5.Child Health.pdf - Sultan Qaboos University

Annual Report 2009-2010Child HealthChild Healthhe Department of Child Health is one of the most active departments of the College of Medicine and Health Sciences (COMHS)Tand SQU Hospital (SQUH). The Department accounts for more than a third of total SQUH admissions and provides the best ofpatient care from birth to adolescence, encompassing all sub-specialties.It has well-developed undergraduate teaching and training programmes collaborating with other sister institutions locally and internationally.Department members are actively involved in almost all of the College educational activities and committees includingthe Curriculum and Examination Committees. Department members have contributed significantly the development and implementationof the new curriculum, as evidenced by the representation of the Department in the various committees (Dr Reem Abdwaniin Phase III, Dr Dana Al-Nabhani in Pre-Clerkship, Dr Hashim Jawad in Pre-Internship, Dr Amna Al-Futaisi in Junior Rotationand Professionalism, and Drs Roshan Koul and Siham Al-Sinani in Senior Rotation; Dr Yasser Wali is the clinical coordinator of theclinical nutrition course in Phase II). In addition, the Department trains many foreign undergraduate medical students during theirelective rotations.The Department has also a highly integrated postgraduate training programme and is equipped with excellent Clinical TeachingUnits (CTU’s) run by experienced teachers. Our Department started the first CTU in Oman and has been complimented on this by in-52

Finally, the Department conducts high quality researchwith state-of-the-art support from the geneticlaboratories producing publications in highimpact peer reviewed indexed journals. Collaborationwith international centers of excellence inpaediatrics has benefited a large number of sickchildren, especially those with haematological diseases.The Department also takes great pride in continuingto serve the community, raising funds to servechildren with all kinds of special needs in variousways.Lack of space, technological support and personnelhave limited performance in both academic andclinical areas. It is a long cherished dream of theDepartment to establish a world class Institute ofChild Health in collaboration with the Ministry ofHealth.Dr. Yasser WaliHead of Departmentternational medical educationists. The Departmentteaches and trains junior doctors, preparing themfor various examinations affiliated to the RoyalCollege of Paediatrics and Child Health (UK), RoyalCollege of Physicians and Surgeons of Glasgow andthe Arab Board. The Department is the only centrein Oman offering subspecialty training of pediatricresidents in metabolic diseases, neurology, immunologyand haemato-oncology.StaffFacultyZakia Al-Lamki, ProfessorMuna Al-Saadoon, Assistant ProfessorHussein Al-Kindy, Senior ConsultantAmna Al-Futaisi, Senior ConsultantSaif Al-Yaarubi, Senior ConsultantIbtisam B. Elnour, Senior ConsultantSalem Al-Tamemi, Senior ConsultantS.N. Joshi, Senior ConsultantRoshan L. Koul, Senior ConsultantP.C. Alexander, Senior ConsultantMatthew Zachariah, ConsultantHamed Abdoon, ConsultantSiham Al-Sinani, ConsultantReem Abdwani, ConsultantLalitha Krishnan, Consultantacademic and patient care departmentsChild Health53

Annual Report 2009-2010Child HealthMohamed Abdellatif, ConsultantAbdulhakim Al-Rawas, ConsultantDana Al-Nabhani, ConsultantAdila Al Kindy, ConsultantAnas Al-Wogud, ConsultantHashim Javad, ConsultantFaraz Masud, Senior RegistrarZenaida Reyes, Senior RegistrarSyed R. Haider, Senior RegistrarMohamed Elshinawy, Senior RegistrarWafa Bashir, Senior RegistrarKripail Mathew, Senior RegistrarMahmoud Fathalla, RegistrarMaria F. Bataclan, RegistrarMohammed Fazalullah, RegistrarMasood Ahmed, RegistrarSurekha Tony, RegistrarManjusha Hira, RegistrarIsmail Beshlawi, RegistrarMohammed A. El Naggari, RegistrarIslam M.S. Elbaroudy, RegistrarAmitha R. Aroor, RegistrarAamir Qais, RegistrarAzza Al-Shidhani, Senior House OfficerAshfaq Khan, Senior House OfficerRaghad Abdwani, Senior House Officer (on study leave)Hilal Al-Mandhari, Senior House OfficerRenjit Mani, Senior House OfficerRana Abelrahim, Senior House OfficerShafiq U. Rehman, Senior House OfficerLaila Al-Yazdi, Senior House OfficerYusriya Al Rawahi, Senior House OfficerEiman Abdalla, Senior House OfficerMazen A.M. Abuanza, Senior House OfficerAshraf A. Saad, Senior House OfficerSharef W.Sharef, Senior House Officer54

