333 research outputs found

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

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    Deep dermal burns and full thickness burns are generally managed by excision and split thickness skin grafting. The skin graft may lead to unacceptable colour changes and be aesthetically unacceptable. Also, there may be a contour defect and, furthermore, it is followed by varying degrees of contracture. The keystone design sliding flap, first described in 2003, avoids the need for grafting and is not associated with any skin graft problems. We report two cases of the use of this flap as the primary surgery in reconstruction of small full thickness burn defects.

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

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

    Sustainable Clinical Academic Training Pathways: A framework for implementation in Oman

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    Clinical academics—medical doctors with additional training in basic science or clinical research—play a pivotal role in translating biomedical research into practical bedside applications. However, international studies suggest that the proportion of clinical academics relative to the medical workforce is dwindling worldwide. Although efforts to reverse this trend are ongoing in many countries, there is little perceptible dialogue concerning these issues in Oman. This article explores the current status of clinical academic training pathways worldwide, concluding with a framework for the implementation of a dual-degree medical-research training programme in Oman in order to stimulate and develop a sustainable national clinical academic workforce.Keywords: Training Programs; Undergraduate Medical Education; Graduate Medical Education; Internship and Residency; Medical Students; Research; Oman

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

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

    Embedded gateway services for Internet of Things applications in ubiquitous healthcare

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