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1.
Saudi Med J ; 42(5): 499-508, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33896779

RESUMO

OBJECTIVES: To translate the pregnancy physical activity questionnaire (PPAQ) into Arabic language, cross-culturally adapt and test its reliability and validity among Saudi pregnant women. METHODS: Pregnancy physical activity questionnaire, which consisted of 36 items, was translated to Arabic following the World Health Organization's guidelines for tool translation (forward translation, expert panel and back translation, pretesting and cognitive interviewing, and final version), followed by validation by experts. This is a cross-sectional study and data were collected from 118 healthy pregnant Saudi women from May to June 2019. Validity included content validity indices (CVI) and construct validity by Rasch analysis. Reliability was assessed by test-retest reliability and Cronbach's alpha coefficient. RESULTS: The mean age of the participants was 30.15 ± 5.59 years; 38.2% of them had normal pre-gestational body mass index (n=45). The median of total energy expenditure in physical activity was 356.1 METs.h/week (IQR=162.3-648.3). Item content validity index was good ranging between 0.8-1. Rasch analysis showed good construct validity and excellent reliability for all types of physical activity (>0.89). CONCLUSION: This Arabic PPAQ is a reliable and valid tool that can be used in Arab countries.


Assuntos
Comparação Transcultural , Idioma , Adulto , Estudos Transversais , Exercício Físico , Feminino , Humanos , Gravidez , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
2.
Obstet Gynecol ; 134(1): 44-48, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31188326

RESUMO

BACKGROUND: Vaginal agenesis is a müllerian anomaly characterized by congenital absence of the vagina. In this case series, the authors describe a novel, minimally invasive technique using microport entry for treatment of complete vaginal agenesis. TECHNIQUE: A balloon catheter is passed through a fenestrated perfluoroalkoxy polymer resin-supporting platform, then tied by a silk suture over the caudal end of the inserter. Two 4-mm microports are created intraumbilically; one to insert the scope and the other to introduce the catheter inserter that is advanced under direct vision. The inserter loaded with a catheter is passed across the pelvic floor to position the balloon at the vaginal dimple. The balloon is inflated and tightly positioned against the dimple. The perfluoroalkoxy polymer resin piece is clamped at the umbilicus. Traction is applied to the catheter stem and increased progressively to achieve desired vaginal depth. EXPERIENCE: Twenty-two women aged 17-28 years with vaginal agenesis underwent microport vaginoplasty. Twenty-one women were diagnosed with müllerian agenesis and one patient with androgen insensitivity syndrome. Preoperative vaginal depth ranged between 0.5 and 3 cm. The procedure was well tolerated with no intraoperative or postoperative complications. Patients achieved neovaginal depth between 9 and 11 cm and penetrations scores increased to 80-90%. CONCLUSION: Microport vaginoplasty is a feasible and effective procedure for management of vaginal agenesis.


Assuntos
Anormalidades Congênitas/cirurgia , Vagina/anormalidades , Adolescente , Adulto , Feminino , Procedimentos Cirúrgicos em Ginecologia/instrumentação , Humanos , Laparoscopia/instrumentação , Técnicas de Sutura , Resultado do Tratamento , Vagina/cirurgia , Adulto Jovem
3.
J Family Community Med ; 26(1): 9-16, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30697099

RESUMO

BACKGROUND: The quality of life (QoL) of children with attention-deficit/hyperactivity disorder (ADHD) has not been addressed in Saudi Arabia despite the considerable attention it has on account of its prevalence, duration of illness, and sociopsychological effects. The aim of this study was to report on the QoL of children with ADHD and test the concord between children's and parents' reports. MATERIALS AND METHODS: Using the generic PedsQL™ (version 4.0) from both children's and parents' perspectives, a cross-sectional study of 112 children was conducted on children aged 5-18 years with an established diagnosis of ADHD attending child psychiatry clinics of three referral hospitals in Riyadh between December 2015 and May 2016. RESULTS: A total of 112 children with an established diagnosis of ADHD were recruited from the Child Psychiatry Clinic of Al Amal Mental Health Complex (41.1%), Prince Sultan Military Medical City (PSMMC), (33%), and King Khalid University Hospital (KKUH), (25.9%). The majority were boys (74.1%) and Saudi nationals (93.8%). The mean age of children with ADHD was 10.45 ± 3.06 years (Range 5 - 18 years). One-fourth of the mothers of children with ADHD had completed high school and 41.1% had a diploma, university, or postgraduate degree. One-third of the fathers of these children had completed high school (34%) and 38.4% had a diploma, university, or postgraduate degree. The intra-class correlation coefficients between the scores of children and parents were good for physical functioning, fair for social functioning, but moderate for school, emotional, and psychosocial functioning. Children rated themselves significantly better than their parents for emotional, social, school, and psychosocial functioning. The standardized response means indicated a small difference for social functioning and medium differences for the other three domains. The only significant discrepancy was observed in social functioning in relation to the child's age. CONCLUSION: Parents mirrored adequately the observable physical component of the QoL of their children. The QoL report of children with ADHD with respect to communications and intellectual abilities should be taken into account whenever possible and their parents' report also should be sought to provide a more comprehensive view of the child's status.

