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Journal of the Oman Medical Association

Journal of the Oman Medical Association (JOMA) is an international, peer-reviewed, open access journal on healthcare, clinical medicine, and other scientific areas related to medicine and surgery, published semiannually online.
It is the official journal of the Oman Medical Association (OMA). Association members receive discounts.

All Articles (27)

  • Case Report
  • Open Access

Acute Respiratory Distress Syndrome (ARDS) represents a critical pathology often necessitating prolonged mechanical ventilation, a clinical course associated with significant complications and elevated mortality. This case report details the successful implementation of early Percutaneous Dilatational Tracheostomy (PDT) in a 61-year-old male presenting with severe ARDS secondary to sepsis-induced Community-Acquired Pneumonia (CAP) and Type I respiratory failure. This case suggests that early PDT serves as a safe and effective strategy to mitigate the risks associated with prolonged mechanical ventilation in patients with severe ARDS, potentially facilitating enhanced recovery and reduced ICU length of stay.

25 December 2025

Sequential steps of the bedside Percutaneous Dilatational Tracheostomy (PDT) procedure in the ICU: (1) Preparation of the PDT set and surgical instruments; (2) Identification and marking of anatomical landmarks; (3) Sterilization of the surgical field and infiltration of local anesthesia using 2% lidocaine; (4) Performance of a 1 cm vertical skin incision at the designated puncture site (two finger-breadths below the thyroid notch); (5) Blunt dissection of the subcutaneous tissue to expose the pre-tracheal fascia; (6) Tracheal puncture with the introducer needle, confirming intratracheal placement via air aspiration; (7) Advancement of the guidewire into the tracheal lumen using the Seldinger technique; (8) Initial dilation of the puncture tract using a small dilator; (9) Expansion of the stoma using a large dilator to accommodate the cannula size; (10) Insertion of the tracheostomy tube into the dilated stoma; (11) Final securement of the tube and application of a sterile dressing.

Neck and Shoulder Pain: Prevalence and Risk Factors Among Omani School Teachers

  • Maryam Musallam Salim Al-Harassi,
  • Ahmed Ibrahim Al Kharusi and
  • Narasimman Swaminathan

Background: Neck and shoulder pain are prevalent occupational health issues among school teachers globally, impacting work performance and quality of life. This study aimed to assess the prevalence and factors associated with neck and shoulder pain among school teachers in Oman. Methods: A cross-sectional study using chi-square and logistic regression analyses was conducted in March–April 2025 among 419 full-time school teachers in three Omani governorates. A structured questionnaire was used to collect data on socio-demographic, behavioral, physical, psychosocial, and health-related factors. Results: A high prevalence of neck and shoulder pain among participants was observed, with 98.3% reporting pain in the past 12 months. Chronic pain lasting over a year was reported by 59.7%, with 37.0% experiencing severe pain. Psychological job demands were high, with 62.8% reporting high levels of stress. Conclusions: The study did not find significant associations with physical risk factors, but highlighted the importance of broader determinants such as low physical activity, obesity, and lack of supervisory support in relation to chronic neck and shoulder pain among teachers.

5 January 2026

Barriers and Predictors of Seeking Mental Health Care Among Adults in Oman, 2023: A Cross-Sectional Study

  • Moza Sulaiman Albadi,
  • Sumaiya Mubarik Al A’amri and
  • Khalid Salim Al Dhuhli
  • + 2 authors

Background: Help-seeking for mental health care remains low in Oman and globally, contributing to increased morbidity and mortality. Identifying barriers is essential to improving access. This study is the first to examine the prevalence of mental health problems and help-seeking behavior in Al Dhahira governorate, Oman. Methods: It is a cross-sectional study conducted between 1 August and 30 September 2023, in the three cities of Al Dhahira Governorate, Oman. It employed a convenient, proportionate sampling approach and involved willing Omani adults aged 18–64 from the 18 areas of Al Dhahira governorate. Data were collected using the Barriers to Access to Care Evaluation (BACE-III) Arabic Version questionnaire, which was self-completed by the participants. IBM SPSS Statistics (Version 23) was used for data analysis. Results: A total of 357 participants were involved in the study. It was found that the prevalence of mental health problems (self-reported) was 11.5% and only 5.3% sought professional help. Age (p-value = 0.046) and marital status (p-value = 0.028) were found to be significantly associated with having mental health problems. While the significantly associated factors with stigma barriers were city (p-value = 0.039) and education level (p-value = 0.023), the associated factor with attitudinal barriers was educational level (p-value = 0.049). The independent predictors for seeking mental health care and having mental health problems were government worker (p-value = 0.014) and Yanqul residency (p-value = 0.003). Conclusions: In the Al Dhahira governorate, the prevalence of mental health problems was found to be low. Stigma and attitudinal barriers affect seeking help significantly in the governorate. Integrating mental health into the primary care setting and increasing awareness to overcome these barriers will improve access to mental health services.

21 November 2025

  • Communication
  • Open Access

Background: This cross-sectional study was conducted among adult Omani patients with a confirmed laboratory diagnosis of COVID-19 to determine the prevalence of dizziness, tinnitus and headache in the pre-, during and post-COVID-19 recovery phases. Methodology: The characteristics and severity of symptoms of dizziness, tinnitus and headache in the above three phases were determined by telephone interviews. The severity of symptoms was recorded using the visual analog score. Results: The total number of patients selected was n = 102 (M/F 50/50%; overall mean age = 33.52 ± 3.6 years). The pre-COVID-19 prevalence of dizziness was 16%, tinnitus 13% and headache 53%. During COVID, the prevalence of dizziness increased to 41%; for tinnitus, it remained the same; and for headache, it increased to 73%. Compared to the lower age group category (30–32 years); the pre-COVID-19 prevalence of dizziness was significantly higher in the 33–40 years age group. The severity of symptoms showed a significant correlation in different phases, pre- and post-COVID-19, for dizziness (r = 0.556), tinnitus (r = 0.714) and headache (r = 0.696), and tinnitus during and post-COVID-19 (r = 0.570). Conclusion: The prevalence of dizziness, tinnitus and headaches was high in COVID-19 patients. All symptoms pre-COVID-19 and during COVID-19 persisted post-COVID-19.

5 September 2025

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J. Oman Med. Assoc. - ISSN 2813-8759