Effect of Physical Activity Habit Modifications on Gynecological Features among Studied Infertile Overweight and Polycystic Ovary Syndrome

Fatma Hosny Abd-ELhakam, Enas Kasem Ali Kasem, Hanan Elzeblawy Hassan — 2026-03-09

Background: Infertility appeared to be influenced by several PCOS comorbidities. Obesity and insulin resistance in particular were independently linked to lower pregnancy and live birth rates, as well as a higher risk of abortion. Aim: investigate the effect of physical activity habit modifications on gynecological features among studied infertile overweight and polycystic ovary syndrome. Subjects and Methods: A quasi-experimental design at Beni-Suef University Hospital's gynecological and infertility clinics; a purposive sample of 116 women with polycystic ovary syndrome, overweight, and obesity, was selected. Tools: I: The Arabic-structured interview questionnaire contains personal data; II: Block Adult Physical Activity (PA) Screener was the predictor for physical activity. This tool assessed the frequency and duration of job-related, daily life, and leisure activities. Results: reveals that 87.5% of Mild Physical Activity of the study group women has duration of menstrual cycle of less than 3 days (hypomenorrhea before intervention. Compared to 68% of moderate physical activity had a normal duration of the menstrual cycle of 3-5 days after the intervention. About 93.6%, of Mild Physical Activity (sedentary lifestyle) of the study group women have an irregular cycle before intervention. Compared to 80% of moderate physical activity had a regular cycle after the intervention. Conclusion: Physical activity habit modifications affect gynecological features among studied infertile overweight and polycystic ovary syndrome Recommendations: A study can be conducted to assess the PCOS on pregnancy outcomes and childbirth.

Sensory Stimulation to Reduce Delirium Post Liver Transplantation

2026-03-25

Background: Post-operative delirium is a frequent complication after surgery especially liver transplantation, occurring in 15–20% of general patients admitted to ICU, and it has been associated with prolonged ICU and hospital length of stay, increased costs of care, and higher mortality rate. Sensory stimulation is a non-invasive, safe, inexpensive and straight forward approach widely used in caring for people post transplantation to reduce incidence of neurocognitive disorders, such as dementia and delirium. Purpose: to evaluate the effect of sensory stimulation to reduce delirium post liver transplantation. Design: A quasi-experimental design was utilized. Setting: Surgical Intensive Care Units of the National Liver Institute in Menoufia, Menoufia Governorate, Egypt. Sample: A convenient sample of 40 post liver transplant patients who were admitted to the ICU. Instruments: (1) A Semi Structured Demographic and Medical Data Sheet, (2) Simplified Acute Physiology Score II (SAPSII), (3) Richmond Agitation Sedation Scale (RASS), (4) Confusion Assessment Method in the ICU (CAM-ICU). Results: There was a highly statistically significant decrease in the mean score of delirium in the study group (0.30 ±0.10) compared to (4.15 ± 2.30) in the control group post intervention (p<0.001). Additionally, there was a highly statistically significant improvement in the incidence rate of delirium in the study group compared to the control group post intervention with the majority of participants in the study group (90%) compared to (20%) in the control group had no delirium. Also, there was a highly statistically significant reduction in the mean score of the ICU length of stay in the study group (6.70 ± 0.57) compared with the control group (8.50 ± 1.73) post intervention with (P< 0.001). Conclusion: sensory stimulation interventions had a significant impact on reducing the incidence rate, severity of delirium and ICU length of stay following liver transplantation. Recommendation: Sensory stimulation should be considered a standard practice post-operative for liver transplant patients, as it has been shown to reduce the incidence of delirium and promote better recovery outcomes.

American Journal of Nursing Research

Effect of Physical Activity Habit Modifications on Gynecological Features among Studied Infertile Overweight and Polycystic Ovary Syndrome

Sensory Stimulation to Reduce Delirium Post Liver Transplantation