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

Evaluation of a Clinical Pharmacist Intervention on Clinical and Drug-Related Problems Among Coronary Heart Disease Inpatients A pre-experimental prospective study at a general hospital in Indonesia

Evaluation of a Clinical Pharmacist Intervention on Clinical and Drug-Related Problems Among Coronary Heart Disease Inpatients A pre-experimental prospective study at a general hospital in Indonesia

Authors: Vina A. Sagita, Anton Bahtiar, Retnosari Andrajati
( 17 downloads)
Abstract

Objectives: This study aimed to evaluate the role of a clinical pharmacist intervention in decreasing subsequent clinical and drug-related problems (DRPs) among coronary heart disease (CHD) inpatients with at least one previous DRP. Methods: This pre-experimental study with a pre-post design was carried out from January to April 2017 among inpatients with at least one previous DRP at a general hospital in Tangerang District, Banten, Indonesia. Clinical and DRPs were documented prospectively by a clinical pharmacist, with DRPs classified using Version 6.2 of the DRP classification scheme of the Pharmaceutical Care Network Europe Foundation. The intervention consisted of a discussion of identified DRPs with physicians, patients, pharmaceutical logistics clerks, nurses and nutritionists. Following this, any subsequent clinical and DRPs were re-identified and further interventions were conducted as necessary. Results: A total of 75 inpatients were included in the study. Pre-intervention, there were 443 DRPs and 202 clinical problems. The most frequent DRPs were adverse drug reactions (52.6%), followed by drug effects (41.8%). Most DRPs were of moderate severity and would have resulted in moderate consequences had the pharmacist not intervened. The interventions resulted in a significant reduction in the number of DRPs, type of DRPs and number of clinical problems (P <0.05 each). Patients with complications were 26.047 times more likely to have no reduction or an increased number of clinical problems compared to patients without complications (P <0.05). Conclusion: Clinical pharmacist interventions were found to reduce subsequent DRPs and clinical problems among CHD patients with at least one previous DRP.

Keywords: Coronary Heart Disease; Drug Interactions; Adverse Drug Reactions; Pharmacists; Indonesia
Efficacy of OK-432 Therapy for the Incisionless Treatment of Head and Neck Cystic Masses Case series

Efficacy of OK-432 Therapy for the Incisionless Treatment of Head and Neck Cystic Masses Case series

Authors: Hesham Y. A. Hasan, Muhammad A. Rizwan
( 19 downloads)
Abstract

Head and neck masses can present in different pathologies that usually vary according to the age of the patient. We report five cases of benign head or neck masses occurring among patients of different ages who were managed at the Bahrain Defence Force Royal Medical Services Hospital, Ar-Rifaa, Bahrain, between 2005–2014. All of the patients were treated using the sclerotherapeutic agent OK-432. Although surgical removal is usually considered optimal treatment in the management of such cases, OK-432 appears to be a promising alternative.

Keywords: Sclerotherapy; OK-432; Lymphatic Abnormalities; Branchial Cyst; Thyroglossal Cyst; Cystic Hygroma; Case Series; Bahrain
Synovial Haemangioma of the Elbow A rare paediatric case and imaging dilemma

Synovial Haemangioma of the Elbow A rare paediatric case and imaging dilemma

Authors: Han G. Hoe, Faizah M. Zaki, Abdul H. A. Rashid
( 18 downloads)
Abstract

Synovial haemangiomas are rare benign vascular proliferations arising in synovium-lined surfaces. While the knee is by far the joint most commonly involved, this condition can also occur in the elbow. We report an eight-year-old boy who presented to the National University of Malaysia Medical Centre, Kuala Lumpur, Malaysia, in 2016 with a left elbow swelling of one year’s duration. Magnetic resonance imaging showed a lobulated intraarticular mass with intermediate signal intensity on T1-weighted imaging and low signal punctate and linear structures within the hyperintense mass on T2-weighted imaging. In addition, there was heterogeneous yet avid contrast enhancement on post-gadolinium contrast images. The mass had juxta-articular extension and bony erosion to the coronoid process and the head of the radius. Synovial haemangiomas present a diagnostic dilemma. This report highlights certain imaging characteristics to distinguish this entity from other differential diagnoses.

