Health professionals’ perceptions about physical activity promotion in diabetes care within primary health care settings in Oman

Background: As part of formative work to inform an interventional design to increase physical activity (PA) in patients with type 2 diabetes in Oman, this qualitative study aimed to determine health professionals’ perception of barriers and opportunities, personnel responsibilities and plausible PA promotional approaches. Methods: Four focus group discussions were carried out with groups of health care professionals (family physicians, dieticians and health educators, managers and general practitioners). All discussions were audio recorded and transcribed. Responses were analysed using a thematic analysis. Results: Barriers to PA reported by participants (n = 29) were identified at three levels: health care system (e.g. deficient PA guidelines); individual (e.g. obstructive social norms) and community (e.g. lack of facilities). Participants felt that a multilevel approach is needed to address perceived barriers and to widen current opportunities. In the presence of various diabetes primary care providers, the potential for dieticians to include individualised PA consultations as part of their role was highlighted. Participants felt that consultations should be augmented by approaches within the community (volunteer support and/or appropriate facilities). However, despite lack of experience with technology supported approaches and motivational tools, the telephone application “WhatsApp” and use of pedometers were considered potentially suitable. The need for training in behaviour change techniques and clearly communicated intervention guidelines was emphasised. Conclusions: A multi-component approach including PA consultations, possibly led by trained dieticians, technological routes for providing support along with community mapping for resources appear to offer promising approaches for further PA intervention studies within diabetes primary health care

First record of Gymnocranius griseus (Temminck & Schlegel, 1843) (family Lethrinidae) from southern Oman, Western Indian Ocean

Primer registre de Gymnocranius griseus (Temminck & Schlegel, 1843) (família Lethrinidae) del sud d’Oman, oest de l’oceà Índic Es va recol·lectar un únic espècimen (285 mm longitud estàndard) de Gymnocranius griseus (Temminck & Schlegel, 1843) a la ciutat de Salalah (Oman), a la costa del mar d’Aràbia. És el primer registre d’aquesta espècie a les aigües d’Oman. Presenta característiques específiques: cos alt (2,17 vegades la longitud estàndard); els perfils dorsal i ventral del cap són uniformement convexos; el perfil de la part ventral del cos és recte; la vora inferior de l’ull se situa lleugerament per sota de la línia que uneix la part anterior de la boca amb el centre de l’aleta caudal lobulada; l’ull és relativament ample, de diàmetre pràcticament igual o lleugerament superior a les distàncies preorbitària i interorbitària; la boca és relativament petita i la part posterior dels maxil·lars arriba pràcticament al nivell dels orificis nasals anteriors; presenta tres parells de fines canines a la part anterior del maxil·lar superior i un parell a la part anterior de l’inferior, com també altres dents vil·liformes que adquireixen forma cònica a les parts laterals. L’espècimen va ser identificat com un G. griseus atès que les seves característiques corresponen a la descripció diagnòstica de Carpenter & Allen (1989). Palabras clave: Gymnocranius griseus, Salalah, Mar de Arabia, Primer registro.A single specimen (285 mm SL) of Gymnocranius griseus (Temminck & Schlegel, 1843) was collected from Salalah, Arabian Sea coast of Oman. It is the first record of this species from the Omani waters. It shows specific characters: deep body (2.17 times SL); evenly convex dorsal and ventral profile of head; ventral part of body profile straight; lower edge of eye slightly above a line from tip of snout to middle of caudal fin fork; eye relatively large, its diameter about equal to or slightly larger than preorbital and interorbital widths; mouth relatively small, posterior part of jaws reaching to about level of anterior nostrils; three pair and one pair of slender canines at front of upper and lower jaw, respectively, other teeth villiform, becoming conical on lateral sections. The specimen was identified as G. griseus as these characters fit the diagnostic description of Carpenter & Allen (1989). Key words: Gymnocranius griseus, Salalah, Arabian Sea, First record.Primer registre de Gymnocranius griseus (Temminck & Schlegel, 1843) (família Lethrinidae) del sud d’Oman, oest de l’oceà Índic Es va recol·lectar un únic espècimen (285 mm longitud estàndard) de Gymnocranius griseus (Temminck & Schlegel, 1843) a la ciutat de Salalah (Oman), a la costa del mar d’Aràbia. És el primer registre d’aquesta espècie a les aigües d’Oman. Presenta característiques específiques: cos alt (2,17 vegades la longitud estàndard); els perfils dorsal i ventral del cap són uniformement convexos; el perfil de la part ventral del cos és recte; la vora inferior de l’ull se situa lleugerament per sota de la línia que uneix la part anterior de la boca amb el centre de l’aleta caudal lobulada; l’ull és relativament ample, de diàmetre pràcticament igual o lleugerament superior a les distàncies preorbitària i interorbitària; la boca és relativament petita i la part posterior dels maxil·lars arriba pràcticament al nivell dels orificis nasals anteriors; presenta tres parells de fines canines a la part anterior del maxil·lar superior i un parell a la part anterior de l’inferior, com també altres dents vil·liformes que adquireixen forma cònica a les parts laterals. L’espècimen va ser identificat com un G. griseus atès que les seves característiques corresponen a la descripció diagnòstica de Carpenter & Allen (1989). Palabras clave: Gymnocranius griseus, Salalah, Mar de Arabia, Primer registro

