Oman Medical JournalPub Date : 2024-01-31eCollection Date: 2024-01-01DOI: 10.5001/omj.2024.07
Shasthara Paneyala, Harsha Sundaramurthy, Sahana Panambur, S C Nemichandra, Vimala Colaco, Sri Harsha Chalasani
{"title":"Idiopathic Hypertension with Multiple Cranial Nerve Palsies: A Case Report and Literature Review.","authors":"Shasthara Paneyala, Harsha Sundaramurthy, Sahana Panambur, S C Nemichandra, Vimala Colaco, Sri Harsha Chalasani","doi":"10.5001/omj.2024.07","DOIUrl":"10.5001/omj.2024.07","url":null,"abstract":"<p><p>We report a rare case of idiopathic intracranial hypertension (IIH) with multiple cranial nerve palsies involving cranial nerves VI, VII, IX, and X in a 32-year-old female who had no prior comorbidities. Her condition improved rapidly on a ten-day regimen of acetazolamide and tablet topiramate. IIH should be considered in every patient presenting with persistent headache and multiple cranial nerve abnormalities. This paper also includes a literature review of similar cases.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e598"},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10951558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70683588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2023-11-30eCollection Date: 2023-11-01DOI: 10.5001/omj.2023.124
Suriawati Ghazali, Aniza Abd Aziz, Rahmah Mohd Amin
{"title":"Healthy Aging and its Determinants Among Community-dwelling Older Persons in East Coast, Malaysia: A Multidimensional Assessment.","authors":"Suriawati Ghazali, Aniza Abd Aziz, Rahmah Mohd Amin","doi":"10.5001/omj.2023.124","DOIUrl":"10.5001/omj.2023.124","url":null,"abstract":"<p><strong>Objectives: </strong>Exploring the possibility of healthy aging among older persons is crucial for achieving optimal health in the growing older population. This study aimed to determine the prevalence, pattern, and determinants of healthy aging among older persons in Terengganu, Malaysia.</p><p><strong>Methods: </strong>We conducted a community-based cross-sectional study involving older persons aged % 60 years. An interviewer-guided questionnaire, anthropometric measurements, and physical assessments were administered to operationalize healthy aging based on a multidimensional concept.</p><p><strong>Results: </strong>Among the 765 older persons surveyed, only 14.1% (95% CI: 11.64?\"16.59) were classified as healthy agers. Multiple logistic regression analysis revealed that superior intrinsic religiosity (odds ratio (OR) = 3.42; 95% CI: 1.34?\"8.73), higher social interaction (OR = 2.82; 95% CI: 1.32?\"6.04), larger calf circumference (OR = 2.05; 95% CI: 1.24?\"3.38), taking water intake % 5 cups per day (OR = 2.01; 95% CI: 1.23?\"3.30), better gait speed (OR = 1.71; 95% CI: 1.04?\"2.80), having savings (OR = 1.71; 95% CI: 1.10?\"2.66), and normal waist circumference (OR = 1.63; 95% CI: 1.04?\"2.55) were found positively associated with healthy aging.</p><p><strong>Conclusions: </strong>Only one in 10 older persons in the state met all the criteria for healthy aging. Specific aspects of religious status, social interaction, socioeconomic, behavioral, physical, and nutritional factors were found to predict healthy ageing in this population. These important determinants should be considered in developing a well-defined and comprehensive public health policy to promote healthy aging in the nation.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e573"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10825627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70683061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2023-11-30eCollection Date: 2023-11-01DOI: 10.5001/omj.2023.120
Issa Al Jahdhami, Husna Arshad, Hiba Omar, Sami M Bennji, Khalid Al Nomani, Manal Al Ghafri, Maryam Al Syabi, Sumaya Al Hinai, Adhra Al Mawali
{"title":"Persistence of Symptoms Following Hospitalization for COVID-19 in Oman: \u2028A Bidirectional Observational Study.","authors":"Issa Al Jahdhami, Husna Arshad, Hiba Omar, Sami M Bennji, Khalid Al Nomani, Manal Al Ghafri, Maryam Al Syabi, Sumaya Al Hinai, Adhra Al Mawali","doi":"10.5001/omj.2023.120","DOIUrl":"10.5001/omj.2023.120","url":null,"abstract":"<p><strong>Objectives: </strong>This study sought to assess the prevalence of persistent COVID-19-related symptoms in patients with mild, severe, and critical disease.</p><p><strong>Methods: </strong>We conducted a bidirectional cohort observational study that included all adult patients ≥ 18 years, admitted to Armed Forces Hospital, Muscat between July 2020 and June 2022, with COVID-19 infection and discharged alive. Patients were requested to attend outpatient clinic at weeks six and 12 post-discharge, where they filled out a questionnaire and underwent a chest X-ray. Additionally, blood tests were performed if necessary. Healthcare workers with mild infections were also requested to fill out a questionnaire about their initial symptoms, persistent symptoms, and comorbidities.