MACULAR DEGENERATION

 

Gandhewar, RN. Solar eclipse blindness. February 1989;V(3):

2-6. Senior Specialist Ophthalmology, Sultan Qaboos

Hospital, Salalah.

 

In this study, eleven patients who observed the solar

eclipse were examined. Solar eclipse retinopathy was

observed in 12 eyes. Visual acuity improvement was seen

in all and retrobular injection of dexamethasone was

effective for rapid improvement.

MACULAR DEGENERATION/VISUAL ACUITY.

 

 

MADUROMYCOSIS

 

Devi, KR Leena. Mycetoma : a study of 17 cases. May 1987;

III(4):19-24. Specialist, Hitopathology Laboratory,

Khoula Hospital.

 

The study is based on the records of the histopathology

laboratory of Khoula Hospital to find out the types of

mycetoma prevalent here based on morphological grounds.

MADUROMYCOSIS.

 

 

MALARIA

 

Mashaal, HA H. World Malaria situation in 1992 and Oman

towards Malaria eradication by the year 2000. November

1995;XII(2):20-22. International Malaria Consultant.

 

Before 1991 Malaria in Oman was quiet serious in several

regions. In 1991 the Malaria Eradication campaign was

started which proved quiet successful and it is expected

that by the year 2000, the Sultanate wil be free from

Malaria.

MALARIA.

 

Paltrineri, AB. Treatment of Malaria : part I. August 1986;

III(1):3-9. WHO Representative and Advisor, Ministry of

Health.

MALARIA.

 

Paltrineri, AB. Treatment of Malaria - part II. November

1986;III(2):3-8. WHO Representative and Advisor,

Ministry of Health.

 

As the diagnosis of acute malaria in a child is subject

to even more vagaries than in an adult, great

watchfulness should be maintained whenever there is any

possibility that the symptoms may be attributed to a

plasmodial infection. Fever, anorexia, nausea, vomiting,

diarrhoea, convulsions and coma are the common presenting

features in children. Anaemia is more common and more

marked in children than adults. Vivax Malaria may

occasionally produce an alarming clinical picture in

children, but usually it is falciparum infection that

gradually or suddenly develops into a medical emergency.

A severe falciparum infection is present if convulsions,

stupor, collapse, copius vomiting and diarhoea, anaemia,

or jaundice are seen, or if the parasite count indicates

that over 2 percent of the red blood cells are infected.

MALARIA.

 

 

MALARIA FALCIPARUM

 

Sheth, MB; PRABHAKAR, N.A.; MARHUBY, H. Case report -

Chloroquin resistant severe falciparum malaria with acute

renal failure. May 1996;XII(4):55-57. Junior

Specialists; Senior Specialist, Department of Neurology,

Royal Hospital.

MALARIA FALCIPARUM/KIDNEY FAILURE, ACUTE.

 

 

MALARIA, CEREBRAL

 

Buhl, MR; ET AL. Case report - Cerebral Malaria treated with

partial exchange transfusion. February 1993;IX(3):42-46.

Associate Professor, College of Medicine, Sultan Qaboos

University.

EXCHANGE TRANSFUSION, WHOLE BLOOD/MALARIA, CEREBRAL/

MALARIA, FALCIPARUM.

 

 

MALARIA, FALCIPARUM

 

Aithala, KG Raj; ET AL. Case report - Acute cerebellar

syndrome in Malaria. May 1993;IX(4):9-10. Department of

Child Health and Medicine, Sultan Qaboos University

Hospital.

MALARIA, FALCIPARUM/PLASMODIUM FALCIPARUM.

 

Aysha, MH; ET AL. Sensitivity of Plasmodium Falciparum

Malaria to Chloroquine+Primaquine and

Quinine+Sulfadoxine/Pyrimethamine : a comparative study.

February 1995;XI(3):7-13. Senior Consultant Physician,

Sohar Hospital.

 

Although fever subsidence and parasitic clearance were

faster clinical efficacy, Choloquine remains the drug

choice for uncomplicated Malaria, Whereas Quinine is kept

as an alternative and for severe and complicated cases.

