Case Report and Literature Review of Very Echogenic Amniotic Fluid at Term and Its Clinical Significance.
Authors: Tam G, Al-Dughaishi T Abstract The presence of echogenic amniotic fluid on sonography is uncommon and its clinical significance is not well appreciated. Very echogenic amniotic fluid has been attributed to meconium, blood, or vernix caseosa. Two cases of patients with echogenic amniotic fluid at term are presented here. In the first case, the patient's management was altered as the finding of echogenic amniotic fluid was interpreted to be thick meconium. The second case was induced for post-datism and the amniotic fluid was found clear during labour. Since the first reported cases of meconium with echogeni...
Source: Oman Medical Journal - April 25, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Low Voltage Electric Injury induced Atrial Fibrillation as a Presenting Feature of Wolff-Parkinson-White Syndrome: A Case Report.
We present a case of a young asymptomatic patient who developed acute atrial fibrillation with antegrade conduction over the atrioventricular bypass tract and very high ventricular rate after accidental low voltage electric injury, which was reverted successfully by DC shock. PMID: 31011403 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - April 25, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Successful Closed Manipulation of Simple Lateral Dislocation of the Elbow Joint: A Case Report.
Authors: Gokcen B, Ozyurek S, Atik A, Sivrioglu AK, Kaya E, Keklikci K Abstract The elbow is the second most commonly dislocated joint in adults. Simple lateral dislocation of the elbow joint is a rare traumatic injury, and successful closed reduction is difficult and even rarer. Our proposition is to report this rare case of traumatic simple lateral dislocation treated with closed reduction under sedation emphasizing the use of this simple technique initially in order to avoid possible complications with general anesthesia and surgery. PMID: 31011404 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - April 25, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Spontaneous Tumor Lysis Syndrome in Childhood T cell Acute Lymphoblastic Leukemia.
We report two cases that presented with unexplained acute renal failure and hyperuricemia and were subsequently diagnosed with T-cell acute lymphoblastic leukemia. The patients improved with conservative therapy without the need for dialysis. Case 1 is the youngest case of acute lymphoblastic leukemia with spontaneous tumor lysis syndrome reported to date, and Case 2 presented with spontaneous tumor lysis syndrome without hyperleukocytosis. PMID: 31011405 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - April 25, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

An Unusual Diagnosis of Chest Pain.
Authors: Khan A, Waqas S PMID: 31011406 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - April 25, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Catastrophic Cerebellitis in an adolescent: A Case Report.
Authors: Kashikar SV, Lakhkar B, Pandey A, Gupta A Abstract An adolescent presented with headache and projectile vomiting and showed ataxia, dysarthia and nystagmus with normal cognition. A diagnosis of acute cerebellitis was made on the basis of computed tomography and magnetic resonance imaging findings. He developed seizures and had a rapid downhill course with death at 48 hours after admission. Clinically, patients of acute cerebellitis present with fever, nausea, headache and altered sensorium with cerebellar symptoms. Inflammation of the cerebellum compresses the brain stem and induces mental alterations. It ...
Source: Oman Medical Journal - April 21, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Successful Outcome of a Pregnancy Complicated by a Voluminous Placental Chorangioma: Case report with Review of the Literature.
Authors: Lokuhetty D, Al Bahari M Abstract Placental chorangioma is a rare, benign, placental neoplasm associated with a myriad foetomaternal and neonatal complications. Voluminous chorangiomas have frequent complications and adverse outcomes. The successful outcome of a pregnancy complicated by a voluminous chorangioma is reported herein, with the literature review. Chorangiomas mostly occur in primiparous women over 30years of age, complicated by polyhydramnios, placenta praevia, ante-partum haemorrahage, premature separation of membranes, premature labour, toxaemia of pregnancy, hydrops foetalis and midterm intr...
Source: Oman Medical Journal - April 21, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

A Case of Giant Left Atrium Mimicking Pleural Effusion.
