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Annual Report 2009-2010
DEAN’S MESSAGE
2
EXECUTIVE SUMMARY
3
OVERVIEW
College of Medicine & Health Sciences 5
Sultan Qaboos University Hopsital
9
ACADEMIC & PATIENT CARE DEPARTMENTS
Behavioural Medicine
Overview30
Staff31
Highlights of the Year 2008-2009
31
Teaching Programmes
32
Training Courses & CME Activities
33
Clinical & Diagnostic Services
34
Research34
Biochemistry
Overview38
Accident & Emergency
Anaesthesia, ICU & Pain Management
Overview24
Staff25
Highlights of the Year 2008-2009
25
Teaching Programmes
27
Training Courses & CME Activities 27
Clinical & Diagnostic Services 28
Research 28
academic and patient care departments
Accident & Emergency Medicine
Overview16
Staff17
Highlights of the Year 2008-2009
18
Teaching Programmes
19
Training Courses & CME Activities
20
Clinical & Diagnostic Services
21
Staff39
Highlights of the Years 2008-2009
39
Teaching Programmes
40
Clinical & Diagnostic Services
41
Research42
Child Health
Overview48
Staff49
Highlights of the Year 2008-2009 50
Teaching Programmes
51
Training Courses & CME Activities
53
Clinical and Diagnostic Services
53
Research54
Family Medicine & Public Health
Overview60
Staff61
Highlights of the Year 2008–2009 61
Teaching Programmes 62
Training Courses & CME Activities 63
Clinical & Diagnostic Services 63
Research 64
Genetics
Overview72
Staff73
Highlights of the Year 2008-2009
73
Teaching Programmes
73
Training Courses & CME Activities
75
Clinical & Diagnostic Services
75
Research77
Haematology
Overview80
Staff81
Highlights of the Year 2008-2009
82
Teaching Programmes
82
Clinical & Diagnostic Services
83
Research85
Human & Clinical Anatomy
Overview90
Staff91
Highlights of the Year 2008-2009
91
Teaching Programmes
92
Research92
Medicine
Overview94
Staff95
Highlights of the Year 2008-2009
96
Teaching Programmes
98
Clinical & Diagnostic Services
99
Research101
Microbiology & Immunology
Overview110
Staff111
Highlights of the Year 2008-2009 111
Teaching Programmes
112
Clinical & Diagnostic Services
113
Research114
Nursing Services Directorate
Overview118
Staff119
Highlights of the Year 2008-2009
120
Training Courses & CME Activities
122
Nutrition & Dietetics
Overview124
Staff125
Activities in 2009
125
Training Programmes & CME Activities
126
Clinical & Diagnostic Services
127
Research 127
Obstetrics & Gynaecology Overview130
Staff131
Highlights of the Year 2008-2009 131
Teaching Programmes
132
Training Courses & CME Activities
132
Clinical & Diagnostic Services
132
Research133
Ophthalmology
Overview
Staff138
Highlights of the Year 2008-2009
139
Teaching Programmes
140
Training Courses & CME Activities
141
Clinical & Diagnostic Services
142
Research144
Oral Health
Overview148
Staff149
Highlights of the Year 2008-2009 149
Teaching Programmes
150
Clinical & Diagnostic Services
151
Research151
Pathology
Overview154
Staff155
Highlights of the Year 2008-2009
155
Teaching Programmes
156
Training Courses & CME Activities
158
Clinical & Diagnostic Servies
159
Research 160
Pharmacology & Clinical Pharmacy
Overview164
Staff165
Highlights of the Year 2008-2009
165
Teaching Programme
166
Clinical & Diagnostic Services
167
Research168
Pharmacy
Overview172
Staff173
Highlights of the Year 2008-2009
173
Teaching Programmes
175
Clinical Services
175
Research178
Physiology
Overview180
Staff181
Highlights of the Year 2008–2009
181
Teaching Programmes
182
Training Courses & CME Activities
184
Clinical & Diagnostic Services 184
Research185
Surgery
Overview206
Staff207
Highlights of the Year 2008-2009
208
Teaching Programmes
208
Training Courses & CME Activities
209
Clinical & Diagnostic Services
210
Research200
Accident & Emergency
Radiology & Molecular Imaging
Overview196
Staff197
Highlights of the Year 2008-2009
198
Teaching Programmes
198
Clinical & Diagnostic Services
199
Research200
academic and patient care departments
Physiotherapy
Overview190
Staff191
Highlights of the Year 2008-2009
192
Teaching Programmes
193
Training Courses & CME Activities 193
Clinical & Disgnostic Services
194
Research194
SUPPORT DEPARTMENTS
College
Medical Library
Medical Education Unit
Sultan Qaboos University Medical Journal
Hospital
Development & Quality Directorate
Information System Directorate
Medical Supply Directorate
Patient Services Directorate
Public Relations & Information Directorate
Technical Affairs Directorate
Training & Continuing Professional Development Directorate
Finance Department
Housing Department
Medical Records Department
Transport Department
214
216
221
224
245
252
229
234
240
242
248
262
APPENDICES
Appendix I
Conferences & workshops organised by COMHS & SQUH in 2008-2009
264
Appendix II
Curriculum information
265
Annual Report 2009-2010
Dean’s Message
t is my pleasure to present to you the report of the College of Medicine & Health Sciences for the academic
year 2009-2010 and of Sultan Qaboos University Hospital for the calendar year 2010.
I
The College of Medicine was founded in 1986 and became the College of Medicine and Health Sciences
(CoMHS) in 2002 when the Nursing Program was added. From the beginning, the College and the Sultan
Qaboos University Hospital (SQUH) have recognised teaching, research, training and clinical and community
services as their core responsibilities. They aim for the highest standards of achievement in the quality of
their medical and health education and services, in research and in their contribution to Omani society. They
also aspire to become a role model for other medical and health science colleges and health care institutions
in Oman and abroad.
The College has a total of 75 faculty members including 14 Professors, 21 Associate Professors and 31 Assistant
Professors. The CoMHS has grown and diversified, with well established programmes in the preclinical and
clinical departments. Student intake is around 125 per year and the total student numbers around 1,100. The
College runs an MSc programme in Biomedical Sciences and doctoral programmes are now approved in
eight study areas.
The SQUH has 42 senior consultants and 61 consultants. It has had ISO 9001/2000 certification since 2005 is
now implementing joint Commission International Accreditation and has introduced an electronic patient
records system. SQUH and the CoMHS have state of the art laboratories and equipment.
Dr Mansour Al Moundhri
Dean
College of Medicine & Health Sciences
Sultan Qaboos University
2
he College of Medicine & Health Sciences (COM&HS) and the University Hospital (SQUH) continue to
expand and develop their educational and clinical mission. This report documents their activities and
achievements during the year academic year 2009-2010 and the clinical calendar year 2010.
T
Education
The College has continued to expand its e-learning system, with many departments making their teaching
and course materials available on-line.
Research
In 2009-2010, the College undertook 109 research projects (more than double the number in 2009) to a total value of OR 1,205,121 (35% increase on 2009). In 2009-2010, staff of the College published a total of 277
research articles, 1 book and 1 book chapters. In the same period, College staff made a total of 291 conference and seminar presentations. Of these, 65 were international conference platform presentations and 52
international poster presentations. Also 16 master’s theses were supervised (over 50% increase on 2009). The
College and SQU Hospital organised 2 major conferences and 3 workshops in 2009-2010, some of them in
cooperation with the Ministry of Health (see Appendix 1).
Introduction & Executive Summary
The College of Medicine and the University Hospital graduated a total of 107 medical doctors in 2009-2010. A
total of 39 students have now graduated from the College’s Masters programme in Biomedical Sciences. The
number of SQU trained medical doctors joining the Oman Medical Specialty Board (OMSB) for postgraduate training, under the academic supervision of the COM&HS and SQUH, was 60 in 2009-2010. In this year,
the University also sponsored 4 MD graduates for a 5–7 year residency and fellowship training programme
abroad (usual destinations are Canada, USA, UK and Australia) and a total of 13 returned to Oman after such
training.
sultan qaboos university and hospital
In 2009-2010, the COM&HS admitted into the B.Sc. Health Sciences a total of 122 students of which 51% were
female. Following successful completion of the B.Sc. Health Sciences degree, 130 students joined the MD programme in September 2009. A major contribution towards the training of B.Sc. Medical Laboratory Sciences
students is also among the responsibilities of the COM&HS and SQUH, of whom 30 graduated in this year
all of them female.
3
Clinical Activity
The SQU Hospital saw further advances in the year 2010 with the continuation of the Joint Commission
International (JCI) accreditation process. There was significant development and increase in the different
clinical specialties and services with the opening of new specialties such as Orthopaedic surgery, Paediatric/
Neonatal surgery. By the end of 2010, the Hospital staff had increased to 2,400 (compared to 2,168 in 2009)
comprising 408 doctors, 61 pharmacists, 509 administrative staff, 1,101 nurses and 321 technical staff.
Clinical activity at SQUH expanded in all areas in 2010. Outpatient visits increased to 378,131 compared
206,241 the previous year. The number of day care patients also increased to 8,907 compared to 8,786 in 2009.
Inpatient admissions increased further to 28,524 surpassing the previous year’s figure of 25,592. The average
length of stay decreased slightly to 5.0 days compared to 5.3 days in 2009. Finally, live newborn deliveries
increased to 3,427 compared to 2,631 in 2009.
Dr. Kamlesh Bhargava,
Chairperson, Annual Report Committee
,
Thanks are due for the preparation of this report to the following College staff:
Meriel Carboni, Vice-Chairperson , Annual Report Committee & Editor
Dr. Jumana Saleh, Committe member
Dr. Yaseen Al-Lawatia, Committe member
Dr. Ahmed Al-Shukaily, Committe member
Asma Al-Siyabi, Coordinator
Taruna Dutt, Coordinator
Amar Hussain, Graphic Designer & Photographer
Sheherajoy Biruar, Assistant Graphic Designer
4
College of Medicine & Health Sciences
C O LLEG E AD MI N I S T R A T IO N
The College Administration is the focal point of activities between the various departments and the main
University Administration. It consists of the Office of the Dean, the Director of Administration, three Assistant Deans (Preclinical, Clinical and Research & Postgraduate Studies).
The College Board met 7 times during the academic year 2009-2010. The following key matters were discussed:
An overview of Research in the College
Establishment of Core Laboratory Facilities
Enhancing faculty research and career development
Assessment Policy, Regulations and Guidelines
Examination conduct
General Foundation Program
Knowledge-sharing Day on World Federation for Medical Education (WFME) Standards for accreditation
Proposal for Admission Interviews to the College
Proposal for Allied Health Sciences Programs
Proposal for Bioethics Interim Committee
Proposal for the establishment of a Medical Research Centre in the College
Proposal to transfer the ownership of B.Sc. Medical Laboratory Sciences Degree Course from College of Science to College of Medicine, SQU
Report of ad hoc Committee on Review of SQU Scholarships Bye-Laws as they affect MD Scholars
Research and Postgraduate Retreat
Overview
Introduction of a Ph.D. Programme in the Clinical Departments of the College
sultan qaboos university and hospital
Guidelines for Appointment and Transfer of Omani doctors in the College
5
Annual Report 2009-2010
Overview
Research Cadre at Sultan Qaboos University
Revised criteria for admission to College of Medicine
Student Admission and Progression Regulations
Superintendent Positions in the Colleges
Working in College Laboratories after working hours
ST AF F
Dean
Dr Mansour Al-Moundhri
Dean’s Office
Sagar Hussain, Executive Assistant to the Dean
Ahmed Al Wahaibi, Administrator, Dean’s Office
Assistant Deans
Dr. Omar Habbal, Preclinical Affairs
Dr. Muna Al-Sadoon, Clincal Affairs
Prof. Badreldin Ali, Postgraduate Studies & Research
College Administration
Badriyah Al-Hashar, Director of Administration
Mahmoud Al-Abri, Assistant Director
Ahmed Al Saadi, Administrator
Zakiya Al-Omairi, Administrator
Safaa Al-Harasy, Administrative Assistant
Bakar Al-Hinai, Storekeeper
Examinations Office
Alphonsus Okoro, Examinations Officer
Samson P, Coordinator
Preclinical Affairs
Muna Al-Alawi, Medical Education Office
Zulfa Al-Busaidi, Administrative Officer for Student Academic Affairs
Shabbir Patel, Coordinator
6
Clinical Elective Officer
Dr. Mohammed Al-Azri, Clinical Elective Program Coordinator
Salem Al Khaldi, Administrator, Elective Office
Clinical Affairs
Glorio Almeida, Coordinator, Clinical Affairs
Research & Postgraduate Studies
Asma Al Siaybi, Coordinator
Support Staff
Khalid Al-Hinai, Messenger
Qassim Al-Salhi, Messenger
Salem Al-Salhi, Photocopy Technician
Hamed Bani Auraba, Driver
ED U C AT I O N PR O G R A M M E S
Preclinical Programme – B.Sc. Health Sciences
This is a three-year clinical programme during which the knowledge acquired during the B.Sc. in Health Sciences degree is applied to the clinical practice of medicine. An MD degree is awarded upon completion of this
programme. See http://www.squ.edu.om/medicine-health/tabid/2455/language/en-US/Default.aspx for an
overview of the MD programme.
Clinical Elective Programme
An eight-week Elective Placement Programme is part of the second year of the Clinical Programme and is
essential as one of the requirements to qualify for the MD degree. The programme provides students with
an opportunity to gain more experience and skills through working in a different environment mainly in
a foreign country. This programme is sponsored by the University and different organisations locally and
internationally.
Overview
Clinical Programme
sultan qaboos university and hospital
This is a four-year programme in general and basic medical sciences. The B.Sc. Health Sciences degree is
awarded to students after successful completion of 120 credit hours at the end of semester 8 (see Appendices). Students who wish to obtain the MD have to complete all course requirements for the B.Sc. Health Sciences before entering the clinical years. The student intake was 122 in September 2009. See http://www.squ.
edu.om/medicine-health/tabid/2455/language/en- US/Default.aspx for details of the curriculum.
7
Annual Report 2009-2010
Overview
Internship Training Programme
This consists of 3 rotations of 4 months each in General Medicine, Surgery and either Child Health or Obstetrics/Gynaecology in hospitals approved for the purpose by the College of Medicine and Health Sciences. The
programme involves not only SQU graduates but those of other medical programmes in Oman, and Omani
medical graduates from institute abroad.
Postgraduate Studies
The College introduced a two-year Masters Programme in Biomedical Sciences in 2001. It has the following
eight specialisations: Biochemistry and Molecular Biology; Clinical Biochemistry; Clinical Pharmacy; Medical
Microbiology; Epidemiology and Medical Statistics; Physiology; Radiology and Molecular Imaging, and Human and Clinical Anatomy.
The College now offers the following 8 Ph.D. programmes: Biochemistry & Molecular Biology;
Medical Microbiology & Immunology; Epidemiology & Medical Statistics; Genetics; Pharmacology and Clinical Pharmacy; Physiology; Human & Clinical Anatomy; Radiology and Molecular Imaging.
The Oman Medical Specialty Board (OMSB) was established in June 1994 and became an independent entity
in November 2006. Its role is to train high calibre and internationally recognised Omani medical specialists
in diverse disciplines. These specialists are to provide leadership in clinical, research and service endeavours
and also boost the manpower resources of the Sultanate thus making an important contribution towards
translating national health policies into reality.
The OMSB has representatives from the University, the Ministry of Health and the medical services of the
Sultan’s Armed Forces and the Royal Omani Police. It supervises and coordinates postgraduate training programmes as well as providing guidelines to ensure that the training meets international standards. Specialty committees staffed by highly experienced professionals run these programmes on a day-to-day basis.
The OMSB Office sources overseas postgraduate residency placements, particularly in North American universities, Australia and the UK. Residents who have received residency and postgraduate training abroad are
required to return to Oman to strengthen the country’s manpower development efforts by focusing on the
training of junior colleagues and students.
8
Sultan Qaboos University Hospital
O VER VI EW
Sultan Qaboos University Hospital (SQUH), with a total of 675 beds is the only teaching hospital in the
Oman. It currently has 492 beds in use including the ambulatory service. The goals of SQUH include teaching of medical students from the College of Medicine & Health Sciences and Oman Medical Specialty Board
(OMSB), research and promoting high quality specialised services.
During the year 2010, a number of developmental activities took place in the Hospital. It is worthy of note
that the renal transplantation service which was stopped for a long time was reactivated and this year two
Omani patients had successful kidney transplants from a donor. A total of 378,131 outpatients and over 28,524
inpatients were seen during the year. A total of 179 bone marrow transplants were also done. The increasing
numbers of patients necessitated an increase in staff strength. The 2010 total staff strength was therefore
2,400 (compared to 2,168 in 2009) comprising 408 doctors, 61 pharmacists, 509 administrative staff, 1,101
nurses and 321 technical staff.
Similarly, the Hospital Board, comprising the top management team of the hospital and some senior officers
in the hospital, also meets monthly during the academic year. Through the recurrent agenda items from the
Hospital Director-General’s office, the members are kept informed about important matters in hospital management and developments in patient related activities.
During the year under review, much discussion was devoted to accommodating the significant increase in
patient flow and maintenance of standards of research, teaching and service in the face of budgetary constraints.
Staff
Ahmed Al-Mandhari, Hospital Director-General
Hilal Al-Sabti, Deputy Director-General (Clinical Affairs)
Ahmed Al-Kindi, Deputy Director-General (Administration & Finance)
Overview
The Hospital Management embraces the senior leadership of all the units in the hospital administration. The
Hospital Director-General, Deputy Director-General (Clinical Affairs), and Deputy Director-General (Nursing
Affairs) together with the Heads of Clinical Departments hold a monthly Medical Advisory Committee (MAC)
meeting. The MAC, with representatives from all clinical departments, serves as a focal point for continued
improvement of care, and makes a report at every meeting of the Hospital Board.
sultan qaboos university and hospital
H O SPI T AL MAN AG E M E NT
9
Annual Report 2009-2010
Overview
Yusriya Al-Akbari, Deputy Director-General (Nursing Affairs)
DEVELO PMEN T AL ACT IV IT IE S
Sultan Qaboos University Hospital is continuing the process of development and growth in order to fulfill
its main aims which are health education, researches and clinical services. Furthermore, the Hospital plays
a significant role in the community and the Hospital Management is committed to providing high quality
care services in collaboration with the College of Medicine & Health Sciences with the continuous support
of the University Administration.
PION EER I N H EALT H CA R E S E R V ICE S
By the end of 2010, the Hospital was opened at full capacity after the following developments:
-
Significant development and increase in the different clinical specialties and services
-
14 highly specialised doctors returned from their studies abroad in 2010.
-
Continuous professional development policy for doctors in fellowship and training
-
Purchase, commissioning, and installation of different types of new equipment like the following:
-
Digital Integrated Operating Room System
-
Replacement of X-ray systems in Radiology
-
Transport Ventilators
-
Non-Invasive Ventilator (Adult)
-
Gastrointestinal Videoscope System
-
Confugal Microscope (Confoscan 2)
-
Echocardiography System
-
Neuroendoscope A Complete System
-
Bedside Monitor for the Paediatric ICU
-
Upgrade and maintenance of the infrastructure of the wards and the Intensive Care Unit (ICU).
M E D I C AL SER VI C ES D E V E L O P M E NT
The opening of new specialties such as Orthopaedic surgery, Paediatric/Neonatal surgery, and Neurosurgery
has helped to achieve full operation of the hospital in terms of education, research and health care services.
The following developments are worth highlighting:
-
10
The opening of Breast Cancer Surgery unit and establishment of a multidisciplinary team for the care of breast
cancer patients.
-
The opening of an Ophthalmology Electrodiagnosis unit
-
The use of Cirrus High-Definition Optical Coherence Tomography (HD-OCT) equipment in the Ophthalmology
department.
-
The use of the equipment for removal of birth marks in the Dermatology Clinic.
-
The use of new equipment in the treatment of acne and burns in the Dermatology Clinic
-
Use of endoscopic retrograde cholangio-pancreatography (ERCP) in the treatment of gallbladder and pancreas
diseases.
Q U ALI F I ED H U MAN R E S O UR CE S
The Hospital Management believes in the training of Omani professionals abroad in order to achieve the
goals of the hospital. Therefore, a total of 5–10 physicians are sent abroad yearly for higher education and
fellowship training with 100 doctors having been sent to Canada, USA, Australia, and UK. Forty-five of
these returned in previous years and 14 in 2010. Also, we have established and completed the CPD system
for continuous professional development.
R EC O G N I T I O N
The Hospital continued to be recognised as a centre of excellence by visiting experts and through receiving
invitations from other health organisations in the community to conduct symposia and lectures in order to
enhance the level of education services in other institutions.
-
Expansion of Radiology and Operating Room
-
New Haematology Centre building
-
Expansion of the A & E building
-
Completion of the Medical Stores building
Further into the future, the following projects are planned:
-
Administration Building
-
Building a new Outpatients Department complex
-
Expanding the Central Sterile Supply Department
-
Upgrading/expanding the Dialysis Unit
Overview
Based on the Hospital’s aims and vision, the Hospital Development Committee plans to develop/update
the current services through the following projects:
sultan qaboos university and hospital
FU T U R E D EVELO PM E NT
11
Annual Report 2009-2010
Overview
-
Expanding the Intensive Care Unit.
C LI N I C AL AC T I VI T I ES
The increase in patient activities over the years has relied on strong commitment by all the medical, nursing, technical and administrative staff. The Hospital Management would like to acknowledge all their efforts
towards continuous improvement. Such developments are unattainable without proper training; in-house
and external training has witnessed yet further improvement during the year 2010.
The role of SQUH as a major Omani health service provider continued in this period with a total of 378,131
outpatients and over 28,524 inpatients seen during the year. A total of 179 bone marrow transplants were
also done.
The number of day care patients was 8,907 compared to a higher figure of 8,786 recorded in the preceding
year. This high use of day care reflects a healthy trend as the encouragement of ambulatory care results in
considerable savings in the cost of delivery as well as improved quality.
Inpatient admissions increased still further to 28,524 surpassing the previous year’s figure of 25,592. The average length of stay dropped encouragingly to 5.0 days compared to 5.3 days in 2009 reflecting continued
efforts to deliver an efficient and fast high quality service compared to earlier years.
Finally, live newborn deliveries showed a significant increase to 3,427 compared to 2,631 in 2009.
380,000
230,000
210,000
190,000
Visitor
170,000
150,000
130,000
110,000
90,000
70,000
2000
2001
2002
2003
2004
Year
Figure 1: Outpatient activity
12
2005
2006
2007
2008
2009
9000
8000
7000
Visitor
6000
5000
4000
3000
2000
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2005
2006
2007
2008
2009
2010
Year
Figure 2: User of day care
9000
8000
7000
Visitor
6000
5000
4000
3000
2000
2000
2001
2002
2003
2004
Year
Figure 3: Inpatient admissions
13
Annual Report 2009-2010
Overview
7.0
6.5
Average Length of st
6.0
5.5
5.0
4.5
4.0
3.5
3.0
2000
2001
2002
2003
2004
2005
2006
2005
2006
2007
2008
2009
2010
Year
Figure 4: Length of inpatient stay
3500
2800
New Born Babies
2300
1800
1300
800
2000
Figure 5: New born deliveries
14
2001
2002
2003
2004
Year
2007
2008
2009
2010
15
Annual Report 2009-2010
Accident & Emergency
he Accident and Emergency Department (ED) is a unique hospital environment because it is at the frontline of hospital medical patient care services. Its uniqueness also resides in its own primary existence – to provide emergency medical health care.
T
In the fulfillment of its mission, the ED strives to provide acute emergency care for all major medical and surgical emergencies,
and also acute minor emergencies, 24 hours a day, seven days a week all year round. While achieving this primary mission, the Department also attends to the health needs of people whose medical illnesses are not life threatening conditions, i.e. non-emergency
cases.
In the effort to fulfill the vision of the Department to be a national model for the development of emergency medicine with the integration of international standards, diversified training and learning activities are organised for a wide range of healthcare professionals from within and outside the hospital. These include undergraduate and postgraduate medical and nursing students from Sultan
Qaboos University Hospital (SQUH), Oman Medical Specialty Board (OMSB), medical staff of the Royal Court and Royal Affairs, the
Ministry of Health, the Health Institute, the Royal Oman Police and students of the Oman Medical College in Sohar. In addition, the
Department actively participates in the hospital and national planning of disaster management and research.
16
Acting Head of Department
Khalfan Al-Amrani, Consultant
Medical Staff
Nabil Al-Zadjali, Senior Consultant
Daniel O. Ogunjumo, Senior Consultant
Abdullah Al- Reesi, Consultant
Magdy Shehata, Acting Consultant
Moustafa Ashoor, Senior Registrar
Teodorico T. Diputado, Registrar
Remanand Sudhir, Registrar
Sabah Awad, Registrar
Nursing Staff (Total 64)
CN1
CN2
CN3
CN4
Staff Nurse 1 (SN1)
Staff Nurse 2 (SN2)
Support Staff (Total 19)
-
3
2
2
3
4
48
Ayida Al-Hadhrami, Coordinator
Mercy Gandhirajan, Coordinator
Sabeel Al-Zadjali, Ambulance Attendant
Florenda Sicat, Emergency Medical Technician
(Ambulance)
accident & emergency
Staff
academic and patient care departments
Ashraf Ali, Registrar
Mohammed F. Khilji, Registrar
Mohammed O. Mubashir, Registrar
Khalid Al-Shibli, Registrar
Asma Al- Balushi, Registrar
Awatif Al-Alawi, Registrar
Amal Al-Shibli, Registrar
Suad Al-Abri, Registrar
Sabina Naz, Registrar (Pediatric A & E)
Umar Shahzad, Registrar
Rasha Abdulhadi, Senior House Officer
Mohammed Awais, Senior House Officer
Vinod Abraham, Senior House Officer
Aisha Al-Buraiki, Senior House Officer
Aisha Al-Khamisi, Senior House Officer
Nafisah Al-Borhan, Senior House Officer
Nowfal Al-Sabri, Senior House Officer
Reem Gaafar, Senior House Officer
Magnus J. Rodrigues, Senior House Officer
Mohammad S. Khan, Senior House Officer
Bader Al-Amri, Senior House Officer
Amal Al-Rashdi, Senior House Officer
17
Annual Report 2009-2010
Accident & Emergency
Nino Arceo, Emergency Medical Technician (Ambulance)
Ahmad Al-Shaqsi, Emergency Medical Technician
Fahad Al-Abri, Emergency Medical Technician
Medical Record Clerks – 2
Medical Orderlies – 12
Highlights of the Year 2009-2010
SQU H AWAR D
The Department was honoured in the Hospital Day Celebrations by being ranked third among SQUH departments for providing quality health services to patients according to international quality standards. This is a
recognition of the Department’s efforts to be at the forefront of many hospital activities.
RE - ALI G N MEN T O F E M E R GE NCY D E P A R T M E NT R E S O URC E S
In addition to the structural modifications made in 2008–2009 to speed up patient flow, increase patient
comfort and improve staff efficacy, a consultants’ office was created with a small library of the most recent
medical reference books.
Medical staff work was re-aligned to speed up triaging and prevent patient overcrowding. A doctor was assigned to triage on every shift except the night shift. This doctor separates emergency from non-emergency
patients and deals with non-emergency cases by rapid treatment, as well as initiating radio-imaging studies
for non life-threatening injuries. He/she also explains laboratory or imaging results to patients and relatives.
If the doctor cannot resolve triage problems, he/she consults the shift medical leader for final patient disposition.
A revised patient triage strategy was implemented to triage patients with minor emergencies and refer
them to health centres. The Department drew up a list of patient symptoms which can be safely deferred to
local health centres. This list is displayed in the A & E entrance for all patients to see. Treatments of medical
symptoms outside this list are the responsibility of the triage nurse and doctor.
IMPR O VE T EAC H I N G A S S E S S M E NT F O R 6 T H Y E A R S T UD EN TS
The senior medical teaching staff of the Department (consultants, senior registrars and board certified registrars) designed more objective evaluation forms for the assessment of knowledge and skills of 6th year medical students during their emergency medicine rotation.
The guidelines for the content and process of tutorials and workshops conducted for 6th year medical students were updated
18
The guidelines cover the approach to the assessment and management of undifferentiated chest pain, shortness of breath, multiple trauma, poisoning, wounds, and cardio-respiratory arrest and pre-arrest conditions
in the ED. This is to ensure current evidence-based, adequate and effective coverage of the core contents of
the curriculum by the members of staff participating in the teaching programme.
D I SAST ER S
The Department participated in two disasters drills with Muscat International Airport. Subsequently, the
Department revised its own disaster plan assigning specific tasks and activities to its medical and nursing
man-power resources. This disaster plan is part of the master disaster plan adopted by the hospitals in the
Muscat region.
During the A H1N1 pandemic in autumn 2009, Oman shared its responsibility of treating and preventing
the disease and SQUH played an active role in this endeavour. The ED was at the forefront of fighting and
containing the disease. It provided treatment on an outpatient basis, identified potential cases and informed
the concerned medical or pediatric specialties. The Department worked closely with the laboratory, the infectious disease consultant, the infectious disease nurse and the Ministry of Health to contain this epidemic.
The Department took careful patient histories, outlined the signs and symptoms of H1N1, sent swabs to confirm the disease, initiated Tamiflu treatment in the Department, reported suspected cases to the concerned
authorities and followed up the results of laboratory confirmation of H1N1.
New equipment was acquired to improve patient care including new adjustable beds, equipment for ENT
and Dental Care and two new defibrillators. ENT and Dental specialties were allocated a room adjacent to the
trauma area to provide more focused initial emergency care with appropriate instruments and commonly
used emergency medications.
Teaching Programmes
U N D ER G R AD U AT E CL INICA L P R O GR A M M E S
Clinical Skills Course for 5th year medical students
The Department continues to coordinate and participate in the teaching of the clinical skills course for 5th
year medical students. The course is held in the Training and Staff Development (TSD) centre of SQUH and
Accident & Emergency
AC Q U I SI T I O N O F NE W E Q UIP M E NT
academic and patient care departments
Standby medical and nursing personnel coverage was provided by the ED at the time of the Phet cyclone in
June 2010. They stayed on the campus in case the need for rapid deployment arose.
19
Annual Report 2009-2010
Accident & Emergency
involves lectures and hands-on practice in intravenous techniques, basic life support, monitoring, electrical
therapy with manual and automated external defibrillators, and aseptic techniques. The ED staff conducts
the basic life support, monitoring and electrical therapy aspects of the course four times a year. The course
director evaluates the course periodically.
Emergency Medicine for 6th year medical students.
The Department receives 6th year students in batches of 16 to 18 every 4 weeks commencing from August
to April/May of the following year. Each batch is divided into 4 groups and rotates through the emergency
departments of SQUH, the Royal Hospital, and Khoula Hospital. The students are taught and supervised by
the consultants, senior registrars and the resident doctors in the various hospitals.
In addition to bed-side teaching, manual skill laboratory sessions in wound care, basic life support, recognition and treatment of dynamic arrhythmias and defibrillator use are conducted in SQUH for each batch of
students. The teaching is done by the emergency medicine consultants, assisted occasionally by registrars
and senior registrars. Problem-based tutorials on common and potentially life-threatening complaints in
the ED e.g. chest pain, multiple trauma, poisoning and shortness of breath, are conducted every week by the
consultants assisted occasionally by registrars and senior registrars.
Student performance is assessed by the tutors during the workshops, tutorials, bed-side teaching, and at the
end of the posting, with a one-hour multiple choice questions examination which covers the core contents of
the curriculum. This is to ensure that they have a correct understanding of the basic principles of the sound
practice of emergency medicine.
POST G R AD U AT E PR OGR A M M E
Intern Teaching and Training
All interns rotate through the ED for one month during their postings to the Surgery Department,
and some of them are also posted to the ED during their Paediatric Department rotation.
An orientation hand-out guides the interns during the posting. In addition to bed-side teaching,
they are taught during the departmental CME sessions.
Resident Teaching and Training
The residents undergoing the training programmes of the OMSB in Emergency Medicine, Family and Community Medicine and Surgery rotate through the Department at various periods of their training. They are
taught on daily basis by the consultants and registrars during the course of their clinical duties. In addition,
they are taught during the 4 hour weekly academic activities in which all the consultants actively participate, and through the various workshops and monthly journal clubs organised by the OMSB. The clinical du-
20
ties for these residents not only expose them to clinical aspects of real emergency situations, but also equip
them in real time with skills to provide treatment, based on protocols and evidence-based medicine.
Clinical Electives
The Department welcomes overseas elective medical student trainees and organises training programmes
for them. The ED received eight trainees during this period.
Clinical Attachment
The Department also accommodates medical foreign graduates for clinical attachments. Doctors came from
Sudan (2), India (1) and Pakistan (2) between January and July 2010.
TR AI N I N G C O U R SE S & CM E A CT IV IT IE S
Advanced Cardiovascular Life Support (ACLS) Courses
One of the ED consultants is the director of the ACLS Courses in which the Department participates actively.
The course is held bi-monthly between October and June or August of the following year. The course participants include all interns, key hospital and nursing staff in the University, the Ministry of Health, the Royal
Court and Royal Affairs and some private hospitals. Recertification courses are conducted twice a year.
Several workshops were conducted for all staff whilst the ED was closed closure for maintenance work. These
workshops mainly served to refresh and update the medical staff on the basic and advanced skills which
every casualty health care provider must acquire, i.e. ACLS, wound lab, principles of casting, etc.
Accident & Emergency
CME activities are organised in the Department every two weeks. These include case discussions, mortality and morbidity reviews, journal club sessions, and presentation and discussion of various topics relevant
to the practice of emergency medicine. Formulations of protocols with regards to treatment of various life
threatening diseases presenting to the ED are also discussed. All the doctors working in the Department
participate in the activities.
academic and patient care departments
Departmental CME Activities/Workshops
21
Annual Report 2009-2010
Accident & Emergency
Clinical & Diagnostic Services
A & E Monthly Statistic from Jan 2010 to Dec 2010
Category
B
Jan
15
Feb
24
Mar
21
Apr
27
May
11
Jun
28
Ju
17
Aug
Sep
12
21
Oct
21
Nov
24
Dec
23
Total
244
R
79
104
108
76
54
64
73
75
70
113
92
76
984
Y
3496
2933
3320
3163
1694
2666
2731
2902
2910
2808
2546
2809
33978
G
1752
1520
1580
1490
627
878
1006
997
1103
1559
1575
1717
15804
W
340
360
475
402
322
516
741
603
760
988
920
1155
7582
F/U
274
300
340
311
159
169
213
275
300
297
323
306
3267
Total
5956
5241
5844
5469
2867
4321
4781
4864
5164
5786
5480
6086
61859
FT
576
705
719
693
45
-
-
-
-
-
-
-
-
SSU
317
306
277
269
85
191
199
218
267
299
218
286
2932
DEF
444
340
475
447
402
568
652
226
672
837
837
963
6863
LWBS
259
181
205
181
27
48
51
73
95
111
113
204
1548
ADM
849
751
735
709
459
707
802
800
767
864
1012
861
9316
27
30
27
33
13
20
44
32
12
19
11
11
279
TRANS
DOA
4
14
8
19
7
19
9
4
10
13
14
14
135
DAA
0
0
0
0
0
1
0
1
25
1
1
0
29
SCD
599
550
607
641
415
685
583
606
611
740
630
547
7214
RTA
169
130
114
137
69
85
90
154
210
190
170
178
1696
ADULTS
4324
3924
4464
4170
2263
3386
3617
3750
3888
4333
3879
4277
46275
PEDS
1632
1317
1380
1299
604
935
1164
1114
1276
1453
1601
1809
15584
Ambulatory Activities
Ward
25
52
21
19
13
24
33
28
20
24
27
20
306
A/E
18
20
27
40
9
31
25
20
13
15
7
11
236
Airport
8
7
7
3
2
2
5
4
6
3
2
3
52
Campus
5
3
5
3
0
3
1
1
2
4
5
3
35
Total
56
82
60
65
24
60
64
53
41
46
41
37
629
TOTAL PATIENTS IN 2010 (JAN to DEC 2010) = 61,859
Legend:
B = Blue category patients; R = Red category patients; Y = Yellow category patients; G = Green category patients; W = White category
patients; F/U = Follow-up patients; FT = Fast track; SSU = Short stay unit; DEF = Deferred cases; LWBS = Left without being seen; ADM =
Admission cases; TRANS = Transferred to other wards/hospitals; DOA = Dead on Arrival; DAA = Died after arrival; SCD = Sickle cell disease
cases; RTA = Road traffic accident cases
22
The highlights of the statistical data are as follows. A total of 61,859 patients were seen in 2010 as compared
with 62,601 seen in 2009 (a decrease of 1.2%). The majority of the patients were in the yellow (urgent) category which means serious but non-life-threatening emergency cases. This group constituted 54.9% of the
total number of cases. A total of 15.1 % of the patients seen were admitted, and 0.5 % of the patients seen were
transferred to other hospitals.
In addition to the care of the acutely ill and injured patients, consultants conducted daily review clinics. Most
of the patients reviewed sustained musculo-skeletal injuries, while some attended with other acute or subacute disorders which required close monitoring and follow-up.
The SQUH trauma team, which was established two years ago continues to operate under the leadership of
the two trauma consultants. This has enhanced and improved the care of trauma victims and the education
and training of the ED physicians in the management of trauma. This has also facilitated the rapid turnover
of trauma cases in the Department.
The Department is also responsible for the recovery and care of emergencies on the University Campus, and
also provides emergency coverage for sporting and other activities.
R ESEAR C H PR O JECT S
H1N1 Swine Flu Data Base Review and Outcome
Project Code:
MREC# 340; Dates: 2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Remanand Sudhir, Dept. Emergency, SQU.
R ESEAR C H PU B LI CA T IO NS & B O O K S
Journal Publications
1.
Al-Zadjali N, Al-Senawi R, Al-Reesi A, Al-Zakwani I, Nemeth J, Perry JJ. Predictors of positive chest radiography in
non-traumatic chest in the Emergency Department. Oman Med J 2009; 24:22.
Accident & Emergency
Under the Directive of Dr. Abdullah Reesi, a trained specialist in research, some research projects were
planned and commenced by OMSB residents and some members of staff. These included studies of the H1N1
viral out break; myocardial infarction and injuries, and the combination of intravenous paracetamol and
morphine in the management of renal colic. Work continues on the A H1N1 Data Base Review and Outcomes
by Dr. Abdullah Al Reesi and Dr. Remanand Sudhir.
academic and patient care departments
Research
23
Annual Report 2009-2010
Accident & Emergency
C O N F ER EN C E & SEM INA R P R E S E NT A T IO NS
Poster presentations
National
1.
Al Hajri N. Comparison between visual reading of urine dipstick and an automated analyzer in the Emergency Department. OMSB 1st Annual Research Day, Muscat, Oman, 2010.
Seminar Presentations
National
1.
24
Al Hinai N. Comparison between point of care Troponin T and Troponin I in Diagnosing ACS in the Emergency
Department. OMSB 1st Annual Research Day, Muscat, Oman, 2010.
25
Accident & Emergency
academic and patient care departments
Annual Report 2009-2010
Anaesthesia, ICU and Pain Management
he Department of Anaesthesia, Intensive Care & Pain Management is a dynamic and very productive department of Sultan
Qaboos University Hospital (SQUH). Our key roles are in the operating theatre, anaesthetising patients for all surgical specialties
and subspecialties and in the Intensive Care Unit, managing critically ill patients. The Department provides twenty-four hour
elective and emergency anaesthesia services to the entire hospital, including referrals from other health institutions. We manage a
25 bed Intensive Care Unit. We are also involved in inserting venous access devices, both implantable and percutaneous, to patients
from various clinical departments. Pain management is also part of departmental functions with acute and chronic pain management services. Cardiopulmonary resuscitation is a significant function of this Department and now cardiothoracic anaesthesia has
also been added. The Department forms a solid part of SQUH Trauma and Disaster management services.
T
The pre-Anaesthesia Assessment Clinic (PAC) has been fully functional since March 2009. Patients who have to undergo surgery are
assessed here for surgical fitness at the Out Patient Department (OPD) level. This was initiated with the main aim of reducing inpatient cancellations—a key factor in improving hospital efficiency. The clinic is being run Saturday to Wednesday from 8 am to 2 pm.
26
Leena Chacko, Coordinator
Ibrahim Al-Farsi, Coordinator
Mohammed Al-Badi, Technician
Maheswariamma, Technician
Staff
Medical Staff
Karin Nollain, Senior Consultant
Suresh Chengode, Senior Consultant
Ram Narayan Rao, Consultant
Sinnakirouchenan, Consultant
Rajini Kausalya, Consultant
Ali Al-Abady, Consultant
Nasser Al-Kemyani, Consultant
Mohammed Al-Ismaili, Consultant
Jaswinder Sharma, Senior Registrar
Binoy Zachariah, Senior Registrar
Pradipta Bhakta, Senior Registrar
Highlights of the Year
2009-2010
The annual Scientific Session of the Oman Society of Anaesthesia and Critical Care was held in
December 2009 at Sultan Qaboos University. Dr.
Rajini Kausalya, Dr. Amarnath Shetty, Dr. Sinnakirouchenan, Dr. Mohamed Al Ismaili and Dr. Pradipta Bhakta all acted as moderators. The theme
of the Session was “Anticoagulation and Regional
Anaesthesia”.
The Department organised 2 workshops on Ultra-
academic and patient care departments
Support Staff
anaesthesia, icu & pain management
Pradeep K. Sharma, Senior Registrar
Jyoti Burad, Registrar
Aravind Narayanan, Registrar
Devaraj N. Dyamanna, Registrar
Hatem Abd El Ghany, Registrar
Amr A.H. Sewan, Registrar
Qutaiba Tawfiq, Registrar
P. Madhanagopal, Registrar
Ahmed Khamis, Registrar
Ali S. Faris, Senior House Officer
Hussain Hamdan, Senior House Officer
Ajai K. Arora, Senior House Officer
Prasad Fonseka, Senior House Officer
Vishnu Prasad, Senior House Officer
Khadija Al-Abri, Senior House Officer
Zainab Al-Breiki, Senior House Officer
Zahra G. Ahmed, Senior House Officer
27
Annual Report 2009-2010
Anaesthesia, ICU and Pain Management
sound in Anaesthesia and Critical Care along with the Anaesthesia Department of Royal Hospital. The workshops were held at Sultan Qaboos University in May and December 2009 respectively. Both the workshops
were facilitated by international faculty. The response was very positive and both workshops were very
successful.
The Department also participated in the Quality Day, which was held in SQUH in March 2010, presenting
posters related to the Pain Management and the Pre-anaesthesia clinic.
N EW SER VI C ES
The Department is proud to have introduced the new service of performing peripheral nerve blocks and
vascular access under ultrasound guidance. The new ultrasound machine, which corporates the latest in
portable ultrasound technology for clinical applications, has been a boon for the Department and has made
it possible for this latest service to be initiated in the department. This machine is also going to be effectively
put to use in the Intensive Care Unit for haemodynamic measurements and transthoracic echocardiogram.
N EW SU B - SPEC I ALTY
In this period, anaesthesia for paediatric and neurological surgeries with postoperative intensive care monitoring started its services which are now fully operational.
Teaching Programmes
U N D ER G R AD U AT E C L INICA L P R O GR A M M E
The 6th year medical students carry out a compulsory two week rotation in the Department participating
in the clinical activities. Students are given ‘hands-on’ experience, on both manikins as well as patients, under the close supervision of anaesthesiologists. This is in order to witness and learn airway management,
endotracheal intubation, intravenous cannulation, fluid management and monitoring of the anaesthetised
patient. The tutorials are aimed at making the student understand the use of airway adjuncts, respiratory
equipment, central venous and arterial cannulation, regional blocks, and drugs used in anaesthesia and cardiopulmonary resuscitation. The main topics of these lectures are pre-anaesthetic evaluation; management
of patients under anaesthesia; postoperative pain relief; the pharmacology of anaesthetic drugs; acid base
and electrolyte disorders, and hypovolemic shock. The lecture is given by senior doctors in the department on
a rotation basis followed by a 30 minute case discussion.
28
PO ST G R AD U AT E PR O GR A M M E
Oman Medical Specialty Board (OMSB)
A 4-year residency programme in anaesthesia was started in September 2007 under the OMSB. Two residents were enrolled in this programme. An exit examination is planned at the end of 4 years; after the successful completion, the residents would do a further year of specialised training. The Department is actively
involved in developing the curriculum, accreditation and examination processes for this programme
The Department is actively involved in the teaching of training courses organised by the SQUH Training
Directorate. These include the Advanced Cardiac Life Support (ACLS) provider course, ACLS recertification
course, Basic Life support (BLS) provider course, BLS recertification course, AED (Accident & Emergency Dept)
course and the Pain Management course. Every Saturday there is a CME session in the Department covering
topics of recent interest in anaesthesia and intensive care. Doctors of the Department present interesting
topics beneficial to the staff. Residents are encouraged to attend. Members of the Department are also part
of OSAAC which is involved in regular CME activities and scientific sessions.
Clinical & Diagnostic Services
Emergency
No. of Patients
340
600
340
420
412
364
393
410
384
324
441
398
386
366
356
328
304
Total
448
430
379
Elective
344
309
342
306
251
500
400
300
Figure 1: Anaesthesia
Statistics 2010
200
100
36
66
84
64
39
98
75
69
62
55
44
54
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
academic and patient care departments
A total of 5,591 anaesthetic procedures were carried out in 2010 compared to 4,761 in 2009 and 4,056 in 2008.
Anaesthesia, ICU & Pain Management
TR AI N I N G C O U R SE S & CM E A CT IV IT IE S
29
Annual Report 2009-2010
Anaesthesia, ICU and Pain Management
Research
RE SEAR C H PR O JEC T S
Sickle Cell Disease in Adult Patients and Intensive Care Management- A 5 Year Retrospective Study in the
ICU of SQUH
Project Code:
MREC# 348; Dates: 2010
Value:
Unfunded; Project approval: Sultan Qaboos University
Investigators:
Dr. Qutaibah Tawfic, Dept. Anaesthesia, SQU
RE SEAR C H PU B LI C A T IO NS & B O O K S
Journal Publications
1.
Mishra P, Bhakta P, Janakiraman R, Darlong V. Intra-operative epidural catheter migration into subarachonoid space
leading to massive subarachonoid injection of morphine-a case report. Middle East J Anaesthesiol 2009; 20:469−71.
2.
Tawfic QA, Mishra P, Bhakta P, Kausalya R, Narayanan A. Missed congenital glottis web may mimic subglottic stenosis in a child. Eur J Anaesthesiol 2009; 27:217−9.
3.
Bhakta P, Mishra P, Tawfic QA. Psychomimetic reaction after use of propofol in day care surgery: report of two cases.
Middle East J Anaesthesiol 2010; 20:599−601.
4.
Dyamanna DN, Bhakta P, Chouhan RS, Al Azri F. Anaesthetic management of a patient with pituitary adenoma for
caesarean section. Int J Obstet Anaesth 2010; 19:460−1.
5.
Tawfic QA, Bhakta P, Kumar S. Letter re Controlled hypotension for middle ear surgery: a comparison between remifentanil and magnesium sulphate. Br J Anaesth 2009; 103:247−9.
6.
Tawfic QA, Bhakta P, Kausalya R. Unexpected cause of oesophageal obstruction due to accidental use of traditional
medicine in a critically ill patient fed through naso-gastric tube. Ind J Crit Care Med 2010; 14:160–1.
7.
Sharma D, Bithal PK, Dash HH, Chouhan RS, Sookplung P, Vavilala MS. Cerebral autoregulation and CO2 reactivity
before and after elective supratentorial tumor resection. J Neurosurg Anesthesiol 2010; 22:132−7.
8.
Kumar R, Goyal V, Chouhan RS. Venous air embolism during micro-electrode recording in deep brain stimulation
surgery in an awake supine patient. Br J Neurosurg 2009; 23:446−8.
CO N F ER EN C E & SEM INA R P R E S E NT A T IO NS
Conference presentations
International
1.
30
Chengode S. Intra operative transeosophageal echocardiography workshop. 3rd National Workshop on Intraoperative Transoesophageal Echocardiography. Bangalore, India, October 2009.
2.
Chengode S. Ischemic mitral regurgitation. Where do we stand in 2010? 13th National Conference of Indian Association of Cardiac Vascular & Thoracic Anaesthesiologists. Kolkata, India, February 2010.
3.
Chengode S. Basic TEE workshop - TEE in congenital heart diseases. 13th National Conference of Indian Association
of Cardiac Vascular & Thoracic Anaesthesiologists. Kolkata, India, February 2010.
National
1.
Chengode S. Cardiac patient for non-cardiac surgery. 3rd International Conference and Annual Meeting of Oman
Society of Anaesthesia and Critical Care. Muscat, Oman, November 2009.
2.
Kausalya R. Medical errors. 2nd International Conference on Quality Management in Health Care. SQUH, Muscat,
February 2010.
SEMI N AR PR ESEN T A T IO NS
International
Anaesthesia, ICU & Pain Management
Chengode S. Haemodynamic calculations in TEE. 3rd National on Intraoperative Transoesophageal Echocardiography Workshop. Bangalore, India, October 2009.
academic and patient care departments
1.
31
Annual Report 2009-2010
Behavioural Medicine
he Department of Behavioural Medicine’s mission is to promote excellence in research, development and teaching of psychiatry,
psychology and its allied subjects and to apply and disseminate this knowledge with the aim of preventing mental disorders
and developing treatment for the relief of suffering. The Department is both an academic preclinical and clinical department,
responsible for teaching behavioural sciences and participates in teaching communication skills to preclinical students and psychiatry to clinical students. The Department endeavours to develop a learning culture of direct relevance to the psychiatric needs of the
Omani population and develop in its students a professional, non-judgemental attitude towards psychiatric patients and society. It
also provides both outpatient and inpatient services for psychiatric patients in SQU Hospital as well as liaising with other clinical
departments for the provision of multidisciplinary care.
T
The main focus of our research interests and programme are the magnitude, culture-specific expressions and prevention of mental
illnesses, which are most common among people living in Oman. The Department publishes contributions on various aspects of
behavioural medicine in medical literature. Our research interests include all aspects of psychiatry, eating disorders, psychological aspects of specific physical health disorders, cognitive functions and genetics of schizophrenia, obsessive-compulsive disorder, bereavement, deliberate self-harm, alcohol misuse, epidemiology of mental disorders, presenting symptoms of schizophrenia, brain imaging
in acute psychosis, somatic symptoms as a presenting symptoms in depression and psychiatric problems in childhood.
32
Harith Ghassany, Assistant Professor
Claire Hallas, Assistant Professor
Rodger Martin, Senior Consultant
Amre El Guenedi, Consultant
Ahmed S. Amer, Senior Registrar
Hamed Al-Sinawi, Senior Registrar
Yousif A. Obeid, Senior Registrar
Aziz Al-Naamani, Registrar
Nonna Viernes, Registrar
Amaal Ambusaidi, Senior House Officer
Amira Al-Hosni, Senior House Officer
Ibrahim Elzein, Senior House Officer
Staff
Faculty
Ala’Aldin Al-Hussaini, Professor
Samir Al-Adawi, Professor
Marwan Al-Sharbati, Associate Professor
Highlights of the
Year 2009-2010
The year 2009-2010 witnessed enormous growth
and expansion in the Department. The psychiatric residency programme, implemented in conjunction with the Oman Medical Specialty Board
(OMSB), has also seen substantial development.
In line with changes in medical education, the De-
behavioural medicine
The Department supports the Royal Oman Police,
the Ministry of Health and other organisations by
providing its expertise in promoting mental health
services in Oman and in the field of forensic psychiatry, alcohol and drug dependence problems and
specialist psychotherapy services.
Basma Al-Said, Mental Health Counsellor
Zena M. Al-Sharbati, Clinical Psychologist
Samira Al-Hamdan, Psychologist
Salwa Al-Redha, Psychologist
Hazar A. Al-Zadjali, Assistant Psychologist
Abdullah Al-Sulaimani, Social Worker
Ahmed Al-Salmi, Social Worker
Khamis Al-Balushi, Social Worker
Khoula Al-Wahaibi, Social Worker
Younis Al-Hashim, Social Worker
Ravindran Kozhapatil, Coordinator
Govindan Mundayadan, Coordinator
academic and patient care departments
Support Staff
33
Annual Report 2009-2010
Behavioural Medicine
partment join with other College departments in running the clinical communication skills course as well as
coordinating with other departments in interdisciplinary activities.
The Department was involved in national and international research collaborations and published a number
of papers on various aspects of behavioural medicine, psychiatry, psychology and allied fields, for example:
cross-cultural differences in morbid body preference; hazardous and harming drinking patterns in Oman;
medical education and child psychiatry. In the Departmental database, much research has been amassed
on topics such as how distress is experienced in Oman; psychological aspects of cardio-thoracic disease and
surgery; cognitive functions of schizophrenic patients; genetics of schizophrenia and obsessive-compulsive
disorders and adjustment difficulties and developmental disorders among infants, children and adolescents.
Teaching Programmes
The Department offered the following two courses: Behavioural Sciences I; Behavioural Sciences II. The number of students for each of these courses was approximately 120. A clinical attachment in psychiatry with
a rotation of 8 weeks was also run. The Department participates with other departments in the College in
coordinating the clinical communication skills course. The number of students was approximately 98.
U N D ER G R AD U AT E P R E CL INICA L P R O GR A M M E
The Department’s policy is to make learning student-centred as far as possible. Accordingly, the lectures,
seminars and tutorials for preclinical students are of an interactive nature, designed to encourage participation in interactive learning. The Department conducts two inter-related courses of behavioural sciences. The
first course focuses on socio-cultural roots of disease concept, doctor-patient relationship and other cultural
issues relevant to the understanding of mental illness. The second concentrates on factors associated with
individual differences: applied behavioural medicine as relevant to the promotion of health; clinical communication; cultural specific idioms of distress; personality and its development, and speech and language
development.
U N D ER G R AD U AT E C L INICA L P R O GR A M M E
The interactive, student-centred approach of the Department is adopted even more strongly for teaching
clinical students. During the rotation, our medical students are encouraged to develop skills in interviewing
patients and their families, interpreting diagnostic tests, planning multidisciplinary treatment, developing
behavioural interventions, and administering pharmacological treatment as well as acquiring basic skills
in using psychotherapeutic modalities. Students are also encouraged to participate actively in clinical case
presentations of common psychiatric problems.
The main thrust of psychiatry teaching is to equip future Omani doctors with the ability to prevent, diagnose
34
16000
14000
12000
10000
8000
6000
4000
2000
0
2008
2009
2010
OUTPATIENTS
12013
12783
14605
IN-PATIENTS
242
350
305
D EVELO PMEN T O F T HE NE W M E D ICA L CUR R ICUL UM
The Department has been active in developing its new curriculum for the new medical degree programme.
Behavioural Medicine lectures, tutorials and seminars are now fully integrated into the pre-clinical system
modules of Phases 1 and 2 and the integrated modules. The Phase 3 clinical curriculum for behavioural medicine is being developed which has its primary focus within the pre-clerkship and junior clerkship training
although it will be a contributing theme throughout the senior clerkship and junior internship phases. Behavioural Medicine will be contributing specific lectures, case studies and training in the pre-clerkship stage
on the topics of clinical assessment (young people, working adults and older adults); vulnerability for mental
health (genetic versus environmental influences); models of stress and coping, and health psychology and
chronic illness management. In liaison with other College departments, teaching is provided on specific clinical communication skills (e.g. working with psychotic patients) and clinical ethics (e.g. confidentiality and
suicide management). The junior clerkship stage will focus on the advanced training of medical students in
Behavioural Medicine
and treat various mental illnesses in the community at large and to expose our students to empirical evidence that distress, disease and treatment are experienced in the context of cultural and social processes and
also to introduce the idea of integrating mental health in primary care. The academic component includes a
regular seminar in therapeutic skills of teaching and consultation; teaching on current issues in psychiatry;
developmental psychology; psychological assessments; personality; bereavement; cross-cultural psychiatry;
eclectic approaches to psychological intervention, and behavioural medicine. To keep abreast with the development of psychiatry elsewhere, a regular Journal Club is held. External speakers are also part and parcel of
this endeavour.
academic and patient care departments
Statistics In & Outpatients Clinic (2008-2010)
35
Annual Report 2009-2010
Behavioural Medicine
the clinical application of the basic skills learned within the pre-clerkship stage giving them clinical exposure to a wide range of psychiatric conditions and their medical and psychotherapeutic treatment.
POST G R AD U AT E PR OGR A M M E
The Department continued in this period to train Family and Community Medicine residents and contributed to revising programmes for the examination for Membership of the Royal College of General Practitioners
(MRCGP), the Arab Board of Psychiatry and the Oman Medical Specialty Board (OMSB) residency training
programme (including writing the curriculum, preparing for examinations and writing their programmes.)
TR AI N I N G C O U R SES & CM E A CT IV IT IE S
The Department conducted a number of workshops on various aspects of stress and coping; the psychology
of chronic disease management; research methodology, and issues pertinent to social medicine.
Clinical & Diagnostic Services
On the hospital side, the combination of referrals from all part of Oman and prompt service delivery put
the Department in the vanguard of psychiatric services in the country. The Department is one of the few
in Oman which provides for specialist tertiary referrals. It has a multidisciplinary team approach designed
for optimum treatment of patients and training of medical students. The Department has a support staff of
psychologists, nurses, social workers and other clinicians.
A wide range of assessments and treatments including IQ and personality testing, neuropsychological tests,
and various models of psychotherapy are offered. The Department also offers comprehensive liaison psychiatry with other branches of medicine as well as psychosocial intervention and various social work services.
The Department offers unique clinical and diagnostic services. The assessments provided by our staff employ specialised testing procedures to integrate medical, neurological, and behavioural data with findings in
order to answer any of a number of referral questions. Referrals to our services typically consist of, but are not
limited to, questions concerning: a) differential diagnoses between functional and organic syndromes (e.g.
depression versus dementia); b) delineation of spared and impaired cognitive functions secondary to central
nervous system dysfunction; c) establishment of behavioural baseline measures to monitor recovery or progression of central nervous system dysfunction; d) comparison of pre- and post-pharmacological states, surgical, and behavioural interventions; e) assessment of cognitive/behavioural functions for the formulation
of rehabilitation, management strategies, and/or educational or employment placement, and f) evaluation
of neurocognitive status for the purpose of tests for disability, compensation and liability determinations in
forensic cases.
36
Research
R ESEAR C H PR O JECT S
Expatriate Doctors working in the Omani Health Care Sectors and Omanization
Project Code:
MREC # 318; Dates:2009
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators: Dr. Samir Al Adawi, Dept. Behavioural Medicine, SQU.
Prevalence of Anxiety & Depression among Patients with epilepsy at a tertiary care hospital in Oman
Project Code:
MREC # 329; Dates:2009
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Samir Al Adawi, Dept. Behavioural Medicine, SQU.
Determining the Culturally Specific Symptom Constellation of Posttraumatic Stress Disorder among
MREC # 333; Dates:2009
Value: Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Samir Al Adawi, Dept. Behavioural Medicine, SQU.
The Ethics of Veracity in Health Care
Project Code:
MREC # 350; Dates:2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Ahmed Amer, Dept. Behavioural Medicine, SQU.
R ESEAR C H PU B LI CA T IO NS A ND B O O K S
Journal Publications
1.
Al-Sharbati MM, Zaidan ZA, Dorvlo AS, Al-Adawi S. Characteristics of ADHD disorder among omani schoolchildren
using DSM-IV: Descriptive study. J Atten Disord (Epub ahead of print) 13 Jan 2010.
2.
Al Farsi YM, Al-Sharbati MM, Al-Farsi OA, Al-Shafaee MS, Brooks DR, Waly MI. Brief report: Prevalence of autistic
spectrum disorders in the Sultanate of Oman. J Autism Dev Disord 2010; (Epub ahead of print) 31 Aug 2010.
3.
Al-Adawi S, Al-Zakwani I, Obeid YA, Zaidan ZA. Neurocognitive functioning in women presenting with undifferen-
Behavioural Medicine
Project Code:
academic and patient care departments
Omani
37
Annual Report 2009-2010
Behavioural Medicine
tiated somatoform disorders in Oman. Psychiatry Clin Neurosci 2010; 64:555–64.
4.
El Shafie K, Al-Shaqsi A, Al-Mahrouqi B, Al-Lawati H, Ganguly SS, Al-Adawi S, Al-Shafaee M. The diagnostic yield of
thyroid function tests and their cost-effectiveness in the Student Clinic at Sultan Qaboos University: Retrospective
chart review. SQU Med J 2010; 10:215–20.
5.