As resistence is negligble in this study, it is

recommended that all patients with uncomplicated Malaria

may be treated on out-patient basis.

MALARIA, FALCIPARUM/PLASMODIUM FALCIPARUM.

 

Buhl, MR; ET AL. Case report - Cerebral Malaria treated with

partial exchange transfusion. February 1993;IX(3):42-46.

Associate Professor, College of Medicine, Sultan Qaboos

University.

EXCHANGE TRANSFUSION, WHOLE BLOOD/MALARIA, CEREBRAL/

MALARIA, FALCIPARUM.

 

 

MANAGED CARE PROGRAMS

 

Laxade, S; HALE, C.A. Managed care : an opportunity for

nursing. February 1995;XI(3):27-36. Senior Nursing

Manager, Surgical Services; Research Associate, Centre

for Health Services Research, Royal Victoria Infirmary,

University of Newcastle Newcastle Upon Tyne.

 

The paper looks at how the nursing role can be developed

by using care delivery methods of case management and

care management.

MANAGED CARE PROGRAMS/NURSING.

 

 

MAPLE SYRUP URINE DISEASE

 

Ballal, NN. Maple Syrup Urine Disease. February 1991;

VII(3):27-28. Medical Officer, Department of Child

Health, Royal Hospital.

MAPLE SYRUP URINE DISEASE.

 

 

MEASLES

 

Bhatnagar, SK; ABBAS, A.S. Measles outbreak in Sur / Ja'alan

Districts of South Sharqiya Region 1992-93. August 1994;

XI(1):14-19. Junior Specialist Paediatrics, Sur

Hospital.

MEASLES.

 

Elbualy, MS. Correspondence - Measles in Sohar. May 1986;

II(4):45. Senior Consultant Paediatrician and

Administrative Head, Paediatric Services, Omam.

MEASLES.

 

Elbualy, MS; KOLHATKAR, A.; AL-DHAHRY, S.H. S.

Seroprevalence of rubella, cytomegalovirus, measles and

toxoplasmosis among pregnant women in Oman. February

1996;XII(3):6-10. Department of Child Health; Department

of Microbiology, College of Medicine, Sultan Qaboos

University.

 

Serum samples collected from pregnant women in different

regions of Oman were tested for IgG antiboides against

rubella and measles viruses, cytomegalovirus (CVM) and

Toxoplasma gondii by enzyme-linked immunosorbent assays.

None of these women had been vaccinated against measles

and rubella.

The results show that most of Omani women of childbearing

age have had rubella, CMV and measles infection. In

addition, the data suggest that natural immunity to

rubella in this country is commonly acquired before

puberty.

CYTOMEGALOVIRUSES/RUBELLA, CONGENITAL/MEASLES/

TOXOPLASMOSIS, CONGENITAL.

 

Mansuri, AA; ARIF, M.A. MOHAMMAD; JOSHI, B.C. Measles in

Sohar Hospital : one year restrospective study. February

1986;II(3):40-45. Senior Medical Officer; Junior

Specialist Paediatrics; Medical Officer, Sohar Hospital.

 

Measles is a common infectious disease of childhood with

worldwide distribution causing high morbidity and

mortality and seriously affecting the growth and

nutrition of children in developing countries including

the Sultanate of Oman. One year retrospective study is

presented.

MEASLES.

 

 

MECKEL'S DIVERTICULUM

 

Vaishnav, A. Case report - Meckel's Diverticular Disease.

February 1992;VIII(3):20-23. Surgical Specialist; Senior

Consultant, Khoula Hospital.

 

A surgeon often sees a Meckel's diverticulum at surgery

for other conditions but is seldom faced with a diseased

diverticulum especially since the majority of the

problems occur in childhood, bleeding, inflammation and

small bowel obstruction due to associated bands are the

common modes of presentation. Four cases are presented;

two had bleeding and two were inflammed.

MECKEL'S DIVERTICULUM.

