Digital Commons Network^™

Transition Of Care In Paediatric Surgery: Current Practices And Perspectives Of Paediatric Surgeons In Malaysia, Shung K. Tan, Anand Sanmugam, Mahmoud Ramanujam, Tindivanam M., Mohan A. Nallusamy, Zakaria Zahari, Thambidorai R. Rao

Sultan Qaboos University Medical Journal

Objectives: Transition of care (TOC) from paediatric to adult care is still at an early stage in Malaysia. This study aimed to explore current practices and perspectives regarding TOC among paediatric surgeons in Malaysia. Methods: This study was carried out between June and December 2017. All 48 paediatric surgeons currently working in Malaysia were invited to participate in a questionnaire-based survey to assess demographic characteristics and practices and perspectives regarding TOC. Results: A total of 38 paediatric surgeons participated in the survey (response rate: 79.2%). Overall, 97.4% did not have an organised TOC model in their institution, with most (65.8%) …

For Whom The Bell Does Not Toll: The Invisible Saga Of Cancer Caregivers, Ritu Lakhtakia, Ikram Burney

Sultan Qaboos University Medical Journal

No abstract provided.

The Effect Of Change In Posture On Spirometry In Patients With Obstructive Sleep Apnoea Syndrome, Redha Al Lawati, Mohammed A. Al Abri, Balaji Al-Kharousi, Amira, Al Yaqdhan Al-Atbi, Syed Rizvi, Mohan Dikshit

Sultan Qaboos University Medical Journal

Objectives: Obstructive sleep apnoea syndrome (OSAS) is a growing health concern as it is associated with serious comorbidities. OSAS is mainly related to obesity, age, gender and a narrowed upper airway is commonly seen in patients with OSAS. This study aimed to compare spirometry parameters between obese OSAS patients and non-obese OSAS patients when patients moved from sitting to supine. Methods: This cross-sectional study was conducted at Sultan Qaboos University Hospital, Muscat, Oman, between December 2009 and December 2010. Patients with severe OSAS and who were OSAS treatment naïve were recruited. Spirometry was performed in all patients in sitting and …

Comparison Of Nitroglycerin Versus Lignocaine Spray To Attenuate Haemodynamic Changes In Elective Surgical Patients Undergoing Direct Laryngoscopy And Endotracheal Intubation: A Prospective Randomised Study, Rohit K. Varshney, Mukesh K. Prasad, Megha

Sultan Qaboos University Medical Journal

Objectives: This study aimed to compare the effects of nitroglycerin (NTG) versus lignocaine spray in blunting the pressor response during direct laryngoscopy and endotracheal intubation. Methods: This study was conducted between January and June 2018 in the Department of Anesthesiology, Teerthankar Mahaveer Medical College, Moradabad, India. A total of 90 elective surgical patients of American Society of Anesthesiologists physical status grades I or II were divided into three groups, comprising two treatment groups and one control group. Patients in the treatment groups received either one puff (1.5 mg/kg) of lignocaine 10% spray or one puff (400 μg) of NTG spray …

Oman Urological Society Conference 2019, Sultan Qaboos University

Sultan Qaboos University Medical Journal

No abstract provided.

Lactation Ketoacidosis: A Case Series, Abdullah M. Al Alawi, Usama Al Amri, Henrik

Sultan Qaboos University Medical Journal

Lactation ketoacidosis is an extremely rare type of high anion gap metabolic acidosis. We report two lactating women who were diagnosed with lactation ketoacidosis. The first patient presented to the Emergency Department at Royal Darwin Hospital, Darwin, Australia, in 2018 with lethargy, nausea and abdominal pain after she commenced a new diet regimen based on three meals of protein per day and free of glucose, gluten and dairy products. The second patient presented to the Emergency Department at Sultan Qaboos University Hospital, Muscat, Oman, in 2018 with headache, severe malaise, epigastric pain and worsening of gastroesophageal symptoms. Blood investigation results …

Determination Of Pathogenicity Of Breast Cancer 1 Gene Variants Using The American College Of Medical Genetics And Genomics And The Association For Molecular Pathology Guidelines, Angela Brown, Mansour Zamanpoor, Donald R. Prosser, Debra O.

