostate Cancer, Years of Potential Life Lost, Mortality, Health Status Indicators, Iran
Distribution of Trauma Care Facilities in Oman in Relation to High-Incidence Road Traffc Injury Sites Pilot study

Distribution of Trauma Care Facilities in Oman in Relation to High-Incidence Road Traffc Injury Sites Pilot study

Authors: Sara M. Al-Kindi| General Surgery Residency Programme, Oman Medical Specialty Board, Muscat, Oman, Ahmed A. Naiem| General Surgery Residency Programme...
( 20 downloads)
Abstract

Objectives: Road trafc injuries (RTIs) are considered a major public health problem worldwide. In Oman, high numbers of RTIs and RTI-related deaths are frequently registered. Tis study aimed to evaluate the distribution of trauma care facilities in Oman with regards to their proximity to RTI-prevalent areas. Methods: Tis descriptive pilot study analysed RTI data recorded in the national Royal Oman Police registry from January to December 2014. Te 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). Results: A total of 32 trauma care facilities were identifed. Four facilities (12.5%) were categorised as class V trauma centres. Of the facilities in Muscat, 42.9% were ranked as class IV or V. Tere were no class IV or V facilities in Musandam, Al-Wusta or Al-Buraimi. General surgery, orthopaedic surgery and neurosurgery services were available in 68.8%, 59.3% and 12.5% of the centres, respectively. Emergency services were available in 75.0% of the facilities. Intensive care units were available in 11 facilities, with four located in Muscat. Te mean distance between a RTI hotspot and the nearest trauma care facility was 34.7 km; however, the mean distance to the nearest class IV or V facility was 83.3 km. Conclusion: Te distribution and quality of trauma care facilities in Oman needs modifcation. It is recommended that certain centres upgrade their levels of trauma care in order to reduce RTI-associated morbidity and mortality in Oman.

Keywords: Trafc Accidents, Motor Vehicles, Trauma Centers, Public Health, Emergency Medical Services, Oman
valuation of Family Planning Counselling in North Jordan

valuation of Family Planning Counselling in North Jordan

Authors: Abdulhakeem M. Okour| Department of Public Health & Community Medicine, Jordan University of Science & Technology, Irbid, Jordan, Rami A. Saadeh| Depa...
( 18 downloads)
Abstract

Objectives: Counselling plays a key role in enhancing reproductive services, providing contraceptionrelated information and supporting long-term family planning for women of childbearing age. Tis study aimed to evaluate family planning counselling sessions in selected governmental and private clinics in northern Jordan. Methods: Tis cross-sectional study was conducted between January and June 2016 in Irbid, Jordan. A total of 200 women attending two private clinics afliated with the Jordanian Association for Family Planning and Protection (JAFPP) and six governmental clinics were invited to participate in the study. Counselling sessions were attended by an independent observer and evaluated with regards to their compliance with the standard Greet, Ask, Tell, Help, Explain, Return (GATHER) framework. Results: A total of 198 women participated in the study (response rate: 99.0%), including 80 women (40.4%) from JAFPP clinics and 118 (59.6%) from governmental clinics. In total, 42.9% of the counselling sessions were deemed adequate, with providers applying 80% or more of the GATHER framework, while 26.8% of the sessions were deemed semi-adequate and 30.3% were considered inadequate. Counselling services provided in the governmental clinics were signifcantly less adequate than those provided in JAFPP clinics (P <0.001). Conclusion: Te quality of counselling services in governmental family planning centres in Jordan needs to be improved to ensure that women receive the highest possible level of care. Healthcare policymakers should therefore focus on developing and supporting effective family planning counselling services in northern Jordan.

Keywords: Family Planning Services, Counseling, Health Services Evaluation, Community Health Services, Reproductive Health, Jordan
Diabetes-Related Knowledge and Preventative Practices Among Government Employees with Diabetes in Kuwait

Diabetes-Related Knowledge and Preventative Practices Among Government Employees with Diabetes in Kuwait

Authors: Ahmad J. Abdulsalam| Residency Programme, Kuwaiti Board of Physical Medicine & Rehabilitation, Andalous, Kuwait, Abdullah E. Al-Daihani| Department of...
( 15 downloads)
Abstract