 

 

MEDICAL AUDIT

 

Riyami, AM. Editorial - Medical auditing. November 1988;

V(2):1-2. Senior Consultant Physician, Al-Nahdha

Hospital.

MEDICAL AUDIT.

 

 

MEDICAL EDUCATION

 

Saha, A; RASHEED, P.; AL-SIBAI, H. Establishment of a field

training and service programme in rural Saudi Arabia.

February 1988;IV(3):2-6. Associate Professor; Lecturer

Community Medicine; Dean, King Faisal University, Dammam,

Saudi Arabia.

 

The study was conducted to identify socio-demographic

characteristics of rural Saudi population, to use the

data to formulate a need-oriented field training

programme for medical students and plan comprehensive

health services for the area.

COMMUNITY HEALTH SERVICES/MEDICAL EDUCATION.

 

 

MEDICAL WASTE DISPOSAL

 

Amour, SM. Abstract* - Laundry and waste disposal. February

1986;II(3):23-24. Department of Infection Control, Al-

Nahdha Hospital.

 

Abstract from a Workshop held in September 1985

discussing the current procedures concerning hospital

laundry and disposal of rubbish in Oman.

INFECTION CONTROL/MEDICAL WASTE DISPOSAL/LAUNDRY SERVICE

HOSPITAL.

 

Amour, SM; TOZER, R.A. Khoula Hospital nosocomial infection

survey III : Burns and Plastic Unit. February 1992;

VIII(3):8-9. Department of Infection Control, Al-Nahdha

Hospital.

CROSS INFECTION/INFECTION CONTROL/MEDICAL WASTE DISPOSAL.

 

 

MEDICINE, ARABIC

 

Al-Hinai, N. Folk medicine in Oman through the eyes of

traditional healers. February 1996;XII(3):51-56. Sultan

Qaboos University Hospital.

HISTORY OF MEDICINE/MEDICINE, ARABIC/MEDICINE,

TRADITIONAL.

 

Al-Kharusi, LA. An Early history of modern medicine in Oman.

November 1995;XII(2):38-47. Final year M.D. student,

College of Medicine, Sultan Qaboos University.

 

An essay submitted for the Dean's Annual Prize.

HISTORY OF MEDICINE/MEDICINE, ARABIC.

 

Jayawardane, KW A. A Glimpse into the history of Arabian

Medicine. November 1990;VII(2):29-36. Librarian, Royal

Hospital Library.

MEDICINE, ARABIC.

 

Jayawardane, KW A. Rhazes : the experienced one. November

1993;X(2):42-44. Librarian, Royal Hospital Library.

MEDICINE, ARABIC.

 

 

MEDICINE, CHINESE TRADITIONAL

 

Jayawardane, KW A. Traditional Chinese medicine. May 1992;

VIII(4):31-39. Librarian, Royal Hospital Library.

MEDICINE, TRADITIONAL/MEDICINE, CHINESE TRADITIONAL.

 

 

MEDICINE, INDIA

 

Jayawardane, KW A. Medicine in ancient India. August 1995;

XII(1):51-60. Librarian, Royal Hospital Library.

MEDICINE, INDIA/HISTORY OF MEDICINE.

 

 

MEDICINE, PRIMITIVE

 

Jayawardane, KW A. Primitive medicine. August 1994;XI(1):

51-57. Librarian, Royal Hospital Library.

MEDICINE, PRIMITIVE/HISTORY OF MEDICINE.

 

 

MEDICINE, TRADITIONAL

 

Al-Adawi, S. A Glimpse into traditional outlook towards

health : a literature review. November 1991;VIII(2):41-

48. Research Assistant, College of Medicine, Sultan

Qaboos University.

 

Reviews traditional healers' knowledge about concepts of

health, etiology, anatomical and physiological knowledge,

diagnosis and treatment, and management of abnormality.

MEDICINE, TRADITIONAL.

 

Al-Hinai, N. Folk medicine in Oman through the eyes of

traditional healers. February 1996;XII(3):51-56. Sultan

Qaboos University Hospital.