Support StaffRuth T. Mujal, Coordinator (Hospital)Aisha Al-Maskary, Coordinator (College)Najah Al-Maawaly, Social WorkerFatma Al-Farsi, Play TherapistKawther Al-Khusaibi, Play TherapistHighlights of the Year 2009-2010COMMUNITY SERVICEConsultancies are provided to various hospitals of the Ministry of Health, the Armed Forces and Royal OmanPolice hospitals, at a rate of 2-3 per consultant per week. Guest appearances in the national media (television/radio)were about 7 in this year, while 4 guest columns appeared in the lnational newspapers. Medicalservices were provided to the Orphanage in Al-Khod; the Centre for Special Education, Darsait, and the EarlyIntervention Centre in Al Khuwair. There was departmental participation in various charity events and charitybazaars organized by Dar Al Atta and various women’s organisations, as well as in public seminars andawareness days (bronchial asthma, childhood diabetes, haemophilia, sickle cell disease). A total of 18 partieswere held for inpatients, organised by Muscat Muncipality, National Bank of Oman, SQU students and thetelecommunications company Nawras, in addition to two charity fairs and parties on Mother’s day, duringRamadhan, Eid Al-Fitr and Eid Al-Adha.INTERNATIONAL VISITORSThe Department received the following twelve international visitors during this period: Dr. Michael Shevell,Head, Pediatric Neurology, Montreal Children’s Hospital, McGill University, Canada; Dr. M.C. Mathew, Professorof Developmental Neurology, Christian Medical College, Vellore, India; Dr. Cristoph Klein, Chairman,Pediatric Neurology, Hannover Medical School, Germany; Dr. Marie-Claude Gingras, Associate Professor, HumanGenome Sequencing Centre, Baylor College of Medicine, USA; Dr. Alyaa Kotby, Professor of Pediatrics,Ain Shams University, Egypt; Dr. Hema Patel, Associate Professor, Ambulatory Pediatrics, McGill University,Canada; Dr. Celia Rodd, Associate Professor, Pediatric Endocrinology, Mc Gill University, Canada; Dr. QutaybaHamid, James McGill Professor of Medicine, McGill Universty, Canada; Dr. Abdulrahman O. Musaiger, Head,Arab Centre for Nutrition, Bahrain; Dr. Mabu-Zekry, Department of Gastroenterology, Cairo Universty Children’sHospital, Egypt; Dr. Anil Dhawan, Professor of Pediatric Hepatology and Liver Transplantation, King’sCollege London School of Medicine, UK; Dr. Moeen Al-Sayed, Head Department of Pediatric Metabolic Diseases,King Faisal Specialist Hospital and Research Centre, Kingdom of Saudi Arabia.academic and patient care departmentsChild Health55

