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Effect of educational program based on Levine's conservation model on the quality of life of infertile women 基于莱文保护模式的教育计划对不孕妇女生活质量的影响
Pub Date : 2024-04-03 DOI: 10.21608/bjas.2024.270756.1338
hend said
Background: Infertility failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. Aim of research: investigate the Effect of educational program based on Levine's conservation model on the quality of life of infertile women. Research design: A Quasi-experimental study (study and control group) was employed to complete the objective of the investigation. Research setting: An obstetrics and gynecological outpatient clinic affiliated with Benha University hospital. Research sample: A purposive sample of 90 women with infertility was used which divided equally into two groups (each 45 women). Tools of data collection: Four tools were employed tool(I ) A Structured interviewing questionnaire, tool (II)Evaluation infertile women's knowledge concerning infertility, tool (III)Visual Analogue Scale for Fatigue to assess infertile women fatigue, Tool (IV) Fertility life quality questionnaire to assess life quality of infertile women. Results: A significantly significant difference was noted between study and control groups regarding knowledge, fatigue, energy, and quality of life pertaining to infertility following the application of Levine's conservation model p(<0.001 )and there was greatly statistically significant positive connection between total quality of life, total knowledge , total fatigue and total energy in both study and control groups at pre , post and follow up intervention phases(p<0.001). Conclusion: Levine's conservation model had a positive impact on life quality of infertile women as well as knowledge, energy and fatigue. Recommendations: Designing health educational program for infertile women to improve and update the most current knowledge, practices and life quality.
背景:经过 12 个月或更长时间的定期无保护性交后仍无法临床怀孕的不孕症。研究目的:调查基于莱文保护模式的教育计划对不孕妇女生活质量的影响。研究设计:采用准实验研究(研究组和对照组)来完成调查目标。研究环境:本哈大学医院附属妇产科门诊。研究样本:有目的性地抽取了 90 名不孕症妇女,平均分成两组(每组 45 名妇女)。数据收集工具:使用了四种工具:工具(I)结构化访谈问卷;工具(II)评估不孕症妇女对不孕症的了解程度;工具(III)疲劳视觉模拟量表评估不孕症妇女的疲劳程度;工具(IV)不孕症生活质量问卷评估不孕症妇女的生活质量。结果根据莱文守恒模型,研究组和对照组在不孕症相关知识、疲劳、精力和生活质量方面存在明显差异(P<0.001),研究组和对照组在干预前、干预后和随访阶段的总生活质量、总知识、总疲劳和总精力之间存在统计学意义上的明显正相关(P<0.001)。结论莱文保护模式对不孕妇女的生活质量以及知识、精力和疲劳都有积极影响。建议为不孕妇女设计健康教育计划,以提高和更新最新的知识、实践和生活质量。
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引用次数: 0
Occupational Safety Program regarding Preventive Measures of Occupational Health Hazards among Agriculture Child Labor 关于农业童工职业健康危害预防措施的职业安全计划
Pub Date : 2024-04-03 DOI: 10.21608/bjas.2024.269696.1328
Mostafa M. Kassab, Hanaa. A. Abd El-Megeed, Amina. A.Mahmoud, Taisser. H. Abosree
Background: Occupational health hazards in agricultural work are subjects to the health and safety risks inherent to a rural environment and deriving from the specific work processes. Aim: Evaluate the effect of occupational safety program regarding preventive measures of occupational health hazards among agriculture child labor. Design: A quasi-experimental design was used. Settings: - Cluster sample was conducted in Kafr Shokr sector in Qalyubia Gover, it includes 23 Village, 25% was selected from 23 Village, 5 Village was selected, 5 Preparatory School was selected then followed by visits. Sample: Simple random sample. Tools: Two tools were used; Tool (I) : A structured interviewing questionnaire: Which included; Socio-demographic characteristics of the studied children and children`s parents’ data, occupational data of studied children and work environmental condition, history of occupational health problems and knowledge of children regarding occupational health hazards and first aid instructions. Tool (II): Observational checklist. That divided to; use of protective equipment, child practices regarding preventive measures of occupational health hazards. Results: 7.6% of children had good total knowledge level regarding occupational health hazards of agriculture labor that improved to be 70.5% of them post occupational safety program implementation,89.4% of them had satisfactory total practices level regarding using protective equipment post occupational safety program implementation . Conclusion: Occupational safety program regarding preventive measure had succeeded in improving the children knowledge and practices regarding occupational health hazards at agriculture labor. Recommendations: Develop continuous safety program about protective measures for all children at work place to prevent occupational health hazards.
