Effect of Growth Hormone on Final Height in Children with Idiopathic Short Stature: A UAE, Eastern Region Experience.
Authors: Mreish S, Kaplan W, Chedid F Abstract Objectives: The use of growth hormone (GH) in idiopathic short stature (ISS) has been a subject of debate for the past two decades. We sought to assess the effect of GH on final height (FH) in patients with ISS in our region, which has a high consanguinity rate, and compare it to the effect observed in GH deficient (GHD) patients. Methods: We conducted a retrospective chart review from 1 January 2005 to 31 December 2013 for patients with ISS or GHD from the local United Arab Emirates population who received GH treatment and were followed-up regularly in our clinic....
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Acceptability of Reminders for Immunization Appointments via Mobile Devices by Mothers in Ilorin, Nigeria: A Cross-sectional Study.
Conclusions: Most mothers are willing to receive reminders on immunization appointments via their mobile phone. Determinants of maternal willingness to receive reminders include mothers with less than four children, postsecondary education, and antenatal care attendance. Program planners should consider utilizing reminders as a strategy to increase the immunization uptake with access to contact details making this feasible. PMID: 29218123 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Expression of Toll-like Receptor 2 and 4 in Peripheral Blood Neutrophil Cells from Patients with Chronic Obstructive Pulmonary Disease.
Conclusions: The increased expression of TLR2 and TLR4 suggests its role in disease pathogenesis of COPD. Smoke pack years was negatively associated with spirometric parameters in COPD patients. This may help to predict the smokers without COPD who risk developing the condition in the future. PMID: 29218124 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

The Seroprevalence and Risk Factors of Toxoplasmosis Among Female Undergraduate University Students in Saudi Arabia.
Conclusions: Our findings emphasize the need for higher awareness of toxoplasmosis in Saudi Arabia, specifically knowledge of the way toxoplasma infection occurs so that women can more easily avoid it. Large-scale research is therefore required to inform the design of future public health interventions. PMID: 29218125 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

A Pilot Study Comparing Hysteroscopic Adhesiolysis by Conventional Resectoscope Versus Mini-resectoscope.
Conclusions: The use of mini-resectoscope for hysteroscopic adhesiolysis is associated with reduced operative morbidity. Use of the mini-resectoscope is an effective and safe alternative to the conventional system. PMID: 29218126 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

The Effect of Group Discussion-based Education on Self-management of Adults with Type 2 Diabetes Mellitus Compared with Usual Care: A Randomized Control Trial.
Discussion-based Education on Self-management of Adults with Type 2 Diabetes Mellitus Compared with Usual Care: A Randomized Control Trial. Oman Med J. 2017 Nov;32(6):499-506 Authors: Habibzadeh H, Sofiani A, Alilu L, Gillespie M Abstract Objectives: We sought to determine the effect of group discussion-based education on the self-management capability of patients with type 2 diabetes in Iran. Methods: This randomized control trial was conducted on 90 patients with type 2 diabetes. Participants were allocated randomly into one of two groups; intervention and control. The intervention group received...
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Neurobrucellosis Presenting as Pseudotumor Cerebri: First Report from Oman.
Authors: Sharma PP, Murali MV, Hamdi T Abstract A ten-year-old boy presented to the hospital with body ache and joint pains for two months and headache, vomiting, and skin rash for three days. He was drowsy and lethargic at admission. Physical examination revealed bilateral papilledema. There were no cranial nerve involvement, neuromotor deficit, or signs of meningeal irritation. Computed tomography and magnetic resonance imaging of the brain did not reveal any evidence of cerebral edema or space occupying lesion. In view of the high endemicity of brucellosis in the area, Brucella agglutination test (BAT) was done ...
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Pubic Symphysis Diastasis: A Case Series and Literature Review.
Authors: Chawla JJ, Arora D, Sandhu N, Jain M, Kumari A Abstract Separation of pubic symphysis during delivery is a rare complication resulting in considerable and prolonged morbidity for parturient women. The usual presentation is that of something giving way in the region of the symphysis pubis sometimes with an audible crack at the time of delivery. Unbearable pain on moving from side-to-side and on performing any weight-bearing activity (such as walking or climbing stairs) precludes ambulation in the immediate postpartum period. This could be accompanied by disruption of the sacroiliac joint, hemorrhage, or uri...
