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SQUMJ OMAN

Listed in PubMed Indexed in SCOPUS

August 2011, Volume 11, Issue 3

Submyomatous Cornual Pregnancy (see p. 401)

Bilateral Elastofibroma Dorsi (see p. 415)

Highlights -

Acute Coronary Syndrome, Diabetes and Hypertension - Oman must pay more attention to chronic non-communicable diseases

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Shaken Baby Syndrome as a Form of Abusive Head Trauma

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Health Care Market Deviations from the Ideal Market

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Acute Coronary Syndrome in Oman - Results from the Gulf Registry of Acute Coronary Events

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Diabetes Care in Oman - Obstacles and solutions

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Prevalence of Uncontrolled Hypertension in Primary Care Settings in Al Seeb Wilayat, Oman

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A Novel Splice-site Allelic Variant is Responsible for Wilson Disease in an Omani Family

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Gender Difference in Relationship of Apnoea/Hypopnoea Index with Body Mass Index and Age in the Omani Population

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Intra-Operative Neural Response Telemetry and Acoustic Reflex Assessment using an Advance-In-Stylet Technique and Modiolus Hugging - A prospective cohort study

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Comparison of the Clinical Profile and Complications of Mixed Malarial Infections of Plasmodium Falciparum and Plasmodium Vivax versus Plasmodium Falciparum Mono-infection

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Perceptions and Attitudes of Medical Students towards Two Methods of Assessing Practical Anatomy Knowledge

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Case Reports, Medical Image, Letters to the Editor, Book Reviews, Conference Abstracts and Announcements

ISSN (Print Edition) 2075-051X; ISSN (Online Edition) 2075-0528

SQUMJ is an Open Access Journal: www.squ.edu.om/squmj

Sultan Qaboos University Medical Journal Indexed in SCOPUS and WHO EMR Index Medicus Listed in PubMed

Aug ust 2011, Volume 11, Is s u e 3

Sultan Qaboos University Medical Journal is a nationally and internationally peer reviewed multidisciplinary biomedical journal. It publishes original articles in both print and on line editions, the latter with free public access to full text articles. Its aims are: 1) to be a leading regional medium of biomedical and allied scientific communication with international recognition and acceptance; 2) to encourage and stimulate medical research and scientific publication within Oman and the Gulf area, while attracting contributions from further a field; 3) to create awareness of developments in medicine and allied fields among health professionals in and outside Oman. It is a forum for the exchange and dissemination of medical knowledge and research among health professionals within Oman, the Gulf region, the Middle East, North Africa and Asia.

SULTAN QABOOS UNIVERSITY Scientific Publications Board

SQUMJ International Advisory Board

Prof. Amer Al-Rawas, Chair, Scientific Publications Board Prof. Ali Amer, Editor, Journal of Educational & Psychological Studies Prof. Ali El-Mahi, Editor, SQU Journal for Arts & Social Sciences Prof. Ibrahim Eltayeb, Editor, SQU Journal for Science Mr. Jamal Al-Ghailani, Scientific Publications Department Prof. Eugene Johnson, Editor, Journal of Agricultural & Marine Sciences Prof. Mohamed Ould-Khaoua, Editor, Journal of Engineering Research Prof. Lamk Al-Lamki, Editor, SQU Medical Journal Prof. Reginald Victor, Dean Scientific Research

Dr. Abdulrahman Al-Frayh, King Khaled University, KSA Prof. Mohsen El-Hazmi, King Saud University, KSA Prof. Harith Lamki, Queens University, Belfast. UK Dr. Dimitri P. Mikhailidis, University College London, UK Prof. Hamid Al-Mondhiry, Pennsylvania State University, USA Prof. Sir Peter Morris, University of Nottingham, UK Prof. Gilbert Pinard, McGill University, Canada Prof. John Raeburn, University of Nottingham, UK Dr. Euan Scrimgeour, University of Western Australia Dr. Zohair Sebai, Sebai Institute, KSA Prof. Henk Wallenburg, Erasmus University, Netherlands Prof. Sir David Weatherall, University of Oxford, UK Prof. Keith Whaley, Hamad Medical Center, Qatar Prof. Nivritti G Patil, University of Hong Kong, China