Sultan Qaboos University Medical Journal

Objectives: Molecular diagnostic laboratories screen for mutations in disease-causing genes in order to confirm a clinical diagnosis. The classification of DNA variants as ‘pathogenic’ or ‘likely pathogenic’ mutations creates a workflow bottleneck, which becomes increasingly challenging as greater number of genes are screened. The classification challenge is also acute if there are conflicting reports regarding pathogenicity and differing classification criteria between laboratories. This study aimed to compare two procedures for the classification of variants in the breast cancer (BRCA)1 gene. Methods: This bioinformatic study was conducted at LabPLUS, Auckland, New Zealand, from February to June 2017. DNA was extracted from …

Maxillary Artery Pseudoaneurysm As A Complication Of Maxillofacial Injuries: Report Of Three Cases And Literature Review, Noor J. Al-Saadi, Abdulaziz Bakathir, Ali Al-Hashmi, Ahmed, Ahmed Al-Habsi, Faisal Al-Azri

Sultan Qaboos University Medical Journal

Traumatic maxillary artery pseudoaneurysm is an uncommonly reported complication in the field of oral and maxillofacial surgery. It is usually discovered incidentally, either early after trauma or weeks-to-months later. Quick recognition and prompt management are essential to avoid devastating consequences. In this paper, we report three uncommon cases of maxillary artery pseudoaneurysm recognised during the surgical management of maxillofacial injuries in Muscat, Oman. All cases presented as sudden brisk bleeding during the intraoperative surgical repair and were subsequently diagnosed and successfully managed by endovascular embolisation with platinum coils. This case report highlights the clinical presentation, diagnosis and management of maxillary …

The Value Of Programmed Death Ligand 1 Expression In Cancer Patients Treated With Neoadjuvant Chemotherapy, Malika Al-Dughaishi, Asem Shalaby, Khawla Boudaka, Ammar, Mohamed-Rachid Boulassel, Jumana Saleh

Sultan Qaboos University Medical Journal

Programmed death ligand 1 (PD-L1) is an inhibitory molecule expressed by cancer cells to supress T-cell activity and escape anti-tumour immunity. The role of PD-L1 in cancer has been studied extensively as it is considered an important immune checkpoint against immune over-activation through its interaction with Programmed death receptor 1 (PD-1) expressed on activated lymphocytes. PD-L1 expression was found to be enhanced by chemotherapy through different proliferation pathways. However, the predictive and prognostic value for PD-L1 expression in cancer patients treated with neoadjuvant chemotherapy (NAC) is not yet established. This review focused on the potential effects of chemotherapy on PD-L1 …

A Five Year Longitudinal Study Of The Educational Environment In A Newly Integrated Medical Curriculum, Syed I. Shehnaz

Sultan Qaboos University Medical Journal

Objectives: The College of Medicine at Gulf Medical University (GMU), Ajman, United Arab Emirates, was subjected to a curricular reform, which shifted the institution from a traditional curriculum to a hybrid, studentcentred, integrated curriculum. There are no previous studies analysing the consequences of such a curricular modification on the educational environment (EE). Therefore, this study aimed to analyse the EE of a pioneer cohort of the innovative curriculum over their five-year course of study. Methods: This prospective longitudinal study was conducted between September 2009 and September 2013 at the College of Medicine. The Dundee Ready Education Environment Measure questionnaire was …

A Review Of Obstetrical Outcomes And Complications In Pregnant Women After Bariatric Surgery, Yasmeen A. Haseeb

Sultan Qaboos University Medical Journal

Bariatric surgery (BS) is a novel treatment for weight reduction with longer lasting health benefits. This review aimed to summarise the available evidence regarding the fetomaternal outcomes and the most common challenges and complications in pregnancies following BS. Google Scholar (Google LLC, Mountain View, California, USA) and PubMed^® (National Library of Medicine, Bethesda, Maryland, USA) databases were searched for articles published until December 2018. A total of 64 articles were included in this review and results showed that BS mitigates the risk of gestational diabetes mellitus, hypertensive disorders in pregnancy and fetal macrosomia. However, it can also have detrimental …

Pharmacological Approaches To Diabetic Gastroparesis: A Systematic Review Of Randomised Clinical Trials, Mohammad Z. Asha, Sundos Fh Khalil

