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Posted On Oct 08, 2017

The latest installment of the Oman Medical Journal was issued this September. Oman Med J’s Volume 32, Issue 5, September 2017 contains an editorial, review article, eight original articles, four case reports, clinical quiz, letter to the editor, and clinical notes. In this issue, the journal approaches important issues in medical care and scientific research in medicine, and contributes new knowledge to experts and scholars as well as the public. 

The editorial titled "Towards Effective Pain Management: Breaking the Barriers" talks about pain, which is a common cause of agony and suffering affecting millions of people around the globe. Pain is generally classified as acute or chronic according to its duration. If pain lasts for three months or more, it is usually considered chronic pain. The Editorial concludes that Pain assessment must be done routinely with every patient in every clinical setting. Standard pain management protocols should be introduced and should be carefully monitored especially in busy and clinically demanding areas. Improvement in pain management should be 
an important quality improvement goal for every health institution. Solutions for shortages of medical staff must be developed to reach a reasonable and acceptable workload. Legislations to facilitate access to all analgesics should be implemented so that access to people in need becomes smooth and easy.
 

The review article titled "Influenza Research in the Eastern Mediterranean Region: A Review" talks about comprehensive literature review to analyze the status of influenza research in the Eastern Mediterranean Region (EMR). This article aimed to detect whether any changes in influenza research occurred after 2012. In addition, it expanded the search to include the grey literature, reported outbreaks, and generated sequences. The review concludes that Influenza research in the EMR requires a boost to tally with the real burden of the disease in the region. This can be fulfilled by conducting systemic surveillance and research at the human-animal interface especially in countries where H5N1 and H9N2 are endemic. Establishing a regional center of excellence for influenza research and surveillance tasked with setting research priorities, increasing collaboration, and providing support to countries and research groups is recommended. 

One of the original articles titled "Chromogranin A as a Biochemical Marker for Neuroendocrine Tumors: A Single Center Experience at Royal Hospital, Oman" aims to evaluate the significance of serum chromogranin A (CgA) status in patients with and without different neuroendocrine tumors (NETs) by conducting a retrospective assessment of the diagnostic utility and limitations of CgA as a biomarker for NETs in a tertiary care hospital in Oman. The study concluded that Serum CgA is a sensitive and effective noninvasive laboratory test for the clinical detection and management of NETs. Awareness of the pitfalls of the tests in patients with non-NET conditions, particularly chronic diseases and use of certain drugs, is important to be considered during the interpretation of the CgA levels. 

Another original article titled "Pertussis and Pertussis like Illness: Pediatric Experience in Oman" aims to estimate the contribution of Bordetella pertussis infection and identifying predictors of its diagnosis in a cohort of children with PLI. The study concluded that Pertussis remains a clinical diagnosis in our institutions, which makes it hard to detect the true surge of the infection rate. Leukocytosis and lymphocytosis are reliable predictors for the diagnosis of whooping cough.  

The following case reports titles are also included in this issue:

Human Parvovirus B19 in Children with Sickle Cell Disease; Poking the Spleen,
Tenofovir-induced Leukocytoclastic Vasculitis, Spontaneous Giant Submandibular Calculus Eroding Oral Cavity Mucosa,
and Vaginal Reconstruction for Vaginal Obliteration Secondary to Stevens Johnson Syndrome: A Case Report and Review of Literature. 

Oman Medical Journal was founded in 1984. It is a peer-reviewed journal, publishes six issues a year by Oman Medical Specialty Board. It intends to engage and inform doctors, researchers and other health professionals by publishing a wide range of peer-reviewed articles in various medical disciplines.  If you want to see the old issues you can visit our website http://www.omjournal.org.