Authors: Santra G, Paul R, Pradhan S, Choudhury PS, Das S Abstract Giant left atrium has become rare in present day owing to decreased incidence, earlier diagnosis and treatment of rheumatic mitral valve disease. Transthoracic ultrasonography (USG) is remarkable for clear visualization of giant left atrium with clots. Had there been no clot, USG picture could be mistaken for aortic aneurysm. In severe left atrial enlargement, chest x-ray may be mistaken for pleural/pulmonary mass or rarely pleural effusion. USG and echocardiography may help in diagnosis in such case. A 52 year old female presented with progressive ...
Source: Oman Medical Journal - April 21, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Multiple Right and Left Pulmonary Arteries and Subdivisions of Inferior Mesenteric Artery Aneurysms in Behcet's Disease Case: A Rare Clinical Presentation.
We report a 36-year-old man with chronic cough, hemoptysis, significant weight loss, and orogenital ulcers from one year before referral. Initial assessments revealed multiple parahillar nodules in chest X-ray, chronic inflammatory anemia, erythrocyte sedimentation rate more than 100, and positive Human Leukocyte Antigen B5 and B51. Evaluation for infection and malignancies was unremarkable. Open exploratory lung study showed multiple pulsatile nodules in both lungs. AMIGO computed tomogram confirmed multiple right and left pulmonary artery aneurysms and impending to rupture aneurysm at subdivision of inferior mesenteric a...
Source: Oman Medical Journal - April 20, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Xeroderma Pigmentosum - a disfiguring disease: Single patient with 5 simultaneous tumors on face.
We present a case of diagnosed xeroderma pigmentosum in a 25 year old male who presented with multiple lesions and non-healing ulcers on face. Four surgical specimens from left lower eyelid, chin, right cheek and upper lip were taken for histopathological diagnosis. Microscopic examination revealed five different tumors from biopsies of these sites - specimen from right cheek revealed two morphologically distinct tumors. The tumors include basosquamous carcinoma, nodular basal cell carcinoma, adenoid basal cell carcinoma, malignant melanoma and cavernous hemangioma. PMID: 30992739 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - April 20, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Severe Pertussis Pneumonia managed with Exchange Transfusion.
We describe in this case report one month old baby admitted to our Pediatric Intensive Care Unit (PICU) with severe pertussis pneumonia. The baby was deteriorating despite being on supportive management including High Frequency Oscillator ventilation (HFOV). However, she showed dramatic improvement after exchange blood transfusion (ET) and was discharged home. We hope that this report will add to the previously published experiences in management of severe pertussis. It will also alert general physicians about pertussis pneumonia and the importance of early referral and abrupt management for a better prognosis. PMID: 3...
Source: Oman Medical Journal - April 20, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

M üllerian Agenesis: Presenting as an Isolated Rudimentary Uterus.
Müllerian Agenesis: Presenting as an Isolated Rudimentary Uterus. Oman Med J. 2014 Sep;29(5):e078 Authors: Al Dhaheri S, Al Kaabi J, Aswad S, Souid AK, Langer RD PMID: 30992741 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - April 20, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Acute Allograft Renal Vein Thrombosis: A Case Report.
We report a case of a young male who underwent live related kidney transplant but lost the graft on the operating table due to renal vein thrombosis (RVT). PMID: 30992742 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - April 20, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Pfeiffer Syndrome with Extreme Proptosis, Hypothyroidism and Tail like Appendage.
Authors: Soundaram V, Ramesh Bhat Y,2*, Lewis LE, Girisha KM, Jayashree P, Balasubramanian S, Pratyusha R Abstract Pfeiffer syndrome is a rare genetic disorder with combination of bicoronal craniosynostosis, broad thumbs, broad great toes, ankylosis of elbow and partial variable syndactyly of the hands and feet. Since the disorder was reported by Pfeiffer in 1964, new associations have been added on. Authors report a newborn with features of Pfeiffer syndrome type 3 with hypothyroidism, tail like appendage and extremely anteriorly placed anus as new associations. PMID: 30992743 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - April 20, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Dengue Fever: An Emerging Disease in Oman Requiring Urgent Public 
Health Interventions.
Authors: Al Awaidy ST, Khamis F PMID: 30918600 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Hemolyzed Specimens: Major Challenge for Identifying and Rejecting Specimens in Clinical Laboratories.
