Prevalence and Spectrum of Coronary Anomalies Detected on Coronary Computed Tomography Angiography: A single centre experience in Oman

ABSTRACT: Objectives: Coronary artery anomalies (CAAs) are uncommon congenital abnormalities with a prevalence ranging from 0.2–2%. CAAs can be asymptomatic or less commonly present with life-threatening symptoms. This study aimed to investigate the prevalence and spectrum of CAAs in patients who underwent coronary computed tomography angiography (CCTA) in Oman. Methods: This retrospective study was conducted at the National Heart Centre, Muscat, Oman between September 2012 and August 2018. All consecutive patients who had undergone CCTA were included. Results: A total of 4,445 patients were included in this study. Of these, 59 patients (1.3%) were diagnosed with CAAs with a mean age of 52.6 years (range: 12–80 years) and an equal gender distribution. Among the patients with CAAs, the majority (69.5%) had anomalous origins from the opposite or non-coronary sinus. Right coronary artery arising from the left coronary sinus was the most common type (33.9%). Fewer patients (18.6%) had left circumflex arising from the right coronary sinus (RCS). Seven patients (11.9%) had left main arising from the RCS. Other CAAs were in the dual left anterior descending artery (8.5%), high coronary artery take-off (6.8%), single coronary ostia (6.8%) and coronary artery fistula (6.8%). Conclusion: The prevalence of CAAs was 1.3% which is similar to the literature.Keywords: Coronary Vessel Anomalies; Computed Tomography Angiography; Prevalence; Oman

Measuring supply chain complexity based on multi-criteria decision approach

This study identified twenty-two drivers that cause the complexity in supply chain. The level of such complexity is quantified by using hybrid AHP and GRA method. A case company is studied in order to demonstrate the applicability of the proposed method. The results from the case company were analyzed and it is seen that the level of supply chain complexity of the case company is 0.44, which is signifying that there is a considerable scope of improvement in terms of minimizing complexity in its supply chain. From the study outcomes, it is realized that the case company mainly needs substantial improvement on the issues of “government regulation,” “internal communication and information sharing,” and “company culture” in order to minimize the level of accompanied complexity in its supply chain.©2020 IEOM Society.fi=vertaisarvioitu|en=peerReviewed

A Newly Detected Left Ventricular Mass Following A Complex Intracardiac Repair

Appearance of unexpected masses in the chambers of the heart during cardiac surgery can be intriguing. We report the case of a mass in the left ventricle that appeared at the time of separation from cardiopulmonary bypass in a child after a complex intracardiac repair. The child presented for surgery to a tertiary care hospital in Muscat, Oman, in 2022. Prior to the surgical repair the mass was not appreciated by echocardiography. An intraventricular baffle was used to divert left ventricular blood flow towards the outflow tract, after which an intraventricular “mass” was observed. Intraoperative transoesophageal echocardiography identified the mass as a portion of the interventricular septum that was located between the inlet and outlet ventricular septal defects. Keywords: Echocardiography; Heart Septal Defects; Heart Ventricles; Diagnostic Imaging

Determination of Ascorbic Acid in Oman Citrus Fruits

Omani citrus fruits were analyzed for their Vitamin C (ascorbic and AA) content by a titration method involving  N-bromosuccinimide (NBS) as an oxidizing  agent and by high performance liquid  chromatography. Vitamin C content was also determined after storage at different temperatures. Vitamin C contents of the fruits were found to lie within  the values reported in the literature

Sudden Cardiac Death in Patients Under 49 Years Including Adolescents: A single-centre study from Oman

