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Sultan Qaboos University Medical Journal Indexed in SCOPUS and WHO EMR Index Medicus Listed in PubMed

May 2011, Volume 11, Is s u e 2

Sultan Qaboos University Medical Journal is a nationally and internationally peer reviewed multidisciplinary biomedical journal. It publishes original articles in both print and on line editions, the latter with free public access to full text articles. Its aims are: 1) to be a leading regional medium of biomedical and allied scientific communication with international recognition and acceptance; 2) to encourage and stimulate medical research and scientific publication within Oman and the Gulf area, while attracting contributions from further a field; 3) to create awareness of developments in medicine and allied fields among health professionals in and outside Oman. It is a forum for the exchange and dissemination of medical knowledge and research among health professionals within Oman, the Gulf region, the Middle East, North Africa and S.E. Asia.

SULTAN QABOOS UNIVERSITY Scientific Publications Board

SQUMJ International Advisory Board

Prof. Amer Al-Rawas, Chair, Scientific Publications Board Prof. Ali Amer, Editor, Journal of Educational & Psychological Studies Prof. Ali El-Mahi, Editor, SQU Journal for Arts & Social Sciences Prof. Ibrahim Eltayeb, Editor, SQU Journal for Science Mr. Jamal Al-Ghailani, Scientific Publications Department Prof. Eugene Johnson, Editor, Journal of Agricultural & Marine Sciences Prof. Mohamed Ould-Khaoua, Editor, Journal of Engineering Research Prof. Lamk Al-Lamki, Editor, SQU Medical Journal Prof. Reginald Victor, Dean Scientific Research

Dr. Abdulrahman Al-Frayh, King Khaled University, KSA Prof. Mohsen El-Hazmi, King Saud University, KSA Prof. Harith Lamki, Queens University, Belfast. UK Dr. Dimitri P. Mikhailidis, University College London, UK Prof. Hamid Al-Mondhiry, Pennsylvania State University, USA Prof. Sir Peter Morris, University of Nottingham, UK Prof. Gilbert Pinard, McGill University, Canada Prof. John Raeburn, University of Nottingham, UK Dr. Euan Scrimgeour, University of Western Australia Dr. Zohair Sebai, Sebai Institute, KSA Prof. Henk Wallenburg, Erasmus University, Netherlands Prof. Sir David Weatherall, University of Oxford, UK Prof. Keith Whaley, Hamad Medical Center, Qatar Prof. Nivritti G Patil, University of Hong Kong, China

SQUMJ Editorial Board Members Editor-in-Chief Prof. Lamk Al-Lamki, Radiology & Mol. Imaging Editor Prof. Samir Al-Adawi, Behavioural Medicine Associate Editors Dr. Rashid Al-Abri, Surgery ENT Prof. Badreldin Ali, Pharmacology Dr. Abdullah Al-Asmi, Neurology Dr. Sulayma Al-Barwani, Physiology Dr. Ikram Burney, Oncology Dr. Shyam Ganguly, Epidemiology & Statistics Dr. V Gowri, Obstetrics & Gynaecology Dr. Omar Habbal, Anatomy & Embryology Dr. Ali Al-Hinai, Cardiology

Dr. Ali Al-Jabri, Microbiology & Immunology Dr. Nadia Al-Kharousi, Ophthalmology Dr. Salam Al-Kindi, Haematology Prof. Neela Al-Lamki, Medical Education Dr. Zakia Al-Lamki, Paediatric Haematology Dr. Norman Machado, Surgery Dr. Prakash Mandhan, Paediatric Surgery Dr. Allal Ouhtit, Genetics Prof. Omar Al-Rawas, Respirology Dr. Muna Al-Sadoon, Community Paediatrics Dr. Jumana Saleh, Biochemistry Dr. Sukhpal Sawhney, Radiology Dr. Marwan Al-Sharbati, Behavioural Medicine Dr. Ashok Sharma, Cardiac Surgery Dr. Thord Theodorson, Family Medicine

Dr. Yasser Wali, Child Health Prof. Nicholas Woodhouse, Endocrinology Arabic Editor Dr. Marwan Al-Sharbati Managing & Copy Editor Dr. Meriel Carboni Technical Editor Mr. Amar Hussain Assistant Editors Ms. Sheherajoy Biruar Mrs. Jacqueline Rispel All Editorial Board Members are staff of the College of Medicine & Health Sciences, Sultan Qaboos University

SQUMJ is published quarterly and distributed free of charge to medical colleges and institutions in Oman, the Gulf countries, the Eastern Mediterranean Region, India, USA, Canada, Australia and the UK All SQUMJ articles are freely available for inspection and download on the Journal website

Published by: Sultan Qaboos University with the support of College of Medicine & Health Sciences PO Box 35, Al-Khod 123, Muscat, Oman

Email: [email protected] & [email protected]; Website: http://www.squ.edu.om/squmj Phone: (+968) 2414 3457, Fax (+968) 2441 3419

Edited, designed and typeset by the Editorial Office, College of Medicine & Health Sciences, Sultan Qaboos University Printed at Sultan Qaboos University Press. ©2011 Sultan Qaboos University Medical Journal. All rights reserved. This Journal is not responsible for opinions printed in its publications: they represent the views of the individuals to whom they are credited and are not binding upon the Journal. ISSN (print edition): 2075-051x; ISSN (internet edition): 2075-0528

SQUMJ does not charge authors for Publication

For information on manuscript submisssion see Guide for Authors

C ONTE NT S ED I T ORI A L Complementary and Alternative Medicine Where do we stand in the 21st century?