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Neonatal Stridor in Familial Congenital Laryngeal Paralysis (Plott Syndrome): 
A Case Study in an Omani Family.
We report a family with bilateral VCP affecting four male members in two generations and hence suggesting X-linked recessive inheritance. Severe stridor in the neonatal period requires meticulous airway evaluation, and tracheostomy in 35-70% cases. The current trend is towards conservative management and tracheostomy is avoided unless respiratory distress is severe or life-threatening. Neonatal VCP can be an isolated finding, or it can be familial with or without syndromic features. There are very few reports of non-syndromic familial cases. Unlike the cases reported previously, none of our patients required prolonged intu...
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Hypocalcemia Associated with Subcutaneous Fat Necrosis of the Newborn: Case Report and Literature Review.
Authors: Onyiriuka AN, Utomi TE Abstract Subcutaneous fat necrosis of the newborn (SCFNN) is a rare benign inflammatory disorder of the adipose tissue but may be complicated by hypercalcemia or less frequently, hypocalcemia, resulting in morbidity and mortality. Here we report the case of a neonate with subcutaneous fat necrosis who surprisingly developed hypocalcemia instead of hypercalcemia. A full-term female neonate was delivered by emergency cesarean section for fetal distress and was subsequently admitted to the Special Care Baby Unit. The mother's pregnancy was uncomplicated up to delivery. Her anthropometri...
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Portal Vein Thrombosis in Adult Omani Patients: A Retrospective Cohort Study.
CONCLUSIONS: This is the first study reflecting a real-life practice in PVT with possibly underlying inherited and acquired prothrombotic conditions as well as complications due to local and malignant conditions from Oman. We studied the prevalence, clinical presentation, underlying possible etiological factors, treatment, and outcomes. Since causative factors were found in 36 patients (92.3%), etiological screening seems worthwhile in every case with PVT, but thrombophilia screening may not be cost-effective. PMID: 29218132 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

A Woman with Abdominal Pain, Vomiting and ‟Air Under Diaphragm".
A Woman with Abdominal Pain, Vomiting and ‟Air Under Diaphragm". Oman Med J. 2017 Nov;32(6):528-530 Authors: Raveendran AV PMID: 29218133 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Antibiotic Resistance: A Real Menace.
Authors: Devaraj NK PMID: 29218134 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - December 9, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Palmar Nerve Sheath Myxoma: A Case Report.
This report describes a rare case of nerve sheath myxoma involving the palmar surface of a 23-year-old female. Clinically, it was diagnosed as a fibroma. It was excised and the final diagnosis was made after histopathological and comprehensive immunohistochemical examination of the specimen. The clinicopathological features of this rare tumor and its important differential diagnoses are discussed along with a brief review of the literature. PMID: 29181130 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - December 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Pressure Sore at an Unusual Site- the Bilateral Popliteal Fossa: A Case report.
Authors: Kataria K, Sagar S, Singhal M, Yadav R Abstract Pressure sore is tissue ulceration due to unrelieved pressure, altered sensory perception, and exposure to moisture. Geriatric patients with organic problems and patients with spinal cord injuries are the high-risk groups. Soft tissues over bony prominences are the common sites for ulcer development. About 95% of pressure ulcers occur in the lower part of the body. Ischial tuberosity, greater trochanter, sacrum and heel are common sites. In addition to these, pressure sores at unusual sites like nasal alae, malar eminences, cervical region and medial side of ...
Source: Oman Medical Journal - December 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Giant Cell Fibroblastoma: A Case Report.
Authors: Hassan MJ, Ahmad SS, Hasan M, Basha M, Khurram MF Abstract Giant cell fibroblastoma is a rare intermediate grade soft tissue tumor of childhood which characteristically occurs in males during the first decade of life. It has high incidence of local recurrence but metastasis has never been reported. Giant cell fibroblastoma merits attentive interpretation as they have been misdiagnosed as sarcoma in the past leading to erroneous remedies. Here we are reporting a case of giant cell fibroblastoma in a 3-year-old boy who presented with a painless swelling over the medial aspect of right ankle forthe last five ...
Source: Oman Medical Journal - December 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Towards Effective Pain Management: Breaking the Barriers.
Authors: Al-Mahrezi A PMID: 29026465 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Influenza Research in the Eastern Mediterranean Region: A Review.