Sadowsky C, Whiting H, Pai S, Recio A, Becker D, Houdayer T, Al-Adawi S. Prevalence and risk factors for osteoporosis
in individuals with paralysis. J Clin Densitom 2009; 12:388–9.
6.
Al-Adawi S, Ali BH. West is West, East is East: The divide in science. Saudi Med J 2010; 31:1093–4.
7.
Hallas CN, Burke JL, White DG, Connelly DT. A prospective one year study of changes in neuropsychological function
following implantable cardioverter defibrillator surgery. Circ Arrhythm Electrophysiol 2010; 3:170–7.
8.
Hallas CN, Burke JL, White DG, Connelly DT. Pre-ICD illness beliefs affect post-implant perceptions of control and
patient-quality of life. Pacing Clin Electrophysiol 2010; 33:256–65.
9.
Hallas CN, Wray J, Andreou P, Banner NR. Depression and perceptions of heart failure predict the quality of life of
people with advanced heart failure. J Heart Lung Transplant 2010; doi:10.1016/j.hrtlng. 2009.12.008.
10.
Hallas CN, Howard C, Wray J, Carby M. Understanding panic disorder in chronic respiratory disease. Br J Nurs 2009;
18:527–9.
11.
Hallas CN, Wray J, Banner NR. A qualitative study of the psychological experience of patients during and after mechanical cardiac support. J Cardiovasc Nurs 2009; 24:31–9.
12.
Howard C, Hallas CN, Wray J, Carby M. The relationship between illness perceptions, anxiety and panic in chronic
obstructive pulmonary disease. Behav Res Ther 2009; 47:71–6.
13.
Sharbati M, Al-Zaidi R, Al-Naamani R, Al-Futaisi A, Jain R. A rare presentation of attention deficit/hyperactivity
disorder. SQU Med J 2010; 10:84–8.
Book Chapters
1.
Hallas CN. What are the roles of a health psychologist in clinical practice? Defining knowledge, skills and competencies. In: Forshaw M, Sheffield D, Eds. Health Psychology in Action. London: Wiley-Blackwell, 2010.
C O N F ER EN C E & SEM INA R P R E S E NT A T IO NS
Conference Presentations
International
38
1.
Al-Sharbati M. The ADHD preschoolers: when to treat by psycho-pharmacotherapy, and how? Medical Home, An
Innovative Approach to ADHD. Riyadh, Saudi Arabia, 7–11 November 2009.
2.
Al-Farsi Y, Wali M, Al-Shafie M, Al-Sharbati M. The prevalence of stunting, underweight, and wasting among autistic children in Oman. IMFAR Meeting. Pennsylvania,USA, 20–22 May 2010.
3.
Wali M, Al-Farsi Y, Al-Shafie M, Al-Sharbati M. Measurement of reduced, oxidized and total glutathion levels in the
sera of autistic children in Oman. IMFAR Meeting. Pennsylvania, USA, 20–22 May 2010.
4.
Al-Sharbati M. Studies concerning preschoolers suffering from attention deficit hyperactivity disorder: When to
treat and how? IIMA 5th Conference. Sharjah, UAE, 1–3 April 2010.
5.
Al-Sharbati M. Autism and other developmental disorders in Oman. The 3rd Conference of Prevention, Diagnosis and
Treatment of Developmental Delays and Neonatal Screening in Middle East and North Africa (MENA). Doha, Qatar,
27–29 April 2010.
National
1.
Al-Sharbati M. Communication skills. OMSB communication skills workshop. Muscat, Oman, 6–7 October 2009.
2.
Al-Adawi S. Pre-occupation with body image and weight-loss behavior in cross-cultural samples. 17th International
Child Health Conference – Chronic Childhood Illnesses. Sultan Qaboos University, 13–15 October 2009.
3.
Al-Adawi S. Biopsychosocial approach for the management of obesity. Workshop on Food, Nutrition in Health and
Disease. College of Agricultural and Marine Sciences, Sultan Qaboos University, Muscat, Oman. 10 May 2010
4.
Al-Adawi S. Coping with chronic illness. Collaborative Nursing Conference on Deliberating Quality, Serving Communities, Nurses Leading Chronic Care. Sultan Qaboos University, Muscat, Oman, 28 April 2010.
Poster Presentations
International
1.
Al-Adawi S, Al-Azri F, Hussain S, Dorvlo ASS. Neurocognitive, affective and vegetative functioning in patient presenting with vascular dementia in Oman. Sixth International Congress on Vascular Dementia. Barcelona, Spain,
19–22 November 2009.
Al-Sharbati M, Al-Adawi S, Al-Lawati S, Al-Suleimani A, Obeid Y, Al-Hussaini A, Mirza H, Zaidan Z, Petrini K. Twophase survey of social anxiety disorder in Omani adolescents reveals gender differences. University Day. Sultan
Qaboos University, Muscat, Oman, 2 May 2010.
2.
Obeid Y, Viernes N, ElZien I, Al-Hussini A, Zaidan Z, Martin, R, Guenedi A, Al-Adawi S. Peer review in the management of inpatients with depression in Sultan Qaboos University Hospital. University Day. Sultan Qaboos University,
Oman, Muscat, 2 May 2010.
3.
Mirza H, Al-Adawi S, Al-Asmi A, Al-Azri F, Hussain S, Al-Sharbati M, Guenedi AA, Al-Hussaini A, Obeid YA. Jinn in
the brain: Evaluation of regional cerebral blood flow in a patient with cacodemonomania of dissociative type. University Day. Sultan Qaboos University, Muscat, Oman, 2 May 2010.
4.
Obeid Y, Al-Hussini, A, Martin R, Al-Sharbati, M, Zaidan Z, Al-Guenedi A, Al-Adawi S. Clinical audit on the use of depot antipsychotics in Sultan Qaboos University Hospital. University Day. Sultan Qaboos University, Muscat, Oman,
2 May 2010.
5.
Obeid Y, Al-Guenedi A, Al-Hussini A, Hussain S, Al-Azri F, Al-Adawi, S. Supposed ‘Spirit possession’ may be associated with altered brain states: Case report from Oman. University Day. Sultan Qaboos University, Muscat, Oman, 2
May 2010.
6.
Al-Saadoon M, Al-Sharbati M, Rizvi S, et al. Bullying among children in elementary schools in Muscat region. Univer-
Behavioural Medicine
1.
academic and patient care departments
National
39
Annual Report 2009-2010
Behavioural Medicine
sity Day. Sultan Qaboos University, Muscat, Oman, 2 May 2010.
7.
Al-Sharbati M, Al-Sharbati Z, Al-Lawatiya S, Al-Jahwari S. Teachers’ awareness about ADHD in Oman. University
Day. Sultan Qaboos University, Muscat, Oman, 2 May 2010.
8.
Al-Farsi Y, Al-Sharbati M, Wali M, Al-Shafee M. Prevalence of autistic spectrum disorder in Oman. University Day.
Sultan Qaboos University, Muscat, Oman, 2 May 2010.
9.
Al-Sharbati M, Al-Attabi K. Atomoxetine in the treatment of ADHD in SQUH. University Day. Sultan Qaboos Univerisity, Muscat, Oman, 2 May 2010.
TH ESI S SU PER VI SI ON
Omar Al-Farsi
Qualification:
M.Sc.
Title:
The prevalence of Autistic Spectrum Disorders in Oman.
Supervisor:
Dr. Marwan Al-Sharbati
Date of completion:
August 2010
Maha Al-Khalili
Qualification:
M.Sc.
Title:
Nutritional Factors in Autism
Supervisor:
Dr. Marwan Al-Sharbati
Date of completion:
On going
Samia Al-Fahdi
40
Qualification:
M.Sc.
Title:
The clinical correlate of autism in Oman
Supervisor
Dr. Marwan Al-Sharbati
Date of completion:
On going
41
Behavioural Medicine
academic and patient care departments
Annual Report 2009-2010
Biochemistry
he Department of Biochemistry is involved in both pre-clinical and clinical teaching. In the pre-clinical years, teaching concentrates mainly on basic principles of biochemistry and metabolism. Teaching in the clinical years is devoted to clinical chemistry,
including interpretation of biochemical data on patients. The Department is also engaged in teaching medical laboratory science to undergraduates; biochemistry to nursing students, and offers a graduate program leading to an M.Sc degree in Biomedical
Sciences and/or Clinical Biochemistry. A Ph.D. program by research has also been offered since 2009. The Department has also been
recognised by the Royal College of Pathologists, London, in relation to postgraduate education through the Oman Medical Specialty
Board (OMSB).
T
The major research activities are focused around the development of molecular tests for detecting and mapping mutations associated with various genetic disorders including hypertension, diabetes, deafness and hyperlipidaemias. The Department has a total
of eight academic staff in addition to four consultants at SQUH who are also involved in the teaching programmes. There are seven
biomedical research scientists in the College who are involved in research run by the Department.
The Department also provides a clinical biochemistry service to Sultan Qaboos University Hospital (SQUH) on a 24-hour basis and
serves as a referral laboratory for hospitals all over the Sultanate. Twenty one biomedical scientists serve the Department at SQUH.
42
Support Staff
Faculty
Jumana Saleh, Associate Professor
Hamza Babiker, Associate Professor
Nadia Al-Wardy, Assistant Professor
Clifford Abiaka, Assistant Professor
Marit Delghandi, Assistant Professor
Yahya Tamimi, Assistant Professor
Yajnavalka Banerjee, Assistant Professor
David Nkansa-Dwamena, Senior Consultant
Khalid Al-Rassadi, Consultant
Nafila Al-Riyami, Consultant
Khalid Al-Waili, Consultant.
A workshop on Bioinformatics for Beginners was
held by the Department from 11–15th April 2010.
Subjects covered included: 1) Basic DNA Sequence
Analysis; 2) Sequence comparison- identity, homology and mutation matrices; 3) Determining Protein
Structure from Sequence using Computational
Approaches; 4) Small and large scale expression
analysis, Genome data analysis, and 5) Phylogenetic Analysis. The workshop was run by Mr. David Judge, Cambridge University, UK and Prof. Riad
Bayoumi. The overall objective of the workshop
was to present a hands-on introduction to aspects
of Bioinformatics central to the analysis and stor
biochemistry
Staff
Highlights of the
Year 2009-2010
academic and patient care departments
George Khaukha, Superintendent (College)
Halima Adnan, Superintendent (Clinical)
Mater Al-Maney, Chief Biomedical Scientist (Clinical)
Adil Al-Wahaibi, Chief Biomedical Scientist (Clinical)
Younis Al-Musafir, Senior Biomedical Scientist (Clinical)
Romulo Cipriano, Senior Biomedical Scientist (Clinical)
Suleiman Al-Riyami, Senior Biomedical Scientist (Clinical)
Hamed Al-Riyami, Senior Biomedical Scientist (Clinical)
Sameera Al-Harrasy, Senior Biomedical Scientist (Clinical)
Nasser Al-Nazwani, Chief Technician (College)
Mohammed Al-Kindi, Chief Biomedical Scientist (College)
Hameeda Al-Barwani, Senior Biomedical Scientist (College)
Mohammed Al-Toubi, Biomedical Scientist (College)
Abdulrahim Al-Abri, Biomedical Scientist (College)
Sana Hasari, Biomedical Scientist (College)
Taruna Dutt, Coordinator (College)
Marina Bendecio, Coordinator (Clinical)
43
Annual Report 2009-2010
Biochemistry
130000
120000
110000
100000
90000
80000
70000
60000
50000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
No. of Tests Performed in 2010
age of genomic data. This was done via: a brief theoretical introduction; an overview of available software; a
basic explanation of important algorithms; an opportunity to use appropriate software to tackle example
problems, and an opportunity to discuss research projects with tutors and colleagues.
Dr. Hamza Babiker was promoted to Associate Professor in the month of May 2010. New staff members were
Dr. Yajnavalka Banerjee and Dr. Nafila Al-Riyami who joined the Department in August and November 2009
respectively.
Teaching Programmes
B.SC . MED I C AL LAB O R A T O R Y S CIE NCE S (M L S )
The Department is teaching on the MLS degree in Semesters 6 through 10. It also offers courses in Molecular
Diagnostics and in Clinical Chemistry - Specialization I, II and III.
U N D ER G R AD U AT E C L INICA L P R O GR A M M E
The Department is teaching on the following MD courses: Molecular Biology & Introductory Genetics; Metabolism; Foundation Biochemistry; Enzymology and Metabolism; Alimentary System, and Applied Medical
Sciences. The department also participates in various system courses like Hemopoietic System, Endocrine
44
1500
1250
No. of tests x 1000
1000
750
500
250
0
2005
2006
2007
2008
2009
2010
Year
Diagnostic Services 2005-2010
The Department of Biochemistry is teaching Biochemistry for Nursing in the College of Nursing.
PO ST G R AD U AT E PR O GR A M M E
In the postgraduate programme, the Department offers the following courses: Biochemical basis of Disease;
Instrumentation and Biochemical Techniques; Molecular Biology, and
Methodology in Clinical Biochemistry. The Department of Biochemistry has 9 students registered for the
M.Sc. degree and 2 students studying for their Ph.D.
Clinical & Diagnostic Services
SER VI C E PR O VI SI ON
The Department of Clinical Biochemistry provides service for a wide range of routine and specialised
investigations. Some of the specialised tests are unique and hence the Department offers a referral labora-
Biochemistry
N U R SI N G D EG R EE
academic and patient care departments
System, Respiratory System, Tissues, Urinary System, 7th year clinical rotations, the Integrated Lecture Series,
and the student Research Project.
45
Annual Report 2009-2010
Biochemistry
tory service for such investigations. Service is provided to the hospital on 24 hour basis. The estimated number of tests performed in 2010 is 1,295,000 [Figure 1], i.e. there has been an increase of 14.5% in the workload
compared to 2009 [Figure 2]. The Clinical Biochemistry Department manages the Commercial Laboratory
Services offered to some selected hospitals within the private sector e.g. Muscat Private Hospital and Hatat
Polyclinic.
N EW T EST S
Two new tests introduced in this period were: Serum Light Chains (Kappa and Lambda) quantitation in the
protein section of the laboratory, and The Urine Metanephrines assay (HPLC).
POI N T O F C AR E T ES T ING (P O CT )
The Department maintains Quality Assurance of blood gas analysers outside the laboratory i.e. in the Accident and Emergency Unit (A&E), Operating Theatre (OT), and Intensive Care (ICU) and Neonatal (NNL) units.
TEAC H I N G
Teaching is conducted by senior biomedical scientist staff (superintendent, chief and seniors) and clinical
staff (professor and consultants). The mode of instruction includes lectures, seminars and practical demonstration of methods, techniques and instrument operation. The Department has introduced regular sessions to emphasise the importance of the pre-analytical phase to nurses. These sessions also include the I.V.
Therapy course for nurses during the induction program.
EXT ER N AL Q U ALI T Y A S S UR A NCE
The department continues to participate in the ‘Royal College of Pathology of Australia’ External Quality Assurance program.
Research
RE SEAR C H PR O JEC T S
The Clinical and genetic characterization of type 2 diabetes mellitus in Omanis
46
Project Code:
RC/MED/BIOC/10/01; Dates: 2010
Value:
OR 87,300; Project Funder: The Research Council, Oman
Investigators:
Prof. Riad Bayoumi, Dept. Biochemistry, SQU; Prof. Mohammed Hassan,
Dept. Physiology, SQU; Dr. Sulayma Albarwani, Dept. Physiology, SQU; Prof.
Nicolas Woodhouse, Dept. Medicine, SQU; Dr. Omayma El-Shafie, Dept. Medicine, SQUH.
Searching for the origin of human lactase persistence in the Southern part of the Arabian Peninsula
Project Code:IG/MED/BIOC/10/02; Dates: 2010–2011
Value: OR 13,100; Project Funder: Sultan Qaboos University
Investigators:
Prof. Riad Bayoumi, Dept. Biochemistry, SQU; Abdulrahim Al-Abri, Dept.
Biochemistry, SQU.
The Cytokines Profile monitoring in a Cohort of Omani Population Undergoing Therapy for Rectal Cancer
Project Code:IG/MED/BIOC/10/01; Dates: 2010
Value: OR 8,000; Project Funder: Sultan Qaboos University
Investigators:
Dr. Yahya Tamimi, Dept. Biochemistry, SQU.
Polymorphism of type 2 diabetes candidate genes among individuals of Oman Family Study.
Project Code:IG/MED/BIOC/07/01; Dates: 2007–2010
Value:
OR 17,300; Project Funder: Sultan Qaboos University
Investigators:
Prof. Riad Bayoumi, Dept. Biochemistry, SQU; Prof. Mohammed O. Hassan,
Dept. Physiology, SQU; Dr. Sulayma Al-Barwani, Dept. Physiology, SQU; Dr.
Saeed Al-Yayhaee, Dept. Biochemistry, SQU.
Value:
OR 31,300; Project Funder: Sultan Qaboos University
Investigators:
Dr. Nadia Al-Wardy, Dept. Biochemistry, SQU; Prof. Riad Bayoumi, Dept.
Biochemistry, SQU; Mr. Mohammad Al-Kindi, Dept. Biochemistry, SQU; Dr.
Mazin Al-Khabori, Dept. Ear, Nose & Throat, Al Nahda Hospital, Muscat,
Oman.
Evaluation of vitamin D status of Omani adults with particular focus on pregnant Omani women
Project Code:IG/MED/BIOC/09/01; Dates: 2009–2011
Value:
OR 9,000; Project Funder: Sultan Qaboos University
Investigators:
Dr. Clifford Abiaka, Dept. Biochemistry, SQU; Dr. David Nkasa-Dwamena,
Dept. Biochemistry, SQU, Dr. Lovina Machado, Dept. Obstetrics & Gynecology, SQU.
Biochemistry
Project Code:IG/MED/BIOC/08/01; Dates: 2008–2010
academic and patient care departments
Genetic linkage mapping of recessive deafness in Oman.
47
Annual Report 2009-2010
Biochemistry
The brunt of mutations conferring drug resistance on the fitness of malaria parasites
Project Code:
IG/MED/BIOC/09/02; Dates: 2009–2011
Value:
OR 18,800; Project Funder: Sultan Qaboos University
Investigators:
Dr. Hamza Babiker, Dept. Biochemistry, SQU, Gote Swedberg, Dept. Medical
Biochemistry & Microbiology, Uppsala University, Sweden; Dr. Petra Schneider, Institute of Infection & Immunology Research, Edinburgh University,
UK; Dr. Abdel-Muhsin AG Abdel-Muhsin, The Institute of Medical Research,
Sudan.
A study of the effects of pregnancy-related thyroid autoimmunity and oxidative stress in Omani women
from conception to parturition
Project Code:
IG/MED/BIOC/10/04; Dates: 2010–20102
Value:
OR 7,000; Project Funder: Sultan Qaboos University
Investigators:
Dr. Clifford Abiaka, Dept. Biochemistry, SQU; Dr. David Nkansa-Dwamena,
Dept. Biochemistry, SQU; Dr. Lovina Machado, Dept. Obstetrics & Gynaecology, SQU.
Identifying Candidate Genes for Heart Pacemaker Control in Oman Family Study
Project code:
IG/MED/BIOC/10/03; Dates: 2010
Value:`
OR 3,353; Project funder: Sultan Qaboos University
Investigators:
Dr. Marit P. Delghandi, Dept. Biochemistry, SQU; Prof. Riad Bayoumi, Dept.
Biochemistry, SQU; Prof. Mohammed O. Hassan, Dept. Physiology, SQU; Dr.
Sulayma Albarwani, Dept. Physiology, SQU.
A Study of the Highly Polymorphic Vitamin D binding Protein in a healthy Omani Population
Project code:
MREC # 328; Dates: 2010
Value:
OR 1,893; Project funder: Sultan Qaboos University
Investigators:
Dr. Marit P. Delghandi, Dept. Biochemistry, SQU; Dr. Clifford Abiaka, Dept.
Biochemistry, SQU.
Is Performance in Preclinical Assessment a Good Predictor of the Final MD Grade?
48
Project Code:
MREC #307; Dates: 2009
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Nadia Al-Wardi, Dept. Biochemistry, SQU
Primary Immunodeficiency in Oman: First Report of the National Registry at Sultan Qaboos University
Hospital
Project Code:
MREC # 312; Dates: 2009
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Marit Delghandi, Dept. Biochemistry, SQU; Mr. Abduallah Al-Muniri,
Dept. Family Medicine & Public Health, SQU; Mr. Moosa Al-Kindi, SQU.
Evaluation of Fructosamine assay on cobas integra 800 and comparison of fructosamine concentration
and glycated hemoglobin concentration in diabetic patients with hemoglobin variants
Project Code:
MREC # 339; Dates: 2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Ms. Huda Al-Saadi, Dept. Biochemistry, SQU
R ESEAR C H PU B LI CA T IO NS & B O O K S
Al-Wardy NM, Rizvi SG, Bayoumi RA. Is performance is pre-clinical assessment a good predictor of final Doctor of
Medicine grade? Saudi Med J 2009; 30:1590−4.
2.
Bielas SL, Silhavy JL, Brancati F, Kisseleva MV, Al-Gazali L, Sztriha L, Bayoumi RA, et al. Mutations in INPP5E, encoding
inositol polyphosphate-5-phosphatase E, link phosphatidyl inositol signaling to the ciliophaties. Nat Genet 2009;
41:1032−6.
3.
Banerjee Y, Taranikanti V, Bayoumi R. Triglyceride-mediated pathways and coronary heart disease. Lancet 2010;
376:956.
4.
Joshi SN, Fathalla M, Koul R, Maney MA, Bayoumi R. Biotin responsive seizures and encephalopathy due to biotinidase deficiency. Neurol India 2010; 58:323−4.
5.
Saleh J, Al-Khanbashi M, Al-Maaroof M, Al-Lawati M, Cianflone K. Acylation stimulating protein increases and correlates with increased progesterone levels during the luteal phase of the menstrual cycle. Eur J Endocrinol 2009;
160:301−7.
6.
Reece S, Ali E, Schneider P, Babiker HA. Stress, drugs and evolution of reproductive restraint in malaria parasites. Proc
Roy Soc Lond B 264:553–9. E-pub ahead of print19 May 2010.
7.
Kheir A, Nwakanma D, Akbarov Y, Al-Saai S, Al-Gazali A, Swedberg G, Babiker HA. Transmission and cross-mating of
high-level resistance plasmodium falciparum dhfr haplotypes in the Gambia. Am J Trop Med Hyg 2010; 82:535−41.
8.
Burney IA, Al Sawai BS, Dawood AA, Babiker H, Al Moundhri MS. Association of polymorphisms in cytokine genes
Biochemistry
1.
academic and patient care departments
Journal Publications
49
Annual Report 2009-2010
Biochemistry
with diffuse large B cell lymphoma and its outcomes in Omani Arabs. Eur J Cancer 2009; 7:566.
9.
Babiker HA. Seasonal fluctuation of drug resistant malaria parasites: a sign of fitness cost. Trends Parasitol 2009;
25:351−2.
10.
Babiker HA, Hastings IM, Svedberg G. Impaired fitness of drug-resistant malaria parasites: evidence and implication
on drug deployment policies. Expert Rev AntiInfective Ther 2009; 7:581−93.
11.
Al-Saai, S, Kheir A, Abdel-Muhsin A, Al-Ghazali A, Nwakanma D, Swedberg G, Babiker HA. Distinct haplotypes of
dhfr and dhps among plasmodium falciparum isolates in an area of high level of sulfadoxine-pyrimethamine (SP)
resistance in eastern Sudan. Infect Genet Evol 2009; 9:778–83.
12.
Hamdy H, Telmesani AW, Al Wardy N, Abdel-Khalek N, Carruthers G, Hassan F, et al. Undergraduate medical education in the Gulf Cooperation Council (GCC) – a multi-countries study (Part I). Med Teach 2010; 32:219–24.
13.
Hamdy H, Telmesani AW, Al Wardy N, Abdel-Khalek N, Carruthers G, Hassan F, et al. Undergraduate medical education in the Gulf Cooperation Council (GCC) – a multi-countries study (Part II). Med Teach 2010; 32:290–5.
14.
Theodorsson T, Shafie K, Al Wardy N, Anwar K, Al Shafaee M, Al Mahrezi A. Assessment of family doctors in Oman;
getting the questions right preliminary findings of a performance analysis of multiple choice questions. Internet
J Med Educ 2010; From: http://www.ispub.com/journal/the_internet_journal_of_medical_education/volume_1_
number_1_74/article_printable/assessment-of-family-doctors-in-oman-getting-the-questions-right-preliminaryfindings-of-a-performance-analysis-of-multiple-choice-questions-2.html
15.
Al Wardy NM. Assessment methods in undergraduate medical education. SQU Med J 2010; 10:203–9.
16.
Al Wardy NM. Re: Evaluation Tools in Postgraduate Medical Education–Do we need “Made in Oman” tools? Letter to
Editor. SQU Med J 2010; 10:280–1.
17.
Banerjee Y, Bayoumi R, Farook SMS. Could deadly snake venom save lives? SQU Med J 2010; 10:142–3.
C O N F ER EN C E & SEM INA R P R E S E NT A T IO NS
Conference Presentations
National
50
1.
Bayoumi RA. Lactose intolerance among Omanis. The 4th Pan Arab Conference of Human Genetics. Dubai, UAE,
March 2010.
2.
Al-Riyami N. Hepatic lipase deficiency in a Middle Eastern Arabic Male. 9th Annual National Lipid Association Scientific Sessions. Chicago, USA,14–17 May 2010.
3.
Al Wardy N, Al Hussaini O, Al Zidjali L, Hussein S, Al Asmi A, Rizvi S, Al Rawahi Z. Evaluation of teacher-training workshops in the College of Medicine & Health Sciences, Sultan Qaboos University. AMEE Conference. Abstracts 9AA11.
Malaga, Spain, 29 August – 2 September 2009.
4.
Al-Wardy N, Al-Kindi M, Al-Khabouri M, Alasti F, van Camp G, del Castillo I, Bayoumi R. Otoferlin [OTOF] gene variants responsible for hearing loss in two Omani families. 3rd Pan Arab Human Genetics Conference. Abstracts P34.
Dubai, UAE, 13–15 March 2010.
5.
Wahab RA, Saleh J. Biochemical significance of small dense LDL measurement in assessing the risk for CAD using
simple precipitation method. 4th International Conference of Biomarkers in Chronic Diseases. Riyadh, Saudi Arabia,
4–6 May 2010.
6.
Al-Riyami N. Hepatic lipase deficiency in a Middle Eastern Arabic Male. Annual National Lipid Association Scientific
Sessions. Chicago, USA, 14–17 May 2010.
TH ESI S SU PER VI SI O N
M.Sc.
Title of Thesis: Identifying candidate genes for pacemaker control in Oman Family Study
Supervisor: Marit Delghandi
Date of Completion: June 2010
Biochemistry
Qualification: academic and patient care departments
Lamyaa Al-Anbouri
51
Annual Report 2009-2010
Child Health
he Department of Child Health is one of the most active departments of the College of Medicine and Health Sciences (COMHS)
and SQU Hospital (SQUH). The Department accounts for more than a third of total SQUH admissions and provides the best of
patient care from birth to adolescence, encompassing all sub-specialties.
T
It has well-developed undergraduate teaching and training programmes collaborating with other sister institutions locally and internationally. Department members are actively involved in almost all of the College educational activities and committees including
the Curriculum and Examination Committees. Department members have contributed significantly the development and implementation of the new curriculum, as evidenced by the representation of the Department in the various committees (Dr Reem Abdwani in Phase III, Dr Dana Al-Nabhani in Pre-Clerkship, Dr Hashim Jawad in Pre-Internship, Dr Amna Al-Futaisi in Junior Rotation
and Professionalism, and Drs Roshan Koul and Siham Al-Sinani in Senior Rotation; Dr Yasser Wali is the clinical coordinator of the
clinical nutrition course in Phase II). In addition, the Department trains many foreign undergraduate medical students during their
elective rotations.
The Department has also a highly integrated postgraduate training programme and is equipped with excellent Clinical Teaching
Units (CTU’s) run by experienced teachers. Our Department started the first CTU in Oman and has been complimented on this by in-
52
ration with international centers of excellence in
paediatrics has benefited a large number of sick
children, especially those with haematological diseases.
The Department also takes great pride in continuing to serve the community, raising funds to serve
children with all kinds of special needs in various
ways.
Lack of space, technological support and personnel
have limited performance in both academic and
clinical areas. It is a long cherished dream of the
Department to establish a world class Institute of
Child Health in collaboration with the Ministry of
Health.
Staff
Finally, the Department conducts high quality research with state-of-the-art support from the genetic laboratories producing publications in high
impact peer reviewed indexed journals. Collabo-
child health
ternational medical educationists. The Department
teaches and trains junior doctors, preparing them
for various examinations affiliated to the Royal
College of Paediatrics and Child Health (UK), Royal
College of Physicians and Surgeons of Glasgow and
the Arab Board. The Department is the only centre
in Oman offering subspecialty training of pediatric
residents in metabolic diseases, neurology, immunology and haemato-oncology.
Zakia Al-Lamki, Professor
Muna Al-Saadoon, Assistant Professor
Hussein Al-Kindy, Senior Consultant
Amna Al-Futaisi, Senior Consultant
Saif Al-Yaarubi, Senior Consultant
Ibtisam B. Elnour, Senior Consultant
Salem Al-Tamemi, Senior Consultant
S.N. Joshi, Senior Consultant
Roshan L. Koul, Senior Consultant
P.C. Alexander, Senior Consultant
Matthew Zachariah, Consultant
Hamed Abdoon, Consultant
Siham Al-Sinani, Consultant
Reem Abdwani, Consultant
Lalitha Krishnan, Consultant
academic and patient care departments
Faculty
53
Annual Report 2009-2010
Child Health
Mohamed Abdellatif, Consultant
Abdulhakim Al-Rawas, Consultant
Dana Al-Nabhani, Consultant
Adila Al Kindy, Consultant
Anas Al-Wogud, Consultant
Hashim Javad, Consultant
Faraz Masud, Senior Registrar
Zenaida Reyes, Senior Registrar
Syed R. Haider, Senior Registrar
Mohamed Elshinawy, Senior Registrar
Wafa Bashir, Senior Registrar
Kripail Mathew, Senior Registrar
Mahmoud Fathalla, Registrar
Maria F. Bataclan, Registrar
Mohammed Fazalullah, Registrar
Masood Ahmed, Registrar
Surekha Tony, Registrar
Manjusha Hira, Registrar
Ismail Beshlawi, Registrar
Mohammed A. El Naggari, Registrar
Islam M.S. Elbaroudy, Registrar
Amitha R. Aroor, Registrar
Aamir Qais, Registrar
Azza Al-Shidhani, Senior House Officer
Ashfaq Khan, Senior House Officer
Raghad Abdwani, Senior House Officer (on study leave)
Hilal Al-Mandhari, Senior House Officer
Renjit Mani, Senior House Officer
Rana Abelrahim, Senior House Officer
Shafiq U. Rehman, Senior House Officer
Laila Al-Yazdi, Senior House Officer
Yusriya Al Rawahi, Senior House Officer
Eiman Abdalla, Senior House Officer
Mazen A.M. Abuanza, Senior House Officer
Ashraf A. Saad, Senior House Officer
Sharef W.Sharef, Senior House Officer
54
Support Staff
Ruth T. Mujal, Coordinator (Hospital)
Aisha Al-Maskary, Coordinator (College)
Najah Al-Maawaly, Social Worker
Fatma Al-Farsi, Play Therapist
Kawther Al-Khusaibi, Play Therapist
Highlights of the Year 2009-2010
C O MMU N I T Y SER VI CE
The Department received the following twelve international visitors during this period: Dr. Michael Shevell,
Head, Pediatric Neurology, Montreal Children’s Hospital, McGill University, Canada; Dr. M.C. Mathew, Professor of Developmental Neurology, Christian Medical College, Vellore, India; Dr. Cristoph Klein, Chairman,
Pediatric Neurology, Hannover Medical School, Germany; Dr. Marie-Claude Gingras, Associate Professor, Human Genome Sequencing Centre, Baylor College of Medicine, USA; Dr. Alyaa Kotby, Professor of Pediatrics,
Ain Shams University, Egypt; Dr. Hema Patel, Associate Professor, Ambulatory Pediatrics, McGill University,
Canada; Dr. Celia Rodd, Associate Professor, Pediatric Endocrinology, Mc Gill University, Canada; Dr. Qutayba
Hamid, James McGill Professor of Medicine, McGill Universty, Canada; Dr. Abdulrahman O. Musaiger, Head,
Arab Centre for Nutrition, Bahrain; Dr. Mabu-Zekry, Department of Gastroenterology, Cairo Universty Children’s Hospital, Egypt; Dr. Anil Dhawan, Professor of Pediatric Hepatology and Liver Transplantation, King’s
College London School of Medicine, UK; Dr. Moeen Al-Sayed, Head Department of Pediatric Metabolic Diseases, King Faisal Specialist Hospital and Research Centre, Kingdom of Saudi Arabia.
Child Health
IN T ER N AT I O N AL VI S IT O R S
academic and patient care departments
Consultancies are provided to various hospitals of the Ministry of Health, the Armed Forces and Royal Oman
Police hospitals, at a rate of 2-3 per consultant per week. Guest appearances in the national media (television/radio) were about 7 in this year, while 4 guest columns appeared in the lnational newspapers. Medical
services were provided to the Orphanage in Al-Khod; the Centre for Special Education, Darsait, and the Early
Intervention Centre in Al Khuwair. There was departmental participation in various charity events and charity bazaars organized by Dar Al Atta and various women’s organisations, as well as in public seminars and
awareness days (bronchial asthma, childhood diabetes, haemophilia, sickle cell disease). A total of 18 parties
were held for inpatients, organised by Muscat Muncipality, National Bank of Oman, SQU students and the
telecommunications company Nawras, in addition to two charity fairs and parties on Mother’s day, during
Ramadhan, Eid Al-Fitr and Eid Al-Adha.
55
Annual Report 2009-2010
Child Health
RE SEAR C H
Dr Yasser Wali, Dr Muna Al-Sadoon and Dr Zakia Al-Lamki served in this period on the Editorial Board of the
SQU Medical Journal. Dr Amna Al-Futaisi, Dr Saif Al-Yaarubi and Dr Reem Abdwani served in this period on
the Editorial Board of the Oman Medical Journal
Dr Roshan Koul was a member of the International Advisory Board of the Journal of Pediatric Neurology.
Dr Yasser Wali was a reviewer for the Journal of Pediatric Hematology/Oncology, the Postgraduate Medical
Journal, Sultan Qaboos University Medical Journal, Oman Medical Journal, and the Alexandria Journal of Pediatrics. Dr Roshan Koul was a reviewer for the Oman Medical Journal, SQU Medical Journal, Saudi Medical
Journal, Neurosciences, Neurology India and the Journal of Pediatric Neurology.
Dr. Yasser Wali was Chairman of the Organising Committee for “Towards Better Care”, 17th Child Health International Conferences on Chronic Childhood Illnesses held at Sultan Qaboos University, Oman from13−15
October 2009. The conference attracted 450 delegates, and had 15 invited speakers from 8 countries.
The Department organised four workshops during this period. A workshop on child maltreatment and child
rehabilitation, supported by UNICEF was held on 15 October 2009.
A workshop on planning and developing services for children with neurodevelopmental disorders was
chaired by Prof M.C. Mathew, India, on 15 October 2009. A workshop on child abuse and neglect was organised by Dr. Ibtisam Elnour and Dr. Muna Al-Sadoon at the
Sohar Hospital on 4 July 2010. A haemophilia Awareness Day was organised by Dr. Yasser Wali at Sultan
Qaboos University on19 April 2010. Finally, staff participated in a workshop on family support in cancer care,
organized by Dar Al-Atta on 15 October 2009.
Teaching Programmes
The Department is actively involved in undergraduate and postgraduate teaching.
U N D ER G R AD U AT E P R E CL INICA L P R O GR A M M E
The Department is committed to the process of delivering to undergraduate students the main concepts and
principles of child health that will help them to undertake their internship duties safely and also decide on
their future postgraduate studies.
The Department has structured teaching activities for students under the responsibility of the clinical years
coordinators and the education committee of the Department. The students have different components of
assessment during the rotations and at the end of the rotation, organised by the clinical coordinators and
56
monitored by the Department’s Examination Committee.
O LD C U R R I C U LU M
5th Year Teaching
The Department usually has about 13 students. The teaching of the 5th year students is divided into theoretical, clinical and self learning with guidance. In addition to clinical teaching, there are other teaching modalities that the Department implemented in the last 3 years that require one to one interaction between the
students and tutors. The first modality is case presentation with each student presenting 5 cases to tutors
(3 in SQUH). At the end of the 1 hour session, students receive feedback with a grade. The second modality is
case write-up each student being required to submit 5 case write ups (3 in SQUH). In total, the Department
provides 2,123 contact hours of teaching and academic activities for 5th year students.
Some of the Department members are also involved in the teaching of the Integrated Lecture Series courses:
Haematology, Neurology, Gastroenterology and Respiratory.
7th Year Teaching
Preclinical Teaching
Members of the Department are involved in the following courses in the preclinical studies of the college: the
clinical communication course and the clinical skill course.
N EW C U R R I C U LU M
In this period, the Department completed all the curriculum material for all of the different phases of the
child health rotations (11 case scenarios for pre internship, 22 clinical scenarios for junior rotation, 11 case
scenarios for senior rotation and 1 week in the pre-clerkship).Currently, the curriculum is being revised. The
teaching modalities and daily teaching activities for the new curriculum are also ready.
Child Health
In addition, there are other teaching modalities implemented in the last 3 years that require one to one interaction between the students and tutors. HOPE Evaluation in which each student present 2 cases to tutor
(1 in SQU). At the end of the 1 hour session, students receive feedback with a grade. In total, the Department
provides 1,540 contact hours of teaching and academic activities for 7th year students.
academic and patient care departments
At any time, the Department will have about 15 students. The teaching of the 7th year students is divided into
theoretical, clinical elements and self-learning with guidance. The different teaching activities for this group
of students accounts for about 1,400 hours per year.
57
Annual Report 2009-2010
Child Health
Postgraduate Teaching
Dr Yasser Wali is the convener of the new Clinical PhD Program, a new degree programme for College of
Medicine and Health Sciences
The Department usually has around 10-14 interns for training. The Department is involved in teaching OMSB
residents as follows. At any time of the year, the Department will have around 3-4 child health residents for
training. Three Department members are invited yearly to give presentations to Family Medicine & Public
Health residents on common childhood diseases. One of the Department members is invited yearly to deliver a clinical presentation to A&E residents.
The Department organises and conducts Membership of the Royal College of Paediatrics & Child Health
(MRCPCH) and Diploma of Child Health examinations every year, in collaboration with the concerned international bodies.
The Department run the following postgraduate courses: Neonatal Advance Resuscitation Course (3 times a
year); Paediatric Advance Life Support (twice a year), and MRCPCH Course (once a year).
The Department also contributes to the Basic Life Support Course, which is conducted 12–14 times a year.
Clinical & Diagnostic Services
Table 1: Paediatric Inpatients 2008-2010
Year
No. of Admissions
Av. Bed Occupancy (%)
Av. Length
(Days)
2010
4,753
70.1
3.3
2009
5,168
71.4
3.5
2008
4,481
65.8
3.6
of
Stay
of
stay
Table 2: Paediatric Day care Unit
58
Year
No. of Admissions
No. of Discharges
Av. duration
(hours)
2010
2,576
2,486
4−6
2009
1,048
954
5−8
2008
725
712
8−9
Table 3: Paediatric Outpatients
Year
Booked
Total Seen
Admitted
Discharged
2010
13,534
10,970
301
924
2009
12,029
9,342
419
775
2008
11,223
8,637
296
972
Table 4: Neonatal Intensive Care Unit
Year
No. of Admissions
Av. Bed Occupancy (%)
Av. Length of Stay (Days)
2010
444
85
14
2009
417
85.6
11.3
2008
407
79.1
10.5
No. of Admissions
Av. Bed Occupancy (%)
Av. Length of Stay (Days)
2010
2,490
80
2.3
2009
2,215
81
2.2
2008
2,636
75
2.5
Table 6: Paediatric Intensive Care Unit
Year
No. of Admissions
Av. Bed Occupancy (%)
Av. Length of Stay (Days)
2010
158
80
8
2009
130
64
6.4
2008
76
114
11.9
Child Health
Year
academic and patient care departments
Table 5: Postnatal Ward
59
Annual Report 2009-2010
Child Health
Table 7: Paediatric services provided to the Department of Clinical Physiology: electroencephalogram (EEG), brainstem auditory evoked response (BAER), visual evoked potential
(VEP), Somatosensory Evoked Potential (SSEP), Video EEG, electromyography (EMG),
nerve conduction velocity (NCV), Echocardiography, 24 hours Oesophageal Ph Monitoring, Newborn audiometry
2010
1,081
2009
1,988
2008
1,856
Research
RE SEAR C H PR O JEC T S
Integrative investigation and applied molecular epidemiology of cystic fibrosis in Oman
Project Code:
IG/MED/CHILD/09/01; Dates: 2009–2010
Value:
OR 19,900; Project Funder: Sultan Qaboos University
Investigators:
Dr. Hussein Al-Kindi, Dept. Child Health, SQU; Dr. Said Al-Yahyaee, Dept. Genetics, SQU; Dr Uwe Fass, Dept. Biochemistry, Oman Medical College; Qaseem Al-Salmi, Dept. Child Health, Royal Hospital, Oman.
Genetic causes of congenital neutropenia
60
Project Code:
IG/MED/CHILD/10/01; Dates: 2010–2012
Value:
OR 9,600; Project Funder: Sultan Qaboos University
Investigators:
Dr. Yasser Wali, Dept. Child Health, SQU; Dr. Christoph Klein, Dept. Pediatric
Hematology-Oncology, Hannover Medical School, Germany; M. Al-Zalabany,
Dept. Pediatric Immunology, Alexandria University, Egypt; Dr. Said Al-Yahyaee, Dept. Genetics, SQU; Dr. Ismail El-Beshlawi, Dept. Child Health, SQU; Dr.
Naglaa Fawaz, Dept. Haematology, SQU; Dr. Aisha Alkhayat, Dept. Biology,
College of Science, SQU; Dr. Salem Al-Tamemi, Dept. Child Health, SQU; Ms
Khalsa Al-Kharousi, Department of Genetics, SQU; Dr. Shahina Daar, Dept.
Haematology, SQU; Dr. Martin Zimmermann, Dept. Statistics, Hannover
Medical School, Germany.
Pulmonary function test in children with sickle cell disease in correlation with hemoglobin SB chain
haplotypes
Project Code:IG/MED/CHLD/07/01; Dates: 2007–2009
Value:
OR 5,000; Project Funder: Sultan Qaboos University
Investigator:
Dr. Hussein Al Kindi, Dept. Child Health, SQU.
Assessment of some novel biomarkers in the diagnosis of acute kidney injury (AKI) in Oman.
Project Code:
MREC# 293; Dates: 2009
Value:
OR 2,500 Project Funder: Sultan Qaboos University
Investigator:
Dr. Ibtisam Elnour, Dept. Child Health, SQU.
Journal Publications
1.
Roshan LK, Al Futaisi A, Al Sadoon M, Elnour IB, et al. Vehicular entrapment and heat stroke in 3 children: Is it a form
of child neglect? Oman Med J 2010; 25:222−4.
2.
Koul R, Al Futaisi A, Jain R, Al Azri F. Trigeminal neuralgia due to anterior inferior cerebellar artery loop: A case report. J Child Neurol 2009; 24:989−90.
3.
Koul R, Al Futaisi A. Paramyotomia congenital in an Omani kindred. J Child Neurol 2010; 25:212−5.
4.
Joshi SN, Fathalla M, Koul R, Maney MA, Bayoumi R. Biotin responsive seizures and encephalopathy due to biotinidase deficiency. Neurol India 2010; 58:323–4.
5.
Abdwani R, Mani R. Anti-CD20 monoclonal antibody in acute life threatening haemolytic anaemia complicating
childhood onset SLE. Lupus 2009; 18:460−4.
6.
Abdwani R, Scuccumarri R, Duffy K, Duffy CM. Nodulosis in systemic onset juvenile idiopathic arthritis: An uncommon event with spontaneous resolution. Pediatr Dermatol 2009; 26:587−91.
7.
Abdwani R. Challenges of childhood uveitis. SQU Med J 2009; 9:231−40.
Child Health
R ESEAR C H PU B LI CA T IO NS & B O O K S
academic and patient care departments
The Department is also involved in international research collaborations as follows: with Dr. Yasser Wali as
the principal investigator: 1) Genetic Predictors of Stroke in Patients with Sickle Cell Disease. This research is
iIn collaboration with “Oakland Children’s Hospital (California). This is a multi centre trial with 5 centres in
USA and ours is the one of the 2 participating Centre outside the USA. This project is funded by American collaborators;. The Principal Investigator is Dr. Yasser Wali; 2) Hemophagocytic Lymphohistiocytosis, Molecular
correlates and clinical outcome,. iIn collaboration with Karolinska Hospital, Stockholm;. The Principal Investigator is Dr. Yasser Wali; 3) Social, Cultural, Legal and Ethical Issues Related to Gene Databases in Developing
Countries. This is a WHO funded Project.
61
Annual Report 2009-2010
Child Health
8.
Abdwani R, Abdel Rahim R, Ganesh A, Al Hamadani A. CA chronic granulomatous disease of childhood. Oman Med
J 2009; 24:56−7.
9.
Abdwani R, Koul R, Al Azri F, Al Futaisi A. Anasarca complicating juvenile dermatomyositis. J Pediatr Neurol 2010;
8:433–5.
10.
Engelhardt KR, Mcghee S, Winkler S, Sassi AS, Al Tameimi S. Large deletions and point mutations involving the dedicator of cytokines 8 (DOCK 8) in the autosomal- recessive form of hyper IGE syndrome. J Allergy Clin Immunol 2009;
124:1289−302.
11.
Koul RL, Al Futaisi, Al Aazri F, Jain R. A ten year old girl with band heteropias/double cortex. SQU Med J 2010;
10:136−7.
12.
Koul RL, Al Futaisi, Jain R. Infantile spasms associated with lissencephaly-pachygyria in a female twin. Neurol India
2010; 04:30−1.
13.
Al-Futaisi A, Wali Y, El-Beshlawi I, Al Riyami S, Almahrezi A. Case study: Using a continuous glucose monitoring
system in a patient with diabetes and beta-thalassemia hemoglobinopathy. Pediatr Hematol Oncol 2009; 26:515−9.
14.
Rafay MF, Cortez MA, Al Futaisi A. Predective value of clinical and EEG features in the diagnosis of stroke and HJIE in
neonates with seizures. Stroke 2009; 40:240−7.
15.
Wali Y, Mohib H. Effect of hydroxyurea on physical fitness indices in older children with sickle cell disease. Pediatr
Hematol Oncol 2011; 28:43-50. Epub Nov 17 2010.
C O N F ER EN C E AN D S E M INA R P R E S E NT A T IO NS
Conference Presentations
International
1.
Wali Y. Immune thrombocytopenic purpura ( ITP) in Oman, When to do BMA, Who to Treat? 7th Egyptian Society of
Pediatric Hematology/Oncology (ESPHO) Conference. , Cairo, Egypt, 26-27 March 2009.
2.
Wali Y. Stem cell therapy for avascular necrosis of the hip in children with sickle cell disease. 25th International Faculty of Medicine, Alexandria University Conference, Nano Technology in Medicine. Alexandria, Egypt, June 2009.
3.
Koul RL Neuronal ceroid lipofuscinosis in Oman. 14th European Federation of Neurological Societies, Geneva, Switzerland, September 2010.
4.
Wali Y. Childhood leukemias - Oman experience. 23rd Annual Conference of the American Society of Paediatric
Haematology/Oncology (ASPHO). Montreal, Canada, April 2010.
5.
Wali Y. Childhood leukemias - Oman experience. 23rd Annual Conference of the American Society of Paediatric Haematology/Oncology (ASPHO). Montreal, Canada, April 2010.
6.
Koul RL. Neuronal ceroid lipofuscinosis in Oman. 14th European Federation of Neurological Societies, Geneva, Switzerland, September 2010.
7.
Al-Tameimi S. Update on Management of Chronic Urticaria and Angioedema.Allergy, Asthma & Clinical Immunology Symposium. King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia, November 2009.
62
Conference Abstracts
International
1.
Wali Y, Tony S, Daar S. MRI T2* in very young children with thalassaemia major: Logistics and outcome. 8th Egyptian
Society of PediatricHematology/Oncology (ESPHO) Conference. Alexandria, Egypt, 25−26 March 2010.
2.
Wali Y, Tony S, Riyami M, Shah W, Muslehi M, Zacharia M, Daar S. Double heterozygous Hb S-S Oman: A new syndrome of sickle cell disease presenting as thalassemia major. 23rd Annual Conference of the American Society of
Paediatric Haematology/Oncology (ASPHO). Montreal, Canada, 7−10 April 2010.
3.
Wali Y. Comprehensive management of thalassaemia in Oman. 8th Paediatric Hematology/Oncology Academic Day.
King Faisal Specialist Hospital, Riyadh, Saudi Arabia, 26 May 2010.
4.
Abdwani R, Duffy SK, Scuccumarri R. Nodulosis in systemic onset JIA. 11th World Congress of Paediatric Dermatology.
Bangkok, Thailand, November 2009.
5.
Abdwani R, Al Nabhani D, Hari M, Al Zakhwani I. Juvenils SLE in Oman. 9th Pan Arab Rheumatology Society Congress
in Collaboration with Mayo Clinic. Amman, Jordan, April 2010.
National
1.
Wali Y. Management of immune thrombocytopaenic purpura (ITP) in childhood: A dilemma. 17th International Child
Health Conference, Muscat, Oman, 13−15 October 2009.
2.
Zakia Z, Sadoon M. Impact of living with thalassaemia major on the affected child, parents and siblings. 17th International Child Health Conference, Muscat, Oman, 13−15 October 2009.
1.
Al Futaisi A. Prevalence of HIE at SQUH. ICNA. Cairo, Egypt, May 2010.
2.
Elnour IB, Al Reyes Z, Bataclan F, Naggari MA, et al. Outcome of prenatal hydronephrosis among infants born at
SQUH. 15th Congress International Pediatric Nephrology Association. New York, USA, 298 August – 2 September 2010.
3.
Al Sadoon M. Vehicular entrapment and heatstroke in 3 children: Is it a form of child neglect? 12th Australian Conference on Child Abuse and Neglect. Perth, Australia, November 2009.
4.
Elnour IB, Nabhani D, Naggariu MA, Sankhla D. Renal malformations and scarring of children with UTI referred to
SQU Hospital. 15th International Pediatric Nephrology AssociationPNA International Congress. New York, USA, 29
Aug–2 Septust 2010.
5.
Elnour IB, Sadoon M. Can we help when we do not have child protection services in Oman? Experience in Oman. 28th
ISPCAN International Congress on Child Abuse and Neglect. Honolulu, Hawaii, USA, August 2010.
National
1.
Abdwani R, Duffy SK, Scuccumarri R. Methotrexate induced nodulosis. 17th International Child Health Conference.
Sultan Qaboos University, Oman, October 2009.
Child Health
International
academic and patient care departments
Poster Presentations
63
Annual Report 2009-2010
Child Health
2.
Al Mundher M, Joshi SN, Koul R, Al Futaisi A. Lysosomal disorders in Oman. 17th International Child Health Conference. Sultan Qaboos University, October 2009.
3.
Siham S. Pappenburg intestinal tuberculosis mimicking Crohn’s disease in a 9 year old child. 17th International Child
Health Conference. Sultan Qaboos University, Oman, October 2009.
4.
Koul R, Al Futaisi A, Jain R. A monozygotic twin with pacchygria and West syndrome. 17th International Child Health
Conference. Sultan Qaboos University, Oman, October 2009.
5.
Koul R, Al Futaisi A, Jain R. Neuronal migration disorders in Oman. 17th International Child Health Conference. Sultan
Qaboos University, Oman, October 2009.
6.
Joshi SN, Bayoumi R. Spectrum of metabolic disorders in Oman. 17th International Child Health Conference. Sultan
Qaboos University, Oman, October 2009.
7.
Al Barudy I, Al Futaisi A. Fulminant GBS with central and peripheral demyelination. 17th International Child Health
Conference. Sultan Qaboos University, Oman, October 2009.
8.
Ala M, Bhatnagar S, Al Kindy H. Non CF bronchiectasis in children - Oman experience. 17th International Child Health
Conference. Sultan Qaboos University, Oman, October 2009.
9.
Zachariah M, Bashir W, Al Lamki Z, Wali Y. Infantile leukemia at SQUH - A review. 17th International Child Health
Conference. Sultan Qaboos University, Oman, October 2009.
10.
Zachariah M, Bashir W, Al Lamki Z, Wali Y. AML in children experience from one centre in Oman. 17th International
Child Health Conference. Sultan Qaboos University, Oman. October 2009.
11.
Zachariah M, Bashir W, Al Lamki Z, Wali Y. Is chemotherapy necessary for secondary HLH with treatable aetiology?.
17
th International Child Health Conference. Sultan Qaboos University, Oman, October 2009.
12.
Krishnan L, Bayoumi R, Joshi SN, Al Yaarubi S, Wali Y, Al Abri R. Universal newborn screening at SQUH. 17th International Child Health Conference. Sultan Qaboos University, Oman, October 2009.
13.
Khan A, Krishnan L, William R, Sankhla D. Scimitar syndrome in a neonate. 17th International Child Health Conference. Sultan Qaboos University, Oman, October 2009.
THESI S SU PER VI SI O N
Yahia Al-Mukhaini
64
Qualification:
M.Sc.
Title:
Impact of Breast feeding on Childhood Acute Lymphoblastic Leukemia in
Oman
Supervisors:
Dr. Yasser Wali
Date of Completion:
May 2009
65
Child Health
academic and patient care departments
Annual Report 2009-2010
Family Medicine & Public Health
he Department of Family Medicine and Public Health is a major clinical and teaching department established in 1986. The clinical services are provided through the University Health Center and the Student Clinic. The teaching activities include courses in
Epidemiology and Medical Statistics, Nutrition, Health Education and Village Health Care. It also runs a Junior Clerkship for the
5th year clinical students and a Senior Clerkship for final MD students. The postgraduate programmes include the Master’s Program in
Epidemiology and Medical Statistics, a PhD programme in Epidemiology & Public Health, and the Family Medicine and Community
Health Residency Program which has 53 residents. The Department conducts the MRCGP [INT] (Membership of the Royal College of
General Practitioners - International) examination. The Department is also actively involved in research independently and also in
collaboration with other departments.
T
66
Mohammed Al-Azri, Consultant
Ahmed Al-Waily, Consultant
Zakiya Al-Busaidy, Consultant
Hamdan Al-Habsi, Consultant
Kawther El-Shafie, Senior Registrar
Anna Maria Serrano, Senior Registrar
Rahma Al-Kindi, Senior Registrar
Laila Ali Ramadhan, Registrar
Aisha Al-Hinai, Registrar
Vrunda Pimpalkhute, Registrar
Sheela George, Registrar
Nafisa Samir, Registrar
Imran Saad, Registrar
Wahida Al-Maskeri, Senior Chief Dietician
Coordinators
Faculty
Shyam S. Ganguly, Associate Professor
Randa Youssef, Associate Professor
Syed Rizvi, Assistant Professor
Yahya Al-Farsi, Assistant Professor
Abdullah Al-Muniri, Assistant Professor
Kamlesh Bhargava, Senior Consultant
Thord Theodorson, Senior Consultant
Abdulaziz Al-Mahrezi, Senior Consultant, Deputy
Head, Clinical Services
Ahmed Al-Mandhari, Senior Consultant & Director
General SQU Hospital
The Department offered the 9th diet of the MRCGP
[INT] examination in March 2010. The examination
was taken by 30 doctors including 15 from Saudi
Arabia. The Royal College of General Practitioners
has appreciated and recognised the progress made
in the development of this examination The examination was accredited by the RCGP for three further
years (until 2013) after the accreditation process.
A retreat day for all the teachers of the MD programme from the Ministry of Health (MOH) and
SQU was held to review the MD teaching programme and improve it.
Family medicine & public health
Staff
Highlights of the Year
2009–2010
academic and patient care departments
Perpetua Gabor
Zulfa Al-Tobi
Bahiya Al-Siyabi
67
Annual Report 2009-2010
Family Medicine & Public Health
Teaching Programmes
U N D ER G R AD U AT E P R E CL INICA L P R O GR A M M E
The Department offers courses in Epidemiology & Statistics (Parts 1 & 2); Data Analysis Using SPSS; Epidemiology and Medical Statistics; Epidemiology & Environment Health; Biostatistics; Principles of Epidemiology;
Special Epidemiology; Health Management; Village Health Care II & III; Nutrition & Health Education and a
Hospital & Community Attachment
N EW C U R R I C U LU M
The Department of Family Medicine and Public Health is currently involved in Phase II and working on developing the Phase III of the new curriculum. In addition, the Department will be involved in the intercalated
phase in the future. In Phase III, the Department will be responsible for Pre-clerkship, Senior Clerkship and
Junior Clerkship programmes.
U N D ER G R AD U AT E C L INICA L P R O GR A M M E
Year 5 - Junior Clerkship in Family and Community Medicine
About 130 students, in groups of 30, have a 10-week clinical rotation in the SQU Health Center and in 7 of
the accredited MOH Health Centres. The aim of the rotation is to teach students the consultation skills and
knowledge that are required to manage various health problems at the primary care level in Oman. Other
courses included in this rotation are: evidence-based medicine, oral health and basic life support. Teaching
strategies include Core Topics presentation and patient-centred case presentation.
Year 7 - Senior Clerkship
In the final year of the MD programme, the students come for a 7 week rotation. The emphasis is on comprehensive management of the patient in the context of his/her family, culture, work and community. Daily
clinical teaching takes place in the SQU Heath Center as well as in a number of accredited MOH health centres. The course also includes a full week of lectures on public health programmes (communicable and noncommunicable diseases) in the Ministry of Health.
POST G R AD U AT E PR OGR A M M E
Family Medicine Residency training program
The Department, along with the Oman Medical Specialities Board (OMSB), is actively involved in the
teaching, training and examination of the Family Medicine residents. There were 53 Residents in the
programme in this period at various levels of training. The exit examination MRCGP [INT] is accredited
68
by the Royal College of General Practitioners, UK.
M.Sc. Programme
The following postgraduate courses were conducted by the Department’s Epidemiology and Medical Statistics Unit for the Master’s Programme: Statistics and Computers; Advanced Principles of Epidemiology; Advanced Statistical Methods; Categorical Data Analysis; Applied Epidemiology; Statistical Methods in Quality
Control; Epidemiology in Health Care Planning, as well as a Research Methodology course and a Research
Project
Approval has now been received to start a Ph.D. programme in Epidemiology & Public Health
TR AI N I N G C O U R SE S & CM E A CT IV IT IE S
The Department arranged continuing medical education through journal clubs, seminars and workshops.
These activities are open to doctors, nurses and paramedics from the Department, the MOH and also to University Hospital personnel.
Patient services are provided at the SQU Health Center and Students Clinic. A total of 42,273 patients were
seen at the Health Center. The Department has separate diabetes, antenatal & postnatal clinics besides the
birth spacing and MOH Infertility programmes and the extended programme of immunisation for Mother &
Child Health. The dermatology clinic gets referrals from all departments in SQU Hospital and different parts
of the country for various procedures besides laser treatment. The Students Clinic serves all the University
students for all of their primary health needs. The following clinics are offered: General Appointments, Walkin, Diabetes, Antenatal & Postnatal, Immunisation/well baby, Birth spacing, Dermatology, Counselling.
Family Medicine & Public Health
The SQU Health Center is a pioneer primary care institution in Oman. It is the first health centre in the country which received international accreditation as a “model health centre” by the Arab Board and by the Royal
College of General Practitioners (RCGP) UK for clinical services and the teaching of family medicine. Our
Health Center is the leading star in primary health care (PHC) in Oman as regards PHC ideology, quality and
comprehensiveness of care and prevention.
academic and patient care departments
Clinical & Diagnostic Services
69
Annual Report 2009-2010
Family Medicine & Public Health
Clinical workload 2009-2010 in the Health Centre
2008
2009
2010
Total Patients Seen
39,000
43,073
42,273
Seen with appointments
19,222
23,539
21,165
933
1,518
9,736
Vaccinations
4,057
9,481
7,078
Antenatal Clinics
1,247
1,467
1,111
Postnatal
127
126
30
Birth Spacing
61
161
47
Dermatology
3,510
4,092
4,704
Diabetic
299
311
253
Respiratory Therapist
182
89
95
Dietician
222
260
248
Treatment Room Services
1,631
1,817
2,005
Walk-in Patients
Research
RE SEAR C H PR O JEC T S
Continuity of care in primary care - patient’s and health care professional’s views of continuity of care in
Oman.