161 Lamk Al-Lamki

REVI EW S The Role of Pharmacokinetics and Pharmacodynamics in Early Drug Development with reference to the Cyclin-dependent Kinase (Cdk) Inhibitor - Roscovitine

165

Moustapha Hassan, Hatem Sallam and Zuzana Hassan

Oral Manifestations and Complications of Diabetes Mellitus A review

179 Awatif Y Al-Maskari, Masoud Y. Al-Maskari and Salem Al-Sudairy

SPECI A L CONT RI B U T I ON Sent to Explore, Conquer and Heal History of the evolution of biomedicine in Oman during the 19th century

187 Nasser Hammad Al-Azri

SOU N D I NG B OAR D S To Be or Not To Be Exposed to Direct Sunlight Vitamin D Deficiency in Oman

196 Moeness M. Alshishtawy

Incentives for Better Performance in Health Care

201 Asaad Abduljawad and Assaf F. Al-Assaf

C L I NI CA L A ND B ASI C R ESE A R C H Factors Affecting the Quality of Diabetic Care in Primary Care Settings in Oman A qualitative study on patients’ perspectives

207

Mohammed Al-Azri, Hilal Al-Azri, Fatma Al-Hashmi, Samira Al-Rasbi, Kawther El-Shafie and Abdullah Al-Maniri

Time Trends and Geographical Distribution of Childhood Leukaemia in Basrah, Iraq, from 2004 to 2009

214

Laith A Alrudainy, Jenan G Hassan, Hussam M Salih, Mohammed K Abbas and Athar AS Majeed

Effects of Pranayam Breathing on Respiratory Pressures and Sympathovagal Balance of Patients with Chronic Airflow Limitation and in Control Subjects

221

Deepali S Jaju, Mohan B Dikshit, Jothi Balaji, Jyoji George, Syed Rizvi and Omar Al-Rawas

Clinical and Therapeutic Profiles of Heart Failure Patients admitted to a Tertiary Hospital, Aseer Region, Saudi Arabia

230

Abdullah S Assiri

CONTE NT S CL I N I CA L A ND B ASI C R ESEA R C H Effects of Hydrogen Sulphide on the Isolated Perfused Rat Heart

236

Afthab Hussain, Helen Maddock, Hajar Al-Rajaibi and Ray J Carson

Trends and Characteristics of Head and Neck Injury from Falls A hospital based study, Qatar

244

Abdulbari Bener, Yassir S. Abdul Rahman, Eltayib Y. Abdel Aleem and Muayad K. Khalid

The Disinfecting Potential of Contact Lens Solutions used by Sultan Qaboos University Students

252

B. C. Nzeako and Sara H. Al-Sumri

C A SE REPOR T S Myelomatous Pleural Effusion Case report and review of the literature

259 Khalil Al-Farsi, Ibrahim Al-Haddabi, Nafla Al-Riyami, Rashid Al-Sukaiti and Salam Al-Kindi

Dengue Haemorrhagic Fever presenting as Acute Abdomen

265

Hanaa Al-Araimi, Amal Al-Jabri, Arshad Mehmoud and Seif Al-Abri

Visceral Leishmaniasis with an Unusual Presentation in an HIV Positive Patient Case report and brief review of literature

269 Nazar M.T. Jawhar

Lip Necrosis as a Complication of a Prone Position in Scoliosis Surgery Case report

273 Abdulmonem Alsiddiky

Reconstruction of Exenterated Orbit using Combined Surgical and Prosthetic Approach

276

D R Prithviraj, Anish Gupta, Sumit Khare, Pooja Garg and Malesh Pujari

Acquired Pure Red Cell Aplasia caused by Parvovirus B19 Infection following a Renal Transplant

280

Arundathi Kurukulasuriya, Amal A. Hamed, Muhanna Al-Muslahi and Asaid Ibrahim

IN T ER EST I N G MED I CA L I M A G E S CADASIL - Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy

284

Ramachandiran Nandhagopal

Late Corneal Thinning and Keratitis following Mitomycin-C use in Pterygium Surgery

286

Radha Shenoy, Alexander A Bialasiewicz and Badar Al-Barwani

LE T T ER S T O T H E ED I T OR Re: UN Millennium Development Goals and Oman Kudos to Oman on its 40th National Day

288 Moeness M. Alshishtawy

Re: Radiation Exposure from Medical Imaging A Wake-up Call for Oman!

290 Vaidyanathan Gowri

C ONTE NT S BOOK REVI EW S Woman-Centered Care in Pregnancy and Childbirth

291 Editors: Sara G. Shields and Lucy M. Candib

Symptom Sorter

293 Authors: Keith Hopcroft and Vincent Forte

The Doctor’s Communication Handbook

295 Author: Peter Tate

AB ST R A CT S Advanced General Medicine Conference Joint Conference of Sultan Qaboos University and the Ministry of Health, Oman

297

23rd–24th February 2011

Proceedings of Sultan Qaboos University Clinical-Pathological Conferences

301

2009 – 2010

Oman International Conference on Laboratory Medicine – Part II Sultan Qaboos University

304

9-11th November 2010

ANNOU NCEMENT S Forthcoming Medical Conferences, Courses and Workshops

311

GU I D E Guide for Authors

312

ONLINE SUBMISSION! Please Submit your Manuscript ONLINE on the SQUMJ Website

www.squ.edu.om/squmj Note: Please make sure that you Register only once for all your Manuscripts

SQU Med J, May 2011, Vol. 11, Iss. 2, pp. 161-164, Epub. 15th May 11 Submitted - 25th April 11 Accepted - 27th April 11

E D IT ORIAL

Complementary and Alternative Medicine Where do we stand in the 21st century? Lamk Al-Lamki

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