Objectives: Diabetes mellitus (DM)-related knowledge and preventative practices are vital for the successful management of this condition. In Kuwait, few studies have been conducted to evaluate the knowledge and preventative practices of DM patients. Tis 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. Methods: Tis cross-sectional study was conducted in June 2015 and involved 345 employees with DM from 15 government ministries in Kuwait. A self-administered Arabic-language questionnaire was designed to assess DM-related knowledge and preventative practices based on the Diabetes Knowledge Test and the recommendations of the American Diabetes Association, respectively. Results: A total of 312 ministry employees agreed to participate in the study (response rate: 90.4%). Te mean age was 45.6 ± 10.6 years. A total of 63.4% were male and 64.1% were Kuwaiti. Te median DM knowledge score was 9 out of 14 and the median preventative practice score was 5 out of 14. High knowledge scores were signifcantly associated with education (β = 1.510; P ≤0.001) and income (β = 0.896; P ≤0.001). High preventative practice scores were signifcantly associated with income (β = 1.376; P = 0.002), DM duration (β = 0.919; P = 0.026) and knowledge scores (β = 1.783; P = 0.015). Conclusion: Government employees in Kuwait were found to have average DM knowledge and poor preventative practices. It is therefore imperative that policy-makers develop educational and health-promoting campaigns to target government employees with DM in Kuwait.

Keywords: Diabetes Mellitus, Knowledge, Primary Prevention, Lifestyle Risk Reduction, Health Education, Kuwait
Soft Tissue Rosai-Dorfman Disease Case report

Soft Tissue Rosai-Dorfman Disease Case report

Authors: Rubyath C. Rajib| Department of Pathology & Laboratory Medicine, Sultan Qaboos Hospital, Salalah, Oman, Rajasekharan Pillai| Department of Pathology &...
( 24 downloads)
Abstract

Rosai-Dorfman disease (RDD) is a rare benign proliferative histiocytic disorder characterised by massive lymphadenopathy. While extranodal involvement can occur in generalised RDD, isolated soft tissue RDD (STRDD) is extremely rare. We report a 17-year-old male patient who presented to the maxillofacial outpatient department of the Sultan Qaboos Hospital, Salalah, Oman, in 2015 with a painless cheek mass which had been slowly growing over the previous two months. Routine histopathological examinations and immunohistochemistry confrmed a diagnosis of STRDD. Currently, surgical excision is considered to be the most effective curative treatment for STRDD, as the outcomes of other treatment modalities are still unknown. Despite its rarity, STRDD should be considered in the differential diagnosis of histiocytic soft tissue lesions.

Keywords: Histiocytosis, Rosai-Dorfman Disease, Emperipolesis, S100 Proteins, Case Report, Oman
A Case of Persistent Urogenital Sinus Pitfalls and challenges in diagnosis

A Case of Persistent Urogenital Sinus Pitfalls and challenges in diagnosis

Authors: Hooi H. Tan| Department of Radiology, Hospital University Kebangsaan Malaysia, Kuala Lumpur, Malaysia, Shung K. Tan| Division of Paediatric Surgery, D...
( 16 downloads)
Abstract

Persistent urogenital sinus (PUGS) is a rare anomaly whereby the urinary and genital tracts fail to separate during embryonic development. We report a three-year-old female child who was referred to the Sabah Women & Children Hospital, Sabah, Malaysia, in 2016 with a pelvic mass. She had been born prematurely at 36 gestational weeks via spontaneous vaginal delivery in 2013 and initially misdiagnosed with neurogenic bladder dysfunction. Te external genitalia appeared normal and an initial sonogram and repeat micturating cystourethrograms did not indicate any urogenital anomalies. She therefore underwent clean intermittent catheterisation. Tree years later, the diagnosis was corrected following the investigation of a persistent cystic mass posterior to the bladder. At this time, a clinical examination of the perineum showed a single opening into the introitus. Magnetic resonance imaging of the pelvis revealed gross hydrocolpos and a genitogram confrmed a diagnosis of PUGS, for which the patient underwent surgical separation of the urinary and genital tracts.

Keywords: Urogenital Abnormalities, Congenital Defects, Clean Intermittent Catheterization, Hydrocolpos, Cystography, Case Report
Thyrotoxic Neuropathy A rare cause of acute flaccid paraplegia

Thyrotoxic Neuropathy A rare cause of acute flaccid paraplegia

Authors: Aiman K. Al-Wahaibi| Department of Internal Medicine, Sohar Hospital, Sohar, Oman, Santosh Kumar| Department of Internal Medicine, Sohar Hospital, Soh...
( 16 downloads)
Abstract

Acute polyneuropathy is a rare manifestation of severe hyperthyroidism. We report a 22-year-old Omani male who presented to the Sohar Hospital, Sohar, Oman, in 2016 with acute-onset rapidly progressive flaccid areflexic paraplegia as the presenting manifestation of thyrotoxicosis. Nerve conduction studies revealed mixed axonal and demyelinating polyneuropathy in both the motor and sensory nerves. Treatment of the hyperthyroidism with β-blockers and carbimazole along with physiotherapy resulted in the patient’s full recovery and the alleviation of his symptoms. Besides highlighting this rare association, this report underscores the importance of including thyroid function tests in the evaluation of patients with acute polyneuropathy.