70
Project Code:
MREC #284; Dates: 2009
Value:
OR 1,500; Project Funder: Sultan Qaboos University
Investigators:
Dr. Mohammed Al-Azri, Dept. Family Medicine & Public Health, SQU; Dr.
Mohammed Al-Shafee, Dept. Family Medicine & Public Health SQU; Dr. Fatma Al-Ajmi, Directorate of Health Services, MOH, Oman; Dr. Salim Al-Saqri,
Al Shadi Health Center, Directorate of Health Services, Ministry of Health,
Oman; Dr.Abdullah Al-Maniri, Dept. Family Medicine & Public Health, SQU.
Assessing menopausal symptoms among healthy Omani families with the menopause rating scale.
Project Code:MREC#303; Dates: 2009
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Kawther El Shafie, Dept. Family Medicine & Public Health, SQU; Dr. Mohammed Al Shafaee, Dept. Family Medicine & Public Health, SQU; Dr. Najat
Al-Zadjali, Ministry of Health, Oman.
Impact of ACNE on the quality of life of SQU students
Project Code:MREC#353; Dates: 2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Asma Al-Shidhani, Dept. Family Medicine & Public Health, SQU;; Dr.
Samia Al-Rashdi, Dept. Family Medicine & Public Health, SQU.
A Study of the Nutritional and Metabolic Factors contributing to the Occurrence of Autistic Spectrum
disorder among Children in the Sultanate of Oman
Project Code:MREC#308; Dates: 2009
Dr. Yahya Al-Farsi, Dept. Family Medicine & Public Health, SQU.
Health Care Provider’s Perceptions and Experiences of TB Control in Oman
Project Code:MREC#309; Dates: 2009
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Abdullah Al-Muniri, Dept. Family Medicine & Public Health, SQU.
Complementary and Alternative Medicine (CAM) in Diabetic Patients in Muscat Region
Project Code:MREC#310; Dates: 2009
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Raham Al-Kindi, Dept. Family Medicine & Public Health, SQU.
A Comparison of Symptoms of Patients with Positive H1N1 Swab Test to the Symptoms of Patients with
Negative H1N1 Swab Test coming to H1N1 Clinic of SQUH
Project Code:MREC#320; Dates: 2009
academic and patient care departments
Investigators:
Family Medicine & Public Health
Value:Unfunded; Project Approval: Sultan Qaboos University
71
Annual Report 2009-2010
Family Medicine & Public Health
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Nafisa Samir, Dept. Family Medicine & Public Health, SQU.
Prevalence of Dysmenorrhea among adolescent girls in Muscat region
Project Code:
MREC#342; Dates: 2009
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Rahma Al Kindi, Dept. Family Medicine & Public Health, SQU.
Coping with diagnosis of breast cancer in Omani women
Project Code:
MREC#332; Dates: 2010
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Mohammed Al-Azri, Dept. Family Medicine & Public Health, SQU; Huda
Al-Awisi, Dept. Family Medicine & Public Health, SQU; Dr. Mansour AlMoundhri. Dept. Medicine, SQU.
RE SEAR C H PU B LI C A T IO NS & B O O K S
Journal Publications
72
1.
ElShafie K, Al Shaqsi A, Al Mahrouqi B, et al. The diagnostic yield of thyroid function testing and its cost-effectiveness in the student’s clinic in Sultan Qaboos University: A retrospective chart review. SQU Med J 2010; 10:93−9.
2.
Theodorsson T, El Shafie K, Al Mahrezi A, Al Shafaee M, Al Wardy NA. Assessment of family doctors in Oman: Getting the questions right preliminary findings of a performance analysis of multiple choice questions. Internet J Med
Educ 2010; 1: S
3.
El Shafie K, Rizvi S. Control of hypertension among Type 11 diabetes. Oman Med J 2010; 25:32−6.
4.
Gowri V, Shabnam S, Rizvi S. Saline infusion sonohysterography – An effective tool for evaluation of the endometrial
cavity in women with abnormal uterine bleeding. Acta Obstet Gynecol Scand 2010; 89:140−2.
5.
Al Jabri AA, AlMuharrani ZK, Balkhair AA, Ganguly SS. The importance of HIV antenatal screening programs for
pregnant women. Saudi Med J 2010; 31:64−8.
6.
Bousema T, Youssef RM, Cook J, Cox J, Alegana V, Amran J, Noor A, Snow R, Drakeley C. Serological markers can detect
heterogeneity in malaria exposure in an area of very low transmission intensity in Somaliland. Emerg Infect Dis
2010; 16:392–9.
7.
Youssef RM, Alegana V, Amran J, Absisalan N, Snow RW. Fever prevalence and management among three rural communities in the Republic of Somaliland. East Mediterr Health J 2010; 16:460–6.
8.
Barakat MN, Youssef RM, Al Lawati JA. Pregnancy outcomes of diabetic women: Charting Oman’s progress towards
saint Vvncent target. Ann Saudi Med 2010; 30:265–70.
9.
Al Busaidi Z. Somatisation: A cross-cultural prospective. SQU Med J 2010; 10:180–6.
10. Al Busaidi Z. A qualitative study on the attitudes and beliefs towards help seeking for emotional distress in Omani
women and general practitioners. Implication for post-graduate training. Oman Med J 2010; 25:190–8.
11.
Al Farsi YM, Al Sharbati MM, Al Farsi OA, Al Shafaee M, Brooks DR, Waly MI. Prevalence of autistic spectrum disorders
in Oman (brief report). J Autism Dev Disord 2010; doi:10.1007/s10803-010-1094-8.
12. Al Farsi YM, Brooks DR, Werler MM, Cabral HJ, Al Shafee MA, Wallenburg HC. Effect of high parity on the occurrence
of prediabetes: A cohort study. Acta Obstet Gynecol Scand 2010; 89:1182−6.
13. Al Azri M, Ganguly S. Patient’s views of interpersonal continuity of care in four primary health care centres of urban
Oman. SQU Med J 2009; 9:287−95.
14. Ganesh A, Pirouznia S, Ganguly SS, Fagerholm P, Lithander J. Consecutive exotropia after surgical treatment of childhood estropia: A 40-year follow-up study. Acta Opthalmol 2009 Nov 19 [Epub ahead of print].
15. Ganguly SS, Al Shafaee MA, Bhargava K. Predicting dysglycemia in primary health care among the Omani adult
population based on anthropometric measurements. J Diabetes 2009; 1: S.
16. Al Futaisi A, Wali Y, El Beshlawi I, Al Riyami S, Al Mahrezi A. Case study: Using a continuous glucose monitoring system in a patient with diabetes and beta-thalassaemia hemoglobinopathy. Pediatr Hematol Oncol 2009; 26:515−9.
19. Al Maniri A, Singh PJN, Al Rawas O, Al Busaidi S, Al Balushi L, Ahmed I, et al. A snapshot on biodiversity and clustering of mycobacterium tuberculosis in Oman using spolligotyping. Int J Tuberc Lung Dis 2010; 14:994−1000.
20. Al-Mandhari A, Al-Zakwani I, El-Shafie O, Al-Shafaee MA, Woodhouse N. Quality indicators of diabetes care: A cross
sectional observational study in Oman. SQU Med J 2009:32–6.
21. Al-Mandhari A, Al-Adawi S, Al-Zakwani I, Al-Shafaee M, Eloul L. Relatives’ advice and health care seeking behaviour
in Oman. SQU Med J 2009; 9:264–71
22. Al-Shafaee MA. Family medicine practice in Oman: present and future. SQU Med J 2009; 9:116–8.
academic and patient care departments
18. Esmaily HM, Silver I, Shiva S, Gargani A, Maliki-Dizaji N, Al Maniri A, Wahlstrom R. Can rational prescribing be improved by an outcome-based educational approach? A randomized trial completed in Iran. J Contin Educ Health Prof
2010; 30:11−8.
Family Medicine & Public Health
17. De Costa A, Al Muniri A, Diwan VK, Eriksson B. Where are healthcare providers? Exploring relationships between
context and human resources for health Madhya Pradesh Province, India. Health Policy 2009; 93:41−7.
73
Annual Report 2009-2010
Family Medicine & Public Health
C O N F ER EN C E & SEM INA R S P R E S E NT A T IO NS
CONFERENCE PRESENTATIONS
International
74
1.
Al Waily A. Psioriasis. International Immune Mediated Diseases Conference. Derma Conference. Dubai, UAE, April
2009.
2.
Theodorson T, El Shafie K, Al Mahrezi A, Khan A, Al Shafaee M. What makes a good question? Developing the MCQ/
Written paper in post graduate examination in Oman. A presentation at the AMEE Conference. Glasgow, UK, 5−8
September 2010.
75
Family Medicine & Public Health
academic and patient care departments
Annual Report 2009-2010
Genetics
enetics is at the heart of health sciences in Oman and the Arab World where genetic and congenital disorders are a serious
health issue for many reasons: customary consanguineous marriage; high prevalence of haemoglobinopathies; high frequency of advanced parental age, and lack of public awareness and education about genetic disorders. Certain cultural traditions
also restrict the efforts for the prevention and control of genetic disorders.
G
Genetics is a young department, with ample resources and potential, providing scientists and clinicians with unprecedented opportunities to make a difference to society. The mission of the Department is to provide state-of-the-art diagnostic services for patient
care, education, research as well as public awareness raising in the field of genetics. While serving as a focal point for routine clinical
services, the Department is committed to updating the ongoing routine diagnostic tests in cytogenetics and immunogenetics, and
in addition to develop new molecular diagnostic tests for various genetic diseases, including cancer, cardiovascular and neurological
diseases.
The Department has four specialised sections: Clinical Genetics; Cytogenetics; Molecular Genetics and Immunogenetics. The research
in the Department is currently focused on inborn errors of metabolism, rare genetic diseases, cystic fibrosis and cancer.
76
Molecular Genetics
Rayhanah Al-Mjeni, Ph.D. Student
Manal Al-Khanbashi, Ph.D. Student
Khalsa Al-Kharousi, Biomedical Scientist
Aisha Al-Naamani, Biomedical Scientist
Feisal Al-Mahrizi, Biomedical Scientist
Samia Al-Rashdi, Biomedical Scientist
Clinical Genetics
Fathiya Al-Murshedi, Registrar
Maha Al-Awadi, Registrar
Rahma Al-Jashmi, Biomedical Scientist
Support staff
Ghadeer Al-Zadjali, Coordinator
Muna M. Al-Bimani, Research Assistant
Lina N. Al-Mashhadani, Research Assistant
Faculty
Cytogenetics
Udayakumar, Associate Professor
Robert Sigmani, Biomedical Scientist
Lamya Al-Anbouri, Biomedical Scientist
Shoma S. Raj, Biomedical Scientist
Sami Al-Kalbani, Biomedical Scientist
Immunogenetics
Varghese CM, Laboratory Supervisor
Hamad Al-Riyami, Chief Biomedical Scientist
Faiza Al-Yahyai, Biomedical Scientist
Suriyan Mani, Biomedical Scientist
Genetics
Staff
Cell culture was established as a core facility for
the College of Medicine and Health Sciences. The
icthyosis molecular diagnostic test has now been
introduced for routine molecular diagnostics. It is
currently in the process of cross-validation in collaboration with an accredited laboratory in the
Netherlands. Ms. Ghadeer Ahmed Al-Zadjali was
appointed as Coordinator of the Department.
academic and patient care departments
Highlights of the Year
2009-2010
77
Annual Report 2009-2010
Genetics
Teaching Programmes
The Department of Genetics participates in teaching and training clinicians and medical science students.
U N D ER G R AD U AT E P R E CL INICA L P R O GR A M M E
The Department is involved in a significant amount of teaching and training in the College of Medicine &
Health Science. It contributes to the Molecular Biology and Principles of Genetics undergraduate preclinical
courses with lectures on molecular genetics, cytogenetics, as well as participating in the annual teaching
rotations and training of doctors and students proceeding to their 2nd or 3rd year of their degree. This is done
through laboratory based workshops as follows: 1) a biannual workshop for training in standard laboratory
techniques in molecular genetics, and 2) rotation of students and doctors in our laboratories (Cytogenetics,
Immungenetics and Molecular genetics). This includes a training and observation course on genetic techniques organised in January and June of each academic year.
U N D ER G R AD U AT E C L INICA L P R O GR A M M E
The Department was involved in the following clinical teaching activities: 1) Clinical (bedside and outpatient)
teaching for residents, senior house officers and registrars.2) 7th year MD student seminar in metabolic diseases in August 2010; 3) Man nursing institute, a two hours lecture in June 2010, and 4) a Genetics Lecture for
7th year medical Obstetrics & Gynaecology rotation students, repeated every 6 weeks with 25–28 students in
each batch.
The Department participates in the teaching of the following courses in the Medical Laboratory Sciences
(MLS) programme: Molecular Diagnosis and Biology of Disease, and provides lectures on cancer genetics and
genethics.
Finally, the Department contributes to the teaching in the College of Nursing with lectures on genetics.
POST G R AD U AT E PR OGR A M M E
The Department takes part in senior house officer in-house training, and the Oman Medical Specialties Board
residents training programme in Haematology/Biochemistry with lectures on cytogenetics, molecular genetics and immunogenetics.
TR AI N I N G C O U R SES & CM E A CT IV IT IE S
The Omani staff members of the Department are sent abroad for regular training in genetics (residency
training: Ph.Ds. and short training courses in genetics). There are regular in-house training activities for the
staff and in genetics for Omani graduates from SQU and abroad.
78
Clinical & Diagnostic Services
200
Conventional karyotype
FISH
180
160
140
120
No. of Patients
100
80
60
40
20
H
to
ma
Hae
c
ini
ard
y
y
sp.
ine
log
log
dic al Ho
rino Neuro al Me
y
c
o
o
R
r
u
nd
ric
ic E aediat ehavio
iatr
P
B
y
log
Uro
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e
dicin
Me
Cl
s
etic
Gen
M
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er
al
nat
Neo
n
h
ealt
dH
Chil
liv
ne
/Gy
Obs
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edia
a
y (P
Di
a
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)
dult
y (A
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tolo
De
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Departments
The main objectives of the Clinical Genetics section is to provide a standard of care service for patients and
families with genetic disorders including diagnosis, genetic counselling, management and social support in
addition to teaching and research. During the period of June–October 2010, the clinical genetics team was
involved in the management of hundreds of patients including inpatients consultations and outpatient clinics referrals.
For the time being, the service is trying to build up essential human and space resources to be capable of full
functionality including recruiting genetic counsellors, a social worker and a clinical coordinator. The SQU
Hospital administration is strongly supporting these objectives by approving the needed staff posts and
preparing patient care space for clinical genetics unit which is expected to be ready by early 2011. SQUH
also started to support and fund molecular genetics testing in accredited international laboratories, in cases
where genetic testing has a direct influence on patient and family care.
The clinical genetics team also contributed to the care of metabolic patients and in teaching MD and postgraduate students. Research activities constituted a minor portion of the clinical genetics team activity, as
we are still in the phase of establishing essential patient care resources. However, once established, research
Genetics
C LI N I C AL G EN ET I CS
academic and patient care departments
Figure1: Patient Samples karyotyped and FISH tests done during (2010)
79
Annual Report 2009-2010
Genetics
activities are expected to make up a significant portion of our duties in order to achieve our objectives of leading clinical genetics patient care, teaching and research in Oman.
C YT O G EN ET I C S
This section provides routine cytogenetic investigations (karyotyping) to clinical departments of SQUH using conventional and fluorescence in situ hybridisation (FISH) techniques. A prenatal diagnostic service was
started in 2010. The total samples for conventional karyotyping were 546; total samples for FISH tests were
183, for prenatal cytogenetics (amniotic fluid) 1, and for product of conception (POC) 1. The grand total was 741.
Figure 1 below shows major referrals from clinical department.
IMMU N O G EN ET I C S
The Immunogenetics Laboratory continued to provide diagnostic services to SQUH, and the Ministry of
Health and Armed Forces hospitals. Compared to previous years, there was a significant increase in the number of samples received by the Laboratory. The tissue typing laboratory, run by 4 members of staff, is the only
laboratory in Oman. Due to service expansion, the laboratory has been under extreme pressure. As SQUH is
going to expand the Bone Marrow Transplantation Unit and reactivate it renal transplantation programme,
this will lead to a further increased in workload. The laboratory is also in process of establishing a national
bone marrow registry, an important development in the search for unrelated bone marrow donors.
In the year 2010, the Laboratory introduced three more techniques as part of its service for a trial period and
validation: 1) Flow cytometry cross match for renal transplantation (FCXM); 2) Sequencer based tissue typing
(SBT) i.e. high resolution technique. This is necessary for unrelated bone marrow transplantation and for the
bone marrow registry; 3) Luminex technique, this will help for (PRA) lymphoscreening and post-transplant
monitoring. In 2011, these tests are expected to be available as part of the laboratory diagnostic service.
The tissue typing laboratory is hoping to provide a high quality service and attain international standards.
We are therefore in the process of establishing relationships with international laboratories which will support our effort for quality assurance, certification and accreditation.
Tables 1 and 2 summarise the number of tests performed by the National Tissue Typing Laboratory in the
year 2010, also shown by category of patient/donor.
M OLEC U LAR G EN ET ICS
The Molecular Genetics section has been recently established section to provide routine molecular diagnosis
in addition to banking DNA samples collected from the patients attending our recently initiated genetics
clinic. Our aim is to develop new molecular tests for the most common genetic diseases observed at SQU
Hospital. Pursuant to this goal, we are adopting the following strategy: 1) Identify the most common genetic
80
Table 1: Types of tests performed every month National Tissue Typing Laboratory in
2010
AB
X/M
PRA
January
69
16
18
February
47
9
March
69
April
Extracted DNA
Molecular Method
Total
A
B
C
DR
DQ
39
43
42
44
42
43
317
9
41
44
43
34
44
35
265
8
7
61
67
67
67
64
62
411
81
12
10
54
52
52
54
51
51
363
May
112
14
19
54
53
52
50
50
50
400
June
5
15
9
94
89
94
89
56
53
410
4
2
72
67
63
63
28
28
255
July
August
31
11
3
86
79
85
80
50
45
384
September
30
3
0
29
36
47
49
42
38
245
October
0
19
0
58
57
57
56
32
32
253
November
18
7
0
51
54
53
53
35
35
255
December
24
15
15
21
23
22
22
16
16
153
486
133
92
660
664
677
661
510
488
3,711
Total
Legend: X/M = Renal crossmatch; PRA (LYM-SCR) = Lymphoscreen
Table 2: Tests in 2010 according the patient/donor category
National Tissue Typing Laboratory tests in 2010
according to the patient’s category/donors
BMP
BMD
RP
RD
DIS
TOTAL
Totals
116
539
108
110
21
894
Legend: BMP= Bone marrow patient; BMD= bone marrow donor; RP= renal patient ;RD= renal donor ; DIS= disease association.
Genetics
Serological Method
academic and patient care departments
Tests
81
Annual Report 2009-2010
Genetics
diseases observed at SQUH; 2) Identify technical and equipment needs to develop tests for these diseases;
3) Provide in–house or external specialised training of staff; 4) Develop tests (research and development),
and cross validate them for a period of one year in an accredited diagnostic laboratory. Our molecular tests
are divided into the following categories: 1) routine molecular diagnostic tests; 2) ichthyosis, and 3) acute
lymphoblastic leukaemia. The following test are still at the research and development stage: inborn errors
of metabolism; cystic fibrosis; spinal muscular atrophy (SMA); fragile X (FRAX); myotonic dystrophy (DM);
Feingold syndrome, and colorectal cancer.
In 2010, 339 samples were received for both diagnosis and research and development towards establishment
of diagnostics. In the same period, 179 samples were received for diagnosis (65 internal and 114 external). A
total of 160 samples were received for research and development for different genetic disorders (SMA, FRAX,
DM, Feingold syndrome and colorectal cancer) and for DNA banking.
Research
RE SEAR C H PR O JEC T S
From Gene Expression Analysis of Omani Breast Tumours to Biomarkers/Candidate Gene Discovery
Project Code:
SR/MED/GENT/10/01; Dates: 2010–2011
Value:
OR 207,850; Project Funder: His Majesty’s Strategic Research Fund, Oman
Investigators:
Dr. Allal Ouhtit, Dept. Genetics, SQU; Dr. Yahya Al-Tamimi, Dept. Biochemistry, SQU; Dr. Mansour Al-Moundhri, Dept. Medicine, SQU; Dr. Said Al-Yahyaee, Dept. Genetics, SQU; Prof. Madhwa HG Raj, LSU Health Sciences Center,
New Orleans, USA; Prof. Herlyn Meenhard, Dept. Dermatology, Wistar Institute, Pennsylvania, USA.
Molecular Epidemiology and Diagnosis Study of Common Inborn Errors of Metabolism Disorders in
Oman and UAE
82
Project Code:
CL-SQU/UAE/10/01; Dates: 2010–2011
Value:
OR 20,000; Project Funder: Sultan Qaboos University and UAE University
Investigators:
Dr Said Al-Yahyaee, Dept. Genetics SQU; Dr. Bassam R.Ali, Dept. Pathology,
UAE University; Dr. Allal Ouhtit, Dept. Genetics, SQU; Prof. Yousef Abdulrazzaq, Dept. Paediatrics, UAE University; Dr. Jozef Hertecant, Dept. Paediatrics,
Tawam Hospital, UAE; Dr Mahera Abdulrahman, Dubai Genetics Center,
UAE; Dr. Hussein Al-Kindi, Dept. Child Health, SQU; Dr. SN Joshi, Dept. Child
Health, SQU.
Family and Genetic Understanding of Autosomal Recessive Disorders: A Clinical Genetic, Cytogenetic,
Molecular and Linkage Study in Oman.
Project Code:
SR/MED/GENT /06 /01; Dates: 2006–2011
Value:
OR 168,850; Project Funder: His Majesty’s Strategic Research Fund, Oman
Investigators:
Prof. John Raeburn, Dept. Genetics, SQU; Dr. Aisha Al-Khayat, Dept. Biology, SQU; Dr. Ahmed Al-Mandhari, Dept. Family Medicine & Public Health,
SQUH; Dr. A.M Udayakumar, Dept. Genetics, SQU; Ms. Rayhana Al-Mjeni,
Dept. Genetics, SQU; Dr. Shyam Gangly, Dept. Epidemiology & Statistics,
SQU; Dr. Mohamed Al-Shafaee, Dept. Family Medicine & Public Health, SQU;
Dr. Anuradha Ganesh, Dept. Ophthalmology, SQUH; Prof. Riad Bayoumi,
Dept. Biochemistry, SQU; Dr. Yasser Wali, Dept. Child Health, SQU; Dr. David
Dennison, Dept. Haematology, SQU.
IG/MED/GENE /08/01; Dates: 2008–2010
Value:
OR 5,500; Project Funder: Sultan Qaboos University
Investigators:
Dr. A.M. Udayakumar, Dept. Genetics, SQU; Dr. Salam Al-Kindi, Dept. Haematology, SQU.
Assessment of the Role of Consanguinity & Cytogenetic Abnormalities in Individuals with Recurrent
Miscarriage among Omani population
Project Code:
MREC# 345; Dates: 2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigator:
Dr. A.M. Udayakumar, Dept. Genetics, SQU; 6th & 7th year students of Genetics Dept., SQU.
Molecular Epidemiology and Diagnosis of Common Inborn Errors of Metabolism Disorders in Oman and
UAE
Project Code:
MREC# 354; Dates: 2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Said Al-Yahyaee, Dept. Genetics, SQU
Genetics
Project Code:
academic and patient care departments
Cytogenetics and Molecular Characterization of Chronic Myeloid Leukaemia
83
Annual Report 2009-2010
Genetics
Establishment of Molecular Genetics Diagnostics
Project Code:
MREC# 356; Dates: 2010
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Allal Ouhtit, Dept. Genetics, SQU
Signal transduction mechanisms of CD146 cell adhesion receptor in Breast Cancer in Oman
Project Code:
MREC# 334; Dates: 2010
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigator:
Dr. Allal Ouhtit, Dept. Genetics, SQU.
RE SEAR C H PU B LI C A T IO NS & B O O K S
Journal Publications
1.
84
Ouhtit A, Trappy A, Fernando A, Gaur R, Raj M. The shady side of sunlight: Current understanding of the mechanism
underlying UV-induction of skin cancers. Front Biosci (Schol Ed). 2010; 2:11−7.
85
Genetics
academic and patient care departments
Annual Report 2009-2010
Haematology
he Department of Haematology functions both as a major clinical and laboratory medicine department. It plays a pivotal role
in the teaching of haematology to undergraduate medical students (MD), postgraduate students of medicine who have opted
to specialise in medicine, and Oman Medical Specialty Board (OMSB) residents in haematology, as well as medical laboratory
technicians in the B.Sc. Medical Laboratory Sciences course. Our laboratory provides state of the art haematology testing for the University Hospital (SQUH) and referral services to other private hospitals, as well as highly specialised testing such as flowcytometric
and molecular haematological analysis for haematological condition diagnostics for the whole of Oman.
T
86
Fehmida Zia, Registrar
Fauzia Wasim, Registrar
Abdulmanan Adulgafoor, Registrar
Mehwesh Taj, Registrar
Vinodh Panjwani, Senior House Officer
Najwa Abdulhameed, Senior House Officer
Ghasan Ageed, Senior House Officer
Mohamed Rehan, Senior House Officer
Moez HA Rhim, Senior House Officer
Faculty
Chao Hung Ho, Professor
Shahina Daar, Associate Professor
David Dennison, Senior Consultant
Anil Pathare, Senior Consultant
Naglaa Fawaz, Senior Consultant
Mohammad Huneini, Consultant
Khalil Al-Farsi, Consultant
Murtadha Al-Kabori, Consultant
Nadeem Nusrut, Senior Registrar
Zeba Zabeen, Senior Registrar
Hammad Khan, Senior Registrar
haematology
Staff
Stuart Donaldson, Superintendent
David Gravell, Chief Biomedical Scientist
Heidi M. Davis, Chief Biomedical Scientist
Shakila Ashraf, Senior Biomedical Scientist
Ali Al-Marhoobi, Senior Biomedical Scientist
Hamood Al-Haddabi, Senior Biomedical Scientist
Rodrigo Villacrusis, Senior Biomedical Scientist
Maria Cicillia, Senior Biomedical Scientist
Abdulrehman N. Rashid, Senior Biomedical Scientist
Qamariya Al-Abri, Biomedical Scientist
Mariyam Al-Brashdi, Biomedical Scientist
Sabah Al-Mahrooqi, Biomedical Scientist
Sahima Al-Mamari, Biomedical Scientist
Saif Al-Hosni, Biomedical Scientist
Hamed Al-Gheithi, Biomedical Scientist
Shoaib Al-Zadjali, Biomedical Scientist
Sumaya Al-Hinani, Biomedical Scientist
Asma A. Musleh, Biomedical Scientist
Karima Al-Falahi, Biomedical Scientist
Badriya Al-Belushi, Biomedical Scientist
Bushra Al-Said, Biomedical Scientist
Mohammed Al-Rawahi, Biomedical Scientist
Muna Al-Maskari, Biomedical Scientist
Ishaq Al-Salmi, Biomedical Scientist
Deuel M. Labrador, Biomedical Scientist
academic and patient care departments
Support Staff
87
Annual Report 2009-2010
Haematology
Enrique O. Pedojan, Biomedical Scientist
Eufrosina Alverez, Biomedical Scientist
Julian Neson, Biomedical Scientist
Mohan Doraiswamy, Biomedical Scientist
Nestor Naniong, Biomedical Scientist
Rene Gabucay, Biomedical Scientist
Allan S. Aurelio, Biomedical Scientist
Adela Angeles, Biomedical Scientist
Melani Tauro, Biomedical Scientist
Malvin J. Wee Li, Biomedical Scientist
Vardarajan Nelvoy, Biomedical Scientist
Lancy Henry, Biomedical Scientist
Rhea Misquith, Biomedical Scientist
Rosamma Soney, Head Staff Nurse
Binny Sam, Senior Staff Nurse
Rose Saly, Staff Nurse 2
Mary Kurian, Staff Nurse - ICH3
Victoria G Menezes, Staff Nurse 2
Shiney Thomas, Staff Nurse 2
Salva Kumari, Staff Nurse 2
Bindu Shiby, Staff Nurse 2
Eman Al-Homaidi, Coordinator
Tomichan Varghese, Coordinator
Ibrahim Al-Amri, Coordinator
Highlights of the Year 2009-2010
In 2009–2010, the clinical unit treated patients with a vast range of haematological disorders, both as inpatients and outpatients. In addition, the Department runs a thalassaemia day care unit. In 2010, it offered
comprehensive care for about 142 patients with transfusion dependent thalassaemia. Of national interest is
the successful bone marrow transplant programme, run by this department. By the end of Dec. 2010, a total
of 175 allogeneic bone marrow transplants had been performed in this centre, with results as good as those
from the best centres around the world.
88
Teaching Programmes
U N D ER G R AD U AT E P R O GR A M M E
In this period the Department has: 1) participated in teaching the Haemato-Lymph-Vascular course to the
third year students; 2) developed and taught a new module in phase 2 of the undergraduate curriculum on
hemato-lymphatic-immunology; 3) participated and coordinated the various courses in phase 2 of the new
curriculum, in particular Integrated modules I, II, III; 4) run a 5 week course on case-based learning, in Haematology for the 5th year students in the Integrated Lecture Series (ILS); 5) participated in bedside clinical teaching in Medicine; 6) run Laboratory rotations for 6 groups of 7th year students, each rotation of 5 days duration;
7) run a B.Sc MLS degree course for training undergraduate biomedical scientists.
PO ST G R AD U AT E PR O GR A M M E
The Department has developed and taught the Haematopathology course along with the Ministry of Health
Royal Hospital, which is affiliated with the Oman Medical Specialty Board. There are 6 residents at various
stages of training in the programme.
B O N E MAR R O W T R A NS P L A NT A T IO N P R O GR A M M E
The bone marrow transplant programme, established in 1995 in the Department, serves the entire country and continues to provide curative treatment for patients with haematologic malignancy, bone marrow
failure and potentially fatal genetic diseases. In 2010, 22 transplants were performed, making a total of 175
transplants since 1995. The results of this transplant centre are comparable with those of the best centres
worldwide. Importantly, the cost per transplant is a fraction of what is charged in other countries.
SI C K LE C ELL PR O G R A M M E
The Department looks after a large number of patients with sickle cell disease (SCD) providing acute medical
care, as well as genetic counselling and preventive programmes (vis-à-vis cord blood testing), and organising
and guiding the patients and the medical community in the care of SCD. Recently the role of the Department
Haematology
The clinical services centre on the following major areas; adult outpatients, adult inpatients; bone marrow
transplantation, sickle cell anaemia programe; the leukaemia, lymphoma and myeloma programme, and the
thalassaemia day care unit. The laboratory services likewise cover specialised areas: haemostasis, flowcytometry, haemoglobinopathy, molecular diagnostics, general laboratory haematology and the blood transfusion service which includes blood donation, storage, irradiation, plasmapheresis and exchange and apheresis
facilities as well as the blood grouping and cross matching laboratory.
academic and patient care departments
Clinical & Diagnostic Services
89
Annual Report 2009-2010
Haematology
has been highlighted through our community outreach programmes via the Hereditary Blood Disorders
Society.
L E U K AEMI A LYMPH OM A A ND M Y E L O M A P R O GR A M M E
The Department is now an important tertiary care centre for most referrals for adult haematological malignancies particularly leukaemias, and myeloma. Our patients are able to receive state-of-the-art care both in
terms of diagnostic and therapeutic modalities, including bone marrow transplant (BMT) and the advanced
molecular diagnostics needed for proper follow-up.
TH ALASSAEMI A U N I T
The Department has been looking after about 150 patients with thalassaemia, delivering comprehensive
care including blood transfusions, chelation therapy, and regular meticulous monitoring for the side effects
and complications of the disease and its treatment. The unit is a centre of excellence in the region with heavy
involvement in care and research including participation in an international drug trial (Exjade). The unit has
recently acquired the latest state of art MRI T2* equipment for monitoring the cardiac and liver iron overload
status which has improved the monitoring of iron overload in these patients.
H AEMAT O LO G Y C LI N ICS A T T HE NE W S O HA R HO S P IT A L
The Department conducts a monthly haematology clinic at the new Sohar Hospital. The clinic is run on
rotation basis by one of the Department’s haematology consultants. They are assisted locally by Dr Ali AlMadhani, from the Department of Medicine, Sohar Hospital.
GEN ER AL LAB O R AT O R Y S E R V ICE S
The Haematology Laboratory caters to the entire hospital and additionally receives referral samples from
all over Oman for routine and advanced haematology laboratory testing. The laboratory is subdivided into
various sections including general haematology, haemoglobinopathy, haemostasis and special haematology, blood banking and donor room services, and the molecular division.
M OLEC U LAR R ESEA R CH A ND D IA GNO S T IC L A B O R A T O R Y
The Department now offers DNA diagnostic facilities for several thrombophilic disorders, haemoglobin disorders, immune deficiency syndromes and malignant haematology, especially for acute and chronic leukaemia. The section is also involved in the monitoring of the transplant progress by chimerism studies in
post-transplant patients.
90
C O R D B LO O D B AN K
The Department, in collaboration with the Department of Obstetrics & Gynaecology, has now set up a Cord
Blood Bank. We have standardised the collection and storage of cord blood samples. Collection of cord blood
is currently done under two programs: a) sibling cord blood (SCB) and, b) unrelated cord blood (UCB). Up to
August 2010, we had collected a total of 73 SCB units and 41 UCB units. We have so far used 3 SCB units for
sibling cord blood transplantation.
APH ER ESI S U N I T O F T HE B L O O D B A NK
The Department has now installed the Baxter Amicus and Cobe Spectra apheresis systems and our apheresis
nurses and technicians are trained in their use. Both of these systems are now in routine use for harvesting
stem cells from donors in the Department’s Bone Marrow Transplantation program and platelet apheresis.
Moreover, apheresis services are now made available, in consultation with the attending haematologist on
duty, to the SQUH wards and ICU units whenever the need for plasmapheresis or plasma exchange arises.
B U SU LPH AN PH AR M A K O K INE T ICS
Year
Number of Patients
% increase over last
year
Tests & Procedures
% Change on
previous year
2007
11,7631
-12.1%
48,5060
-2.5%
2008
14,7799
+25.6%
59,8309
+23.3%
2009
17,7568
+20.1%
71,2520
+19.1%
2010
19,8109
+11.6%
77,8662
+9.3%
Jan-Dec
Haematology
Table 1: Haematology Laboratory Activities
academic and patient care departments
Optimisation of busulphan dosage in patients undergoing bone marrow transplantation is recommended
in order to reduce the toxic effects associated with high drug levels. The API 150 EX LCMS system which has
been installed for the research project on intravenous versus oral busulphan in BMT for thalassaemia is now
fully operational. The section looks after the busulphan pharmakokinetics in patients undergoing BMT to assess the blood levels of the drug in order to optimise the treatment protocols.
91
Annual Report 2009-2010
Haematology
Table 2: Clinical Workload
Year
Jan-Dec
Haematology
Inpatients
% Change
on Previous Year
Haematology
Day Care
% Change
on Previous Year
Haematology
Outpatients
% Change on
Previous Year
2007
1416
+5.3%
3078
-10.5%
2826
+6.2%
2008
1409
-0.5%
3035
-1.4%
3428
+21.3%
2009
1887
+33.9%
3127
+3.0%
4181
+22.0%
2010
1869
-1.0%
3271
+4.6%
4407
+5.4%
Research
RE SEAR C H PR O JEC T S
Establishment of a national facility in stem cell translation research for novel cellular-based therapies
and tissue repair
92
Project Code:
SR/MED/ HAEM/09 /01; Dates: 2009–2011
Value:
OR 165,000; Project Funder: His Majesty’s Strategic Fund, Oman
Investigators:
Dr. David Dennison, Dept. Haematology, SQU; Dr. Sultan Al-Maskari Dept.
Surgery, SQU; Dr. Anil Pathare, Dept. Haematology, SQU; Dr. Salam Al-Kindi,
Dept. Haematology, SQU; Dr. Khalil Al-Farsi, Dept. Haematology, SQU; Dr.
Mohammed Al-Hunieni, Dept. Haematology, SQU; Dr. Nagla Fawaz, Dept.
Haematology, SQU; Ms. Qamariya Al-Abri, Dept. Haematology, SQU; Ms.
Sahima Al-Maamaari, Dept. Haematology, SQU; Ms. Sabah Al-Mahrooqi,
Dept. Haematology, SQU; Ali Al-Mahroobi, Dept. Haematology, SQU; Hamed
Al-Gheiti, Dept. Haematology, SQU; Shoaib Al-Zadjali, Dept. Haematology,
SQU; Melanie Tauro, Dept. Haematology, SQU; Dr. Yasser Wali, Dept. Child
Health, SQU; Dr. Abdulhakeem Rawas, Dept. Child Health, SQU; Dr. Muhanna Al-Muslahi, Dept. Haematology, Royal Hospital, Oman ; Dr. Hamoud
Al-Dhuli, Dept. Radiology, SQU; Dr. Rashid Al- Sukaiti, Dept. Radiology & Molecular Imaging, SQU; Dr. Shyam Ganguly, Dept. Family Medicine & Public
Health, SQU; Dr. Helmut Schuster, Dept. Microbiology & Immunology, SQU;
Dr. Adeeb Al-Zoubi, Jordan University, Jordan.
Molecular Genetics of alpha globin gene expression in native Omani Population: Towards understanding
the molecular basis of alpha thalassaemia and impact on clinical expression of beta thalassaemia and
sickle cell disease
Project Code:RC/MED/HAEM/10/01; Dates: 2010-2012
Value:
OR 68,300; Project Funder: The Research Council, Oman
Investigator: Dr. Salam Al-Kindi, Dept. Haematology, SQU; Dr. Muhammed Al-Hunaini,
Dept. Haematology, SQU; Dr. Khalil Al-Farsi, Dept. Haematology, SQU; Dr.
Anil Pathare, Dept. Haematology, SQU; Dr. Nagla Fawaaz, Dept. Haematology, SQU; Shoaib Al-Zadjali, Dept. Haematology, SQU; Hamood Al-Haddabi,
Dept. Haematology, SQU; Dr. R. Krishnamoorthy, INSERM U 763, Paris, France.
Pharmacogenomic factors affecting warfarin dosing: Rationale for prospective genetic screening before
anticoagulation therapy
OR 5,400; Project Funder: Sultan Qaboos University
Investigator: Dr. Anil Pathare, Dept. Haematology, SQU; Dr. Salam Al-Kindi, Dept. Haematology, SQU; David Gravell, Dept. Haematology, SQU; Shoaib Al-Zadjali,
Dept. Haematology, SQU; Hamood Al-Haddabi, Dept. Haematology, SQU; Dr.
R. Krishnamoorthy, INSERM U 763, Paris, France.
Genetic basis of variable expression of fetal hemoglobin in sickle cell disease and beta thalassaemia
patients from Oman
Project Code:IG/MED/HAEM/10/01; Dates: 2010–2011
Value:
OR 4,700; Project Funder: Sultan Qaboos University
Investigator: Dr. Anil Pathare, Dept. Haematology, SQU; Dr. Salam Al-Kindi, Dept. Haematology, SQU; Mohammed Al-Hunieni, Dept. Haematology, SQU; Dr.
Khalil Al-Farsi, Dept. Haematology, SQU; Dr. Shahina Daar, Dept. Haematology, SQU; Shoaib Al-Zadjali, Dept. Haematology, SQU; Sahima Al-Maamari,
Dept. Haematology, SQU; Dr. R. Krishnamoorthy, INSERM U 763, Paris, France.
Safety profile and therapeutic use of back ink from Omani fishes in two experimental models of osteoporosis in rats
Project Code:IG/MED/HAEM/10/02; Dates: 2010–2011
Value:
OR 11,500; Project Funder: Sultan Qaboos University
Investigators:
Dr. Haddia Berehi, Dept. Medical Physics, SQU; Prof. Badreldin Ali, Dept.
Haematology
Value:
academic and patient care departments
Project Code:IG/MED/HAEM/09/01; Dates: 2009–2010
93
Annual Report 2009-2010
Haematology
Pharmacology & Clinical Pharmacy, SQU; Dr. Kamran Malik, Dept. Surgery,
SQU; Dr. Khaled Malgat, Dept. Chemistry, SQU; Dr Aisha Al-Hamadani, Dept.
Pathology, SQU.
Role of von Willebrand factor on the occurrence of vaso-occlusive crisis in patients with sickle cell
disease.
Project Code:
IG/MED/ HAEM/10/02; Dates: 2010–2012
Value:
OR 11,500; Project Funder: Sultan Qaboos University
Investigator:
Mohammed Al-Hunieni, Dept. Haematology, SQU; Dr. Anil Pathare, Dept.
Haematology, SQU; Dr. Prof. Ho Chao-Hung, Dept. Haematology, SQU; David Gravell, Dept. Haematology, SQU; Shoaib Al-Zadjali, Dept. Haematology,
SQU; Qamariya Al-Abri, Dept. Haematology, SQU; Vinod Panjwani, Dept.
Haematology, SQU; Hamed Khan, Dept. Haematology, SQU.
Prevalence of abnormal bone densitometry findings in individuals with homozygous beta thalassaemia
Project Code:
MREC #325; Dates: 2010–11
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Shahina Daar, Dept. Haematology, SQU, Dr. Samir Hussein, Dept. Radiology & Molecular Imaging, SQU, Mohammed Al-Hunieni, Dept. Haematology, SQU.
Prevalence of optimal monitoring of kidney function in relation to patients with thalassaemia.
Project Code:
MREC #351 Dates: 2010–2011
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Shahina Daar, Dept. Haematology, SQU; Dr. Sunil Bhandari, Hull York
Medical School, UK; Dr. Khalid Al-Rasadi, Dept. Biochemistry, SQU; Humoud
Al-Dhuhli, Dept. Radiology & Molecular Imaging, SQU; Surekha Mevada,
Dept. Child Health, SQU; Dr Hammad Khan, Dept. Haematology, SQU.
Evaluation of cardiac and liver iron load by MRI T2*
94
Project Code:
MREC #361; Dates: 2010–2011
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Shahina Daar, Dept. Haematology, SQU; Humoud Al-Dhuhli, Dept. Radiology & Molecular Imaging, SQU.
Prevalence of endocrinopathies in thalassaemia major patients, correlation with total body iron load and
cardiac iron load
Project Code:
MREC #344; Dates: 2010–2011
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Shahina Daar, Dept. Haematology, SQU; Dr Khalil Al Farsi, Dept. Haematology, SQU; Dr. David Dennison, Dept. Haematology, SQU; Dr Fehmida Zia,
Dept. Haematology, SQU; Dr Moez HA Rhim Dept. Haematology, SQU.
Clinical effects of Nicosan TM to reduce the occurrence vasoocclusive crisis patients with sickle cell disease
Project Code:
MREC# 352; Dates: 2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Salam Al Kindi, Dept. Haematology, SQU
Retrospective analysis of Sickle cell patient with PORT-A-CATH insertion to analyze complications of
PORT-A-CATH in patients with Sickle cell Disease
Project Code:
MREC# 357; Dates: 2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Evaluation of Cardiac and Liver Iron Load by Cardiac MRI (T2*)
Project Code:
MREC# 361; Dates: 2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Shahina Daar, Dept. Haematology, SQU
Causes and Outcome of Fever in patients with Sickle cell Disease
Project Code:
MREC# 362; Dates: 2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Khalil Al Farsi, Dept. Haematology, SQU
Acute Chest Syndrome in Sickle Cell Patients during Pregnancy: Risk Factors and Outcome
Project Code:
MREC# 363; Dates: 2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Haematology
Dr. Salam Al Kindi, Dept. Haematology, SQU
academic and patient care departments
Investigators:
95
Annual Report 2009-2010
Haematology
Investigators:
Dr. Khalil Al Farsi, Dept. Haematology, SQU.
Causes of Prolonged Prothrombin Time and Activated Partial Thromboplastin Time
Project Code:
MREC# 364; Dates: 2010
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Khalil Al Farsi, Dept. Haematology, SQU.
RE SEAR C H PU B LI C A T IO NS & B O O K S
Journal Publications
1.
Pathare AV, Taher A, Daar S. Deferasirox (Exjade(R)) significantly improves cardiac T2* in heavily iron-overloaded patients with beta-thalassemia major. Ann Hematol 2010; 89:405−9.
2.
Alkindi S, Al Zadjali S, Al Madhani A, Daar S, Al Haddabi H, Al Abri Q, Gravell D, Berbar T, Pravin S, Pathare A, Krishnamoorthy R. Forecasting hemoglobinopathy burden through neonatal screening in Omani neonates.
Hemoglobin 2010; 34:135−44.
96
3.
Alkaabi JK, Pathare A. Pattern and outcome of vascular involvement of Omani patients with Behcet’s dis-
4.
Battersby AJ, Knox-Macaulay HH, Carrol ED. Susceptibility to invasive bacterial infections in children with
sickle cell disease. Pediatr Blood Cancer 2010; 55:401−6.
5.
Alkindi S, Khan S, Riyami D, Farooqi M, Pathare A. Coexistence of immune thrombocytopenic purpura and
idiopathic membranous glomerulonephritis successfully treated with rituximab. Platelets 2010; 12 July.
[Epub ahead of print].
7.
Taher AT, Musallam KM, Karimi M, El-Beshlawy A,Belhoul K, Daar S, Saned M, Cassaretti C, Cappellini M. Splenec-
8.
Taher A, Musallam K, El-Beshlawy A, Karimi M, Daar S, Belhoul K, et al. Age-related complications in treatment-
9.
Taher A, Al Jefri A, Elalfy MS, Al Zir K, Daar S, Rofail D, et al. Improved treatment satisfaction and convenience
10.
Taher A, Musallam K, Karimi M, El-Beshlawy A, Belhoul K, Daar S, et al. Overview of practices in thalassemia
intermedia management aiming for lowering complication-rates across a region of endemicity: the OPTIMAL CARE study. Blood 2010; 115:1886−92.
ease. Rheumatol Int 2010; Feb 4, [Epub ahead of print].
tomy and thrombosis: the case of thalassaemia intermedia. J Thromb Haemost 2010; June [Epub ahead
of print].
naïve patients with thalassemia intermedia. Br J Haem 2010; April [Epub ahead of print].
with deferasirox in iron-overloaded patients with thalassaemia: Results from the Escalator Trial. Acta
Hematologica 2010; 123:220−5.
11. Al-Khabori M, Minden MD, Yee KWL, et al. Improved survival using an intensive, pediatric-based chemother-
apy regimen in adults with T-cell acute lymphoblastic leukemia. Leukemia & Lymphoma 2010; 51:61−5.
12. Khabori MA, El-Emary M, W Xu, Guyatt G, et al. Impact of intensity of the conditioning therapy in patients
aged 40 to 60 years with acute myeloid leukemia/ myelodysplastic syndrome undergoing allogeneic
transplantation. Bone Marrow Transplantation 2010; July [Epub ahead of print].
13. de Almeida JR, Al Khabori M, Guyatt GH, et al. Combined corticosteroid and antiviral treatment for Bell’s
palsy: Asystematic review and meta-analysis. JAMA 2009; 302:985−93.
14. El-Emary M, Khabori MA, Buitron N, et al. Long term outcomes of allogeneic stem cell transplantation for
chronic lymphocytic leukemia. Biol Blood Marrow Transpl 2010; 16:S275−6.
C O N F ER EN C E & SE M INA R P R E S E NT A T IO NS
Conference Presentations
International
1.
Pathare AV, Al Zadjali S, Misquith R, Alkindi S, Dennison D, Pravin S, Berbar T, Krishnamoorthy R. Pharmacoge-
2.
Daar S, Al Salmi F, Ableen V, Jacob W, Jabeen Z, PathareA. T2* MRI- an effective tool to increase chelation com-
Conference Posters
International
1.
Al-Khabori MK, El-Emary M, Guyatt G, Galal A, Kuruvilla J, Lipton JH, et al. Impact of the intensity of condition-
2.
Al-Khabori MK, Almeida J, Guyatt G, Kuruvilla J, Crump M. High dose chemotherapy and autologous stem cell
3.
Khabori MA, El-Emary M, Messner H, et al. Two-digit resolution typing of class-I human leukocyte antigen
(HLA) does not compromise outcomes in adults undergoing matched unrelated allogeneic bone marrow
ing therapy on the outcomes of patients aged 40 to 60 years with acute myeloidleukemia/myelodysplastic syndrome undergoing allogeneic hematopoietic cell transplantation. American Society of Haematology, Annual Meeting. New Orleans, USA, 5−8 December 2009. Pub. in: Blood (ASH Annual Meeting
Abstracts) 2009; 114:1202.
transplantation in the primary therapy of advanced follicular lymphoma in adults: A systematic review
and meta-analysis of randomized clinical trials. American Society of Haematology, Annual Meeting.
New Orleans, USA, 5−8 December 2009. Pub. in: Blood (ASH Annual Meeting Abstracts), 2009; 114:2314.
Haematology
pliance in thalassaemia major. 15th Congress of the European Hematology Association. Barcelona, Spain,
10–13 June 2010.
academic and patient care departments
nomic variants of CYP2C9, CYP4F2 and VKORC1 and its relation to warfarin response in native Omani
patients. 15th Congress of the European Hematology Association. Barcelona, Spain, 10–13 June 2010.
97
Annual Report 2009-2010
Haematology
transplantation. Symposium of the American Society for Blood and Marrow Transplantation. Milano
Italy, 27−29 March 2009. Pub. in: Blood Marrow Transpl 2010; 16:S219.
4.
AlMadhani A, Alkindi S, AlZadjali S, Misquith R, Pathare A, Krishnamoorthy R. Neonatal screening of newborns: Targeted versus universal approach as a cost effective strategy. 15th Congress European Hematology Association. Barcelona, Spain, 10–13 June 2010.
5.
Ho CH, Gravell D. Can very high value of D-dimer predict the presence of thromboembolic disorders? 15th
6.
Taher A, Musallam K, El-Beshlawy A, Karimi M, Daar S, Belhoul K, et al. Age-related complications in treatmentnaïve patients with thalassemia intermedia. 15th Congress of the European Hematology Association.
Barcelona, Spain, 10–13 June 2010.
7.
Musallam K, Cappellini M, El-Beshlawy A, Karimi M, Daar S, Belhoul K, et al. Splenectomy and thrombosis: the
Congress of the European Hematology Association. Barcelona, Spain, 10-13 June 2010. Pub. in: Haematologica 2010; 95:292 (Abstract 699).
case of thalassaemia intermedia. 15th Congress of the European Hematology Association. Barcelona,
Spain, 10-13 June 2010.
National
1.
Pathare AV, Al Zadjali S, Misquith R, Alkindi S, Krishnamoorthy R. Pharmacogenomic variants of CYP2C9, CY-
P4F2 and VKORC1 and its relation to warfarin response in native Omani patients. University Day. Sultan
Qaboos University, Muscat, Oman, 2 May 2009.
Seminar Presentations
International
1.
Alkindi S. Sickle cell disease program at the Sultan Qaboos University Hospital, 1st Haematology Update Conference.
Manama, Bahrain, May 2010.
2.
Daar S. Iron chelation in Beta thalasaemia, 1st Haematology Update Conference. Manama, Bahrain, May 2010.
3.
Daar S. Myocardial T2* MRI for Diagnosis & Follow-up of cardiac Siderosis in Thalassaemia; 1st Haematology Update
Conference. Manama, Bahrain, May 2010.
4.
Daar S. Exjade – The Oman Experience. Gulf Thalassaemia Workshop. Dubai, UAE, Feb 2010,
National
98
1.
Alkindi S. Update on CML, Crown Plaza, Muscat, Oman, November 2009.
2.
Alkindi S. Update on Current status of SCD in Oman. Advanced General Medical Conference, Sultan Qaboos Unviersity, Muscat, Oman, February 2010.
3.
Alkindi S. Comprehensive care of patients with Sickle cell disease, Sohar Hospital, Oman, March 2010.
4.
Alkindi S. General overview of hereditary blood disorders, Hereditary Blood Disorder Society, Muscat, Oman, April
2010.
5.
Alkindi S. Update on Bortezomib. Grand Hyatt, Muscat, Oman, May 2010.
6.
Alkindi S. Laboratory Investigations & Management of thrombophilia. Ibra Hospital, Oman, May 2010.
7.
AlFarsi K. Clinical cases with thrombophilia. Oman Hematology Forum, Blood Club. Al Sawadi Hotel, Oman, Jan-
Haematology
academic and patient care departments
uary 2010.
99
Annual Report 2009-2010
Human & Clinical Anatomy
he Department is concerned with the science of human anatomy, especially the relationship between structure and function,
clinical applications and its use in interpreting images produced by modern radiographic techniques. The Department’s main
teaching load is in the pre-clinical programme (B.Sc.. Health Sciences). It shares this with other basic medical sciences departments in the delivery of integrated system courses. However, it also teaches a few department-based courses. Teaching focuses on
gross anatomy, developmental anatomy and the study of the microstructure of tissues and cytogenetics. In addition to radiological
anatomy, students study gross and topographical anatomy using prosections and anatomical models, histology, and embryology.
Living and surface anatomy is an important component of the course. Students taught include medical undergraduates and postgraduates preparing for higher examinations, e.g. Fellowship of the Royal Colleges of Surgeons (FRCS), and students from the College
of Nursing.
T
In addition, the Department’s input includes teaching clinical and applied anatomy and applied cytogentics to Oman Medical Specialty Board candidates. Postgraduate teaching involves the teaching of advanced histology and embryology to candidates specialising in histopathology and obstetrics & gynaecology. Candidates preparing for their FRCS examinations enjoy the teaching facilities
provided by the Department. The Department also provides services to other clinical departments and students of the Institute of
Health Sciences in Muscat. The Department makes modest contributions to the College’s Master’s Programme.
100
Maimouna Al-Rawahi, Senior Registrar
Adhari Abdullah Al-Zaabi, Senior House Officer
Support Staff
Aida Al-Wahaibi, Superintendent
Abdulgaffar El-Hag, College Superintendent
Nasser Al-Hashmi, Biomedical Scientist
Nawal Al-Mukheini, Biomedical Scientist
Sulaiman Al-Khiyari, Biomedical Scientist
Talal Al-Hassani, Biomedical Scientist
Prem Tilaka, Biomedical Scientist
Indrani Arambewela, Biomedical Scientist
Alexander George, Coordinator
Staff
Faculty
Omar Habbal, Associate Professor
Luben Tchakarov, Assistant Professor
Varna Taranikanti, Assistant Professor
human & clinical anatomy
Research continued to be pivotal to the academic
activities of the Department. This embraces hypertension, immune response to pregnancy, calcification and bone resorption, bone marrow cells and
blood cells, medical education, medical informatics
and curriculum development.
Prem Tilaka and Indrani Arambewela joined the
Department in October 2009 as biomedical scientists. Visiting consultants were Dr. Sadhana Roychoudhury from September 2009 to June 2010
and Dr. Pushpa Dhar from January to June 2010.
Mr. Abdulgaffar El-Hag was promoted to College
Superintendent from January 2010. Dr. Aida AlWahaibi was promoted to Department Superintendent from January 2010. Musallam Al-Alawi,
Biomedical Scientist, transferred to the Medical
Laboratory Sciences laboratory in January 2010.
Nawal Al- Mukheini completed her MSc. in October 2009.
academic and patient care departments
Highlights of the
Year 2009-2010
101
Annual Report 2009-2010
Human & Clinical Anatomy
Teaching Programmes
PR E- C LI N I C AL PR O G R A M M E
The Department offered several courses in the B.Sc. (Health Sciences) programme and contributed to most
system-based courses in old as well as in the new curriculum.
Courses offered in the old curriculum were: Early Development, Tissues and Integuments; Alimentary System; Locomotor System; Urinary System; Respiratory System; Cardiovascular System; Haematopoetic-Lymphoid-Vascular System; Head and Neck; Human Nervous System and Special Senses; Applied Basic Medical
Sciences; Endocrine & Reproductive System; Clinical Skills Course.
Courses offered in the new curriculum were: Introduction to Anatomy; Structure-Function Relationship;
Growth & Development; The Integrated Module I; Cardiovascular System; Respiratory System; The Integrated Module II; Alimentary System; Uro-reproductive System.
B.S.C . N U R SI N G PR O GR A M M E
The Department offered Anatomy and Physiology courses in the B.Sc. Nursing program in College of Nursing.
C LI N I C AL PR O G R AM M E
The Department provided teaching during the clinical program and contributed to cytogenetics and the 5th
Year Integrated Lecture Series (ILS).
POST G R AD U AT E T EA CHING
The Department was involved in postgraduate teaching. The teaching of cytogenetics contributed to the
Core Program of the Oman Medical Specialty Board (OMSB). The Department also contributed to the postgraduate programme (histopathology) and took part in the SCRAPS medical seminar programme in the College of Medicine & Health Sciences.
Research
RE SEAR C H PR O JEC T S
Effectiveness of Flexible Digital Media Platform in Anatomy Education
102
Project Code:
ORG/SQU/HER/09/007; Dates: 2010–2013
Value:
OR 16,900; Project Funder: The Research Council, Oman
Investigators:
Dr. Ibrahim Inuwa, Dept. Human & Clinical Anatomy, SQU; Mr. Abdullah
Al-Sadi, College of Science, SQU
Human Anatomy in the Medical Curriculum at Sultan Qaboos University- the Clinicians Viewpoint
Project Code:
MREC# 358; Dates: 2010;
Value:Unfunded; Project approval: Sultan Qaboos University
Investigators:
Dr. Ibrahim Inuwa, Dept. Human & Clinical Anatomy, SQU
Plastination Using Frankincense (Luban) as an Impregnation Resin
Project Code:
MREC# 327; Dates: 2010;
Value:Unfunded; Project approval: Sultan Qaboos University
Investigators:
Dr. Aida Al-Wahaibi, Department of Human and Clinical Anatomy, SQU.
R ESEAR C H PU B LI CA T IO NS & B O O K S
Banerjee Y, Taranikanti V, Bayoumi R. Triglyceride-mediated pathways and coronary heart disease. Lancet 2010;
376:956.
2.
Bataineh MZ, Habbal OA, Moqattash ST. Variations in the superficial palmar arch of the hand. Ital J Anat Embryol
2010; 114:11−20.
3.
Al-Sajee DM, Habbal OA, Reys ZS. A case of Freeman-Sheldon syndrome with cerebral venous thrombosis: Is it a
coincidence? J Postgrad Med 2010; 56:37−9.
C O N F ER EN C E & SE M INA R P R E S E NT A T IO NS
Conference Presentations
International
1.
Inuwa IM. Advantages of pitfalls in setting up of Clinical Skill Centers – the Sultan Qaboos University Experience.
The 3rd International Conference on Medical Education in Sudan & 6th Scientific Meeting of the Scientific Society for
Arab Faculties of Medicine. Sudan, November 2009.
2.
Inuwa IM. On line and ‘On paper’ examination in Anatomy – from steeplechase to Moodle via WebCT. 7th GCC Medical Colleges Conference. King Faisal University, Saudi Arabia, November 2009.
Human & Clinical Anatomy
1.
academic and patient care departments
Journal Publications
103
Annual Report 2009-2010
Medicine
he Department of Medicine endeavours to create an environment conducive for achieving excellence in learning for undergraduate and postgraduate students, to provide opportunities to conduct clinical research relevant to the region, and to be a
centre of excellence providing specialised, state-of-the-art clinical care in a tertiary care pattern.
T
The major research themes include asthma, breast cancer, gastric cancer, HIV, Hodgkin’s lymphoma, non-Hodgkin’s lymphoma, and
cerebrovascular disease. Research areas include epidemiology, molecular characterisation, study of genetic polymorphisms, and study
of novel mechanisms of the aetiology of various diseases. Members of the Department are principal or co-investigators of several
funded research projects.
