Papers by Abdulbari Bener

Journal of Men's Health, 2010
High rates of psychiatric disorder have been documented in patients with gastrointestinal (GI) sy... more High rates of psychiatric disorder have been documented in patients with gastrointestinal (GI) symptoms. The aim of this study was to examine the prevalence of gastrointestinal (GI) symptoms among the general adult population and to determine if psychological distress such as depression and anxiety disorder is associated with gastrointestinal disorders. This is a cross sectional study conducted during the period September 2009 to May 2010 at the Primary Health Care Centers of the Supreme Council of Health, State of Qatar. A total of 1208 patients aged 20 years and above were approached and 934 patients (77.3%) participated in this study. The study was based on a face to face interview with designed diagnostic screening questionnaires for GI symptoms, Patient Health Questionnaire (PHQ-9) for depression and General Anxiety Disorders (GAD-7) for anxiety. The questionnaire consists of questions about symptoms and signs of anxiety and depression disorders. Also, socio-demographic characteristics, life style habits and family history of patients were collected. Of the studied subjects, 62.1% were males and 37.9% were females. Out of 934 subjects interviewed, the prevalence of gastrointestinal symptoms was 41.1%. Most of the sufferers with GI symptoms were male patients (69.8%) and in the age group 45-54 years (39.6%). The prevalence of severe levels of depression was nearly twofold (8.6%) in GI patients compared to their counterparts (4.5%). The prevalence rate of anxiety was higher in sufferers of GI symptoms (21.4%). Mental health severity (mean ± SD) was significantly higher in male patients with GI symptom compared to females; depression (7.9±4.2 vs. 6.9±4.5, p<0.001) and anxiety 7.0±3.6 vs. 6.1±3.6, p=0.001). More than depression, anxiety was more common in patients of GI symptoms of constipation (22.3%), upper dysmotility (21.4%) and diarrhoea (20.7%). The present study findings revealed that the prevalence rate of gastrointestinal disorders is high in the primary care settings. Also, GI symptoms are associated significantly with depression and anxiety. Anxiety was more common than depression in GI patients.

Teaching and Learning in Medicine, 1992
ABSTRACT This study focused on undergraduate, postgraduate, and continuing biostatistical instruc... more ABSTRACT This study focused on undergraduate, postgraduate, and continuing biostatistical instruction in the Health Science Centre, University of Kuwait. For the past 11 years, 14 hr of lecture have been allocated to biostatistics in the third‐year medical curriculum as a component of the three‐semester 120‐hr Behavioral Sciences lecture course. This course is taught under the aegis of the Community Medicine and Behavioural Sciences Department. A compulsory 45‐hr biostatistics lecture course is also offered to all first‐year students of the Faculty of Allied Health Sciences and Nursing. On the postgraduate level, a 30‐hr lecture course on biostatistics and computers is made compulsory to all enrolled MSc students. The content ranges from introductory concepts to research design. Workshops on biostatistics and computer applications are also organized for practicing physicians and health workers as community continuing education programs. The enthusiasm of medical students as well as those in the medical profession in Kuwait toward learning biostatistics and computing is promising. In view of some problems in the undergraduate course, it is recommended to move the course nearer clinical years and expand the allotted time.

Seizure, 1998
The aim of this paper is to obtain an initial estimate of people awareness, attitudes and underst... more The aim of this paper is to obtain an initial estimate of people awareness, attitudes and understanding towards epilepsy and to provide a basis for international comparisons. A cross-sectional study conducted during 1995 in Al-Ain City, Dubai and Sharjah Emirates, United Arab Emirates (UAE). We used a simple questionnaire following a two-stage sampling technique. A total of 1050 subjects aged 15 years and above were selected randomly. Of these a total of 892 individuals (86.4%) responded to the study. Seventy-five percent of respondents (665 people) had heard or read about epilepsy. Males and females were similarly familiar with the concept of epilepsy. The age group and education had a positive significant effect on awareness of epilepsy (p < 0.001). Thirty-four percent had occasionally seen a seizure. Nineteen suggested that there is no treatment. Those acquainted with a person with epilepsy were more likely to know that there is treatment. Among those familiar with epilepsy 18.5% believed in cautery and 40% believed in faith healing. A small percentage (7%) of respondents had objections to allowing their children associating with a person with epilepsy at school or in the playground; 68% objected to their children marrying an epileptic person; 10% believed that epileptic people should not be employed in jobs as other people are. In conclusion, unfortunately, knowledge, awareness and attitudes towards epilepsy in the UAE were less compared with surveys conducted in Western countries. The majority lacked information about the causes, nature and treatment of the disease.