Annual Report 2009-2010Child HealthRESEARCHDr Yasser Wali, Dr Muna Al-Sadoon and Dr Zakia Al-Lamki served in this period on the Editorial Board of theSQU Medical Journal. Dr Amna Al-Futaisi, Dr Saif Al-Yaarubi and Dr Reem Abdwani served in this period onthe Editorial Board of the Oman Medical JournalDr Roshan Koul was a member of the International Advisory Board of the Journal of Pediatric Neurology.Dr Yasser Wali was a reviewer for the Journal of Pediatric Hematology/Oncology, the Postgraduate MedicalJournal, Sultan Qaboos University Medical Journal, Oman Medical Journal, and the Alexandria Journal of Pediatrics.Dr Roshan Koul was a reviewer for the Oman Medical Journal, SQU Medical Journal, Saudi MedicalJournal, Neurosciences, Neurology India and the Journal of Pediatric Neurology.Dr. Yasser Wali was Chairman of the Organising Committee for “Towards Better Care”, 17 th Child Health InternationalConferences on Chronic Childhood Illnesses held at Sultan Qaboos University, Oman from13−15October 2009. The conference attracted 450 delegates, and had 15 invited speakers from 8 countries.The Department organised four workshops during this period. A workshop on child maltreatment and childrehabilitation, supported by UNICEF was held on 15 October 2009.A workshop on planning and developing services for children with neurodevelopmental disorders waschaired by Prof M.C. Mathew, India, on 15 October 2009. A workshop on child abuse and neglect was organisedby Dr. Ibtisam Elnour and Dr. Muna Al-Sadoon at theSohar Hospital on 4 July 2010. A haemophilia Awareness Day was organised by Dr. Yasser Wali at SultanQaboos University on19 April 2010. Finally, staff participated in a workshop on family support in cancer care,organized by Dar Al-Atta on 15 October 2009.Teaching ProgrammesThe Department is actively involved in undergraduate and postgraduate teaching.UNDERGRADUATE PRECLINICAL PROGRAMMEThe Department is committed to the process of delivering to undergraduate students the main concepts andprinciples of child health that will help them to undertake their internship duties safely and also decide ontheir future postgraduate studies.The Department has structured teaching activities for students under the responsibility of the clinical yearscoordinators and the education committee of the Department. The students have different components ofassessment during the rotations and at the end of the rotation, organised by the clinical coordinators and56

monitored by the Department’s Examination Committee.OLD CURRICULUM5 th Year TeachingThe Department usually has about 13 students. The teaching of the 5 th year students is divided into theoretical,clinical and self learning with guidance. In addition to clinical teaching, there are other teaching modalitiesthat the Department implemented in the last 3 years that require one to one interaction between thestudents and tutors. The first modality is case presentation with each student presenting 5 cases to tutors(3 in SQUH). At the end of the 1 hour session, students receive feedback with a grade. The second modality iscase write-up each student being required to submit 5 case write ups (3 in SQUH). In total, the Departmentprovides 2,123 contact hours of teaching and academic activities for 5 th year students.Some of the Department members are also involved in the teaching of the Integrated Lecture Series courses:Haematology, Neurology, Gastroenterology and Respiratory.7 th Year TeachingAt any time, the Department will have about 15 students. The teaching of the 7 th year students is divided intotheoretical, clinical elements and self-learning with guidance. The different teaching activities for this groupof students accounts for about 1,400 hours per year.In addition, there are other teaching modalities implemented in the last 3 years that require one to one interactionbetween the students and tutors. HOPE Evaluation in which each student present 2 cases to tutor(1 in SQU). At the end of the 1 hour session, students receive feedback with a grade. In total, the Departmentprovides 1,540 contact hours of teaching and academic activities for 7 th year students.Preclinical TeachingMembers of the Department are involved in the following courses in the preclinical studies of the college: theclinical communication course and the clinical skill course.NEW CURRICULUMIn this period, the Department completed all the curriculum material for all of the different phases of thechild health rotations (11 case scenarios for pre internship, 22 clinical scenarios for junior rotation, 11 casescenarios for senior rotation and 1 week in the pre-clerkship).Currently, the curriculum is being revised. Theteaching modalities and daily teaching activities for the new curriculum are also ready.academic and patient care departmentsChild Health57