The Department provides clinical services through a specialty-based system, and takes pride in providing continuous, comprehensive care to the patients in the area required. Consultants are on-call daily from ten different sub-specialties: cardiology, endocrinology, gastrointestinal and liver disease, general internal medicine, infectious disease, nephrology, neurology, oncology, respiratory and
rheumatology. These subspecialties offer medical services to patients in the capital area and accept complicated referrals from all
over the country
104
Bazdawi Al-Riyami, Professor, Dean of Nursing
Nicholas Woodhouse, Professor
Arunodaya Gujjar, Associate Professor
Mansour Al-Moundhri, Associate Professor, Dean of
the College
Ali Al-Hinai, Assistant Professor
Masoud Al-Maskari, Assistant Professor
Jamal Sallam, Assistant Professor
P.C. Jacob, Assistant Professor
Batool Hassan, Assistant Professor
Masoud Kashoob, Senior Consultant
medicine
Faculty
academic and patient care departments
Staff
William Johnston, Senior Consultant
Mehar Ali, Senior Consultant
Abdullah Al-Asmi, Senior Consultant
Ikram Burney, Senior Consultant
Abdullah Balkhair, Senior Consultant
Hafidh Al-Hadi, Senior Consultant
Ali Al-Mamari, Senior Consultant
Juma K Al-Kaabi, Consultant
B. N. Jayakrishnan, Consultant
Dawood Al-Riyami, Consultant
Omayma T Elshafie, Consultant
Jojy George, Consultant
Mansour Sallam, Consultant
Aftab Siddiqui, Consultant
R. Nandhagopal, Consultant
Abdulhakim Al-Hashim, Consultant
Hatem Farhan, Senior Registrar
Mohammed Al-Ghailani, Senior Registrar
Saif Khan, Senior Registrar
Abdulmannan Kaskheli, Senior Registrar
Shiyam Kumar, Senior Registrar
Saeed Ahmed, Registrar
Ammar Abdulrahman, Registrar
Hassan Ali, Registrar
Adil Al-Riyami, Registrar
Nagi Mohammed, Registrar
Mohammed Misbah, Registrar
Fatma B Abid, Registrar
Osama Hassan, Registrar
Mohammed A Shah, Registrar
Osama Tariq, Registrar
Ali Mohammed, Senior House Officer
Mohammed Al-Rawahi, Senior House Officer
Ibrahim Al-Busaidi, Senior House Officer
Haifa Al-Abri, Senior House Officer
Noon Abdulghaffar, Senior House Officer
105
Annual Report 2009-2010
Medicine
Yasser Waadallah, Senior House Officer
Nesreen Siddiq, Senior House Officer
Angum Hassan, Senior House Officer
Fathima Aamer, Senior House Officer
Technologist
Sawsan Baddar, therapeutist
Saphia Al-Ajmi, Podiatrist
Support Staff
Rose Natividad, Coordinator
Ibrahim Al-Shoaibi, Coordinator
Ghaniya Al-Siyabi, Coordinator
Highlights of the Year 2009-2010
A number of departmental staff received awards for their achievements. During the University Day event
in May 2010, Dr. Omar Al Rawas and colleagues received the “Distinguished Research Paper Award” for their
2009 publication in Sultan Qaboos University Medical Journal, Management and control of asthma in patients attending a specialist centre in Oman, (by Al-Rawas OA, Jayakrishnan B, Ben Abid F, George J, Baddar
S, Al-Riyami BM); Dr. Abdullah Al-Asmi won the award of Best Clinical Teacher for the academic year 2009–
2010, and Dr. Dawood Al-Riyami received the Certificate of Distinguished Physician in recognition of his outstanding achievements and contributions during the year 2009–2010. On the occasion of 20th SQU Hospital
Anniversary Day, Dr. Ali Al-Mamari received the Distinguished Performance Prize. Dr. Omayma El Shafie and
colleagues won the award for the Best SCRAPS (clinico-pathological conferences seminar series) presentation in 2009–2010, Beyond VIPoma. Dr. Arunodaya Gujjar was appointed Assistant Dean for Clinical Affairs.
The 10th Advanced General Medicine Conference was organised jointly by the Department of Medicine with
the Royal College of Physicians and the Ministry of Health from 20–22 February 2010. The lectures, given by
expert international and national speakers, covered a wide range of general medical topics, disease mechanisms and cutting edge advances in clinical practice. It was attended by more than 300 physicians and allied
health professionals from Oman and different parts of the country.
The Department‘s Annual Research Retreat, in which almost all staff participated, was held on 20 May 20 at
the Grand Hyatt Hotel, Muscat. Following an overview of departmental research activities in the preceding
year, ten research papers were presented.
The Department organised the Membership examinations of the Royal College of Physicians of UK on 8th and
10th of November 2009, and on 31st May 2010 for the Royal College of Physicians of the Ireland in liaison with
106
the Department of Haematology.
The Department continues to attract undergraduate and postgraduate students from national and international universities to spend their electives here. This year there were about 16 students from various universities in Oman as well as other countries including New Zealand, Jordan, Pakistan, and Bahrain.
The staff of the department participated in a number of courses and workshop organised by the Medical
Education Unit (MEU) of the College of Medicine & Health Sciences (CoMHS) in order to improve teaching
and assessment skills for undergraduate and postgraduate level courses. These included: 1) Certificate in Professional Health Education (CPHE); 2) Student Assessment Workshop; 3) Continuous Assessment of Clinical
Skills and Professional Behaviour workshop, and 4) Designing Integrated Questions Workshop.
Teaching Programmes
U N D ER G R AD U AT E P R E CL INICA L P R O GR A M M E
The staff of the department is heavily involved in the teaching of the new curriculum courses.
U N D ER G R AD U AT E CL INICA L P R O GR A M M E
Approximately 30 5th year students are posted for a total of 11 weeks in the Department in each rotation (total
of 4 rotations). These students rotate between the Royal Hospital (RH) and SQUH. The clinical programme
consists of self-directed learning, clinical bedside teaching, demonstration of procedures and seminars. The
seminars are presented by the students and supervised by staff. Furthermore, the problem-based series (previously known as the integrated lecture series is conducted every Wednesday and covers all major subspecialties. Students are required to sit an end of rotation examination held at both SQUH and the RH. Logbooks
are also used for assessment of the clinical activities as are also cases write-ups.
Medicine
The Department is playing a major role in the development and implementation of the new curriculum.
Dr. Ikram A Burney is Phase III coordinator (Member of the College Curriculum Committee); Dr. Ahmed AlFarqani, is the coordinator for Junior Clerkship Phase III, and Endocrinology Phase II; Dr Dawood Al-Riyami
is Senior Clerkship coordinator, Phase III; Dr. Adil Al-Riyami is Pre-Internship coordinator, Phase III; Dr. Jamal
Sallam has worked on Alimentary System, Phase II, Dr. B. Jayakrishnan, on Respiratory System, Phase II, Dr.
Mansour Sallam on Cardiovascular system, Phase II, and Dr. Arun Gujjar on Nervous system Phase II.
academic and patient care departments
The Department participates in the teaching of the following courses to 4th year students during semester 8
(old curriculum): Clinical Communication Skills and Clinical Methods with approximately 108 students participating. Dr. Nandhgopal is the departmental coordinator of the Clinical Communication Skills course and
Dr. Mansour Sallam is the departmental coordinator of the Clinical Methods course.
107
Annual Report 2009-2010
Medicine
Approximately 20–22 final year students (7th year) are posted for clinical rotation in the Department for a
period of 7 weeks, divided between the RH and SQUH (total of 5 rotations). Students are posted to two subspecialties and they are attached to the team throughout their daily activities e.g. ward rounds, outpatients,
meetings, consultations, etc. By the end of their rotation, they are assessed by the team in clinical skills, data
interpretation and management of a variety of diseases. There is a formal end of rotation examination using short cases and an objective structured clinical examination (OSCE). The overall assessment is based on
performance throughout rotation in both the in-course assessment and end of rotation examination which
is conducted both in SQUH and the RH. The Department continued to develop the curriculum for the final
year medical students to meet with the objectives of the rotation and better prepare them for the internship. For the academic year which started on 31st July 2010, the students are divided into three groups and
are attached to the general medicine units. Students will be fully integrated with the team and will be given
responsibilities of patients’ care under direct supervision by the seniors. Also the new curriculum “common
clinical presentations” with their objectives were incorporated in their teaching with students expected to
present these topics in tutorials. More emphasis was given to continuous assessment in their overall assessment of the rotation.
POST G R AD U AT E PR OGR A M M E
Interns
About 10–12 interns are posted for 4 month rotations in the Department. Every intern rotates in one subspecialty for one month with a one month mandatory rotation in the Haematology Department. Interns have
supervised training by senior staff. By the end of their rotation, all interns are formally assessed on issues
such as knowledge, clinical skills, attitude and professionalism. Since September 2007, the Department has
been receiving OMSB residents for training in internal medicine. Undergraduates and postgraduates are involved in many educational activities including the morning case report (morning meeting), grand rounds,
radiology meetings and journal clubs, as well as the monthly mortality review meeting. CME sessions are
held every alternate Monday morning and Wednesday lunch-time is used for presentations by outside guest
speakers.
OMSB Residency Programme
Members of the Department actively participate in postgraduate teaching of interns, house officers and the
OMSB residents in internal medicine as well as residents from other subspecialties (such as Family Medicine and Public Health, dermatology, laboratory sciences and Accident and Emergency) rotating through
Medicine. During the last year, the section of Internal Medicine was created, and is currently led by two
consultants. Residents receive supervised training on ward rotations and during electives to different subspecialties of Medicine. Members of the Department participate in organised teaching activities, such as
lectures (twice weekly), radiology rounds (weekly) and grand rounds (weekly). In addition, members of the
108
Department of Medicine are invited to deliver lectures to other sub-specialty residency programs, such as
those in the Emergency Medicine and Family Medicine and Public Health departments.
Nursing Programme
Dr. Mansour Al Moundhri delivers lectures regularly at the Pain Management Course organised by the Training Directorate in conjunction with the Directorate of Nursing SQUH.
Dr. Ikram A Burney delivers lectures regularly at the Chemotherapy Administration Course organised by the
Training Directorate in conjunction with the Directorate of Nursing SQUH
Clinical & Diagnostic Services
In-patients
Out-patients
Totals
1,065
8,920
9,985
Clinical Physiology - Cardiology
2
4,922
4,924
Clinical Physiology - Neurophysiology
3
3,946
3,949
Diabetic
12
4,384
4,396
Endocrinology
127
804
931
Gastroenterology
481
5,901
6,382
Infectious diseases
76
929
1,005
Lipid Clinic
0
1,169
1,169
1,079
775
1,854
Nephrology
268
1,697
1,965
Neurology
479
6,637
7,116
Medical Oncology
995
1,983
2,978
Pulmonology
339
4,843
5,182
Rheumatology
101
3,783
3,884
Cardiology
Internal Medicine
Medicine
Specialty
academic and patient care departments
In and Outpatient numbers 2010
109
Annual Report 2009-2010
Medicine
Thyroid
Totals
193
4,205
4,398
5,220
54,898
60,118
Procedures Gastroenterology, Cardiology and Respirology
Oesophagogastroduodenoscopy (OGD)
722
Colonoscopy
206
OGD + colonoscopy
46
Percutaneous endoscopic gastrostomy (PEG)
6
Endoscopic retrograde cholangio-pancreaticography (ERCP)
70
Gastroenterology Total
Coronary angiogram (CAG)
588
Emergency CAG
19
Percutaneous coronary intervention (PCI)
223
Emergency PCI
15
Intra-aortic balloon pumps
10
Aspiration
14
Fractional flow reserve
8
Pericardiocentesis
1
Permanent pacemaker insertion
17
Temporary pacemaker Insertion
20
Cardiology Total
915
Haemodialysis
110
1,050
2,488
Chemotherapy (no. of courses)
260
Bronchoscopy
60
Pulmonary function tests
936
Research
R ESEAR C H PR O JECT S
The ameliorative effect of cysteine prodrug L-2-oxothiazolidine-4-carboxylix acid on oxaliplatin-induced
neurotoxcity in rats
Project Code:IG/MED/MEDI/09/01; Dates: 2009
Value:
OR 7,000; Project Funder: Sultan Qaboos University
Investigators:
Dr. Mansour Al-Moundhri, Dept. Medicine, SQU; Prof. Badreldin Ali, Dept.
Pharmacology & Clinical Pharmacy, SQU.
Clinical, Laboratory and Demographic Profile of Hospitalized Adult Omani Patients with 2009 H1N1
Influenza-A Infection
Project Code:MREC#315; Dates: 2009
Dr. Abdullah Balkhair, Dept. Medicine, SQU; Dr. Zachariah M, Dept. Child
Health, SQU; Dr. Omar Al-Rawas, Dept. Medicine, SQU; Dr. B.N. Jayakrishnan, Dept. Medicine, SQU. Dr. Jojy George, Dept. Medicine, SQU; Dr. Jayakrishnan B. Nair, Dept. Medicine, SQU; Dr. Osama Ahmed, Dept. Medicine,
SQU; Dr. Fatma ben Abid, Dept. Medicine, SQU; Mr. Emmanuel Serebour,
Dept. Microbiology & Immunology, SQU.
Centralization Pan-Middle East Survey on the Undertreatment of Hypercholesterolemia
Project Code:MREC#317; Dates: 2009
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Ali Al Hinai, Dept. Medicine, SQU.
Clinical Profile and Outcome of Patients with Poisoning or Overdose of Prescribed or Illicit Drugs Presented to a Tertiary Hospital in Oman
Project Code:MREC#337; Dates: 2009
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Al-Asmi A, Dept. Medicine, SQU; Dr. B.N. Jayakrishnan, Dept. Medicine,
SQU.
Medicine
Investigators:
academic and patient care departments
Value:Unfunded; Project Approval: Sultan Qaboos University
111
Annual Report 2009-2010
Medicine
Knowledge, attitude, behavior, and source of information in Omani type 2 diabetic patients regarding
their oral health
Project Code:
MREC#338; Dates: 2010
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Masoud Al-Maskari, Dept. Medicine, SQU
Clinical Measurement of Respiratory Acoustic Signals in Normal Subjects and in Patient with Respiratory
Diseases.
Project Code:
MREC#327; Dates: 2009
Value:
OR 2,000; Project Approval: Sultan Qaboos University
Investigators:
Dr. B.N. Jayakrishnan, Dept. Medicine, SQU; Dr. Abraham K. George, Dept
Phyics, College of Science, SQU; Dr. Azzouz Sellai, Dept Phyics, College of Science, SQU; Dr. Omar Al-Rawas, Dept. Medicine, SQU.
Quantitative D–Dimer Assay and CT Angiography in the Diagnosis of Acute Pulmonary Embolism
Project Code:
MREC#313; Dates: 2009
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. B.N. Jayakrishnan, Dept. Medicine, SQU; Dr. Dilip Sankhla, Dept. Radiology & Molecular Imaging; Dr. Omar Al-Rawas, Dept. Medicine, SQU; Dr.
Khalil Al-Farsi, Dept. Haematology, SQU; Dr. Abdulla Al-Muniri Dept. Family
Medicine & Public Health, SQU.
Estimating Glomerular Filtration Rate in Omanis with Chronic Kidney Disease by Use of the Modification
of Diet in Renal Disease, Cockcroft-Gault and Cystatin C Based Equations
112
Project Code:
IG/MED/MEDE/10/01; Dates: 2010
Value:
OR 3,000; Project Funder: Sultan Qaboos University
Investigators:
Dr. Dawood Al-Riyami, Dept. Medicine, SQU; Dr. Khalid Al-Rasadi, Dept. Biochemistry, SQU; Dr. David Nkansa-Dwamena, Dept. Biochemistry, SQU; Dr
Haddia Bererhi, Dept. Radiology & Molecular Imaging, SQU; Dr Seyed Rizvi,
Dept. Family Medicine & Public Health, SQU.
Non-Invasive Hemodynamic Profile in Acute Stroke -Study with Thoracic Electrical Bioimpedance
Project Code:
MREC# 280; Dates: 2009
Value:
OR 2,000; Project Approval: Sultan Qaboos University
Investigators: Dr. Arunodaya R.Gujjar, Dept. Medicine, SQU; Dr. Deepali Jaju, Dept. Physiology, SQU; Dr. P.C. Jacob, Dept. Medicine, SQU; Dr. Mohan Dikshit, Dept. Physiology, SQU.
Four Score – A New Coma Score: Study of Inter-Observer Reliability and Relation of Serial Assessment to
Outcome
Project Code:
MREC# 329; Dates: 2010
Value:
OR 2,000; Project Approval: Sultan Qaboos University
Investigators:
Dr. Arunodaya R.Gujjar, Dept. Medicine, SQU; Dr. P.C. Jacob, Dept. Medicine,
SQU; Dr. R. Nandhagopal, Dept. Medicine, SQU.
Stroke Registry at Sultan Qaboos University
Project Code:MREC#324; Dates: 2009
Dr. Arunodaya R.Gujjar, Dept. Medicine, SQU; Dr. Abdullah Al-Asmi, Dept.
Medicine, SQU; Dr. PC Jacob, Dept. Medicine, SQU; Dr. R. Nandhagopal, Dept.
Medicine, SQU.
Insulin Resistance and its Correlation with Risk Factors for Developing Diabetes Mellitus in Young
Omanis
Project Code:MREC#316; Dates: 2009
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Humaid Alfarai, Medical Student,SQU; Issa Al-Aboodi, Medical Student, SQU;
Noora Al-Busaidi, Medical Student, SQU; Azza Al-Sawwafi, Medical Student
SQU; Dr. Nagi Mohammed, Dept. Medicine, SQU; Dr. Omayma El-Shafie,
Dept. Medicine, SQU; Prof N.J.Y. Woodhouse, Dept. Medicine, SQU.
Bone Mineral Density Measurement in Healthy Young Omanis; A Pilot Study to Establish Local Reference
Values
Project Code:MREC#360; Dates: 2010
Value:
OR 1675; Project Approval: Sultan Qaboos University
Medicine
Investigators:
academic and patient care departments
Value:Unfunded; Project Approval: Sultan Qaboos University
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Medicine
Investigators:
Prof. N.J.Y. Woodhouse, Dept. Medicine, SQU; Dr. Omayma El-Shafie, Dept.
Medicine, SQU; Dr. Samir Hussein, Dept. Radiology & Molecular Imaging,
SQU; Abdullah Al-Zakwani, Center for Innovative Industrial Design, Muscat,
Oman; Dawood Al-Kindi, Medical Student, SQU; Jawaher Al-Sulaimi, Medical Student, SQU; Sumiya Al-Hadhrami, Medical Student, SQU.
Practical Implementation of ADA/EASD Consensus Algorithm in Patients with Type 2 Diabetes: Timely
Initiation and Titration
Project Code:
MREC#355; Dates: 2010
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Ali Al-Maamri, Dept. Medicine, SQU.
The Importance of 24 hour Ambulatory Blood Pressure Monitoring and its Value over the Traditional Office Measurements of Blood Pressure
Project Code:
MREC#359; Dates: 2010
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Mansour Sallam, Dept. Medicine, SQU
A new Come ScoreL Study on inter-observer Reliability and Relation of Serial Assessment to Outcome
Project Code:
MREC#329; Dates: 2010
Value:
OR 2,000; Project Funder: Sultan Qaboos University
Investigators:
Dr. Arundoaya Gujjar, Dept. Medicine, SQU.
Genetic association study of breast cancer in Omani Population Phase I
Project Code:
MREC#333; Dates: 2010
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Mansour Al-Moundhri, Dept. Medicine, SQU.
RE SEAR C H PU B LI C A T IO NS & B O O K S
Journal Publications
1.
114
Al Moundhri MS, AlNabhani M, Burney IA, AlFarsi AA, AlBahrani B. Gastric cancer risk predisposition and prognostic significance of vascular endothelial growth factor (VEGF) gene polymorphisms - A case-control study in an
Omani population. Mol Carcinog 2009; 48:1170−6.
2.
Al Asmi A, Nandhagopal R, Jain R, Burney IA. Full blown picture of Wernicke’s encephalopathy. Q J Med 2010;
11:891−2. Epub 2009 Dec 7.
3.
Burney IA. The trend to seek a second opinion abroad amongst cancer patients in Oman: Challenges and opportunities. SQU Med J 2009; 9:260−3.
4.
Nandhagopal R, Al Asmi A, Gujjar AR, Jacob PS, Al Azri F, Burney IA. Gliomatosis cerebri: Clinical picture, Q J Med.
Epub 2010 June 8.
5.
Al Moundhri MS, Al Khanbashi M, Al Kindi M, Al Nabhani M, Burney IA, Al Farsi A, Al Bahrani B. Association of Ecadherin (CDH1) gene polymorphisms and gastric cancer risk. World J Gastroenterol 2010; 16:3432−6.
6.
Burney IA, Author’s response Re: The trend to seek a second opinion abroad among cancer patients in Oman. SQU
Med J 2010; 10:277.
7.
AlAzri M, AlAwisi H, AlMoundhri M. Coping with a diagnosis of breast cancer-literature review and implications for
developing countries. Breast J 2009; 15:615−22.
8.
AlShukaili A, AlKaabi J, Hassan B, AlMuneeri A. Quantification of CD4+ CD25+ regulatory T cells in peripheral blood
of patients with systemic lupus erythematosus and rheumatoid arthritis. Open Autoimmun J 2009; 1:5−9.
9.
Al Kaabi J, Pathare A. Pattern and outcome of vascular involvement in Omani patients with Behcet’s Disease. Rheumato Int 2010; Epub Feb 4.
Al Jabri AA, AlMuharrami ZK, Balkhair AA, Ganguly SS. The importance of HIV antenatal screening programs for
pregnant women. Saudi Med J 2010; 31:64−8.
12.
Gujjar A, AlMamari A, Jacob PC, Jain R, Balkhair A, AlAsmi A. Extrapontine myelinolysis as presenting manifestation
of adrenal failure: a case report. J Neurol Sci 2010; 290:169−71.
13. Balkhair A, Al Muharrmi Z, Darwish L, Farhan H, Sallam M. Treatment of vancomycin-intermediate Staphylococcus
aureus (VISA) endocarditis with linezolid. Int J Infect Dis 2009; Epub Dec 14.
14. Nzeako BC, Al Rushiedi S, Neilson F, AlBalkhair A. Types of bacteria on some medical devices used in Sultan Qaboos
University Hospital wards. Mid East J Sci Res 2010; 5:449−53.
15. AlJabri AA, AlMuharrmi Z, Balkhair A, Alenzi FQ, Omar A. Overview of factors affecting AIDS progression. Int J Med
Biol Front 2010; 16:211−36.
16. Sallam M, AlHadi H, Rathinasekar S, Chandy S. Comparative study of the radial and femoral artery approaches for
diagnostic coronary angiography. SQU Med J 2009; 9:272−8.
17.
Farhan HL, Kowthar S, Ali H, AlBelushi A, Sallam M, AlZakwani I. Diagnostic value of electrocardiographic T wave
inversion in lead aVL in diagnosing coronary artery disease in patients with chronic stable angina. Oman Med J
2010; 25:124−7.
18. Sallam M, AlHadi H. The higher cross-over rate from transradial to transfemoral coronary angiography do we have
the explanation? SQU Med J 2010; 10:269−71.
19. Nandhagopal R, AlAsmi A, Gujjar AR. Neuromyelitis optica: an overview. Postgrad Med J 2010; 86:153−9.
Medicine
11.
academic and patient care departments
10. Balkhair A. The Struggle against pandemic Influenza A (H1N1) 2009. SQU Med J 2009; 9:257−60.
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Medicine
20. Poothrikovil RP, Al Asmi A. Systemic reference electrode artifacts mimicking alpha coma and electrographic seizures
in EEG. Am J Electroneurodiagnostic Technol 2009; 49:280−8.
21.
Ansari MA, Rahman R, Siddiqui AA, Zaidi SZH. Association of order of birth with schizophrenia. Pak J Med Sci 2010;
26:1−5.
22.
Rahman R, Ansari MA, Khan AG, Hayder Z, Siddiqui AA. Preferred antipsychotic by mental health professionals of
Sindh and Balauchistan. J Liaquat Uni Med Health Sci 2010; 9:95−100.
23.
Siddiqui AA, Jabeen R, Ansari MA, Soomro MA, Ahmed S, Khashoub MB. Use of intravenous vs. intramuscular hepatitis B immunoglobulin in prevention of relapse of hepatitis B in post liver transplant patients. J Liaquat Uni Med
Health Sci 2010; 9:49−52.
24. Siddiqui AA, Ansari MA, Rahman R, Jabeen R, Qureshi NR, Kashoob MB. Comparison between helicobacter pylori
fecal antigen detection and endoscopic gastric biopsy in diagnosis of h. pylori infection in 50 adult cases. J Liaquat
Uni Med Health Sci 2010; 9:23–6.
25.
Foliaki S, Pearce N, Björkstén B, Mallol J, Montefort S, von Mutius E, ISAAC Phase Three Study Group. (study group
includes Al-Rawas OA). Antibiotic use in infancy and risk of symptoms of asthma, rhinoconjunctivitis, and eczema
in 6 to 7 year old children: ISAAC Phase Three. J Allergy Clin Immunol 2009; 124:982−9.
26. Odhiambo J, Williams H, Clayton T, Robertson C, Asher MI, ISAAC Phase Three Study Group (study group includes
Al-Rawas OA). Global variations in prevalence of eczema symptoms in children from ISAAC Phase Three. J Allergy
Clin Immunol 2009; 124:1251−8.
27.
Quanjer PH, Stanojevic S, Stocks J, Hall GL, Prasad KV, Cole TJ, Rosenthal M, Perez-Padilla R, Hankinson JL, Falaschetti
E, Golshan M, Brunekreef B, AlRawas O, et al., for and on behalf of Global Lung Initiative. Changes in the FEV1/FVC
ratio during childhood and adolescence: an intercontinental study. Eur Respir J 2010; Epub Mar 29.
28. AlManiri AA, Singh JPN, AlRawas OA, Al Busaidi S Al Balushi L, AlAhmed I, Mahruqi S, AlZadjali S, Patel, Melles H,
Diwan V, Hoffner S. A snapshot on biodiversity and clustering of mycobacterium tuberculosis among nationals and
immigrants in Oman using spoligotyping. Int J Tuberc Lung Dis 2010; 14:994−1000.
29. AlManiri A, De Costa A, AlRawas OA, Fochsen G. Immigrants and health system challenges to TB control in Oman -A
qualitative study. BMC Health Serv Res 2010; 10:210.
30. Jayakrishnan B, AlRawas OA. Asthma inhalers and colour coding: Universal dots. Br J Gen Pract 2010; 60:690−1.
116
31.
Al Manthari A, Al Zakwani I, ElShafie O, Al Shafie M, Woodhouse NJY. Quality indicators of diabetes care: A crossectional oberservational study in Oman. SQU Med J 2009; 9:32−6.
32.
Woodhouse NJY, ElShafie O, Hashim N, AlMamari A, Raeburn S. Clinically defined MODY in young Omanis; Absence
of the common caucasian gene mutations. SQU Med J 2010; 10:80−3.
33.
ElShafie O, Hussein S, Bererhi H, Woodhouse NJY. Multiple bone metastases in a patient with a differentiated thyroid cancer: Complete resolution following thyroidectomy and 4 ablation doses of 1-131. SQU Med J 2010; 10:101−5.
34.
Khan S, AlRiyami D, AlGhailani M, AlDhuhli M. An under-recognized complication: Diabetic myonecrosis. Oman
Med J 2009; 24:228−30.
35.
Pathare A, Alkindi S, Khan S, Riyami D, Farooqi M, Coexistence of immune thrombocytopenic purpura and idio-
pathic membranous glomerulonephritis successfully treated with rituximab. Platelets 2010; 21:575−7.
36. Baluchi F, Khan S, Riyami D, Ghilaini M, Farooqui M. Incidence, etiology and outcome of acute kidney injury at a
teaching hospital in Oman. SJKDT; Accepted for publication 29 Oct 2009.
37. Jacob PC, AlAsmi A, Gujjar A, AlMamariA, AlBalkhair A, William R. Clinical quiz. Lower cranial nerve palsies. Oman
Med J 2010; 25:240−1.
38. AlMamari A. Atherosclerosis and physical activity (review). Oman Med J 2009; 24:173−8.
39. AlMaskari M, AlShukaili A, AlMammari A. Pro-inflammatory cytokines in Omani type 2 diabetic patients presenting anxiety and depression. Iran J Immunol 2010; 7:124−9.
40. Nandhagopal R, Troiano AR, Mak E, Schulzer M, Bushnell MC, Stoessl AJ. Response to heat pain stimulation in idiopathic Parkinson’s disease. Pain Med 2010; 11:834−40.
41. Gujjar AR, Srikanth SG, Umamaheshwara, Rao GS. HHH Regime for arteritis secondary to TB meningitis: A prospective randomized study. Neurocrit Care 2009; 10:313−7.
42. Suliman H, Wali Y, Al Saadoon M, Zechariah M, William RR, Gujjar AR, Pathare A. Hydroxyurea or chronic exchange
transfusions in patients with sickle cell disease: role of transcranial doppler ultrasound in stroke prophylaxis. J Pediatr Hematol Oncol 2009; 31:42−4.
43. Gujjar AR, Muralidhar K, Bhandopadhyaya A, Sathyaprabha TN, Janaki P, Mahalla BK, Gupta R, Banakal S, Jairaj PS.
Transthoracic electrical bioimpedence cardiac output: Comparison with multigated equillibrium radionuclide cardiography. J Clin Monit Comput 2010; 24:155−9.
46. Mathew M, Saquib S, Kumar S, Lokuhetty D, Jain R. Successful management of a case of gestational trophoblastic
neoplasia in young woman. Proceedings of the Sultan Qaboos University Clinical – Pathological Conferences. SQU
Med J 2010; 10:297.
47. Alhadi HA, Fox KAA. Validity of cardiac markers as diagnostic and prognostic indicators of complications in patients
undergoing percutaneous coronary intervention. SQU Med J 2010; 10:31–40.
48. Alhadi HA, Fox KAA. Heart-type fatty acid-binding protein in the early diagnosis of acute myocardial infarction –
The potential for influencing patient management. SQU Med J 2010; 10:41–9.
49. Alhadi HA, Sallam M. Asymptomatic permanent left bundle branch block (LBBB) complicating diagnostic left heart
catheterisation. SQU Med J 2010; 10:114–9.
50. Alhadi HA, Fox KAA. Cardiac markers in the early diagnosis and management of patients with acute coronary syndrome. SQU Med J 2009; 9:231–46.
51. Sallam M, Alhadi HA. Comparative study of the radial and femoral artery approaches for diagnostic coronary angiography. SQU Med J 2009; 9:272–8.
Medicine
45. Saquib S, Gowri V, Al Hamdani A, Burney I, Jain R. Pendant on a necklace – Case of Sertoli-Leydig cell tumor. Proceedings of the Sultan Qaboos University Clinical – Pathological Conferences. SQU Med J 2010; 10:296.
academic and patient care departments
44. Burney IA, Al Sawai BS, Dawood AA, Babiker H, Al Moundhri MS. Association of polymorphisms in cytokine genes
with diffuse large B cell lymphoma and its outcomes in Omani Arabs. Eur J Cancer 2009; 7:566.
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Medicine
52.
Alhadi HA, William B, Fox KA. Serum level of heart-type fatty acid-binding protein in patients with chronic renal
failure. SQU Med J 2009; 9:311–4.
Books
1.
Al Rawas OA, Baddar S, Jayakrishnan B. Guidelines for the Management of Asthma in Oman. 2nd ed. Muscat: Oman
Respiratory Society, Oman FAMCO Society & Ministry of Health, 2010.
C O N F ER EN C E & SEM INA R P R E S E NT A T IO NS
Conference Presentations
International
1.
Burney IA. Etiogenesis of non-Hodgkin’s lymphoma in Oman/developing countries. Hematology Conference 2009.
Karachi, Pakistan, 15−18 Oct 2009.
2.
Burney IA. Management of metastatic renal cell carcinoma. Sultan Qaboos University Hospital experience. Experts
Consensus Meeting. Dubai, 13 Nov 2009.
3.
Burney IA. DLBCL in Oman and developing countries: A propos of a different disease. 15th Annual Cancer Conference.
Pakistan Society of Clinical Oncology, Lahore, Pakistan, 21 Nov 2009.
4.
Burney IA. Management of triple negative breast cancer. 15th Annual Cancer Conference. Pakistan Society of Clinical
Oncology, Lahore, Pakistan, 22 Nov 2009.
5.
Burney IA. Measurement of quality in oncology practice. Liaquat National Hospital Symposium. Karachi, Pakistan,
12 Dec 2009.
6.
Burney IA. nab Paclitaxel –It’s Uses and Indications. Registration Meeting. Karachi, Pakistan, 5 April 2010.
7.
Al Asmi A. Pain and Fatigue: Treatment Strategy MS Awareness Conference. Kuwait, 12−14 Nov 2009.
8.
Jayakrishnan B. Inhaled antibiotics. 11th NAPCON 2009, Combined National Conference of Indian Chest Society and
National College of Chest Physicians. Calicut Medical College, India,12 November 2009.
9.
Al-Rawas OA. Where are we from asthma management goals? Xolair Symposium (organised by Novartis). Beirut,
Lebanon, 6−7 November 2009.
10.
Al-Rawas OA. Respiratory research in Oman: Opportunities and Challenges. University of Sunderland, UK, 15 November 2009.
National
118
1.
Burney IA. Measuring quality in oncology: Pros and Cons of Different Methods. 2nd International Conference on
Quality Management. Muscat, Oman, January 2010.
2.
Burney IA. Lymphoma is different here. Advanced General Medicine Symposium. Royal College of Physicians of the
UK, Sultan Qaboos University and Ministry of Health. Muscat, Oman, 20−22 Feb 2010.
3.
Al-Rawas OA. Asthma management: The Guidelines Practice Gap. Advanced General Medicine Symposium. Royal
College of Physicians of the UK, Sultan Qaboos University and Ministry of Health. Muscat, Oman, 20−22 Feb 2010.
4.
Burney IA. Breaking bad news: Challenges that remain to patient and their families. Collaborative Nursing Conference. Delivering Quality, Serving Communities, Nurses Leading Chronic Care. Sultan Qaboos University, Muscat,
Oman, 28 April 2010.
5.
Al Asmi A. Migraine management. Muscat Family Physician Group. Muscat, 20 Jan 2010.
6.
Al Asmi A. MS and nutrition workshop titled “Food, Nutrition in Health and Disease”. Department of Food Science
and Human Nutrition, College of Agricultural and Marine Sciences, Sultan Qaboos University, Muscat, Oman, 10
May 2010.
7.
Jayakrishnan B. Classification of asthma. Symposium on the Launching of National Asthma Guidelines. December
2009.
8.
Jayakrishnan B. Asthma; Recent advances. Work Shop on Asthma for Visiting Iraqi Primary Care Physicians. Muscat,
Oman, January 2010.
9.
Gujjar AR. Epilepsy in the pregnant woman. Advanced General Medicine Symposium. Sultan Qaboos University,
Muscat, Oman, 20–22 February 2010.
10. Gujjar AR. Management of status epilepticus and management of acute stroke. ICON 2010, Internal Medicine CME.
Ministry of Health, Sultan Qaboos Hospital. Salalah, Oman, September 2010.
Poster presentations
Al Qarbooshi I. Efficacy and safety of cyanaloacrylate (Crazy Glue) injection for the treatment of extraesophageal
varices. Gastroenterology Research Day. University of Toronto, 29 June 2009.
2.
Al Qarbooshi I. Resobium agrobacterium in Crohn’s disease patient receiving anti-TNF alfa. The Gastroenterology
Residents In-Training Course. Calgary, Canada. 2009.
3.
Gujjar AR, Al Asmi A, Al Lamki Z, Wali Y, Zacharia M, Al Kindi S, Bashir W, Pathare A, Jain R, William R. Transcranial
doppler ultrasonography in sickle cell disease – An experience from Oman. World Congress of Neurology. Bangkok,
Thailand, October 2009.
4.
Gujjar AR, Al Asmi A, Jacob PC, Jain R, William R. Transcranial doppler ultrasonography in acute ischemic stroke – An
Experience from Oman. World Congress of Neurology. Bangkok, Thailand, October 2009.
National
1.
Balkhair A, Al-Jabri A, Al-Muharrami Z Ganguly S. Spectrum of AIDS defining opportunistic infections in a series of
77 hospitalized HIV-infected Omani patients. University Day, Sultan Qaboos University, Muscat, Oman, May 2010.
2.
Burney IA, Sawwafi A, Awladthani S, Sallam M, Kumar S, Al Moundhri MS. Doxorubicin-induced systolic dysfunction in patients with non-Hodgkin’s lymphoma. University Day. Sultan Qaboos University, Muscat, Oman, May 2010.
Medicine
1.
academic and patient care departments
International
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Medicine
Seminar Presentations
International
1.
Furrukh M. Anal carcinoma; Oncologic intervention in SCC nus conserves organ & preserves function, without compromising survival. Anorectal Diseases Surgical Symposium. North West Armed Forces Hospital, Saudi Arabia, Feb
2009.
2.
Furrukh M. Story of adjuvant chemotherapy in colon cancer. North West Armed Forces Hospital, Saudi Arabia, June
2009.
3.
Furrukh M. Evolving era of customized, individualized therapy in advanced/ metastatic cancer lung. Oncology News
Bulletin, North West Armed Forces Hospital, Saudi Arabia, 1 March 2009.
4.
Furrukh M. Venous thromboembolism in cancer patients.General Surgery Symposium. North West Armed Forces
Hospital, Saudi Arabia, 30 May 2009.
5.
Al Qarbooshi I. Treatment of fundic varices. St. Micheal’s Hospital Therapeutic Endoscopy Experience, St. Micheal’s
Hospital Gastroenterology Research Day. University of Toronto, Ontario, Canada, 2009.
National
120
1.
Burney IA. Ethics consultative services. Workshop for OMSB Residents. Sultan Qaboos University, Muscat, Oman, 4
Oct 2009.
2.
Burney IA. Integration of clinical sciences. First New Curriculum Retreat. Sultan Qaboos University, Muscat, Oman,
10 Dec 2009.
3.
Burney IA. Overview of the departmental research activities in the last year. Departmental Annual Research Retreat. Sultan Qaboos University, Muscat, Oman, 20 May 2010.
4.
Balkhair A. Spectrum of AIDS defining opportunistic infections in hospitalized HIV-infected adult Omani patients.
Department of Medicine Research Retreat. Sultan Qaboos University, Muscat, Oman, 20 May 2010.
5.
Al Asmi A. Current and future needs of MD: The hospital strategic plans for 2011−2015. Hospital Retreat Day. Dec
2009.
6.
Ali Bulushi, A Al-Asmi. The role of the LMWH (Enoxaparin) in the management of acute non-cardioembolic ischemic stroke. Sultan Qaboos University Hospital Experience. OMSB Research Retreat, 6 May and 27 September 2010.
7.
Nandhagopal R. A clinical conundrum: A worthwhile therapeutic exercise. Oman Neuroclub Muscat, Oman, May
2010.
8.
Nandhagopal R. Thermal pain response in idiopathic Parkinson’s disease. Annual Research Retreat. Muscat, Oman,
20 May 2010.
TH ESI S SU PER VI SI O N
Samira Al-Mahruqui
Qualification:M.Sc.
Title:
Correlation between Human Leukocyte Antigens and response to Antiretroviral Treatment amongst Omani AIDS Patients
Co-Supervisor:
Dr. Abdullah Balkhair
Date of Completion:2011
Rowayda H. Ahmed
Qualification:M.Sc.
Title:
Utilization Patterns of AEDs among Epileptic Patient in SQUH
Co-Supervisor:
Dr. A Al-Asmi
Date of Completion:2010
M.Sc. Clinical Pharmacy
Title:
Prescribing patterns and the Cost Impact of Proton Pump Inhibitors in Outpatient Clinics in SQUH: A Retrospective Study
Co-Supervisor:
Dr.Aftab Ahmed Siddiqui
Date of Completion:
October 2010
Abdullah Al-Manairi
Qualification:M.Sc.
Title:
Tuberculosis Control in Oman: Challenges to Elimination PhD thesis from
Karolinska Institute, Sweden
Co-Supervisor:
Dr. Omar Al-Rawas
Date of Completion:
December 2009
Medicine
Qualification:
academic and patient care departments
Gheith A. Jassim
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Microbiology & Immunology
he Department of Microbiology and Immunology contributes significantly to teaching, research and community service in
the College of Medicine & Health Sciences. The Department takes part in the B.Sc. Health Sciences, the MD (the old and new
curriculum), the B.Sc. in Medical Laboratory Sciences (MLS), as well as in the Nursing, M.Sc., Ph.D., Residence and Oman Medical
Specialty Board (OMSB) teaching and training programmes.
T
Microbiology research interests include basic molecular virology and the microbiology and epidemiology of parasitic infections. Immunology research focuses on autoimmunity and immunodeficiency, both primary and acquired including HIV and AIDS. There is
active international research cooperation between the Department and scientists in the UAE, Britain, Germany, France and the USA.
The Department’s clinical divisions offer diagnostic services to SQU Hospital and other hospitals in Oman in bacteriology, virology,
parasitology, mycology, serology and immunology.
122
Mahmood Al-Kindi, Senior House Officer
Khloud Al-Ma’mari, Senior House Officer
Badriya Al-Adawi, Senior House Officer
Fatma Ba’Alawi, Senior House Officer
Turkiya Al-Siyabi, Senior House Officer
Support Staff
Faculty
Sharanjit S Thukral, Professor
Ali Al-Jabri, Associate Professor
Muhannad Al-Kobaisi, Assistant Professor
Basil Nzeako, Assistant Professor
Crystal Koh, Assistant Professor
Akbar Rafay, Senior Consultant
Ashok Shenoy, Consultant
Zakariya Al-Muharrmi, Consultant
Muneera Al-Siddique, Registrar
Ahmed Al-Shukaily, Research Associate
Mohammed Al-Baloshi, Research Associate
During the academic year 2009-2010, our departmental external examiners continued their appointment. Professor Farouk Shakib, Head of the
Division of Immunology at the Faculty of Medicine
& Health Sciences, University of Nottingham, UK,
served his last term as an external examiner in
Immunology. Professor Tibor Pal from the Microbiology & Immunology Department at UAE University in Al Ain, continue to serve as the external
examiner in Microbiology.
Dr. Ali Al-Jabri wrote five articles for the Al-Masar
and Horizon national newspapers entitled: Our immune system and the effect of fasting; Happiness
microbiology & immunology
Staff
Highlights of the
Year 2009-2010
academic and patient care departments
Jameel Nograles, Superintendent (Diagnostic)
Sidqi Hassan, Superintendent (Immunology)
Ahmed Al-Badawi, Chief Biomedical Scientist
Robert Toki, Chief Biomedical Scientist
Frank E. Serebour, Chief Biomedical Scientist
Intesar Al-Balushi, Senior Biomedical Scientist
Masoud Al-Kheyari, Senior Biomedical Scientist
Said N Al-Hinaee, Senior Biomedical Scientist
Khazina Al-Harthy, Senior Biomedical Scientist
Al Haj Zia-ul-Qamar Qureshi, Coordinator
Mohammed Al-Wahibi, Clerk
Yousuf S Al-Sabty, Coordinator
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Microbiology & Immunology
affects all; Vaccine for disease prevention. Mind over matter; The importance of vaccination for the protection against disease, and A drop of blood.
During this year, the department of Microbiology and Immunology continued to support its faculty members (immunologists, bacteriologist, a virologist, and a parasitologist) with a good number of biomedical
scientists with B.Sc., M.Sc. and Ph.D. qualifications.
In 2009, Dr. Yaseen Al-Lawatia, Assistant Professor, was seconded to the Oman Medical College. Dr. Helmut
Schuster, Senior Consultant, resigned. Dr. Zakariya Al-Muharrmi, was promoted to Consultant microbiologist. Dr. Mohammed Al-Baloshi, was appointed as a Research Associate in the College of Medicine. Mr. Jameel Nograles was appointed as a Superintendent to replace Mr. John Prentis, who left the Department. Ms.
Fadhila Al-Tooqi, Senior Biomedical Scientist took early retirement and seven new technical staff joined the
diagnostic unit on the Hospital side.
Staff of the Department attended the following conferences and workshops on AIDS: First Regional Meeting
on National AIDS coordination in the Middle East and North Africa Region, organized by UNAIDS in Muscat;
the National AIDS Workshop organized by the Ministry of Health’s Directorate of Infectious Diseases, and the
AIDS Strategy & Action Plan (ASAP) Capacity Building Workshop in The Middle East and North Africa held
in Tunisia. They also attended a number of College workshops on strategic planning, the new curriculum,
scientific writing and peer review and research and postgraduate studies.
Staff of the Department attended the following conferences and workshops on AIDS: First Regional Meeting
on National AIDS coordination in the Middle East and North Africa Region, organized by UNAIDS in Muscat;
the National AIDS Workshop organized by the Ministry of Health’s Directorate of Infectious Diseases, and the
AIDS Strategy & Action Plan (ASAP) Capacity Building Workshop in The Middle East and North Africa held
in Tunisia. They also attended a number of College workshops on strategic planning, the new curriculum,
scientific writing and peer review and research and postgraduate studies.
The Department suffered a great loss when Ms. Zahra Al-Mahrooqi, (Microbiology Superintendent) passed
away.
Teaching Programmes
PR E- C LI N I C AL PR O G R A M M E (O L D CUR R ICUL UM )
The Department continues to offer its two main courses in the B.Sc. Health Sciences programme, namely Immunology and Microbiology, to the 3rd and 4th year medical students respectively.
124
PR E- C LI N I C AL PR O GR A M M E (NE W CUR R ICUL UM )
As the new curriculum was implemented in 2009-2010, the Microbiology Department started to contribute
and play a vital role in this new curriculum. The Department’s participation started on Phase II Semester 1
and included the following different core courses and system courses: Response to infection and pathobiology; Cardiovascular System; Respiratory System; Haematological and Lymphatic Immune Systems, and a
Research project. This contribution will continue to expand next year as Semester III and IV courses come on
stream.
B .SC . MED I C AL LAB O R A T O R Y S CIE NCE P R O GR A M M E
The Department also contributed substantially to the B.Sc. MLS programme. The following were offered in
2009-2010 academic year: General Medical Microbiology; Immunology; General Medical Microbiology II;
Medical Microbiology III; Advanced Medical Microbiology I & II, and Projects
B .SC . N U R SI N G
The Department continues to offer a 3 credit Microbiology course which is taught to second year B.Sc. nursing students during the spring and summer semesters.
PO ST G R AD U AT E PR O GR A M M E
There were two microbiology first/second year residents who did various rotations in clinical microbiology and immunology. The Department also participated in the training of some of the OMSB residents. The
Department continued to offer the Medical Microbiology programme for the M.Sc. students in 2009–2010.
The courses taught in the M.Sc. programme are: Bacteriology; Bacteriology and Mycology; Parasitology, and
Virology. In an effort to expand the postgraduate programme in the Department, one student was enrolled
during 2009 in the Ph.D. programme.
C LI N I C AL & D I AG N O S T IC S E R V ICE S
The two major units of the Department – Microbiology and Immunology – continue to offer diagnostic services primarily to SQUH, but also to other government and private hospitals. As a result of the expansion
in the diagnostic services in molecular microbiology and immunology services, and in parallel with the in-
Microbiology & Immunology
The Department contributed to the teaching of the integrated lecture series and case-oriented learning for
the 5th year clinical students. As in the past, five groups of the 7th year medical students carried out a one week
laboratory rotation. Normally this covers all the clinical laboratory sections of the Department and students
are assessed on their final day of the rotation.
academic and patient care departments
C LI N I C AL PR O G R AM M E S (M D P R O GR A M M E )
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Annual Report 2009-2010
Microbiology & Immunology
creased patient activity within SQUH, there was an increase in the number of samples (specimens) and tests
carried out in our laboratories in 2010. The Microbiology diagnostic laboratory was heavily involved in the
diagnosis of Influenza A H1N1 during the pandemic that occurred at the end of 2009. The increase due to the
high demand from the different hospital wards for microbiology diagnostic services is shown in the diagram
below.
2001
2002
2003
500000
2004
400000
2005
300000
2006
200000
2007
100000
2008
0
2009
Tests
Specimens
2010
Figure1: Patient Samples karyotyped and FISH tests done during (2010)
The Department continues to participate in the Royal College of Pathology of Australia External Quality Assurance programme. According to the international standards, the diagnostic laboratory of Microbiology
and Immunology Department scores quite high.
Research
RE SEAR C H PR O JEC T S
Epidemiology of Hepatitis A in United Arab Emirates and Sultanate of Oman: A Study to Assess the Need
for Vaccination Programmes
126
Project Code:
CL/SQU-UAE/07 /01; Dates: 2007−2009
Value:
OR 22,500 + O.R. 23,365; Project Funders: SQU and UAE universities
Investigators:
Dr. Youssef A. Abou-Zeid, Dept. Biology, College of Science, UAE University;
Dr. Muhannad Al-Kobaisi, Dept. Microbiology & Immunology, SQU; Dr. Salem Awad, Gastroenterology Medical Consultant, UAE; Dr. Taoufik A. Zoubeidi, College of Business & Economics, UAE University.
Epidemiology and Laboratory Investigations of Respiratory Virus Infections among Omani Infants and
Young Children in Sultan Qaboos University Hospital
Project Code:
IG/MED/ MEDE/08/02; Dates: 2008−2009
Value:
OR 18,400; Project Funder: Sultan Qaboos University
Investigators:
Dr. Muhannad F. Al-Kobaisi, Dept. Microbiology & Immunology, SQU; Dr.
Faryal A. Khamis, Dept. Medicine, Royal Hospital; Dr. Hussein Al-Kindi, Dept.
Child Health, SQU; Dr. Ahmed Al-Manthari, Dept. Family Medicine & Public
Health, SQU.
IG/MED/ MICR/08/01; Dates: 2008−2009
Value:
OR 21,900; Project Funder: Sultan Qaboos University
Investigators:
Dr. Abdullah Balkhair, Dept. Medicine, SQUH; Dr. Ali Al-Jabri, Dept. Microbiology & Immunology, SQU.
Detection and Characterization of Ampc Beta-Lactamases in Clinical Isolates of Escherichia Coli and Klebsiella Spp
Project Code:IG/MED/MICR/09/01; Dates: 2009-2011
Value:
OR 11,000; Project Funder: Sultan Qaboos University
Investigators:
Prof. Sharanjit S. Thukral, Dept. Microbiology & Immunology, SQU; Dr. Akbar Rafay, Dept. Microbiology & Immunology, SQU; Dr. Ashok Shenoy, Dept.
Microbiology & Immunology, SQU.
Molecular and Functional Charaterization of P2X7 gene coding Polymorphisms in Omani Patients with
gastric cancer
Project Code:IG/MICR/09/02; Dates: 2009-2011
Value:
OR 11,000; Project Funder: Sultan Qaboos University
Investigators:
Dr. Ahmed Al-Shukaili, Dept. Microbiology & Immunology, SQU; Dr. Mansour Al-Moundhri, Dept. Medicine, SQU; Dr Alia Al-Ansari, Dept. Biology, Col-
Microbiology & Immunology
Project Code:
academic and patient care departments
A Study to Investigate Antibodies and other Immunological Parameters to Monitor Response of Omani
Patients with AIDS to Highly Active Antiretroviral Therapy (HAART)
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Annual Report 2009-2010
Microbiology & Immunology
lege of Science, SQU.
HIV/AIDS in Oman: Awareness, knowledge and attitudes of Omani pregnant and non-pregnant women
towards HIV/AIDS
Project Code:
IG/MED/MICR/10/01; Dates: 2010–2011
Value:
OR 2,500; Project Funder: Sultan Qaboos University
Investigators:
Dr. Ali Al-Jabri, Dept. Microbiology & Immunology, SQU; Prof. Mohammed Idris, Dept. Microbiology & Immunology, SQU Dr. Abdullah Balkhair,
Dept. Medicine, SQU; Dr. Shyam Ganguly, Dept. Family Medicine and Public
Health, SQU; Dr. Zakaryia Al-Muharrmi, Dept. Microbiology & Immunology, SQU; Dr. Muna Al-Sadoon, Dept. Child Health, SQU; Dr. Mariam Mathew,
Dept. Obstetrics and Gynaecology, SQU.
RE SEAR C H PU B LI C A T IO NS & B O O K S
Journal Publications
128
1.
Al Jabri AA, AlMuharrami Z, Balkhair AA, Alenzi FQ, BaOmar AA.. Overview of factors affecting AIDS progression. Int
J Med Biol Front 2010; 16:211−36.
2.
Al Jabri AA, AlMuharrmi ZK, Balkhair AA, Ganguly S. The importance of antenatal screening of HIV among pregnant
women. Saudi Med J 2010; 31:64−8.
3.
Al Jabri AA, Hasson S. Influenza H1N1 2009: To vaccinate or not to vaccinate. SQU Med J 2009; 9:224−9.
4.
Al Enzi FQ, AlEnzi BQ, Ahmed SY, AlEnazi MM, Matter EH, Salem ML, AlJabri AA, Lotfy M, Bamaga MS, Wyse RN.
Role of caspase activation and mitochondrial depolarization in cultured human apoptotic eosinophils. Saudi JBiol Sc
2010; 17:29−36.
5.
Al Enzi FQ, AlRabia MW, AlEnzi BQ, Mubaraki AM, Lotfy M, Salem ML, Siddiqui HM, Arif JM, Ahmed S, AlJabri AA,
Wyse RK. Role of CTLA-4 in xenotransplantation. Pakistan JPhysiol 2009; 5:40−5.
6.
Hasson SS, Mothana RA, Sallam TA, AlBbalushi MS, AlJabri AA. Novel serine protease variants encoged by Echis
ocellatus venos gland cDNA: Cloning and sequencing analysis. J Biomed Biotechnol 2010; ID134232:12. [on line publication].
7.
Hasson SS, AlJabri AA, Mothana RAA, Algowshaie H, Sallam TA. Anti-snake venom activity of hibiscus plant against
Echis ocelatus. JToxicol 2010; ID837864:1−8. [on line publication].
8.
Liu L, Mondal MMH, Idris MA, Lokman HS, Rajapakse PRVJ, Satrija F, Diaz JL, Upatham ES, Attwood SW. The phylogeography of Indoplanorbis exustus (Gastropoda: Planorbidae). Parasit Vect 2010; 3:1−18.
9.
Al Muharrmi Z. Understanding the influenza A H1N1 2009 pandemic. SQU Med J 2010; 10:187–95.
10.
Al Jabri A, Hasson SS. Influenza A (H1N1) 2009 – To vaccinate or not to vaccinate? SQU Med J 2009; 9:224–7
C O N F ER EN C E & SE M INA R P R E S E NT A T IO NS
Poster presentations
International
1.
Idris MA, Deugoué NV, Doenhoff M, Shaban M, Ruppel A. Serological follow-up of praziquantel-treated children in
a recent schistosomiasis mansoni focus in Dhofar Governorate, Sultanate of Oman. 12th International Congress of
Parasitology. Melbourne, Australia, August 2010.
2.
Attwood SW, Liang L, Mondal MMH, Idris MA, Lokman HS, Rajapakse JRP, Satrija F, Diaz JL, Upatham SE. The phylogeography of Indoplanorbis exustus (gastropoda: planorbidae) in Asia. 12th International Congress of Parasitology.
Melbourne, Australia, August 2010.
Thukral SS, Rafay A, Al-Ghafri SS, Al-Hattali HS. Phenotypic detection of AmpC β-lactamases in clinical isolates of
Escherichia coli and Klebsiella pneumoniae at Sultan Qaboos University Hospital (SQUH). University Day. Sultan
Qaboos University, Muscat, Oman, May 2010.
2.
Al-Kobaisi MF, Al-Areimi WS, Khamis FA, Al-Kindi H,Al-Mandhari A. A newly emerging respiratory virus among
children in Oman. University Day. Sultan Qaboos University, Muscat, Oman, May 2010.
3.
Idris MA, Degoué NV, Doenhoff M, Shaban M, Mone H, Mouahid G, Ruppel A. Epidemiological and serological followup of schistosomiasis mansoni in Dhofar, Oman. University Day. Sultan Qaboos University, Muscat, Oman, May
2010.
TH ESI S SU PER VI SI ON
Abdullah A. Al-Hatmi
Qualification:M.Sc.
Title:
Pathogenic Fungi Isolated from Clinical Samples
Supervisor:
Dr. Yaseen Al-Lawatia
Hafidha Salim Al-Hattali
Qualification:M.Sc.
Title:
Phenotypic and Molecular Detection and Characterization of AmpC beta
lactamases in Clinical Isolates of Escherichia coli and Klebsiella spp. from
SQUH
Supervisor:
Prof. Sharanjit Thukral
Microbiology & Immunology
1.
academic and patient care departments
National
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Annual Report 2009-2010
Microbiology & Immunology
Hissa Al-Farsi
Qualification:
M.Sc.
Title:
Genetics of Plasmodium falciparum Resistance to SP in Saudi Arabia
Supervisor:
Dr. Hamza Babiker
Ms Wafaa S. Al-Areimi
130
Qualification:
M.Sc.
Title:
Viral Respiratory Infections among Omani Infants and Young Children at
Sultan Qaboos University Hospital (SQUH)
Supervisor:
Dr. Muhannad Kobaisi
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Microbiology & Immunology
academic and patient care departments
Annual Report 2009-2010
Nursing Services Directorate
he Nursing Services Directorate is the largest department in the hospital and provides a 24 hour service. The Directorate is
dedicated to provide outstanding, safe and quality patient care which includes performance improvement methodologies and
indicators, quality control, assessment, peer review, teaching strategies to ensure nursing related processes are continuously
improved. Nursing makes essential contributions to patient safety and quality care. Desirable patient outcomes are an empirical part
of our goals.
T
The vision of the Nursing Directorate is to strive for practice which is safe, caring, innovative, scientific and empowering based on a
solid foundation of leadership. The Directorate seeks to be a model of excellence for all nursing services in the country. It aims to provide evidence-based practice and seeks to maintain a high standard in caring, teaching and training.
The mission of the Nursing Directorate is to be responsible and accountable in the provision of high standard nursing care to patients.
It is committed to the teaching of medical and nursing students and to the professional development of nurses.
The Directorate is committed to an environment that fosters evidence based practice, critical thinking and adapts innovations that
enhance delivery of quality patient care and teaching. It seeks to provide coordination of health care delivery across the contin-
132
Staff
The Directorate of Nursing has a multinational
team responsible for the provision of nursing care
services to SQUH. At the end of 2010, it had a to-
nursing services directorate
uum using approaches that conform to international standards; demonstrate patient advocacy
while providing comprehensive, mutually defined
care; empower nurses to exercise sound judgment
which will promote their professional development, and support and complement teaching and
training activities.
Yusriya Al-Akbary, Deputy Hospital Director for
Nursing Affairs
Roseliyah Shamsudin, Quality Management
Daniel Birru, Assistant to Director for Training
&Staff Development
Catherine Lausa, Assistant to Director for Supplementary Services
Shinuna Al-Harthy, Assistant to Director for Maternal &Child Health
Ayna Al-Riyamy, Assistant to the Director for General Area
Fatma Al-Dhabari, Quality Management
Yousuf Al-Hasani, Assistant to Director for Ambulatory Services
Padma Singh, Nursing Coordinator
Lucia Pelser, Nursing Coordinator
Khairom A. Rashid, Nursing Coordinator
Phang Ah Looi, Nursing Coordinator
Rose George, Nursing Coordinator
Amelita Villamora, Head Nurse, Ward 1 Blue
Norah Ngcamu, Head Nurse, Ward 2 Blue
Thavamony Saravanan, Head Nurse, Ward 2 Red
Sotinah Tariono, Head Nurse, Ward 2 Yellow
Zita Montesclaros, Head Nurse, Ward 2 Purple
Rahma Al-Mahrazi, Head Nurse, Ward Bone Marrow Transplant
Meqawati Md Nor, Head Nurse, Ward 3 Red
Belingeria Jaafar, Head Nurse, Ward 3 Yellow
Lau Pek Hoon, Head Nurse, Ward 3 Blue
Koh Choy Fong, Head Nurse, Ward 3 Purple
Janet Ogonjumo, Head Nurse, Ward 4 Blue
Vijayarani Reddy, Head Nurse, Ward 4 Yellow
academic and patient care departments
tal of 1101 staff posts of which 1068 were occupied.
This is compared to 908 staff in post at the end of
2009.
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Annual Report 2009-2010
Nursing Services Directorate
Suliaman Mahmoudi, Head Nurse, Ward 4 Red
Umi K. Head Nurse, Ward 1 Purple
Zairiyah Zainol, Head Nurse 4P
Sarala Kodamala, Head Nurse, Family Medicine & Public Health Clinic
Haseena Saib, Head Nurse, Operating Theatres
Sapiah Abbas, Head Nurse, Day Care Unit
Zayana Al-Maskary, Head Nurse, A&E
Parvi Ponambalam, Head Nurse, Neonatal Ward
Barbara Swales, Head Midwife, Delivery Ward
Michael Lee, Head Nurse, Psychiatry Ward
Nooraini Yadi, Head Nurse, Intensive Care Unit/CICU/Paediatric ICU
Rabia Al-Saadi, Out Patients Coordinator
Moey, Nursing Coordinator
Robert Dimaiwat, Nursing Coordinator
Hafidh Al-Hashmi, Head, CSSD
Yacoub Al-Maharazi, Director for Support Services
Abdulla Al-Qasmi, Medical Orderly On call Supervisor
Bader Al-Nadhabi, Medical Orderly On call Supervisor
Saleh Al-Akbari, Medical Orderly On call Supervisor
Ghanim Shamsi, Medical Orderly On call Supervisor
Support Staff like coordinators, medical orderlies (120) and ward clerks provides support on all areas.