</p><p><strong>Results: </strong>The study included 468 patients, comprising 261 hospitalized patients and 207 healthcare workers. On follow-up, 39.7% of patients presented with residual symptoms, such as cough, breathlessness, and joint pain. These symptoms were more common in patients with medical comorbidities, particularly hypertension, diabetes, and dyslipidemia. Notably, these symptoms were also observed in patients with mild disease. Post-COVID-19 pulmonary fibrosis was observed in 21 patients, mainly among those admitted to the intensive care unit or requiring prolonged hospitalization.</p><p><strong>Conclusions: </strong>This study highlights the persistence of symptoms and the prevalence of post-COVID-19 syndrome at two months post-discharge, especially among patients with severe and critical disease during the acute phase. Various predictors of post-COVID-19 syndrome were identified, including female gender, older age, presence of comorbidities, disease severity, and hypertension. Therefore, patients in these categories require thorough evaluation and long-term follow-up to manage residual symptoms.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e570"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10822130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70682356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2023-11-30eCollection Date: 2023-11-01DOI: 10.5001/omj.2024.02
Hanan Nazir, Mathew Zachariah, Laila Al Yazidi
{"title":"Disseminated Adenoviral Infection Complicated by Fatal Hemorrhagic Enterocolitis in a Child with Acute Myeloid Leukemia.","authors":"Hanan Nazir, Mathew Zachariah, Laila Al Yazidi","doi":"10.5001/omj.2024.02","DOIUrl":"10.5001/omj.2024.02","url":null,"abstract":"<p><p>Adenovirus infections are common and self-limiting in young children except those with compromised cellular immunity. However, serious adenovirus infections are rare in children with acute leukemia. We report a rare case of a toddler with acute myeloid leukemia who developed a disseminated adenoviral infection complicated by hemorrhagic enterocolitis and septic shock that led to a fatal outcome.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e577"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10804022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70683388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2023-11-30eCollection Date: 2023-11-01DOI: 10.5001/omj.2023.75
Ahmed Atris, Issa Al Salmi, Suad Hannawi
{"title":"COVID-19 Associated Acute Viral Myocarditis and Thyroid Gland Follicular Neoplasm in a Hemodialysis Patient.","authors":"Ahmed Atris, Issa Al Salmi, Suad Hannawi","doi":"10.5001/omj.2023.75","DOIUrl":"10.5001/omj.2023.75","url":null,"abstract":"<p><p>Since the first cases were reported in Wuhan, China, COVID-19 has spread swiftly worldwide and is caused by SARS-CoV-2. The development of myocardial injury is associated with significantly worse clinical course and increased mortality. However, currently, it is unclear whether cardiac injury occurred in COVID-19 patients. Histological results obtained directly from the viral infection of the myocardium (i.e., SARS-CoV-2 viral myocarditis) or indirectly from the complications of COVID-19, showed that only a portion of patients infected with the virus developed viral myocarditis. Therefore, it is possible that with more autopsy evidence of SARS-CoV-2 and more correlation with the severity of the viral infection, viral myocarditis will emerge. Although COVID-19 manifests primarily as respiratory disease, few cases of cardiac injury without respiratory involvement or febrile illness have been reported. The pathogenesis of cancer and viral infections is due to the inability of the immune system to distinguish between self and non-self. Several oncogenic (hepatitis B virus, hepatitis C virus, human papilloma virus, Epstein-Barr virus, and HIV) and oncolytic viruses (coxsackievirus, reovirus, vaccinia virus, and adenovirus) are known to cause and regress various cancer types. We report a case of atypical manifestation of COVID-19-induced acute myocarditis and thyroid gland follicular neoplasm in a hemodialysis patient with no respiratory symptoms. This case illustrates that COVID-19 can present atypically and affect non-respiratory organ systems.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e575"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10808995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70683566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2023-11-30eCollection Date: 2023-11-01DOI: 10.5001/omj.2023.116
Amnuay Kleebayoon, Viroj Wiwanitkit
{"title":"Potential Adverse Effects of COVID-19 Vaccines on Iranian Healthcare Workers: Comment.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.5001/omj.2023.116","DOIUrl":"10.5001/omj.2023.116","url":null,"abstract":"","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e583"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10804123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70682453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2023-11-30eCollection Date: 2023-11-01DOI: 10.5001/omj.2023.127