HISTORY OF MEDICINE/MEDICINE, ARABIC/MEDICINE,

TRADITIONAL.

 

Devadiga, OM. Correspondence - Can superstition kill our

patient? November 1986;III(2):61-62. Staff Nurse In-

charge, Heebi Health Centre.

SUPERSTITIONS/MEDICINE, TRADITIONAL.

 

Jayawardane, KW A. Traditional Chinese medicine. May 1992;

VIII(4):31-39. Librarian, Royal Hospital Library.

MEDICINE, TRADITIONAL/MEDICINE, CHINESE TRADITIONAL.

 

 

MEDLARS

 

Jayawardane, KW A. Index Medicus : what it is and how to use

it. May 1987;III(4):2-4. Librarian, Royal Hospital

Library.

 

Access to the ever increasing published biomedical

literature is greatly helped by the various abstracting

and indexing services, of which Index Medicus set the

stage for the production and development of a number of

other indexing and abstracting journals. It has provided

the major access to biomedical information on a world

wide basis for more than one hundred years. Today it is

almost certainly found in every good medical library.

According to some writers, it is America's greatest

contribution to medicine.

MEDLARS.

 

 

MELANOMA

 

Srinivasan, V; THOMAS, C.; LAD, S.D. Case report - Cutaneous

malignant melanoma with metastasis intracerebral space

occupying lesion. August 1993;X(1):31-35. Specialist;

Senior Consultant; Senior Specialist, Department of

Neurosurgery, Khoula Hospital.

MELANOMA/NEOPLASM METASTASIS.

 

 

MELANOSIS

 

Al-Suwaid, AR Ismail; SAIT, M.A. A Clinical study of

melasma. May 1988;IV(4):12-14. Chief; Medical Officer,

Department of Dermatology and G.U.M. Al-Nahdha Hospital.

 

The report describes clinico-epidemiological features of

100 cases of melasma as seen in Oman.

MELANOSIS.

 

 

MELKERSON-ROSENTHAL SYNDROME

 

Varghese, M; ALI, A.M. MUSTAK; RAO, K.D. Case report -

Melkerson - Rosenthal Syndrome. November 1992;IX(2):39-

41. Department of Dermatology and G. U. M., Sultan

Qaboos Hospital, Salalah.

MELKERSON-ROSENTHAL SYNDROME.

 

 

MENCHAUSEN SYNDROME BY PROXY

 

Bappal, B; VYAS, H. Case report - Munchausen's syndrome by

proxy. February 1991;VII(3):29-31. Specialist

Paediatrician; Consultant Paediatrician, Royal Hospital.

MENCHAUSEN SYNDROME BY PROXY.

 

 

MENINGIOMA

 

Unnikrishnan, M; ET AL. Case report - Cystic meningioma with

spontaneous intracystic haemorrhage. August 1994;XI(1):

32-35. Senior Medical Officer, Khoula Hospital.

 

Cystic meningiomas are rare. Haemorrrhage from a

meningioma is also rare and carried a high mortality.

Described in this paper is a case of an elderly woman in

whom a combination of these two rarities were

encountered.

HEMORRHAGE/MENINGIOMA.

 

 

MENINGITIS

 

Elamin, EO; GEORGE, L. Miningitis in children of Dhofar

Region. May 1996;XII(4):18-21. Sultan Qaboos Hospital,

Salalah.

 

Twenty children were confirmed to have contracted acute

bacterial meningitis in one year. The CFS of 70% of them

grew organisms and they were mainly H.influenzae.

Meningococcus disease was not a problem in this study and

there was no sensational variation in the incidence

pattern. All organisms isolated were sensitive to the

third generation cephalosporins but two were resistant to

chloramphenicaol.

BACTERIAL INFECTIONS/MENINGITIS.

 

Paul, G; VYAS, H. Bacterial meningitis in childhood : an

overview and guidelines for management. November 1992;

IX(2):5-10. Junior Specialist Paediatrician, Royal

Hospital.

BACTERIAL INFECTIONS/MENINGITIS.