Highlights of the Year 2010
In the year 2010, Directorate of Nursing made dramatic improvements in the provision of 24-hour patient
centered nursing care. While 2009 proved challenging with new goals and initiatives, 2010 marked the journey toward excellence. The focus on different improvement processes and efforts became an integrated body
through Nursing Standards. The SQUH nursing staff is committed to this endeavour through its vision, mission and philosophy which guided the Department in achieving success. Directorate of Nursing earned the
accolade of leadership, teamwork, excellence and smooth operational system through the continuous support of the top management and the staff and expresses its gratitude to them for all their support.
An intake of 26 Omani Nursing Graduates (Cohort 5) joined the Department in December 2010.
O PEN D AYS AN D O T HE R E V E NT S
The year started with an Open Day organised by the Professional Code of Conduct with the goal of making
each staff aware as to their scope of duties defined by the Oman Midwifery and Nursing Council. The Support
134
Group actively participated in the Open Day.
The annual Nursing Food Fair was on 24 February an activity that promotes team work not just in the clinical
arena, but also in other activities like this.
A Patient and Family Education Day was organised by Patient Services. The Directorate of Nursing participated in the event as nurses are the key advocate of PFE.
The SQUH Open Day organised by Public Relations Office was held on 2 May. As the biggest department in
the hospital, the Directorate participated by presenting all its ongoing quality initiatives and best practice
projects through poster presentations.
The Department participated in the Quality Open Day organised by DDQ in November through poster presentations on nursing quality activities.
Q U ALI T Y I MPR O VEM E NT
On going quality improvement initiatives like Key Performance Indicator (KPI) monitoring on Patient Falls,
short studies on the deployment of Nursing Staff, and on Medication Error were continuously implemented
as a Nursing Coordinators project.
A Call bell Audit was conducted from June 23 to 19 July. This is one of the ongoing key indicators which measure the promptness of staff’s response to patient calls and compliance to the guidelines.
Competency Based Performance Appraisal (CBPA) has been reviewed and to ensure the validity and effectiveness of the tool, a pilot study was conducted for 1 year.
The Best Practice Award Audit 2010 was carried out with the aim of benchmarking nursing practices in between wards. This is an annual event which promote, recognises and rewards the ward which complies with
the standards.
The Hospital Board approved the Competency based Performance Assessment tool (CBPA) for all nursing
staff.
The revision and updating of the nursing manual / guidelines is ongoing. “Our News”, a nursing newsletter,
Nursing Services Directorate
A Patients Classification Study Taskforce was organised mainly to review resources and the amount of workload needing to be staffed.
academic and patient care departments
The first of the BSI bi-annual audits took place on 22 February and produced an excellent result of zero nonconformity.
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Annual Report 2009-2010
Nursing Services Directorate
is published twice a year by the nurses for the nurses.
One of the achievements of the Neonatal Unit was the effective and successful management of triplets.
Work on the Career Path for Omani Nurses is an on going process conducted by the Directorate. It focuses
mainly on the developmental needs of staff and on their inclination, interest and vision for their future.
ED U C AT I O N AL & R ES E A R CH P R O J E CT S A ND S UR V E Y S
Departmental Studies, CNE and Patients Bedside stories were amongst 2010’s Quality & Educational Projects
in which different wards participated on a monthly basis. These aimed to foster competitiveness between
wards. Departmental studies entitled “Meeting Patient Needs – Evidence Based” was presented by FAMCO
and “Nurse’s Perspective on Nursing Documentation” by the Documentation Working Group were the first
of the many studies that were presented.
Patients Bedside Story is a new initiative for inpatient areas whereby patient’s actual hospital experiences
are portrayed. This promotes staff confidence in presenting talks and increases empathy towards patients.
The Nurses Awareness in Disaster Management Preparedness survey was undertaken to assess the knowledge and readiness of all staff in the event of a disaster. This was done in conjunction with the new Disaster
Plan introduced by the Disaster Planning Committee.
The staff participated actively on the following studies: 1) Effect of Defepion on thalassaemia children; 2)
Impact of Paediatric Oncology Day care on the Hospital Cost; 3) Patient and family’s perceptions of Paediatric
Day Care Surgery, and 4) Community Health Education in schools.
Departmental Studies was organised as a whole year activity for the ambulatory areas which facilitates the
orientation, preparation and exposure of staff to research study, surveys and data analysis. This also aimed
to develop the staff’s public speaking skills through interview. The activity is a competitive activity focused
on Patient Satisfaction and Safety.
IN - H O U SE T R AI N I N G
A Wound Care Study Day was held February to disseminate relevant and interesting information on this
specialisation. The 4th Middle East Wound Care Academy was held on 4 March 2010 and the SQUH Tissue
Viability nurse was invited to speak during the event.
The ward head nurses participated in the 1st Nursing Retreat Day on 23rd March. This was an interactive
group session for head nurses and administrative level staff which discussed a number of issues including:
Leadership and Management; Professional Growth; Quality Issues; Professional Nursing Practice; Service Excellence, and Resources Management.
136
An awareness raising talk on the “Role of nurses in Patient Safety” was presented to the staff.
The Nursing Assessment and Documentation Course commenced on 31 May and continued throughout the
year with an average attendance 400 nurses. This course is part of the Patient’s Safety and Quality Initiative
which educates and train nurses to be competent in patient assessment and producing acceptable patient
notes.
A series of educational updates, organised by the Directorate for Training & Continuing Professional Development (DTCPD), were attended by various staff. These included: Attitude and Professional Responsibility;
Communication Skills, and a Nephrology Course for Nurses handling renal transplant cases.
A Nursing Debate on “Nursing Audits are basically fault finding” was held in the College of Nursing in August. The “Against the Motion Team” was declared the winner.
A Staff Induction and Orientation Program for new arrivals was initiated with the following objectives: 1)
receive a positive and consistent introduction to SQUH; 2) receive the information and team integration
needed to carry out interactions required, and 3) achieve rapid staff assimilation into the work environment.
A Dysphagia Workshop was conducted on 27 September and attended by 12 nurses.
From 6–8 October, an Emotional Intelligence Course was attended by 5 staff from the Directorate. The course
focused on attitudes and approaches needed to handle situations in a positive manner.
A CBPA Workshop for head nurses was held last November. It aimed to strengthen and enhance the nursing
leaders’ objectivity when assessing their staff through the appropriate utilisation of the tool.
A Nursing Administration Workshop was conducted for Head Nurses on 14 November to guide each head
nurse on the different aspects of ward management.
A Trauma Course was organised by the A& E ATLS certified instructors to refine staff skills and enhance their
knowledge of trauma management.
The High Dependency Training Course ran from July to October. High dependency nurses completed their
training, both theoretical and clinical, in 2 weeks. This is in conjunction with the plans to open high dependency beds on all Paediatric, Medical, Surgical and Obstetrics & Gynaecology wards.
Nursing Services Directorate
A Preceptor Workshop was conducted on 20 October for senior nurses. It aimed to enhance the knowledge of
the head nurses and their deputies on mentoring the nursing students affiliated to the Hospital.
academic and patient care departments
A Clinical Nurses Audit Workshop was held last October 18 until 20th, 2010. Delegates from the Directorate –
Nursing Quality attended to enhance their knowledge of the mechanics of Clinical Audit.
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Annual Report 2009-2010
Nursing Services Directorate
The Directorate of Nursing is continuously engaged in teaching and training both medical and nursing students at the ward and departmental level. Nursing students came from OSNI, Oman Nursing Institute, Muscat Nursing Institute and SQUH College of Nursing.
An E-Learning Tutorial Workshop was held in April in the College of Nursing. Five nurses attended to learn
about this new learning strategy.
Continuing Nursing Education is held monthly with selected nursing topics presented by invited speakers
from the Medical Team.
EXT ER N AL VI SI T S AND T R A INING
The Nursing Team from the Psychiatric Unit visited the Ibn Sina Hospital on 17 August to network with them
and gain a better insight into the management and care of mental health patients in Oman.
SQUH Delegates (DTCPD, Directorate of Nursing and the top management team) visited the University Malaya Medical Centre to explore training opportunities in October.
Five Omani nurses were sent to the California School of Health & Sciences for 3 months training in Emergency Trauma, Genetic Nursing, Emergency and Trauma Care, Paediatric Respiratory Nursing and Gastroenterology Nursing.
C O N F ER EN C ES
On 28 April, a collaborative conference was organised by the SQUH Directorate of Nursing and the College
of Nursing with the theme of “Delivering Quality, Serving Community - Nurses leading Chronic Care” with
participation from nurses all over Oman.
The 1st National Nursing Mental Health Conference was held in October organised by the Behavioural Medicine Department nurses and was attended by 500 nurses from all over Oman.
VISI T O R S
Visitors from St Luke’s Episcopal Hospital (SLEH), Texas, USA, came in April and visited different key areas of
the hospital: the ICU, Catheter Laboratory, A&E and the operating theatres. Positive feedback was received on
the standards of these areas. Cross-training of SQUH staff with SLEH was also discussed.
138
A group of visitors from Hull University, UK, visited the Directorate to discuss potential clinical attachments
for nursing staff.
Nursing Services Directorate
academic and patient care departments
A Patient Flow Management resource person from Adelaide, Australia visited from 5–17 December to advice
on bed utilisation strategies. She also conducted a KPI Workshop for the Head Nurses on 11 December.
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Annual Report 2009-2010
Nutrition & Dietetics
he Department of Nutrition & Dietetics has responsibilities in a range of areas including dietetic counselling to inpatients and
outpatients, administration, health education and promotion through activities related to preventative medicine, and training.
Several clinics are covered in both adults and paediatrics. Adult clinics include diabetic, renal, lipid, obesity and gynaecology,
whereas paediatric clinics include pre-term, haematology, metabolics, neurology, respiratory, general, endocrine and nephrology. The
Department consists of two main divisions: Nutrition & Dietetics and Catering Administration
T
Nutrition is the study of nutrients in food, how nutrients are used by the body, and the relationship between diet, health and disease.
Nutritionists work mostly in food industries, media, health promotions, schools, sports or education. Dieticians, on the other hand,
work mostly in hospitals; however, they can also work in the community as health promoters, educators, as well as in sports or media.
They assess nutritional needs, diet restrictions and current health plans to develop and implement dietary management plans for patients mainly in the Hospital, and educate them on special diets as part of their medical treatment in several areas such as: Diabetes;
Oncology; Renal conditions; Liver conditions; Gastroenterology; Paediatrics; Food Allergies; Obesity, and Nutrition Support.
The purpose of the Catering Administration service is to ensure a supply of safe, nutritious, well presented food and to protect patients from contaminated, decomposed or injurious food. The monitoring also prevents the use of misleading labels. Further moni-
140
Salma Al-Mahrouqi, Dietician
Support Staff
Mohammed R Hameed, Catering Administration
Superintendent
Matar R Al-Ruqaishi, Assistant Catering Superintendent
Ali S Al-Farai, Coordinator
Highlights of the
Year 2009–2010
Staff
Majda Al-Maamary, Deputy Head of Department
Yahya Al-Mukhaini, Chief Dietician
Shadya Al-Harthy, Senior Dietician
A’Shaima Al-Kindi, Dietician
Ayda Al-Nabhani, Dietician
Fatma Al-Hashmi, Dietician
The Department conducted a Product Orientation
programme for doctors and nurses with each dietician giving a talk to their allocated wards to raise
awareness of products available and used in the
Department.
Ms. Shadya Al-Harthy and Ms. AShaima Al-Kindy
compiled and designed a pocket guide for the Nutrition Support booklet for dieticians in October
2009.
This year, food safety improvements were made
nutrition & dietetics
toring activities encourage healthier and safer food
by better standards of quality control in receiving
food products from suppliers, correct storage, food
preparation, cooking and serving food to patients.
From 3–5 May 2010, the Department organised a 3
day course for Department dieticians on Behaviour
Change Skills in Clinical Practice. The course was
delivered by Mrs. Dympna Pearson, a Consultant
Dietician, and Ms. Joanne Jones both from the UK.
academic and patient care departments
One of the main events of 2010 was the return of
the Head of Department Mr. Salah Al-Shukaili in
January 2010 from Australia after successfully
completing his two year M.Sc. course. On 23 March
2010, Mr. Matar Al-Ruquishi obtained a Level 3
Award in Supervising Safety in Catering from the
Charted Institute of Environment Health, UK.
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Annual Report 2009-2010
Nutrition & Dietetics
in the catering Operations: 1) the introduction of an improved patient meal service menu in March 2010;
2) bimonthly replacement of dishwashing chemicals, previously only done monthly; 3) from January 2010,
frequent monitoring of the dosage level of these chemicals was implemented. This is vital otherwise they
can deposit as residue on the crockery; 4) from March 2010, chicken thawing was done inside the thawing
chiller – an important food safety requirement; 5) from May 2010, extra areas were identified for frequent
sanitisation in order to minimise cross-contamination, e.g. chiller doors and the areas of frequent hand contact at all entrance doors to the kitchen, and 6) in June 2010, food safety training was given to all senior food
service staff.
Teaching Programmes
POST G R AD U AT E PR OGR A M M E
From February to April 2010, the Department trained one graduate student from College of Agriculture &
Marine Sciences’ Department of Food Science & Nutrition as part of the accredited course FSHN 4800.
TR AI N I N G C O U R SES & CM E A CT IV IT IE S
A special catering training programme was provided from January to April 2010 for one dietician from Royal
Court Affairs. A total of 11 Infant Feeding four-hour workshops were provided for 5th year medical students
between September 2009 and August 2010. In the Infant Baby Feeding Hospital Initiative (IBFHI), 5 lectures,
food testing panels and demonstrations were provided in the year October 2009 to October 2010.
Clinical & Diagnostic Services
The total number of meal complaints was reduced from over 35 in 2009 to only 6 in 2010. This increase in
customer satisfaction was achieved by: 1) Innovation of colour-coding and continuous monitoring; 2) Disinfection of vegetables and fruits; 3) Checking that the meal production process complies with HACCP and food
safety regulations; 4) Regular auditing of supplier premises to that food is supplied in compliance with food
safety regulations; 5) Continuous monitoring of HACCP records, and 6) Continuous on the job staff training.
142
100%
99%
90%
99%
96.70
95.10%
93.50%
92%
93%
85.40%
80%
78%
70%
60%
50%
40%
30%
20%
10%
0%
1
2
3
4
5
6
7
8
9
Does a diet clerk visit you daily to take your menu selection?
2.
Do you receive all items ticked on the patient menu?
3.
Do you find there is enough variety on the patient menu?
4.
Is your tray clear of all spoilage?
5.
Are your cutlery and crockery clean when delivered?
6.
Is the temperature of your food at a level which you are happy with?
7.
Do you receive enough food?
8.
Have you experienced any problems with the in between meals, beverage service?
9.
Do you always have water and a glass within your reach?
Nutrition & Dietetics
1.
academic and patient care departments
Figure 1: Results of patient satisfaction survey June - July 2010 showing percentage of positive answers to the
questions listed below.:
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Nutrition & Dietetics
Statistics-Patients Counselled 2010
250
200
150
100
50
0
Jan
Feb
Mar
In-Patient (Adults & Paediatrics)
Apr
May
Out-Patients Paediatrics
Jun
Jul
Out-Patients Adults
Aug
Sep
Oct
Nov
Dec
Total Patient for each Month
Research
C O N F ER EN C E & SEM INA R P R E S E NT A T IO NS
Seminar Presentations
National
144
1.
Al-Mukhaini Y. The Function and Roles of the Nutrition and Dietetics Department. 5th Year Nursing student presentation. SQU Hospital, Oman, October 2009.
2.
Al-Harthy S, Al-Kindy A. Introduction to “A Pocket Guide to Nutrition Support”. Dietetic Review Session. Ministry of
Health, Oman, October 2009.
3.
Al-Mukhaini Y. General Dietetic Practice and Principles. The Dietary Management of Chronic Diseases Training
Workshop. Oman Institute of Public Health, Oman, December 2009.
4.
Al-Mukhaini Y. Nutrition and Health. Nutrition and Physical Activity Workshop, Oman, December 2009.
5.
Al-Mukhaini Y. Nutrition Care Process. The Dietary Management of Chronic Diseases Training Workshop. Oman
Institute of Public Health, Oman, December 2009.
6.
Al-Mukhaini Y. Healthy Diet. Participation in national TV programme Kahwat AlSabah, January 2010.
7.
Al-Mukhaini Y. Healthy Diet. Village Health Care III (Nutrition) for the Academic Year 2009-2010. College of Medicine and Health, SQU, 30 January 2010.
8.
Al-Mukhaini Y. Communication. Village Health Care III (Nutrition) for the Academic Year 2009-2010. College of
Medicine and Health, SQU, 30 January 2010.
9.
Al-Mukhaini Y. The Nutritional Management of Diabetes Mellitus. Role of Dietetics on Chronic Diseases Workshop.
Samail Hospital, Oman, 16–17 February 2010.
10. Al-Mukhaini Y. Role of Catering Supervisor in Hospitals. The National Gathering of Nutrition North Sharqiya Region. Ibra, Oman, 23–24 March 2010.
11.
Al-Mukhaini Y. Diet and Disease. Current Challenges in Nutrition Related Health Problems in Oman. SQU, Oman,
March 2010.
12. Hameed RS. HACCP based food safety management system. 1st Clinical Workshop. Department of Hospital Affairs,
Ministry of Health, Oman, 16 June 2010.
13. Al-Shukeili S. Clinical Nutrition. 1st Clinical Workshop. Department of Hospital Affairs, Ministry of Health, Oman, 16
June 2010.
14. Al-Shukeili S. Nutritional Management in Cerebral Palsy. Nutritional Management in Cerebral Palsy Workshop.
Care Centre of Handicapped Children, Muscat, Oman 19 and 28 June 2010.
Nutrition & Dietetics
academic and patient care departments
15. Al-Mahrouqi S. The Effect of Cancer Chemotherapeutic Agents on Nutritional Status. Food and Drug Interaction
Workshop. Ministry of Health, Oman, 14 July 2010.
145
Annual Report 2009-2010
Obstetrics & Gynaecology
he Department of Obstetrics and Gynaecology is one of the major departments involved in teaching undergraduates, postgraduates and other allied professionals. It produces trained leaders in women’s health whether as an academic subspecialty,
community practice or research. We take care of women of all age groups and believe that women are the nucleus of the family, the community and the nation. The goal of the Department is to provide excellent women’s health care through the academic
subspecialties in the Department like uro-gynaecology, infertility, endoscopic surgery, maternal fetal medicine and gynae-oncology.
We value team work, intellectual curiosity, compassion and academic excellence. Our mission is to provide a structured educational
environment in which dedicated teaching is integrated with graduated clinical responsibilities that promote intellectual growth in
the operation room, delivery room, inpatient and outpatient settings. Our undergraduate and postgraduate programmes train the
students to provide comprehensive health care for women by applying an evidence-based approach to clinical management with a
view to providing the best possible care to all our patients.
T
146
Moza Al-Kalbani, Consultant
Asma Al-Ojaili, Senior Registrar
Evelyn Moral, Senior Registrar
Rahma Al-Haddabi, Senior Registrar
Shabnam Saquib, Senior Registrar
Shahila Tazneem, Senior Registrar
Majeda R. Al-Bash, Registrar
Hazel Gonsalves, Registrar
Silja A. Pillai, Registrar
Hana Al-Sayed, Senior House Officer
Sadaf Ayoob, Senior House Officer
Sarya A. Bella, Senior House Officer
Farah Fathih, Senior House Officer
Seema Zulfikar, Senior House Officer
Maya Kumari, Senior House Officer
Musarrat Musarrat, Senior House Officer
Soha Abdel Gadir, Senior House Officer
Zamzam Al-Bimani, Senior House Officer
Staff
Faculty
Lamya Al-Kharusi, Consultant & Deputy Head of
Department
V. Gowri, Assistant Professor
Lovina Machado, Consultant
Mariam Mathew, Consultant
Maha Al-Khaduri, Consultant
Wadha Al-Ghafri, Consultant
Tamima Al-Dughaishi, Consultant
Nihal Al-Riyami, Consultant
Mariam Al-Shukri, Consultant
Sheikha Al-Jabri, Consultant
Highlights of the
Year 2009-2010
The Department continues to develop the new
subspeciality clinics in the Out Patient Department (OPD): Urogynaecology, Oncology, Maternal
Fetal Medicine and Endoscopic Surgery.
In the Department, this year has witnessed an
increase in the complexity of gynaecological surgeries done, especially by continuing advanced
urogynaecological procedures such as tension free
vaginal tapes for the management of stress urinary incontinence and major gynae-oncology op-
obstetrics & Gynaecology
Philomena Sangameshwar, Coordinator
Samson P, Coordinator
academic and patient care departments
Support Staff
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Obstetrics & Gynaecology
erations. In addition, more laproscopic surgeries for benign gynaecology conditions have been carried out. A
Fetal Anomaly clinic with a multidisciplinary approach has been started.
Two important continuing medical education activities were held this year. The first was the International
Symposium: Update on Women’s Health on 31st December 2009. It was organised by Dr. Lamya Al-Kharusi
and Dr. V. Gowri. The invited international speakers were both from the UK: Prof. John Studd Prof. Margaret
Johnston. The second event was also, the Advanced Life Support in Obstetrics course organised by Dr. Moza
Al-Kalbani, Dr. Lamya Al-Kharusi and Dr. Wadha Al-Ghafri under the Oman Medical Specialty Board (OMSB
on 16 and 17 June 2010). This course was very important in training all medical personnel involved with
management of the delivery ward. The aim was to improve the management of obstetric emergencies thus
decreasing morbidity and litigation.
The Department acquired new equipment in this year: three ultrasonography (USG) machines (1 in the Labour and Delivery Ward and two in the OPD). The Multichannel Urodynamic Unit has been restarted after
obtaining new software/machine that is being used in conjunction with the urology department.
In the development of the new curriculum, the Phase II departmental representative/coordinator was Dr.
Mariam Mathew and the Phase III departmental representative Dr. V Gowri
Teaching Programmes
U N D ER G R AD U AT E P R E CL INICA L P R O GR A M M E
In the 4th year, the Department is involved in the clinical methods and communication skills programme. The
clinical methods course in obstetrics and gynaecology involves 3 staff members teaching 2 hours for each of
3 days. The communication skills programme has students weekly spending 2 hours in lectures and 2 hours
in ward exposure for 16 weeks. One lecture is given as an interdisciplinary activity to 5th year students.
U N D ER G R AD U AT E P R E CL INICA L P R O GR A M M E
In 2009 and 2010, 114 and 110 students respectively presented for the MD examination in obstetrics and gynaecology. For 6th year students, we have 4 weeks training in the Department. Each student has to do 2 case
write-ups and present one case. Students are exposed to didactic lectures, outpatient clinic, bedside teaching
and operative procedures in the Obstetrics and Gynaecology department. Students in 7th year spend 7 weeks
on placement: 3 weeks at SQUH, 2 weeks at the Royal Hospital and 2 weeks at Khoula Hospital. They are
exposed to problem solving seminars and ward rounds with consultants. They also rotate to the operating
theatre, outpatient clinic and wards. In the OPD, they are exposed to a wide spectrum of obstetrics and gynaecology patients, attend the high risk pregnancy clinic and are exposed to ultrasound procedures.
148
PO ST G R AD U AT E PR O GR A M M E
The Oman Medical Speciality Board (OMSB) programme started in September 2007; 3 residents are posted at
a time in the Department where they are actively involved in patient care, oncall rota and presentations such
as the Journal Club. Dr. Lamya Al-Kharusi was Chairperson, of the Obstetrics & Gynaecology Scientific Committee, while Dr. Wadha Al-Ghafri was its Programme Director. Active committee members were: Dr. Maha
Al-Khaduri, Dr. Lovina Machado, Dr. Tamima Al-Dughaishi and Dr. Nihal Al-Riyami.
TR AI N I N G C O U R SE S & CM E A CT IV IT IE S
The CME programme consists of the following monthly activities: departmental meeting attended by all
staff, midwives, and OPD nurses as needed; Journal Club; Pathology Rounds, and Fetal Anomaly group meeting (multidisciplinary with NICU, genetics, Paediatric Surgeons). The following weekly activities were organised: resident and intern presentations; a CME session aimed at senior house officers and registrars, and an
inter-departmental meeting between Obstetrics & Gynaecoloy and the Neonatal Intensive Care Unit (NICU).
In the Labour ward from January to December 2010, a total of 5,059 (day cases and admissions) patients were
seen. The total number of deliveries was 3,427 of which 2,630 were normal vaginal deliveries; 472 emergency
cesarean sections; 219 elective cesarean sections, and 106 instrumental deliveries.
We had a total of 3,108 admissions in the Red 2 (mainly postnatal) ward. Of these, 1,937 patients who delivered
were booked via the antenatal clinic and 1,171 (32.2%) were unbooked cases. There were 668 patients who underwent cesarean sections out of 3,108 admissions. Emergency cesarean sections were done on 450 patients
and elective cesarean sections were done on 218 patients.
A total of 2,960 patients were admitted in Yellow 2 ward, mainly with gynaecological problems. Of these,
1,515 were new cases and 1,445 were existing cases and patients with antenatal problems. The total number
of antenatal patients admitted to this ward was 1,297 and 538 with postnatal problems. We had total 1,043
inpatients and 591 outpatients. The total number of patients discharged was 2,051.
Obstetrics & Gynaecology
In the Gynaecology OPD, 17,248 patients were seen in general OPD. There were 9,925 antenatal patients, 5,872
gynaecological patients and 44 postnatal patients. Besides these, the following patients were seen: Infertility Clinic – 1,443; Diabetics Clinic (pregnancy with diabetes) – 531; Uro-Gynaecology Clinic – 230; Colposcopy
Clinic – 44; Intra Uterine Growth Restriction (IUGR) Clinic –88; Fetal-Maternal Clinic – 129; Amniocentesis
Clinic – 152 patients; Recurrent Abortion ¬– 125; Oncology – 18; Adolescents – 5, and Combined Infertility – 118
patients.
academic and patient care departments
Clinical & Diagnostic Services
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Obstetrics & Gynaecology
Research
RE SEAR C H PR O JEC T S
The Relationship between Birth Weight and Shoulder Dystocia at Sultan Qaboos University Hospital.
Project Code:
MREC #347; Dates: 2010
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Maha Al-Khaduri, Dept. Obstetrics & Gynecology, SQU; Dr Yahya Al-Farsi, Dept. Family Medicine & Public Health.
Comparison of Transvaginal Sonography, Saline Infusion Sonohysterography and Hysteroscopy in the
Evaluation of Women with Abnormal Uterine Bleeding
Project Code:
MREC #287; Dates: 2009
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigator:
Dr. Mariam Mathew, Dept. Obstetrics & Gynecology, SQU.
Clinical Patterns and Major Causes of Infertility in Sultan Qaboos University, Oman
Project Code:
MREC #288; Dates: 2009
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigator:
Dr. Vaidyanathan Gowri, Dept. Obstetrics & Gynecology, SQU.
Prevalence of Cesarean Delivery in Pre Eclamptic Patients with Elevated Uric Acid and Correlation of
Blood Urea, Creatinine and Serum Uric Acid
Project Code:
MREC #289; Dates: 2009
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigator:
Dr. Vaidyanathan Gowri, Dept. Obstetrics & Gynecology, SQU.
Aetiology and pattern of recurrent pregnancy loss in women referred to a tertiary care centre in Oman
150
Project Code:
MREC #289; Dates: 2009
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigator:
Dr. Vaidyanathan Gowri, Dept. Obstetrics & Gynecology, SQU.
R ESEAR C H PU B LI CA T IO NS & B O O K S
Journal Publications
1.
Gowri V, Zakwani I Prevalence of cesarean delivery in pre-eclamptic patients with elevated uric acid. Hypertens
Pregnancy 2010; 29:231–5.
2.
Gowri V, Jain R. Congenital skeletal dysplasia. BMJ Case Reports 2009. DOI: 10.1136/bcr.01.2009.1456.
3.
Gowri V, Jain R. Investigating infertility. BMJ 2009; 339:b3390.
4.
Gowri V, Mathew M. Ultra Sound location of misplaced levonorgestrel releasing intrauterine system (LNG-IUS) – is
it easy? Oman Med J 2009: 24:54−5.
5.
Mathew M, Gowri V, Rizvi SG. Saline infusion sonohysterography – An excellent tool for evaluation of the endometrial cavity in women with abnormal uterine bleeding.Acta Obstet Gynecol Scand 2010; 89:140−2.
6.
Gowri V, Rizvi S, Shabnam S, Futaisi A. High sensitivity CRP is a marker of ovarian syndrome per se in obesity and
not of polycystic. Fertil Steril 2010; 94:2832-4.
7.
Gowri V, Jain R, Rizvi R. Magnetic resonance pelvimetry for trial of labour after previous caesarean section. SQU Med
J 2010; 10:210−4.
8.
Gowri V, Venkiteswaran KP, Al Zakwani I, Mathew J, Rahman KA, Al Marhoon M. Comparison of the demographics,
semen parameters and hormone profiles in men with primary and secondary infertility. SQU Med J 2010; 10:350–3.
9.
Al Khaduri M, Shawki O. Adenomyosis diagnosed by hysteroscopoy. J Minim Invasive Gynecol 2009; 16:S53.
Saquib S, Mathew M, Jain R. Torsion of a nongravid uterus with leiomyoma mimicking broad ligament leiomyoma.
Saudi Med J 2009; 30:851−2.
12. Mohan AK, Al-Senavi R, Mathew M, Ganesh A, Al-Mujaini A. Exudative retinal detachment in a case of severe pre
eclampsia. Saudi Med J 2009; 30:302−3.
13. Machado N, Machado L, Laparoscopic cholecystectomy in the third trimester of pregnancy – a report of 3 cases and
review of literature. Journal of Surgery, Laparoscopy, endoscopy, percutaneous technique (SLEPT) 2009; 19:439–41
14. Machado N, Machado L. Sigmoid volvulus complicating pregnancy managed by resection and primary anastamosis. SQU Med J 2009:9:342−6.
15. Al Hashami H, Bataclan MF, Mathew M, Krishnan L. Caudal regression syndrome with partial agencies of corpus
callosum and partial lobar holoprosencephaly: a case report, SQU Med J 2010; 10:89−93.
16. Mathew M, Saquib S, Kumar S, Lokuhetty D, Jain R. Successful management of a case of a gestational trophoblastic
neoplasia in a young women, SQU Med J 2010; 10:297−98.
Obstetrics & Gynaecology
11.
academic and patient care departments
10. Mathew M, Burney I, Al Hamdani A, Rao K. Bilateral breast metastases in a pregnant woman with disseminated
cutaneous melanoma. Indian J Cancer 2009; 46:342−4.
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Obstetrics & Gynaecology
C O N F ER EN C E & SEM INA R P R E S E NT A T IO NS
Conference Presentations
International
1.
Al Kharusi L. Outcome of cystocele repair with and without stress urinary incontinence using a synthetic mesh. 19th
FIGO World Congress in Obstetrics and Gynaecology. Cape Town, South Africa, 4−9 October 2009.
2.
Al Kharusi L. 2nd International Forum on CPD Accreditation. The Royal College of Physicians & Surgeons of Canada
& Royal Australian College of Surgeons. Sydney, Australia. 19−20 March 2010.
3.
Machado L. Extraosseous Ewing’s sarcomaprimitive neuroectodermal tumor of the vagina – case report and review
of literature. 19th FIGO World Congress in Obstetrics & Gynaecology. Cape Town, South Africa, 4−9 October 2009.
4.
Al-Khaduri M, Shawki O. Adenomyosis diagnosed by hysteroscopy. The 38th Global Congress of Minimally Invasive
Gynaecology. Orlando, Florida, USA, 15–19 November 2009.
National
1.
Al Kharusi L. Urogynecology Symposium. Nizwa Hospital Directorate. May 2010.
2.
Al-Khaduri M, Al-Farsi Y. Technicity as a quality indicator of excellence in gynaecology at Sultan Qaboos University
Hospital. Second International Conference of Quality Management in Health Care. Muscat, Oman, 1−3 Feb 2010.
Poster Presentations
International
152
1.
Machado L, Mohan A. Ruptured interstitial ectopic pregnancy following ipsilateral salpingectomy in a spontaneous
conception cycle. The 19th FIGO Congress. Cape Town, South Africa, 4–9 October 2009.
2.
Mathew M. Cornual pregnancy- successful management of a rare case. 19th FIGO World Congress in Obstetrics &
Gynaecology, Cape Town, South Africa, 4–9October 2009.
3.
Mathew M. Necrotic leimyoma postpartum masquerading as an abscess. 19th FIGO World Congress in Obstetrics &
Gynaecology. Cape Town, South Africa, 4–9 October 2009.
4.
Mathew M. Torsion of a non gravid uterus with leiomyoma mimicking as broad ligament leiomyoma – a rare case.
RCOG Conference. Abu Dhabi, UAE, 6–9 Dec 2009.
5.
Mathew M, Mohan A, Al Kalbani A, Al Aamari S. Cornual pregnancy–Successful management of a rare case. 19th
FIGO World Congress on Obstetrics & Gynaecology. Cape Town, South Africa, 4–9 October 2009.
6.
Mathew M, Saquib S, Gowri V, Rao K. Necrotic leiomyoma postpartum masquerading as an abscess. 19th FIGO World
Congress on Ostetrics & Gynaecology. Cape Town, South Africa, 4–9 October 2009.
7.
Saquib S, Mathew M, Jain R. Torsion of a non gravid uterus with leiomyoma mimicking as broad ligament leiomyoma–a rare case.RCOG Conference. Abu Dhabi, UAE, 6–9 December 2009.
8.
Machado L, Saquib S, Shahila S. Co-twin demise at 27 weeks gestation in a monochorionic monoamniotic twins–a
management dilemma. Royal College of Obstetrics & Gynaecologists Conference. Abu Dhabi,7 –9 December 2009.
9.
Elnour I, Moral E, Reyes Z, Bataclan F. Antenatal hydronephrosis in SQUH and its outcome. Urology Paediatrics Conference. New York, USA, August 2010.
National
1.
Al Kharusi L, Gowri V, Al Suketty R, Al Gafri W, Rao K. A rare case of submyomatous cornual pregnancy managed
surgically after failed medical treatment. University Day. Sultan Qaboos University, Muscat, Oman, May 2010.
2.
Moral E, Mathew M, Rao K. Bilateral ovarian dermoid cyst torsion in an adolescent. University Day. Sultan Qaboos
University, Muscat, Oman, May 2010.
3.
Mathew M, Abreo M, Jain R. Advanced endometriosis–A diagnostic dilemma. University Day. Sultan Qaboos University, Muscat, Oman, May 2010.
4.
Mathew M, Saquib S, Kumar S, Lokuhetty D, Jain R. Through the “vine(vein) yard”–Successful management of a case
of gestational trophoblastic neoplasia in a young women.University Day. Sultan Qaboos University, Muscat, Oman,
May 2010.
5.
Machado L, Mohan A. Successful conservative management of ruptured corneal ectopic pregnancy. University Day.
Sultan Qaboos University, Muscat, Oman, May 2010.
6.
Machado L, Shahila S. Endometriosis-an educational poster.University Day, Sultan Qaboos University, Muscat,
Oman, May 2010.
Seminar Presentations
Al- Khaduri M, Al-Farsi Y. Technicity as a quality indicator of excellence in gynaecology at Sultan Qaboos University
Hospital. University Day. Sultan Qaboos University, Muscat, Oman,May 2010.
2.
Abudraz R, Al-Farsi Y, Al-Khaduri M. The relationship between birth weight and shoulder dystocia at Sultan Qaboos
University Hospital.University Day. Sultan Qaboos University, Muscat, Oman, May 2010.
3.
Al-Khaduri M, Daar S. Successful pregnancy following iron chelation and ovulation induction for hypogonadotropic
hypogonadism associated with beta thalassemia major: A case report and literature review.University Day. Sultan
Qaboos University, Muscat, Oman, May 2010.
4.
Al-Khaduri M. Challenges facing research at SQUH. College of Medicine & Health Sciences Research and Postgraduate Studies Retreat. Muscat, Oman, 6 May 2010.
5.
Al-Khaduri M. Cornual Ectopic Pregnancy. ULSTER Obstetrics & Gynaecology Society CME IV. Muscat, Oman, 11
March 2010.
6.
Mathew M, Saquib S, Kumar S, Lokuhetty D, Jain R. Through the Vine(vein)yard. SCRAPS Pathological Clinical Conference. College of Medicine, SQU, Oman, 28 October 2009.
Obstetrics & Gynaecology
1.
academic and patient care departments
National
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Obstetrics & Gynaecology
TH ESI S SU PER VI SI ON
Student Name: Farhat M. Al-Naabi
154
Qualification:
MSc.
Title:
Assessment on Omega 3 fatty acid among postpartum Omani women
Supervisor:
Dr. Lamya Al-Kharusi
Date of Completion:
Ongoing
155
Obstetrics & Gynaecology
academic and patient care departments
Annual Report 2009-2010
Ophthalmology
he Department of Ophthalmology at the Sultan Qaboos University Hospital (SQUH) has long been recognised as a leader in
patient care, research and education in the country. The Department’s staff of doctors, optometrists, orthoptists, and ophthalmic technicians is committed to advancing the treatment and understanding of ocular disorders in Oman. Our subspecialties
are general ophthalmology; cornea and external diseases; uveitis; medical retina; paediatric ophthalmology; ophthalmogenetics, and
vitreoretina surgery The Department is proud to have the first electrophysiology diagnostic clinic unit in the country. As part of an
academic health care system, the Department provides clinical experience for medical students and residents under the auspices of
the Oman Medical Specialty Board (OMSB). The Department conducts a number of CME activities, participates in various conferences
and meetings, and conducts research with ensuing publications.
T
156
Shahab Agha, Registrar
Sitara Azeem, Registrar
Rana Al-Senawi, Senior House Officer
Samia Al-Jabri, Senior House Officer
Beena Harikrisna, Senior House Officer
Tysser A. Basi, Senior House Officer
Dalal Al- Zahra, Senior House Officer
Faculty
Sana Al-Zuhaibi, Senior Consultant
Abdullah Al-Mujaini, Consultant
Anuradha Ganesh, Consultant
Ahmed Al-Hinai, Consultant
Mohammed Al-Abri, Senior Registrar
George Manayath, Senior Registrar
Upender Wali, Senior Registrar
Archana Thakral, Senior Registrar
Nawal Al-Fadhil, Registrar
Buthaina Saad Sabt, Registrar
Carolina Montana, Registrar
Highlights of the
Year 2009-2010
For the second time, the Department was awarded
the first prize in quality management by SQUH in
recognition of it excellent performance. It was also
awarded the prize for the best presentation in the
SCRAPS, College’s Clinico-Pathological Workshop
ophthalmology
Staff
Janet Ogunjumo, Superintendent
Kuan Yok Leng, Assistant Head Nurse
Jessy Jose, Senior Staff Nurse
Mangu Thomas, Staff Nurse
Habiba Al-Belushi, Chief Technician
Bushra Al-Jabri, Optometrist
Sreelatha OK, Optometrist
Edgardo Go, Optometrist
Pascale Cooymans, Orthoptist
Salim Al-Abri, Senior Technician
Raya Al-Mughery, Senior Technician
Sadika Al-Ajmi, Senior Technician
Harith Al-Hasani, Technician
Hanan Al-Harty, Technician
Eman Al-Hasmi, Technician
Iman Al Harthy, Technician
Melinda Manegdeg, Coordinator (Hospital)
Laila Al-Kindi, Coordinator (College)
academic and patient care departments
Support Staff
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Ophthalmology
Series. Finally, Dr. Sana Al-Zuhaibi was awarded a prize on University Day in May 2010 in recognition of her
excellent service for the University.
N EW T EAC H I N G PR OGR A M M E S
In 2009, the teaching programme for the medical students was changed to involve Al-Nahdha Hospital in
the lectures series as well as the end of rotation exams, An objectively structured clinical examination (OSCE)
was introduced for the first time for students in the ophthalmology rotation. The residency programme in
ophthalmology was launched in 2009 under the umbrella of OMSB. A total of four residents were accepted
with two of them rotating at SQUH at a time and three more accepted for the 2010-2011 academic year.
N EW SU B SPEC I ALT IE S
A new Retina Unit has been established headed by Dr. Ahmed Al-Hinai along with Dr. Mohammed Al -Abri
and Dr. George Manayath. The Unit is fully equipped with the latest technology to perform modern retina
surgeries.
N EW SER VI C ES O F F E R E D
A new electroretinography (ERG) clinic was launched this year to provide special ophthalmic care to patients
with special needs. It is the first in the country and is valuable for diagnostics and research, as well as for
boosting the residency training programme.
RE SEAR C H
Work on a Glaucoma project with the postgraduate student, Ms. Rayhana Al- Mujaini is continuing. Members of the Department have published five journal articles this year and made three poster presentations.
Teaching Programmes
U N D ER G R AD U AT E P R E CL INICA L P R O GR A M M E
As in previous years, the Department continued its teaching in the Integrated Lecture Series (ILS) for 5th year
medical students and conducted 3 days of lectures on extra-ocular muscle evaluation and ophthalmoscopy.
Ophthalmology also contributed to the Endocrine ILS with a topic on the diabetic eye for 5th year medical
students.
158
U N D ER G R AD U AT E CL INICA L P R O GR A M M E
The main objective of the course is to introduce students to ophthalmology as a branch of medicine and to
provide them with core information which will allow them to recognise, diagnose and manage common
diseases of the eye and the adnexa. Particular emphasis is laid on awareness of the most frequent blinding
diseases and the largely preventable and curable maladies of the eye such as cataract, glaucoma, trachoma,
diabetic retinopathy, trauma and congenital anomalies.
The Department conducted a 4 week course in ophthalmology for the 6th year medical students. They spent
2 weeks in SQUH and 2 weeks at the Ministry of Health’s Al-Nahdha Hospital. They attended a two hour lecture on basic ophthalmology every morning for the first 2 weeks. These lectures are divided between SQUH
and Al-Nahdha Hospital. In the spring semester, the following 9 lectures were presented under the new
curriculum to cover the most important topics in ophthalmology: Introductory lecture – Anatomy and Physiology; Red Eye; Acute Visual Loss – Primary Narrow Angle Glaucoma (PNAG); Chronic Visual Loss – Primary
Open Angle Glaucoma (POAG); Ocular Trauma; Uveitis and Neuro-ophthalmology; Systemic Diseases of the
Eye; Amblyopia and Strabismus; Optics and Refraction, and Paediatric Ophthalmology.
Students also maintain a logbook of the patients they have seen are given a model case write-up to enable
them to submit case reports for evaluation. After their 2 week rotation in MOH hospitals, they returned to
SQUH for an end of posting examination.
C LI N I C AL AT T AC H M E NT S
Two ophthalmologists came to the Department for clinical attachments: Dr.Haider Al-Tamimi from Nizwa
Hospital and Dr. Nouf Al-Farsi who was also an intern from January 2010.
TR AI N I N G C O U R SE S & CM E A CT IV IT IE S
The Department established two structured teaching course in two subspecialties: 1) Cornea and External
Diseases, composed of 14 lectures covering all aspects of this field based on the American Academy of Ophthalmology (AAO) guidelines. 2) Pediatric Ophthalmology, composed of 16 lectures covering all aspects of this
again based on AAO guidelines. Both of these courses were followed by an examination of 50 A type multiple
choice questions. A third course on Vitreoretina Diseases is currently in preparation. A three day ERG training
course was conducted for staff by an external expert. Internal CME programmes are held two to three times
a week after the Department daily morning meeting. Discussions are held on difficult and interesting cases
seen in the clinics or on current departmental research. A total of 55 CME sessions were conducted during
Ophthalmology
The Department had one Phd. student, Ms Rayhana Al-Mjeni, doing research is on clinical and genetics studies of glaucoma in Oman.
academic and patient care departments
PO ST G R AD U AT E PR O GR A M M E
159
Annual Report 2009-2010
Ophthalmology
2009-2010. A lecture in the College Clinico-Pathological Workshop (SCRAPS) series was given by the Department in October 2010. It was entitled Is it Frozen? and was given in collaboration with the departments of
Radiology & Molecular Imaging and Haematology.
Clinical & Diagnostic Services
There was a total of 414 surgeries in 2010 in the Main Theatre. There was a total of 492 adult and 53 paediatric
inpatients in 2010.
Ophthalmology Outpatient Department 2010
Minor Operating Theatre Procedures
Patients booked
12,741
Minor operation
285
Patients seen
14,861
Blood Extraction
332
Sedation
149
Cannulation
196
Patients admitted
Patients who did not attend
392
2,545
Patients discharged
182
Dilatation
Patients for treatment
830
Other
258
Total
6,979
Laser Procedures
Technical Procedures
Argon
157
Refraction
455
Yag
54
Ultrasound
346
Photodynamic therapy
20
Pachymetry
372
Avastin & Lucentis Injections
71
Visual Field
738
Fundus fluorescein angiography
212
Optical coherence tomography
Diabetic screening
368
Confoscan
22
Contact Lens
26
Orbscan
82
Low Vision Service
5
Microperimetry
238
333
Photo
560
1,246
Total
4,826
Orthoptic
Total
160
5,759
2,021
Main Theatre
Total no. of surgeries
414
Research
R ESEAR C H PR O JEC T S
Clinical and genetic studies of glaucoma in Oman
Project Code:IG/MED/GENT/10/01; Dates: 2010–2012
Value:
OR 13,500; Funder: Sultan Qaboos University
Investigators:
Dr. Nadia Al-Kharousi, Dept. Ophthamology, SQU; Dr. Said Al-Yahyaee, Dept.
Genetics, SQU; Dr. Anuradha Ganesh, Dept. Ophthamology, SQU; Dr. Upender Wali, Dept. Ophthamology, SQU; Ms. Rayhanah Al Mejeni, Dept. Genetics,
SQU.
Correlation of central corneal thickness (CCT) with intraocular pressure (IOP) in Omani children: The
importance of CCT in pediatric aphakic and pseudophakic glaucoma
OR 6,600; Funder: Sultan Qaboos University
Investigators:
Dr. Sana Al Zuhaibi, Dept. Ophthamology, SQU; Dr. Anuradha Ganesh, Dept.
Ophthamology, SQU; Dr. Rana N Senawi, Dept. Ophthamology, SQU; Dr.
Seyed Rizvi, Dept. Family Medicine & Public Health, SQU; Mrs. Raya Al-Mugheiry, Dept. Ophthamology, SQU; Mr. Harith Al-Hasani, Dept. Ophthamology, SQU.
R ESEAR C H PU B LI C A T IO NS & B O O K S
Journal Publications
1.
Cooymas P, Al-Zuhaibi S, Al-Senawi R, Ganesh A. Congenital fibrosis of the extraocular muscles. Oman J Ophthalmol 2010; 3:70−4.
2.
Diab F, Al-Sabah K, Al-Mujaini A. Successful surgical management of optic disc pit maculopathy without internal
membrane peeling. Middle East Afr J Ophthalmol 2010; 17:278−280.
3.
Al-Mujaini A. Towards a structured ophthalmology residency program in Oman. Oman J Ophthalmol 2010: 3:1.
4.
Al-Mujaini A, Wali U, Al-Senawi R. Canaliculitis: Are we missing the diagnosis?Oman J Ophthamol 2009; 2:145−6.
5.
Al-Mujaini A, Al-Senawi R, Al-Duhli H, Dennison D. Abrupt onset of unilateral third nerve palsy secondary to central
Ophthalmology
Value:
academic and patient care departments
Project Code:IG/MED/GENT/10/02; Dates: 2010–2012
161
Annual Report 2009-2010
Ophthalmology
nervous system relapse in acute myeloid leukemia. SQU Med J 2010; 10:297.
6.
Al Kharousi NS, Wali, UK. Culture negative confoscan positive acanthamoeba keratitis. SQU Med J 2009; 9:337–40.
C O N F ER EN C E & SEM INA R P R E S E NT A T IO NS
Conference Presentations
International
1.
Ganesh A, El-Gayar S, Al-Zuhaibi S, Al-Senawi R, Chavarria-Soley G, Al-Mjeni R, Raeburn S, Bialasiewicz AA. Molecular Analysis of the CYP1B1 gene in Omani patients with Primary Congenital Glaucoma: A Pilot Study. 1st World
Congress of Pediatric Ophthalmology and Strabismus. Barcelona, Spain, 12–13 September 2009.
2.
Penetrating orbital foreign body: observe vs. intervene. 1st World Congress on Controversies in Ophthalmology.
Prague, Czech Republic, 4–7 March 2010.
National
1.
Al-Mujaini A. Ptosis in Infancy. International Pediatric Ophthalmology Conference. Salalah, Oman, 21–22 July 2010.
2.
Al-Mujaini A. Congenital Eyelid Anomalies. International Pediatric Ophthalmology Conference. Salalah, Oman,
21–22 July 2010.
3.
Al-Mujaini A. Propranolol for the Treatment of Infantile Facial / Periorbital Hemangioma International Ophthalmic
Conference. Muscat, Oman, 15–18 March 2010.
4.
Al-Mujaini A, Ganesh A, Senawi R.Satisfaction and Perceived Performance Quality of an Electronic Medical Record
System in a Tertiary Hospital in Oman. International Conference of Quality Management in Health Care. Muscat,
Oman, 1–3 February 2010.
Poster presentations
International
1.
Manayath GJ, Al Kharousi N, Narendran V. International graded subthreshold transpupillary thermotherapy for
chronic cnetralk serous retinopathy: A pilot study. .American Academy of Ophthalmology Annual Meeting. San
Fransisco, USA, 2009.
National
162
1.
Al-Senawi R, Al-Jabri B, Al-Yarubi S, Al-Zuhaibi S, Al-Futaisi A, Koul RL, Al-Azri F, Ganesh A. The syndrome of septooptic dysplasia in Omani children. 17th International Child Health Conference. Sultan Qaboos University, Muscat,
Oman, 13−15 October 2009.
2.
Al-Nabhani D, Al-Senawi R, Fazallulah M, Chacko A, Ganesh A. Nephropathic cystinosis: the first in Oman. 17th International Child Health Conference, Sultan Qaboos University, Muscat, Oman, 13−15 October 2009.
3.
Al-Mujaini A, Ganesh A, Senawi R. Satisfaction and Perceived Performance Quality of an Electronic Medical Record
System in a Tertiary Hospital in Oman. University Day. Sultan Qaboos University, Muscat, Oman, 2 May 2010.
Ophthalmology
Al-Mujaini A, Senawi R. Third Nerve Palsy and Central Nervous System Relapse in a Leukemia Patient. International
Ophthalmic Conference. Muscat, Oman, 15-18 March 2010.
academic and patient care departments
4.
163
Annual Report 2009-2010
Oral Health
he Oral Health Department provides dental, oral and maxillofacial services for the University community, hospital inpatients
and referred outpatients. It also acts as a tertiary centre of referrals for oral and maxillofacial surgery and paediatric dentistry.
The Department continues to provide dental services including basic primary dental care, oral hygiene therapy, restorative,
endodontic, as well as comprehensive paediatric dentistry and oral and maxillofacial surgery treatments.
T
The Department is also a member of the trauma team of the Hospital, and is therefore actively involved in the treatment of patients
with facial injuries including the repair of facial bone fractures. In addition, the Department is also heavily involved in the diagnosis
and treatment of a wide range of medically compromised patients including those with haematological malignancies, sickle cell
anaemias and bleeding disorders. The dental services are provided at the Department’s outpatient clinical setting or in the operating
theatre for the inpatients or day care visitors.
164
Madelin Hernandaz, Senior House Officer
Other Staff
Nasriya Al-Harthy, Dental Hygienist/ Therapist
Zahra Al-Ghafri, Dental Hygienist
Judy Mathew, Senior Nurse
Lorena Mendoza, Senior Nurse
Lovely Kuriakose, Senior Nurse
Marcedes Estimada, Senior Nurse
Afrah Abdulbaqi, Dental Surgery Assistant
Sulaiman Al-Maqimi, Dental Surgery Assistant
Mohammed Al-Alawi, Dental Surgery Assistant
Support Staff
Fatma Al-Siyabi, Central Sterile Supplies Technician
Khamis Al-Jabri, Medical Records Clerk
Nadia Al-Ghafri, Coordinator
Deputy Head of Department
Abdulaziz Bakathir, Consultant Oral & Maxillofacial Surgeon
Faculty
Amur Al-Hajri, Consultant
Ali Al-Mullahi, Consultant Paediatric Dentist
Awatif Al-Maskery, Senior Registrar
Sameera Al-Anqoodi, Registrar, Restorative Dentistry
Hana Al-Raisi, Senior House Officer
Rasha Ahmed, Senior House Officer
oral health
Staff
The Department maintained a high standard of
dental care to patients and continued to improve
and expand its services. One of the main events
of 2009 was the return of Zahra Al-Ghafri, Dental
Hygienist, following successfully gaining a B.Sc..
Degree in Dental Hygiene in Jordan. The Department continued to provide a highly specialised
consultancy service, diagnosis and treatment in
the subspecialty of paediatric dentistry, as well
as the existing oral and maxillofacial surgery services. In addition, the Department provided continuous support to the expanding and specialised
medical and surgical units of the University Hospital (SQUH) and continued to play an important role
in the holistic multidisciplinary care of patients at
SQUH.
academic and patient care departments
Highlights of the
Year 2009-2010
165
Annual Report 2009-2010
Oral Health
The Department’s clinical staff were actively involved in national scientific events and dental conferences
conducted by the Oman Dental Society during 2009-2010. Dr. Abdulaziz Bakathir continued to hold the position of Deputy Chairman of the Oman Dental Society. Furthermore, our clinical staff participated in many
dental conferences and workshops conducted in Oman, United Arab Emirates, Turkey, the Philippines and
Switzerland. Dr. Abdulaziz Bakathir and Dr. Ali Al-Mullahi presented scientific papers and poster presentations at international dental conferences in Philippine and Turkey. In addition, Dr. Abdulaziz Bakathir attended the 15th International Sialendoscopy Hands-on Course at the European Sialendoscopy Training Centre,
Geneva, Switzerland, from 2–4 July 2010.
In 2010, Department produced a series of educational leaflets for patients covering a range of dental and oral
surgery conditions. This work was by the Department’s dental hygienist, Zahra Al-Ghafri.
Teaching Programmes
The Oral Health Department continues to provide teaching support to MD degree students at the University
College of Medicine and Health Sciences and the Institute of Health Sciences of the Ministry of Health as follows: 1) Regular teaching seminars during the Oral Health Rotation for 5th year MD students; 2) Examination
of oral cavity in clinical skills laboratory teaching for 4th year MD students; 3) Daily clinical teaching to the
Dental Surgery Assistance (DSA) students during their oral health rotation on room preparation and aseptic
technique for surgical patients and infection control, and 4) Teaching of DSA students at the Institute of
Health Sciences, Ministry of Health.
Clinical & DIagnostic Services
The Oral Health Department continues to provide primary dental treatment as well as specialised comprehensive paediatric dentistry and oral & maxillofacial surgical treatments. The Department has shown an
increase of 5% in the total number of patients attending the Outpatient Clinic Department’s in 2010 compared to of 2009. This rise is a reflection of the increase in the number of referrals for specialised paediatric
and maxillofacial care from various hospital departments as well as from other regional hospitals and local
health centres. The Department has also recorded an increase in the number of inpatients admitted for oral
maxillofacial surgery and dental treatment of complex medically compromised patients especially in the
paediatric group in 2010 compared to 2009. The Department continued to be actively involved in a 24-hour
on-call service in collaboration with the Accident & Emergency Department of SQUH.
166
Research
R ESEAR C H PR O JECT S
Dental health indices in Omani patients with Beta thalassaemia Major
Project Code:
MREC #336; Dates: 2010–11
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Ali Al-Mullahi, Oral Health, SQU, Dr. Abdulaziz Bakathir, Oral Health,
SQU, Dr. Shahina Daar, Dept. Haematology, SQU, Dr. Yasser Wali, Child
Health, SQU, Dr. Salahuldeen Al Bulushi, MOH, Dr Surekha Mevada, Child
Health, SQU.
R ESEAR C H PU B LI CA T IO NS & B O O K S
Bakathir AA. Minor Oral Surgery Procedures in Patients Taking Warfarin : A 5-year retrospective study at Sultan
Qaboos University Hospital, Sultanate of Oman. SQU Med J 2009; 279−86.
2,
Bakathir AA, Moos KF, Ayoub AF, Bagg J. Factors Contributing to the Spread of Odontogenic Infections : A prospective pilot study. SQU Med J 2009; 296−304.
3.
Al Mullahi A, Toumba KJ. Effect of slow-release fluoride devices and casein phosphopeptide/amorphous calcium
phosphate nanocomplexes on enamel remineralization in vitro. Caries Res 2010; 44:364−71.
C O N F ER EN C E & SE M INA R P R E S E NT A T IO NS
Conference Presentations
International
1.
Bakathir A. Minor Oral Surgery Procedures in Patients Taking Warfarin : A 5-year retrospective study at Sultan Qaboos University Hospital, Sultanate of Oman. IVth International Congress on Oral & Maxillofacial Surgery, Turkish
Society of Oral & Maxillofacial Surgery. Antalya, Turkey, 28 May 2010.
PO ST ER PR ESEN T A T IO NS
International
1.
Bakathir A, Margasahayam MV, Al-Ismaily M. Uremic Leontiasis Ossea. IV International Congress on Oral & Maxillofacial Surgery, Turkish Society of Oral & Maxillofacial Surgery, Antalya, Turkey, 26–30 May 2010.
2.
Bakathir A, Al-Hashmi A. Oromandibular Dystonia. IVth International Congress on Oral & Maxillofacial Surgery,
Turkish Society of Oral & Maxillofacial Surgery, Antalya, Turkey, 26–30 May 2010.
3.
Al Mullahi A. Regional odontodysplasia associated with generalized enamel hypomineralization. 7th Biennial Con-
Oral Health
1.
academic and patient care departments
Journal Publications
167
Annual Report 2009-2010
Oral Health
ference of the Pediatric Dentistry Association of Asia. Manila, Philippines 7–9 July 2010.
Seminar Presentations
National
168
1.
Bakathir A. Haematological Disease: Dental Prospective. 2nd Ibri Dental Symposium. Ibri Hospital, Oman, 24 April
2010.
2.
Bakathir A. Dental Management of Patients with Haematological Disorders. Nizwa Hospital, Oman, 14June 2010.
169
Oral Health
academic and patient care departments
Annual Report 2009-2010
Pathology
he Department of Pathology takes part in the B.Sc. Health Sciences, MD, and the B.Sc. Medical Laboratory Sciences teaching
and training programmes. It also participates in the Oman Medical Specialty Board (OMSB) postgraduate medical training programmes in pathology and other medical specialties.
T
In addition to its academic activities, the Department offers specialised diagnostic histo¬pathology, cytology, immuno¬pathology,
enzyme-histochemistry and electron microscopy services for SQU Hospital. It functions as a referral centre for the Ministry of Health,
the Armed Forces Hospital and other hospitals in Oman. The Department runs a central diagnostic and research facility (electron
microscopy) for SQU, SQUH and the local community and is involved in many academic and postgraduate research projects.
The Department is registered and subscribes to international external quality assurance programmes (EQA) in cytopathology, immunohistochemistry, renal pathology and anatomical pathology including a technical module. The postgraduate training programme is
approved for Part I (FRCPath) of the Fellowship of the Royal College of Pathologists examination.