Yusra Al Nasiri, Amal Al Balushi, Fannah Al Oraimi, Salah Al Awaidy
{"title":"Integrated Management of Childhood Illness in Oman: 16 Years of Pre-service Initiatives for Education and Training.","authors":"Yusra Al Nasiri, Amal Al Balushi, Fannah Al Oraimi, Salah Al Awaidy","doi":"10.5001/omj.2023.127","DOIUrl":"10.5001/omj.2023.127","url":null,"abstract":"<p><p>Each year, approximately 10 million children worldwide die before reaching the age of five, yet two-thirds of these deaths could be prevented with effective, low-cost interventions. The Integrated Management of Childhood Illness (IMCI) strategy was adopted in 1996 by the World Health Organization and the United Nations Children's Fund to address the holistic well-being of children. The ultimate goals of IMCI are to develop a healthcare system that adheres to best practices and to improve the knowledge, attitudes, and skills of healthcare professionals. This paper describes the IMCI in pre-service education and training and the steps involved in integrating it into the nursing course on child health at Oman College of Health Sciences. The program aims to reduce the morbidity and mortality rate of children under five years of age, as well as the severity of their diseases. The Oman College of Health Sciences was the first healthcare academic institution in Oman to implement IMCI in nursing education to strengthen the nursing students' knowledge, skills, and clinical practice.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e565"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10822131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70683088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2023-11-30eCollection Date: 2023-11-01DOI: 10.5001/omj.2023.66
Siti Aishah Ahmad Maulana, Sharifah Huda Engku Alwi, Mohd Shafie Hashim, Rabiatul Adawiyah Abdul Rohim
{"title":"Rare Congenital Dissecting Thoracic Aortic Aneurysm in a Child with Noonan Syndrome: A Case Report.","authors":"Siti Aishah Ahmad Maulana, Sharifah Huda Engku Alwi, Mohd Shafie Hashim, Rabiatul Adawiyah Abdul Rohim","doi":"10.5001/omj.2023.66","DOIUrl":"10.5001/omj.2023.66","url":null,"abstract":"<p><p>We present a rare case of congenital thoracic aortic aneurysm (TAA) complicated with dissection in a nine-year-old girl with Noonan syndrome and atrial septal defect. She presented with rapid breathing and upper respiratory tract symptoms. Chest X-ray revealed a huge upper mediastinum with cardiomegaly. Echocardiogram showed possible ascending TAA. Computerized tomography angiogram of the aorta revealed huge aortic root-ascending TAA with small aortic dissection. Despite immediate treatment, the patient passed away due to severe airway compromise.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e576"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10806284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70683478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2023-11-30eCollection Date: 2023-11-01DOI: 10.5001/omj.2023.68
Amna Al Futaisi, Wafa Bani Uraba, Naji Al Dhawi, Eiman Al Ajmi, Mahmood Al Kindi, Jalila Al Shukaili, Azza Al Adi
{"title":"N-Methyl-D-Aspartate Receptor Encephalitis, Post Herpes Encephalitis in Two Pediatric Cases.","authors":"Amna Al Futaisi, Wafa Bani Uraba, Naji Al Dhawi, Eiman Al Ajmi, Mahmood Al Kindi, Jalila Al Shukaili, Azza Al Adi","doi":"10.5001/omj.2023.68","DOIUrl":"10.5001/omj.2023.68","url":null,"abstract":"<p><p>Commonly, herpes simplex virus (HSV) causes infectious encephalitis among children. A neurological relapse after primary HSV encephalitis in the weeks or months after presentation is well recognized. Relapsing symptoms of post-HSV encephalitis can present either as a true relapse or an immune-mediated disorder. A relationship is predicted between immune-mediated disorder and N-methyl-D-aspartate receptor (NMDAR) antibodies. This study presents two cases of patients suffering from anti-NMDAR encephalitis that appeared after treatment for proven HSV encephalitis. The first patient was treated immediately after the presentation as autoimmune encephalitis and had an excellent outcome. The second patient had delayed initiation of treatment and suffered from intractable epilepsy and severe global developmental delay. An important role is played by recognizing anti-NMDAR encephalitis symptoms and its variable presentation for timely diagnosis and quick initiation of treatment for anti-NMDAR encephalitis, thus, improving the outcome for those patients.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e578"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10803894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70683625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}