Authors: Khan W, El Rifay AS, Malik M, Kayali G Abstract Given the importance of influenza infections in the Eastern Mediterranean Region (EMR), we conducted a comprehensive literature review to analyze the status of influenza research in the region from 2012. Influenza research has gained more momentum recently with the emergence of H5N1 and new virus strains. Research covering epidemiological, veterinary, and basic science aspects is growing. More sequences were being generated per year, not only for diagnostic purposes but also for research. We included gray literature publications in our search and found sever...
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Chromogranin A as a Biochemical Marker for Neuroendocrine Tumors: A Single Center Experience at Royal Hospital, Oman.
CONCLUSIONS: Serum CgA is a sensitive and effective noninvasive laboratory test for the clinical detection and management of NETs. Awareness of the pitfalls of the tests in patients with non-NET conditions, particularly chronic diseases and use of certain drugs, is important to be considered during the interpretation of the CgA levels. PMID: 29026467 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Awareness and Knowledge of Ionizing Radiation Risks Between Prescribed and Self-Presenting Patients for Common Diagnostic Radiological Procedures in Bahrain.
Authors: Al-Mallah A, Vaithinathan AG, Al-Sehlawi M, Al-Mannai M Abstract OBJECTIVES: Between 20 to 50% of medical imaging examinations are considered inappropriate, and unnecessary ionizing radiation exposures may lead to cancer. We hypothesized that Bahraini patients who self-present for ionizing radiation procedures are not aware of, and lack the requisite knowledge of, the inherent risks associated with their use than patients prescribed for diagnostic purposes. We attempted to examine and compare the awareness and knowledge of the associated risks of ionizing radiation in common diagnostic radiological procedu...
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

The Effectiveness of Mindfulness-based Cognitive Therapy on Psychological Symptoms and Quality of Life in Systemic Lupus Erythematosus Patients: 
A Randomized Controlled Trial.
CONCLUSIONS: MBCT contributed to decreased psychological symptoms and improved QoL in patients with SLE with a stable effect on psychological symptoms and psychological components of QoL, but an unstable effect on physical components. PMID: 29026469 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Major Determinants of Maternal Near-Miss and Mortality at the Maternity Teaching Hospital, Erbil city, Iraq.
CONCLUSIONS: Severe preeclampsia and PPH are the main complications that lead to PLTCs. Factors found to be associated with MDs are hepatic dysfunction, multiple/unspecified disorders, arrival as an emergency condition by ambulance, and history of a previous cesarean section. PMID: 29026470 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Pertussis and Pertussis like Illness: Pediatric Experience in Oman.
Authors: Al Maani A, Al Qayoudhi A, Nazir HF, Omar H, Al Jardani A, Al Muharrmi Z, Wali Y Abstract OBJECTIVES: A resurgence of pertussis or whooping cough has been observed worldwide despite broad vaccination coverage. Pertussis like illness (PLI) refers to a clinical syndrome compatible with pertussis infection but lacking laboratory confirmation or an epidemiological link to a confirmed case. Our study aimed to estimate the contribution of Bordetella pertussis infection and identifying predictors of its diagnosis in a cohort of children with PLI. METHODS: Demographic and clinical information were retrospectiv...
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Clinical Features and Antimicrobial Resistance of Bacterial Agents of Ventilator-Associated Tracheobronchitis in Hamedan, Iran.
This study was conducted to evaluate the clinical course, etiology, and antimicrobial resistance of bacterial agents of VAT in ICUs in Hamedan, Iran. METHODS: During a 12-month period, all patients with VAT in a medical and a surgical ICU were included. The criteria for the diagnosis of VAT were fever, mucus production, a positive culture of tracheal secretions, and the absence of lung infiltration. Clinical course, including changes in temperature and tracheal secretions, and outcomes were followed. The endotracheal aspirates were cultured on blood agar and chocolate agar, and antimicrobial susceptibility testing of i...
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Hepatitis C Genotypes in Libya: Correlation with Patients' Characteristics, Level of Viremia, and Degree of Liver Fibrosis.