The Accuracy of the Broselow™ Pediatric Emergency Tape for Weight Estimation in an Omani Paediatric Population

Objectives: This study aimed to evaluate the accuracy of the Broselow™ Pediatric Emergency Tape (BT) for estimating weight in an Omani paediatric population at a tertiary care hospital. Methods: This retrospective cross-sectional study was conducted during July 2015. The electronic medical records of Omani outpatients <14 years old attending the Sultan Qaboos University Hospital, Muscat, Oman, between July 2009 and June 2013 were reviewed for recorded height and weight data. The BT Version 2002A was used to predict weight based on actual height measurements. Predicted weight measurements were then compared with actual weight to determine the accuracy of the estimation. Results: A total of 3,339 children were included in the study, of which 43.5% were female and 56.5% were male. The mean age was 6.4 ± 3.1 years and the mean height was 93.2 ± 23.5 cm. The mean actual weight was 13.9 ± 6.7 kg while the mean BT-predicted weight was 14.4 ± 6.9 kg. The BT-predicted weight estimations correlated significantly with actual weight measurements (intraclass correlation coefficient: 0.97; P <0.001). A Bland-Altman analysis indicated that the BT performed well when estimating weight among Omani children, with an overestimation of only 0.5 kg for the entire cohort. Conclusion: The BT was found to be an effective tool for estimating weight according to body length in an Omani paediatric population. It should therefore be considered for use in emergency situations when actual weight cannot be determined

Embedded gateway services for Internet of Things applications in ubiquitous healthcare

The continuous advancement in computer and communication technologies has made personalized healthcare monitoring a rapidly growing area of interest. New features and services are envisaged, raising users' expectations in healthcare services. The emergence of Internet of Things brings people closer to connect the physical world to the Internet. In this paper, we present embedded services that are part of a ubiquitous healthcare system that allows automated and intelligent monitoring. The system uses IP connectivity and the Internet for end-to-end communication, from each 6LoWPAN sensor nodes to the web user interface on the Internet. The proposed algorithm in the Gateway performs multithreaded processing on the gathered medical signals for conversion to real data, feature extraction and wireless display. The user interface at the server allows users to access and view the medical data from mobile and portable devices. The ubiquitous system is exploring possibilities in connecting Internet with things and people for health services

Analysis of COVID-19 Vaccine Adverse Drug Reactions Reported Among Sultan Qaboos University Hospital Staff

Objectives: The aim of this study was to report any suspected adverse drug reactions (ADRs) experienced by all vaccinated staff and students. Methods: This study conducted during COVID-19 vaccination campaign that took place in a tertiary teaching hospital in Muscat from 29/Aug/2021 to 12/Sep/2021. An online survey was generated, and sent to all staff and students via email and through their mobile phones. An announcement at the hospital website with a link to the survey was made. Data analysis with descriptive statistics was done via STATA software. Results: In this study, 8,421 individuals reported being vaccinated with a total of 11,468 doses administered. A total of 8,014 patients’ doses received the Pfizer-Biotech vaccine while 3,454 patients’ doses received the Oxford-AstraZeneca brand. There were a total of 3,275 (38.8%) responses to the survey distributed. A total of 741 individuals (22.6%) experienced an ADR after taking the vaccine and 67% (n = 498) were females (P<0.001). Majority of the ADRs reported were fever and chills (19.7%) followed by localized pain at the injection site (18.8%). Other ADRs were reported such as hair loss (0.5%) and one patient reported a clot in the right leg. Most responders (27%) considered their ADRs as mild while 25% of the responders considered them as severe. Conclusion: In the study cohort, there were mild symptoms of COVID-19 vaccines, and females had more risk of ADRs compared to males. It is crucial to observe for long term ADRs to the vaccines and a follow-up monitoring should be done to subjects to preclude any unwanted effects. Keywords: Pfizer-BioNTech (BNT162b2), Oxford-AstraZeneca (ChAdOx1 nCoV-19), COVID-19 vaccines, COVID-19, Adverse Drug Reactions