SQUMJ Editorial Board Members Editor-in-Chief Prof. Lamk Al-Lamki, Radiology & Mol. Imaging Editor Prof. Samir Al-Adawi, Behavioural Medicine Associate Editors Dr. Rashid Al-Abri, Surgery ENT Prof. Badreldin Ali, Pharmacology Dr. Abdullah Al-Asmi, Neurology Dr. Sulayma Al-Barwani, Physiology Dr. Ikram Burney, Oncology Dr. Shyam Ganguly, Epidemiology & Statistics Dr. V. Gowri, Obstetrics & Gynaecology Dr. Omar Habbal, Anatomy & Embryology Prof. Ali Al-Jabri, Microbiology & Immunology

Dr. Nadia Al-Kharousi, Ophthalmology Dr. Salam Al-Kindi, Haematology Prof. Neela Al-Lamki, Medical Education Prof. Zakia Al-Lamki, Paediatric Haematology Dr. Norman Machado, Surgery Dr. Prakash Mandhan, Paediatric Surgery Dr. Allal Ouhtit, Genetics Prof. Omar Al-Rawas, Respirology Dr. Muna Al-Sadoon, Community Paediatrics Dr. Jumana Saleh, Biochemistry Dr. Sukhpal Sawhney, Radiology Dr. Marwan Al-Sharbati, Behavioural Medicine Dr. Ashok Sharma, Cardiac Surgery Dr. Thord Theodorson, Family Medicine Dr. Yasser Wali, Child Health

Prof. Nicholas Woodhouse, Endocrinology Arabic Editor Dr. Marwan Al-Sharbati Managing & Copy Editor Dr. Meriel Carboni Technical Editor Mr. Amar Hussain Assistant Editors Ms. Sheherajoy Biruar Mrs. Jacqueline Rispel All Editorial Board Members are staff of the College of Medicine & Health Sciences, Sultan Qaboos University

SQUMJ is published quarterly and distributed free of charge to medical colleges and institutions in Oman, the Gulf countries, the Eastern Mediterranean Region, India, USA, Canada, Australia and the UK All SQUMJ articles are freely available for inspection and download on the Journal website

Published by: Sultan Qaboos University with the support of College of Medicine & Health Sciences PO Box 35, Al-Khod 123, Muscat, Oman

Email: [email protected] & [email protected]; Website: http://www.squ.edu.om/squmj Phone: (+968) 2414 3457, Fax (+968) 2441 3419

Edited, designed and typeset by the Editorial Office, College of Medicine & Health Sciences, Sultan Qaboos University Printed at Sultan Qaboos University Press. ©2011 Sultan Qaboos University Medical Journal. All rights reserved. This Journal is not responsible for opinions printed in its publications: they represent the views of the individuals to whom they are credited and are not binding upon the Journal. ISSN (print edition): 2075-051x; ISSN (internet edition): 2075-0528

SQUMJ does not charge authors for Publication

For information on manuscript submisssion see Guide for Authors

CONTE N T S E D I T OR I A L Acute Coronary Syndrome, Diabetes and Hypertension Oman must pay more attention to chronic non-communicable diseases

318 Lamk Al-Lamki

R EVI EW S Shaken Baby Syndrome as a Form of Abusive Head Trauma

322 Muna Al-Saadoon, Ibtisam B Elnour, Anuradha Ganesh

Health Care Market Deviations from the Ideal Market

328 Ari Mwachofi and Assaf F Al-Assaf

SOU ND I NG B OAR D S Acute Coronary Syndrome in Oman Results from the Gulf Registry of Acute Coronary Events

338 Prashanth Panduranga, Kadhim Sulaiman, Ibrahim Al-Zakwani

Diabetes Care in Oman Obstacles and solutions

343 Saif Alyaarubi

C L I N I CA L A ND B ASI C R ESE A R C H Prevalence of Uncontrolled Hypertension in Primary Care Settings in Al Seeb Wilayat, Oman

349

Rashid Al-Saadi, Sulaiman Al-Shukaili, Suleiman Al-Mahrazi, Zakiya Al-Busaidi

A Novel Splice-site Allelic Variant is Responsible for Wilson Disease in an Omani Family