 

 

MENINGITIS, BACTERIAL

 

Buhl, MR. Treatment of acute bacterial meningitis. May

1992;VIII(4):22-27. Associate Professor, College of

Medicine, Sultan Qaboos University.

MENINGITIS, BACTERIAL.

 

 

MENTAL HEALTH

 

Al-Adawi, S; ET AL. Mental health : scope and development.

November 1992;IX(2):20-23. Department of Behavioral

Sciences & Psychiatry, College of Medicine, Sultan Qaboos

University.

 

The authors suggest integration of psychiatric services

in primary health care, adequate facilities, intervention

both in the family and the community, training for

psychiatric team, early recognition of traditional

practioners for the implementation of a comprehensive

psychiatric care plan in the Sultanate of Oman.

MENTAL HEALTH.

 

Mirza, YK. Mental health programme. May 1995;XI(1):16-20.

Senior Consultant Psychiatry, Ibn Sina Hospital.

MENTAL HEALTH.

 

 

MENTAL RETARDATION

 

Al-Adawi, S. Mental retardation : implications from Oman.

November 1990;VII(2):2-9. Research Assistant, College of

Medicine, Sultan Qaboos University.

 

The concept of mental retardation, the controversial

findings of various epidemiological surveys and the

etiology of mental retardation are reviewed.

MENTAL RETARDATION.

 

Chand, SP; BHAYA, C. Mental retardation in an Omani

population : a closer look. August 1994;XI(1):5-8.

Senior Clinical Pyschologist; Visiting Consultant

Sociology, College of Medicine, Sultan Qaboos University.

 

All the parents of the children attending a Day Care

Centre for the mentally retarded were administered a

questionnaire. The parents felt the need of help and

guidance in dealing with their mentally retarded

children.

MENTAL RETARDATION.

 

Chand, SP; KHALILI, K. Mental Retardation in Oman. August

1995;XII(1):11-15. Department of Psychiatry, College of

Medicine, Sultan Qaboos University.

 

A two year survey in a clinical psychology clinic.

MENTAL RETARDATION.

 

 

MESOTHELIOMA

 

Pinto, MR; MOHAMMED, S.M.; RAJAN, K.G. Case report -

Malignant peritoneal mesothelioma. August 1993;X(1):24-

28. Pathologist, Sultan Qaboos University; Senior

Consultant Radiologist; Senior Consultant Physician,

Royal Hospital.

MESOTHELIOMA/PERITONEAL DISEASES.

 

 

METRAL VALVE STENOSIS

 

Al-Harthy, S; RIYAMI, A.M. Case report - Mitral valve

occlusion by vegetation. August 1987;IV(1):39-41.

Deputy Director, Police Medical Services; Chief of

Medicine and Head of Cardiology, Al-Nahdha Hospital.

 

A rare case of sudden death due to complete mitral valve

occlusion by vegetation secondary to bacterial

endocarditis is reported.

METRAL VALVE STENOSIS/ENDOCARDITIS.

 

 

MICROBIAL SENSITIVITY TESTS

 

El-Shafie, SS; RAFAY, A.M. Antimicrobial resistance of

Shigella. Masy 1993;IX(4):5-8. Department of Medical

Microbiology, College of Medicine, Sultan Qaboos

University.

 

The susceptibility of Shigella species against the

commonly used antimicrobial Ampicillin, Co-trimoxazole,

Nalidixic Acid and Ciprofloxacin was studied over one

year period. Shigella flexineri was the commonest isolate

(47.6%) followed by S. sonnie (33.7%). The least common

was S. dysenteriae.

SHIGELLA/MICROBIAL SENSITIVITY TESTS.

 

 

MIDAZOLAM

 

Joshi, R; ZARROUGH, A.W. Midazolam for induction of

anaesthesia. May 1992;VIII(4):8-13. Specialist; Senior

Consultant, Department of Anaesthesia, Royal Hospital.

MIDAZOLAM/ANESTHESIA.

 

 

MIDWIFERY

 

Colfer, CJ Pierce. Indigenous midwifery in Oman's interior.