4.
J Pediatr Adolesc Gynecol ; 26(2): e29-32, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23518191

RESUMO

OBJECTIVE: To evaluate feasibility, advantages, and disadvantages of the laparo-endoscopic single site surgery (LESS) technique for balloon vaginoplasty (BV). STUDY DESIGN: Cohort study. SETTING: Tertiary care facility. RESULTS: LESS-BV was successfully performed in 6 patients with Mullerian aplasia and one with androgen insensitivity syndrome (AIS). Patients presented with failure of intravaginal intercourse and/or dyspareunia. The procedure was performed successfully in conjunction with gonadectomy for the AIS case. The total operative time was 50-75 minutes. No operative complications were reported. Postoperative pain scores ranged from 0 to 2 points at rest and from 20 to 60 points during dressing change, increasing distension, and traction. The depths of the constructed neovaginas measured up to 12.8 cm. Sexual intercourse was initiated on the day of catheter removal. Penetrations and satisfactions scores increased to up 90 points for both partners. CONCLUSIONS: LESS-BV is technically feasible. LESS-BV allows better, stronger midline and long traction pass along the anatomic longitudinal axis of the hypoplastic vagina. Surgical outcomes should be compared prospectively to conventional laparoscopic BV.


Assuntos
Transtornos 46, XX do Desenvolvimento Sexual/cirurgia , Síndrome de Resistência a Andrógenos/cirurgia , Cateterismo/métodos , Anormalidades Congênitas/cirurgia , Laparoscopia/métodos , Vagina/cirurgia , Adolescente , Estudos de Coortes , Estudos de Viabilidade , Feminino , Humanos , Masculino , Ductos Paramesonéfricos/anormalidades , Ductos Paramesonéfricos/cirurgia , Procedimentos de Cirurgia Plástica , Resultado do Tratamento , Vagina/anormalidades , Adulto Jovem
5.
Eur J Obstet Gynecol Reprod Biol ; 165(1): 82-5, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22790108

RESUMO

OBJECTIVES: To present the first repeat procedure and a simple way for management of balloon rupture during balloon vaginoplasty (BV) procedures. STUDY DESIGN: Repeat BV (reBV) procedure was done for one case, and a ruptured catheter's end to new catheter's end (ENE) procedure was done for two cases. The anatomic and functional outcomes of reBV and ENE are presented. RESULTS: Balloon rupture and deflation were encountered in a total of 3/45 cases who had undergone BV procedures. Replacement time was 22 min for reBV, and 9 and 10 min for ENE. General anesthesia was needed in the reBV case. Post-operative course and final outcomes were generally good but objectively less favorable in the ENE than in the reBV case (neovaginal depths were 8.5 and 9.4 cm versus 11 cm, respectively). Penetration and satisfaction scores were increased up 85 points for both couples. CONCLUSIONS: Balloon ruptures were reported in 3/45 cases undergoing balloon vaginoplasty. End to new catheter end replacement was a very fast and simple rescue procedure but its preliminary anatomical outcomes were less favorable than the outcomes obtained with the original or repeat procedure.