Seizure, 1998
The aim of this paper is to obtain an initial estimate of people awareness, attitudes and underst... more The aim of this paper is to obtain an initial estimate of people awareness, attitudes and understanding towards epilepsy and to provide a basis for international comparisons. A cross-sectional study conducted during 1995 in Al-Ain City, Dubai and Sharjah Emirates, United Arab Emirates (UAE). We used a simple questionnaire following a two-stage sampling technique. A total of 1050 subjects aged 15 years and above were selected randomly. Of these a total of 892 individuals (86.4%) responded to the study. Seventy-five percent of respondents (665 people) had heard or read about epilepsy. Males and females were similarly familiar with the concept of epilepsy. The age group and education had a positive significant effect on awareness of epilepsy (p < 0.001). Thirty-four percent had occasionally seen a seizure. Nineteen suggested that there is no treatment. Those acquainted with a person with epilepsy were more likely to know that there is treatment. Among those familiar with epilepsy 18.5% believed in cautery and 40% believed in faith healing. A small percentage (7%) of respondents had objections to allowing their children associating with a person with epilepsy at school or in the playground; 68% objected to their children marrying an epileptic person; 10% believed that epileptic people should not be employed in jobs as other people are. In conclusion, unfortunately, knowledge, awareness and attitudes towards epilepsy in the UAE were less compared with surveys conducted in Western countries. The majority lacked information about the causes, nature and treatment of the disease.

Seizure, 1996
A prospective study was carried out between October 1992 and June 1994 to investigate the effect ... more A prospective study was carried out between October 1992 and June 1994 to investigate the effect of epilepsy as a risk factor in road traffic accidents (RTA) and casualties in the United Arab Emirates (UAE). The aim of this paper was to investigate the risk and effect of epilepsy on road traffic accidents and casualties and identify possible risk factors for traffic accidents and casualties and identify possible risk factors for traffic accidents and violations among these drivers. Most (700/ ) o were young drivers and under age 40 years; 43% were UAE nationals; 41% had a primary school education; 48.8% had a full license to drive private or commercial taxis; 41% had less than two years driving experience and 17.1% used seat belts regularly. Most (65.9%) admitted to crossing red tragic lights; 46.3% to parking in forbidden areas; 66% to speeding; 36% to smoking while driving; 34.1% to using the telephone whilst driving; 43.9% to putting their child in the front seat; 20.8% had been previously involved in an RTA; and 53.7% had sustained serious injury. A figure of 34.1% had at least one seizure per year and 26.8% had at least one seizure per month. The most common violations were careless driving (34.1%) and traffic regulation violations (24.4%). Significantly higher risk was observed for property damage (RR = 1.85; 95% CZ = 0.64-5.14) and traffic violations (RR = 1.91; 95% CZ = 0.54-2.29). In the UAE there are no restrictions on the issue of driving licenses to people prone to epileptic seizures. In conclusion, it is emphasized that patients with conditions such as epilepsy should feel obliged to inform the traffic authorities or the health authorities about their condition. It seems likely that the problem could be greatly reduced if appropriate action was taken concerning epileptic drivers. It is hoped that the results and recommendations of this study will be useful to traffic and health authorities.

