RESUMEN
Background: Neural tube defects [NTDs] are the most common birth defect of the central nervous system. Spina bifida [SB] is a common birth defect resulting from incomplete closure of the neural tube during the first month of pregnancy and that is associated with significant clinical complications that can affect survival and the quality of life for affected individuals
Objective: The study objective was to estimate the prevalence, types, manifestations, diagnosis, complications as well as treatment outcomes of of Spina bifida in all neonates born in Maternity and Children hospital in Arar city, Northern Saudi Arabia
Methods: This is a descriptive study involved all neonates born in Maternity and Children hospital in Arar city, Northern Saudi Arabia, KSA, during the period from 1 January to 31 December 2017. Data was collected by retrospective analysis of the recorded data and filling a pre designed questionnaire, which include questions designed to fulfill the study objectives
Results: The total number of spina bifida cases borne in maternity and children hospital in Arar city, Northern Saudi Arabia during the year 2017 was 14 cases with a prevalence of 0.51%; 8[57.1%] were females and 6[42.9%] were males. Consanguinity between parents found in 57.1% of cases, and folic acid deficiency during pregnancy reported in 78.6%. The site of spina bifida was lumbosacral in 57.1% and lumber 42.9%. The type was Spina bifida occulta 57.1%, Myelomeningocele 28.6% and Myeloschisis 14.3%. Weakness of legs, urinary incontinence 35.7%, hip dislocation, deformity of the body 21.4% and paralysis were the reported complications
Conclusion: The prevalence of spina bifida in Arar, KSA was 5.1per 1,000 live births. Majority of the reported cases were females, Spina bifida occulta was the most common then myelomeningocele and myeloschisis. The site was lumbosacral and lumber
RESUMEN
Background: Pruritus vulvae or vulvar itch is an unpleasant vulvar sensation that provokes the urge to scratch to obtain relief. It is a common complaint in females of all ages. A pruritus vulva is not a condition. It is the symptom of various -most often benign, sometimes malignant - disorders. The study aimed at investigating the prevalence in valval itching and its manifestations and causes among young females in Arar city, KSA
Methods: This is across sectional study conducted among 300 of the studied women, Arar, KSA. Data were collected by using pre designed online questionnaire which include questions designed to fulfill the study objectives
Results: Pruritus vulvae were found in 30.7% of the studied sample. Most [60.7] of the examined girls age was between 15- 20 years old. 79.3% of the sample was single [unmarried]. Manifestations of pruritus vulvae were 43.5% redness, 21.7% edema, 67.4% reported association of pruritus with increased vaginal discharge. 56.5% reported increased pruritus before menses and 37% after. Only 37% of the pruritus cases asked for medical help but only 23.9% got better after treatment. There was a significant correlation between pruritus vulvae and both age group and marital status [P= 0.001]
Conclusion: Pruritus vulvae were found in 30.7% of the studied sample. Prevention of genitourinary infection among adolescents regarding personal hygiene is mandatory. Recommendations include counseling during periodic medical examination about personal hygiene, especially during menstruation