Background: Primary healthcare (PHC) physicians are often a first point of contact for children with symptoms of autism spectrum disorder (ASD) and play an important role in early diagnosis. However, no studies have evaluated the knowledge levels of PHC physicians in Saudi Arabia.
Methods: A cross-sectional study was conducted, in January-February 2019, among 147 PHC physicians working in PHC centers and major hospitals in Riyadh, Saudi Arabia. A written questionnaire was used for data collection.
Results: The findings revealed knowledge deficits regarding early signs of ASD in children among responding PHC physicians. A significant positive association was found between the total mean knowledge scores and both job title and experience. Physicians who had received prior psychiatric training were associated with higher levels of relevant knowledge than untrained physicians.
Conclusions: The suboptimal awareness of identification of early signs and symptoms of ASD can lead to delayed diagnosis and intervention, adversely affecting the healthcare needs and quality of life for children affected. Action to improve the awareness among PHC physicians in Saudi Arabia is therefore required.
Uterine perforation is an intrauterine problem that can occur with any therapy. It is a rare but possibly dangerous consequence of uterine manipulation, evacuation of retained products of conception or pregnancy termination (TOP), hysteroscopic treatments, and coil implantation. Injury to blood arteries or viscera, such as the bladder or the intestine, might be related. Severe bleeding or infection may ensue if not discovered at the time of surgery; nevertheless, the most majority of uterine drilling is subclinical and safe without treatment, with no substantial long-term damage. Perforation can be caused by cervical stenosis during trans-cervical operations or by a reduction in myometrial wall strength during pregnancy or menopause. Uterine abnormalities, infection, recent pregnancy, and postmenopause are all factors that raise the chance of uterine perforation. The treatment of uterine perforation is determined by the operation and the equipment employed. Admission to the hospital, intravenous antibiotics, and close supervision are required following a uterine perforation and any accompanying injuries. In this paper, we overview common causes and updated management of uterine perforation. Data was collected during a period of 6 months searching Pubmed, EPISCO, Web of science data bases to include studies with relative topics.
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