Authors: Elzuoki AN, Elzouki I, Albarassi S, Gammo M, Burwaiss A Abstract OBJECTIVES: Our study sought to determine the distribution of hepatitis C virus (HCV)-genotypes among patients attending two tertiary care hospitals in Benghazi and Tripoli, Libya, and correlate this with patient's characteristics, viral load, and degree of fibrosis. METHODS: We conducted a retrospective study of 286 HCV-RNA positive Libyan patients referred from different health care facilities in east and west Libya for specific HCV treatment. HCV genotyping was carried out by gene amplification. Liver histology was graded by Metavir sc...
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Using Growth Mixture Modeling for Clustering Asian and North African Countries on the Road Injury Death Trend (1990-2010).
CONCLUSIONS: Successful interventions that developed countries have used to avoid casualties of road injuries could be used in developing countries. These include passing laws making the use of seatbelts and child seats compulsory and determining appropriate speed limits. PMID: 29026474 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Human Parvovirus B19 in Children with Sickle Cell Disease; Poking the Spleen.
Authors: Saad AA, Beshlawi I, Al-Rawas AH, Zachariah M, Nazir HF, Wali Y Abstract Parvovirus is a known culprit of transient red cell aplasia (TRCA) in children with sickle cell disease (SCD). Few reports have previously described the association between the virus and acute splenic sequestration crisis (ASSC) in the same patient. Here, we are shedding light on such a potentially serious combination by reporting two cases of siblings with SCD complicated with concurrent ASSC and TRCA and presenting a review of the relevant literature. PMID: 29026475 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Tenofovir-induced Leukocytoclastic Vasculitis.
We report the first case of tenofovir-induced leukocytoclastic vasculitis (LCV). A 43-year-old obese woman, who was known to have inactive CHB, was diagnosed with chronic immune thrombocytopenic purpura (ITP). She was treated with corticosteroid therapy and was put on tenofovir to prevent hepatitis B virus reactivation. A month later, she developed a skin rash, described as non-blanchable well-defined erythematous to violaceous papules and targetoid patches in her lower extremities. A skin biopsy showed features of LCV. The rash resolved completely within few days after replacing tenofovir with entecavir. PMID: 2902647...
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Giant Submandibular Calculus Eroding Oral Cavity Mucosa.
Authors: Lim EH, Nadarajah S, Mohamad I Abstract Sialolithiasis is the formation of calculi or sialoliths in the salivary gland. It is the most common benign condition of the salivary gland. Sialolithiasis can occur in all salivary glands. The submandibular gland is most commonly affected followed by the parotid gland. Calculi commonly measure less than 10 mm. Calculi of more than 15 mm are termed giant salivary gland calculi and are infrequently reported in the literature. Here, we report a case of unusually large submandibular gland calculus of 5 cm in greatest dimension which caused erosion of the oral cavity. ...
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Vaginal Reconstruction for Vaginal Obliteration Secondary to Stevens Johnson Syndrome: A Case Report and Review of Literature.
We present the case of a 33-year-old nulligravid woman with distal vaginal synechiae necessitating a surgical approach, which occurred after an episode of SJS. Also, we aimed to review the literature to reveal cases which required surgical management for long-term genital sequelae as well as discuss preventive measures. PMID: 29026478 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

It is Always Darkest Before Dawn.
Authors: Al Balushi M, Varghese AM, Al Azri F, Al Abri R PMID: 29026479 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Dhat Syndrome Among the Islamic Populations of India and Pakistan.
Authors: Uvais NA PMID: 29026480 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

The Impact of Lifestyle, Diet, and Psychological Stress on Female Fertility.
Authors: Vitale SG, La Rosa VL, Petrosino B, Rodolico A, Mineo L, Laganà AS PMID: 29026481 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - October 16, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Posterior Reversible Encephalopathy in Undiagnosed Systemic Lupus Erythematous: A Case Report.
Authors: Sulaiman W, Husin NM, Baba MS Abstract A 33-year old Malay woman with undiagnosed systemic lupus erythematosus (SLE) and other comorbids presented with acute glomerularnephritis, hypertensive emergency and later acute confusional state. Cranial MRI revealed features consistent with posterior reversible encephalopathy syndrome (PRES). PMID: 28861180 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - September 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Separate Belly and Tendon of Flexor Digitorum Superficialis to the Fifth Digit.