Authors: Wan Azman WN, Omar J, Koon TS, Tuan Ismail TS Abstract Pre-analytical quality in clinical chemistry testing is as important as analytical and post-analytical quality. The most prevalent pre-analytical interference and a major source of error producing unreliable laboratory test results is hemolysis of blood samples. In vitro hemolysis may be due to the blood withdrawal technique or sample handling whereas in vivo hemolysis can originate from acquired, hereditary, or iatrogenic conditions and is not technique dependent. Interpreting in vivo or in vitro hemolysis requires clinicians to supply reliable clinic...
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Comparing the Efficacy of Nasal Continuous Positive Airway Pressure and Nasal Intermittent Positive Pressure Ventilation in Early Management of Respiratory Distress Syndrome in Preterm Infants.
Authors: Gharehbaghi MM, Hosseini MB, Eivazi G, Yasrebinia S Abstract Objectives: There is a tendency to use noninvasive ventilation (NIV) as a substitute for mechanical ventilation in preterm infants who need respiratory support. Two important modes of NIV include nasal continuous positive airway pressure (NCPAP) and nasal intermittent positive pressure ventilation (NIPPV). We sought to compare the efficacy of NCPAP and NIPPV as early respiratory support in preterm infants with respiratory distress syndrome in reducing the need for intubation, surfactant administration, and mechanical ventilation. Methods: We ...
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Wet Cupping Reduces Pain and Improves Health-related Quality of Life Among Patients with Migraine: A Prospective Observational Study.
Authors: Kaki A, Sawsan R, Samiha M, Al Jaouni S, Elalah MA, Ibrahim N Abstract Objectives: To determine the benefits of wet cupping on pain and health-related quality of life (HRQOL) in adult patients with migraine headaches. Methods: We conducted a prospective observational study of wet cupping in 128 patients referred to the cupping clinic at King Abdulaziz University Hospital, Jeddah, Saudi Arabia between January 2013 and December 2015. Bloodletting was performed at the base of the head and between the shoulders monthly four times. We assessed migraine headache pain using the visual analog scale (VAS) and t...
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Pediatric Tuberculosis in a Northeast State of Peninsular Malaysia: Diagnostic Classifications and Determinants.
Authors: Awang H, Nik Husain NR, Abdullah H Abstract Objectives: We sought to determine the total proportion of pediatric tuberculosis cases, characterize tuberculosis by its anatomical location and pretreatment sputum smear status, and to determine the association of the sociodemographic and clinical factors with tuberculosis disease among pediatric patients in Kelantan from 2012 until 2015. Methods: We conducted a comparative cross-sectional study between tuberculosis cases and tuberculosis contacts among pediatric patients using the Tuberculosis Information System as a source population. All notified cases t...
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Genetic Diversity Analysis of Methicillin-resistant Staphylococcus aureus Strains Isolated from Intensive Care Unit in Iran.
Conclusions: The data revealed a high resistance rate to antibiotics, which could be a threat to ICU patients. It is necessary to detect antimicrobial resistance and resistance and toxin-encoding of gene profiles in different molecular types. PMID: 30918605 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Cancer Incidence Rates by Age and Gender in Sivas Province of Turkey, 
2004-2014.
Conclusions: The cancer incidence rate in males has remained higher than in females from 2004 to 2014, and an increased incidence of various cancers was observed in both genders. Raising public awareness about the risk factors for cancer and the development of appropriate and effective screening programs to provide more reliable data for cancer prevention and control programs in Sivas province is necessary. PMID: 30918606 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Gestation-wise Reference Ranges of Neutrophil Counts in Indian Newborns.
Conclusions: The absolute neutrophil counts of term and preterm Indian newborns are higher than the values depicted in the standard reference chart used currently. This indicates that a different standard chart as per gestation should be used in Indo-Asian countries to differentiate 'normal' from 'abnormal'. PMID: 30918607 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Effect of Consultation and Follow-up Phone Calls on Biochemical Indicators and Intradialytic Weight Gain in Patients Undergoing Hemodialysis.
