AACE2021-A-1012: Subacute Thyroiditis: Epidemiological, Clinical, Biochemical and Radiological Features in Sultan Qaboos University Hospital, Muscat, Oman

Objective: to determine the prevalence of explained and unexplained recurrent miscarriages (RM) and to find out if there is a significant relationship between recurrent miscarriages and consanguinity. Methods: A cross sectional in which the cases group included all women with RM attending the outpatient clinic at Sultan Qaboos University Hospital from July 2006 to April 2012 and the controls group included women with no history of RM after matching them with cases for age (case to control ratio was 1:1). The main outcome measures were the prevalence of consanguinity in women with or without recurrent miscarriages. Results: During study period a total of 290 women with RM were seen. Of which, 150 (51.7%) women had unexplained RM. Control group with no history of RM were 300 women. Consanguinity rate among cases (49.5%) %) was less than the controls (52.7 %%). Both first cousin and second cousin marriages were more common in the controls than the cases and it was not statistically significant (p value 0.476, chi squared test). Conclusion: In this study we found that more than half of RM cases were unexplained and there was no significant association between RM and consanguinity.

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The Effect of a Self-Efficacy-Enhancing Intervention on Perceived Self-Efficacy and Actual Adherence to Healthy Behaviours Among Women with Gestational Diabetes Mellitus

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.18295/squmj.2018.18.04.014 ◽

2019 ◽

Vol 18 (4) ◽

pp. 513

Author(s):

Iman Al-Hashmi ◽

Felicia Hodge ◽

Karabi Nandy ◽

Elizabeth Thomas ◽

Mary-Lynn Brecht

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Self Efficacy ◽

Patient Adherence ◽

Antenatal Clinic ◽

Text Messages ◽

University Hospital ◽

Control Group ◽

Sultan Qaboos University

Objectives: This study aimed to evaluate the effectiveness of a self-efficacy-enhancing intervention (SEEI) on perceived self-efficacy and actual adherence to healthy behaviours among women with gestational diabetes mellitus (GDM). Methods: This comparative pre-post study was conducted at the Antenatal Clinic of the Sultan Qaboos University Hospital, Muscat, Oman, between October 2016 and January 2017. A total of 90 adult Omani women with GDM were randomised to either a control group receiving standard prenatal care or a SEEI group. The SEEI group received an additional health education session and biweekly text messages to encourage adherence to healthy behaviours. All participants completed self-reported standardised questionnaires to determine perceived self-efficacy and actual adherence at baseline and after four weeks. Results: At baseline, there were no significant differences between the control and SEEI groups in mean scores for perceived self-efficacy (122.9 ± 19.9 versus 118.2 ± 19.5; P = 0.26) or actual adherence to healthy behaviours (3.1 ± 1.2 versus 3.2 ± 1.0; P = 0.23). However, after four weeks, there was a significant positive difference between the SEEI and control groups in terms of pre-post change in scores for both perceived self-efficacy (9.9 ± 19.6 versus −1.8 ± 17.6; P <0.05) and actual adherence to healthy behaviours (1.5 ± 1.1 versus 0.4 ± 0.8; P <0.01). Conclusion: The SEEI was found to significantly improve perceived self-efficacy and actual adherence to healthy behaviours among a group of Omani women with GDM.Keywords: Attitude to Health; Health Behaviors; Self Efficacy; Patient Adherence; Gestational Diabetes; Oman.

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Putting Research Findings into Clinical Practice : Feasibility of Integrated Evidence Based Care Pathways in Otorhinolaryngology Head and Neck Surgery at Sultan Qaboos University Hospital , Oman

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.12816/0003111 ◽

2012 ◽

Vol 12 (2) ◽

pp. 184-189

Author(s):

Deepa Bhargava ◽

Zainab Al-Lawatia ◽

Rashid Al-Abri ◽

Kamlesh Bhargava

Keyword(s):

Clinical Practice ◽

Head And Neck ◽

Neck Surgery ◽

Head And Neck Surgery ◽

University Hospital ◽

Evidence Based ◽

Care Pathways ◽

Sultan Qaboos University ◽

Research Findings ◽

Evidence Based Care

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Delays in Presentation by Patients with ST Elevation Myocardial Infarction

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.18295/squmj.6.2021.079 ◽

2021 ◽

Author(s):