357

Mohammed Al-Tobi, Masoud Kashoob, Surendranath Joshi, Riad Bayoumi

Gender Difference in Relationship of Apnoea/Hypopnoea Index with Body Mass Index and Age in the Omani Population

363

Mohammed Al-Abri, Khamis Al-Hashmi, Deepali Jaju, Omar Al-Rawas, Bazdawi Al-Riyami, Mohammed Hassan

Intra-Operative Neural Response Telemetry and Acoustic Reflex Assessment using an Advance-In-Stylet Technique and Modiolus Hugging A prospective cohort study

369 Abdulrahman Hagr

Comparison of the Clinical Profile and Complications of Mixed Malarial Infections of Plasmodium Falciparum and Plasmodium Vivax versus Plasmodium Falciparum Mono-infection 377 Vivek Joseph, Muralidhar Varma, Sudha Vidhyasagar, Alvin Mathew

C ONTE NT S CL I N I CA L A ND B ASI C R ESEA R C H Perceptions and Attitudes of Medical Students towards Two Methods of Assessing Practical Anatomy Knowledge 383 Ibrahim M Inuwa, Varna Taranikanti, Maimouna Al-Rawa

C A SE REPOR T S Successful Use of Alternative Anticoagulants in the Management of Heparin-induced Thrombocytopenia with Thrombotic Complications Report of 5 cases and review of literature

391

Salam Alkindi, Owen P Smith, Helen Enright

Submyomatous Cornual Pregnancy Managed surgically after failed medical management

399 Lamya Al-Kharusi, Vaidyanathan Gowri, Rashid Al-Sukaiti, Wadha Al-Ghafri, Kuntal Rao

Schwannoma of the Cervical Symphathetic Chain First case report from Oman

403 Rashid Al Abri, Sudesh Kumar, Pradeep Chopra, P.A.M. Saparamadu

Late-onset Visual Loss in Osteopetrosis

407 Abdul-Majid Wangai, Sheila Waa, Maryam Wangai, Erastus Amayo, Oluoch Olunya

Keystone Design Sliding Skin Flap for the Management of Small Full Thickness Burns

412

Azher A. Al-Busaidi, Nirannanilathu Semalesan, Said S. Al-Busaidi

INT EREST I N G MED I CA L I M A G E S Bilateral Elastofibroma Dorsi

415

Mooyad A. Ahmed, Sureshkannan K. Subramanian, Intisar Al-Hashmi, SreedharanV. Koliyadan, Nayil Al-Kindi, P.A.M Saparamadu

LET T ERS T O T H E ED I T OR Maternal Triglycerides Underestimated predictors of neonatal birth weight

417 Jumana Saleh

Re: Vitamin D Deficiency in Omani Women

418 Subhash C. Arya and Nirmala Agarwal

Re: Improving Road Safety through Deterrence-Based Initiatives

420 Nasser Al-Azri and Abdullah Al-Maniri

CONTE N T S BOOK REVI EW S Cancer Chemotherapy and Biotherapy Principles and Practice

424 Authors: Bruce A Chabner and Dan L Longo

The Seven Habits of Highly Effective People

426 Author: Stephen R. Covey

AB ST R A CT S First International Conference on Patient Safety Sultan Qaboos University Hospital

428

31st Jan ˗ 2nd Feb 2011

Second National Update on Chronic Obstructive Pulmonary Disease (COPD) Oman Respiratory Society and Sultan Qaboos University

436

14th October 2010

ANNOU NCEMENT S Forthcoming Medical Conferences, Courses and Workshops

439

GU I D E Guide for Authors

440

ONLINE SUBMISSION! Please Submit your Manuscript ONLINE on the SQUMJ Website

www.squ.edu.om/squmj Note: Please make sure that you Register only once for all your Manuscripts

SQU Med J, August 2011, Vol. 11, Iss. 3, pp. 318-321, Epub. 15th Aug 11 Submitted 27th Jun 11 Accepted 3rd Jul 11

E D I TO R IAL

Acute Coronary Syndrome, Diabetes and Hypertension Oman must pay more attention to chronic non-communicable diseases Lamk Al-Lamki