Keywords: Tyrotoxicosis, Polyneuropathy, Hyperthyroidism, Flaccid Paraplegia, Case Report, Oman
Pitting Oedema in a Patient with Lumbar Disc Herniation Case report of an unusual association

Pitting Oedema in a Patient with Lumbar Disc Herniation Case report of an unusual association

Authors: Homa Sadeghian| Neurovascular Research Laboratory, Massachusetts General Hospital, Boston, Massachusetts, USA, Rouzbeh Motiei-Langroudi| Division of N...
( 15 downloads)
Abstract

Oedema refers to the excessive accumulation of fluid within intercellular tissues as a result of disequilibrium between the capillary hydrostatic and oncotic pressure gradients. Lumbar disc herniation (LDH) commonly causes lower back pain and radicular leg pain. We report a 57-year-old female who presented to the neurosurgery clinic of the Bam University of Medical Sciences, Bam, Iran, in 2015 with pain and pitting oedema in the bilateral lower extremities. Magnetic resonance imaging confrmed a diagnosis of LDH of the L3–L4 and L4–L5 vertebrae. Te patient subsequently underwent a bilateral laminotomy and foraminotomy of the involved vertebrae to relieve her pain. Following the surgery, there was a complete resolution of the LDH-related symptoms as well as the oedema. Although LDH has never before been associated with oedema, it may nevertheless cause lower limb oedema in exceptional and rare cases, as highlighted in this patient.

Keywords: Intervertebral Disc Disease, Lumbar Vertebrae, Lower Extremities, Edema, Diskectomy, Case Report
Intravenous Remifentanil Analgaesia for an Obstetric Patient with Type I Neurofbromatosis and a Factor V Leiden Mutation

Intravenous Remifentanil Analgaesia for an Obstetric Patient with Type I Neurofbromatosis and a Factor V Leiden Mutation

Authors: José L. Gálvez| Department of Anaesthesiology, Resuscitation & Pain Therapeutics, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain, C...
( 17 downloads)
Abstract

Type I neurofbromatosis is characterised by altered skin pigmentation and the growth of benign tumours, particularly along the peripheral nerves and central nervous system. We report a 36-year-old primigravida woman in labour who was admitted to the obstetric suite of the Hospital Sant Joan de Déu, Barcelona, Spain, in 2007 with hypothyroidism, type I neurofbromatosis and a factor V Leiden mutation. Due to a lack of cranial and spinal imaging data, an epidural was not indicated; instead, continuous intravenous remifentanil analgaesia was administered. Te remifentanil infusion was self-titrated by the patient using a visual analogue scale, with the dosage ranging from 0.01 to 0.25 μg/kg/minute. Due to rotational dystocia, Kjelland-type forceps were used during the delivery. After birth, the infant was found to have Apgar scores of 9 and 10, with no maternal or neonatal adverse effects observed. Although still controversial, remifentanil may be a successful alternative for analgaesia in similar cases; however, the specifc risks and benefts for each patient should be considered prior to administration.

Keywords: Obstetrical Analgesia, Drug Contraindications, Type 1 Neurofbromatosis, Factor V Defciency, Case Report, Spain
Gingival Leiomyosarcoma in a Young Woman Case report and literature review

Gingival Leiomyosarcoma in a Young Woman Case report and literature review

Authors: Massimo Viviano| Department of Dentistry & Ophthalmology, University of Siena, Siena, Italy, Clelia Miracco| Department of Pathological Anatomy, Unive...
( 14 downloads)
Abstract

Leiomyosarcoma (LMS) is a rare mesenchymal malignancy, of which 3–10% of cases occur in the head and neck region. We report a 22-year-old woman who was referred to the University Hospital of Siena, Italy, in 2016 with an ostensibly benign asymptomatic lump on the mandibular gingiva. Te lesion grew rapidly, causing otalgia in the right ear. An excisional biopsy was performed and primary LMS was diagnosed histologically. Subsequently, the patient underwent radical re-excision of the perilesional mucosa, a partial bone resection and the extraction of four teeth. No recurrences or metastases were detectable at a 20-month follow-up. Tis report discusses the differential diagnosis of LMS with regards to other benign and malignant lesions and reviews the recent literature on primary and secondary oral LMS. Due to its innocuous clinical features—including its asymptomatic nature and presentation at a young age—this aggressive malignancy can go undetected; therefore, an early histopathological diagnosis is crucial.

