premenstrual-syndrome-premenstrual-dysphoric-disorder-systematic

Premenstrual Syndrome and Premenstrual Dysphoric Disorder: A Systematic Review of Academic Performance and Well-Being in University Students

Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) are common among women of reproductive age and are associated with academic ...

University of Bisha

Refractive errors, including myopia, hyperopia, and astigmatism, are a leading cause of visual impairment among children worldwide. In Saudi Arabia, the prevalence of these conditions among school-age children and adolescents remains poorly understood, with significant variations reported across studies. This systematic review and meta-analysis aimed to provide a comprehensive estimate of the pooled prevalence of refractive errors in this population and explored factors influencing their distribution.

Prevalence of Refractive Errors Among School-Age Children and Adolescents in Saudi Arabia: A Systematic Review and Meta-Analysis.

This case report details the surgical management of a large (15 × 9 cm) symptomatic right ovarian cyst in a 42-year-old multiparous woman, highlighting the decision-making process for definitive treatment. The patient presented with chronic pelvic pain and a palpable mass, significantly reducing her quality of life. Imaging revealed a large, multilocular, benign-appearing cystic lesion. Given the patient's age, completion of childbearing, and the cyst's size and complexity, a right salpingo-oophorectomy was performed instead of a cystectomy to achieve definitive symptom resolution and mitigate recurrence risk. The decision to proceed with a definitive right salpingo-oophorectomy, rather than an ovarian cystectomy, was based on a confluence of factors: the patient's age (42), her status as a multiparous woman who had completed childbearing, and the cyst's size and complex multilocular morphology which increased the technical difficulty and potential morbidity of cystectomy while raising a low-grade concern for underlying neoplasia. The surgery was uncomplicated, and histopathology confirmed a benign cystadenoma. This case underscores the importance of tailoring surgical intervention, specifically the choice between cystectomy and salpingo-oophorectomy, to individual patient factors such as parity, fertility goals, and cyst characteristics to optimize clinical outcomes.

Case Report of a Large Ovarian Cyst in a Multiparous Woman: A Challenging Surgical Management.

 Topical corticosteroids (TCS) are a cornerstone of dermatological treatment for inflammatory skin conditions; however, irrational fear of their use known as corticophobia undermines adherence and worsens clinical outcomes. This study investigated the prevalence of TCS-related concern and phobic behaviors among the general population in Saudi Arabia and identified factors associated with TCS-related concern and phobic attitudes. : A cross-sectional study was conducted between October and December 2025 using an online self-administered questionnaire distributed via social media platforms among a non-probability convenience sample across multiple geographic zones of Saudi Arabia. A total of 481 participants were enrolled. Descriptive statistics summarized demographic and clinical characteristics. Chi-square and Fisher's exact tests were used to examine differences in proportions between categorical variables and TCS concern, while independent-samples -tests and one-way ANOVA compared mean phobia scores across subgroups. : Of 481 participants, 254 (52.8%, 95% CI 48.3-57.2) expressed concern about TCS use. The predominant reason for refusing prescribed TCS was fear of side effects (93.5%). Phobic behaviors included fear of long-term use (54.2%) and fear of application to sensitive skin areas (63.0%). On the Likert phobia-scale item, 237 (49.8%) totally agreed they would use TCS if prescribed; a separate dichotomous behavioral-intention item, administered only to non-current users (n = 308), showed that 201 (65.3%) would accept TCS if prescribed and 107 (34.7%) would refuse. Concern was significantly more prevalent among females (58.1%, BH-adj  = 0.005), married participants (61.7%, BH-adj  = 0.010), and those refusing prescribed TCS (77.6%, BH-adj  < 0.001). Mean phobia scores (theoretical range 7-28) were significantly higher among females (20.43 ± 4.06 vs. males 18.84 ± 4.68,  < 0.001), participants with Diploma-level education (21.64 ± 3.12,  < 0.001 across education strata), widowed/divorced individuals (21.82 ± 3.57,  = 0.008), and residents of the Southern (20.47 ± 3.99) and Northern (21.40 ± 3.34) regions ( = 0.002 across regions).  TCS-related concern was expressed by over half the participants in this social media-recruited sample, posing a substantial barrier to effective dermatological care. Side-effect concern was the most frequently reported reason for refusing prescribed TCS. In adjusted analyses, female sex was the most consistent independent correlate of TCS-related concern and higher phobia score; married status was independently associated with greater concern. These associations should be replicated in probability-based samples before subgroup-targeted interventions are designed. : TCS-related concern was prevalent (52.8%) among adults in Saudi Arabia and represented a substantial barrier to dermatological care. Female sex and married status were independently associated with greater concern. Clinicians should proactively address TCS misconceptions during dermatological consultations to improve treatment adherence.

Article	Year
Prevalence of Refractive Errors Among School-Age Children and Adolescents in Saudi Arabia: A Systematic Review and Meta-Analysis. Clinical ophthalmology (Auckland, N.Z.)\| PubMed ID: 40635977	2025
Case Report of a Large Ovarian Cyst in a Multiparous Woman: A Challenging Surgical Management. Case reports in obstetrics and gynecology\| PubMed ID: 41810056	2026
Topical Corticosteroid-Related Concerns and Phobic Behaviors in Saudi Arabia: A Cross-Sectional Investigation. Healthcare (Basel, Switzerland)\| PubMed ID: 42278714	2026

Anwar Ali Alshehri

Biography

JoVE Journal Publications

Other Publications