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Oman Medical Journal

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https://www.readbyqxmd.com/read/30210728/how-to-discriminate-between-primary-hepatic-lymphoma-and-cholangiocarcinoma
#1
EDITORIAL
Sora Yasri, Viroj Wiwanitkit
No abstract text is available yet for this article.
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210727/imaging-pitfalls-of-the-acutely-traumatized-pediatric-elbow
#2
Karim Elhusseiny, Tamer Ahmed El-Sobky
No abstract text is available yet for this article.
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210726/laparoscopic-management-of-a-torsioned-round-ligament-fibroid
#3
Cihan Kaya, İsmail Alay, Günay Babayeva, Hakan Güraslan, Murat Ekin, Levent Yaşar
Round ligament fibroids are rare tumors and can present as inguinal, adnexal, or vulvar masses. Preoperative diagnosis can be made by ultrasonography or magnetic resonance imaging (MRI). A 28-year-old virgin female presented with pelvic pain that persisted for a few days. Her sonographic evaluation detected a well-defined hyperechoic 45 × 40 mm right adnexal mass interfering endometrioma. A contrast-enhanced pelvic MRI showed a 43 × 39 × 32 mm solid mass located in the right adnexa. Laparoscopic exploration revealed a well-defined double torsion around the peduncle pinky solid mass arising from the right round ligament...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210725/the-tip-of-the-iceberg-in-maternally-inherited-diabetes-and-deafness
#4
Josef Finsterer, Marlies Frank
Maternally inherited diabetes and deafness (MIDD) is not only a disorder of the pancreas and ears but a multisystem mitochondrial disorder syndrome. Hypogonadism, however, has not been reported as a phenotypic feature of MIDD. We report a single case of a patient with MIDD which manifested clinically at 41 years old. In addition to diabetes and deafness, he manifested with seizures, ataxia, myopathy, and hypogonadism. We used established methods for the routine workup of this patient. MIDD is indeed a multisystem condition...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210724/severe-nodulocystic-acne-not-responding-to-isotretinoin-therapy-successfully-treated-with-oral-dapsone
#5
Lutfi Al-Kathiri, Tasneem Al-Najjar
Nodulocystic acne is a severe form of acne which can result in significant damage to the skin with great impact on quality of life. Oral isotretinoin considered to be the best treatment for such cases. Although it has a high rate of success and its efficacy is well established in the treatment of nodulocystic acne, it may occasionally fail to control the disease. We report a case of a patient who presented to our skin clinic with severe facial nodulocystic acne in which treatment with isotretinoin failed to achieve disease control and caused worsening of his baseline condition...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210723/autosomal-dominant-polycystic-kidney-disease-and-pericardial-effusion
#6
Guillermo Alberto Perez Fernandez, Montaser Y Ismail
The autosomal dominant polycystic kidney disease (ADPKD) accounts for one out of 400-1000 live births, being a hereditary disorder with cystic and noncystic manifestations as well as extrarenal involvement. The pericardial effusion (PE) in the context of a patient with ADPKD is complex, and it is not entirely defined. Several theories have been proposed. The most accepted, so far, is linked to mutations in the PKD1 gene which can entail an abnormal production of matrix components, matrix-degrading enzymes, and inhibitors of metalloproteinases, and defects in connective tissue which would lead to an abnormal distensibility of the connective tissue...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210722/improving-student-s-self-efficacy-and-perceived-susceptibility-toward-oral-and-dental-health-a-randomized-controlled-trial
#7
Behnam Ghorbani, Hossein Shahnazi, Akbar Hassanzadeh
Objectives: We sought to assess the impact of educational intervention on female junior high school students' perceived susceptibility and self-efficacy regarding oral and dental health. Methods: We recruited 100 female junior high school students (50 in intervention and 50 in control group) from Falavarjan city using multistage random sampling. A self-administered questionnaire was used to gather data about study variables. Students in the intervention group attended five 90-minute sessions designed to teach the students about dental hygiene...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210721/level-of-satisfaction-on-service-quality-dimensions-based-on-servqual-model-among-patients-attending-1-malaysia-clinic-in-kota-bharu-malaysia