Seizure, 1996
A prospective study was carried out between October 1992 and June 1994 to investigate the effect ... more A prospective study was carried out between October 1992 and June 1994 to investigate the effect of epilepsy as a risk factor in road traffic accidents (RTA) and casualties in the United Arab Emirates (UAE). The aim of this paper was to investigate the risk and effect of epilepsy on road traffic accidents and casualties and identify possible risk factors for traffic accidents and casualties and identify possible risk factors for traffic accidents and violations among these drivers. Most (700/ ) o were young drivers and under age 40 years; 43% were UAE nationals; 41% had a primary school education; 48.8% had a full license to drive private or commercial taxis; 41% had less than two years driving experience and 17.1% used seat belts regularly. Most (65.9%) admitted to crossing red tragic lights; 46.3% to parking in forbidden areas; 66% to speeding; 36% to smoking while driving; 34.1% to using the telephone whilst driving; 43.9% to putting their child in the front seat; 20.8% had been previously involved in an RTA; and 53.7% had sustained serious injury. A figure of 34.1% had at least one seizure per year and 26.8% had at least one seizure per month. The most common violations were careless driving (34.1%) and traffic regulation violations (24.4%). Significantly higher risk was observed for property damage (RR = 1.85; 95% CZ = 0.64-5.14) and traffic violations (RR = 1.91; 95% CZ = 0.54-2.29). In the UAE there are no restrictions on the issue of driving licenses to people prone to epileptic seizures. In conclusion, it is emphasized that patients with conditions such as epilepsy should feel obliged to inform the traffic authorities or the health authorities about their condition. It seems likely that the problem could be greatly reduced if appropriate action was taken concerning epileptic drivers. It is hoped that the results and recommendations of this study will be useful to traffic and health authorities.
Safety Science, 2006
... Qatar. b, Department of Medical Statistics and Epidemiology, Hamad General Hospital, Hamad Me... more ... Qatar. b, Department of Medical Statistics and Epidemiology, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar. ... injuries. 911 HCWs (89.1%) from the total had been vaccinated against hepatitis B (HBV). ...
Safety Science, 2006
... Qatar. b, Department of Medical Statistics and Epidemiology, Hamad General Hospital, Hamad Me... more ... Qatar. b, Department of Medical Statistics and Epidemiology, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar. ... injuries. 911 HCWs (89.1%) from the total had been vaccinated against hepatitis B (HBV). ...

Revista Brasileira de Psiquiatria, 2013
The aim of the present study was to determine the prevalence of psychological distress, depressio... more The aim of the present study was to determine the prevalence of psychological distress, depression, anxiety, and stress among postpartum Arab mothers of preterm or low birth weight (LBW) infants and to identify maternal characteristics that can predict psychological distress among mothers of preterm infants. A hospital-based study was conducted. A representative sample of 2,091 postpartum mothers was surveyed and 1,659 women (79.3%) gave their consent to participate in the study. The study was based on a face-to-face interview with a designed questionnaire covering sociodemographic characteristics, anthropometric measures, medical history, and maternal characteristics. Depression, anxiety, and stress were measured using the Depression Anxiety Stress Scale (DASS-21). In the study sample, 10.2% of the postpartum mothers had preterm/LBW infants. Depression (29.4 vs. 17.3%) and anxiety (26.5 vs. 11.6%) were significantly more common among mothers of preterm births compared to mothers of full term infants (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). The risk of depression in mothers of preterm/LBW infants was two times the risk in mothers of full term infants, while the risk of anxiety was 2.7 times in mothers of preterm/LBW infants than in mothers of full term infants. Young mothers and those who had less than secondary education (42.0 vs. 21.7%; p = 0.007) and lower monthly household income (72.0 vs. 53.3%; p = 0.024) were more depressed and anxious after the preterm birth when compared with mothers of full term infants. Psychological distress was higher in mothers with history of preterm birth (30.0 vs. 21.7%) and delivery complications (52.0 vs. 33.3%). We found a greater risk of depression and anxiety in mothers of preterm births than in mothers of full term infants. Our analysis revealed that depressed and anxious women of preterm infants were younger, less educated, had a lower body weight and low household income than non-depressed and non-anxious women.

Revista Brasileira de Psiquiatria, 2013
The aim of the present study was to determine the prevalence of psychological distress, depressio... more The aim of the present study was to determine the prevalence of psychological distress, depression, anxiety, and stress among postpartum Arab mothers of preterm or low birth weight (LBW) infants and to identify maternal characteristics that can predict psychological distress among mothers of preterm infants. A hospital-based study was conducted. A representative sample of 2,091 postpartum mothers was surveyed and 1,659 women (79.3%) gave their consent to participate in the study. The study was based on a face-to-face interview with a designed questionnaire covering sociodemographic characteristics, anthropometric measures, medical history, and maternal characteristics. Depression, anxiety, and stress were measured using the Depression Anxiety Stress Scale (DASS-21). In the study sample, 10.2% of the postpartum mothers had preterm/LBW infants. Depression (29.4 vs. 17.3%) and anxiety (26.5 vs. 11.6%) were significantly more common among mothers of preterm births compared to mothers of full term infants (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). The risk of depression in mothers of preterm/LBW infants was two times the risk in mothers of full term infants, while the risk of anxiety was 2.7 times in mothers of preterm/LBW infants than in mothers of full term infants. Young mothers and those who had less than secondary education (42.0 vs. 21.7%; p = 0.007) and lower monthly household income (72.0 vs. 53.3%; p = 0.024) were more depressed and anxious after the preterm birth when compared with mothers of full term infants. Psychological distress was higher in mothers with history of preterm birth (30.0 vs. 21.7%) and delivery complications (52.0 vs. 33.3%). We found a greater risk of depression and anxiety in mothers of preterm births than in mothers of full term infants. Our analysis revealed that depressed and anxious women of preterm infants were younger, less educated, had a lower body weight and low household income than non-depressed and non-anxious women.

