Nasiba Al Maqrashi, Noor Al Wahaibi, Salim Al Busaidi, Abdullah Al Alawi
{"title":"Disconnected Pancreatic Duct Syndrome in Complicated Necrotising Pancreatitis.","authors":"Nasiba Al Maqrashi, Noor Al Wahaibi, Salim Al Busaidi, Abdullah Al Alawi","doi":"10.18295/2075-0528.2825","DOIUrl":"10.18295/2075-0528.2825","url":null,"abstract":"","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"25 1","pages":"293-295"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609571","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}
{"title":"Endobronchial Metastasis with Extension to the Left Atrium from Adenocarcinoma of Gastric 3 Years after Total Gastrectomy.","authors":"Behnam Shakerian, Mohammad H Mandegar","doi":"10.18295/squmj.10.2024.066","DOIUrl":"10.18295/squmj.10.2024.066","url":null,"abstract":"<p><p>Endobronchial metastases extending to the heart from gastric cancer are rare. This case report describes a 69-year-old man who presented to a tertiary care hospital in Shahrekord, Iran, in 2022 with a history of cough and haemoptysis. He had previously undergone total gastrectomy and adjuvant chemotherapy for gastric adenocarcinoma three years earlier. Imaging and pathological evaluation confirmed endobronchial metastasis with extension to the left atrium. The patient responded well to chemoradiotherapy, maintaining a good quality of life.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"25 1","pages":"150-153"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609577","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}
Maisam Alsalmani, Ayida Al Khalili, Maiya Al Bahri
{"title":"Bullous Diabeticorum.","authors":"Maisam Alsalmani, Ayida Al Khalili, Maiya Al Bahri","doi":"10.18295/2075-0528.2860","DOIUrl":"10.18295/2075-0528.2860","url":null,"abstract":"","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"25 1","pages":"472-473"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609598","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}
Mohamed Bhairis, Massine El Hammoumi, El Hassane Kabiri
{"title":"Pneumocephalus After Mediastinal Surgery.","authors":"Mohamed Bhairis, Massine El Hammoumi, El Hassane Kabiri","doi":"10.18295/2075-0528.2854","DOIUrl":"10.18295/2075-0528.2854","url":null,"abstract":"","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"25 1","pages":"439-440"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609622","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}
{"title":"Generative Artificial Intelligence in Academic Publishing: <i>A catalyst for transformation or a facilitator for further north-south divide?</i>","authors":"Samir Al-Adawi, Madan M Maddali","doi":"10.18295/2075-0528.2898","DOIUrl":"10.18295/2075-0528.2898","url":null,"abstract":"","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"25 1","pages":"717-719"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114085","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}
Salem Al-Tamemi, Musab Al Jabri, Eiman Abdalla, Ibrahim Al-Busaidi, Khalfan Al-Zeedy, Laila Al Yazidi
{"title":"Causes of Mortality in Patients with Inborn Errors of Immunity: An 18-year retrospective cohort study.","authors":"Salem Al-Tamemi, Musab Al Jabri, Eiman Abdalla, Ibrahim Al-Busaidi, Khalfan Al-Zeedy, Laila Al Yazidi","doi":"10.18295/2075-0528.2896","DOIUrl":"10.18295/2075-0528.2896","url":null,"abstract":"<p><strong>Objectives: </strong>Inborn errors of immunity (IEI) are a diverse group of disorders arising from defects in the development and/or function of the immune system. However, data concerning the microbiological aspects of infections and direct causes of mortality in patients with IEI are limited and fragmented. This study aimed to elucidate the causes of disease and terminal events leading to death in a cohort of patients with IEI.</p><p><strong>Methods: </strong>This retrospective study included deceased patients who were diagnosed with primary immunodeficiency at Sultan Qaboos University Hospital in Muscat, Oman, over an 18-year period between 2005 and 2023. Data on clinical features, infections, isolated microorganisms and terminal events leading to death were collected and analyzed.</p><p><strong>Results: </strong>A total of 53 cases were included in this study. The mean age at death was 9.1 ± 10.4 years (median: 3.9 years, interquartile range: 15.2 years, range: 0.2-45.2 years). Prior to death, the most frequently isolated microorganisms included <i>Pseudomonas</i> spp. (41.5%), <i>Pseudomonas aeruginosa</i> (34%), <i>Candida</i> spp. (28.3%), cytomegalovirus (26.4%) and <i>Hemophilus influenzae</i> (20.8%), among others. The predominant terminal events leading to death were septicemia/septic shock (64.2%), pneumonia/adult respiratory distress syndrome/multiorgan dysfunction syndrome (49.1%), disseminated viral disease (22.6%) and bronchiectasis/pulmonary hypertension/haemorrhage (20.8%).