170
Support Staff
Emmanuel Odor, Superintendent
Joseph Ogunfiditimi, Chief Biomedical Scientist
Ishmael Nwabuebo, Chief Biomedical Scientist
Issa Al-Amri, Senior Biomedical Scientist, Electron
Microscopy Unit
Kamla Al-Mawali, Senior Biomedical Scientist, Immunohistochemistry
Usha R. Bai, Senior Biomedical Scientist, Cytopathology
Ahmed Al-Hinai, Mortuary Technician
Edna B. Ranada, Coordinator
Nadeera K. Ammu, Coordinator
Faculty
Aisha Al-Hamdani, Senior Consultant
Anna Saparamadu, Consultant
Dilani Lokuhetty, Consultant
Ibrahim Al-Haddabi, Consultant, Deputy HoD, Clinical Affairs
Dhuha Alwan, Senior House Officer
Maiya Al-Bahri, Senior House Officer
Radiya Al-Ajmi, Senior House Officer
Asmaa Al-Shihi, Senior House Officer
Nasar Al-Wahaibi, Researcher & Lecturer
Prof. Anand Date was elected to the Board of Governors of the American Osler Society, a worldwide
organisation concerned with Medical History, Humanities and Medical Ethics.
pathology
Staff
In this year, the Electron Microscopy Unit acquired
a state of the art 200kV high resolution analytical field emission scanning transmission electron
microscope. This microscope is capable of generating TEM and SEM images, EDS elemental analysis,
EELS elemental analysis and energy filtering, diffraction pattern, electron holography images, and
electron tomography images. In addition, a full set
of sample preparation equipment for Nanomaterials analysis was also required. This high resolution
microscope can generate images at magnifications
of 16,000,000 (TEM) and X90,000,000 (SEM) with
resolution of 0.1 nm.
academic and patient care departments
Highlights of the
Year 2009-2010
171
Annual Report 2009-2010
Pathology
Another highlight during the year was the 3 month visit of Professor Clive Harper, a distinguished neuropathologist and the Head of Department of Neuropathology at the University of Sydney, Australia. During his
time in the Department as visiting Professor, he helped with neuropathology teaching and the reporting of
slides in the hospital.
Visitors who were invited to the Department in 2009–2010 and presented a Dean’s lecture were: Dr. Anshoo
Agarwal, Professor and Chair, Ras Al Khimah Medical College and Health Sciences University, who presented
a lecture on “Epidemic Dropsy” in October 2009; Dr. Mulazim Hussain Bukhari, Associate Professor (Pathology), King Edward Medical University, Lahore, Pakistan, gave a Dean’s lecture on “Molecular Classification of
Breast Cancer and Role of Immunohistochemistry for detection of cell types that predicts response to chemotherapy” in February 2010; Prof Chandu de Silva, Professor and Head of Department, Faculty of Medicine,
University of Colombo, Sri Lanka, presented a lecture on “ Poorly differentiated synovial sarcomas-diagnosis
and prognostic implications” followed by a brief presentation: “My vision for teaching undergraduate Pathology” in March 2010; Prof Ritu Lakhtakia, Professor of Pathology, College of Medicine, King Faisal University,
Saudi Arabi, presented a lecture entitled “The Spirit of Inquiry” in April 2010, and finally Dr. Hassan Kamel,
from Hamad Medical Corporation, Doha Qatar, presented a lecture on “Trends and Challenges in Pathology
Practice: Choices and Necessities” in June 2010.
Teaching Programmes
PR EC LI N I C AL PR O GR A M M E
The Department taught semester 7 and summer courses, including general pathology with some applied
content. This year the department was also involved in the full implementation of the new curriculum: MEDI
2104, Response to Infection and Pathobiology, Cardiovascular System and Respiratory System, and in the old
curriculum, in the Integrated Lecture Series and problem-based learning.
C LI N I C AL PR O G R AM M E
The Department taught in the following courses for the 5th year students in the old curriculum: Integrated
Lecture series: Cardiovascular System, Nervous System, Respiratory System, Endocrinology, Gastrointestinal
Tract System, and Urinary System. It also took part in the rotation and laboratory work for 7th year students.
B.SC . MED I C AL LAB O R A T O R Y S CIE NCE S (M L S ) CO UR S ES
In the B.Sc. Medical Laboratory Sciences (MLS) programme, staff taught in the following courses: Introduction to MLS, Biology of Disease, Applied MDLS, Cellular Pathology I, Cellular Pathology II, Biology of Cancer,
Advanced Instrumentation in Cellular pathology and the Project course.
172
PO ST G R AD U AT E T E A CHING
The Pathology Department is a training centre for the Oman Medical Specialty Board (OMSB) and is an approved centre for the Part I examination of the British Fellowship of the Royal College of Pathologists (FRCPath), UK. There are up to 3 residents posted at any one time for general pathology training. The Department
also offers an elective rotation (4 weeks) for Dermatology, Haematology and Obstetrics and Gynaecology
residents. This provides them with an opportunity to develop an understanding about Dermatopathology
and Gynaecological pathology, respectively. In addition to OMSB residents, there are 3 senior house officers
employed by SQUH. They rotate between surgical pathology and cytopathology and acquire basic training
before they travel abroad for further studies. The training programme for postgraduate residents in Pathology is 5 years. At present, there are eleven OMSB trainees who rotate between the Royal Hospital, Khoula
Hospital, the Armed Forces Hospital and SQUH.
A delegation from the Royal College of Pathologists visited the Department to evaluate the postgraduate
training programme in histopathology and our continuing accreditation by the College. The team was led
by the President of the College, Prof. Peter Furness. The feedback was very positive and we also had an opportunity to discuss placements for our residents in the UK. This is a difficult time because of changes in British
government regulations regarding training programmes for foreign students so the visitors were unable to
make any immediate commitments.
The Department of Pathology offers clinical attachments for laboratory medicine. The technical staff undertook the training of three Omani students from various hospitals and schools who are studying medical
laboratory techniques.
Clinical & Diagnostic Services
The Department maintains a high level of diagnostic services in different subspecialties. It acts as a referral
centre for the Ministry of Health Hospitals, the Royal Oman Police Hospital, the Armed Forces Hospital, Royal
Palace Hospital and clinics, Royal Diwan clinics, and private hospitals within Oman.
The diagnostic services offered include: diagnostic histopathology service, diagnostic cytopathology, diagnostic immunocytochemistry, diagnostic enzyme histochemistry and diagnostic electron microscopy.
Pathology
Clinico-pathological conferences/seminars are held at least once a month in the Department. Under CME
activities, consultant pathologists participated in presentations in the fields of: paediatrics, surgery, haematology and obstetrics and gynaecology. There were six inter-hospital meetings covering diagnostic and renal
pathology. Consultant pathologists provided input for the College in the SCRAPS CME presentations,
academic and patient care departments
TR AI N I N G C O U R SE S & CM E A CT IV IT IE S
173
Annual Report 2009-2010
Pathology
Tests done in 2010 Histopathology Laboratory SQU Hospital
SQUH Requests
SQUH Tests
Other Hospital
Requests
Other Hospital
Tests
Histology
4,882
26,440
332
1,154
Immunopathology
1,020
10,108
337
4,108
Cytology-Gynaecoloy
1,506
1,670
3
3
Cytology-Non-Gynaecology
1.034
4,214
5
40
Electron Microscopy
600
2,081
75
596
74
361-
--
--
9,116
44,874
752
5,901
Teaching
TOTAL
Total No. of tests done 2008-2010
Total No. of Tests Done
55000
45000
35000
47764
37998
25000
15000
5000
0
2008
2009
Year
174
50775
2010
Dr. Ibrahim Al Haddabi, Consultant, who is a lymphoma expert, received cases from different institutions in
Oman for second opinion. Prof. Anand Date received all renal biopsies done in Oman including those from
the SQUH, Ministry of Health Hospitals and some private hospitals.
In 2010 with 50,775 tests and 9,868 requests and tests handled in the Department, there was an increase of
8.5% over the 2009 figures. The overall increase in 2009 compared to 2008 was 24%. The diagnostic service
activities of the Department are evaluated by Departmental internal quality assurance programmes. The
Department is also registered with and subscribes to international external quality assurance programmes
in histopathology, cytopathology and immuocytochemistry. We also subscribe to a technical module.
Research
R ESEAR C H PR O JECT S
MREC #296; Dates: 2009
Value:
OR 250; Project Funder: Sultan Qaboos University
Investigators:
Dr. Menaka D. Lokuhetty, Dept. Pathology, SQU; Prof. Anand Date, Dept. Pathology, SQU.
Pathogenesis of Breast Cancer in Omani Women
Project Code:
MREC #321; Dates: 2009
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Shadia Al-Sinawi, Dept. Pathology, SQU.
Using Paraffin Blocks for Lung Cancer Cases
Project Code:
MREC #341; Dates: 2010
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigator:
Dr. Nasser Al-Wahaibi, Dept. Pathology, SQU
Pathology
Project Code:
academic and patient care departments
Medicinal herb polpala (Aerva lanata) and its effect on the structure of the urinary tract of rat: an ultra
structural analysis
175
Annual Report 2009-2010
Pathology
RE SEAR C H PU B LI C A T IO NS & B O O K S
Journal Publications
176
1.
Bakathir AA, Al Hamdani A. Relapse of acute lymphoblastic leukaemia in the Jaw: A case report. Oral Surg, Oral Med,
Oral Pathol, Oral Radiol, Endodontol 2009; 107:e14–16.
2.
Al Wahaibi N, Mohamed J, Budin SB, Al Hamadani A. The effects of supra-nutritional dose of sodium selenite on
chemically induced hepatocarcinogenesis in male rats. Ann Med Healthcare Res 2009;, Proceedings 2009 International Online Medical Conference, Universal Publisher, ISBN 978-59942-908-3, 2009.
3.
Mathew M, Sheik S, Rao K, Burney I, Sawhney S, Al Hamdani A. Metastatic malignant melanoma during pregnancy
- Case report and review of the literature. SQU Med J 2009; 9:79−83.
4.
Mathew M, Burney I, Al Hamdani A, Rao K. Bilateral breast metastases in a pregnant woman with disseminated
cutaneous melanoma. Indian J Cancer 2009; 46:342−4.
5.
Abdwani R, Abdul Raheem R, Ganesh A, Al Hamdani A. A chronic granulomatous diseases of childhood. Oman Med
J 2009; 24:56−7.
6.
Al Mamari A, Balkhair A, Gujjar A, Ben Abid F, Al Farqani A, Al Hamdani A, Jain R. A case of disseminated tuberculosis
with adrenal insufficiency. SQU Med J 2009; 9:324−7.
7.
Machado N, Chopra, P Al Hamdani A. Papillary carcinoma of the thyroid presenting as cervical lymphadenopathy:
an approach to management. SQU Med J2009: 9:328−32.
8.
Al Wahaibi N, Mohamed J, Al Hamadani A. Supplementation of selenium reduces chemical hepatocarcinogenesis in
male Sprague-Dawley rats. J Trace Elem Med Biol 2010; 24:119−23.
9.
Al Wahaibi N, Mohamed J, Al Hamadani A. Nuclear factor -kappa B as a promising target for selenium chemoprevention in rat hepatocarcinogenesis. J Gastroenterol Hepatol 2010; 25:788−91.
10.
Alwan D, Al Hamdani A. A case of gastric and duodenal strongyloidiasis. SQU Med J 2010; 10:262−5.
11.
Al Wahaibi N, Mohamed J, Budin SB, Al Hamadani A. NF-κB as a promising target for selenium chemoprevention in
rat hepatocarcinogenesis. J Gastroenterol Hepatol 2010; 25:786−91.
12.
Al Wahaibi N, Mohamed J, Budin SB, Al Hamadani A. The effects of supra-nutritional dose of sodium selenite on
chemically induced hepatocarcinogenesis in male rats. Ann Medicine Healthcare Res. Proceedings 2009 International Online Medical Conference, 2009. p. 69–76.
13.
Kadim IT, Mahgoub O, AlMarzooqi W, Khalaf S, AlSinawi S, AlAmri I. Effects of transportation during the host season, breed and electrical stimulation on histochemical and meat quality characteristics of goat longissimus muscle.
Anim Sci J 2010; Epub 2010 DOI: 10.1111/j.1740-0929.2009.00722.x.
14.
Kadim IT, Mahgoub O, AlMarzooqi W, Khalaf S, AlSinawi SSH, AlAmri I. Effects of transportation during the hot season and low voltage electrical stimulation on histochemical and meat quality characteristics of sheep longissimus
muscle. Livest Sci 2009; 126:154–61.
15.
ZM, Melghit KK, AlAmri I, AlKindi MA. Soft chemistry preparation of layered Al0.3V2O5 5H2O. Ceram Int 2010;
36:807–9.
16. Mothershaw AS, Gaffer T, Kadim I, Guizani I, AlAmri I, Mahgoub O, AlBahry S. Quality characteristics of broiler chicken meat on salt at different temperatures. Int J Food Prop 2009; 12:681– 90.
17.
AlBahry SA, Mahmoud I, Elshafie A, AlHarthy A, Sabha A, AlGhafri A, AlAmri I, Al Kindi A. Bacterial flora and antibiotic resistance from eggs of green turtles chelonia mydas: An indication of polluted effluents. Mar Pollut Bull 2009;
58:720–5.
18. AlHarthi A, AlSaadi M, AlOmari I, Sitepu H, Melghit K, AlAmri I, AlHinai AT, Thomas S. Structural analysis and band
gap tailoring of Fe3+-doped Zn–TiO2 nanoparticles. Appl Phys A 2009; 99:237– 44.
19. Kadim IT, Mahgoub O, AlMarzooqi W, Khalaf SK, Mansouri MH, AlSinani SSH, AlAmri I. Effects of electrical stimulation on histochemical muscle fiber staining, quality, and composition of camel and cattle longissimus thoracis
muscles. J Food Sci 2009; 74:S44– 52.
20. Khaled M, AlShukeili OS, AlAmri I. Effect of M-doping (M = Fe, V) on the photocatalytic activity of nanorod rutile TiO2
for Congo red degradation under the sunlight. Ceram Int 2009; 35:433– 9.
21.
Jibril B, AlMaamari RS, AlAmri I. Effects of potassium distributions in carbonizations of bituminous coal. J Anal Appl
Pyrolysis 2009; 85:529–33.
22. Al-Sajee DMA, Al-Hamdani A. A case of gastric and duodenal strongyloidiasis. SQU Med J 2010; 10:262–4.
C O N F ER EN C E & SE M INA R P R E S E NT A T IO NS
Conference Presentations
Al Wahaibi N, Mohamed J, Al Hamadani A. Effects of sodium selenite on chemically induced hepatocarcinogenesis
in male rats. Bengkel Penulisan Sainstific Patologi Dan Anatomi 2009. Negeri Semilan, Malaysia, 2009.
2.
Al Wahaibi N, Mohamed J, Al Hamadani A. Effects of sodium selenite on biochemical profile on chemically induced
hepatocarcinogenesis in male rats Bengkel Penulisan Sainstific Patologi Dan Anatomi 2009. Negeri Semilan, Malaysia, 2009.
3.
Tageldin MH, Al Ismaily SI, AlRawahi AM, Safwat A, AlBusaidi S, AlAmri I, Al Adawi K. Lumpy skin disease of cattle:
An emerging problem in the Sultanate of Oman. European Buiatrics Forum, EBF. Marseilles, France, 1–3 December
2009.
Pathology
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Pharmacology & Clinical Pharmacy
he Department of Pharmacology & Clinical Pharmacy plays an active teaching role in both the College’s old and new curricula
as well as in the College of Nursing’s educational programme. The Department also offers a Master’s degree in Clinical Pharmacy, and contributes to the teaching of other Master’s courses. The Department coordinates the Research Methods and Critical
Analysis of Scientific Information course. In addition, the Department now coordinates the Cellular Communication and Introduction
to Drug Action course in the new curriculum.
T
Research activities embrace different areas of experimental and clinical pharmacology and therapeutics. The areas under investigation encompass: study of genotyping of drug metabolising enzymes in Omanis with emphasis on cancer patients; toxicity and
composition of Omani traditional remedies and plants; cyclooxygenase-2 inhibitors and cardiovascular function; the effect of several
agents on experimental acute and chronic renal failure; the elucidation of cardiovascular and behavioural effects of some medicinal
plants; a study of use/misuse of antibiotics; a study of the knowledge, attitudes, perceptions and use of sheesha (water pipe smoking).
178
Highlights of the
Year 2009-2010
In the old curriculum, the Department continued
to teach in the pre-clinical B.Sc. (Health Sciences)
programme as well as in the MD programme. With
the implementation of the new curriculum in the
College, the Department was given the responsibility to coordinate Cellular Communication and Introduction to Drug Action, and participate in many
system module courses.
Staff
Faculty
Badreldin Ali, Professor
Ragini Vaishnav, Assistant Professor
Mohammed Al-Za’abi, Assistant Professor
Ibrahim Al-Zakwani, Assistant Professor
Khalid Al-Balushi, Assistant Professor
Yousuf Al-Suleimani, Lecturer
Hamoud Al-Salmy, Associate Researcher
Ikhlas Ali Ahmed, Associate Researcher
Support Staff
Mercy Calma, Coordinator
The research output for 2009–2010 consisted of
5 research projects, 11 national and international
poster presentations, and 27 publications in peerreviewed journals. Our associate researchers were
involved in some of these activities and featured as
first and co-authors. The Department also contributed to the world of medical science through its
review and editorial activities in various medical
journals. Staff members were involved in different
research activities and participated in national and
international conferences. The Department serves
in several committees in the College, SQUH and
University and other institutions. Internationally,
the Department has representation on the Execu-
pharmacology & clinical pharmacy
The Department acquired a drying air oven to be
used for preparing samples for drug analysis without decomposition. Several items of equipment
have also been acquired like a bone densitometer,
fluoroscan, and behavioural pharmacology equipment e.g. hot plate and tail flick test.
academic and patient care departments
Mr. Yousuf Al-Suleimani and Ms. Ikhlas Ahmed,
continued their studies at University of Cambridge,
UK, and University of Kentucky, USA, respectively.
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tive Council of the International Union of Basic and Clinical Pharmacology (IUPHAR) Education Section.
The Department, through the Head of Department and Chairman of the Accreditation and Quality Assurance Committee, organised two accreditation meetings, the first was a Knowledge Sharing Exercise held
on 1 April 2010. In May 2010, two consultants from the renowned World Federation for Medical Education
(WFME) gave talks on accreditation procedures and processes in the ‘WFME Standards for Accreditation
Meeting’. These meetings were held to prepare the College for the WFME accreditation process.
Teaching Programmes
PR EC LI N I C AL PR O GR A M M E
The Department contributes to undergraduate teaching in the B.Sc. (Health Sciences), MD and B.Sc. Medical Laboratory Sciences degrees as well as in Phase I of the new curriculum. The Department offers several
courses in the B.Sc. Health Sciences programme and contributes to all system-based courses. The courses
for B.Sc. Health Sciences are: Alimentary System, General Pharmacology, Respiratory System, Cardiovascular
System, Urinary System, Haematopoietic, Lymphoid & Vascular System, Human Nervous System, Endocrine
& Reproductive System and Applied Pharmacology for Medical Students. The courses for B.Sc. MLS are Biology of Disease, Diagnostic Toxicology and Therapeutic Drug Monitoring.
At the preclinical level, the teaching concentrated on mechanisms by which drugs affect various biological
systems and functions, as well as the actions of drugs on pathological processes. In addition, the General
Pharmacology course introduced students to basic pharmacological concepts.
The pharmacology contribution is also designed to teach the students the basic concepts of the mechanism
of action, pharmacological effects and interactions of drugs and to apply this knowledge through case studies. General Pharmacology and Applied Pharmacology for Medical Students (offered in both semesters) are
fully delivered by the Department. The courses are composed of lectures and case-based discussions, the latter presented by the students as a preparation for their clinical years.
The Department continues to contribute to the College of Nursing courses. Basic Pharmacology and Dosage
Calculations and Pharmacology for Nurses are delivered in both semesters.
The Department also delivers the University elective course, Nutrients, Medicines and Narcotics, during the
spring semester.
With the implementation of the new curriculum in the College, the Department was given the responsibility
to coordinate Cellular Communication and Introduction to Drug Action in Phase I. This module introduces
the physiological, biochemical and pathophysiological processes and control of cellular communication. The
180
Department delivers lectures and tutorials for the following courses: Response to Infection and Pathobiology; Respiratory System Module; Cellular Communication and Introduction to Drug Action; HLI Module; Cardiovascular System Module, and the Research Project.
C LI N I C AL PR O G R AM M E
The Department is involved in teaching in the clinical programme. Pharmacology contributed to the Integrated Lecture Series (ILS) with courses on Gastroenterology, Endocrinology, Nephrology, Neurology, and to
clinical rotations in different clinical specialties.
The Department, solely, coordinates the Therapeutics Course which is provided for the 6th year medical students. Most of this teaching was based on the concept of case-based learning. The Department also contributed to the interdisciplinary activities of 5th and 6th year medical students in Medical Ethics and Gerontology.
The Department was given the responsibility of coordinating the Master’s Degree core course, Research
Method and Critical Analysis for Scientific Information. The Master’s student numbers continuously increased so the course had to be offered in both semesters.
The Department is involved in the organisation and curriculum development of the Core Programme of the
Oman Medical Specialty Board (OMSB).
Research
R ESEAR C H PR O JECT S
Renal Hemodynamics in rats with cisplatin-induced nephrotoxicity: Influence of tetramethylpyrazine
pretreatment
Project Code:IG/MED/PHAR/09/02; Dates: 2009–2010
Value:
OR 5,700; Project Funder: Sultan Qaboos University
Investigators:
Prof. Badreldin Ali, Dept. Pharmacology & Clinical Pharmacy, SQU; Dr. Aly
Abdelrahman, Dept. Pharmacology & Clinical Pharmacy, SQU; Mr. Yousuf
academic and patient care departments
The Department plays an active role in the teaching in the Master’s in Biomedical Sciences. The Department
also offers a Master’s degree in Clinical Pharmacy. Major courses delivered by the Department are: Clinical
Pharmacokinetics and Therapeutic Drug Monitoring; Clinical Pharmacy I; Clinical Pharmacy II; Pharmacotherapeutics I and II.
Pharmacology & Clinical Pharmacy
PO ST G R AD U AT E PR O GR A M M E
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Al-Suleimani, Dept. Pharmacology & Clinical Pharmacy, SQU
Fluorouracil-based chemotherapy in Omani patients; a pharmaco-genomic and – kinetic overview
Project Code:
IG/MED/PHAR/09/01; Dates: 2009–2010
Value:
OR 11,000; Project Funder: Sultan Qaboos University
Investigators:
Dr. Mohammed Al-Zaabi, Dept. Pharmacology & Clinical Pharmacy, SQU;
Dr. Mansour Al-Moundhri, Dept. Medicine, SQU; Prof. Musbah Tanira, Dept.
Pharmacology & Clinical Pharmacy, SQU.
Comparative protective effects of N-acetylcysteine, dimethyl sulfoxide and tetramethylpyrazine on the
paracetamol-induced hepatotoxicity in mice
Project Code:
IG/MED/PHAR/10/01; Dates: 2010
Value:
OR 4,700; Project Funder: Sultan Qaboos University
Investigators:
Dr. Mohammed Al-Zaabi, Dept. Pharmacology & Clinical Pharmacy, SQU;
Prof. Badredlin Ali, Dept. of Pharmacology & Clinical Pharmacy, SQU; Dr.
Hamza Babiker, Dept. of Biochemistry, SQU.
Effect of Gum Arabic on an Animal Model Chronic Renal Failure Effect
Project Code:
RC/MED/PHAR/10/01; Dates: 2010–2011
Value:
OR 50,000; Project Funder: The Research Council
Investigators:
Prof. Badreldin Ali, Dept. Pharmacology & Clinical Pharmacy, SQU.
The Effect of Different Classes of Antidepressant drugs on Thiamine status in Rats
182
Project Code:
MREC #330; Dates: 2010
Value:
OR 2,000; Project Funder: Sultan Qaboos University
Investigators:
Prof. Badreldin Ali, Dept. Pharmacology & Clinical Pharmacy, SQU; Dr. Mohammed Al-Zaabi, Dept. Pharmacology & Clinical Pharmacy, SQU; Dr. Samir
Al-Adawi, Dept. Behavioral Medicine, SQU.
R ESEAR C H PU B LI CA T IO NS & B O O K S
Abdelrahman AM, Al Salam S, Al Mahrouqi AS, Al Husseini IS, Mansour M, Ali BH. N-acetylcysteine improves renal
hemodynamics in rats with cisplatin –induced nephrotoxicity. J Appld Toxicol 2010; 30:15−21.
2.
Ahmed IS, Rohe HJ, Twist KE, Craven RJ. Pgrmc1 (progesterone receptor membrane component 1) associates with
epidermal growth factor receptor and regulates erlotinib sensitivity. J Biol Chem 2010; 285:24775–82.
3.
Ahmed IS, Rohe HJ, Twist KE, Mattingly MN, Craven RJ. Progesterone receptor membrane component 1 (Pgrmc1): a
heme-1 domain protein that promotes tumorigenesis and is inhibited by a small molecule. J Pharmacol Exp Ther
2010; 333:564−73.
4.
Al Adawi S, AlZakwani I, Obeid Y, Zaidan Z. Neurocognitive functioning in women presenting with undifferentiated
somatoform disorders in Oman. Psychiatry Clin Neurosci 2010; 64:555−64.
5.
Al Moundhri MS, Al Kindi M, Al Nabhani M, Al Bahrani B, Burney IA, Al Habsi H, Ganguly SS, Tanira M. Combined
polymorphism analysis of glutathione S-transferase M1/G1 and interleukin-1B (IL-1B)/Interleukin 1-receptor antagonist (IL-1RN) and gastric cancer risk in an Omani Arab population. J Clin Gastroenterol 2009; 43:152−6.
6.
Al Suleimani YM, Abdelrahman AM, Al Mahruqi AS, Al Husseini IS, Tageldin MH, Mansour ME, Ali BH. Interaction
of nimesulide, a cyclooxygenase-2 inhibitor, with cisplatin in normotensive and spontaneously hypertensive rats.
Food Chem Toxicol 2010; 48:139−44.
7.
Ali BH, Al Husseini I, Kayed R, AlMasroori N, Al Harthi T, Al Zaabi M, et al. Effect of gum arabic on adenine-induced
chronic renal failure in rats. Exp Biol Med 2010; 235:373−82.
8.
Ali BH. Amelioration of oxaliplatin neurotoxicity by drugs in humans and experimental animals. A mini-review of
recent literature. Basic Clin Pharmacol Toxicol 2010; 106:272−9.
9.
Ali BH, Al Salam S, Al Husseini IS, Nemmar A. Comparative protective effect of N-acetyl cysteine and tetramethylpyrazine in rats with gentamicin nephrotoxicity. J Appld Toxicol 2009; 29:302−7.
10. Ali BH, Ziada A, Blunden G. Biological effects of gum Arabic: a review of some recent research. Food Chem Toxicol
2009; 47:1−8.
11.
Al Mandhari A, Al Adawi S, Al Zakwani I, Al Shafaee M, Eloul L. Relatives’ advice and health care seeking behaviour
in Oman. SQU Med J 2009; 9:261−71.
12. AlZadjali N, AlZakwani I, AlSenawi R, Nemeth J, Al Reesi A, Perry JJ. Predictors of positive chest radiography in non
traumatic chest pain in the Emergency Department. Oman Med J 2009; 241:22−6.
13. Farhan HL, Hassan KS, AlBelushi A, Sallam M, AlZakwani I. Diagnostic value of electrocardiographic T-Wave inversion in Lead aVL in diagnosing coronary artery disease in patients with chronic stable angina. Oman Med J 2010; 25:
124−7.
14. Gowri V, Al Zakwani I. Prevalence of cesarean delivery in pre-eclamptic patients with elevated uric acid. Hypertens
Pregnancy 2010; 29:231−5.
15. Koul R, Al Othmani FI, Alfutaisi A, Al−Abri M, Al Zakwani I. Narcolepsy-cataplexy in children: report of two cases. J
Pharmacology & Clinical Pharmacy
1.
academic and patient care departments
JOURNAL PUBLICATIONS
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Pediatr Neurol 2009; 7:389−91.
16.
Nemmar A, Al Salam S, Zia S, Dhanasekaran S, Shudadevi M, Ali BH. Time-course effects of systemically administered diesel exhaust particles in rats. Toxicol Lett 2010; 194:58−65.
17.
Nemmar A, Al Salam S, Zia S, Yasin J, Al Husseini I, Ali BH. Diesel exhaust particles in the lung aggravate experimental acute renal failure. Toxicol Sci 2010; 113:267−77.
18.
Panduranga P, Sulaiman K, AlLawati J, AlZakwani I. Characteristics, management and in-hospital outcomes of diabetic acute coronary syndrome patients in Oman. Saudi Med J 2010; 31:520−4.
19.
Panduranga P, Sulaiman K, AlZakwani I, Zubaid M, Rashed WA, AlMahmeed W, et al. Utilization and determinants
of in-hospital cardiac catheterization in acute coronary syndrome patients from the Middle East. Angiology 2010;
744−50.
20. Rohe HJ, Ahmed IS, Twist KE, Craven RJ. PGRMC1 (progesterone receptor membrane component 1): a targetable protein with multiple functions in steroid signaling, P450 activation and drug binding. Pharmacol Ther 2009; 121:14−9.
21.
Rollinson G, Hardy AD, Vaishnav R. Lead compounds in traditional eye cosmetics (“kohls”) available in Morocco.
Household Per Care Today 2010; 3:12−15.
22.
Al Adawi S, Ali BH. West is West, East is East: The Divide in Science (Editorial). Saudi Med J 2010; 31:1093−4.
23.
Vaishnav R. Book Review: Pharmacology and Therapeutics Principals to Practice, Waldman and Terzic, Elsevier Publishing. SQU Med J 2010; 10:48−9,
24. Wei M, Hamoud AS, Yamaguchi T, Kakehashi A, Morimura K, Doi K, et al.Potassium bromate enhances N-ethyl-N-hydroxyethylnitrosamine-induced kidney carcinogenesis only at high doses in Wistar rats: indication of the existence
of an enhancement threshold. Toxicol Pathol 2009; 37:983−91.
25.
Vaishnav R. A novel approach to a small group activity in an integrated course. Proceedings of 16th IUPHAR World
Congress of Basic and Clinical Pharmacology, Teaching Section Pre Conference Symposium - Empowering Effective
Teaching Pharmacology for a Safer Tomorrow, IUPHAR 2010; 4.4.13, 30.
26. Al Husseini I, Albarwani S, Ali BH, Tanira MO. The effect of 28 days administration of betaine on blood pressure and
arteriolar contractility in normal and spontaneously hypertensive rats. FASEB J 2010; 24:786.23.
27.
Suleimani YM, Abdelrahman AM, Almahruqi AS, Alhseini IS, Tageldin MH, Mansour ME, Ali BH. Interaction of
nimesulide, a cyclooxygenase-2 inhibitor, with cisplatin in normotensive and spontaneously hypertensive rats.
Food Chem Toxicol. 2009. Epub 25 Sept 2009.
C O N F ER EN C E & SEM INA R P R E S E NT A T IO NS
Conference presentations
International
1.
184
Abdwani R, Hira M, AlNabhani D, AlZakwani I. Juvenile systemic lupus erythematosus in the Sultanate of Oman:
Clinical and Immunological comparison between familial and non-familial cases. 9th Pan-Arab Rheumatology Society Congress & the 2nd Jordanian Rheumatology Congress in collaboration with Mayo Clinic. Amman, Jordan, 20
April 2010.
POSTER PRESENTATIONS
Ali BH, Al Salam S, Al Husseini I, Nemmar A. Comparative protective effect of NAC and tertamethylpyarize in rats
with gentamicin nephrotoxicity. FASEB Meeting. Manheim, California, USA, April 2010.
2.
Ali BH, et al. The effect of adenine-induced chronic renal failure on some behavioral aspects in rats: Influence of Gum
Arabic. IUTOX Congress. Barcelona, Spain, July 2010.
3.
Abdwani R, Hira M, AlNabhani D, Al-Zakwani I. Juvenile systemic lupus erythematosus in the Sultanate of Oman:
Clinical and Immunological comparison between familial and non-familial cases. 9th International Congress on Systemic Lupus Erythematosus. Vancouver, Canada, 24−27 June 2010.
4.
Afzalhussein Y, Zubaid M, AlZakwani I, AlSheikh AA, AlMallah MH, Al Suwaidi J, et al. Validation of the GRACE risk
score for hospital mortality in patients with acute coronary syndrome in the Arab Middle East. World Congress of
Cardiology, World Heart Foundation with 3rd International Conference on Women, Heart Disease and Stroke. Beijing,
China, 16−19 June 2010.
5.
AlHamhami A, AlNabhani H, AlZakwani I, AlAbri M. Validity and reproducibility of Epworth sleepiness scale ESS in
Omani population. 7th Scientific Conference for Medical Students in the GCC Countries. King Abdul Aziz University
(KAU), Jeddah, Saudi Arabia, 13−16 February 2010.
6.
Prashanth P, Sulaiman K, AlZakwani I. Relationship between admitting (non-fasting) blood glucose and in-hospital
mortality stratified by diabetes mellitus among acute coronary syndrome patients in Oman. 15th Annual International Meeting, International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Atlanta, Georgia,
USA, 15−19 May 2010.
7.
Vaishnav R. A novel approach to a small group activity in an integrated course. World Pharma 2010: 16th IUPHAR
World Congress of Basic and Clinical Pharmacology, Teaching Section Symposium. Copenhagen, Denmark, July 2010.
National
1.
Al Za’abi MA, Ali BH, Al-Bahri FA. A new, sensitive and rapid HPLC method for the determination of thiamine and
thiamine diphosphate concentration in whole blood. University Day. Sultan Qaboos University, Oman, 2 May 2010.
2.
AlHusseini I, Albarwani S, Ali BH, Tanira MO. The effect of administration of betaine on blood pressure and arteriolar contractility in normal and spontaneously hypertensive rats. University Day. Sultan Qaboos University, Oman, 2
May 2010.
3.
Ali BH, Ziada A, AlHusseni I, Beegam S. Some motor and behavioral changes in rats with adenine-induced chronic
renal failure: Influence of acacia gum treatment. University Day. Sultan Qaboos University, Oman, 2 May 2010.
4.
Vaishnav R, Al-Naeem W, Al-Omrani F. Evaluation of antibiotic prescribing in upper respiratory tract infections.
University Day, Sultan Qaboos University, Oman, 2 May 2010.
Pharmacology & Clinical Pharmacy
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academic and patient care departments
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TH ESI S SU PER VI SI ON
Samreen Shafiq
Qualification:
M.Sc. Clinical Pharmacy
Title:
Prescribing Pattern and Therapeutic Drug Monitoring of Vancomycin at a
Tertiary Hospital in Oman
Supervisors:
Dr. Mohammed Al-Za’abi, Prof. Badreldin Ali
Date of Completion:
September 2010
Nada O. Al-Rawas
Qualification:
M.Sc. Clinical Pharmacy
Title:
Prescribing Pattern of Antimicrobial Agents for Chemotherapy-Induced Febrile Neutropenia in Patients with Hematological Malignancies at Sultan
Qaboos University Hospital
Supervisors:
Dr. Khalid Al-Balushi, Prof. Badreldin Ali
Date of Completion:
September 2010
Rowaydah H. Ahmed
Qualification:
M.Sc. Clinical Pharmacy
Title:
Utilization Patterns of Antiepileptic Drugs among Adult Epileptic Patients at
Sultan Qaboos University Hospital
Supervisors:
Dr. Mohammed Al-Za’abi, Dr. Ibrahim Al-Zakwani
Date of Completion:
September 2010
Israa N.A. Al-Metwali
186
Qualification:
M.Sc. Clinical Pharmacy
Title:
Gylcemic and Non-glycemic Control in Diabetic Outpatients Receiving Oral
Antidiabetic Drugs at Sultan Qaboos University Hospital
Supervisor:
Dr. Ragini Vaishnav
Date of Completion:
September 2010
Gheith A. Jassim
Qualification:
M.Sc. Clinical Pharmacy
Title:
Omeprazole Prescribing and Its Cost Impact in Outpatient Clinics at Sultan
Qaboos University Hospital: A Retrospective Study
Supervisors:
Dr. Ragini Vaishnav, Dr. Ibrahim Al-Zakwani
Date of Completion:
October 2010
Qualification:
M.Sc. Clinical Pharmacy
Title:
Comparative Effectiveness between Valsartan (plus hydrochlorthiazide) and
Irbesartan (plus hydrochlorthiazide) with Respect to Blood Pressure Control
at Sultan Qaboos University Hospital in Oman
Supervisors:
Dr. Khalid Al-Balushi, Dr. Ibrahim Al-Zakwani
Date of Completion:
On-going (to be completed 2010)
Qualification:
M.Sc. Clinical Pharmacy
Title:
Analysis of pharmacists’ interventions of prescriptions and its impact on
pharmaceutical care provision at Sultan Qaboos University Hospital in
Oman
Supervisors:
Professor Musbah Tanira, Dr. Ibrahim Al-Zakwani
Date of Completion:On-going
academic and patient care departments
Mohsin M. Maqbool
Pharmacology & Clinical Pharmacy
Jannat Q. Al-Lawati
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Pharmacy
he Pharmacy Department at SQU Hospital is considered the centre of excellence within the country in providing general and
specialised pharmaceutical services, and promoting pharmaceutical research and teaching. The Department’s mission is to
dispense the correct, most effective, safe and most economic medication to a properly identified patient at the appropriate time
with sufficient written and verbal patient information and to disseminate appropriate and unbiased drug, poison and disease related
information to patients, medical, pharmacy, nursing and allied health care professionals.
T
The Department is divided into 6 major sections: Pharmacy Administration and Training; Outpatient Pharmacy; Inpatient Clinical
Pharmacy; Manufacturing/Aseptic Preparations; Medicine Information (MI) and the Pharmacy Sub-Store.
The Department is recognised nationally and regionally as a training centre that supports a range of quality programmes. It is responsible for teaching health care providers and students from the colleges of Medicine and Pharmacy and for the provision of in-service
training for pharmacy staff. It also provides individualised work experience placements for graduate pharmacy personnel.
The Department has carried out a number of research projects with the aim of further improving its services and the effectiveness of
certain drug therapies.
188
Mafiana Rose, Pharmacist
Anwar Al-Mahrizi, Pharmacist
Outpatient Pharmacy
Issa Al-Rashdi, Pharmacist
Soud Al-Shabibi, Pharmacist
Janardhanan Neelkantan Nair, Senior Pharmacist
FAMCO, A&E Pharmacy
Nagwa Mohammed, Pharmacist
Maryam Al-Riyami, Assistant Pharmacist
Medicine Information
Intisar Al-Busaidi, Senior Pharmacist
Nibu Nair, Pharmacist
Manufacturing/ Aseptic Preparations
Felicidad Dizon, Pharmacist
Ali Al-Jabri, Assistant Pharmacist
Pharmacy Sub-Store
Staff
Faculty
Amna Al-Hashar, Deputy Head & Training Coordinator, Clinical Pharmacist
Aqeela Taqi, Assistant Head, Clinical Pharmacist
Inpatient Clinical Pharmacy
Badriya Al-Zadjali, Clinical Pharmacist
Dr. Ahmed Abusham, Clinical Pharmacist
Asmahan Al-Barram, Clinical Pharmacist
Maryam Al-Kindi, Pharmacist
Samiya Al-Ajmi, Pharmacist
Amal Al-Rahbi, Pharmacist
Dr. Bruno Louis, Senior Pharmacist
Technical Services
Ahmed Al-Mahruqi, Pharmacist
Coordinators
Mahfoudh Al-Rawahi
Faiza Al-Zadjali
pharmacy
Pharmacy Computer System Management
academic and patient care departments
Khalid Al-Zadjali, Pharmacist
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Pharmacy
Highlights of the Year 2009-2010
PA T I EN T SAT I SF AC T IO N
A survey to assess patient satisfaction rate showed an improvement of 92% as compared to 87% in 2009
and 73% in 2006. A reasonable average waiting time of less than 19 minutes was maintained. Improvement
can be attributed to the introduction of new software that facilitates quick retrieval and dispensing of uncollected prescriptions, a system that has been very well received by the patients.
PHAR MAC I ST S’ I N T E R V E NT IO NS
The main goal for the provision of pharmaceutical care is to promote rational drug therapy that is safe, appropriate, and cost effective for all patients. As a result, pharmacists would recommend changes in drug
therapy or perform certain activities that will eventually lead to the achievement of such a goal. These activities are also called clinical interventions and are part of the day-to-day work of all pharmacists. The total
number of interventions documented by both, outpatient and clinical pharmacists for 2009 was 1,790. There
were about 1,100 interventions documented by clinical pharmacists between January and September 2010.
Every year those interventions are analysed and the results are presented in national and international conferences.
N EW EQ U I PMEN T
A new total parenteral nutrition (TPN) compounder was introduced in the pharmacy sterile preparation services in September 2009. This is a one unit compounder that can mix large and small volume solutions with
a high production capacity. It is noteworthy to mention that Pharmacy prepares an average of 15 TPN bags
per day, mainly to support premature neonates and patients in the ICU.
N EW PR O G R AME F O R UNCO L L E CT E D P R E S CR IP T IO NS
A new programme to locate and retrieve uncollected prescriptions was introduced in the out-patient dispensing section in March 2010. The program was developed and designed by the Hospital Information Services in liaison with Pharmacy staff. It has enabled pharmacists to easily identify and retrieve uncollected
prescriptions and then facilitate their timely dispensing upon patients’ later arrival later.
ACC I D EN T & EMER GE NCY P HA R M A CY
The A&E pharmacy was completely renovated and expanded in June 2010. This major renovation and expansion work provided adequate storage space for all stocked medications and eliminated the risks associated
with uncomfortable seating for staff. This pharmacy is located within the A&E department and functions 24
hours a day to dispense an average of 50 prescriptions from the A&E and day care units per day.
190
D R U G AN D F O O D B O O K L E T
A booklet on drug administration in relation to food has been developed and edited by a number of pharmacy staff and trainees. This booklet is intended to be used by health care providers while prescribing, dispensing, administering and/ or counselling a patient on whether to take a medication before, with or after food.
Information on crushing or chewing tablets and some important remarks are also included. The information
is compiled from several references such as the respective manufacturer’s package inserts, the Micromedex
and others. It is an important and a user friendly source of quick and handy information.
MED I C I N E I N F O R MA T IO N A ND CR IT ICA L A P P R A IS A L
In response to the training needs of pharmacy staff and other health care providers, four courses were organised and delivered in November 2009: Basic Skills in Medicine Information; Critical Appraisal of a Scientific
Paper; Adverse Drug Reactions, and Adverse Drug Events. These courses were attended and well received by
pharmacists, doctors and nurses from SQUH and other hospitals in the country. All courses were accredited
by the Oman Medical Specialty Board (OMSB).
Teaching Programmes
PR EC LI N I C AL PR O G R A M M E
A course on Safe Prescribing was taught for 20 OMSB residents and a Therapeutic Drug Monitoring course
run for 7 M.Sc. Biochemistry students.
TR AI N I N G C O U R SE & CM E A CT IV IT IE S
In this year, courses on the following topics were organised for a total of 192 participants: Medicine Information (Basic Skills); Critical Appraisal; Adverse Drug Reactions; Adverse Drug Events; Pain Management
course: Pharmacotherapy and Pain Management; Chemotherapy course; CSSD course: Chemical Agents and
Antiseptics, as well as weekly continuing professional development sessions. Training has been provided for
students from Oman Medical College, Nizwa University, Dubai School of Pharmacy, Oman Assistant Pharmacist Institute and Higher College of Technology as well as others.
Pharmacy
PO ST G R AD U AT E PR O GR A M M E
academic and patient care departments
During the year, our courses, each attended by twelve 5th year medical students, were held on Prescription
Writing and Asthma Inhaler Devices.
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Annual Report 2009-2010
Pharmacy
Clinical & Diagnostics Services
O U T PAT I EN T PH AR M A CY
Dispensing prescriptions to ambulatory patients is the major activity of this section. This service is offered
at four different locations: the main hospital pharmacy, the Family Medicine & Public Health clinic, the A&E
Pharmacy (which offers a 24 hrs service) and the Student Clinic Pharmacy. At the main Hospital Pharmacy,
one room is dedicated for counselling patients. During 2010, the OPD pharmacies dispensed a total of 168,623
prescriptions, which accounted for 414,306 items [Figure 1].
50000
45000
48908
47469
143152
42054
39491
40000
42551
39298
37998
41414
37639
36688
35446
35000
Rxs
Items
30000
25000
20000
19595
17765
19474
17647
16442
17257
15349
15000
14829
15919
16753
14346
14876
10000
5000
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Figure 1: Total number of prescriptions and items dispensed from different OPD pharmacies in 2010.
IN - PAT I EN T C LI N I C A L P HA R M A CY
Clinical pharmacy is a service provided by qualified clinical pharmacists to promote rational drug therapy
that is safe, appropriate, and cost effective. Clinical pharmacists work in teams with other health care providers to achieve this goal. Reviewing discharge prescriptions by the clinical pharmacists continues to be an
important and major requirement before dispensing of medications to the patients to make sure that the
prescription is appropriate. Clinical pharmacists perform a number of clinical activities and interventions in
their day-to-day work.
Interventions documented from January to December 2009 were analyzed (n = 677). The most common
interventions performed were on drug regimen modification (n = 402; 59%), drug choice (n = 164; 24%) and
drug information issues (n = 54; 8%). Dose change (n = 230; 34%) and frequency change (n = 75; 11%) were the
most frequent interventions performed in the drug regimen change. Toxicity risk was reduced and efficacy
192
was improved in 40% (n = 269) and 33% (n = 224) of the interventions, respectively. Death, major permanent
injury, or organ damage was avoided in 3.25% (n = 22) of the cases while interventions of major significance
were recorded in 25.11% (n = 170) of the interventions.
The data showed that clinical pharmacists play an important role in drug safety and efficacy to optimise
pharmaceutical care as part of the multi-disciplinary team approach in the hospital.
In addition, an audit was carried out over 3 weeks in April 2010 to analyse interventions carried out on discharge prescriptions and find out the reasons for delay of review. A total of 462 (46%) prescriptions were
reviewed. Seventy two prescriptions (15.5%) had interventions. The most common interventions performed
were on drug regimen change (52%), drug choice (38%) and prescribing issues (9%).The most common reasons for delay were: prescriber not responding straight away to the pager (n = 16; 34%) and prescriber taking
a long time to make the change after being contacted by the clinical pharmacist (n = 12, 25.5%). Recommendations were to emphasise the prescribing policy of the hospital: an SHO or above must review and countersign the prescription once it is written by the intern. Moreover, the communication system needs to be
improved and handheld computers linked to the main computing system should be made available to all
health care providers.
Activity
2009
2010
% Difference
TPN Bags
1,484
3,224
+ 117.25 %
Cytotoxic Doses
6,633
9,191
+ 38.56 %
Sterile and nonsterile preparations
1,653
2,735
+ 65.46 %
Repacked Items
298
264
- 11.4 %
MED I C I N E I N F O R MA T IO N S E R V ICE S
Medicine Information Services (MIS) provides unbiased evidence-based and critically evaluated information
about medicines, poisons and diseases in order to improve patient care. The following table shows the number of documented inquiries, adverse drug reaction (ADR) and poisoning reports from 2007 to 2010.
Pharmacy
This section is responsible for the preparation of TPN, chemotherapy preparations and some sterile and nonsterile products. There has been a significant increase in number of preparations this year compared to previous year [Table 1].
academic and patient care departments
MAN U F AC T U R I N G (A S E P T IC P R E P A R A T IO NS )
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Annual Report 2009-2010
Pharmacy
Year/Number
2007
2008
2009
2010
Inquiries
458
743
736
630
ADR Reports
96
270
526
596
Poisoning Reports
30
76
78
114
MIS also provides the essential information base for the Hospital’s Pharmacy & Therapeutics Committee
meetings. Information was provided on more than 26 drugs, which led to the addition of 17 drugs to the formulary. Additionally, the availability of essential drugs and the IV immunoglobulin use in SQUH were presented to the committee.
One issue of the ADR newsletter was published in 2009-2010. Six Pharmacy Journal Club sessions were organised with the participation of 7 pharmacy staff, during which papers selected from more than 50 medical
and pharmaceutical journals were presented.
PHAR MAC Y SU B - ST OR E
The Pharmacy Sub-store is the link between the hospital main stores and the Pharmacy Department. It plays
an important role in ensuring the availability and smooth distribution of general pharmaceuticals, IV fluids,
narcotics and psychotropic drugs to hospital wards and units. It facilitates the control of expiries and helps in
the estimation of quantities of pharmaceuticals to be purchased. The Pharmacy Sub-store aims at ensuring
the availability of all critical items as soon as possible in co-operation with the main store and the procurement department. Thirteen items were not available for >30 days; however; they were made available within
3 months. Pharmacy Sub-store is responsible for the supply of medicines on requisitions for other satellite
pharmacies and different clinics and units in the Hospital.
Requisition statistics in 2009-2010
40000
35532
35000
31253
30000
No. of requisitions
No. of Items
25000
20000
15000
10000
5000
0
1830
1711
2009
2010
YEAR
Figure 2: Number of items and requisitions issued by the Pharmacy Sub-store in 2010
194
Research
The following internal research was carried out by Pharmacy staff in this period: 1) Documentation and Analysis of clinical pharmacists’ interventions in SQUH. 2009–2010 by Abusham A, Al-Rahbi A, Al-Mahrizi A, AlBaram Asmahan, Al-Zadjali B, Loius B, Al-Lawati B, Al Salhi D, Al-Riyami I, Al-Kindy M, Mafiana R, Al-Ajmi S, AlHinai M and Nair N; 2) Analysis of clinical pharmacists’ interventions on discharged patients’ prescriptions
in April 2010 by Al-Shargi N, Al-Kindy M and Al-Zadjali B, and 3) HbA1c level monitoring in diabetes mellitus
patients and patients knowledge from May 2009 – June 2010 by Al-Alawi S and Al-Ajmi S.
R ESEAR C H PU B LI CA T IO NS & B O O K S
Al-Adawi S, Al-Zakwani I, Obeid Y, Zaidan Z. Neurocognitive functioning in women presenting with undifferentiated somatoform disorders in Oman. Psychiatry Clin Neurosci 2010; 64:555–64.
2.
Panduranga P, Sulaiman K, Al-Zakwani I, Zubaid M, Rashed WA, Al-Mahmeed W, et al. Utilization and determinants
of in-hospital cardiac catheterization in acute coronary syndrome patients from the Middle East. Angiology 2010;
61:744–50.
3.
Panduranga P, Sulaiman K, Al-Lawati J, Al-Zakwani I. Characteristics, management and in-hospital outcomes of
diabetic acute coronary syndrome patients in Oman. Saud Med J 2010; 31:520–4.
4.
Gowri V, Al-Zakwani I. Prevalence of cesarean delivery in pre-eclamptic patients with elevated uric acid. Hypertens
Pregnancy 2010; 29:231–5.
C O N F ER EN C E & SE M INA R P R E S E NT A T IO NS
Conference Presentations
National
1.
Al-Rahbi A. Insulin properties and administration. Ibra Hospital Symposium. Ibra, Oman, 4 March 2010.
2.
Taqi A. Pharmaceutical care in haemophilia. Haemophilia Awareness Day, Sohar, Oman, 29 April 2010.
3.
Abusham A. Prevalence and predictors of sub-optimal serum gentamicin levels in sickle cell disease patients utilising the Hartford protocol. 5th Khoula Hospital Pharmacy Symposium. Muscat, Oman 29 April 2010.
4.
Abusham A. Antibiotics: Prescribing considerations. 4th Nizwa Regional Symposium. Nizwa Hospital, Oman 27 May
2010.
5.
Taqi A. Novel Drug Delivery and patient care. Oman Pharmaceutical Conference. Muscat 20–21 October 2010.
Poster Presentations
International
Pharmacy
1.
academic and patient care departments
Journal Publications
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Annual Report 2009-2010
Pharmacy
1.
Al Mahrizi A, Al Rahbi A, Al Riyami I, Ahmed B, Al Ajmi S. Analysis of clinical pharmacists’ interventions in a university teaching hospital in Oman (2009). 39th ESCP European Symposium on Clinical Pharmacy 2010. Lyon, France,
21–23 October 2010.
National
1.
Al-Zadjali B, Al-Baram A, Al-Kindi M, Al-Siyabi K. Analysis of clinical pharmacists interventions in a tertiary care
teaching hospital in Oman. 5th Patient Safety Symposium. Sultan Qaboos University, Muscat, Oman, 1–3 February
2010.
2.
Al-Zadjali B, Al-Ajmi S, Shaik S, Al-Siyabi K. Caution! Look-alike sound-alike medications. 5th Khoula Hospital Pharmacy Symposium, Muscat, Oman 29 April 2010.
3.
Al-Zadjali B, Al-Baram A, Al-Kindi M, Al-Siyabi K. Analysis of clinical pharmacists interventions in a tertiary care
teaching hospital in Oman. 5th Khoula Hospital Pharmacy Symposium. Muscat, Oman 29h April 2010.
4.
Al-Zadjali B, Al-Ajmi S, Shaik S, Al-Siyabi K. Caution! Look-alike sound-alike medications. 5th Patient Safety Symposium. Sultan Qaboos University, Muscat, Oman, 1–3 February 2010.
Seminar Presentations
National
196
1.
Al-Riyami I. Pharmacological management of SCD patients in pediatrics. Sultan Qaboos University Hospital, Physiotherapy Department, March 2010.
2.
Mafiana R. Safe handling of Hazardous Drugs. Awareness presentation to nurses in Child Health. Sultan Qaboos
University Hospital, May 2010.
3.
Mafiana R. To Crush or Not to Crush. Sultan Qaboos University Hospital, Knowledge Forum, June 2010.
4.
Al-Rashdi I. Quality of Dispensing Practice at Outpatient Pharmacy-SQUH. Medical Advisory Committee Meeting,
Sultan Qaboos University Hospital, June 2010.
197
Pharmacy
academic and patient care departments
Annual Report 2009-2010
Physiology
he Department of Physiology has two divisions: Basic Physiology and Clinical Physiology located in the College of Medicine and
the University Hospital (SQUH), respectively. The Department teaches basic and clinical physiology, and also familiarises medical students with various clinical physiological procedures. Physiology teaching is coordinated with other basic science departments in an integrated and multidisciplinary fashion. The curriculum is further fortified by live models as well as simulated basic and
clinical case demonstrations at different levels of medical training. Clinical students are taught hands-on as well as diagnostic skills
of the most common clinical measurements that they are like to encounter after graduation.
T
The Department of Clinical Physiology provides advanced clinical diagnostic services for SQUH and for the whole of Oman. It is the
only Department of its kind in the country where such procedures are carried out under one roof, with fully digital equipment, good
quality assurance and cost effectiveness.
The Department has a major emphasis on cardiovascular research and has strong links with the universities of McMaster and Toronto
in Canada; Oxford, UK; Wisconsin, USA; Graz in Austria and Groningen in the Netherlands as well as with the US National Heart &
Lung Institute and the Southwest Foundation for Biomedical Research, San Antonio, USA. Researchers from the Department interact
regularly with these universities through exchange programmes. Technical and medical staff members receive regular training and
198
Deepali Jaju, Senior Registrar
Amira Al-Kharusi, Clinical Lecturer
Support Staff
Staff
Faculty
Mohammed Hassan, Professor
Sulayma Al-Barwani, Associate Professor
Abdul A. Khan, Assistant Professor
Amal Ziada, Assistant Professor
Khamis Al-Hashmi, Assistant Professor
Sami Al-Rawas, Consultant
Mohammed Al-Abri, Consultant
Hajer Al-Rujeibi, Senior Registrar
Cardiovascular research is the high point of departmental research expertise and activity. It spans
topics from membrane and vascular physiology
to genetics and clinical research. Two strategic research projects on the genetics and epidemiology
of hypertension, and metabolic syndrome and lifestyle interventions are underway. Both projects
receive SQU His Majesty’s Research Trust funds as
well as National Institutes of Health grants.
All the equipment used in this Department is now
digital and therefore the Department is ready to be
linked to other hospitals in Oman for remote investigation and patient management. Apart from the
physiology
are audited to meet international standards.
Highlights of the
Year 2009–2010
academic and patient care departments
Adila Al-Tooqi, Acting Superintendent
Mariam Al-Hooti, Senior Technologist
Susan Al-Nabhani, Senior Technologist
Hajer Ba Omar, Research Assistant
Sultan Al-Siyabi, Research Assistant
Isehaq Hussaini, Biomedical Scientist
Farid Al-Dhuhli, Biomedical Scientist
Jessy George, Coordinator
Iluminada Calupig, Coordinator
In addition, there are 25 technicians (of which 15
are Omanis) in the support staff team working in
the sections of Cardiology, Pulmonology, and Neurophysiology, and in the Sleep Disorders laboratories.
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Annual Report 2009-2010
Physiology
Pulmonary
1200
Neurology
Cardiology
1000
No of patients
800
600
400
200
be
r
m
ce
De
m
ve
be
r
r
be
No
to
Oc
em
be
r
st
pt
gu
ly
Se
Au
Ju
Ju
ne
ay
M
ril
Ap
ch
Fe
b
ar
M
Ja
nu
ar
y
0
Figure 1: Types and number of procedures in the Department of Clinical Physiology in 2010
addition of new diagnostic procedures, the number of existing clinical tests has increased in all specialties,
with some having shown a substantial increase. Medical research has also increased and results from various projects have been published.
Teaching Programmes
U N D ER G R AD U AT E P R E CL INICA L P R O GR A M M E
The Department of Physiology offers one departmental course and makes major contributions to systembased courses in: Early development Tissues and Integuments; Alimentary System; Respiratory System; Cardiovascular System; Urinary System; Nervous System & Special Senses; Endocrine & Reproductive System;
Applied
Medical Sciences. Each of these courses has approximately 140 students. The
Department also teaches the following courses in the Nursing degree programme: Anatomy & Physiology
courses I & II and Pathophysiology for Nursing. The Applied Medical Science course is a problem-based
course shared with the departments of Anatomy and Biochemistry. During the 2009–2010 academic year,
the Department has been involved in the development of the new clinical based curriculum.
This curriculum was implemented in spring 2009 with Introduction to Human Physiology and
Cellular Communication. Subsequently, the Department has taken a lead in the development
and delivery of various systems modules which have been incorporated into the new curriculum.
200
December
Paying
November
Other hospitals
SQUH out patients
October
SQUH in patients
September
August
July
June
May
April
March
Feb
January
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2200
The Department has therefore contributed extensively to the successs of the new curriculum.
Most of the above courses have relevant clinical applications. Case presentations and the appropriate clinical procedures are taught to the students during these courses and elaborated on during the clinical years.
Students are evaluated in their theoretical and practical components as well as in their basic clinical skills.
U N D ER G R AD U AT E CL INICA L P R O GR A M M E
In the clinical program, the Department is heavily involved in the Integrated Lecture Series teaching in the
Cardiovascular System; Alimentary System; Respiratory System; Family and Community Medicine courses
as well as providing Clinical Physiology rotations for 5th and 7th year students of the MD program.
Physiology
Figure 2: Monthly distribution of referrals in the Clinical Physiology Hospital department of CPH in the year
2010
academic and patient care departments
No. of referrals
201
Annual Report 2009-2010
Physiology
6812
6794
3747
5204
6129
6000
8174
10000
8000
2007
2008
2009
2010
9402
10307
12000
1268
1322
1463
1684
4000
0
Cardiology
Neurology
Pulmonary
Figure 3: Comparative analysis of total patients investigated in CPH by section 2007–2010
POST G R AD U AT E T EA CHING
The Department contributes to the core programme of the Oman Medical Specialty Board (OMSB) and to the
preparation of trainees for the Membership of the Royal College of Physiologists (MRCP) and Fellowship of
the Royal College of Surgeons (FRCS) examinations. Clinical Physiology senior house officers spend one year
rotating in two units of Medicine of their choice and one year training in clinical physiology before going
abroad for further training and higher qualifications.
TR AI N I N G C O U R SES & CM E A CT IV IT IE S
Regular in-house training is conducted for newly recruited technicians. As a part of this course, the technicians attend the Anatomy & Physiology course for nursing students. Continuing medical education sessions
are held on a monthly basis. Support staff members are all actively involved in the training, teaching and
research activities of the Department in both College and Hospital programmes.
Clinical & Diagnostic Services
The Department of Clinical Physiology continues to offer its diagnostic services which cover most of the
202
spectrum of Neurophysiology, Cardiology, Pulmonology, Sleep Medicine and other discrete tests. With a fully
functional sleep laboratory, Clinical Physiology (CPH) now also extended its state-of the art services to the
Cardiac Catheterization laboratory and screening of newborns for hearing deficiencies.
The total number of patients attending Clinical Physiology clinics in the 12 months of 2010 was 18,789. This is
6.0% more than last year. The highest number of patients was seen in March followed by May and January.