#8
Ahmad Badruridzwanullah Zun, Mohd Ismail Ibrahim, Anees Abdul Hamid
Objectives: Implemented in 2010, 1 Malaysia Clinic (1MC) is the latest innovation in public primary healthcare services in Malaysia to serve the urban population. This study aimed to assess the level of satisfaction and its associated factors using the SERVQUAL (SERV-service, QUAL-quality) instrument. We also sought to compare the difference of mean score between expectation and perception of SERVQUAL dimension among patients attending 1MC in Kota Bharu district, Malaysia. Methods: This cross-sectional study included all nine 1MCs in the Kota Bharu district, Malaysia, and used the validated SERVQUAL questionnaire from Ministry of Health, Malaysia...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210720/prevalence-risk-factors-and-fetal-and-maternal-outcomes-of-hypertensive-disorders-of-pregnancy-a-retrospective-study-in-western-saudi-arabia
#9
Ahmed Hussein Subki, Mohammed Ridha Algethami, Wejdan Mohammad Baabdullah, Majed Nasser Alnefaie, Mashael Abdullah Alzanbagi, Rawan Marzooq Alsolami, Hassan S Abduljabbar
Objectives: We sought to estimate the prevalence of hypertensive disorders of pregnancy (HDP) in Saudi Arabia as well as the risk factors of HDP, and maternal and fetal outcomes. Methods: We retrospectively evaluated the medical records of 9493 women who delivered at King Abdulaziz University Hospital, a tertiary care center, between January 2015 and June 2017. All cases of HDP were included. Results: We identified 224 pregnant women with HDP in our patient cohort, giving a prevalence of 2...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210719/the-association-of-a-rare-variant-of-93-53-promoter-gene-polymorphisms-of-lipoprotein-lipase-gene-with-obesity-and-insulin-resistance
#10
Jai Prakash, Balraj Mittal, Apurva Srivastava, Shally Awasthi, Neena Srivastava
Objectives: Obesity increases the risk of numerous chronic diseases. Obesity is classified clinically using body mass index (BMI), waist-to-hip ratio, and body fat percentage. The lipoprotein lipase ( LPL ) gene has been linked to lipoprotein metabolism and obesity. We performed a case-control study to determine the association between LPL gene polymorphisms and obesity-associated phenotypes such as insulin resistance (IR). Methods: We examined the different LPL gene variants for association in 642 individuals segregated by BMI and IR...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210718/correlation-between-%C3%AE-glucan-and-neutrophil-eosinophil-ratio-of-paranasal-sinus-mucosa-and-blood-in-the-diagnosis-of-chronic-fungal-rhinosinusitis
#11
Dhaniel Abdi Wicaksana, Rus Suheryanto, Iriana Maharani
Objectives: Chronic fungal rhinosinusitis is a major health problem because of the large impact on quality of life and difficult medical treatment. Its prevalence is increasing. There is currently an opportunity to establish the diagnosis without invasive intervention by utilizing β-glucan, which is the largest component of fungal cell wall and neutrophil/eosinophil ratio (NER). We sought to discover the correlation between β-glucan level and the NER of paranasal sinuses mucosa and blood as a potential diagnostic marker for patients with chronic fungal rhinosinusitis...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210717/occurrence-of-hypothyroidism-diabetes-mellitus-and-celiac-disease-in-emirati-children-with-down-s-syndrome
#12
Yousef Abdulrazzaq, Tarek I El-Azzabi, Sania M Al Hamad, Salima Attia, Asma Deeb, Elhadi H Aburawi
Objectives: Autoimmune diseases are known to occur in people with Down's syndrome (DS), especially celiac disease, type 1 diabetes mellitus (DM), and hypothyroidism. Since there are common genetic risk factors involved in the occurrence of these autoimmune disorders, the risks would differ in different populations. We sought to determine the prevalence of type 1 DM, celiac disease, and hypothyroidism in Emirati patients with DS in Abu Dhabi, UAE. Methods: Ninety-two patients with DS were investigated for the presence of anti-thyroid antibodies, antithyroglobulin, and anti-thyroid peroxidase antibodies for hypothyroidism, anti-glutamic acid decarboxylase antibodies for type 1 DM, and anti-tissue transglutaminase immunoglobulin A antibodies for celiac disease...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210716/value-of-ultrasound-in-the-detection-of-benign-and-malignant-breast-diseases-a-diagnostic-accuracy-study
#13