Sultan Qaboos University Medical Journal

Pharmacological interventions of diabetic gastroparesis (DG) constitute an essential element of a patient’s management. This article aimed to systematically review the available pharmacological approaches of DG, including their efficacy and safety. A total of 24 randomised clinical trials (RCTs) that investigated the efficacy and/or safety of medications targeting DG symptoms were identified using several online databases. Their results revealed that metoclopramide was the only approved drug for accelerating gastric emptying and improving disease symptoms. However, this medication may have several adverse effects on the cardiovascular and nervous systems, which might be resolved with a new intranasal preparation. Acceptable alternatives are …

A Case Of Intertriginous And Flexural Exanthema Caused By Amoxicillin, Bárbara Cancela-Díez, David López-Delgado, José Ruiz-Villaverde, Ricardo

Sultan Qaboos University Medical Journal

We report a 50-year-old male patient who presented to the Dermatological Outpatient Clinic at the Hospital Universitario San Cecilio, Granada, Spain, in 2017 with symmetrical inguinal eruption and eruption on the dorsum of both feet four hours after the intake of amoxicillin. Physical examination showed confluent non-palpable purpuric macules covering the dorsum of both feet and medial malleolus, giving rise to dusky erythema in some areas. Only oral antihistamines were prescribed and cutaneous exanthema resolved within three weeks. Symmetric drug-related intertriginous and flexural exanthema (SDRIFE) is a sub-type of systemic allergic contact dermatitis, where previous sensitisation can only be demonstrated …

Does Corporate Social Responsibility Reduce The Costs Of High Leverage? Evidence From Capital Structure And Product Market Interactions, Kee-Hong Bae, Sadok El Ghoul, Omrane Guedhami, Chuck C.Y. Kwok, Ying Zheng

Finance Department Faculty Journal Articles

Research on capital structure and product market interactions shows that high leverage is associated with substantial losses in market share due to unfavorable actions by customers and competitors. We examine whether corporate social responsibility (CSR) affects firms’ interactions with customers and competitors, and whether it can reduce the costs of high leverage. We find that CSR reduces losses in market share when firms are highly leveraged. By reducing adverse behavior by customers and competitors, CSR helps highly leveraged firms keep customers and guard against rivals’ predation. Our results support the stakeholder value maximization view of CSR.

Twitter Use By Academic Libraries In New York State, Sheena Philogene

Urban Library Journal

Twitter can be a productive tool for academic libraries to use when sharing information, marketing services, and building relationships with students, yet it is difficult to know whether academic libraries are utilizing this platform by creating an independent library account. Furthermore, if academic libraries do have accounts, it is valuable to understand what academic libraries use Twitter for, and what kinds of media they share. The purpose of this study then is to investigate whether academic libraries in New York State (NYS) use Twitter, and if they do, how and why. Based on a sample of 226 academic libraries of …

Secondary Poisoning And Ecological Effects Of Anticoagulant Rodenticides, Elizabeth Kovacs

D.U.Quark

No abstract provided.

Storm On The Horizon: Climate Change, Hurricanes, And The Future Of The Eastern Caribbean, Joseph P. Odegaard

Student Theses 2015-Present

Hurricanes are a fact of life in the Caribbean. This meteorological reality has shaped the islands’ development throughout its history. However, in recent years, the Atlantic’s most fearsome storms have been unprecedented, both in strength and number. This paper explores the relationship between climate change and hurricanes and the effect this relationship has on the Eastern Caribbean. Chapter 1 uses quantitative data from a variety of sources, including the Intergovernmental Panel on Climate Change and the Millennium Ecosystem Assessment of the United Nations, as well as the National Oceanic and Atmospheric Association and the National Climate Assessment of the United …

Kwik Trip's John Mchugh To Present At St. Norbert College's Ceo Breakfast, St. Norbert College

Press Releases 2019

No abstract provided.

The Reggio Approach In Motion. Documenting Experiences, Reflecting Upon Practice And Disseminating The Ideas., P Sorzio, V Campbell Barr

School of Law, Humanities and Social Sciences

No abstract provided.