Authors: Hanifi N, Ezzat LS, Dinmohammadi M Abstract Objectives: We sought to determine the effect of consultation and follow-up phone calls on biochemical indicators and intradialytic weight gain (IWG) in patients undergoing hemodialysis. Methods: We conducted a double-blind, randomized clinical trial of 86 patients undergoing hemodialysis in Iran. Patients were grouped through convenience sampling and randomly allocated into two groups. The experimental group had face-to-face consultations, and each patient was given a monthly diet. Next, over 12 weeks, we conducted 28 follow-up phone calls. In both groups, b...
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Gdn 3+@CNTs-PEG versus Gadovist ®: In Vitro Assay.
Conclusions: Our findings indicate that synthesized Gdn 3+@CNTs-PEG has the potential to be used as an MRI contrast agent in vitro, but in vivo assessment is necessary to determine the bio-distribution, kinetic, and signal enhancement characteristics. PMID: 30918609 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Endonasal Endoscopic Complete Excision of Unilateral Nasal Hemangioma in a Child: Case Report and Technical Note.
Authors: Al Washahi MK, Al Killidar A, Razek YA, Khamis T Abstract Intranasal lobular hemangioma of the inferior turbinate is a rare occurrence in children. A 12-year-old girl presented with a two-month history of multiple epistaxis episodes. Contrast-enhanced computed tomography showed a large nasal mass in the right nasal cavity. Endonasal endoscopic excision of the hemangioma with cauterization of the feeding vessel was performed to remove the lesion completely. There was no recurrence at 11 months follow-up. PMID: 30918610 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Preauricular Pilomatricoma Manifesting as an Aggressive Mass.
In conclusion, preauricular pilomatricoma may pose a diagnostic dilemma. A heightened knowledge of the disease is needed for early recognition of its clinical and imaging features to prevent aggressive therapy than is required. PMID: 30918611 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

High-grade Features of Papillary Cystadenocarcinoma of the Parotid Gland.
We present a case of a 51-year-old male with slow-onset, progressive right facial fullness over four years. Contrast-enhanced computed tomography of the neck demonstrated a 3.3 cm peripherally enhancing cystic and solid mass in the right superficial lobe of the parotid gland. Following a superficial parotidectomy and a selective right neck dissection, histopathology demonstrated a large cyst with papillary projections lined with cuboidal cells of mild to moderate atypia and surrounding solid tumor nests. The tumor displayed stromal, lymphovascular, and subcutaneous fibroadipose tissue invasion. One of 12 lymph nodes was po...
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Endovascular Repair of Renal Artery Aneurysm in a Transplanted Kidney.
We present a case of a 35-year-old male patient who underwent live donor kidney transplantation at our unit in 2003. While working overseas, he had deterioration in his kidney function and was treated conservatively over three years duration including acquirement of a renal biopsy. Upon presentation to our unit in June 2015, an ultrasound and computed tomography angiogram demonstrated a huge aneurysm arising from his upper renal artery. His lower renal artery was patent and normal. The aneurysm was treated by endovascular means with preservation of the kidney and improvement in his kidney function over the following 12 mon...
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Abdominal Cyst in a 39-year-old Woman.
Authors: Goel A, Garg PK PMID: 30918614 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Vitamin D Usage Among Iranian Population: A Toxicity Crisis is on the Way.
Authors: Esmaily H, Saffaei A PMID: 30918615 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Vitamin D Usage Among Iranian Population: A Toxicity Crisis is on the Way.
Authors: Esmaily H, Saffaei A PMID: 30918616 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Appendiceal Inflammatory Myofibroblastic Tumor and HIV Infection, An Association Not To Be Missed.
Authors: Al-Mendalawi MD PMID: 30918617 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Letter in Reply: Appendiceal Inflammatory Myofibroblastic Tumor and HIV Infection, An Association Not To Be Missed.
Authors: Al-Rikabi AC PMID: 30918618 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 29, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Stewart Treves Syndrome: A Case Report.
We present the case of a 52-year-old female who had undergone mastectomy due to breast cancer and 13 years later required shoulder disarticulation due to Stewart-Treves syndrome. PMID: 30838096 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 9, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Spontaneous Fracture of the Humerus 18 Months after a High Voltage Electrical Injury: A Case Report.