Annual Report 2009-2010Child HealthPostgraduate TeachingDr Yasser Wali is the convener of the new Clinical PhD Program, a new degree programme for College ofMedicine and Health SciencesThe Department usually has around 10-14 interns for training. The Department is involved in teaching OMSBresidents as follows. At any time of the year, the Department will have around 3-4 child health residents fortraining. Three Department members are invited yearly to give presentations to Family Medicine & PublicHealth residents on common childhood diseases. One of the Department members is invited yearly to delivera clinical presentation to A&E residents.The Department organises and conducts Membership of the Royal College of Paediatrics & Child Health(MRCPCH) and Diploma of Child Health examinations every year, in collaboration with the concerned internationalbodies.The Department run the following postgraduate courses: Neonatal Advance Resuscitation Course (3 times ayear); Paediatric Advance Life Support (twice a year), and MRCPCH Course (once a year).The Department also contributes to the Basic Life Support Course, which is conducted 12–14 times a year.Clinical & Diagnostic ServicesTable 1: Paediatric Inpatients 2008-2010Year No. of Admissions Av. Bed Occupancy (%) Av. Length of Stay(Days)2010 4,753 70.1 3.32009 5,168 71.4 3.52008 4,481 65.8 3.6Table 2: Paediatric Day care UnitYear No. of Admissions No. of Discharges Av. duration of stay(hours)2010 2,576 2,486 4−62009 1,048 954 5−82008 725 712 8−958

Table 3: Paediatric OutpatientsYear Booked Total Seen Admitted Discharged2010 13,534 10,970 301 9242009 12,029 9,342 419 7752008 11,223 8,637 296 972Table 4: Neonatal Intensive Care UnitYear No. of Admissions Av. Bed Occupancy (%) Av. Length of Stay (Days)2010 444 85 142009 417 85.6 11.32008 407 79.1 10.5Table 5: Postnatal WardYear No. of Admissions Av. Bed Occupancy (%) Av. Length of Stay (Days)2010 2,490 80 2.32009 2,215 81 2.22008 2,636 75 2.5Table 6: Paediatric Intensive Care UnitYear No. of Admissions Av. Bed Occupancy (%) Av. Length of Stay (Days)2010 158 80 82009 130 64 6.42008 76 114 11.9academic and patient care departmentsChild Health59

Annual Report 2009-2010Child HealthTable 7: Paediatric services provided to the Department of Clinical Physiology: electroencephalogram(EEG), brainstem auditory evoked response (BAER), visual evoked potential(VEP), Somatosensory Evoked Potential (SSEP), Video EEG, electromyography (EMG),nerve conduction velocity (NCV), Echocardiography, 24 hours Oesophageal Ph Monitoring,Newborn audiometry2010 1,0812009 1,9882008 1,856ResearchRESEARCH PROJECTSIntegrative investigation and applied molecular epidemiology of cystic fibrosis in OmanProject Code: IG/MED/CHILD/09/01; Dates: 2009–2010Value:Investigators:Genetic causes of congenital neutropeniaOR 19,900; Project Funder: Sultan Qaboos UniversityDr. Hussein Al-Kindi, Dept. Child Health, SQU; Dr. Said Al-Yahyaee, Dept. Genetics,SQU; Dr Uwe Fass, Dept. Biochemistry, Oman Medical College; QaseemAl-Salmi, Dept. Child Health, Royal Hospital, Oman.Project Code: IG/MED/CHILD/10/01; Dates: 2010–2012Value:Investigators:OR 9,600; Project Funder: Sultan Qaboos UniversityDr. Yasser Wali, Dept. Child Health, SQU; Dr. Christoph Klein, Dept. PediatricHematology-Oncology, Hannover Medical School, Germany; M. Al-Zalabany,Dept. Pediatric Immunology, Alexandria University, Egypt; Dr. Said Al-Yahyaee,Dept. Genetics, SQU; Dr. Ismail El-Beshlawi, Dept. Child Health, SQU; Dr.Naglaa Fawaz, Dept. Haematology, SQU; Dr. Aisha Alkhayat, Dept. Biology,College of Science, SQU; Dr. Salem Al-Tamemi, Dept. Child Health, SQU; MsKhalsa Al-Kharousi, Department of Genetics, SQU; Dr. Shahina Daar, Dept.Haematology, SQU; Dr. Martin Zimmermann, Dept. Statistics, HannoverMedical School, Germany.60