Keywords: Synovial Membrane; Hemangioma; Sarcoma; Magnetic Resonance Imaging; Diagnostic Imaging; Case Report; Malaysia
Painful Pes Anserine Bursitis Following Total Knee Replacement Surgery Two cases

Painful Pes Anserine Bursitis Following Total Knee Replacement Surgery Two cases

Authors: Mohamed A. M. Ariff, Mohd I. A. C. Ros, Nor H. M. Yahaya
( 18 downloads)
Abstract

Pes anserine bursitis (PAB) is an inflammation of the bursa located between the medial aspect of the tibia and the hamstring muscles. It is common in patients with degenerative or inflammatory knee arthritis, usually has a self-limiting course and tends to respond well to conservative treatment. However, painful PAB directly following total knee replacement surgery is rare. We report two such cases who were diagnosed via ultrasonography at the Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia, in 2015. Both patients were treated locally with triamcinolone acetonide under ultrasound guidance and responded well to treatment.

Keywords: Total Knee Replacement; Bursitis; Pain; Case Report; Malaysia
Small-Cell Neuroendocrine Carcinoma of the Cervix Masquerading as a Cervical Fibroid Report of a rare entity

Small-Cell Neuroendocrine Carcinoma of the Cervix Masquerading as a Cervical Fibroid Report of a rare entity

Authors: Mukta Pujani, Kanika Singh, Varsha Chauhan, Raina Chawla, Rashmi Ahuja
( 19 downloads)
Abstract

Primary neuroendocrine tumours of the cervix are extremely rare, with an incidence of only 0.5–1%; as such, these entities can present a clinical and diagnostic challenge. Small-cell neuroendocrine carcinomas of the cervix are highly aggressive tumours that have a tendency to metastasise. We report a 44-year-old woman who presented to the Gynaecology Clinic of the Employees State Insurance Corporation Medical College & Hospital, Faridabad, India, in 2016 with menorrhagia. Based on a clinical examination, she was provisionally diagnosed with a cervical fibroid. However, a biopsy revealed features of a small-cell neuroendocrine carcinoma of the cervix which was subsequently confirmed via immunohistochemistry. An accurate diagnosis of a neuroendocrine carcinoma is vital as it forms the basis for treatment decisions as well as informing predictions for long-term survival.

Keywords: Neuroendocrine Tumors; Small Cell Carcinoma; Cervix; Menorrhagia; Fibroid Tumor; Case Report; India
Internal Laryngocele Unusual onset in a 91-year-old female patient

Internal Laryngocele Unusual onset in a 91-year-old female patient

Authors: Maria. C Spinosi, Chiara Mezzedimi, Giovanni Monciatti, Desiderio Passali
( 17 downloads)
Abstract

While internal laryngoceles rarely cause major clinical complaints, they may lead to airway obstruction and require emergency intervention on rare occasions. We report a 91-year-old patient who was referred to the Ear, Nose & Throat Clinic of the Policlinico Santa Maria alle Scotte, Siena, Italy, in 2017 due to recurrent episodes of severe dyspnoea. A flexible nasopharyngolaryngoscopic examination revealed an internal laryngocele of approximately 1.5 cm in diameter that moved up and down the glottic plane, occasionally invading the subglottic space during inspiration and impeding airflow. This caused cyanosis and dyspnoea so severe that an emergency tracheotomy was considered. Luckily, after considerable effort, the patient was able to cough, causing the mass to move above the vocal plane and allowing normal breathing. The laryngocele was subsequently removed via laryngomicrosurgery. Although the incidence of internal laryngoceles is quite rare, physicians should consider this potentially life-threatening condition among patients with dyspnoea.

Keywords: Laryngocele; Dyspnea; Laryngoscopy; Otolaryngology; Case Report; Italy
A Rare Case of Rectovaginal Fistula Due to Consensual Sexual Intercourse

A Rare Case of Rectovaginal Fistula Due to Consensual Sexual Intercourse

Authors: Fida Al-Asali, Rami Kilani, Firas Rshoud, Ismaiel A. Mahfouz
( 19 downloads)
Abstract

Rectovaginal fistulae after sexual intercourse are rare. We report a healthy recently married 21-year-old woman who presented to the Jordan Healthcare Centre, Amman, Jordan in 2014 with a five-week history of passing flatus and stool from the vagina. Six weeks prior, she had sustained a rectovaginal injury during initial consensual sexual intercourse, leading to the development of a distal rectovaginal fistula. A successful transvaginal repair was performed nine weeks after presentation which resulted in the complete resolution of her symptoms.