Suhaib Almashari ◽

Yasir Al-Malki ◽

Adil Al-Riyami ◽

Sunil K Nadar

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Public Education ◽

Primary Angioplasty ◽

St Elevation Myocardial Infarction ◽

University Hospital ◽

Sultan Qaboos University ◽

Early Evaluation ◽

St Elevation ◽

Patient Factor

Objectives: To assess causes of delay for presentation with ST elevation myocardial infarction (STEMI) at our institution. Methods: We included patients with a STEMI that were taken up for primary angioplasty, who had presented from Jan 2017 to December 2019 to the emergency department at Sultan Qaboos university hospital, Muscat. Results: 101 patients (Mean age 54.8+10.8 years; 80 (79.2%) male) were included. The median (IQR) pain to door time was 60 (30-120) minutes. 66 (66%) patients arrived within 90 minutes. All except one arrived by privately arranged transport. Feeling that the pain was not important (60%) or not cardiac (22%) were the main reasons for delay. Being diabetic was the only patient factor that predicted delay. Conclusion: A high proportion of patients presenting to our institution with a STEMI arrived within recommended times. However more public education is required to improve awareness about the importance of early evaluation of chest pain. Keywords: Acute myocardial infarction; prehospital delay

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Effectiveness of misoprostol for induction of first and early second trimester spontaneous miscarriages in parous women

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20184498 ◽

2018 ◽

Vol 7 (11) ◽

pp. 4512

Author(s):

Tamima Al-Dughaishi ◽

Amjad Hamed Al-Haddabi ◽

Mussab Mussab Mubarak Hamed Al-Jabri ◽

Vaidyanathan Gowri

Keyword(s):

Success Rate ◽

First Trimester ◽

University Hospital ◽

Second Trimester ◽

Sultan Qaboos University ◽

Dilatation And Curettage ◽

Dilation And Curettage ◽

Medical Termination ◽

Surgical Evacuation ◽

Incomplete Miscarriage

Background: Medical termination of missed miscarriage and incomplete miscarriage with misoprostol, are an alternative to surgical evacuation (dilatation and curettage). This study aimed to evaluate the effectiveness of misoprostol in highly parous woman for incomplete and missed miscarriage.Methods: This was a retrospective study was conducted in two different time lines (2010 and 2014). All patients admitted to the Sultan Qaboos University hospital, Muscat, Oman, for the management of first-trimester miscarriages (missed and incomplete types) during the study period were included. Some women were moved to dilation and curettage even after misoprostol. The effect of gravidity and parity on those women in whom misoprostol was not effective was studied.Results: The overall success rate of misoprostol for the management was 62.14% in 2010 and 53.8% 2014. In nulliparous woman the success rate of misoprostol was slightly higher than parous women. There was no apparent effect of gravidity and parity of ≥ 5 or ≥ 5 on the success of misoprostol.Conclusions: Misoprostol reduced the rate of surgical evacuation among the study subjects. In highly parous and multigravid women (≥ para 5 and gravida ≥5) the success was not significantly different compared to less parous women.

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Reliability of Canadian triage acuity scale for toxicology cases that presented to Sultan Qaboos University Hospital Emergency Department, Oman

Journal of Emergency Medicine ◽

10.1016/j.jemermed.2020.03.049 ◽

2020 ◽

Vol 58 (5) ◽

pp. 847

Author(s):

Ahd AlHinai ◽

Suad Al Abri ◽

Munira Al Rumhi

Keyword(s):

Emergency Department ◽

University Hospital ◽

Hospital Emergency Department ◽

Hospital Emergency ◽

Sultan Qaboos University

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Vincristine Neuropathy in Children: Squatting (Sitting Cross Legged) Predisposes Common Peroneal Nerves to Be More Severely Affected than Tibial Nerves

Journal of Pediatric Neurology ◽

10.1055/s-0039-1697584 ◽

2019 ◽

Vol 18 (04) ◽

pp. 182-184

Author(s):

Roshan Koul ◽

Saleem Saleh Naiha Al Harousi ◽

Sousan AlNabhani ◽

Amna AlFutaisi

Keyword(s):

Retrospective Study ◽

Action Potential ◽

Nerve Conduction ◽

Nerve Conduction Velocity ◽

Compound Muscle Action Potential ◽

University Hospital ◽

Muscle Action ◽

Sultan Qaboos University ◽

Muscle Action Potential ◽

Vincristine Neuropathy

Abstract Objective The main objective of this article was to evaluate vincristine neuropathy effect on common peroneal and tibial nerves. Methods A retrospective study was conducted in children with vincristine neuropathy between August 2006 and January 2016 at Sultan Qaboos University Hospital. Results Twenty-eight children (15 females and 13 males) were included in the study. The compound muscle action potential of common peroneal nerves was significantly reduced relative to the tibial nerves (p < 0.05)). There was no difference in latency and nerve conduction velocity between the two nerves. Conclusion Children receiving vincristine demonstrate severe peroneal neuropathy compared with tibial nerves. We conclude that squatting posture effects peroneal nerves and postulate that the peroneal nerves are affected more due to the squatting posture. This squatting posture stretches the nerves that are already affected by the toxic effect of vincristine.

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