Assuntos
Remoção de Dispositivo/métodos , Dilatação/instrumentação , Falha de Equipamento , Vagina/anormalidades , Adolescente , Adulto , Catéteres/efeitos adversos , Remoção de Dispositivo/efeitos adversos , Dilatação/efeitos adversos , Egito , Feminino , Humanos , Satisfação do Paciente , Complicações Pós-Operatórias/prevenção & controle , Complicações Pós-Operatórias/terapia , Comportamento Sexual , Parceiros Sexuais , Vagina/cirurgia , Adulto Jovem
6.
J Obstet Gynaecol Res ; 38(11): 1308-14, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22612567

RESUMO

AIM: To highlight the coexistence of a uterine septum in cases diagnosed as bicornuate uterus on the basis of the external shape of the uterine fundus and to present the outcomes of its hysteroscopic management. METHODS: Descriptive clinical report. Cases with two-chambered uterine cavities were recruited with exclusion of cases with pure bicornuate uteri. The differentiation between hybrid and pure septate uterine varieties was based on clinical evaluation, transvaginal ultrasonic evaluation, hysterosalpingography and in addition to bimanual examination under anesthesia. The final diagnosis was confirmed by combined hysteroscopy-laparoscopy examinations. Cases with pure and hybrid septate uteri were managed by hysteroscopic metroplasty and the outcomes were compared. RESULTS: Out of 357 cases of double chambered uteri, 18 cases (5%) were found to be a pure bicornuate variety (PBV), 322 (90.2%) cases were found to have pure septate variety (PSV) and 17 cases (4.8%) were found to have hybrid septate variety (HSV). In HSV, there was external fundal depression dividing only the upper part of the corpus giving an imprecise impression of a bicornuate uterus with a laparoscopic view, but there was a long extension of the dividing interface. Nine cases with HSV were associated with a complete utero-cervico-vaginal septum, and five cases had a complete uterine septum. The diagnosis of asymmetric horns, hemi-obstruction or bicervical uterus was made in three cases with HSV. All cases with a septate uterus were offered hysteroscopic metroplasty, and cases with fundal depression were operated under laparoscopic monitoring. In cases with HSV, the procedure was performed safely and successfully in 16/17 cases (94%). One uterine perforation was encountered, giving a six-fold increase in the perforation risk, and passed uneventfully. Successful reproductive outcomes were reported in 178/189 cases (94.1%) with PSV and in 12/15 (80%) with HSV. CONCLUSIONS: External fundal depressions of variable depths are associating with a septate uterus, indicating coexistence of the two anomalies. These cases are candidates for hysteroscopic metroplasty under appropriate sonographic and/or laparoscopic monitoring.


Assuntos
Aborto Espontâneo/etiologia , Histerossalpingografia , Histeroscopia , Infertilidade Feminina/etiologia , Laparoscopia , Dor Pélvica/etiologia , Útero/anormalidades , Aborto Espontâneo/diagnóstico por imagem , Aborto Espontâneo/cirurgia , Adulto , Feminino , Seguimentos , Humanos , Infertilidade Feminina/diagnóstico por imagem , Infertilidade Feminina/cirurgia , Dor Pélvica/diagnóstico por imagem , Dor Pélvica/cirurgia , Gravidez , Recidiva , Resultado do Tratamento , Ultrassonografia , Útero/diagnóstico por imagem , Útero/cirurgia
7.
J Pediatr Surg ; 46(7): 1464-8, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21763856

RESUMO

PURPOSE: The aim of this study was to present the preliminary results of a new technique for horn-vaginal anastomosis. METHODS: Horn-vaginal anastomosis without any dissection at the lower pole of the horn or vaginal apex at the site of anastomosis. This was followed by dilation and silicone stent retention for 4 months. RESULTS: The patient was a 14-year-old presenting with primary amenorrhea and severe recurrent cyclic lower abdominal pain. The total operative time was 115 minutes. No operative complications were reported. The patient developed stenosis of the tract after 2 successive menstrual periods (MP). The third period was retained. Transvaginal dilatation of the communication tract was successfully accomplished, and a silicon stent was left in place for 5 successive MP. The patient is now menstruating in a regular pattern for 15 successive MP, and an office hysteroscopic examination showed a patent tract with a normal hemicavity leading to a normal tubal ostia. CONCLUSIONS: Communication between a well-developed noncommunicating uterine horn and vagina was accomplished with successful establishment of the menstrual outflow tract. Regular menstrual pattern was successfully reestablished for 15 consecutive menstrual periods.


Assuntos
Útero/anormalidades , Vagina/cirurgia , Abdome Agudo/etiologia , Adolescente , Anastomose Cirúrgica , Apendicectomia , Apendicite/diagnóstico , Cateterismo , Constrição Patológica , Erros de Diagnóstico , Feminino , Humanos , Histeroscopia , Laparotomia , Distúrbios Menstruais/etiologia , Cistos Ovarianos/cirurgia , Peritonite/diagnóstico , Stents , Aderências Teciduais/cirurgia , Útero/cirurgia
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