Pulmonary function test in children with sickle cell disease in correlation with hemoglobin SB chainhaplotypesProject Code: IG/MED/CHLD/07/01; Dates: 2007–2009Value:Investigator:OR 5,000; Project Funder: Sultan Qaboos UniversityDr. Hussein Al Kindi, Dept. Child Health, SQU.Assessment of some novel biomarkers in the diagnosis of acute kidney injury (AKI) in Oman.Project Code: MREC# 293; Dates: 2009Value:Investigator:OR 2,500 Project Funder: Sultan Qaboos UniversityDr. Ibtisam Elnour, Dept. Child Health, SQU.The Department is also involved in international research collaborations as follows: with Dr. Yasser Wali asthe principal investigator: 1) Genetic Predictors of Stroke in Patients with Sickle Cell Disease. This research isiIn collaboration with “Oakland Children’s Hospital (California). This is a multi centre trial with 5 centres inUSA and ours is the one of the 2 participating Centre outside the USA. This project is funded by American collaborators;.The Principal Investigator is Dr. Yasser Wali; 2) Hemophagocytic Lymphohistiocytosis, Molecularcorrelates and clinical outcome,. iIn collaboration with Karolinska Hospital, Stockholm;. The Principal Investigatoris Dr. Yasser Wali; 3) Social, Cultural, Legal and Ethical Issues Related to Gene Databases in DevelopingCountries. This is a WHO funded Project.RESEARCH PUBLICATIONS & BOOKSJournal Publications1. Roshan LK, Al Futaisi A, Al Sadoon M, Elnour IB, et al. Vehicular entrapment and heat stroke in 3 children: Is it a formof child neglect? Oman Med J 2010; 25:222−4.2. Koul R, Al Futaisi A, Jain R, Al Azri F. Trigeminal neuralgia due to anterior inferior cerebellar artery loop: A case report.J Child Neurol 2009; 24:989−90.3. Koul R, Al Futaisi A. Paramyotomia congenital in an Omani kindred. J Child Neurol 2010; 25:212−5.4. Joshi SN, Fathalla M, Koul R, Maney MA, Bayoumi R. Biotin responsive seizures and encephalopathy due to biotinidasedeficiency. Neurol India 2010; 58:323–4.5. Abdwani R, Mani R. Anti-CD20 monoclonal antibody in acute life threatening haemolytic anaemia complicatingchildhood onset SLE. Lupus 2009; 18:460−4.6. Abdwani R, Scuccumarri R, Duffy K, Duffy CM. Nodulosis in systemic onset juvenile idiopathic arthritis: An uncommonevent with spontaneous resolution. Pediatr Dermatol 2009; 26:587−91.7. Abdwani R. Challenges of childhood uveitis. SQU Med J 2009; 9:231−40.academic and patient care departmentsChild Health61