Antioxidant Activity Of Sesame Seed Lignans In Sunflower And Flaxseed Oils, S. Y. Hadeel, S. A. Khalida, M. K. Walsh

Nutrition, Dietetics, and Food Sciences Faculty Publications

This study investigated the antioxidant activity of crude lignan extracts and purified lignans (sesamin, sesamolin, and sesamol) in sunflower and flaxseed oils. Lignan extracts were prepared from roasted sesame seed oil (LRSO) and unroasted sesame seed oil (LUSO). Additionally, the individual lignans were purified from both oils. The crude extracts and purified lignans were added at concentrations of 0.01, 0.02 and 0.03% to the oils and stored at 25 and 65°C over time and peroxide values and thiobarbituric acid values were measured. Each oil showed an increase in oxidation over time, with the samples stored at 65°C exhibiting accelerated oxidation. …

Technology Safety Audit In Computer Laboratories Using Iso/Iec 17799 : 2005 (Case Study: Ftk Uin Sunan Ampel Surabaya), Muqoffi Khosyatulloh, Nurul Fariidhotun Nisaa, Ilham, M. Kom

Library Philosophy and Practice (e-journal)

Management audit is very important for assessment of their information technology management to gain efficient and effective business running process. Information technology security as an effort of internal controlling for risk and threat security minimization, is mainly considered due to all learning and lecturing administration activities use information technology. Allso, the implementation of a number of computer labs to facilitate learning processes and access to information in order to support the lectures and personal development of students To find out how secure technology information is, it is then requiring an audit to make sure everything run based on procedure. Management …

Effects Of Two Intake Levels Of Leucaena Leucocephala On Rumen Function Of Sheep, Marcos Barros-Rodríguez, Javier Solorio-Sánchez, Carlos Sandoval-Castro, Athol V. Klieve, Eduardo Briceño-Poot, Luis Ramírez-Avilés, Rafael Rojas-Herrera

IGC Proceedings (1977-2023)

Ruminant production systems based on grass pastures often produce poor animal performance as expressed by growth or reproductive rates. The nutrient imbalance affecting rumen function is due to their low energy and protein intake. The incorporation of leguminous forages such as Leucaena leucocephala, in the diet of ruminants, can stimulate rumen function by providing protein-rich forage (Barros-Rodriguez et al. 2012). This increases the availability of compounds such as ammonia, amino acids and peptides as well as branched short-chain fatty acids, which are produced as a result of degradation of proteins. These substances promote fibre breakdown by acting as ruminal …

Survey Of Pasture Species And Management, Manure Management, Milk Production And Reproduction On Pasture-Based Dairy Farms In Florida And Georgia, Usa, F. Du, K. D. Gay, M. E. Sowerby, Y. C. Newman, C. R. Staples, R. C. Lacy, A. De Vries

IGC Proceedings (1977-2023)

Traditionally, most dairy farms in the south-eastern United States confine cows to barns or on pasture lots year-round and feed stored forages and concentrated feeds (Fontaneli et al. 2005). Often, much of the feed is purchased, however, the cost of purchased feed and fuel has risen rapidly in the last 5 years (NASS 2009). In addition, a significant amount of capital is tied up in buildings, machinery and manure management systems on the farms. For these reasons, many dairy farmers have shown an interest in or started transitioning to pasture-based dairy systems (Ricks and Hardee 2012). The management practices …

Dry Matter Intake By Beef Steers On Piatã Palisadegrass (Brachiaria Brizantha Cv. Brs Piatã) Pasture, Denise B. Montagner, Valéria P. B. Euclides, Teresa C. M. Genro, Nayana N. Nantes

IGC Proceedings (1977-2023)

Beef production in Brazil is primarily based on tropical pastures and 85% of these pastures are Brachiaria brizantha cv. Marandu. Such a monoculture could prove disastrous if some pest or disease emerged. With the goal of further diversifying pastures and contributing to the sustainability of the pasture production system, B. brizantha cv. BRS Piatã was released by the Brazilian Agricultural Research Corporation (Embrapa). Little is known about the characteristics of this cultivar in relation to grazing management and plant-animal interactions. Dry matter (DM) intake by grazing animals is influenced by the structural characteristics of tropical grasses (Stobbs 1973, 1975), and …

Development Of Leucaena Mimosine-Degrading Bacteria In The Rumen Of Sheep In Myanmar, Aung Aung, Moe Thida Htun, Lwin Naing Oo, Mar Mar Kyi, Tin Ngwe