背景:农业劳动中的职业健康危害是由农村环境固有的健康和安全风险以及特定的工作流程所引起的。目的:评估有关农业童工职业健康危害预防措施的职业安全计划的效果。设计:采用准实验设计。环境: - 在卡留比耶省的 Kafr Shokr 地区进行分组抽样,包括 23 个村庄,从 23 个村庄中抽取 25%,再抽取 5 个村庄和 5 所预备学校,然后进行访问。样本:简单随机抽样。工具:使用了两种工具:工具 (I) :结构化访谈问卷:其中包括:被调查儿童的社会人口特征和儿童父母的数据、被调查儿童的职业数据和工作环境条件、职业健康问题史以及儿童对职业健康危害和急救说明的了解。工具 (II):观察核对表。内容包括:防护设备的使用、儿童对职业健康危害的预防措施。结果7.6%的儿童对农业劳动中的职业健康危害有良好的总体认识水平,职业安全计划实施后,70.5%的儿童对农业劳动中的职业健康危害有良好的总体认识水平,职业安全计划实施后,89.4%的儿童在使用防护设备方面有令人满意的总体实践水平。结论有关预防措施的职业安全计划成功地提高了儿童对农业劳动中职业健康危害的认识和实践水平。建议为工作场所的所有儿童制定有关防护措施的持续安全计划,以预防职业健康危害。
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引用次数: 0
Evaluation of the Tissue Level of CXCL10 in Patients with Verruca Vulgaris 评估大疱性疣患者组织中的 CXCL10 水平
Pub Date : 2023-12-01 DOI: 10.21608/bjas.2023.244842.1274
Omar Ahnaf, Ahmed Hamed, R.A. Abd Elsamie, Inas Elsayed
Background: Verruca vulgaris is a common cutaneous viral infection characterized by epidermal hyperplasia and keratinocyte proliferation. The immune response in verruca vulgaris, particularly the role of chemokines, remains an area of ongoing investigation. CXCL10 is a chemokine with potential involvement in viral skin infections, but its tissue expression in verruca vulgaris has not been comprehensively studied. Our objective was to evaluate the tissue expression of CXCL10 within cutaneous lesions of verruca vulgaris. Methods: This prospective case-control trial included 50 cases with verruca vulgaris and collected lesional biopsies, along with control biopsies from healthy skin in 30 patients. Tissue CXCL-10 levels were assessed using an ELISA assay. The data was analyzed to determine the relationship between the levels of tissue CXCL-10 and verruca vulgaris, and the potential diagnostic value of CXCL-10. Results: Tissue levels of CXCL-10 were reported to be significantly increased in verruca lesions in comparison with healthy skin biopsies (p = 0.035). The sensitivity and specificity of tissue CXCL-10 in distinguishing verruca lesions from healthy skin were 70% and 54%, respectively, at a cut-off level of 248.4. Conclusions: Our study reveals an upregulation of CXCL10 in verruca vulgaris lesions, suggesting a potential role for this chemokine in its pathogenesis. Furthermore, the diagnostic value of tissue CXCL-10 in distinguishing verruca vulgaris from healthy skin suggests its potential as a biomarker for this viral skin infection
背景:寻常疣是一种常见的皮肤病毒感染,以表皮增生和角质细胞增殖为特征。寻常疣的免疫反应,特别是趋化因子的作用,仍是一个正在研究的领域。CXCL10 是一种趋化因子,可能参与病毒性皮肤感染,但其在寻常疣中的组织表达尚未得到全面研究。我们的目的是评估 CXCL10 在寻常疣皮损中的组织表达。研究方法这项前瞻性病例对照试验纳入了 50 例寻常疣患者,并收集了皮损活检样本和 30 例患者健康皮肤的对照活检样本。采用酶联免疫吸附测定法评估组织中的 CXCL-10 水平。对数据进行分析,以确定组织 CXCL-10 水平与寻常疣之间的关系,以及 CXCL-10 的潜在诊断价值。结果显示据报道,与健康皮肤活检组织相比,疣病变组织中的 CXCL-10 水平明显升高(p = 0.035)。以 248.4 为临界值,组织 CXCL-10 在区分疣病变和健康皮肤方面的敏感性和特异性分别为 70% 和 54%。结论我们的研究揭示了 CXCL10 在寻常疣皮损中的上调,表明这种趋化因子在其发病机制中的潜在作用。此外,组织 CXCL-10 在区分寻常疣和健康皮肤方面的诊断价值表明,它有可能成为这种病毒性皮肤感染的生物标记物。
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引用次数: 0
Femoral Nerve Block In Old Age 老年股神经阻滞术
Pub Date : 2023-11-29 DOI: 10.21608/bjas.2023.243089.1270
Essam Makram, Enas Wageeh, Heba Abdel Hameed
Background: Total Managing the discomfort that follows a knee arthroplasty (TKA), a popular orthopaedic treatment, may be difficult. Multimodal analgesia with femoral nerve block (FNB) has been used for TKA, although there are concerns concerning weakness in the quadriceps after the procedure. The purpose of this research is to evaluate how well FNB works as part of a multimodal analgesia programme for managing pain after total knee replacement. However, one of FNB's major drawbacks is the risk of quadriceps muscle weakness. Finally, in patients after total knee replacement, injectable FNB offered good analgesia, aided in early ambulation, and shortened the time of their acute hospital stay. Multimodal analgesia, which includes femoral, sciatic, lumbar, and adductor nerve blocks, is now suggested. Improving postoperative pain, patient satisfaction, recovery durations, and functional results after total knee arthroplasty necessitates the development of appropriate analgesic regimes. Multimodal analgesia, pain management, total knee replacement, early ambulation, and weakness in the quadriceps muscles are all terms that have been used to describe the effects of a TKA.