Annual Report 2009-2010Child Health8. Abdwani R, Abdel Rahim R, Ganesh A, Al Hamadani A. CA chronic granulomatous disease of childhood. Oman MedJ 2009; 24:56−7.9. Abdwani R, Koul R, Al Azri F, Al Futaisi A. Anasarca complicating juvenile dermatomyositis. J Pediatr Neurol 2010;8:433–5.10. Engelhardt KR, Mcghee S, Winkler S, Sassi AS, Al Tameimi S. Large deletions and point mutations involving the dedicatorof cytokines 8 (DOCK 8) in the autosomal- recessive form of hyper IGE syndrome. J Allergy Clin Immunol 2009;124:1289−302.11. Koul RL, Al Futaisi, Al Aazri F, Jain R. A ten year old girl with band heteropias/double cortex. SQU Med J 2010;10:136−7.12. Koul RL, Al Futaisi, Jain R. Infantile spasms associated with lissencephaly-pachygyria in a female twin. Neurol India2010; 04:30−1.13. Al-Futaisi A, Wali Y, El-Beshlawi I, Al Riyami S, Almahrezi A. Case study: Using a continuous glucose monitoringsystem in a patient with diabetes and beta-thalassemia hemoglobinopathy. Pediatr Hematol Oncol 2009; 26:515−9.14. Rafay MF, Cortez MA, Al Futaisi A. Predective value of clinical and EEG features in the diagnosis of stroke and HJIE inneonates with seizures. Stroke 2009; 40:240−7.15. Wali Y, Mohib H. Effect of hydroxyurea on physical fitness indices in older children with sickle cell disease. PediatrHematol Oncol 2011; 28:43-50. Epub Nov 17 2010.CONFERENCE AND SEMINAR PRESENTATIONSConference PresentationsInternational1. Wali Y. Immune thrombocytopenic purpura ( ITP) in Oman, When to do BMA, Who to Treat? 7th Egyptian Society ofPediatric Hematology/Oncology (ESPHO) Conference. , Cairo, Egypt, 26-27 March 2009.2. Wali Y. Stem cell therapy for avascular necrosis of the hip in children with sickle cell disease. 25th International Facultyof Medicine, Alexandria University Conference, Nano Technology in Medicine. Alexandria, Egypt, June 2009.3. Koul RL Neuronal ceroid lipofuscinosis in Oman. 14th European Federation of Neurological Societies, Geneva, Switzerland,September 2010.4. Wali Y. Childhood leukemias - Oman experience. 23rd Annual Conference of the American Society of PaediatricHaematology/Oncology (ASPHO). Montreal, Canada, April 2010.5. Wali Y. Childhood leukemias - Oman experience. 23 rd Annual Conference of the American Society of Paediatric Haematology/Oncology(ASPHO). Montreal, Canada, April 2010.6. Koul RL. Neuronal ceroid lipofuscinosis in Oman. 14 th European Federation of Neurological Societies, Geneva, Switzerland,September 2010.7. Al-Tameimi S. Update on Management of Chronic Urticaria and Angioedema.Allergy, Asthma & Clinical ImmunologySymposium. King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia, November 2009.62

Conference AbstractsInternational1. Wali Y, Tony S, Daar S. MRI T2* in very young children with thalassaemia major: Logistics and outcome. 8 th EgyptianSociety of PediatricHematology/Oncology (ESPHO) Conference. Alexandria, Egypt, 25−26 March 2010.2. Wali Y, Tony S, Riyami M, Shah W, Muslehi M, Zacharia M, Daar S. Double heterozygous Hb S-S Oman: A new syndromeof sickle cell disease presenting as thalassemia major. 23 rd Annual Conference of the American Society ofPaediatric Haematology/Oncology (ASPHO). Montreal, Canada, 7−10 April 2010.3. Wali Y. Comprehensive management of thalassaemia in Oman. 8 th Paediatric Hematology/Oncology Academic Day.King Faisal Specialist Hospital, Riyadh, Saudi Arabia, 26 May 2010.4. Abdwani R, Duffy SK, Scuccumarri R. Nodulosis in systemic onset JIA. 11 th World Congress of Paediatric Dermatology.Bangkok, Thailand, November 2009.5. Abdwani R, Al Nabhani D, Hari M, Al Zakhwani I. Juvenils SLE in Oman. 9 th Pan Arab Rheumatology Society Congressin Collaboration with Mayo Clinic. Amman, Jordan, April 2010.National1. Wali Y. Management of immune thrombocytopaenic purpura (ITP) in childhood: A dilemma. 17 th International ChildHealth Conference, Muscat, Oman, 13−15 October 2009.2. Zakia Z, Sadoon M. Impact of living with thalassaemia major on the affected child, parents and siblings. 17 th InternationalChild Health Conference, Muscat, Oman, 13−15 October 2009.Poster PresentationsInternational1. Al Futaisi A. Prevalence of HIE at SQUH. ICNA. Cairo, Egypt, May 2010.2. Elnour IB, Al Reyes Z, Bataclan F, Naggari MA, et al. Outcome of prenatal hydronephrosis among infants born atSQUH. 15 th Congress International Pediatric Nephrology Association. New York, USA, 298 August – 2 September 2010.3. Al Sadoon M. Vehicular entrapment and heatstroke in 3 children: Is it a form of child neglect? 12 th Australian Conferenceon Child Abuse and Neglect. Perth, Australia, November 2009.4. Elnour IB, Nabhani D, Naggariu MA, Sankhla D. Renal malformations and scarring of children with UTI referred toSQU Hospital. 15 th International Pediatric Nephrology AssociationPNA International Congress. New York, USA, 29Aug–2 Septust 2010.5. Elnour IB, Sadoon M. Can we help when we do not have child protection services in Oman? Experience in Oman. 28 thISPCAN International Congress on Child Abuse and Neglect. Honolulu, Hawaii, USA, August 2010.National1. Abdwani R, Duffy SK, Scuccumarri R. Methotrexate induced nodulosis. 17 th International Child Health Conference.Sultan Qaboos University, Oman, October 2009.academic and patient care departmentsChild Health63