IGC Proceedings (1977-2023)

Myanmar has an agricultural base, and about 70% of people reside in rural areas. They depend for survival on agriculture and small-scale crop production, with ruminant livestock consuming fibrous agricultural residues. For optimal ruminant production, concentrates are needed as supplements to these residues. As concentrates are expensive, researchers are testing alternative protein sources like legumes, including foliage from leguminous trees such as leucaena (Leucaena leucocephala). Leucaena is the most widely used leguminous tree as a ruminant feed because it is rich in protein (~ 22%) and contains easily digestible fibre (23% neutral detergent fibre, 16.6% acid detergent fibre; …

Development, Isolation And Characterisation Of A New Non-Virulent Mimosine-Degrading Klebsiella Pneumoniae Strain From The Rumen Liquor Of German Steers By Using Ibt-Goettinger Bioreactor, Aung Aung, U. Ter Meulen, F. Gessler, H. Böhnel

IGC Proceedings (1977-2023)

The tropical legume Leucaena leucocephala (leucaena) has many uses, including: a potential source of firewood and timber; for soil erosion control (Dijkman 1950); to provide shade; to enhance soil fertility; and as a nutritious forage for animal feed (Ruskin 1977). It is widely used as forage for cattle in tropical agriculture (Shelton 1998). In Myanmar, leucaena is used as a protein source in urea-molasses multi-nutrient blocks for ruminants (Ni Ni Maw et al. 2004). However, the use of leucaena as ruminant feed is not without problems, because it contains mimosine, a toxic anti-nutritional factor limiting its use as animal …

Performance Of Nelore Cattle On Panicum Maximum Pastures In The Brazilian Cerrado, Giovana A. Maciel, Gustavo J. Braga, Roberto Guimarães Jr., Hélio A. De Araújo, Allan K. B. Ramos, Marcelo A. Carvalho, Lourival Vilela, Liana Jank

IGC Proceedings (1977-2023)

With the increased demand for meat products, associated with environmental concerns due to global climatic and land use changes, the need to efficiently use pasture and forage resources will increase (Boval and Dixon 2012). Efforts to breed and release new forage cultivars must incorporate these concerns, ensuring that introduced material is of high quality, especially under grazing (Euclides et al. 2008).

In this study, we aimed to evaluate the average daily weight gain and stocking rate of Nelore beef cattle grazing new genotypes of Panicum maximum during the rainy season in the Brazilian Cerrado.

Improving The Effectiveness Of The English Language Lessons, Lobar Usmanova Researcher

Philology Matters

The author of the article considers one of the most topical issues of our time – teaching of a foreign language at school. The author underlines a lot of opportunities for increasing the effectiveness of foreign language lessons where the process of linguistic, cognitive, social and creative factors is at play. Students need to master the skills of academic writing not only for acquiring the knowledge, but also for their further education. It is also significant for teachers to know who their students are, what they think and how teachers can best assist them.This study examines the last-year schoolchildren at …

The Role Of The Speech Of The Character, Portrait And Landscape In Opening The Spirit Of The Character, Ulughbek Kuchimov Phd Student

Philology Matters

In the works of fiction, the writer creates an artistic world that can happen in life, and shows life and imaginary events in our eyes as if they are true, real, had happened. Sometimes this literary phenomenon requires such an artistic composition that it breaks the boundaries of reality. In the following years, as in all types and genres literature, specific changes, evolutions are taking place in the world of fantasy works, themes, poetics, style, and images.
In the works of Ray Bradbury and Hojiakbar Shaikhov, a number of features such as myth, the stream of consciousness, the image of …

Media Convergence As A Factor In Reforming The Journalists Training System, Azamjon Dadakhonov Researcher

Philology Matters

This article provides an overview of the current state of journalist training in Uzbekistan and experiences gained in this regard. With the advancement of information technologies, changes in national journalism education, analysis of the requirements for the development of the industry and the educational system will be under taken in the article.
The concept of media convergence, the attempt to explain through the scientific and theoretical perspectives of increasing the importance of this phenomenon in journalistic practice and education will be covered. The development of Internet journalism also shapes new types of activities in the field of information, including blogging, …