Cardiology showed the largest number of procedures (10,307), followed by Neurology (6,794) and Pulmonary
Function tests (1,684) [Figure 1]. Other prominent procedures include Non-Invasive Cardiology (5,306), Invasive Cardiology (945), Skin Tests (748), Audiometry and Newborn Screening (2,978), Polysomnography (411)
and Electroencephalogram (EEG) (1,785). Out of the total procedures (18,789) during the year 2010, there were
9,135 outpatients and 6,556 inpatients. A total of 3,007 patients (5.6% more than 2009) were referred from
non-governmental hospitals and private practitioners [Figure 2].
The demand for the increased number of in 2010 was met due to efficient continuation of available services
and management of patient scheduling. The total number of patients investigated in CPH as a whole department has risen from 11,156 in 2007 to 18,789 in 2010 an increase of 68%. There has been a significant and
consistent increase in the number of patients investigated in all sections.
Research
Project Code:IG/MED/PHYS/10/01; Dates: 2010–2011
Value:
OR 16,250; Project Funder: Sultan Qaboos University
Investigators:
Dr. Khamis Al-Hashmi, Dept. Physiology, Dr. Mohammed Al-Abri, Dept.
Clinical Physiology, SQU; Dr. Deepali Jaju, Dept. Clinical Physiology, SQU;
Dr. Omar Al-Rawas, Dept. Medicine, SQU; Prof. Mohammed Hassan, Dept.
Physiology, SQU.
Assessment of the beneficial effect of gum Arabic with or without treadmill exercise in experimentalosteoporosis in rats: Comparison with the standard drug residronate
ProjectCode: IG/MED/PHYS/10/02; Dates: 2010–2011
Value:
OR 19,000; Project Funder: Sultan Qaboos University
Investigators:
Late Dr. Amal Ziada, Dept. of Clinical Physiology, SQU; Prof. Badreldin Ali,
Physiology
The impacts on structural and functional characteristics of blood vessels in dyslipidaemic patients; a
randomized clinical trail comparing Simvastatin alone versus Simvastatin plus Ezetimibe.
academic and patient care departments
R ESEAR C H PR O JECT S
203
Annual Report 2009-2010
Physiology
Dept. of Pharmacology & Clinical Pharmacy, SQU; Dr. Ibrahim Inuwa, Dept.
of Human & Clinical Anatomy, SQU.
Estimation of reference values for arterial stiffness indices in normotensive adult subjects and assessment of lifestyle effect
Project Code:
IG/MED/PHYS/10/03; Dates: 2010–2011
Value:
OR 2,000; Project Funder: Sultan Qaboos University
Investigators:
Prof. Mohammed Hassan, Dept. Physiology, SQU; Dr. Khamis Al-Hashmi,
Dept. of Physiology, SQU.
An investigation into lethal ischaemia / reperfusion injury and anti-apoptotic therapies (caspase inhibitors) in the human myocardium
Project Code:
IG/MED/PHYS/10/04; Dates: 2010–2011
Value:
OR 14,600; Project Funder: Sultan Qaboos University
Investigator:
Dr. Hajar Al-Rajaibi, Dept. Clinical Physiology, SQU
Effect of Hibiscus Sabdariffa on hemodynamics, myocardial structure and male reproduction in normal
and genetically hypertensive rats.
Project Code:
IG/MED/PHYS/09/01; Dates: 2010–2011
Value:
OR 19,000; Project Funder: Sultan Qaboos University
Investigators:
Late Dr. Amal Ziada, Dept. Clinical Physiology, SQU; Prof. Badreldin Ali, Dept.
Pharmacology & Clinical Pharmacy, SQU; Dr. Ibrahim Inuwa, Dept. Human
& Clinical Anatomy, SQU.
Effect of 10 Weeks Lisinopril Administration on EDHF-Mediated Relaxation on Mesenteric Arteries of
Spontaneously Hypertensive Rats
Project Code:
MREC #314; Dates: 2010–2011
Value:
OR 600; Project Funder: Sultan Qaboos University
Investigators:
Dr. Sulayma Al- Barwani, Dept. Physiology, SQU.
RE SEAR C H PU B LI C A T IO NS & B O O K S
JOURNAL PUBLICATIONS
1.
204
Hassan MO, Bayoumi RA, Lopez-Alvarenga JC, Snieder H, Jaju D, Al-Yahyaee S, Al-Hadabi S, Comuzzie AG, Albarwani
S. Heritability of hemodynamic reactivity to laboratory stressors in a homogenous arab population: ‘Oman family
study’. Twin Res Hum Genet 2009; 12:541−8.
2.
Albarwani S, Al-Siyabi, S, Baomar H, Hassan MO. Exercise training attenuates ageing-induced BKCa channel downregulation in rat coronary arteries. Exp Physiol 2010; E-pub 5 2010, doi: 10.1113/expphysiol.2009.051250.
3.
Dikshit MB. Pilot accidents: Case studies of two military aircraft accidents: Possible mechanisms of human failure.
SQU Med J 2010; 10:122–7.
4.
Albarwani S, Al-Hashmi K, Al-Abri M, Jaju D, Hassan MO. Effects of overweight and leisure-time activities on aerobic fitness in urban and rural adolescents. Metab Syndr Relat Disord 2009; 7:369–73.
5.
Parthasarathy H, Alhashmi K, McDonald A, Struthers A, Connell JMC, McInnes GT, et al. Ratio of serum aldosteroneto
to plasma renin activity and antihypertensive efficacy of diuretics in hypertension. Results of the RENALDO study. J
Hypertens 2010; 28:170–7.
C O N F ER EN C E & SE M INA R P R E S E NT A T IO NS
CONFERENCE PRESENTATIONS
Abri M, Al-Hashmi K, Jaju D, Al-Rawas O, Al-Riyami B, Hassan MO. Relationship of apnoea/hypopnoea index with
BMI and age in Omani population. Australian Sleep Meeting Conference. Melbourne, Australia, October 2009.
2.
Hassan MO, Albarwani S, Al-Yahyaee S, Jaju D, Bayoumi RA. Genomewide linkage analysis reveals novel quantitative trail loci of haemodynamics under mental and physical stress in large Arab pedigrees of the “Oman Family
Study”. TWAS (Academy of Sciences for the Developing World) Meeting. Alexandria, Egypt, 21–22 Dec 2009.
3.
Hassan MO, Bayoumi RA, Jaju D, Rizvi SG, Al-Yahyaee SAS, Albarwani SA. Multiparity and High Prevalence of the
metabolic syndrome using the international diabetes federation criteria in Omani Arab women “Oman Family
Study”. 6th International Conference on Functional Foods for Chronic Diseases: Diabetes & Related Diseases. Texas,
USA December 2009.
4.
Hassan MO, Albarwani S, Al-Yahyaee S, Al-Haddabi S, Comuzzie AG, Bayoumi R. Sharing genetic results of large Arab
pedigrees Achievements and challenges. UCLA Center for Society and Genetics. Denver, USA 22–25 2010.
5.
Al-Hashmi K, Jaju D, Al-Lawati Z, Al-Lawati T, Albarwani S, Bayoumi R, Al-Yahyaee S, Hassan MO. Age and genderdependent ambulatory arterial stiffness index in a homogenous population of the “Oman family study”. Abstract,
19th European Meeting on Hypertension. Milan, Italy, June 2009.
Physiology
1.
academic and patient care departments
International
205
Annual Report 2009-2010
Physiology
CONFERENCE POSTERS
International
1.
AlBarwani S, Jaju D, Al-Yahyaee S, Alvarenga JC, Commuzie AG, Bayoumi R, Hassan MO. Mental stress and sleep: A
novel approach to unfold the genetic control of hemodynamics in large Arab pedigrees of Oman Family Study. The
36th International Congress of Physiological Sciences (IUPS 2009). Kyoto, Japan, July 2009.
2.
Al-Hashmi K, Jaju D, Al-Lawati Z, Al-Lawati T, Albarwani S, Bayoumi R, Al-Yahyaee S, Hassan MO. Age and genderdependent ambulatory arterial stiffness index in a homogenous population of the Oman Family Study. The 19th
European Meeting on Hypertension. Milan, Italy, June 2009.
National
1.
206
Jaju DS, Albarwani S, Bayoumi R, Al Yahyee S, Hassan MO. Cardiovascular reactivity to mental and physical stress
in offspring of hypertensive parents from large Omani Arab families: “Oman Family Study”. Research Day. Sultan
Qaboos University, Oman, May 2010.
207
Physiology
academic and patient care departments
Annual Report 2009-2010
Physiotherapy
he Department covers three different disciplines: physiotherapy, occupational therapy, and speech and language therapy.
Physiotherapy views human movement as central to the health and well-being of individuals. Physiotherapists identify and
maximise movement potential through health promotion, preventive healthcare, treatment and rehabilitation. Occupational
therapy helps clients who have orthopaedic, neurological and psychiatric handicaps in their daily living to live a normal life. Surgical
and chronically ill patients can also benefit from it. Speech and language therapy is concerned with improving clients’ communication skills.
T
Physiotherapy Services cover in-patients, outpatients, Accident & Emergency and Day Care patients. They are available seven days
a week in all the hospital wards including cardio-rehabilitation. Treatment modalities include electrotherapy, manual therapy, hydrotherapy, acupuncture, reflexology, neuro-rehabilitation, respiratory, paediatric rehabilitation, cupping, women’s health, (pre- and
postnatal, and female urinary incontinence), sports injury, public health education and splinting. Physiotherapists are involved in
clinical teaching of physiotherapy and medical students.
Occupational Therapy (OT) services include home modifications, adaptive devices, splinting, and help to improve oral motility, cognitive skills and to overcome learning disabilities. Adaptive devices are advised or provided to compensate any disability and improve
208
Speech and Language Therapy services provide assessments, management and treatment for a wide
range of cases related to hearing impairment; cognitive, or other developmental delays; birth defects
such as cleft lip and/or palate; motor planning
problems; dysphagia; traumatic brain injury; neurological problems affecting communication, or
voice disorders. In addition, speech and language
therapists supervise speech and language therapy
students during their training in SQUH. Furthermore, great efforts are made to educate other professionals (e.g., physicians, dieticians and nurses)
about speech and language therapy.
Staff
physiotherapy
their functional ability. OT aims to enable clients to
reach their maximum level of functional independence in all their activities of daily living (ADL) so as
to enable them to become independent members
of society. In paediatrics, problems such as posture
(proper seating), mobility (wheelchair and mobility
devices), activities of daily living (adaptive devices),
deformities (splinting), problems, hyperactivity
and sensory concentration and coordination integration dysfunction and dysphagia (feeding and
eating troubles) are tackled to bring the child’s development to as normal a level as possible. Treatment includes family counselling and home programmes.
Saif Al-Riyami, Deputy Head
Kauther Al-Busaidi, Chief Physiotherapist B
Omar Al-Tamimi, Chief Physiotherapist B
Nasser Al-Hajri, Chief Physiotherapist B
Said Al-Balushi, Senior Physiotherapist
Zuwaina Al-Bahri, Senior Physiotherapist
Ahlaam Al-Mazrui, Senior Physiotherapist
Karthikeyan G. Nair, Senior Physiotherapist
Hilal Al-Rashdi, Senior Physiotherapist
Najma Al-Mahruqi, Senior Physiotherapist
Huda Al-Saadi, Senior Physiotherapist
Moza Al-Amri, Physiotherapist
Sabah Al-Touqi, Physiotherapist
Safiya Al-Hashmi, Physiotherapist
Aisha Al-Talei, Physiotherapist
Madiha Al-Kindi, Physiotherapist
Hasna Al-Rashdy, Physiotherapist
Shaima Al-Saidi, Physiotherapist
academic and patient care departments
Therapists
209
Annual Report 2009-2010
Physiotherapy
Hammad Al- Subhi, Physiotherapist
Mahmoud Al-Hinai, Physiotherapist
Inas I. Ali, Physiotherapist
Halima Al-Mahrooqi, Physiotherapist
Hilal Al-Balushi, Physiotherapist
Basma Al-Araimi, Occupational Therapist
Vasant Naganur, Occupational Therapist
Ibtisam Al-Wardi, Speech & Language Therapist
Fathiya Al-Amri, Speech & Language Therapist
Support Staff
Laureana P. Valderama, Coordinator
Fathiya Al-Akhzami, Receptionist
Hamood Al-Amri, Messenger
Highlights of the Year 2009–2010
The Department was able to provide pre- and post cardio-rehabilitation to both in and outpatients.
The Speech and Language Therapy service was focused on both adults and pediatrics presented with hearing impairments; cognitive, or other developmental delays; motor planning problems; dysphagia; traumatic
brain injury; neurological problems affecting communication or voice disorder both inpatients and outpatients. Caregivers also received training as necessary. A variety of therapeutic techniques are employed, including speech and language stimulation, voice exercises (e.g., LSVT program) and dysphagia management.
In addition, the speech and language therapist supervised newly graduated speech and language therapists
during their training in SQUH. Furthermore, great efforts were made to educate other professionals (e.g. physicians, dieticians and nurses) about the speech and language therapist’s role by providing an introduction to
the profession, making brochures and handouts and organising a workshop on dysphagia.
Occupational therapy services focused mainly on children of different ages with developmental delay, feeding and eating problems, sensory integration issues, seating and mobility, activities of daily living and splinting. The oral motor programme is the most important aspect of treatment with neonates having sucking
difficulty and children who have feeding and eating problems. An introduction to occupational therapy was
provided to medical, nursing, physiotherapy, dieticians, and speech and language therapy students.
The Department provided a physiotherapy service to the Oman Football Association. The Department published a Rehabilitation Newsletter in both April and October. The Department held its annual Rehabilitation
Day in the Oman Women’s Association with the theme Women’s Health Education. Paediatric physiotherapists gave a lecture to schoolgirls to raise awareness on women’s health.
210
Departmental staff attended various national and international conferences, courses and workshops including: the 6th Regional Workshop on Evidence-Based Medicine, SQU; Introduction to Clinical Research and
Health Informatics, SQU; 2nd Physical Medicine Symposium, Crown Plaza Muscat; 2nd International Conference of Quality Management in Health Care, SQU; 17th International Child Health Conference, SQU; Sports
Physiotherapy Symposium Dry Needling and Myofascial Pain, Al Ain, UAE; Cardiac Rehabilitation, USA; Medical Taping, Saudi Arabia; Diagnostic Tools and Management of Adverse Neural Tension with Neurodynamic
Techniques, Saudi Arabia; Evidence-based Practice, Pain Management Course, Australia; Clinical Attachment
for training in CBT of Pain, Australia; Clinical Certificate Course in Neuro-Rehabilitation, Korea; Spinal Pelvis
and Scapular Mobilisation, Italy; Certificate in Spinal Manual Therapy, Sharjah UAE; Moving and Handling
People, UK; Cardiovascular and Pulmonary Physiotherapy Workshop, Institute of Health Sciences, Muscat;
Physiotherapy Preceptorship, Institute of Health Sciences, Muscat, and finally a workshop on Writing Scientific Papers, held at SQU.
Teaching Programmes
PO ST G R AD U AT E PR O GR A M M E
Two Omani physiotherapists had 6 week attachments in the Department and two physiotherapists from the
Royal Court Affairs are on two year attachments with us; one Physiotherapist from India worked as a volunteer for 9 months; and three speech and language therapists had 4 week attachments with us.
TR AI N I N G C O U R SE S & CM E A CT IV IT IE S
On a rotation basis, each therapist conducts in-service lectures and speaks at the journal club. We also invite
visitors, i.e. doctors, nurses and other paramedics, to give lectures. Therapists write articles for the bi-annual
Physiotherapy Newsletter on a rotation basis. Therapists also conduct a weekly lifting and handling lecture
for nurses, paramedics, medical orderlies and other hospital staff.
For its own staff, the Department conducted a one day workshop on Pain Management in December 2009; a
Physiotherapy
The Department is involved in clinical teaching, practical hands-on training, and in supervising of students
and interns from both inside and outside Oman. This ranges from undergraduates in physiotherapy, speech
therapy and occupational therapy to qualified doctors. In 2010, thirty-one students from the Institute of
Health Sciences in Muscat had 1 to 6 week part-time clinical placements, and one student from Australia
one from India had 9 and 12 week placements respectively. Tutorial sessions on an introduction to joint assessment and alternative medicine for 5th year medical students, and on locomotors skills for 4th year medical
students, as well as teaching sessions for trainee dieticians, were also provided.
academic and patient care departments
U N D ER G R AD U AT E CL INICA L P R O GR A M M E
211
Annual Report 2009-2010
Physiotherapy
2 day course on Medical Taping in March 2010; and a 3 day workshop on Comprehensive Breast Cancer Rehabilitation Program in April 2010, Thirteen topics were covered in this workshop including: the development
of a post-operative breast cancer rehabilitation program; effective exercise programmes for postoperative
patients, and sessions on manual lymphatic therapy (MLT) as a treatment technique for oedema. Finally, a
two day course on Psychosocial Intervention Model for Physiotherapists in Musculoskeletal Rehabilitation
was held in July 2010. Nine topics were covered in this course including: bio-psycho-social assessment of
patients at risk of long-term disability, or already disabled by persisting pain; evidence from a cognitivebehavioural program in Malaysia that cultural issues are not a barrier to a self-management approach to
chronic pain; principles of cognitive-behavioural management of patients with persisting pain.
The Department also ran a weekly in-service training session for its own staff as well as other Sultan Qaboos
University Hospital (SQUH) staff including nurses. Examples of the topics covered were: physiotherapy in
H1N1; investigation and management of dysphagia; pharmacological management of pain associated with
sickle cell disease (SCD); safe mobilisation of critically ill patients; the physiotherapy approach in Huntington’s disease (HD); quality of leadership in professional development; Precht’s Method for qualitative movement assessment in preterm, term and young infants, and the importance of play.
Lectures were given in the Training Services Directorate programme on Other Modalities of Pain Management and the Department participated in the Clinical Methods Course and the Interdisciplinary Activity
Week in collaboration with the College of Medicine & Health Sciences.
Clinical & Diagnostics Services
Table 1: Patient statistics for 2010
212
Type of service
No. of Patients
No. of New Patients
Physiotherapy
11,044
4,285
Occupational Therapy
966
308
Speech & Language Therapy
639
221
C O N F ER EN C E & SE M INA R P R E S E NT A T IO NS
POSTER PRESENTATIONS
National
1.
Al-Riyami S, Al-Balushi S. Knee and Ankle Trauma. Sports Physiotherapy Symposium. Nizwa Hospital, Oman, 8 April
2010.
2.
Al-Mahruqi N, Al-Hajry N. Haemophilia and Physiotherapy. Haemophilia Awareness Day. Sohar, Oman, 29 April
2010.
SEMINAR PRESENTATIONS
Al-Riyami S. Common Sports Injury. College of Medicine, SQU, Oman, 15 March 2010
2.
Al-Riyami S, Al-Hajry N. Physiotherapy Workshop. Buraimi, Oman, 12 May 2010.
3.
Al-Riyami S. Back Pain Management (in Arabic). Petroleum Development of Oman Co., 25 May 2010.
4.
Al-Riyami S. Back Pain Management, Petroleum Devel opment of Oman Co., Oman, 1 June 2010.
Physiotherapy
1.
academic and patient care departments
National
213
Annual Report 2009-2010
Radiology & Molecular Imaging
he Department of Radiology offers specialised diagnostic services which include Magnetic Resonance Imaging (MRI), Digital
Subtraction Angiography (DSA), Nuclear Medicine (NM), Computed Tomography (CT), Ultrasound (US) and Medical Physics
(calibration of radiation equipment, research, etc.) as well as routine Radiological Imaging.
T
The Department became fully digitised in May 2002 after installation of a complete PACS (Picture and Archiving Communication System). Radiological examinations can be viewed by all doctors from any computer outlet at SQU Hospital (SQUH) on an internal web
system together with the Radiological Report. MagicWeb is also available to the radiologists from their homes through the internet
when they are on-call. The savings on films and chemicals have been substantial. It has also significantly improved patient management and made comparisons easier. We are now working on improving the database of the MagicWeb so that we can see more studies at a time and faster. We have also purchased a new PACS system, which is just installed and now under trial run.
The clinical services offered by the Department are increasing rapidly with the expansion of the clinical services of SQUH. We are
currently performing 86,500 studies a year in the Radiology/Nuclear Medicine Section alone and the numbers are rising rapidly. This
does not include the services offered by the Medical Physics Section various Departments and Colleges of SQU as well as the community at large. Medical Physics provides thermoluminescent dosimetry Radiation Protection services to many institutions in Oman,
214
nologists to study abroad for university degrees.
The teaching and training of Oman Medical Specialty Board (OMSB) radiology residents started in
2005. So far, we have trained 32 radiology residents
of which 10 are graduating this year as radiology
specialists. In addition, we train about 20 residents
a year from other clinical services who rotate
through the Department. We are actively involved
in the teaching of medical students (4th, 5th, 6th and
7th year in old and new curriculum as detailed below).
Staff
Research, teaching and training, at both undergraduate and postgraduate level, involves all 13 members of faculty, from both college and hospital staff,
who are also involved in the training of radiographers. Radiology technicians are also involved in
the teaching of radiographers from the Institute
of Health Sciences. We have been successful as a
Department in sending our young Omani tech-
Support Staff
Mohammed El-Gindy, Departmental Superintendent
Per Rude, Deputy Superintendent, Chief Radiographer
Bernardo Ramos, Technologist
Salvador De Vera, Technologist – CT
Virginia Ablen, Technologist – MRI
Antonio Velarde, Technologist
radiology & molecular imaging
as well as teaching and checking of radio-activity in
other resources. Nuclear Medicine Services, besides
the Diagnostic Services, also delivers four therapeutic procedures mainly radioiodine therapy for thyroid cancer and hyper-thyroidism.
Faisal Al-Azri, Deputy Head, Consultant
Dilip Sankhla, Senior Consultant
Samir Hussein, Senior Consultant
Sukhpal Sawhney, Senior Consultant
Haddia Bererhi, Senior Consultant
Nader Atari, Associate Professor
Ranjan William, Assistant Professor
Humoud Al-Dhuhli, Consultant
Rashid Al-Sukaiti, Consultant
Anupam Kakaria, Senior Registrar
Sinan Al-Azawi, Senior Registrar
academic and patient care departments
Faculty
215
Annual Report 2009-2010
Radiology & Molecular Imaging
Merlie Vanderlipe, Technologist
Editha San Diego, Technologist – US
Manuel Gaerlan, Technologist
Meda Bersaba, Technologist – NM
Ahmed Abdou, Technologist – NM
Mohammed Al-Abri, Technologist
Abdullah Al-Siyabi, Technologist
Adnan Al-Kharousi, Deputy Superintendent, Technologist
Matheo Dilao, Technologist
Mahmood Al-Abri, Technologist
Faiza Al-Salmi, Technologist – MRI
Umaima Al-Ajmi, Technologist
Aziza Al-Jabri, Technologist – NM
Mohammed Al-Saqri, Technologist – NM
Nabila Al-Hesani, Technologist – US
Ahmed Al-Shuhaimi, Deputy Superintendent, Technologist
Sultan Al-Naamani, Technologist
Hamoud Al-Ghafri, Technologist – CT
Jamal Al-Rubaiey, Technologist
Aida Al-Rahbi, Technologist – US
Rania El-Tigani, Technologist – US
Hanan Yousuf, Technologist
Khitam Al-Hijri, Technologist
Ruqaya Al-Rawahi, Technologist
Lubna Al-Esry, Technologist
Mathew George, Technologist – CT
Kalthoom Al-Shesawi, Technologist
Victor Arulnathan, Technologist
Kuriakose KP, Technologist
Unnikrishnan Nair, Technologist
Wesley S J Asirvatham, Technologist – MRI
Luz Solo-Esguerra, Technologist – US
Joji Mathew, Technologist
Ahmed Al-Anqoodi, Technologist
Faisal Al-Ghusaini, Technologist
216
Shurooq Al-Alawi, Technologist
Lourdes Hernandez, Technologist
Paul Martinez, Technologist
Arthur De Guzman, Technologist
Marievic De Guzman, Technologist
Lovella Parfina, Technologist
Thomas Jefferson,Technologist - MRI
VK Ravichandran,Technologist
Devid Devaraj, Technologist
Moath Al-Jabri, Technologist
Alya Al-Julandani, Technologist
Nawal Al-Kharusi, Technologist
Dalal Al-Shabibi, Technologist
Warda SAl-Lawati, Radiology Nurse
VP Bindu,Radiology Nurse
Kunnappillil Ranipol, Radiology Nurse
Marichu Lorica, Radiology Nurse
Bini Prathapan, Radiology Nurse
Lenny Netto, Radiology Nurse
Sonya Dominic, Radiology Nurse
Aleyamma Lalu, Radiology Nurse
Support Staff
Rhodora Campo, Coordinator
Laddie Lara, Coordinator
Jeraldine Arante, Coordinator
Sharifa M. Al-Tobi, IT & Network Support
Mohammed Al-Farai, Clerk
Khamis Al-Farsi, Clerk
Ahmed Al-Badawi, Clerk
Sultan Al-Busaidi, Medical Orderly
Medical Physics
Afkar Al-Farsi, Associate Researcher
Amaal Al-Rasbi, Biomedical Scientist
Ibtissam Al-Maskery, Biomedical Scientist
Hilal Al-Zeheimi, Biomedical Scientist
Mohammed Al-Subhi, Coordinator
Highlights of the Year 2009–2010
We have continued developing the following nine sections in our Department to serve our patients and clinical staff better, and also develop research in these fields: Neuro-Radiology; Interventional Radiology; Body
Imaging; Emergency & General Radiology; Chest; Paediatrics; Mammography; Nuclear Medicine; Medical
Physics.
Teaching Programmes
U N D ER G R AD U AT E P R E CL INICA L P R O GR A M M E
The Department teaches more than 100 students in the Integrated Lecture Series (ILS) Anatomy Lecture Series in coordination with the Anatomy Department. There is also a Clinical Skills Exam.
The Department teaches about forty 5th year students in the ILS on the following topics: Respiratory System;
Cardiovascular System; Gastro-Intestinal System; Neurology; Infectious Disease, and Uro/Nephrology.
PO ST G R AD U AT E PR O GR A M M E
The Department is involved in the training of 37 OMSB radiology residents.
academic and patient care departments
Approximately 180 students in the 6th Year rotate through the Department in groups of 6 to 7 students per
group every two weeks. In the 7th year there are approximately 30 students and they also receive an Obstetrics & Gynaecology lecture.
Radiology & Molecular Imaging
U N D ER G R AD U AT E CL INICA L P R O GR A M M E
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Annual Report 2009-2010
Radiology & Molecular Imaging
Clinical & Diagnostic Services
Table 1: Radiology Procedures Statistics 2010
Exams
Total
General X-Ray
39,947
Special Procedures
848
Ultrasound
19,072
Computed Tomography Scanning
12,378
Vascular & Intervention
1,020
Nuclear Medicine / Bone Marrow Density
3,654
Magnetic Resonance Imaging Scanning
3,926
Mammography
573
Oral Health
2,150
Lithotripsy
140
Research
RE SEAR C H PR O JEC T S
Safety profile and therapeutic use of back ink from Omani fishes in two experimental models of osteoporosis in rats
218
Project Code:
IG/MED/RADI/09/01; Dates: 2009–2011
Value:
OR 9,000; Project Funder: Sultan Qaboos University
Investigators:
Dr. Haddia Berehi, Dept. Medical Physics, SQU; Prof. Badreldin Ali, Dept.
Pharmacology & Clinical Pharmacy, SQU; Dr Kamran Malik, Dept. Surgery,
SQU; Dr. Khaled Malgat, Dept. Chemistry, SQU; Dr. Aisha Al-Hamadani, Dept.
Pathology, SQU.
Impact of Volume Rendering (VR) of Thin-Section Multi-Detector CT (MDCT) Images in Diagnosis of Acute
Abdomen Pain
Project Code:
MREC #285; Dates: 2009
Value:Unfunded; Project Funder: Sultan Qaboos University
Investigators:
Dr. Rajeev Jain, Dept. Radiology & Molecular Imaging, SQU; Dr. Anupam
Kakaria, Dept. Radiology & Molecular Imaging, SQU; Dr. Sukhpal Sawhney,
Dept. Radiology & Molecular Imaging, SQU
Whole body diffusion weighted magnetic resonance imaging: A biomarker for malignancy and a tool for
assessment of tumour response to therapy
Project Code:
MREC #294; Dates: 2009
Value:
OR 600; Project Funder: Sultan Qaboos University
Investigators:
Dr. Rajeev Jain, Dept. Radiology &Molecular Imaging, SQU; Dr Anupam Kakaria, Dept. Radiology & Molecular Imaging, SQU; Dr Sukhpal Sawhney,
Dept. Radiology & Molecular Imaging, SQU; Dr Ikram Burney, Dept. Medicine, SQU
MREC #343; Dates: 2009
Value:Unfunded; Project Funder: Sultan Qaboos University
Investigators:
Dr. Rashid Al Shukhaiti, Dept. Radiology & Molecular Imaging, SQU
R ESEAR C H PU B LI CA T IO NS & B O O K S
Journal Publications
1.
Lamki L. Editorial: Evaluation Tools in Postgraduate Medical Education: Do we need “Made in Oman” tools? SQU Med
J 2009; 9:219−23.
2.
Lamki L. Editorial: Life loss and disability from traffic accidents: It is imperative we all act now. SQU Med J 2010;
10:1−5.
3.
Lamki L. Editorial: Stress in medical profession and its roots in medical school. SQU Med J 2010; 10:156−9.
4.
Koul RL, Alfuitasi AM, Sankhla DK, Javad H, William RR. Pattern of childhood neuronal migrational disorders in
Oman. Neurosciences 2009; 14: 158−62.
5.
Sankhla D, Hussein S, George J, William R, Al-Azawi S, Al-Qasabi B. Absence of left pulmonary artery - A case report.
SQU Med J 2009; 9:180−3.
academic and patient care departments
Project Code:
Radiology & Molecular Imaging
Image guided drainage of pyogenic spondylodiscitis abscesses: Clinical results
219
Annual Report 2009-2010
Radiology & Molecular Imaging
6.
Machado NO, Chopra PJ, Sankhla D. Portal vein thrombosis post laparoscopic splenectomy presenting with infarction of gut - Review of risk factors, investigations post operative surveillance and management. Surg Laparosc Endosc Percutan Tech 2010; 20:273−7.
7.
El Shafie O, Hussein S, AlHamdani A, Bererhi H, Woodhouse N. Multiple bone metastases in a patient with differentiated thyroid cancer (DTC): Complete resolution following thyroidectomy and four ablation doses of I-131: Case
report. SQU Med J 2010; 10:101−5.
8.
AlTamimi E, AlDhuhli H. Coronary arteries ectasia. SQU Med J 2009; 9:354−6.
9.
AlDhuhli H. Role of magnetic resonance cholangiopancreatography in the evaluation of biliary disease. SQU Med J
2009; 9:341−53.
10.
AlMujaini AS, AlDhuhli HH, Dennison D. Acute unilateral third nerve palsy as an early manifestation of central
nervous system relapse in a patient with acute myeloid leukemia. Saudi MedJ 2009; 30:961−3.
11.
AlMujaini A, Ganesh A, AlZuhaibi S, AlDhuhli H, AlMashani A, AlKindi H, AlMamari A, AlFutaisi A, AlAsmi A. A lymphocytic infundibulo-neurohypophysitis: Anunusual cause of recurrent optic neuropathy in a child. JAAPOS 2009;
13:207−9.
CO N F ER EN C E & SEM INA R P R E S E NT A T IO NS
Conference Presentations
International
1.
Sankhla D. Clinical and imaging spectrum in neuronal migrational disorders in Oman. 9th Asian Oceanic Society of
Pediatric Radiology Congress. Kuala Lumpur, Malaysia, 19−21 November 2009.
2.
Sankhla DK, Reyes Z, Florideza M, Elnour IB, Hussein SS. Postnatal outcome of fetal hydronephrosis in infants born
at Sultan Qaboos University Hospital, Oman. 10th Congress of Asian Oceanic Society of Paediatric Radiology & 9th
Annual Academic Session of Sri Lanka College of Radiologists. Colombo, Sri Lanka, 20−22 August 2010.
3.
Sankhla D. Clinical imaging. 9th Asian Oceanic Society of Pediatric Radiology Congress. Kuala Lumpur, Malaysia,
19−21 November 2009.
4.
Sankhla D. Postnatal outcomes of fetal hydronephrosis in infants born at SQUH.10th Congress of Asian Oceanic Society of Pediatric Radiology. Colombo, Sri Lanka, 20−22 August 2010.
National
1.
Al Dhuhli H. Non invasive imaging of sub-clinical coronary atherosclerosis with MDCT. Symposium on Non-invasive Imaging of Sub-clinical Atherosclerosis. Muscat, Oman, 16 March 2010.
Conference Posters
International
1.
220
Al-Adawi S, Al-Azri F, Hussain S, Dorvlo ASS. Neurocognitive, affective and vegetative functioning in patient presenting with dementia in Oman. 6th International Congress on Vascular Dementia. Barcelona, Spain, 19−22 November 2009.
2.
Sankhla DK, Elnour IB, Hussein SS, Nabhani D, MA Alnaggari. Urinary tract infection and associated urinary tract
anomalies – Our experience at SQU Hospital, Oman. 10th Congress of Asian Oceanic Society of Paediatric Radiology
and 9th Annual Academic Sessions of Sri Lanka College of Radiologists. Colombo, Sri Lanka, 20−22 August 2010.
3.
Elnour IB, Reyes Z, Bataclan MAF, Hussein SS, Sankhla DK. Outcome of prenatal hydronephrosis in infants born at
Sultan Qaboos University Hospital, Oman. 15th International Pediatric Nephrology Congress. New York, USA, 29 August – 2 September 2010.
4.
Elnour IB, Nabhani D, Alnaggari MA, Hussein SS, Sankhla DK. The incidence of renal malformation and scarring in
children with urinary tract infection referred to SQU Hospital, Muscat, Oman. 15th International Pediatric Nephrology Congress. New York, USA, 29 August – 2 September 2010.
Guenedi AA, Al Hussaini AA, Abdel YAO, Hussain S, Al-Azri F. Al-Adawi S. Alteration in brain states or possessed by
the Spirit? Case report from Oman. University Day. Sultan Qaboos University, Muscat, Oman, May 2009.
2.
Sankhla D. Scimitar syndrome. International Pediatrics Conference. Muscat, Oman, October 2009.
3.
Elnour IB, Reyes Z, Bataclan MAF, Hussein SS, Sankhla DK. Outcome of prenatal hyronephrosis in infants born at
Sultan Qaboos University Hospital, Oman. University Day. Sultan Qaboos University, Muscat, Oman, 2 May 2010.
4.
Elnour IB, Nabhani D, El Naggari MA, Hussein SS, Sankhla DK. The incidence of renal malformation and renal scarring in children with u rinary tract infection referred to SQUH. University Day. Sultan Qaboos University, Muscat,
Oman, 2 May 2010.
5.
Mirza H, Hussain S, Al-Adawi S, Al-Asmi A, Al-Azri F, Al-Sharbati M, et al. Jinn in the brain: Evaluation of regional
cerebral blood flow in a patient with cacodemonomania of dissociative type. University Day. Sultan Qaboos University, Muscat, Oman, 2 May 2010.
SEMINAR PRESENTATIONS
National
1.
Lamki L. How to write a manuscript: Perspective of a reviewer and an editor. Paper Writing Workshop. College of
Post Graduate Studies & Research, Sultan Qaboos University, Muscat, Oman, 7 October 2009.
2.
Lamki L. Peer Review. College of Nursing, Sultan Qaboos University, Muscat, Oman, 7 October 2009.
3.
Lamki L. Continuous quality assurance. Quality Improvement Seminar. Royal Hospital, Muscat, Oman, 13 October
2009.
4.
Lamki L. Plagiarism and Recommendation. College of Nursing, Sultan Qaboos University, Muscat, Oman, 14 October
2009.
5.
Lamki L. How to write a manuscript: Perspective of a reviewer and an editor. Paper Writing Workshop. College of
Post Graduate Studies & Research, Sultan Qaboos University, Muscat, Oman, 18 November 2009.
6.
Lamki L. Ethics of publishing a scientific paper. Interdisciplinary Week – Medical Students. Sultan Qaboos University, Muscat, Oman, 7 February 2010.
Radiology & Molecular Imaging
1.
academic and patient care departments
National
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Radiology & Molecular Imaging
222
7.
Lamki L. How to write a manuscript: Perspective of a reviewer and an editor. Paper Writing Workshop. College of
Post Graduate Studies & Research, Sultan Qaboos University, Muscat. Oman, 3 February 2010.
8.
Shukaily M, Hussein S. The role of thyroid scintigraphy with Tc-99m pertechnetate in defining the spectrum of pediatric thyroid disorders in SQUH. Radiology Research Day. Sultan Qaboos University, Muscat, Oman, 13 May 2010.
9.
Hussein S. Coronary Arteries: Evaluation with Nuclear Medicine. Radiology Club Meeting. Oman, 30 December
2009.
10.
Hussein S. Evidence Based Guidelines. The 6th Regional Workshop on Evidence Based Medicine, Introduction to Clinical Research & Health Informatics. Sultan Qaboos University, Muscat, Oman, 9−13 January 2010.
11.
Hussein S. Myocardial perfusion, Cardiology Academic Rounds. Sultan Qaboos University Hospital, Muscat, Oman,
9 March 2010.
12.
Hussein S. Introduction to Evidence Based Medicine. Evidence Based Medicine in ENT. ENT Society CME. Oman, 31
March 2010.
13.
Hussein S. Medline Search. Research Methodology in ENT. ENT Society CME. Oman, 29 April 2010.
14.
Hussein S. PubMed Search. Research Workshop. Sur Hospital, Oman, 20 May 2010.
15.
Hussein S. Introduction to Evidence Based Medicine. Research Workshop. Sur Hospital, Oman, 20 May 2010.
16.
Al Dhuhli H. Imaging of the coronary arteries using MDCT. Radiology Club. Sultan Qaboos University Hospital, Muscat, Oman, 30 December 2009.
17.
Sukaiti R. Catheter-Directed Thrombolysis. Hematology Club Meeting. Al-Sawadi Beach Hotel, Oman, 14 January
2010.
18.
Sukaiti R. Clinical application of angiographic study. Institute of Health Sciences, Muscat, Oman, 20 February 2010.
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Radiology & Molecular Imaging
academic and patient care departments
Annual Report 2009-2010
Surgery
he Department’s mission is to teach and train students and doctors, conduct research, and provide specialised clinical services
and patient care.
T
224
Hani Al-Qadhi, Consultant, Deputy HOD for Clinical
Affairs (Trauma)
Nayil Al-Kindy, Senior Consultant (General)
Norman Machado, Senior Consultant (General)
John Mathew, Senior Consultant (ENT)
Rashid Al-Abri, Senior Consultant (ENT)
Krishna Prasad, Senior Consultant (Urology)
Qassim Al-Busaidi, Senior Consultant (Urology)
Ashok Sharma, Senior Consultant (Cardiothoracic)
Rajeeva Pieris, Senior Consultant (Cardiothoracic)
Sultan Al-Maskari, Senior Consultant (Orthopaedic)
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Faculty
academic and patient care departments
Staff
Prakash Mandhan, Senior Consultant (Paediatric)
Rajeev Kariyattil, Senior Consultant (Neurosurgery)
Unnikrishnan M, Senior Consultant (Neurosurgery)
Adil Al-Ajmi, Consultant (General)
Pradeep Chopra, Consultant (General)
Sreedharan VK, Consultant (General)
Mohamed Al-Hashmi, Consultant (Endocrine)
Khalifa Al-Wahaibi, Consultant (Vascular)
Abdullah Al-Harthy, Consultant (Trauma)
Deepa Bhargava, Consultant (ENT)
Joseph Mathew, Consultant (Urology)
Hilal Al-Sabti, Consultant (Cardiothoracic)
Zainab Al-Balushi, Consultant (Paediatric)
Kamran Malik, Senior Registrar, (General)
Muhammad Baloch, Senior Registrar (General)
Naveed Khatib, Senior Registrar, (General)
Syed M. Ali, Senior Registrar (General)
Anjali Abraham, Senior Registrar (ENT)
Mohammed Okbi, Senior Registrar (ENT)
Yahya Al-Badaai, Acting Senior Registrar (ENT)
Khalid Rahman, Senior Registrar (Urology)
Mohammed Al-Marhoon, Senior Registrar (Urology)
Mirdavron Mukaddirov, Senior Registrar (Cardiothoracic)
Mohammed S. Siddiqi, Senior Registrar (Cardiothoracic)
Paresh Kuba, Senior Registrar (Cardiothoracic)
Muhammad Arain, Senior Registrar (Paediatric)
Venkatesh G, Senior Registrar (Neurosurgery)
Bahaeldin Moh’d. Salih, Registrar (General)
Intisar Al-Hashmi, Registrar (General)
Mohammed Al-Hosni, Registrar (General)
Mooayad Ahmed, Registrar (General)
Shahzad Younas, Registrar (General)
Suresh Kannan, Registrar (General)
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Zaid Raouf, Registrar (General)
Sudesh Kumar, Registrar (ENT)
Wameed Al-Bassam, Registrar (ENT)
Shahid Aquil, Registrar (Urology)
Ehab Rajab, Registrar (Cardiothoracic)
Ahmed Yaseen, Registrar (Orthopaedic)
Madni A. Aziz, Registrar (Orthopaedic)
Mohamed Al-Mutani, Registrar (Orthopaedic)
Charles Okoro, Senior House Officer (General)
Ghassan Elshafie, Senior House Officer (General)
Khalid Bhaiti, Senior House Officer (General)
Najib Draz, Senior House Officer (General)
Sareyah Al-Sibai, Senior House Officer (General)
Nesrin Qader, Senior House Officer (ENT)
Ghalib Al-Baddai, Senior House Officer (Urology)
Omar Sharef, Senior House Officer (Urology)
Adham Said, Senior House Officer (Orthopaedic)
Ayman Al-Amri, Senior House Officer (Orthopaedic)
Support Staff
Balan Baskaran, Perfusionists
Sayed Rizvi, Perfusionist
Saif M. Al-Kharusi, Technician
Badar A. Al-Mazidi, Technician
Maria T Ablen, Coordinator
Ruel Natividad, Coordinator
Highlights of the Year 2009–2010
N EW SER VI C ES
The Urology division restarted the renal transplantation programme in April 2010 after about ten years of
dormancy. The division also embarked on penile prosthesis implantation surgery and expanded the urolaparoscopic surgery. The newly established Neurosurgery Division started operative procedures (spine and
brain trauma surgery) in July 2010.
VISI T O R S T O T H E D E P A R T M E NT
Prof. Maximo Guida, Head of Cardiovascular Surgery Department, Metropolitan Hospital, Valencia, Venezu-
226
ela, visited the Department and conducted a workshop on Minimally Invasive Coronary Artery Bypass Surgery on 10–11 October 2009. Dr. Mario Patricolo, Paediatric Surgery, Sheikh Khalifa Medical City, Abu Dhabi,
UAE, visited the Paediatric Surgery Division on 14 December 2009 and gave a talk on Neurogenic Bladder in
Children. Prof. Simon Frostick, Orthopaedics Department, Liverpool University, UK, visited the Department
from 11–13 January 2010. He conducted clinics, operated, and gave lectures on Soft Tissue Sarcomas: Genetic
Abnormalities in Mesothelial Cells, and on Undergraduate and Postgraduate Medical Education: Where do we
stand? Professor Frostick visited SQUH again from 12–16 June 2010 and carried out similar clinical activities.
Dr. Ganesh Gopalakrishnan, former Head of Urology at Christian Medical College Hospital, Vellore, India,
visited the Urology Division on 22 March 2010 and gave a talk on the Management of Complicated Posterior
Urethral Strictures. Prof. N. K. Mohanty, Consultant and Head of Urology Department, Safdarjang Hospital,
New Delhi, India, visited the Urology division from 1–5 April and delivered the Dean’s Invitational Lecture,
entitled Newer Trends and Targeted Therapy in Kidney Malignancy. He also participated in the Surgical Grand
Rounds on 5 April 2010 and gave a talk on New Horizons and Paradigms in the Management of Benign Prostatic Hyperplasia. Prof. J. A. Grotenhuis, Chairman of Neurosurgery Department, Radboud University Nijmegen
Medical Center, Netherlands, gave a talk on Endoscopic Neurosurgery on 7 June 2010. Prof. Nikolai Rainov and
Prof. Volkmar Heidecke from Klinikum Augsberg, Germany visited on 4 July 2010. Prof. Rainov gave a talk on
Current Standards and Experimental Strategies for Therapy of Malignant Brain Tumours.
The Department participated in the teaching of the Clinical Methods and Communication Skills course for
4th year MD Students. In the 5th year junior rotation, the Department catered for 130 students in 2009–2010.
The students rotated in groups of 29–36, each group spending half of the 11 week rotation at Sultan Qaboos
University Hospital (SQUH) and half at the Royal Hospital. In problem-based learning, the annual six-week
clinical course on the gastrointestinal tract, liver and pancreas for 5th Year students was organised by the
Department. For the 6th Year ENT rotation, the ENT Division, in collaboration with the ENT Department in Al
Nahdha Hospital, delivered the course for 120 students. The students rotated in groups of 16–17, spending 1
week each at SQUH and Al Nahdha Hospital. For the 7th year senior rotation, the Department received final
year students in groups of 20–23 in rotation for seven week courses. Altogether, there were 108 students. The
7th year students had their final MD exam in June 2010.
PO ST G R AD U AT E PR O GR A M M E
Internship
A total of 46 interns undertook their surgical rotations in the Department in the year 2009–2010. A one week
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U N D ER G R AD U AT E CL INICA L P R O GR A M M E
academic and patient care departments
Teaching Programmes
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Surgery
Hospital Orientation Programme was also conducted for interns in July.
Oman Medical Specialty Board (OMSB) Residents
For the OMSB Residency Programme, 13 residents undertook their rotations in general surgery in the Department in the academic year 2009–2010. A total of 41 weekly lectures for the surgical residents were delivered.
TR AI N I N G C O U R SES & CM E A CT IV IT IE S
Dr. Pradeep Chopra delivered a talk on: Physiology of wound healing and which dressing to choose? at the 4
Wound Study Days for SQUH nurses in November 2009, and February, May and August 2010. He also gave a
lecture on Wound healing: Factors that promote and impede healing at OMSB on 25 July 2010 for the OMSB
ENT Residents.
Sixteen surgical trainees attended the annual two-day Basic Surgical Skills Course (BSSC) conducted by the
Department at the Skills Laboratory, College of Medicine & Health Sciences, on 17–18 October 2009 which
was coordinated by Dr. Norman Machado. This was followed by a one-day course on Basic Endoscopy attended by 6 surgical residents on 19 October 2009.
The Department hosted the Bariatric Surgery Workshop at SQUH on 15–16 May 2010 which was conducted
by Dr. Karl Miller from Belgium.
The Department hosted the 2nd Advanced Laparoscopic G.I. Course in association with the European Association for Endoscopic Surgery (EAES), at the Skills Laboratory, College of Medicine & Health Sciences, SQU, from
12–16 December 2009. The EAES tutors were Prof. Abe Fingerhut (France), Prof. Jack Jakimowicz (Netherlands)
and Dr. Ahmad Nasser (U.K.). Dr. Ahmad Nasser and Prof. Grant co-directed the course, with Dr. Norman
Machado as the chief coordinator of the course. Twenty three surgeons, from 10 different countries including
Oman, participated in the course.
Dr. Abdullah Al-Harthy conducted a Trauma Workshop on 3 November 2009 for the OMSB Emergency Medicine Program. He was also an instructor in the ATLS Provider and Instructor Courses held at Fujairah, UAE
from 13–18 May 2010 together with Dr. Khalifa Al-Wahaibi. The Urology division organised an in-house workshop on Urinary Diversion Techniques on 17 and 18 March 2010 at the Animal Laboratory, SQU; Dr. Mohammed Al-Marhoon was the course coordinator.
228
Clinical & Diagnostic Services
2009-2010 Surgical Clinical Services
Outpatients
Admissions
Procedures
18,000
16,000
14,000
12,000
10,000
8000
6000
4000
2009
2010
Outpatients
15,447
17,307
Admissions
3,996
4,372
Procedures
3,122
3,339
Research
R ESEAR C H PR O JECT S
Prophylactic Antibiotics for Flexible Cystoscopy
Project Code:
MREC# 245; Dates: 2009–2010
Value:
OR 500; Project Funder: Sultan Qaboos University
Investigator:
Dr. Mohammed S. Al-Marhoon, Dept.Surgery, SQU.
The Causes of Amputation among Omani Population
Project Code:
MREC # 311; Dates: 2009
Value:Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Khalifa Al-Wahaibi, Dept. Surgery, SQU; Dr. Khalid Al-Amri, Dept. Surgery, OMSB.
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2000
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RE SEAR C H PU B LI C A T IO NS A ND B O O K S
JOURNAL PUBLICATIONS
230
1.
Machado N, Chopra P. Al-Hamdani A. Crohn’s Disease of the appendix with enterocutaneous fistula post appendicectomy: An Approach to management. N A J Med Sci 2010; 3:158–61.
2.
Machado N, Chopra P. Al-Hamdani A. Papillary carcinoma of thyroid presenting primarily as cervical lymphadenopathy: An approach to management. SQU Med J 2009; 3:305–9.
3.
Machado N, Machado L. Laparoscopic cholecystectomy in third trimester of pregnancy: Report of 3 cases. Surg Laparosc Endosc Percutan Tech 2009; 6:439–41.
4.
Machado N, Grant CS. Laparoscopic appendicectomy in all trimesters of pregnancy. JSLS 2009; 13:384–90.
5.
Machado N. Neutropaenic enterocolitis: A continuing medical and surgical challenge. N A J Med Sci 2010; 7:293–300.
6.
Machado N, Chopra P, Al-Hamdani A. Pancreatic metastasis from colon carcinoma nine years after a hemicolectomy, managed by distal pancreatectomy: A review of the literature regarding the role and outcome of pancreatic
resection for colorectal metastasis. J Pancreas 2010; 4:377–81.
7.
Machado N, Chopra P, Sankla D. Portal vein thrombosis postlaparoscopic splenectomy presenting with infarction
of gut: Review of risk factors, investigations, postoperative surveillance and management. Surg Laparosc Endosc
Percutan Tech 2010; 4:273–7.
8.
Aquil S, Mathew J, Prasad K, Rehman K, Sharef O, Al-Badaai G. Surgical technique for retroperitoneoscopic nephrectomy: A case report. SQU Med J 2009; 3:333–6.
9.
Chopra P. Re: The trend to seek a second opinion abroad among cancer patients in Oman. SQU Med J 2010; 2:276–7.
10.
Al-Marhoon M. Small incidental renal masses in adults: Review of the literature. SQU Med J 2010; 2:196–202.
11.
Abdulwani J, Bhargava D, Sawhney A, Al-Abri R. Bimanual intra-operative fluoroscopic-guided removal of nasopharyngeal migratory fish bone from carotid space. J Laryngol Otol 2010; 124:786–9.
12.
Bhargava D, Al-Abri R, Bhargava K. Evolving trends in evidence based practice; use of internet to retrieve evidence
at point of care. Oman Med J 2010; 25:2.
13.
Kumar S, Al-Abri R, Sudairi S. Palatal mass. Oman Med J 2010; 25:55.
14.
Singh A, Kumar S. ENT Disorder in rural India. Indian J Otolaryngol Head Neck Surg 2010; 2:121–4.
15.
Kumar S. Utility of LMA in emergency trachestomy for Pierre Robin syndrome. Paediatr Anaesthes 2009; 4:409–10.
16.
Kumar S, Gupta A, Yadav B, Ghoshal S. Primary Sinonasal Malignant Melanoma: Clinicopathologic and Prognostic
Study. Ear Nose Throat J 2009; 12:1269–72.
17.
Al-Wahaibi K, Al-Harthy A, Al-Qadhi H, Elshafie G, Al-Azri A. Port site herniation of the small bowel following laparoscopic-myomectomy: A case report. SQU Med J 2010; 1:106–13.
18.
Al-Maskari S, Giotakis N, Panchani S, Narayan B, Larkin J, Nayagam S. Segmental fractures of the tibia treated by
external fixation. J Bone Joint Surg Br 2010; 92B:687–92.
19. Aquil S, Mathew JK, Prasad KV, Rehman K, Sharef OW, Al-Baadi G. Surgical technique for retroperitoneoscopic nephrectomy – A case report. SQU Med J 2009; 9:333–6.
C O N F ER EN C E AN D S E M INA R S P R E S E NT A T IO NS
CONFERENCE PRESENTATIONS
Machado N. Pancreatic Resections for Metastatic Tumour of Pancreas. 19th World Congress of the International Association of Surgical Gastroenterologists and Oncologists. Beijing, China, 23–26 September 2009.
2.
Grant CS. Laparoscopic Appendectomy in Pregnancy. 18th International Congress of the European Association for
Endoscopic Surgery (EAES). Geneva, Switzerland. 16–19 June 2010.
3.
Prasad K. Penile Prosthesis Implantation. The Urological Society of India (USI) Annual Conference. Agra, India, 4–7
February 2010.
4.
Prasad K. Clinical Audit for the Practicing Urologist. South Zone Urological Society of India Annual Conference. Kerala, India. 6–8 August 2010.
5.
Al-Wahaibi K. Replacement of the Infra-hepatic Inferior Vena Cave for Leiomyosarcoma: A case report and literature
review. 8th International Symposium on Vascular Update. Riyadh, Saudi Arabia. 10–11 January 2010.
6.
Al-Wahaibi K. Transplant Renal Artery False Aneurysm: A case report and literature review. 8th International Symposium on Vascular Surgery Update. Riyadh, Saudi Arabia. 10–11 January 2010.
7.
Al-Maskari S. Immediate FWB Ambulation in Patients with Multiple Limb Fractures. 15th Pan Arab Orthopaedic Association Congress. Marrakech, Morocco, 19–22 May 2010.
8.
Al-Maskari S. Distraction Arthrodiatasis of the Hip Joint in Patients with Sickle Cell Disease. 15th Pan Arab Orthopaedic Association Congress. Marrakech, Morocco. 19–22 May 2010.
National
1.
Al-Wahaibi K. The Vascular Access in Diabetic Nephropathy Patient-Special Consideration. 4th National Nephrology
Conference. Sohar Hospital, Sohar, Oman, 13 May 2010.
2.
Al-Wahaibi K. Vascular Therapy: Three legged approach; Medical, Surgical and Endoluminal. 2nd National Diabetic
Foot Conference. Muscat, Oman. 16–18 April 2010.
3.
Al-Wahaibi K. Abdominal Vascular Injuries. 2nd National Diabetic Foot Conference. Muscat, Oman, 16–18 April 2010.
4.
Al-Wahaibi K. Quality Assessment in Surgery: Do we need it? 2nd International Conference of Quality Management
in Health Care. Sultan Qaboos University, Muscat, Oman, 1–3 February 2010.
5.
Al-Maskari S. Angular Deformity of the Lower Limb: Role of Growth Guidance and Gradual Correction. 17th International Child Health Conference: Chronic Childhood Illness, Towards Better Care. Sultan Qaboos University, Muscat,
Oman, 13–15 October 2009.
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International
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Surgery
POSTER PRESENTATIONS
National
1.
Al-Shehi R, Baloch M, Al-Harthy A, Al-Qadhi H. Recurrent Right Iliac Fossa Pain After Appendicectomy: Stump Appendicitis, Case Report. University Day. Sultan Qaboos University, Muscat, Oman. May 2010.
2.
Al-Hinai R, Baloch M, Al-Harthy A, Al-Wahaibi K, Al-Qadhi H. Self Inflicted Abdominal Stab During Pregnancy: Case
Report. University Day. Sultan Qaboos University, Muscat, Oman. May 2010.
SE MI N AR PR ESEN T A T IO NS
National
232
1.
Mathew J. Current Concepts in the Medical Management of Lower Urinary Tract Symptoms. Muscat, Oman, 10
March 2010.
2.
Bhargava D. Introduction to Clinical Research and Health Informatics. 6th Regional Workshop on Evidence Based
Medicine. OMSB, WHO and Centre for Evidence Based Medicine, Oxford. Muscat, Oman, 9–13 January 2010.
3.
Bhargava D. Evidence Based Medicine. 1st Regional Workshop. Nizwa University, Oman. 28–29 April 2010.
4.
Bhargava D. Evidence at Point of Care. CME Oman Medical Association. Muscat, Oman 31 March 2010.
233
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Annual Report 2009-2010
Medical Library
Overview
The main thrust of our library policy has always been towards developing and evaluating library resources,
as well as providing services more effectively. The major achievement in this respect was online searching
to support the programmes of the College of Medicine & Health Sciences and University Hospital especially
in research activities.
Staff
Mohammed Al-Wardi, Director
Mariam Al-Sinani, Librarian A
Mohammed Al-Higgi, Chief Librarian C
Huda Al-Farsi, Chief Librarian C
Huda Al-Haddabi, Chief Librarian C
Suad Al-Busaidi, Senior Librarian A
Salim Al-Farei, Senior Librarian A
Saif Al-Muharbi, Senior Librarian B
Mohammed Al-Yahmadi, Senior Librarian B
Abdulla Al-Hinai, Assistant Librarian
Jassim Al-Hasani, Assistant Librarian
Saif Al-Abri, Assistant Librarian
Qassim Al-Harrasi, Senior Programmer B
Support Staff
Luthgarda Bongsalo, Clerk/Coordinator
Said Al-Alawi, Clerk
Ahmed Al-Ghafri, Graphic Camera Operator
Highlights of the Year 2009–2010
C IR C U LAT I O N
In this period, the total number of checked out materials was 8,976 as compared to 6,640 of last year. The
number of registered library members was 220.
234
AC Q U I SI T I O N S
In this period, 413 new book titles were added to the library collection. This number was made up of 160
titles of nursing books from the College of Nursing and 253 monographs received gratis from the Ministry of
Health, Oman, World Health Organization and other sources.
Total cost for the subscriptions to journals was $331,757.04. The amount was made up of 94 print journals at
$124,363.67 and 162 electronic journals at $207,393.37. A total of 39 journals from the Gulf Cooperation Council
region were received gratis.
IN T ER LI B R AR Y LO A NS
The requests for journal articles not available in our collection totaled 149. A total of 25 articles at the cost of
£383.75 were procured from the British Library Document Supply Centre, London and 124 articles from the
different Gulf Biomedical Libraries were received gratis.
IT SER VI C ES
2,162 e-journals can be accessed through our website (http://www.squ.edu.om/med-Lib/index.htm) and Science Direct.
TR AI N I N G O F LI B R A R Y US E R S
Eleven students from the Sultan Qaboos University College of Arts, Department of Library Science and Information, 108 from the College of Medicine & Health Sciences and 21 from CSSD, University Hospital were
trained to use the Library.
Medical Library
support departments
A total of 177 external students were also trained to use the Library. There were 110 from Royal Oman Police,
Ambulance Division, 40 from Institute of Health Sciences and 27 from Oman Specialized Nursing Institute.
235
Annual Report 2009-2010
Medical Education Unit
Overview
The Medical Education Unit (MEU) was established in 2006 under the Dean’s Office with a mission to raise
the standards of medical education in the College. The Unit has full-time staff, but draws mainly on the voluntary participation of staff, from the different departments of the College and from the Ministry of Health,
with either a formal qualification or a strong interest in the field of medical education
The Unit is very active in providing educational support to College, Hospital and affiliated staff and other
health professionals through faculty development workshops in the areas of teaching and learning, assessment, and e-learning. The Unit has also established the IDEAL (International Databank for Enhancement
of Assessment and Learning) office which houses the IDEAL secure assessment databank, liaises with the
IDEAL Consortium Office, and offers the service of item analysis.
The recently restructured clinical skills laboratory is equipped with a variety of instruments, simulators and
manikins to support the training of clinical skills. It is evolving into a learning environment that will support
a wide range of skills across the spectrum of the curriculum and will facilitate the acquisition of theoretical and clinical knowledge. The facility will provide medical students with the opportunity to develop and
maintain competence within the clinical skills area and allow them to practise safely physical assessment
and procedural skills, and to demonstrate them under simulated conditions prior to attempting them on a
patient.
The Medical Informatics Section of the Unit strengthens the integration of medical informatics technologies
in teaching, research and service; increases the competency of faculty in the use of medical informatics tools;
conducts effective telemedicine conferences and workshops with international institutes; evaluates the effectiveness of various medical informatics technology products in teaching and learning medicine; analyses and specifies the College requirements for medical informatics equipment and infrastructure; supports
hardware maintenance, and provides a troubleshooting service.