</p><p><strong>Conclusion: </strong>Understanding factors contributing to terminal events in IEI patients can inform early intervention strategies and potentially reduce mortality rates.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"25 1","pages":"689-696"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114092","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}
Abdullah Al Abulsalam, Khawla Al Kindi, Abdullah Al Ghailani, Hamed Al Sinawi, Naser Al Balushi, Salam Al Kindi, Sathiya P Murthi, Amal Al Fahdi, Mohammed Al Alawi
{"title":"The Prevalence and Correlates of Aberrant Opioid-Related Behaviours among Patients with Sickle Cell Disease in Oman: <i>A cross-sectional study</i>.","authors":"Abdullah Al Abulsalam, Khawla Al Kindi, Abdullah Al Ghailani, Hamed Al Sinawi, Naser Al Balushi, Salam Al Kindi, Sathiya P Murthi, Amal Al Fahdi, Mohammed Al Alawi","doi":"10.18295/2075-0528.2888","DOIUrl":"10.18295/2075-0528.2888","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess the prevalence of aberrant opioid-related behaviours (AORB) among patients with sickle cell disease (SCD) in Oman and identify associated risk factors.</p><p><strong>Methods: </strong>This cross-sectional analytical study was conducted at Sultan Qaboos University Hospital, Muscat, Oman from June to December 2022. Patients with SCD aging 18-65 years old were included and clinically observed for more than 3 months. The Current Opioid Misuse Measure (COMM) was used to evaluate AORB with scores of ≥9 indicating high risk. Demographic and clinical data were collected. The association between AORB and clinical-demographic variables was examined using the Chi-square test.</p><p><strong>Results: </strong>A total of 144 SCD patients were included in this study; 58.3% of the participants were at high risk of AORB with a mean COMM score of 12.08. A significant relationship was found between perceived lack of family social support and AORB (<i>P</i> <0.001). No significant associations were observed between AORB risk and other studied factors.</p><p><strong>Conclusion: </strong>This study was the first to document a high prevalence of AORB among SCD patients in Oman. The findings underscore the critical role of family support in mitigating this risk of opioid misuse among this vulnerable population.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"25 1","pages":"674-680"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114229","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}
{"title":"The Role of Leopard Spot Technique Acupuncture for Shoulder Impingement with Myofascial Pain Syndrome.","authors":"Dewi Ratnasari, Sri Wahdini","doi":"10.18295/2075-0528.2903","DOIUrl":"10.18295/2075-0528.2903","url":null,"abstract":"<p><p>Shoulder impingement syndrome can be defined as a collection of symptoms and signs in the shoulder caused by pathology within the intrinsic or extrinsic that cause pinching in the narrowed space between the acromion and the head of the humerus. Myofascial pain yndrome can occur because of shoulder impingement syndrome. We report a 66-year-old male patient who presented with complaints of limited motion in the right shoulder area accompanied by pain to a medical acupuncture clinic in Jakarta, Indonesia, in 2024. Leopard spot technique manual acupuncture was performed at the palpable myofascial trigger point area in each therapy session. After multiple sessions, the patient experienced a reduction in the NRS scale, improvement in range of motion in shoulder, increased pressure using an algometer and improvement in Shoulder Pain and Disability Index scores without side effects. Therefore, manual acupuncture using Leopard spot technique may effectively improve shoulder motion limitations in shoulder impingement syndrome accompanied by myofascial pain syndrome.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"25 1","pages":"731-736"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114209","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}
Ghaida K H Al-Hashmi, Abdullah Al-Asmi, M Mazharul Islam, Ibrahim Al-Zakwani, Mehwish Butt, Ahmed Al-Qassabi, Haifa Al-Abri, Arunodaya R Gujjar