Keywords: Leiomyosarcoma, Soft Tissue Neoplasms, Gingival Neoplasms, Smooth Muscle Tumors, Otalgia, Immunohistochemistry
Broad Ligament Lipoleiomyoma Masses Two curious cases masquerading as ovarian carcinomas

Broad Ligament Lipoleiomyoma Masses Two curious cases masquerading as ovarian carcinomas

Authors: Surekha Yadav| Department of Pathology, Maulana Azad Medical College, New Delhi, India, Barkha Maheswari| Department of Pathology, Maulana Azad Medica...
( 15 downloads)
Abstract

Lipoleiomyomas are an extremely rare form of uterine leiomyoma; moreover, the occurrence of this type of tumour on the broad ligament is even rarer. We report two cases of broad ligament lipoleiomyomas in 15- and 38-year-old female patients who presented to the Lok Nayak Jai Prakash Hospital in New Delhi, India, between 2016 and 2017. In both cases, the preoperative diagnosis was of a solid ovarian malignancy. Most broad ligament tumours are mistaken for ovarian masses as they are difcult to diagnose radiologically.

Keywords: Ovarian Neoplasms, Leiomyoma, Broad Ligament, Tyroid Hormones, Hypothyroidism, Case Report
Cardiovocal Syndrome A rare cause of hoarseness in a patient with a history of pulmonary tuberculosis

Cardiovocal Syndrome A rare cause of hoarseness in a patient with a history of pulmonary tuberculosis

Authors: Rakul Nambiar| Department of Medical Oncology, Regional Cancer Centre, Tiruvananthapuram, Kerala, India, Dae Dalus| Department of Internal Medicine, G...
( 17 downloads)
Abstract

Hoarseness is a common clinical condition with underlying causes which can vary from reversible and benign to life-threatening and malignant. Cardiovocal syndrome may cause hoarseness secondary to left recurrent laryngeal nerve palsy when the recurrent laryngeal nerve is mechanically affected due to enlarged cardiovascular structures. We report a 28-year-old male who presented to the Government Medical College, Tiruvananthapuram, India, in 2013 with hoarseness. He had undergone irregular treatment for pulmonary tuberculosis (TB) two years previously. Fiber-optic laryngoscopy indicated left vocal cord palsy and a computed tomography scan of the chest revealed features of pulmonary hypertension with extensive enlargement of the pulmonary arteries. An echocardiogram confrmed severe pulmonary arterial hypertension with severe tricuspid regurgitation. He was diagnosed with left recurrent laryngeal palsy secondary to cardiovocal syndrome. Although reports exist of recurrent laryngeal palsy in TB, this case appears to be the frst to report cardiovocal syndrome in a patient treated for pulmonary TB.

Keywords: Hoarseness, Pulmonary Tuberculosis, Vocal Cord Paralysis, Cor Pulmonale, Pulmonary Hypertension, Case Report
Calvarial Tuberculosis in a Preschool-Aged Child An uncommon entity

Calvarial Tuberculosis in a Preschool-Aged Child An uncommon entity

Authors: Avradip Santra| Department of Pulmonary Medicine, Kolkata Medical College & Hospital, Kolkata, West Bengal, India, Arya Sen| Department of Pathology,...
( 15 downloads)
Abstract

Calvarial tuberculosis is a rare manifestation of tuberculosis, especially in children under fve years of age. We report a two-and-a-half-year-old male child who presented to the Nilratan Sircar Medical College, Kolkata, India, in 2015 with frontoparietal fluctuant swelling of three months’ duration. He had also had chronic sinus discharge from the left lower eyelid over the previous six months. Computed tomography of the head revealed a frontal swelling along with erosion of both the outer and inner plates of the left frontal bone. Fine needle aspiration of the pus indicated the presence of acid-fast bacilli. Unfortunately, no primary focus of tuberculosis could be established. Te patient improved after one year of antitubercular therapy without requiring any surgical intervention and with no sign of subsequent disease recurrence.

Keywords: Tuberculosis, Skull, Preschool Child, Antitubercular Agents, Case Report, India

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