May 1990;VI(4):2-10. Associate Professor, Department of

Family & Community Health, College of Medicine, Sultan

Qaboos University.

 

A brief study of traditional midwives in the Jebel area

of Oman. Reports findings relating to normal deliveries

and methods of dealing with problem deliveries.

Recommendations are made to train traditional midwives.

MIDWIFERY.

 

 

MITRAL VALVE STENOSIS

 

Raman, K; RIYAMI, A.M. Near fatal ventricular fibrilation in

mitral valve prolapse. May 1989;V(4):41-45. Specialist;

Chief of Medicine & Cardiology, Royal Hospital.

 

A case of mitral valve prolapse is presented.

MITRAL VALVE STENOSIS/VENTRICULAR FIBRILATION.

 

 

MUCOCUTANEOUS LYMPH NODE SYNDROME

 

Memon, S; VYAS, H. Case report - Kawasaki Syndrome : a case

and clinical review. August 1991;VIII(1):42-45.

Department of Child Health, Royal Hospital.

MUCOCUTANEOUS LYMPH NODE SYNDROME.

 

 

MUSCLE HYPOTONA

 

Gunawardana, SS; GEORGE, L. Case report - An Unusual case of

acute flaccid paralysis. November 1994;XI(2):38-39.

Department of Paediatrics, Sultan Qaboos Hospital,

Salalah.

 

Rhabdomyolsis leading to acute flaccid paralysis in a

one-year old girl is reported. She developed respiratory

failure needing ventilatory assistance, eventually making

a complete recovery.

MUSCLE HYPOTONA/RHABDOMYOLYSIS.

 

 

MUSCULAR DYSTROPHY

 

Pai, MG K.; HUSSAIN, S. Case report - Duchenne type muscular

dystrophy. November 1987;IV(2):30-31. Specialist

Paediatrician; Medical Officer, Nizwa Central Hospital.

MUSCULAR DYSTROPHY.

 

 

MUSEUMS

 

Gallagher, MD. Correspondence - Natural history museum.

August 1986;III(1):47-48. Curator, Natural History

Museum, Ministry of National Heritage & Culture.

MUSEUMS.

 

 

MYASTHENIA GRAVIS

 

Al-Faur, NS; ET AL. Case report - Myasthenia gravis crisis.

May 1995;XI(4):37-38. Senior Consultant Medicine, Nizwa

Hospital.

 

A previously undiagnosed case of myasthenia gravis who

presented in Nizwa Hospital severe respiratory distress

due to acute myasthenic crisis is reported. This is a

rare form of presentation of myasthenia gravis which

ventilatory support in an intensive care unit.

MYASTHENIA GRAVIS.

 

 

MYOCARDIAL INFARCTION

 

Fontanilla, V; RIYAMI, A.M. Intravenous streptokinase in

acute myocardial infarction. February 1988;IV(3):22-28.

Jr. Specialist Physician; Chief of Medicine & Head of

Cardiology, Royal Hospital.

 

Thrombolytic agents such as streptokinase have been

studied for almost two decades and it was Anderson &

Marshall et al., who documented that when intravenous

streptokinase was given in an average of 2.8 hours after

onset of sypmtoms there was 73% recanalization rate;

when given within 6 hours of myocardial infarction, there

was 49% of recanalization rate; and when intracoronary

streptokinase was given in an average of 1-4 hours there

was an 83% recanalization in the infarct related artery.

In a similar group of patients Schroder found a patent

infarct related artery in 84% at angiography 4 weeks

later. The intravenous route which does not require

emergency arteriography and so is more generally

applicable allows treatment to be started as soon as

possible after the onset of symptoms. A prospective study

on thrombolytic therapy was started in November 1986 at

Al-Nahdha Hospital.

MYOCARDIAL INFARCTION/STREPTOKINASE.

 

Khatri, GK; ZACHARIAS, J. Acute myocardial infarction and

its outcome : observations from a District Hosital of

Batinah Region. May 1986;II(4):11-22. Junior

Specialist; Medical officer, Internal Medicine, Sohar

Hospital.