Authors: Imani MT, Mohammadi AA, Seyed Jafari SM Abstract Electrical burn occurs when a current passes through the body, interfering with the function of internal organs or sometimes burning tissue. Four major mechanisms of electricity-induced injuries are presently known. In this case report, a 29-year-old farmer sustained electrical trauma to extremities from a high voltage transformer, followed by a major, deep burn wound on upper lateral aspect of his left arm, and a deep burn wound over the left medial ankle. After a few months, the patient developed left arm fracture with complete separation of two segments, ...
Source: Oman Medical Journal - March 9, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Spinal Tuberculosis Presenting as Abdominal Pain: Rare Presentation of a Common Disease.
Authors: Meena S, Barwar N, Gupta T, Chowdhury B Abstract A 25-year-old male presented with complaints of abdominal pain for the past two months. He was prescribed Buscopan and omeprazole by a general surgeon. It was only when patient started complaining of backache that he was referred to an orthopedic surgeon. On examination of spine, there was tenderness at the upper dorsal spine. A diagnosis of Pott's disease affecting the upper dorsal spine was made. Magnetic resonance imaging (MRI) confirmed the vertebral changes and showed subligamentous spread of paravertebral masses from D2 to D7. This case illustrates the...
Source: Oman Medical Journal - March 9, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Sublingual Gland Schwannoma: A Rare Case at an Unusual Site.
Authors: Al-Alawi YSM, Kolethekkat AA, Saparamadu P, Al Badaai Y Abstract Intraoral schwannoma is a rare entity. Tongue has been reported as the most common oral site. Those involving salivary glands are unusual and parotid gland is the usual site. Literature search revealed only one case of schwannoma involving the sublingual gland. Hence, this is a presentation of another case of sublingual gland schwannoma with a review of literature, in a young female of 21 years old. PMID: 30838099 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 9, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

What could be the Diagnosis in this Patient?
Authors: Elmakki EE PMID: 30838100 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 9, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Congenital Symmetrical Lower Lip Pits: Van der Woude Syndrome.
Authors: Ibrahim A, Ajike S PMID: 30838101 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - March 9, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

A Rare Presentation of Hepatocellular Carcinoma in a Young Adult: A Case Report.
Authors: Elmakki EE Abstract Hepatocellular carcinoma is the most frequent type of liver malignancy. Most cases of hepatocellular carcinoma are secondary to either viral hepatitis (hepatitis B, C) or alcoholic cirrhosis. Liver cirrhosis due to any other causes is considered as a risk factor for development of hepatocellular carcinoma; however, hepatocellular carcinoma in a young patient with no cirrhosis or fibrosis is a relatively rare condition. The present case report describes a young 24-years-old male patient who presented with a two-month history of fever, right upper quadrant abdominal pain, and weight loss ...
Source: Oman Medical Journal - March 8, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Cavernous Sinus Thrombosis Secondary to Retropharyngeal Abscess.
Authors: Ghoshal B, Lahiri S, Chakroborty C, Chakraborty D Abstract This is a case of bilateral cavernous sinus thrombosis in a five-and-a-half-year-old boy who presented with bilateral proptosis with difficulty in swallowing and excessive salivation. Clinical features along with contrast-enhanced computed tomography and hemogram diagnosed the case as bilateral cavernous sinus thrombosis and retropharyngeal abscess with third cranial nerve palsy. The patient was treated with standard regimen successfully. Cavernous sinus thrombosis is a very rare complication of retropharyngeal abscess. PMID: 30834066 [PubMed] ...
Source: Oman Medical Journal - March 8, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Compartment Syndrome Following Snake Bite.
Authors: Dhar D Abstract Snake bites are an important public health problem worldwide. Snake venom causes both systemic and local complications, which can prove fatal if not treated on time. The local effects of snake bite include tissue necrosis, edema, and compartment syndrome. Patients may also be left with permanent physical deformities due to residual sequelae of the snake bite. Compartment syndrome after a snake bite is an uncommon occurrence. The effects are more pronounced in children possibly due to the the reduced total dilution volume in children. The administration of anti-snake venom is the only specif...