Reproductive Toxicology, 2003
Objective: The aim of this study was to determine the level of knowledge and use of periconceptio... more Objective: The aim of this study was to determine the level of knowledge and use of periconceptional folic acid supplementation in a sample of postpartum women recruited from three hospitals. Design: Cross-sectional survey in which a structured questionnaire was used in a face-to-face encounter between the subject and a trained nurse. Settings: Two teaching hospitals associated with Faculty of Medicine and Health Sciences and one private hospital. Subjects: Postpartum women in the three hospitals were recruited during a 40-day period in November 1999. Women who did not agree to participate, had complicated labor, delivered babies with congenital malformations, or were too exhausted or difficult to examine, were excluded. Results: Univariate analyses showed that overall 46.4% of the respondents had heard about folic acid and only 8.7% knew that it prevented birth defects. 45.5% of respondents took folic acid in the first trimester. The percentage of women who had ever heard about folic acid was higher in those with higher education, and those who were not UAE nationals. Use of folic acid was associated with non-UAE nationality. Conclusion: Awareness of the value of periconceptional folic acid was very low and use of folic acid was less prevalent among women of UAE nationality.

Reproductive Toxicology, 2003
Objective: The aim of this study was to determine the level of knowledge and use of periconceptio... more Objective: The aim of this study was to determine the level of knowledge and use of periconceptional folic acid supplementation in a sample of postpartum women recruited from three hospitals. Design: Cross-sectional survey in which a structured questionnaire was used in a face-to-face encounter between the subject and a trained nurse. Settings: Two teaching hospitals associated with Faculty of Medicine and Health Sciences and one private hospital. Subjects: Postpartum women in the three hospitals were recruited during a 40-day period in November 1999. Women who did not agree to participate, had complicated labor, delivered babies with congenital malformations, or were too exhausted or difficult to examine, were excluded. Results: Univariate analyses showed that overall 46.4% of the respondents had heard about folic acid and only 8.7% knew that it prevented birth defects. 45.5% of respondents took folic acid in the first trimester. The percentage of women who had ever heard about folic acid was higher in those with higher education, and those who were not UAE nationals. Use of folic acid was associated with non-UAE nationality. Conclusion: Awareness of the value of periconceptional folic acid was very low and use of folic acid was less prevalent among women of UAE nationality.

Reproductive Toxicology, 2006
Periconceptional folic acid supplementation is effective in preventing primary and secondary neur... more Periconceptional folic acid supplementation is effective in preventing primary and secondary neural tube defects (NTDs) and other congenital defects. It is important to estimate folate intake and knowledge in women of child-bearing age, in relation to risk of congenital anomalies. The aim of this study was to determine the level of knowledge about the usefulness of periconceptional folic acid supplementation in a sample of women in the child-bearing age. This is a cross-sectional survey. Eleven primary health care centers and women&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s hospital in Qatar. A multistage sampling design was used and a representative sample of 1,800 Qatari women aged between 18 and 45 years were surveyed during the period June to November 2004. One thousand four hundred and eighty women (82.2%) expressed their consent to participate in this study. A confidential, anonymous questionnaire was completed by the selected subjects assessing folic acid awareness. Questionnaires were administered to women who were seeking routine antenatal care at health centers and Women&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s Hospital. Questions covered knowledge and use of folic acid supplements, pregnancy intention, and demographic and socioeconomic characteristics. Factors affecting study outcomes were examined individually by computing crude odd ratios and adjusted for other covariates using unconditional logistic regression. Out of 1480 women surveyed, 53.7% of them reported that they heard of folate. Of these, only half of the subjects knew that folate was something important. Overall, 20.3% of the respondents took folic acid. The most common information sources on folate were physicians (63.4%), and newspapers/magazine/books (21.7%). From those who heard of folate, only 14% knew that it can prevent birth defects. 40.6% of the subjects who heard folate were aware that green leafy vegetables were fortified with folic acid. In univariate analysis, awareness of folic acid was significantly associated with education of mother. Again, higher educated women (41.3%) knew more about folic acid and used it more often in the periconceptional and first trimester period. Awareness and use of folic acid was less prevalent among Qatari women. Educated women were aware of the importance of the intake of folic acid. The study findings suggested possible avenue for intervention to increase awareness and intake of folic acid.