Objectives: This study aimed to identify the incidence of sudden cardiac death (SCD0 in adult patients under the age of 49 years, including adolescents with an out-of-hospital cardiac arrest that presented to the emergency department of a tertiary care hospital. Methods: This retrospective cross-sectional study was conducted at the Royal Hospital, Muscat, Oman, between January 2015 and December 2019. All patients with out-of-hospital cardiac arrest were enrolled. The incidence of SCD was evaluated. Information about the patient's demographic data, the site of cardiac arrest, the mode of arrival, the duration of pre-arrest symptoms and if cardiopulmonary resuscitation was performed was gathered. Survival data at 3-year follow-up was obtained. Results: A total of 117 out of 769 (15%) patients met the criteria for SCD. Male gender was predominant, with a median age of 33 years. In about 79.5% of the patients, cardiac arrest was witnessed. Only 43 patients (36.8%) received cardiopulmonary resuscitation at the arrest site; 21 patients (17.9%) had a shockable rhythm and 96 patients (82.1%) had a non-shockable rhythm. Spontaneous circulation was returned in 15 patients (12.8%). Nine patients (7.7%) were discharged from the hospital and 8 (6.8%) survived at least 36 months. Conclusion: The study findings indicate the prevalence of SCD among patients who experienced a cardiac arrest outside the hospital. Unfortunately, only a small number of patients were able to survive in the long term. By implementing preemptive screening for individuals and their families, it may be possible to prevent SCD and improve outcomes for those affected. Keywords: Death, Sudden, Cardiac; Epidemiology; Etiology; Risk Factors; Incidence; Cardiopulmonary Resuscitation; Retrospective Studies; Oman

A New Variant of Dual Left Anterior Descending Artery Anomaly: Type XI

A dual left anterior descending (LAD) artery is a rare congenital anomaly which is classified into different types based on the origin, course and termination of the short and long LAD arteries. To date, 10 variants of dual LAD artery anomalies have been described. We report a 44-year-old woman who was referred to the Department of Radiology, Royal Hospital, Muscat, Oman, in 2017. Coronary computed tomography angiography revealed a dual LAD artery anomaly in which the short and long LAD arteries shared a common ostium with the right coronary artery from the right coronary sinus. To the best of the authors’ knowledge, this type of variant has not been previously reported in the literature. Keywords: Coronary Angiography; Congenital Abnormality; Coronary Vessel Anomalies; Case Report; Oman

Photoluminescence and Dye Adsorption Mechanism of Dehydrated Carbon Quantum Dots

The role of oxygen-based functional groups in the photoluminescence of dehydrated carbon dots (DCs) and the adsorption mechanism of dye molecules onto the surface of DC is investigated. DC were prepared from orange peel for the first time via the chemical dehydration effect of sulfuric and phosphoric acid at 180 oC. We compared the emission spectra of DCs in different solvents in great detail. The solvatochromism of DC in different solvents is discussed. The role of oxygen-based functional groups in the light emission process is examined. Adsorption of methylene blue (MB) on the surface of DC was studied at different contact times, pH, concentrations, and temperatures. In this work, we used Langmuir and Freundlich adsorption models for the analysis. Sorption kinetic data were found to fit well with the pseudo-second-order model. Our results also showed increased MB adsorption capability with temperature. The results are essential for the application of CQDs, such as in wastewater treatment.  Keywords: Photoluminescence; Adsorption; Solvatochromism; Carbon dots; Methylene blue (MB)

The mycobiota of herbal drug plants in Oman and possible decontamination by gamma radiation

The mycobiota of seven herbal plant species were surveyed: Nigella sativa, Zataria multiflora, Trigonella foenum-graecum, Rhazya stricta (seeds and leaves), Haplophyllum tuberculatum, Aristolochia bracteolata and Teucrium muscatense. A total of 24 species of fungi were isolated from the plants (seeds, leaves, flowers and/or stems). No significant differences were found between the mycobiota of the herbal plant species or between the six samples of each plant. Aspergillus niger and Penicillium sp. were the most common species, followed by A. flavus and Rhizopus spp. A. flavus was found in all herbal plants except R. stricta (leaves) and Z. multiflora. Aflatoxins were extracted from a number of herbal plants. Some strains of A. flavus isolated from the plants were aflatoxigenic. Gamma radiation at 905.4 Gy showed an average percent inhibition of fungi on some herbal plants between 88.6 and 99.1%. Complete inhibition was obtained at 1836 Gy