Keywords: Rectovaginal Fistula; Sexual Intercourse; Dyspareunia; Case Report; Jordan
Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer

Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer

Authors: Ayman Z. Azzam, Kareem A. Azzam, Tarek Amin
( 16 downloads)
Abstract

Nasogastric tubes (NGTs) are important for feeding, stenting and decompression after gastrointestinal surgeries, particularly in the upper gastrointestinal tract. Resistance in the removal of a NGT is a rare surgical complication and may be due to a knot in the tube or a stitch anchoring the tube to an anastomosis. We report a 41-year-old male patient who was admitted to the King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia, in 2015 with stomach cancer. He underwent a radical total gastrectomy with a Roux-en-Y oesophagojejunostomy. One week after the surgery, removal of the NGT was attempted; however, this was very difficult and the proximal end of the tube was cut off as a temporary measure. Six weeks later, an upper gastrointestinal tract endoscopy revealed that the distal end of the NGT had been accidentally stitched to the Roux-en-Y oesophagojejunostomy. The stitch was removed and the rest of the NGT was successfully extracted using a snare.

Keywords: Enteral Nutrition; Gastrointestinal Intubation; Roux-en-Y Anastomosis; Gastrectomy; Case Report; Saudi Arabia
Darwin’s Tubercle

Darwin’s Tubercle

Authors: Philip R. Cohen
( 18 downloads)
Abstract

Photographs of the left ear of a 47-year-old man showing (A) a Darwin’s tubercle presenting as (B) a prominence of the posterior-superior helix (arrows). In addition, (C) a preauricular pit (asterisk) was observed.

Keywords: Darwin’s Tubercle
Hepatocellular Carcinoma Migrating to the Right Atrium through the Inferior Vena Cava

Hepatocellular Carcinoma Migrating to the Right Atrium through the Inferior Vena Cava

Authors: Ayman Z. Azzam, Kareem A. Azzam
( 16 downloads)
Abstract

A: Computed tomography (CT) scan of the abdomen and chest of an 82-year-old man in the coronal view showing a hepatocellular carcinoma migrating through the inferior vena cava to the right atrium (arrows). B: Chest CT scan showing a tumour thrombus in the right atrium (arrowhead). A: Computed tomography scan of the abdomen and chest of an 82-year-old man in the sagittal view showing a hepatocellular carcinoma (HCC) migrating through the hepatic veins and inferior vena cava to the right atrium (arrow), with a tumour thrombus located in the right atrium (arrowhead). B: Magnetic resonance imaging of the chest and abdomen in the coronal view showing the HCC migrating to the right atrium (arrow) and the tumour thrombus in the right atrium (arrowhead).

Keywords: Hepatocellular Carcinoma Migrating, the Right Atrium through
Re: Calvarial Tuberculosis in a Preschool-Aged Child An uncommon entity

Re: Calvarial Tuberculosis in a Preschool-Aged Child An uncommon entity

Authors: Mahmood D. Al-Mendalawi
( 18 downloads)
Abstract

I read with interest the case report by Santra et al. published in the November 2017 issue of SQUMJ in which the clinical presentation and management plan of a two-and-a-half-year-old Indian child with calvarial tuberculosis (TB) was described.1 It is possible that an HIV infection could have contributed to such a rare case of paediatric calvarial TB. 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 It has been recommended that all TB patients in India should be evaluated for HIV risk factors and counselled to undergo HIV testing, while all HIV-positive cases should be screened for TB.3

Keywords: Calvarial Tuberculosis, Preschool-Aged Child
Peer-Facilitated Patient Education An underutilised resource

Peer-Facilitated Patient Education An underutilised resource

Authors: Mohammed M. Shaikh, Sunil K. Nadar
( 18 downloads)
Abstract

Peer learning is a type of learning process whereby non-professional teachers of similar backgrounds and education levels learn from each other.1 Peer-assisted learning has been demonstrated to be effective in many disciplines, including among university and elementary school students.2,3 In terms of patient care, peer-led support groups allow patients or their caregivers to meet and discuss various problems and issues. Such support groups are often very popular, with participants reporting them to be extremely useful as they provide the opportunity to meet people with similar conditions and learn from each other’s experiences.

Keywords: Peer-Facilitated, Patient, Education

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