Staff
Head of Unit
Nadia Al-Wardy, Assistant Professor, Dept. Biochemistry
Members
Zahra Al-Rawahi, Assistant Professor, Medical Informatics, MEU
Ken Masters, Assistant Professor, Medical Informatics, MEU
236
Ibrahim Inuwa, Associate Professor, Dept. Anatomy, SQU
Muna Al-Saadoon, Assistant Professor, Dept. Child Health, SQU
Syed Rizvi, Assistant Professor, Dept. Family Medicine and Public Health, SQU
Abdullah Al-Asmi, Senior Consultant, Dept. Medicine, SQU
Samir Hussein, Senior Consultant, Dept. Radiology & Molecular Imaging, SQU
Adil Al-Ajmi, Consultant, Dept. Surgery, SQU
Khalil Al-Farsi, Consultant, Dept. Haematology, SQU
Omar Al-Hussaini, Dept. Medicine, Royal Hospital, Ministry of Health, SQU
Laila Al-Zadjali, Director, Training & Scholarships, Ministry of Health, SQU
Kamila Al-Alawi, Director, Education & Training, Royal Hospital, Ministry of Health
Support Staff
Hisham A. Hadi, College IDEAL Administrator
Moosa Al-Rawahi, e-Learning / e-assessment and Multimedia Designer
Salim Al-Harthi, Programmer
Bader Al-Ismaili, Computer Technician
Talal Al-Kindi, Computer Technician
Almuqdad Al-Lawati, System Analyst
Taha M. El-Sayed, Chief Technician, Clinical Skills Lab
Ahmed Al-Hadhrami, Technician, Clinical Skills Lab
Asila Al-Harthy, Coordinator
Musab Masood, Coordinator
Two new staff members were recruited to the Unit, Dr. Ken Masters, Assistant Professor in Medical Informatics, and Mr. Taha El-Sayed, Chief Technician, for the Clinical Skills Laboratory. Their addition has already
boosted the Unit and raised its profile.
Several new workshops were conducted by the Unit. These were attended by staff members from the College, SQU Hospital and Ministry of Health.
support departments
The year was very busy and productive with the restructuring of the Clinical Skills Laboratory. With this restructuring, a more efficient and purpose-made environment has been created that provides students with
the opportunity to practice clinical skills on simulators, manikins, and simulated patients, thus providing a
non-threatening environment in which practical skills can be perfected, prior to attempting these skills on
a patient.
Medical Education Unit
Highlights of the Year 2009–2010
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Annual Report 2009-2010
Medical Education Unit
Teaching Programmes
U N D ER G R AD U AT E P R E CL INICA L P R O GR A M M E
The Medical Informatics section of the MEU was involved in teaching the following core and elective courses
to undergraduate medical and nursing students:
-
Medical Informatics I and II
-
Creative Thinking
-
Health Informatics
TR AI N I N G C O U R SES & CM E A CT IV IT IE S
Workshops
Several educational workshops conducted by internationally renowned faculty and national staff in medical
education were offered by the Unit. These were:
238
-
Designing Online Courses, a two-hour workshop on 2 November 2009.
-
Creating Online Assessments, a two-hour workshop on 4 November 2009.
-
Configuration of mailing system using Microsoft Outlook and Outlook Express on 4 November 2009.
-
Instructional Designing Course for online courses, a two-hour seminar on 24 November 2009.
-
CHPE (Certificate Course in Health Professions Education) – a three-day course in February
2010 conducted by Professor Hamdy, University of Sharjah, UAE; Professor Banadaranayake,
Sydney, Australia, and Professor Gibbs, Scotland, UK. A total of 45 College, Hospital, and affiliated
staff and other health professionals participated in the course.
-
Student Assessment Workshop – A three-day workshop, also in February in 2010, conducted by
Professor Banadaranayake, Sydney, Australia, and Professor Gibbs, Scotland, UK. A total of 29
College, Hospital, and affiliated staff participated.
-
Continuous Assessment of Clinical Skills and Professional Behaviour workshop – A one day
workshop in February 2010, conducted by Professor Nigel Bax, University of Sheffield, UK. A total
of 34 College and Hospital staff participated.
-
Designing Integrated Questions Workshop – A one day workshop in May 2010 was conducted
by Professor Banadaranayake, Sydney, Australia. A total of 32 invited participants attended the work-
Small group training sessions were held on the “IDEAL PC version” software. The participants
were academic staff of the College. Training areas included general introduction to using the
“IDEAL software” and specifically, retrieval of the IDEAL database items that would be later used
in the final examinations at the College of Medicine.
-
Moodle Workshops Level 1 – Three two-hour workshops were conducted in November 2009 and
October 2010. These were mainly focused on staff but a large number of students also attended.
-
Moodle Workshops Level 2 – Two two-hour workshops were conducted in November 2009 and February 2010. These were focused on advanced features of Moodle and a large number of staff attended.
-
Moodle Workshop – A full-day Moodle workshop was conducted in May 2010. Large number ofstudents
and staff attended the workshop.
-
Updating Windows, Configuring Outlook and Adding SQU Mailbox to Personal Gmail account
– A two-hour workshop was conducted in November 2009. Staff and students attended and
participated in the lab activities.
-
How to Design a Poster using Powerpoint – A two-hour workshop was conducted in November 2009,
aiming to equip the staff with poster designing techniques. A large number of staff and students attended.
-
Instructional Design for Online Courses – A two-hour workshop was conducted in November
2009 and focused on methodologies on how to make the online courses easy to understand
and enjoyable. Many staff attended the workshop.
-
Using Aspects of Medical Informatics to Assist Research – A full-day workshop conducted in
March 2010 by Dr. Ken Masters was a great success. It involved Systematic Literature Reviews,
Data Encryption and Measuring Levels of English. A large number of staff attended the workshop.
TELEMED I C I N E C O UR S E S
Audio/visual live broadcasting from operating theatres to the Annex Building through a plasma screen:
-
First International Sialendoscopy Symposium
-
Basic Surgical Skills Course
-
Bariatric Surgery Program
-
Navigation Panel Unit Demonstration (NPU)
Medical Education Unit
-
support departments
shop.
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Annual Report 2009-2010
Medical Education Unit
-
Ultrasound in Critical Care Workshop
-
Cardiothoracic Surgery Workshop: Mitral Valve Repair
-
Instructional Course on Colbation
-
Hysteroscopy Workshop
VID EO C O N F ER EN C I NG
-
First International
meeting)
conference
on
Indian
-
Global Hospitals Health City
-
The Cross-Gulf Pediatrics Respiratory Round
Ocean
Tropical
Cyclones
&
Climate
Change
(expert
Research
RE SEAR C H PR O JEC T S
Internet-based sharing of institutions’ library database access codes on a medical web-site: the institutions
Project Code:
MREC# 349; Dates: 2010
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Ken Masters, Medical Education Unit, SQU
The Use of M-Learning Technology by 6th year Medical Students in a Minimally-Supported Environment
Project Code:
MREC# 365; Dates: 2010
Value:
Unfunded; Project Approval: Sultan Qaboos University
Investigators:
Dr. Ken Masters, Medical Education Unit, SQU; Dr. Zahra Al-Rawahi, Medical
Informatics Group, SQU.
RESEAR C H PU B LI C A T IO NS & B O O K S
Journal Publications
240
1.
Al Wardy NM, Rizvi SG, Bayoumi RA. Is performance in pre-clinical assessment a good predictor of the final Doctor
of Medicine grade? Saudi Med J 2009; 30:1590–4.
2.
Hamdy H, Telmesani, Al Wardy N, Khalek N, Carruthers, Fuad, Kassab S, Abuhijleh M, Alroomi K, Galal, Gitaar, Sheikh
J. Undergraduate Medical Education in the Gulf Cooperation Council (GCC) – a multi-countries study (Part I). Medical
Teacher 2010; 32:219–24.
3.
Hamdy H, Telmesani, Al Wardy N, Khalek N, Carruthers, Fuad, Kassab S, Abuhijleh M, Alroomi K, Galal, Gitaar, and
Sheikh J. Undergraduate Medical Education in the Gulf Cooperation Council (GCC) – a multi-countries study (Part II).
Medical Teacher 2010; 32:290–5.
4.
Theodorsson T, Shafie K, Al Wardy N, Anwar K, Al Shafaee M, Al Mahrezi A. Assessment of Family Doctors in Oman;
getting the questions right Preliminary findings of a performance analysis of multiple choice questions. Internet
J Med Ed 2010; 1:1. From: http://www.ispub.com/journal/the_internet_journal_of_medical_education/volume_1_
number_1_74/article_printable/assessment-of-family-doctors-in-oman-getting-the-questions-right-preliminaryfindings-of-a-performance-analysis-of-multiple-choice-questions-2.html
5.
Al Wardy NM. Assessment Methods in Undergraduate Medical Education. SQU Med J 2010; 10:203–9
6.
Al Wardy NM. Letter to Editor, Re: Evaluation Tools in Postgraduate Medical Education–Do we need “Made in Oman”
tools? SQU Med J 2010; 10:280–1.
7.
Masters K. I found it on the Internet: Preparing for the e-patient in Oman. SQU Med J 2010; 10:169–79.
C O N F ER EN C E & SE M INA R P R E S E NT A T IO NS
Poster Presentations
International
1.
Al Wardy N, Al-Hussaini O, Al-Zidjali L, Hussein S, Al-Asmi A, Rizvi S, Al-Rawahi Z. Evaluation of Teacher-Training
Workshops in the College of Medicine & Health Sciences, Sultan Qaboos University, AMEE (International Association for Medical Education) Conference. Malaga, Spain, August 2009.
Seminar Presentations
Al Wardy NM. Item Analysis. College of Nursing, Sultan Qaboos University, February 2009
2.
Al Wardy NM. Principles of Assessment. College of Agriculture, Sultan Qaboos University, April 2009
3.
Al Wardy NM. Assessment. Al Nahdha Hospital, Ministry of Health, Oman, April 2010
4.
MEU Team. Workshop on Assessment. Oman Medical College, Sohar Campus, Oman, May 2009
Medical Education Unit
1.
support departments
National
241
Annual Report 2009-2010
Sultan Qaboos University Medical Journal
Overview
The Journal was officially launched in 1997 with 7 issues published up to 2005. The Journal was relaunched
in 2006 and renamed Sultan Qaboos University Medical Journal, SQUMJ. Up to December 2010 a total of 14
issues with 266 articles had been published and the Editorial Board had grown from 15 to 32 members, all of
them staff of either the College of Medicine & Health Sciences or Sultan Qaboos University Hospital
The vision of the SQUMJ is be a leading regional medium of medical and scientific communication covering
both clinical and basic science research and other medically relevant observations that will be recognised
and accepted internationally. Its objectives are as follows:
-
To promote a culture of scientific publications in the medical and related disciplines at SQU.
-
To provide a medium for dissemination of research results and reviews of important clinical and basic science topics.
-
To attract a wide variety of peer reviewed articles including original research and review articles, editorials, case
reports, interesting medical images, special contributions, continuing medical education articles, brief communications, book reviews and abstracts.
-
To attract quality scientific contributions from SQU staff, the region and the wider international community.
-
To build capacity in all aspects of scientific publishing at SQU.
-
To enhance the research profile of SQU.
-
To be Indexed with the US National Library of Medicine and with the Community of Science (COS); thus it will appear in PubMed and Medline online databases of health related citations and abstracts.
-
To be published both on line as well as in print and ultimately be fully electronic in dealings with authors and reviewers - online submission and review via our existing Website.
Members of the Editorial Board
Editor-in-Chief
Lamk Al-Lamki, Professor Radiology & Molecular Imaging
Editor
Samir Al-Adawi, Associate Professor Behavioural Medicine & Editor
Associate Editors
Rashid Al-Abri, Consultant, Surgery
242
In 2010, 138 articles were submitted to SQUMJ, a 35% increase compared to 2009. The rejection rate increasedto 43% from 35% in 2009. Three issues of SQUMJ were published with a total of 81 articles. Over 340 experts,
65% of them from outside Oman, reviewed manuscripts for SQUMJ. SQUMJ was indexed in the WHO’s Index
Sultan Qaboos University Medical Journal
Highlights of the Year 2010
support departments
Badreldin Ali, Professor, Pharmacology
Abdullah Al-Asmi, Senior Consultant, Medicine (Neurology)
Sulayma Al-Barwani, Associate Professor, Physiology
Riad Bayoumi, Professor, Biochemistry
Ikram Burney, Senior Consultant, Medicine
Shyam Ganguly, Associate Professor, Epidemiology & Statistics
Vaidyanathan Gowri, Assistant Professor, Obstetrics & Gynaecology
Omar Habbal, Associate Professor, Human & Clinical Anatomy
Ali Al-Hinai, Assistant Professor, Medicine (Cardiology)
Ali Al-Jabri, Associate Professor, Microbiology & Immunology
Rajeev Jain, Radiology & Molecular Imaging
Nadia Al-Kharousi, Consultant, Ophthalmology
Salam Al-Kindy, Assistant Professor, Haematology
Neela Al-Lamki, Professor, Radiology & Molecular Imaging
Zakia Al-Lamki, Associate Professor, Child Health
Norman Machado, Consultant, Surgery
Prakash Mandhan, Senior Consultant, Surgery (Paediatric)
Allal Ouhtit, Associate Professor, Genetics
Omar Al-Rawas, Professor, Medicine (Respirology)
Muna Al-Sadoon, Assistant Professor, Child Health
Jumana Saleh, Associate Professor, Biochemistry
Sukhpal Sawhney, Senior Consultant, Radiology & Molecular Imaging
Marwan Al-Sharbati, Associate Professor, Behavioural Medicine
Ashok Sharma, Senior Consultant, Surgery (Cardiac)
Thord Theodorson, Senior Consultant, Family Medicine & Public Health
Yasser Wali, Associate Professor, Child Health
Nicholas Woodhouse, Professor, Medicine (Endocrinology)
Meriel Carboni, Managing Editor
Amar Hussein, Technical Editor
Rosamund Pollock, Assistant Editor
Sheherajoy Biruar, Editorial Assistant
243
Annual Report 2009-2010
Sultan Qaboos University Medical Journal
Medicus for the EMRO region and awaited news of indexing applications with MedLine and Scopus. The
Journal was accepted for archiving by PubMed Central which means that it will be listed in PubMed. For this
purpose, all 3 issues of 2010 were converted to XML format.
SQUMJ had a print run of 2,500 copies in order to reach local, regional and international medical and other
scientific audiences. It was distributed free of charge to all staff of the College and SQUH and senior staff in
the University. It was also distributed in multiple copies to the Ministry of Health, and all hospitals and medical training establishments in Oman. In addition, it was sent to medical libraries in the region; all Gulf area
medical colleges, and selected medical colleges in the Middle East, North Africa, India and Pakistan, the UK,
USA, Canada and Australia.
Numbers and Sources of Articles
244
Source of Papers Received
2008
%
2009
%
2010
%
SQU – College & Hospital
45
46
50
50
56
41
Ministry of Health & Hospitals in Oman
18
18
9
9
24
17
Gulf & Middle East
24
25
29
28
33
24
Other countries
11
11
13
13
25
18
Totals
98
100
101
100
138
100
The Directorate of Development and Quality (DDQ) of
Sultan Qaboos University Hospital (SQUH) has taken
the responsibility of improving quality assurance in
the Hospital through establishing an efficient Quality Management System (QMS). Continually working
towards improving SQUH quality is made possible by
having been awarded the ISO 9001-2000 certificate
in May 2005 and achieving re-certification with ISO
9001-2008 in May 2008.
The DDQ achieves the above though the main departments of quality assurance, development, patient
safety and documentation and studies. It provides support and encouragement to hospital-wide quality
activities through teamwork and best practice and by coordinating the ongoing hospital-wide education on
quality, as well as conducting similar activities in other organisations. Furthermore, it seeks to promote excellence through continual improvement in teaching, research, patient services and staff development. This
is supported by effective process delivery and efficient resource utilisation throughout the hospital. The DDQ
works on enabling the following outcomes:
•
Identification and mitigation of the risks and hazards in the organisation.
•
Identification of objectives and focus on the needs and expectations of patients and other customers.
•
Monitoring of health care service outcomes.
support departments
The DDQ is committed to providing SQUH with support in structuring and maintaining quality standards
in all clinical, educational and support services. It is
also is committed to enabling the provision of compassionate, ethical, and accessible general and specialised
tertiary care to the community with integrity, commitment and respect towards patients and their families.
The DDQ’s work is highly productive and it is staffed by
experienced and skilled team members who facilitate all departments of the hospital.
Hospital Directorate of Development & Quality
Overview
245
Annual Report 2009-2010
Hospital Directorate of Development & Quality
•
Monitoringofhospitalactivitiesandcoordinationoftheimplementationofcorrectiveandpreventiveactions.
•
Provisionofacommonframeworkforeffectiveinternalcommunicationthoughcontrolleddocumentssuchaseffective policies, protocols and procedures.
•
Provisionofevidenceofcapabilitytocustomersandpotentialcustomers.
•
Provisionandpractiseofinternationallyrecognisedstandardsofcare.
•
Assistanceinestablishingabaselineforimprovingperformanceandoutcomes.
•
ProvisionofabasisforcertificationandaccreditationconformanceandensuringapplicabilitytoOmanilaws/legislation and regulations.
Staff
Rashid Al-Abri, Director
Yasmeen Al-Hatmi, Deputy Director
Hamdan Al-Siyabi, Lead Auditor
Sultan Al-Marhoobi, Document Controller
Sumaiyya Al-Busaidi, Risk Prevention Facilitator
Fatma Al-Sharji, Clerk
Jamal Al-Busaidi, Senior Technician
Carolina Vacalares, Coordinator
Activities in 2010
Hospital Improvement Achievements
246
-
New electronic Hospital Quality Document Control System
-
Weekly Quality Rounds conducted to assess and monitor current situations relative to concerns raised or pending
issues.
-
Weekly Knowledge Forum conducted every Monday throughout the year, organised by DDQ staff members
-
Organisation of the 2nd International Conference for Quality Management in Health Care – 1–3 Febrary 2010. Two
members of staff presented talks on patient safety culture, patient safety education and indicators and posters representing quality improvements and achievements.
-
The Quality Open Day took place 10 November 2010 for all departments to display and share their initiatives and
best practice. This year SQUH collaborated with the Chartered Quality Institute, in coordination with World Quality
Day, celebrated internationally.
-
Internal Audits were conducted in April and October 2010 with closures being performed on a continuing basis, in
a consistent manner.
The 11th and 12th Management Reviews took place in January and June 2010 illustrating all hospital activities and
achievements at a 6-month interval.
-
The external British Standards Institution (BSI) performed the ISO audit in June 2010, which the hospital passed
with one minor non-conformity, followed by immediate and satisfactory corrective action achieved within 4 weeks.
-
In June 2010, the BSI report was distributed to all heads of departments for action plan participation with short/long
term plans put in place
-
A benchmarking visit to an accredited hospital in Lebanon in July 2009 included visiting different care departments, looking at the level of care and examining their quality improvement activities such as Key Performance
Indicators (KPIs), based on Joint Commission International (JCI) standards and discussing the benefits gained from
JCI.
-
Creation of Task Force Committee in September 2009 to investigate near miss incidents
-
Risk Assessment conducted November 2009
-
Patient Health Education management introduced and coordinated with newly established “Health Education
Committee”, including committee membership representation from the DDQ.
-
A Patient Satisfaction Survey was conducted in November 2009, analysed and then presented in the Management
Review.
-
Evaluation of Best Department was conducted in collaboration with the newly formed “Excellence Performance
Award Committee” to assist departments with preparation and scoring of mandatory requirements.
-
Direct involvement in many departmental quality initiatives and activities
-
Direct involvement with audit report closures utilising corrective and preventative actions and best practices.
-
New Staff Orientation Training on Quality conducted monthly by member of staff through the Training Directorate.
-
Various quality awareness lectures given regularly through the Knowledge Forum
-
Root Cause Analysis Workshop training was conducted to improve the feedback and follow-up of the Hospital Incidence Reporting System.
-
Quality in Healthcare Workshop conducted in-house through the Training Directorate on 12–14 June 2010
-
Risk Management Workshop conducted in-house through the Training Directorate on 27–29 November 2010
EXT ER N AL T R AI N I N G
The majority of the external training and workshops conducted by DDQ staff was directed to the Ministry
of Health hospitals throughout Oman. The areas of training provided included Quality Audit, Documentation, Risk Management and Assessment, Healthcare Standards and Patient Safety. The Royal Diwan Medical
(2009) and Armed Forces Medical Services (2010) were given a one-day workshops on quality improvement.
support departments
SQ U H I N T ER N AL T R A INING
Hospital Directorate of Development & Quality
-
247
Annual Report 2009-2010
Hospital Directorate of Development & Quality
TR AI N EES
Trainees who joined the Directorate in 2009–2010 included Administrative Nurses from the Oman Specialized Nursing Institute, and various Ministry of Health staff, mainly from Quality departments.
IN T ER N AT I O N AL C ONF E R E NCE P A R T ICIP A T IO N
-
DDQ worked in the Organising Committee of the 2nd International Conference of Quality Management in Healthcare at SQU, 1–3 February 2010.
-
One staff participated as an international speaker in the 2nd Quality Congress in August 2010 in Canada and delivered a talk on “Safety as a Priority in a Healthcare Institution”.
PUB LI C AT I O N S
248
1.
Hospital Quality Newsletter, “An Open Door to Quality’, was published in November 2010. This issue offered articles on topics such as Learning Organizations & Healthcare, Quality in Islam, Panoramic Look at Patient Safety, Six
Sigma, Total Quality Management, Health & Safety Awareness and Prevention, Tips on JCI Safety Goals, and Team
Spirit. It also included a section for all departments to share their experiences, improvements and best practices to
bring the Hospital closer to excellence
2.
Al Hatmi YS. Quality audit experience for excellence in healthcare. Clin Govern Int J UK 2010; 15: 2.
3.
Al-Abri R, Al Hatmi YS. Abstracts of Quality Management in Healthcare Conference. Oman Med J 2010.
Overview
The Directorate of Hospital Information Systems (HIS) serves to help the SQUH’s mission of providing the
highest degree of health care to the patients by continuing to provide comprehensive state-of-the-art information technology (IT) services in Health Care Systems.
•
Planning information system software needs and related budgetary requirements.
•
Project management for large-scale computer system implementations.
•
Evaluation of enterprise and departmental software solutions.
•
Analysis of business needs and information system requirements.
•
Design of business workflow, databases, interfaces, documents, reports and processes.
•
Development and Installation of application software.
•
Testing of computer software to validate performance against design specifications.
•
Documentation, including preparation of user manuals/procedures and system documentation.
•
Maintenance of applications software, programs and data files to provide enhanced functionalities.
•
Support for users of HIS applications including support for help desk issues.
•
Security Administration for HIS user accounts and permissions.
The Hospital Information Systems staff work closely with the SQUH’s user community to provide comprehensive 24/7 support for the Hospital’s mission-critical Health Care Computer Applications.
Yaqoob Juma Al-Raisi, Director
Ahmed Al-Shaibani, Acting Deputy Director, Development Division
Bader Al-Kiyumi, Acting Deputy Director, Support Division
Said Al-Harassi, Acting Head, Networking
Jokha Al-Kalbani, Acting Head, Lab Systems
Nasser Al-Mandhari, Acting Head, Medical Systems
Mustafa Al-Hadhrami, Acting Head, User Support Section
Akinyemi A. Koyi, Acting Head, Admin & Finance Systems Section
support departments
Staff
Hospital Directorate of Information Systems
Services offered by the HIS include:
249
Annual Report 2009-2010
Hospital Directorate of Information Systems
Naeem Al-Shukaili, Head of Operations
Abdullah Al-Mahrooqi, Senior Network Administrator
Vishnu Mampatta, Chief Systems Analyst
Mohammed K. Shaikh, Senior Network Engineer
Mohsin Al-Zadjali, Senior Systems Analyst
Abdullah Al-Rashdi, Senior Programmer
Nasser Al-Azwani, Systems Security Specialist
Widad Al-Mamary, Programmer
Suad Al-Bimani, Programmer
Ghalib Al-Mahrooqi, Technician
Moosa Al-Rawahi, Technician
Fatima Al-Masoudi, Technician
Younis Al-Harthi, Technician
Yahya Al-Salmi, Technician
Fahad Al-Shukaily, Technician
Ibraheem Al-Balushi, Technician
Younis Al-Mandhari, Technician
Ahmed Al-Hoqani, Technician
Ahmed Al-Kiyumi, Technician
Al Marwah Al-Kharoosi, Technician
Hamed Al-Muslhi, Technician
Moosa Al-Khanbshi, Technician
Ahmed Al-Yamani, Programmer
Dorothy Paul, Coordinator
Yaqoub S. Al-Harthy, Medical Orderly
Highlights of the Year 2010
250
-
Implementation of New Blade Servers for HIS Applications and Network infrastructures
-
Implementation of TRAKCARE Applications upgrade.
-
Implementation of new active Network equipment (switches and routers).
-
Upgrade of the HIS Data Centre.
-
Replacing Purchase and Store Module in Trust System with a new in-house developed software [Edges].
-
Expansion of office facilities for HIS Staff.
-
Reconfiguration of the Application to stabilise the HIS System.
Wireless Expansion.
-
Improving the quality of services provided by the HIS Directorate.
-
Evaluation of the Integration between SQUH and Ministry of Health (Referring System).
-
Developing Incident Reporting System, Version 3.0.
-
Installing 250 PCs, 50 Laptops and other peripherals in various departments in the Hospital.
-
More than 3,000 calls have been attended to by HIS Operation and Development Divisions during 2010.
-
Implementation of the new WI-FI (802.11n standard) high speed wireless in SQUH.
-
Training of TRAKCARE System for doctors, interns, nurses, laboratory staff and clerks.
-
Conducting summer training programs for college students.
-
Queuing System
-
Radio Frequency Identification
-
Information security at SQUH
-
Passive Network audit
-
Medical System Reengineering
-
Medical System upgrade
-
Inventory/Asset Management/Biomedical/Maintenance/Housing/Budget modules required at SQUH
-
Active network in SQUH
-
Security requirements for SQUH
-
Upgrade Independent Distribution Frame room from 110 to RJ 45 patch panel
-
Patient Services Interactive Voice Response
support departments
S T U D I ES C O N D U C T E D
Hospital Directorate of Information Systems
-
251
Annual Report 2009-2010
Hospital Directorate of Medical Supplpy
Supply
Overview
Medical Supply Directorate (MSD) is one of the key departments in the hospital as it has responsibility to
keep the hospital continuously supplied with commodities for health care uses. The Directorate carries out
the procurement of health commodities such us pharmaceutics, medical, surgical and laboratory items.
The MSD is looking forward to improve its performance and achieve its aim. Despite the difficulties faced by
MSD to ensure the availability of items, all staff in each section of MSD does their best to cut costs; procure
cost effective items; deliver items on time; improve the logistics system, and to be a competitive department
with a modern supply system.
Sections of MSD
There are seven main sections in the Medical Supply Directorate:
1.
Pharmacy Section.
2.
Medical Surgical Section.
3.
Laboratory Section.
4.
Stationary Section.
5.
Biomedical & Hospital Maintenance Section.
6.
Stock Control Section.
7.
Linen Section
Activities
Medical Supply Directorate is the key department in the logistics cycle of the hospital. The figure below
shows the important activities that are processed by MSD in coordination with other key department like
the Purchasing and Finance department.
252
Stock Item Non-Availability Comparison Chart 2008-2010
70
No. of Items
60
50
40
30
20
10
2009
2010
PR O D U C T SELEC T I O N
The MSD coordinates with committees in the hospital to select the right product that meet the needs of the
hospital. Quality, effectiveness and affordability are the most important selection criteria considered by the
MSD staff and committee members.
FO R EC AST I N G AN D P R O CUR E M E NT
Hospital Information System
After the selection of items, the list of selected items is created and the required quantities are estimated
(forecasted) taking in to consideration number of patient who will be benefiting from the item. Thereafter
the consumption rate and the movement is used to forecast the future quantities to be ordered to ensure
adequate stock levels and buffer stocks.
Once the supplier has been identified the MSD, the procurement department then issues tenders for the
selected items and the quantities needed. It also ensures the timely delivery of shipments, the clearance of
items from customs, and the final quality control check which is done following Ministry of Health (MOH)
regulations.
ST O C K C O N T R O L
support departments
Once the item arrives in MSD the stock control activity takes place. This includes the checking of the delivered items and tallying then with the specifications mentioned in the purchase order. Then the storage
process starts making sure that each item is stored in an appropriate climate. Distribution to various levels
throughout the hospital sections then begins at the request of the department concerned.
Hospital Directorate of Medical Supply
Hospital Directorate of Medical Supply
2008
support departments
support departments
0
253
Annual Report 2009-2010
Hospital Directorate of Patient Services
Overview
The Patient Services Department’s role is to provide a 24 hrs, compassionate, accessible and high quality service to SQUH clients and visitors. The Department also works to resolve any misunderstandings that might
arise between staff and clients so that the hospital runs with minimal interruptions. Directorate staff liaises
with other internal/external departments so that clients receive maximum help.
The Directorate’s responsibilities include the following:
•
LookingintothedifferentproblemsthatmayoccurbetweenstaffandSQUHclientsandfindingappropriatesolutions.
•
Attestingsickleavesandcertificates.
•
Coordinatingwithdoctorswhenmedicalreportsarerequested.
•
Translatingmedicalreportsandadministrativeworkwhenrequired.
•
CoordinatingwiththeRoyalOmanPoliceregardingaccidentsandprovidingaccidentreports.
•
Releasingoxygenconcentrationmachinestopatientswhofulfillspecificconditions.
•
SupervisingHospitalSecurityguards.
•
Providinghealtheducation.
•
Receivingcomplaintsandsuggestionsandfollowingthemupwiththedepartmentsconcerned.
•
ProvidingPsychologycounselingforpatients.
In the unfortunate event of a patient dying, the Directorate has the following responsibilities:
254
•
Informingtherelatives.
•
Makingsurethatalldocumentssuchasdeathnotificationanddeadbodyreleaseformsareproperlydone.
•
Helpingtherelativestofindappropriatetransportationtotransferthedeadpatient.
•
Ifthedeceasedpatientisanon-Omani,theDirectorateguidestherelativesthroughtherequiredproceduretotransfer the body abroad.
Staff
Ahmed Al-Khayari, Director
Ahmed Al-Barwani, Deputy Director
Younis Al-Farsi, Secretary
Khalsa Al-Salmi, Translator
Ghosen Al-Ghaafri, Counseling Psychologist
Fakhria Al-Amri, Health Education Specialist
Saleh Al-Hinai, Duty Administrator
Said Al-Harthy, Duty Administrator
Masoud Al-Harthy, Duty Administrator
Mansoor Al-Hinai, Duty Administrator
Muneer Al-Belushi, Duty Administrator
Ali Al-Belushi, Duty Administrator
Juma Al-Ghafri, Clerks
Ibrahim Al-Ghafri, Clerks
Yousif Al-Habsi, Receptionist
Khalid Al-Moaini, Receptionist
Sultan Al-Sadi, Receptionist
Juma Al-Muharbi, Receptionist
Salim Al-Mamari, Receptionist
•
In cooperation with doctors, approximately 2,575 medical reports were issued. •
Approximately 5,000 visiting passes were issued and 2,372 attendants’ passes given.
•
Our visitors pass unit was transferred to the main reception area at the new main entrance of the Hospital.
•
175 materials were translated within the Directorate, including medical reports and leaflets. Also, 7 students were
trained in the translation section.
•
48 lectures for inpatients were conducted on various topics attended by 450 patients, besides 62 private visits for
patients.
•
30 SQU & other colleges’ students were trained within the Directorate.
•
Meetings were conducted with inpatients and attendants.
•
More security guards were added to the A&E and outpatient departments.
support departments
Activities in 2010
Hospital Directorate of Patient Services
All staff members are Omanis.
255
Annual Report 2009-2010
Hospital Directorate of Public Relations &
Information
Overview
An organisation’s success and reputation is dependent on its image in the customer’s eye. The Public Relations & Information Directorate, therefore, works relentlessly on building and maintaining the positive
image that Sultan Qaboos University Hospital (SQUH) deserves. The Directorate also provides top quality
services to SQUH staff through its contacts with different governmental and private agencies. The vision of
the Directorate is that the public associates the terms ‘top quality’ and ‘excellence’ with the Public Relations
& Information Directorate and associates ‘excellent reputation and image’ with SQUH. The mission of the
Directorate is to provide top quality public relations services to SQUH staff and clients, and to work continuously on producing an excellent, realistic image of SQUH.
Staff
Sultan H. Al-Abri, Director
Khamis S. Al-Farsi, Head of Department
Yahya E.K. Al-Hasani, Head of Deparment
Salim M. Al-Hinai, Acting Head of Department
Mohameed A. Al-Zidi, Clerk
Talib A. Al-Abri, Clerk
Abdullah J. Al-Owaisi, Clerk
Maryam M. Al-Qureshi, Clerk
Mohammed A.Al-Salmi, Clerk
Ahmed S. Al-Hinai, Clerk
Saif M. Al-Ghaithi, Clerk
Yahya N. Al-Aamri, Clerk
Hashim A. Al-Balushi,
Yonis A. Al-Habsi, Clerk
Ali K. Al-Hatmi, Clerk
Activities in 2010
The Public Relations & Information Directorate serves the hospital through its four different departments.
256
256
JO U R N ALI SM & I N F O R M A T IO N D E P A R T M E NT A ND P R IN TI N G &
PU B LI SH I N G D EPAR T M E NT
Number of Activities
during 2010
Covering all SQUH events in national media
51
Designing event invitation cards
8
Designing certificates of appreciation
17
Designing patient educational materials (leaflets, posters)
9
Announcement of vacancies, tenders and training programmes
22
Providing banners for hospital events
24
Coordinating with media agencies regarding interviews with hospital staff (doctors)
43
Designing annual calendar
1
Producing educational and awareness films
2
Designing pop-up materials
486
C U LT U R AL & SO C I A L A CT IV IT IE S D E P A R T M E NT
Activities
Number of Activities
during 2010
A
Supporting all SQUH departments in organising conferences, symposia and workshops
57
B
Arranging all the needs for training programmes in coordination with
Training Directorate
301
C
Organising the graduation ceremony (SQU)
1
D
Organising the SQUH Annual Exhibition Day
1
E
Patient visits and gift distribution
33
F
Fun activities for children
13
support departments
Series
Hospital Directorate of Public Relations & Information
Activities
257
Annual Report 2009-2010
Hospital Directorate of Public Relations &
Information
G
Official visits
27
H
Picnic for staff
1
I
Opening ceremony (new department)
0
J
Others
19
EMPLO YEE SER VI C E S D E P A R T M E NT
Activities
Number of Activities
during 2010
Police station visits
2
Court visits
0
Receiving employees from airport
375
Farewells
75
Visas issued
1350
Visas deposited
223
ID cards issued
3250
Road passes issued
275
Others
198
TR AI N I N G & SC H O LA R S HIP S
Mr. Khamis Al-Farsi attended short training courses in the year 2010 in Malaysia; Mr. Yahya Al-Hasani, Head
of Depatment, is completing a Bachelor’s Degree in Business Administration in 2011, and Mr Abdullah AlOwaisi has completed a Bachelor’s Degree in Business Administration.
258
Overview
Technical Affairs Directorate is responsible for the operation and maintenance of all buildings, services,
plants, equipment and infrastructure in the Hospital to ensure they are available for the smooth running of
the Hospital. The Department is also responsible for planning and execution of new buildings to cater for the
new hospital development.
Technical Affairs Directorate has five departments: Projects; Bio-Medical Engineering; Hospital Engineering
and Maintenance; Health, Safety and Fire Prevention, and Laundry and Cleaning.
This Department is responsible for carrying out feasibility studies with land surveys and field orientations
according to the requests received from various departments. It compiles preliminary data to suit the facilities, compiles briefs of requirements and preliminary sketches in consultation with user departments. It also
compiles tender documents for consultancy services for design and supervision for major projects, while
minor projects are dealt with in-house. It reviews designs and documentation produced by consultants and
liaises for the processing of various statutory approvals. It then reviews the tenders with analysis and recommendations. Finally, it carries out contract administration works with supervision of sites and monitoring
the progress of projects to ensure quality work is produced within the time schedules.
H EALT H , SAF ET Y A ND F IR E P R E V E NT IO N D E P A R T M E NT
This Department, in coordination with the Health and Safety Committee, formulates health, safety and fire
policies; monitors and ensures strict adherence to the policies; investigates any incident that may have an
impact on health and safety, and trains hospital staff in health, safety and fire prevention.
This Department is responsible for the procurement and maintenance of biomedical equipment, such as MRI
machines, CT Scanners, X-Ray machines, Vital Sign Monitoring and all diagnostic and life saving equipment.
H O SPI T AL MAI N T EN A NCE D E P A R T M E NT
This Department is responsible for all Hospital buildings and all equipment except bio-medical equipment.
The department is sub-divided into three sections:
support departments
B I O MED I C AL EN G I NE E R ING D E P A R T M E NT
Hospital Directorate of Technical Affairs
PR O JEC T S D EPAR T M E NT
259
Annual Report 2009-2010
Hospital Directorate of Technical Affairs
M E C H AN I C AL SEC T I O N
Responsible for water services; kitchen equipment; medical gases; disinfection and sterilisation equipment;
the natural gas system; sewage; lifting stations; hospital beds, fire fighting equipment, and safety cabinets
H VAC SEC T I O N
Responsible for heating, ventilation and air conditioning (HVAC) systems and refrigeration equipment.
ELEC T R I C AL SEC T I ON
Responsible for the power distribution system; lifts; lighting; the paging and telephone systems; HVAC controls; uninterruptible power supplies; nurse call systems; intercom systems; public address systems; road
barriers and the audio-visual distribution system.
C IVI L SEC T I O N
Responsible for buildings maintenance; soft landscaping maintenance; keys; sign posting; minor modifications and upgrading; renovation of all facilities and the infrastructure system.
L AU N D R Y & C LEAN I NG D E P A R T M E NT
This Department is responsible for cleaning services of the buildings and washing of linen of the Hospital
wards and clinical staff uniforms.
Staff
Juma S. Al-Jabri, Director
Muhammed Mustafa, Coordinator
PR O JEC T S
Mohan R. Kailas, Senior Civil Engineer
Subhash Sule, Mechanical Engineer
Arun K. Singh, Electrical Engineer
Benjamin George, Mechanical Engineer
Muthuraj, Civil Engineer
Mabruka Al-Siyabi, Senior Civil Engineer
Mohammed Kunhi, Draughtsman
260
Vaseem A.M. Mirza, Health & Safety Officer
Ahmed Al-Mahruqui, Fire Officer
Nasser Al-Manai, Fireman
BIOMEDICAL ENGINEERING
Abdullah M. Al-Hashmi, Head, Biomedical Engineering
Khalid M. Al-Mahrizi, Senior Engineer
Shuwaina N. Al-Harrasi, Clerk
Zuwaina A. Al-Tooqi, Coordinator
Edgar K. Sanz, Senior Engineer
Dominador De Guzman, Senior Engineer
Santiago O. Buniag, Engineer
Khamis H. Al-Lamki, Engineer
Ravindra Inamdar, Senior Engineer
Madhan G, Engineer
Amur Al-Sindi, Engineer
Hamid M. Al-Mayahi, Engineer
Ghassan S. Al-Ghassani, Engineer
Saif K. Al-Hinai, Engineer
Adil M. Al-Harthy, Engineer
Mohsin S. Al-Naamani, Engineer
Sultan H. Al-Qalhaty, Technician
Taha I. Al-Husseini, Technician
Jassim S. Al-Rusheidi, Technician
Abdullah S. Al-Hinai, Chief Engineer
Manikonda V. Rao, Coordinator
Salem Al-Hadhrami, Electrical Engineer
Venkatesh Prasad, Electrical Engineer
Tariq Al-Lawati, Mechanical Engineer
Prabu D. Singh, Mechanical Engineer
Jamal Al-Belushi, Civil Engineer
Ahmed Al-Busaidi, Maintenance Technician
Adel Al-Ghafri, Technician
Fahad, Technician
Murad Al-Saadi, Clerk
support departments
H O SPI T AL EN G I N EE R ING & M A INT E NA NCE
Hospital Directorate of Technical Affairs
H EALT H , SAF ET Y & F IR E P R E V E NT IO N
261
Annual Report 2009-2010
Hospital Directorate of Technical Affairs
Maniha Q. Al-Shanfari, Clerk
L A U N D R Y & C LEAN I NG
Sulaiman Al-Farei, Head – Laundry & Housekeeping
Ayub Al-Hadhabi, Housekeeping Supervisor
Sateesh T.N., Housekeeping Supervisor
Nasser Al-Shargi, Store In-charge
Mohsin Al-Zadjali, Laundry Supervisor
Maryam, Tailor
Activities in 2010
EQ U I PMEN T
During this period, we acquired many new items of equipments to improve patient care and to support research. Some of the major equipment items are:
Biomedical Equipment for 2010
262
Sl.No
Name of Equipment item
Value (OR)
1.
Video camera
2.
Digital camera (still picture & video)
3.
High Frequency Ventilator
13,975.000
4.
Ventilator Neonatal
27,750.000
5.
Transport Ventilator
21,162.000
6.
Non Invasive Ventilator (Adult)
98,945.000
7.
Non Invasive Ventilator (Paediatric)
89,950.000
8.
Ventilator Adult (Anaesthesia)
160,044.000
9.
Colonifiberscope
26,870.000
10.
Gastronintestinal Videoscope
36,260.000
11.
Video Processor for Endoscope System
19,818.000
12,088.700
Infusion Stand
31,338.350
13.
Retcam 120 (retinal camera)
78,700.000
14.
Confocal Microscope (Confoscan 2)
49,700.000
15.
CRRT Machine (Multifiltrate Fresenius)
39,315.300
16.
Phototherapy Light
11,520.000
17.
Echocardiography System
76,020.000
18.
Monitor Bedside
93,770.000
19.
Ultrasonic Surgical Aspirator
96,971.250
20.
Neuro-endoscope A Complete System
61,979.000
21.
Vital Signs Monitor Portable
92,580.000
22.
Bedside Monitor for Paediatric ICU
60,510.000
23.
Data Migration
14,750.000
24.
Humidifier
11,025.000
Total OR
1,225,041.600
Sl.No
Name of Equipment item
Value (OR)
1.
Stainless steel worktop tables
4,710.000
2.
Paging System (POCSAG)
14,750.000
3.
Extract Ducts for Safety Cabinets in Block 9
7,994.000
4.
A/C Split System Free Standing Down Flow for HIS
8,670.000
5.
Air-conditioning under false ceiling 3 Ton
3,540.000
6.
Supply, installation, commissioning of Ducted Split A/C- CCU
6,700.000
7.
Laboratory Refrigerators – 158 Ltrs
2,000.000
8.
Boiler Monitoring & Diagnostic System
68,770.000
9.
Patient Transfer Chairs
22,500.000
support departments
Maintenance Department Equipment 2010
Hospital Directorate of Technical Affairs
12.
263
Annual Report 2009-2010
Hospital Directorate of Technical Affairs
10.
Deioniser - Output 5 to 6 Ltrs
5,750.000
11.
Cooking Oven Gas - heavy duty
12,060.000
12.
Operating Table
25,959.100
13.
Medication Cart Trolley
9,940.000
14.
Gas Leak Detector & Shutoff System
15,500.000
15.
Decomat Disinfector
26,720.000
16.
Medical Refrigerator 340 Ltrs
1,250.000
17.
Microwave Ovens
1,167.000
18.
Commode Chairs
6,480.000
19.
Trolleys for Sterile Procedures & Multipurpose
16,695.600
20.
Cytotoxic Dispensing Isolator
14,500.000
21.
Blood Bank Refrigerator MBR 1404 GR
3,664.000
22.
Sanyo Refrigerator MPR-721 R
2,574.000
23.
New Extractor Fan
3,150.000
24.
Sanyo Refrigerator – 340 Ltrs
2,235.750
Total OR
310,529.450
Building Modifications
264
S.No
Description
Value (OR)
1.
Modification works for Doctor’s Offices in Wards & Delivery
8,900.000
2.
Waterproofing for External Expansion Joints
13,803.255
Total OR
22,703.255
PR O JEC T S
To meet the hospital expansion plans the following projects were under taken:
Projects under Design
Description
Value (OR)
1.
Haematology and Bone Marrow Transplant Centre
189,648.000
2.
Expansion of Operating Theatres (8 new) and expansion of
Radiology Department
48,400.000
3.
Expansion of Accident & Emergency Department
15,786.000
4.
Staff Accommodation Blocks
129,785.000
5.
Extension to CCTV System
50,000.000
Sub-Total
433,619.000
S.No.
Description
Value (OR)
1.
Construction of Medical Stores Annexe Building
1,715,492.000
2.
Public Address System
35,851.000
3.
Door Access System for IDF Rooms
15,179.900
4.
Additional Cooling Server Room
125,000.000
6.
Chillers Replacement/District Cooling System
4,100,000.000
7.
Grading and Leveling the Areas on North East Sector
100,000.000
8.
Racking & Mezzanine Floor in Medical Store
150,000.000
10.
Modifications in Block 17 Building to create Genetics Clinic
80,000.000
11.
Modifications in Block 17 to create Genetics Clinic – HVAC
Works
80,000.000
12.
Biochemistry Lab – Renovation Works
1,700.000
13.
Modifications to create High Dependency Bays in Wards
27,255.818
Sub-Total
6,430,478.718
support departments
Projects under Execution/Construction
Hospital Directorate of Technical Affairs
S.No.
265
Annual Report 2009-2010
Hospital Directorate of Technical Affairs
Projects Completed
S.No.
Description
Value (RO)
1.
Modification in Anaesthesia Offices area to create Cardiothoracic
ICU
28,210.000
2.
Shaded Car Parking behind Block 2 Building
60,720.000
3.
Modifications in Operating Theatres (Delivery Suite)
8,800.000
4.
Modifications in Old BME Workshop near operating theatres to create relatives waiting areas (AWCA)
3,000.000
5.
Modifications in HIS for extending the Server Room facilities
15,000.000
6.
UPS Systems in HIS Server Room
22,000.000
7.
Auto Change Over Switches
14,000.000
8.
Generator for Block 9 Building
45,567.000
Sub-Total
197,297.000
Summary
266
S.No.
Description
Value (RO)
1.
Project under Design
433,619.000
2.
Project under Execution/Construction
6,430,478.718
3.
Projects Completed
197,297.000
GRAND TOTAL
7,061,394.718
Projects
2008
2009
2010
Amount (OR)
Amount (OR)
Amount (OR)
986,016.000
2,681,159.000
7,061,394.718
Engineering Equipment Replacement
253,318.000
158,500.000
365,294.450
Biomedical Equipments
726,747.000
425,431.898
1,225,041.600
Building Modifications
92,359.000
28,667.593
22,703.255
Maintenance of Plants and Equipment
788,423.000
649,118.439
729,249.437
Maintenance of Biomedical Equipment
250,977.000
25,988.000
462,302.031
Cleaning Services
-
-
461,497.805
Laundry Services
-
-
120,675.440
3,097,840
3,968,864.930
10,448,158.736
GRAND TOTALS
Electricity (kwh)
Water (ltrs.)
Gas (m3)
Totals
Year 2008
Year 2009
Year 2010
Amount (RO.)
Amount (RO.)
Amount (RO.)
1,151,347.000
1,199,166.000
1,130,487.990
80,120.000
80,120.000
82,606,259
4,031.000
2,849.000
4,124.805
1,235,498.000
1,282,135.000
1,217,219.054
support departments
Energy Consumption
Hospital Directorate of Technical Affairs
Expenditure
267
Annual Report 2009-2010
Hospital Directorate of Training & Continuing
Professional Development
Overview
The vision of the Directorate of Training & CPD (DTCPD) is to be a training centre of excellence in Oman assuming a leadership role in continuing education, research and providing highest standard of programmes
meeting the growing educational needs of Sultan Qaboos University Hospital staff. The mission of the Directorate is to offer excellence in providing opportunities for training, professional development, continuing
education, and in-house training for all Sultan Qaboos University Hospital staff, thereby promoting the delivery of highest quality patient/client care.
Staff
Khalsa M. Al-Maawali, Actg. Director
Kirsten Rude, Teaching Staff
Barbara Hall, Teaching Staff
Esther H. Bonam, Teaching Staff
Khairom A. Rashid, Teaching Staff
Salha Al-Alawi, HoD-Scholarships
Samson Pakalapati, Admin staff
Rashid Al-Hajri, Admin staff
Ali Al-Owaisi, Admin staff
Najla Al-Rashidi, Admin staff
Hind Al-Ghailani, Admin staff
Yahya Al-Rawahi, Messenger
Activities in 2010
268
-
Conducted courses and programmes as published in the bi-annual course schedules
-
Conducted a study “DTCPD customer satisfaction survey of knowledge utilization in a practice setting – SQUH
2008/2009”
-
Attachments: conducted an attachment programme and processed attachment requests from institutions/individuals
-
Conducted teaching and consultations as per requests
-
Revised old policies, procedures and processes
-
Participated as a member of various SQUH committees
-
Revised and published course curricula
-
Revised and published course books
-
Developed/revised Department documentation to meet ISO 9001-2000 requirements
-
Prepared and submitted equipment budget
-
Departmental training needs assessed for all categories of courses from departments
-
Updated Departmental Training Committee members list
-
Worked on and implemented various proposals for unscheduled in-house development courses
-
Identified external short-term courses for departments and processed the applications
-
Conducted typing tests for prospective candidates for the Personnel Affairs Department
-
Scrutinised scholarship applications and forwarded to Hospital Training Committee (HTC)
-
Developed a proposal for reimbursing instructors coming from clinical areas of SQUH
-
Updated all forms used in DTCPD
-
Implemented new course – ACLS/PALS ECG Rhythm Identification Workshop
-
Departmental Fire Audit conducted
-
Implemented new course on Chemotherapy Administration
-
Developed & Revised Key Performance Indicator (KPI) plan to new format and submitted quarterly progress report
on KPI to Directorate of Development & Quality
-
Applied and obtained accreditation and credit points for scheduled and unscheduled in-house development programmes from Oman Medical Specialty Board (OMSB)
-
Amended database to document individual training credits of staff
-
Presented a Study Report of “DTCPD Customer Satisfaction Survey of Knowledge utilization in a practice settingSQUH 2008/2009” at the 2nd International Conference of Quality Management in Healthcare
-
Presented a paper on “Quality Assurance in Training & Education” at National Staff Development Conference held
at Khoula Hospital, Oman
D EVELO PMEN T S U N D E R T A K E N
-
Updated guidelines for smooth processing of training requests
-
Developed action plan for Risk Management
Hospital Directorate of Training & Continuing Professional Development
Admission process for CSSD Technician course
support departments
-
269
Annual Report 2009-2010
Hospital Directorate of Training & Continuing
Professional Development
-
Updated colour-coded Bi-annual Course Programme Schedule indicating eligibility requirements
-
Scrutinised and revised Quality Manual, Policies, Procedures, Processes, Guidelines and Standards
-
Implemented IV Instructor Program
-
Changed the certificates/cards and other relevant forms/policies etc. incorporating the new name of the directorate
“Directorate of Training & Continuing Professional Development (DTPCD)
-
Introduced 2010 AHA/ILCOR Guidelines to BLS, PALS, ACLS courses
-
Started DTCPD Newsletter
DEVELO PMEN T O F D T CP D S T A F F
-
Emergency First Responder course
-
“Quality management in Healthcare” – International Conference
-
“Training of Trainer Workshop” – DGET
-
“Sharing Best Practices in Staff Development” – National Staff Development Conference
-
Knowledge Forum lectures, SQUH
-
Scientific Update in Travel Medicine, RCPS (Glasgow)
O MAN I SAT I O N
Appointment of a new Omani clerical/coordinator staff
270
Overview
The responsibilities of the Hospital Finance Department involve:
1.
The preparation of Hospital annual budget for approval by the Ministry of Finance, monitoring the approved funds
for effective utilisation, monitoring of the staff induction against staff budget approval; the maintenance of various
statistics pertaining to staff, patients etc.
2.
The processing of staff salary on monthly basis and ensuring timely payments; the processing of leave salaries; the
timely settlement of terminal benefits of staff leaving the hospital permanently etc.
3.
The processing of supplier’s and contractor’s bills for payments in coordination with supplies and stores departments
4.
The maintaining of petty cash account.
5.
The collection of revenue from paying patients, private hospitals, etc.
6.
Liaising with Ministry of Finance and other government agencies
7.
Finalising the item price list for paying patients and submitting it for approval of the Ministry of Finance
Hospital Finance
Nasser S.M. Al-Salmi, Director, Financial Affairs
Ahmed S.A. Al-Farsi, Acting Deputy Director, Financial Affairs
M.S.Subba Rao, Senior Technician/Statistician
Adnan J. Al-Mosawi, Head, Treasury section
Awadh S. Al-Bulushi, Accountant
Suleiman S. Al-Abri, Head, Revenue Section
Khamis M. Al-Muzaini, Head, Contracts Section
Salim H.H. Al-Sinawi, Accountant
Hamoud S. Al-Farsi, Accountant
Hilal A. Al-Daghaishi, Head, Salary section
Sulaiman D.O. Al-Bulushi, Accountant
Salah S.S. Al-Nadabi, Head, Expenditure Section
Zakiya S.A. Al-Husni, Accountant
Zuweina A.M. Al-Habsi, Accountant
Suroor M.K. Al-Rubaiey, Accountant
Naeema J.R. Al-Saadi, Accountant
support departments
Staff
271
Annual Report 2009-2010
Hospital Finance Department
Azhar S.S. Al-Dhugaishi, Accountant
Mohammed J.S. Al-Ramadhani, Accountant
Hamad S.H. Al-Sabti, Accountant
Khalfan S. Al-Farei, Accountant
Ibtisam J.J. Al-Malki, Accountant
Nadia S.S. Al-Ramadhani, Coordinator
Sulaiman H.S. Al-Talei, Messenger
Activities in 2010
272
1.
During the year ending 2010, the number of staff to whom salaries were paid was 2,407.
2.
The Hospital budget for the year 2010 was prepared and submitted on time to the Ministry of Finance for approval.
3.
The Department also processed 3,626 vouchers of suppliers and contractors for payment during the year ending
2010.
4.
The Hospital revenue collection for the year ending 2010 was OR 420,923.489 which was an increase of 9.2% over
2009.
5.
Constant monitoring of the budgetary allocation and timely intervention resulted in a 100% utilisation of the budget for the year ending 2010.
6.
The petty cash disbursement for purchase of day to day urgent items for the year 2010 was OR 24,519.417.
Overview
The Housing Department is responsible for arranging accommodation for all the SQU Hospital employees.
Assignment of residences is allocated as per housing rules and policy according to provisions of employment
contracts.
Residences on-campus are available in different types of categories such as family, single and sharing for
senior and junior staff. In addition, the Department hires/rents accommodation units, in order to cover the
shortage in the number of residences available on-campus.
The Housing Department plays a vital role in the preparation of residential premises, ensuring they are fit
for occupancy. Inspections and housekeeping are carried out by Housing Department staff and any required
work is referred to the appropriate hospital department.
Staff
-
Follow up the request of providing training for housing staff with the Training Services Directorate.
-
New purchase for residential requirements.
-
Renewal of lease contracts for one more year.
-
Increase the number of hired accommodation to cover the shortage on campus for hospital expansion.
Hospital Housing
Activities in 2010
support departments
Bader Al-Hasni, Head of Department
Bader Al-Habsi, Deputy Head
Naeema Al-Jufaili, Coordinator
Mahboob Al-Belushi, Residence Furnishing Officer
Abullah Al-Jaradi, Residence Furnishing
Suleiman Al-Esmaily, Inspection & Maintenance Inspection Follow-up Officer
Khalid Al-Hossaini, Development Assistant
Khalifa Al-Hinai, Offices Furnishing Officer
Mohammed Al-Malki, Housekeeping
Bader Al-Hadabi, Housekeeping
The Department has ten employees and four workers. The Department is fully Omanised.
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Annual Report 2009-2010
Hospital Housing Department
-
Contribution to quality management activities for ISO 9001:2000. BSI
-
Preparation of obsolete items for auction.
-
Follow-up of administration top management of housing request for supply of extra vehicles.
-
Follow-up the request to appoint more staff to the Department due to increasing job responsibilities.
-
New store for housing department and new extension to existing medical store.
H O U SI N G ALLO WAN CE
In order to cover residential accommodation shortages, there has been provision of housing allowances for
newly recruited employee nurses after they vacated their junior nurse accommodation.
M A I N T EN AN C E
Most maintenance requests and other requirements have been successfully met through appropriate liaison.
RE SI D EN C E C LEAN I N G
The cleaning and preparation of residential units have successfully been completed before occupancy.
274
The goal of the Medical Records Service is to create and
maintain systems which support health care providers, public studies, financial organisations and, most
important of all, the needs of the patient. The hospital currently has a hybrid records system that involves
most information being held in the new Hospital Information System, TrakCare, which have been recently
updated with new version P9. A small amount of information is still held on paper records. The goal is to have
a full electronic health record functioning by the end
of 2011. The Department operates with a sincere and highly
committed staff team, consisting of 51 young Omanis,
in its six sections. An Omani head leads the Department.
The processing and assembling section: Ensures that all records have a complete discharge summary and all
other notes and reports are present. In addition, they ensure that records are assembled in an orderly and
timely manner and signed-in in the system. Also, they scan all the important documents in the new electronic patient record which is not entered directly, such as consent forms.
Admission & Registration section: Largest section, in it is all clerks and receptionists of OPDs clinics, X-ray,
Physiology, Oral health, Family & Community health and the Student Clinic. Registration of patients in the
Accident & Emergency Department is an important part of our activity as it is a crucial and critical area in
the Hospital, which runs 24 hours.
Statistics section: Preparation of statistics for administration, hospital departments, and outside agencies
such as the Ministry of Health. It also provides health information for physicians, nurses and students for
support departments
Filing and retrieval section: Retrieves records for treatment and provides services for medical students, doctors, nurses and other paramedical staff who need to perform retrospective research or study.
Hospital Medical Records Department
Overview
275
Annual Report 2009-2010
Hospital Medical Records Department
14873
9790
10853
43273
125342
7897
19005
82617
Out-patient clinics
Radiology
Clinical Physiology
Day Care Unit
Famco
Oral Health
Student Clinic
Physiotherapy
medical research purposes.
Coding Section: Analyses all inpatient’s discharge records and assigns a numeric code to diagnostic data
based on (ICD-10) the International Classification of Diseases classification system and (ICD-9-CM) for procedures.
Births & Deaths section: Issues electronic birth notifications for new born babies, and death notification for
those who died in SQUH, in both Arabic and English language. The Royal Oman Police, Directorate of Civil
Services issues the certificates. A copy of the register is send to the Ministry of Health every single month.
Staff
Salim Khloof Al-Wahaibi, Head of Department – ADD PHOTO!!
Ahmed Al-Farsi, Deputy Head of Department
Saif Al-Raqadi, Supervisor
Mubarak Al-Habsi, Supervisor
Abdullah Al-Wahaibi, Supervisor
Yousif Al-Falahi, Supervisor
Huda Al-Suwaidi, Supervisor
Mahfoudhah Al-Zadjali, Supervisor
276
Overview
The Department provides the following services:
-
Transport services for SQUH staff.
-
Transfer of patients either by car or ambulance to another hospital or the airport.
-
Delivery and collection of mail and medical reports to and from other governmental institutions.
-
Transport for female students and patients between their residential complex and the Hospital.
Staff
Nassir H. Al- Gaffari, Head of Department
Essa K. Al-Raisi, Staff member
Drivers: 28
Activities in 2010
VEH I C LES
In 2010, the Transport Department got a new ambulance.
EXPEN D I T U R E
The following was the expenditure for 2010:
support departments
Fuel: OR 7,225,673
Hospital Transport
Maintenance: OR 4,791,000
277
Annual Report 2009-2010
Annexes
Appendix I
C O N F ER EN C ES & WOR K S HO P S O R GA NIS E D B Y
C O MH S & SQ U H I N 2 0 0 9 - 2 0 1 0
Conference Name
Chronic Childhood Illness: Better understanding and cure
General Medicine Conference - organised with the Royal College of
Physicians (UK), the Ministry of Health, Oman and the Oman Medical
Specialty Board
Workshop Name
Sixth Regional Evidence-based Medicine Workshop; Basic Clinical
Research Design, and Health Informatics
278
Start
14–16 October 200
21–23 February 2010
Start
9–13 January 2010
Research Methodology
6 May 2010
Postgraduate Studies & Research Retreat
6 May 2010
Appendix II
C U RRI C U LUM I N FO R M AT I ON
Full information on all College of Medicine & Health Sciences curricula can be found on
our website at:
Annexes
sultan qaboos university and hospital
http://www.squ.edu.om/medicine-health/tabid/2455/language/en-US/Default.aspx
279