Authors: Rao M, Ashwini LS, Somayaji SN, Mishra S, Guru A, Rao A Abstract Variation in the origin of long flexor tendons in the anterior compartment of forearm is common. During routine cadaveric dissection at Melaka Manipal Medical College (Manipal Campus), we observed a separate muscle belly and tendon of flexor digitorum superficialis (FDS) to the fifth digit in the right upper limb of a 60 year-old male cadaver. The anomalous muscle belly originated from the common flexor tendon from the medial epicondyle of the humerus and continued as a thin tendon at the middle of the forearm to get inserted into the middle ...
Source: Oman Medical Journal - September 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Salvage Surgery in Endoscopic Era.
We describe one such situation of impacted dormia basket during ERCP which required rescue surgery. PMID: 28861182 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - September 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Small Bowel Obstruction due to Meckel's Diverticulum: A Case Report.
Authors: Al Jabri KA, El Sherbini A Abstract Meckel's diverticulum is the most common congenital anomaly of the small intestine. Common complications related to Meckel's diverticulum include hemorrhage, intestinal obstruction and inflammation. Small bowel obstruction due to mesodiverticular band of Meckel's diverticulum is a rare complication. Herein, we report the diagnosis and management of a small bowel obstruction occurring due to the mesodiverticular band of a Meckel's diverticulum. PMID: 28861183 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - September 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Largest Serous Cystadenoma in the first Trimester treated Laparoscopically: A Case Report.
We report the first case of a giant serous cystadenoma approximately 7.5kg in weight in a 28-year old primigravida at 8 weeks of gestation which was successfully excised laparoscopically. Postoperatively, she had a quick recovery and she was discharged on post op day 3 with an intact pregnancy and no complications. This is the largest ovarian cyst in early pregnancy that has been ever reported from our hospital. We also believe this cyst to be the largest cyst in early pregnancy ever reported in the literature that has been managed by Laparoscopy. PMID: 28861184 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - September 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Primary Ovarian Clear Cell Adenofibroma of Borderline Malignancy.
We report a case of ovarian borderline clear cell adenofibroma in a 53-year-old postmenopausal woman. The patient had abdominal hysterectomy and bilateral salpingo-oophorectomy because of left adnexeal mass. The tumor was well-demarcated, solid and multinodular mass, measuring 12×10.5×6 cm. Microscopically, the tumor consisted mainly of fibrous stroma and glands composed of cells with eosinophilic or clear cytoplasm. The epithelium focally showed moderate nuclear atypia and mitotic figures. The histopathologic diagnosis was borderline clear cell adenofibroma. The patient is alive and well without signs of recur...
Source: Oman Medical Journal - September 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Primary Lymphoepithelioma-like Carcinoma of the Lung in a 13 year old Girl.
Authors: Kundu S, Mitra R, Majumdar A, Saha S, Misra S Abstract Lymphoepithelioma-like carcinoma, a large cell carcinoma with pronounced lymphocyte infiltration, is a rare entity mostly seen in the nasopharynx. But primary pulmonary LELC in children & adolescents is extremely rare. Here we present a 13 year old girl with chief complaint of fever, cough, shortness of breath and heaviness in the left side of chest. She underwent left upper lobectomy. Histopathological examination of the biopsy specimen confirmed it to be a case of large cell carcinoma of lung, lymphoepithelioma type, invading pleura (stage pT3N0M...
Source: Oman Medical Journal - September 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Uterine Artery Embolization in Postpartum Hemorrhage: A Case Report.
Authors: Varghese S, Gokulam N, Abri SA Abstract A case of secondary postpartum hemorrhage was treated by uterine artery embolization with a view to preserve fertility as the patient was of low parity. PMID: 28861187 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - September 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Exercise Based Cardiac Rehabilitation for Unstable Angina: A Case Report.
Authors: Babu AS, Noone MS, Narayanan SM, Franklin BA Abstract A 42-year-old male was hospitalized with unstable angina (UA) which had resulted in severe impairment of his daily activities. Coronary angiography revealed a 100% occlusion of the right coronary artery (RCA) and a 50% stenosis within the left anterior descending coronary artery. However, in view of the previously occluded RCA that was supplied by discernible collaterals, medical management was recommended and he was rehabilitated using a progressive exercise regimen to increase his anginal threshold and functional capacity. Following rehabilitation, th...
Source: Oman Medical Journal - September 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Dermatofibrosarcoma Protuberans of Male Breast: An Unusual Presentation.