Farideh Gharekhanloo, Mostafa Morad Haseli, Saadat Torabian
Objectives: We sought to determine the diagnostic accuracy of ultrasound for benign and malignant breast lesions. Methods: This retrospective study was performed to evaluate the diagnostic accuracy of ultrasound in 203 patients with complete medical records who visited Mehr Medical Imaging Center for breast ultrasound between March 2014 and February 2016. The collected data comprised of demographic characteristics, ultrasound results (consisting of the anatomic area of the lesion, the involved side, and the ultrasound characteristics of the lesion), mammogram results, and pathology reports (if surgery or biopsy was performed)...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210715/upper-tract-imaging-in-patients-with-initial-or-terminal-hematuria-suggestive-of-bleeding-from-the-lower-urinary-tract-how-often-is-the-upper-urinary-tract-responsible-for-the-hematuria
#14
Omar W S Al-Mula Abed, Shalom J Srirangam, Guy D Wemyss-Holden
Objectives: Visible hematuria (VH) is a common urological complaint. A history of initial or terminal VH in men is indicative of a lower urinary tract (LUT) source. A careful clinical history could limit unnecessary extensive upper tract imaging in this group of patients with VH. We conducted a single-center prospective study to examine the usefulness of investigating the upper tract in patients with a history of VH likely from a LUT source (initial and/or terminal VH) with specific reference to the incidence of demonstrable significant upper tract abnormalities...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210714/implementation-of-digital-health-technology-at-academic-medical-centers-in-saudi-arabia
#15
REVIEW
Ahmed Al Kuwaiti, Fahd A Al Muhanna, Saad Al Amri
Academic Medical Centers (AMCs) in Saudi Arabia are dedicated to providing high-quality patient care and promoting the health and wellbeing of its citizens. Additionally, they provide medical education and conduct research in a wide range of clinical disciplines. A recent global trend in academic hospitals with mandates similar to those in Saudi Arabia is that they have started utilizing digital health technology in a bid to increase efficiency and improve the quality of patient care. This paper takes the position that such digital health technologies should also be utilized in AMC settings in Saudi Arabia...
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30210713/hypertension-in-oman-where-do-we-stand
#16
EDITORIAL
Ibrahim Al-Zakwani, Khamis Al-Hashmi
No abstract text is available yet for this article.
September 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30038740/ctx-m-15-among-uropathogenic-escherichia-coli
#17
EDITORIAL
Beuy Joob, Viroj Wiwanitkit
No abstract text is available yet for this article.
July 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30038739/a-case-of-generalized-bone-lesion
#18
Binoy J Paul, Arkiath Veettil Raveendran
No abstract text is available yet for this article.
July 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30038738/a-case-of-toxic-epidermal-necrolysis-successfully-treated-with-low-dose-intravenous-immunoglobulins-and-systemic-corticosteroid
#19
Lutfi Al-Kathiri, Varghese Mercyamma, Tasneem Al-Najjar
Toxic epidermal necrolysis (TEN), a severe form of Stevens-Johnson syndrome, is an acute life-threatening adverse drug reaction with a mortality rate of approximately 30%. Primary treatment of TEN is usually supportive. The use of intravenous immunoglobulin (IVIG) and corticosteroids are still uncertain, as there are only a limited number of studies comparing the usefulness of these treatments. We report a case of a Filipino male patient who developed TEN, most likely due to one of the medications he received during his course of illness...
July 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/30038737/isolated-splenic-cold-abscesses-in-an-immunocompetent-individual
#20
Deba Prasad Dhibar, Bharath A Chhabria, Nanili Gupta, Subhash Chander Varma
Tubercular splenic abscess is extremely rare, but are reported commonly in HIV-positive and immunocompromised patients along with miliary or disseminated tuberculosis. Isolated tubercular splenic abscess in an immunocompetent individual is rarely reported. Here we present a case of a young, immunocompetent male with isolated splenic cold abscesses, who was diagnosed with splenic tuberculosis and managed successfully with percutaneous drainage and anti-tubercular therapy alone.
July 2018: Oman Medical Journal
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