Annual Report 2009-2010Child Health2. Al Mundher M, Joshi SN, Koul R, Al Futaisi A. Lysosomal disorders in Oman. 17 th International Child Health Conference.Sultan Qaboos University, October 2009.3. Siham S. Pappenburg intestinal tuberculosis mimicking Crohn’s disease in a 9 year old child. 17 th International ChildHealth Conference. Sultan Qaboos University, Oman, October 2009.4. Koul R, Al Futaisi A, Jain R. A monozygotic twin with pacchygria and West syndrome. 17 th International Child HealthConference. Sultan Qaboos University, Oman, October 2009.5. Koul R, Al Futaisi A, Jain R. Neuronal migration disorders in Oman. 17 th International Child Health Conference. SultanQaboos University, Oman, October 2009.6. Joshi SN, Bayoumi R. Spectrum of metabolic disorders in Oman. 17 th International Child Health Conference. SultanQaboos University, Oman, October 2009.7. Al Barudy I, Al Futaisi A. Fulminant GBS with central and peripheral demyelination. 17 th International Child HealthConference. Sultan Qaboos University, Oman, October 2009.8. Ala M, Bhatnagar S, Al Kindy H. Non CF bronchiectasis in children - Oman experience. 17 th International Child HealthConference. Sultan Qaboos University, Oman, October 2009.9. Zachariah M, Bashir W, Al Lamki Z, Wali Y. Infantile leukemia at SQUH - A review. 17 th International Child HealthConference. Sultan Qaboos University, Oman, October 2009.10. Zachariah M, Bashir W, Al Lamki Z, Wali Y. AML in children experience from one centre in Oman. 17 th InternationalChild Health Conference. Sultan Qaboos University, Oman. October 2009.11. Zachariah M, Bashir W, Al Lamki Z, Wali Y. Is chemotherapy necessary for secondary HLH with treatable aetiology?.17th International Child Health Conference. Sultan Qaboos University, Oman, October 2009.12. Krishnan L, Bayoumi R, Joshi SN, Al Yaarubi S, Wali Y, Al Abri R. Universal newborn screening at SQUH. 17 th InternationalChild Health Conference. Sultan Qaboos University, Oman, October 2009.13. Khan A, Krishnan L, William R, Sankhla D. Scimitar syndrome in a neonate. 17 th International Child Health Conference.Sultan Qaboos University, Oman, October 2009.THESIS SUPERVISIONYahia Al-MukhainiQualification:Title:Supervisors:M.Sc.Impact of Breast feeding on Childhood Acute Lymphoblastic Leukemia inOmanDr. Yasser WaliDate of Completion: May 200964

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