Inclusion Body Myositis: Navigating diagnostic challenges, case report

Inclusion body myositis (IBM) is a rare progressive myopathy affecting individuals older than 50 years. It is associated with significant morbidity once restricting the patient's mobility, and it has a relatively low mortality risk with respiratory muscles involvement. Muscle biopsy is the gold standard method for diagnosis. In this complex scenario, we present a case involving a 72-year-old woman admitted to our hospital with progressive weakness of lower limbs. The diagnostic process was challenging due to the case's complexity necessitating a multidisciplinary team approach. This case highlights the intricate nature of the diagnostic journey, as diagnosing IBM remains a challenge in clinical practice, requiring a high suspicion and precise application of available diagnostic tools with the guidance of a collaborative multidisciplinary approach in investigating and providing patient care. This case report contributes valuable insights to the understanding of this complex myopathy, facilitating more accurate diagnosis and enhancing patient care strategies Keywords: Sporadic inclusion body myositis; idiopathic inflammatory myopathy; rimmed vacuole

Inexpensive and Accurate Measuring Device forWater Constitute in Oil

This paper presents an inexpensive and accurate measuring device for water constitute in oil. The new device is based on the relationship between the water constitute in oil and the pressure of a sample from the oil. Experimental results show that the device can attain a very high resolution that can reach up +/- 0.4% and it can be used to measure a full range of water percentage levels (0-100%). Experimental results showed good agreement with theory

Effects of Age, Breed and Sex on Haematological Parameters of Growing Omani Goat Breeds

Sixty seven healthy growing goat kids of three Omani breeds, born and raised in Sultan Qaboos University Agricultural Experiment Station, were used to study the effects of age, breed and sex on haematological parameters. Blood samples were collected at several times from the first to 25 weeks to study the following parameters: Red Blood Cells (RBCs), White Blood Cells (WBCs), Packed Cell Volume (PCV), Haemoglobin (Hb), Mean Cell Volume (MCV), Mean Cell Haemoglobin Concentration (MCHC) and Mean Cell Haemoglobin (MCH). At birth, MCV and MCH levels were significantly higher in Batina (BAT) kids than both Jabal Akhdar (JA) and Dhofari (DOF), but there were no breed differences in the rest of the haematological values. There were significant breed differences in RBC, MCH, WBC, MCV at different ages, with Hb and PCV being highly significant at all ages. All blood parameters changed with time but showed different patterns in all breeds. There was no effect of sex on RBC, MCHC, PCV, Hb or WBC, but female kids had significantly higher MCH and MCV values at week 12. This study indicates that haematology parameters in Omani goat kids could be affected by age, breed and sex

Decision-to-Delivery Time Intervals in Emergency Caesarean Section Cases : Repeated cross-sectional study from Oman

Objectives: In cases of fetal intolerance to labour, meeting the standard decision-to-delivery time interval (DDI) of ≤30 minutes is challenging. This study aimed to assess DDIs in emergency Caesarean section (CS) cases to identify factors causing DDI delays and the impact of a delayed DDI on perinatal outcomes. Methods: This repeated cross-sectional study included all emergency CS procedures performed due to acute fetal distress, antepartum haemorrhage or umbilical cord prolapse at the Nizwa Hospital, Nizwa, Oman. Three audit cycles of three months each were conducted between April 2011 and June 2013, including an initial retrospective cycle and two prospective cycles following the implementation of improvement strategies to address factors causing DDI delays. Poor perinatal outcomes were defined as Apgar scores of <7 at five minutes, admission to the Special Care Baby Unit (SCBU) or a stillbirth. Results: In the initial cycle, a DDI of ≤30 minutes was achieved in 23.8% of 84 cases in comparison to 44.6% of 83 cases in the second cycle. In the third cycle, 60.8% of 79 women had a DDI of ≤30 minutes (P <0.001). No significant differences in perinatal outcomes for cases with a DDI of ≤30 minutes versus 31–60 minutes were observed; however, a DDI of >60 minutes was significantly associated with poor neonatal outcomes in terms of increased SCBU admissions and low Apgar scores (P <0.001 each). Factors causing DDI delays included obtaining consent for the CS procedure, a lack of operating theatre availability and moving patients to the operating theatre. Conclusion: The identification of factors causing DDI delays may provide opportunities to improve perinatal outcomes

Nodular Pulmonary Amyloidosis Mimicking Metastatic Pulmonary Nodules: A case report and review of the literature

Amyloidosis is a disorder characterised by the extracellular deposition of amyloid, a fibrillary protein, in various organs such as the lungs. Pulmonary nodular amyloidosis can mimic other lung conditions that present with pulmonary nodules, such as metastasis, sarcoidosis and hyalinising granuloma. We report a 60-year-old man who presented to the Royal Hospital, Muscat, Oman, in 2017 with a history of shortness of breath upon exertion, orthopnoea and bilateral lower limb swelling. A chest X-ray showed bilateral nodular opacities. Enhanced chest computed tomography revealed bilateral pulmonary nodules with a predominantly perilymphatic and subpleural distribution, giving the impression of a neoplastic nodule. A histopathological examination of biopsied lung tissue confirmed a diagnosis of nodular pulmonary amyloidosis. Keywords: Multiple Pulmonary Nodules; Amyloidosis; Computed Tomography; Case Report; Oman