{"title":"Effectiveness and Safety Profile of Fingolimod in Treating Omani Patients with Multiple Sclerosis: <i>A single tertiary centre experience</i>.","authors":"Ghaida K H Al-Hashmi, Abdullah Al-Asmi, M Mazharul Islam, Ibrahim Al-Zakwani, Mehwish Butt, Ahmed Al-Qassabi, Haifa Al-Abri, Arunodaya R Gujjar","doi":"10.18295/2075-0528.2829","DOIUrl":"10.18295/2075-0528.2829","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the effectiveness and safety of fingolimod in Omani multiple sclerosis (MS) patients. Fingolimod is one of the oral drugs used to treat MS. However, there is limited information on its effectiveness and safety among the Omani population.</p><p><strong>Methods: </strong>This retrospective real-world study included 65 Omani MS patients who received fingolimod therapy from 2012 to 2021 at a single tertiary centre in Oman. Data were collected between August and November 2021. Various measures were used to evaluate the effectiveness and safety of fingolimod.</p><p><strong>Results: </strong>Out of 65 MS patients included in the study, 51 (79%) were female. The median duration of fingolimod use was 3.6 ± 2.5 years. The results of the last follow-up visit indicate that the median annualised relapse rate decreased by 84% and relapse-free rate (RFR) increased to 90%, with only a minimal (13%) increase in the expanded disability status. The median number of gadolinium-enhanced lesions in the brain and spine decreased significantly by 88% and 67%, respectively, while the new or enlarged T2 lesions in the brain significantly decreased by 62% (P < 0.050) over the treatment period. The most common side effect was bradycardia (32%). Patient age and age at treatment initiation were significant predictors of RFR (P < 0.050).</p><p><strong>Conclusion: </strong>This study suggests that the effectiveness and safety profiles of fingolimod in Omani MS patients are similar to those determined by standard clinical trials and real-world retrospective studies.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"25 1","pages":"225-232"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609574","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}
Shaima Alshukaili, Hussain Al-Saffar, Hatem Al-Rawahi, Laila Al Yazidi
{"title":"Antibiotic Use by Paediatric Residents of the Oman Medical Specialty Board: <i>Identifying opportunities for antimicrobial stewardship</i>.","authors":"Shaima Alshukaili, Hussain Al-Saffar, Hatem Al-Rawahi, Laila Al Yazidi","doi":"10.18295/2075-0528.2861","DOIUrl":"10.18295/2075-0528.2861","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate antibiotic prescription knowledge and practices among Oman Medical Specialty Board (OMSB) paediatric residents. The goal was to identify educational opportunities to reduce antimicrobial resistance and improve patient care.</p><p><strong>Methods: </strong>A survey-based cross-sectional study was conducted among the OMSB paediatric residents from August 2023 to September 2023. The online survey involved three parts: residents' demographics, knowledge of 12 common paediatric infection scenarios and clinical practice. Participants were asked to choose the proper antibiotic choices and duration for each scenario. Data analysis was performed using SPSS.</p><p><strong>Results: </strong>A total of 74 responses were obtained, resulting in an 84% response rate. No significant differences were observed in the knowledge of antibiotic prescriptions among paediatric residents at different stages of their residency. The highest knowledge-based adherence rate to local antibiotic guidelines was noted in the acute sinusitis scenario (n = 70; 94.6%), followed by the acute meningitis scenario (n = 68; 91.9%). Conversely, the lowest adherence was observed in the acute otitis media (n = 16; 21.6%), followed by cellulitis (n = 23; 31.1%). Residents exhibited proficient clinical judgement by consulting infectious disease specialists when required based on the scenarios provided.</p><p><strong>Conclusions: </strong>The low knowledge-based adherence to antibiotic guidelines for common paediatric infections, coupled with the lack of significant differences in antibiotic knowledge between senior and junior paediatric residents, underscores the need for collective educational interventions. These interventions aim to advance knowledge and skills in antimicrobial stewardship and local antibiotic guidelines application.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"25 1","pages":"474-484"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609592","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}