 

A retrospective analysis of demographic details and major

clinical events in a group of 63 patients with acute

myocardial infarction has been attempted. Males were

involved six times more frequently and they were

younger(mean age 57.77 SD plus-minus 12.73) than women

(mean age 60.55 years SD plus-minus 6.46). In general 44%

of the patients were under the age of 50 years of age.

Nearly 1/6th (17.46%) patients died in the hospital after

the presenting episode, the majority dying within the

first four days after hospitalisation. The mean age of

those who died in the hospital was 64 - 80 years (SD

plus-minus 8.44). Infarctions involving anterior wall

were almost twice as common as those involving inferior

wall. Sixty percent were uncomplicated. The relevance and

short comings of such a study have been discussed.

MYOCARDIAL INFARCTION.

 

Raman, K. Arrhythmias in chronic myocardial infarction.

August 1994;XI(1):43-44. Cardiology Department, Royal

Hospital.

MYOCARDIAL INFARCTION/ARRHYTHMIA.

 

Raman, K; RIYAMI, A.M. Thrombolysis in acute myocardial

infarction. November 1994;XI(2):40-49. Specialist;

Chief of Medicine & Cardiology, Royal Hospital.

MYOCARDIAL INFARCTION/INFARCTION.

 

Riyami, AM. Editorial - Primary health care : the myocardial

infarction. May 1991;VII(4):1-5. Medicine Department,

Al-Nahdha Hospital.

 

Within 20 years Oman has achieved a level of

infrastructure broad enough to highlight a multitude of

problems that lie ahead of us. It has been said before "a

problem unseen is a problem unsolved". These problems are

felt at all levels from the tertiary centres in the

capital to the distant communityhealth centres and indeed

within the community itself. Foremost amongst them are

the problems relating to the cardiovascular disease. In

addressing our resources to their solution, it has to be

remembered that while a doctor might treat, the cure

inquires a wider participation, namely that of the

involvement of the community itself which includes the

health professionals both within and without the

fraternity of the ministry of health institutions. And

here, one may add, beyond the limit of the 7:30 a.m. to

2:30 p.m. work-schedule: the commitment to better

community health knows no boundaries. In essence this

commitment should spread from within the hospitals and

health centres in the individual personnel be he/she a

doctor, nurse or administrator to beyond the health

ministry institutions in the schools and educational

institutions, youth and sports clubs and the women's

associations.

MYOCARDIAL INFARCTION/PRIMARY HEALTH CARE.

 

Riyami, AA S. Exercise testing after myocardial infarction.

November 1989;VI(2):54-55. Glasgow, UK.

MYOCARDIAL INFARCTION.

 

Saxena, KK. Exercise stress testing early after acute

myocardial infarction : diagnostic efficacy and

prognostic significance. February 1988;IV(3):29-30.

Cardiology Department, Royal Hospital.

 

Exercise Stress Testing is an important non-invasive

investigation in evaluation of patients with acute

ischemic heart disease. In early post-myocardial

infarction period (2 weeks), the prognosis and subsequent

management of patients depend mainly upon: (i) Left

Ventricular functions; (ii) Extent of coronary artery

disease and salvagable myocardium at risk of developing

ischemia, and (iii) Presence of arrhythmias. All these

factors can be assessed by graded exercise testing. This

study presents the retrospective analysis of data on such

patients.

MYOCARDIAL INFARCTION/EXERCISE TEST.

 

Siddiq, M. The "Fuad Syndrome". May 1986;II(4):27-31.

Junior Specialist, Medicine, Sumail District Hospital.