Source: Oman Medical Journal - March 8, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Successes and Challenges of HIV/AIDS Program in Oman: 1984-2015.
Authors: Al Awaidy ST, Sharanya A Abstract We sought to provide an epidemiological situation of HIV in Oman and assess the ongoing impact of the program established in 1987 using data collected from national health reports between 1984 and 2015. Since the report of the first AIDS case in Oman in 1984, the numbers have steadily increased. Eighty percent of the cases were reported between 1996 and 2015. By the end of 2015, there were 2879 people known to be living with HIV (PLHIV) giving a prevalence of
Source: Oman Medical Journal - January 24, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Scorpion Sting Management at Tertiary and Secondary Care Emergency Departments.
Conclusions: Most scorpion sting cases managed in SQUH had local symptoms. Tachycardia was the most common systemic manifestation. Bedside clotting test was not commonly ordered and mainly requested by junior doctors. Local anesthesia infiltration is the recommended management for scorpion sting. Analgesia was the main management followed by local anesthesia. PMID: 30671178 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - January 24, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Impact of Blood Transfusion on Troponin I Levels and Outcomes after Cardiac Surgery: A Cohort Study.
Conclusions: RBC transfusion is associated with increased TI24 post-cardiac surgery and worse outcomes, albeit a confounding effect cannot be excluded. Larger studies are required to confirm these findings. PMID: 30671179 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - January 24, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Glycemic Control in Patients with Diabetes across Primary and Tertiary Government Health Sectors in the Emirate of Dubai, United Arab Emirates: A Five-Year Pattern.
Authors: Alawadi F, Abdelgadir E, Bashier A, Hassanein M, Rashid F, Alsaeed M, Hafidh K, Elsayed MA, Abuelkheir S, Farooqi MH Abstract Objectives: In the UAE, the comparative prevalence of diabetes is reported as 18.98%, but there are very few studies evaluating glycemic control. Attaining the optimum glycemic control has been a global challenge over the years. However, there is a trend of global improvement with the availability of newer options of antidiabetic medications, increasing numbers of physicians, and patient awareness. Our primary aim was to assess the level of glycemic control across Dubai Health Autho...
Source: Oman Medical Journal - January 24, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

A Novel Non-invasive Technique of Measuring Bilirubin Levels Using BiliCapture.
Conclusions: The optical imaging of conjunctiva for bilirubin assay is a safe alternative to a laboratory bilirubin assay and transcutaneous bilirubinometer BiliChek. PMID: 30671181 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - January 24, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Autologous Peripheral Blood Stem Cell Transplantation Among Lymphoproliferative Disease Patients: Factors Influencing Engraftment.
Authors: Hassan MN, Fauzi HM, Husin A, Mustaffa R, Hassan R, Ibrahim MI, Noor NHM Abstract Objectives: Autologous peripheral blood stem cells transplantation (APBSCT) is a therapeutic option which can be used in various hematological, neoplastic disorders including lymphoproliferative disease (LPD). Differences in patient populations and treatment modalities in different transplant centers mean it is important to improve the knowledge of the different factors affecting engraftment after APBSCT for the success of this procedure. We sought to determine the factors influencing neutrophil and platelet engraftment after...
Source: Oman Medical Journal - January 24, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

Gender Differences and Obesity Influence on Pulmonary Function Parameters.
Conclusions: In our studied population, males exhibited higher mean values of PFT parameters than females. Increased BMI may be associated with a restrictive pattern on spirometry. PMID: 30671183 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - January 24, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research

The Effectiveness of a Voice Care Program Among Primary School Teachers in Northeastern Malaysia.
Conclusions: Our results support the use of voice amplification in adjunct with vocal hygiene instruction as a prevention and treatment modality to reduce voice handicap among teachers. Our study demonstrated encouraging evidence on the low-cost voice care program as well as the success of group and workplace-based approaches in the school setting. PMID: 30671184 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - January 24, 2019 Category: Middle East Health Tags: Oman Med J Source Type: research