Reproductive Toxicology, 2006
Periconceptional folic acid supplementation is effective in preventing primary and secondary neur... more Periconceptional folic acid supplementation is effective in preventing primary and secondary neural tube defects (NTDs) and other congenital defects. It is important to estimate folate intake and knowledge in women of child-bearing age, in relation to risk of congenital anomalies. The aim of this study was to determine the level of knowledge about the usefulness of periconceptional folic acid supplementation in a sample of women in the child-bearing age. This is a cross-sectional survey. Eleven primary health care centers and women&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s hospital in Qatar. A multistage sampling design was used and a representative sample of 1,800 Qatari women aged between 18 and 45 years were surveyed during the period June to November 2004. One thousand four hundred and eighty women (82.2%) expressed their consent to participate in this study. A confidential, anonymous questionnaire was completed by the selected subjects assessing folic acid awareness. Questionnaires were administered to women who were seeking routine antenatal care at health centers and Women&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s Hospital. Questions covered knowledge and use of folic acid supplements, pregnancy intention, and demographic and socioeconomic characteristics. Factors affecting study outcomes were examined individually by computing crude odd ratios and adjusted for other covariates using unconditional logistic regression. Out of 1480 women surveyed, 53.7% of them reported that they heard of folate. Of these, only half of the subjects knew that folate was something important. Overall, 20.3% of the respondents took folic acid. The most common information sources on folate were physicians (63.4%), and newspapers/magazine/books (21.7%). From those who heard of folate, only 14% knew that it can prevent birth defects. 40.6% of the subjects who heard folate were aware that green leafy vegetables were fortified with folic acid. In univariate analysis, awareness of folic acid was significantly associated with education of mother. Again, higher educated women (41.3%) knew more about folic acid and used it more often in the periconceptional and first trimester period. Awareness and use of folic acid was less prevalent among Qatari women. Educated women were aware of the importance of the intake of folic acid. The study findings suggested possible avenue for intervention to increase awareness and intake of folic acid.
Psychopathology, 2012
ABSTRACT No abstract available.
Psychopathology, 2012
ABSTRACT No abstract available.

Plastic and Reconstructive Surgery, 2004
Although abdominal dermolipectomy is a frequently performed procedure, few publications have repo... more Although abdominal dermolipectomy is a frequently performed procedure, few publications have reported on the safety of the procedure in the scarred abdomen. The aim of this study was to stress the possibility of performing a natural-looking abdominoplasty with no complication such as skin necrosis or liponecrosis in the presence of abdominal scars and to clarify that the scarred abdomen is not a great limitation for full abdominoplasty as reported in the literature. Seventy-six abdominoplasties were performed on scarred patients from July of 1997 to June of 2003. Twenty-five patients had oblique subcostal scars, six patients had median supraumbilical scars, three patients had median infraumbilical scars, 10 patients had appendectomy scars, nine patients had paramedian supraumbilical scars, eight patients had paramedian infraumbilical scars, seven patients had long transverse scars of repaired ventral hernias, and eight patients had multiple small scars after laparoscopy. In addition, there were concomitant transverse cesarean delivery scars in 40 patients. All patients underwent full abdominoplasties, plication of the musculoaponeurotic system, and liposuction assistance if required (45 patients). Of 76 subjects, three patients had very limited liponecrosis at the watershed area. Eleven patients (14.5 percent) were morbidly obese and heavy smokers. In comparisons of postabdominoplasty complications, such as liponecrosis, wound infection, and dehiscence with and without liposuction in scarred abdomen, no significant differences were found. Secondary revision was more common among abdominoplasties without liposuction [seven of 45 (15.6 percent) versus 12 of 31 (38.7 percent); p = 0.02]. In conclusion, there is no limitation or contraindication for abdominal dermolipectomy with or without liposuction assistance on the previously scarred abdomen as long as the vascular zones of the abdomen are respected. The abdominal wall dissection is limited to allow only the plication of the musculoaponeurotic system, and aggressive liposuction is avoided.