 

"Fuad" and "Fuadi" are colloquial terms used to describe,

and are characterised by, symptoms like epigastric pain,

discomfort, palpitations, dyspnea of acute onset and

signs suggestive of peptic ulcer disease, hypertensive

heart disease, myocardial ischemia and many other

symptoms/signs. "Fuad" means "heart" and "Fuadi" means

"my heart". The purpose of this study was to make an

attempt to reduce the existing confusion by analysing the

patients who attended the OPD with the complaints of

"Fuad" and match them with the underlying pathology. On

an average 14,000 to 15,000 patients attended the OPD of

Sumail Hospital, each month, and of whom 30 to 40% (about

4,500) with Fuad syndrome, and consume around 75kg of

antacids within and outside the hospital.

MYOCARDIAL INFARCTION/ GASTRITIS/DYSPEPSIA.

 

Yousef, NZ M. Rehabilitation after myocardial infarction.

November 1995;XII(2):34-37. Specialist Cardiologist,

Rustaq Hospital.

 

Describes the process by which the person with a cardiac

disease is restored to his/her optimal physiologic,

psychologic, social, vocational and emotional status.

REHABILITATION/MYOCARDIAL INFARCTION.

 

 

MYOCARDIAL ISCHEMIA

 

Aysha, MH; ET AL. Use of ECG and Echo for differentiation of

cardiomegaly induced by idiopathic dilated cardiomyopathy

and ischaemic cardiomyopathy. May 1996;XII(4):28-40.

Consultant Physician, Medical Department, Sohar Hospital.

 

The clinical, electrocardiographic and echocardiographic

findings including pulse Doppler-derived left ventricular

filling parameters were utilised in the differential

diagnosis of idiopathic dilated cardiomyopathy (IDCM)-

induced heart failure and/or cardiomegaly from that

produced by ischaemic cardiomyopathy in 152 consecutive

patients admiited to a district hospital.

MYOCARDIAL ISCHEMIA/CARDIOPATHY, CONGESTIVE.

 

 

MYOMETRIUM

 

Khatri, R. Case report - Myomectomy scar rupture. November

1988;V(2):43. Specialist, Obstetrics & Gynecology, Sohar

Hospital.

MYOMETRIUM.

 

 

MYXEDEMA

 

Walia, HK; ET AL. Case report - Myxoedema Coma. August

1993;IX(1):29-30. Department of Endocrinology and

Metabolic Diseases, Khoula Hospital.

MYXEDEMA/CRETINISM.

 

 

MYXOMA

 

Chakraborty, RN; RAMAN, K.; RIYAMI, A.M. Case report - Right

atrial myxoma. May 1991;VII(4):26-27. Registrar; Senior

Consultant, Department of Cardiology, Royal Hospital.

 

The incidence of primary tumours of the heart ranges from

0.0017 to 0.28 per cent. The antemortem diagnosis of

primary cardiac tumours at times becomes extremely

difficult because of the absence of specific clinical

symptoms and signs. During the last decade major advances

in the noninvasive cardiovascular diagnostic techniques

have greatly contributed to the precise and early

recognition of this condition. Intracardiac myxomas are

the most frequent benign primary cardiac tumours.

Solitary right atrial myxomas are relatively uncommon as

compared to left atrial or bilateral myxomas. This is a

report of a patient who had nonspecific sympoms and

insignificant cardiac findings but echocardiogram

revealed a large right atrial myxoma.

MYXOMA/ATRIAL FUNCTION, RIGHT.

 

Laiq, SM. Case report - Left atrial myxoma diagnosed by

echocardiography. August 1986;III(1):39-43. Senior

Specialist Physician, Department of Cardiology, Al-Nahdha

Hospital.

 

Myxoma of the heart is a rare primary tumor of the heart

and about 75% of myxomas occur in the left atrium.

Myxomas are found in patients of all ages, from 3 months

to 95 years but mostly between the ages of 30 to 60 years

and more frequently in women. A large atrial myxoma

diagnosed on echocardiogram by M mode and 2D

echocardiographic methods at the Department of

Cardiology, Al-Nahdha Hospital is reported. The tumour

which is the commonest of the cardiac tumours is

interesting in its range of presentation from systemic

symptoms of fever etc., to embolisation and pulmonary

hypertension.

MYXOMA/ECHOCARDIOGRAPHY/ATRIAL FUNCTION, LEFT.