We describe a case of a male patient who presented with this tumor in his left breast. PMID: 28861189 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - September 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Cylindrical Cell Papilloma (Oncocytic Schneiderian Papilloma): Clinicopathological Study of Five Cases.
CONCLUSION: Cylindrical cell papilloma is a variant of sinonasal schneiderian papilloma. Although most are benign complete excision is the treatment of choice to prevent tumour recurrence as a proportion exhibit unpredictable biological behavior. This study is an important reminder for both clinicians and pathologists to recognize this tumor and to differentiate it from other tumours and rhinosporidiosis. Regular followup is an important strategy for complete recovery and tumour-free surveillance. PMID: 28861190 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - September 4, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Calcium Kinetic in a patient with acute renal failure due to Rhabdomyolysis. A Case Report and Review of Literature.
We present herewith the case of a young gentleman who developed anuric ARF due to a strenuous exercise induced rhabdomyolysis. He was treated with supportive, corrective and dialysis measures. The progress was favourable with a diuretic phase. During the diuretic phase, he developed progressive hypercalcemia that reached up to 3.54 mEq/lwith constipation and drowsiness. Investigations showed besides stigmata of rhabdomyolysis and ARF, low initial levels of vitamin D metabolites. The calcemia eventually normalized with fluids, dialysis and a single dose of Pamidronate Sodium . The patient was discharged 3 weeks after admiss...
Source: Oman Medical Journal - August 30, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

External Ophthalmomyiasis due to Oestrus Ovis: A Case Report from Oman.
We report a human case of external ophthalmomyiasis caused by the larvae of a sheep nasal botfly oestrus ovis from Wadi Alhawasna, North Batina, Oman. A 9-years-old boy presented with symptoms of acute conjunctivitis. Five larvae were removed from his eye and sent for identification. The patient recovered completely after removal of the larvae. PMID: 28845217 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - August 30, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Segmental Infarction of Testis: A rare complication of acute epididymitis.
Authors: Parambath AN, Omar AJ, Al Hilili SA, Darwish A Abstract Doppler ultrasound of a thirty one year old patient presenting with acute scrotal pain showed features acute epididymitis. Follow up study done on third day showed total ischemia of the testis. Repeat scan on tenth day revealed partially regained flow in the testis with segmental infarction- an unusual complication of acute epididymitis. This was confirmed by orchidectomy and histopathological examination. PMID: 28845218 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - August 30, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Rapunzel Syndrome: A Case Report.
Authors: Dhinakar M, Balkhair W Abstract Rapunzel syndrome is a rare type of trichobezoar with extension of the hair into the small bowel. Clinical presentation can be deceptive ranging from upper abdominal mass to gastrointestinal obstructive symptoms. In majority of cases, the diagnosis is made very late in the history of the disease due to late patient presentation in lieu of his underlying mental disorder. Surgical removal is necessary. One such case is describe here stressing the importance of imaging in the diagnosis of this condition. PMID: 28845219 [PubMed] (Source: Oman Medical Journal)
Source: Oman Medical Journal - August 30, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Extradural Hemorrhage: A rare Complication and Manifestation of Stroke in Sickle Cell Disease.
We present a case of extradural hemorrhage, a rare and unusual complication associated with Sickle Cell Disease, from Nizwa, Oman. A 12-year old male child with Sickle cell disease (SD) was admitted to hospital with backache and pain in both lower Limbs. Clinical examination revealed an average built child with mild pallor, mild tenderness in the lower back and both legs. Rest of the examination was unremarkable including the Central Nervous System. The next day, the patient developed generalized convulsion and became unconscious with shallow breathing. CT of the brain revealed large extradural hemorrhage with shift of mid...
Source: Oman Medical Journal - August 30, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research

Peri-mortem Cesarean Delivery... A Reality not Fiction.
Authors: Khan RA Abstract Antepartum hemorrhage is one of the leading causes of mortality around the world. It can result in hypovolemic shock leading to circulatory arrest during pregnancy. A well-planned strategy is required for its management in all hospitals. To deliver a woman in this situation is a dilemma, which needs very prompt decision and a swift speedy action. Not only the woman's life is in danger, the fetus is also at risk and urgent delivery may be life saving for both mother and the fetus. All obstetricians should be trained to deal with such situation with full understanding and awareness of the co...
Source: Oman Medical Journal - August 30, 2017 Category: Middle East Health Tags: Oman Med J Source Type: research