Plastic and Reconstructive Surgery, 2004
Although abdominal dermolipectomy is a frequently performed procedure, few publications have repo... more Although abdominal dermolipectomy is a frequently performed procedure, few publications have reported on the safety of the procedure in the scarred abdomen. The aim of this study was to stress the possibility of performing a natural-looking abdominoplasty with no complication such as skin necrosis or liponecrosis in the presence of abdominal scars and to clarify that the scarred abdomen is not a great limitation for full abdominoplasty as reported in the literature. Seventy-six abdominoplasties were performed on scarred patients from July of 1997 to June of 2003. Twenty-five patients had oblique subcostal scars, six patients had median supraumbilical scars, three patients had median infraumbilical scars, 10 patients had appendectomy scars, nine patients had paramedian supraumbilical scars, eight patients had paramedian infraumbilical scars, seven patients had long transverse scars of repaired ventral hernias, and eight patients had multiple small scars after laparoscopy. In addition, there were concomitant transverse cesarean delivery scars in 40 patients. All patients underwent full abdominoplasties, plication of the musculoaponeurotic system, and liposuction assistance if required (45 patients). Of 76 subjects, three patients had very limited liponecrosis at the watershed area. Eleven patients (14.5 percent) were morbidly obese and heavy smokers. In comparisons of postabdominoplasty complications, such as liponecrosis, wound infection, and dehiscence with and without liposuction in scarred abdomen, no significant differences were found. Secondary revision was more common among abdominoplasties without liposuction [seven of 45 (15.6 percent) versus 12 of 31 (38.7 percent); p = 0.02]. In conclusion, there is no limitation or contraindication for abdominal dermolipectomy with or without liposuction assistance on the previously scarred abdomen as long as the vascular zones of the abdomen are respected. The abdominal wall dissection is limited to allow only the plication of the musculoaponeurotic system, and aggressive liposuction is avoided.

Plastic and Reconstructive Surgery, 2004
This study measured intraabdominal pressure in morbidly obese and multiparous patients who underw... more This study measured intraabdominal pressure in morbidly obese and multiparous patients who underwent abdominoplasty with musculoaponeurotic plication. The purpose of this study was to evaluate any potential adverse effect on pulmonary function by virtue of pulmonary function tests and measurement of peak airway pressure. The study included 43 multiparous, morbidly obese women (mean body mass index, 35.8 kg/m2) with a mean age (+/- SD) of 38.6 +/- 7 years. All had full abdominoplasty and repair of the musculoaponeurotic system during the period from June of 1999 to May of 2002. Forty-three morbidly obese multiparous patients were seen over a period of 24 months. Their intraabdominal pressure was estimated by measuring the intravesical pressure before and after repair of severe diastases (divarication) of the rectus abdominis muscles with severely flaccid myofascial component before using a hydrometer connected to a Foley catheter both before and after repair. All patients had pulmonary function checked before and 2 months after the repair. The study confirmed that there are minimal changes on the intraabdominal pressure parameters compared with measurement before and after full abdominoplasty with plication of the rectus muscles, with minimal to negligible changes in the intrathoracic pressure. These changes are clinically and statistically significant (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.0001). The study also recommended the safety of full abdominoplasty and repair of the musculoaponeurotic system in multiparous and morbidly obese patients. Furthermore, no statistically significant difference was found in pulmonary function parameters before and after surgery in patients with a history of bronchial asthma.

Plastic and Reconstructive Surgery, 2004
This study measured intraabdominal pressure in morbidly obese and multiparous patients who underw... more This study measured intraabdominal pressure in morbidly obese and multiparous patients who underwent abdominoplasty with musculoaponeurotic plication. The purpose of this study was to evaluate any potential adverse effect on pulmonary function by virtue of pulmonary function tests and measurement of peak airway pressure. The study included 43 multiparous, morbidly obese women (mean body mass index, 35.8 kg/m2) with a mean age (+/- SD) of 38.6 +/- 7 years. All had full abdominoplasty and repair of the musculoaponeurotic system during the period from June of 1999 to May of 2002. Forty-three morbidly obese multiparous patients were seen over a period of 24 months. Their intraabdominal pressure was estimated by measuring the intravesical pressure before and after repair of severe diastases (divarication) of the rectus abdominis muscles with severely flaccid myofascial component before using a hydrometer connected to a Foley catheter both before and after repair. All patients had pulmonary function checked before and 2 months after the repair. The study confirmed that there are minimal changes on the intraabdominal pressure parameters compared with measurement before and after full abdominoplasty with plication of the rectus muscles, with minimal to negligible changes in the intrathoracic pressure. These changes are clinically and statistically significant (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.0001). The study also recommended the safety of full abdominoplasty and repair of the musculoaponeurotic system in multiparous and morbidly obese patients. Furthermore, no statistically significant difference was found in pulmonary function parameters before and after surgery in patients with a history of bronchial asthma.
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Papers by Abdulbari Bener