背景:膝关节置换术(TKA)是一种常用的矫形治疗方法,但术后的不适可能很难完全控制。股神经阻滞(FNB)多模式镇痛已被用于膝关节置换术,但有人担心术后股四头肌无力。这项研究的目的是评估股神经阻滞作为多模式镇痛方案的一部分,在控制全膝关节置换术后疼痛方面的效果如何。然而,FNB 的主要缺点之一是有可能导致股四头肌无力。最后,在全膝关节置换术后的患者中,注射用 FNB 可提供良好的镇痛效果,有助于早期下地活动,并缩短急性住院时间。目前建议采用多模式镇痛,包括股神经、坐骨神经、腰神经和内收肌神经阻滞。要改善全膝关节置换术后疼痛、患者满意度、恢复时间和功能效果,就必须制定适当的镇痛方案。多模式镇痛、疼痛管理、全膝关节置换、早期下地活动和股四头肌无力都是用来描述全膝关节置换术效果的术语。
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引用次数: 0
Intercellular Adhesion Molecule-1 (ICAM-1) gene polymorphism in Patients with Acne Vulgaris 大疱性痤疮患者的细胞间黏附分子-1(ICAM-1)基因多态性
Pub Date : 2023-11-29 DOI: 10.21608/bjas.2023.244050.1273
Adel Ibrahim, Amany Mostafa, Naglaa Al-Husseini, Suzan Amr
Background: ICAM-Intercellular adhesion molecule-1 (ICAM-1) is a gene that encodes a glycoprotein found on the surface of cells that helps them stick together and respond to immunological stimuli. Several research have looked at whether variations in the ICAM-1 gene have a role in acne vulgaris susceptibility (AV). The purpose of this research was to examine ICAM-1 gene polymorphism in acne vulgaris patients. Methods: Fifty people with AV and 30 people who seemed to be healthy served as controls in this prospective case-control study. Genotyping of ICAM-1 gene polymorphism using PCR necessitated a clinical evaluation and blood sample from all individuals. Results: In regards to the ICAM-1 gene's genotypes and alleles: Everyone, including patients and controls, were genotyped. Two percent of AV patients had the AA genotype, thirty percent had the AG genotype, and fifty-six percent had the GG genotype. Forty percent of healthy controls had the AA genotype, 46.7% the AG genotype, and 13.3% the GG genotype. Acne vulgaris was strongly associated with the GG genotype. In conclusion, ICAM-1 gene polymorphism may increase AV patients' vulnerability.
背景:ICAM-细胞间粘附分子-1(ICAM-1)是一种编码细胞表面糖蛋白的基因,能帮助细胞粘在一起并对免疫刺激做出反应。有几项研究探讨了 ICAM-1 基因变异是否与寻常痤疮易感性(AV)有关。本研究的目的是检测寻常型痤疮患者的 ICAM-1 基因多态性。研究方法在这项前瞻性病例对照研究中,50 名寻常型痤疮患者和 30 名健康人作为对照。使用 PCR 对 ICAM-1 基因多态性进行基因分型,需要对所有患者进行临床评估并采集血液样本。研究结果关于 ICAM-1 基因的基因型和等位基因:包括患者和对照组在内的所有人都进行了基因分型。2%的 AV 患者为 AA 基因型,30% 为 AG 基因型,56% 为 GG 基因型。健康对照组中有 40% 为 AA 基因型,46.7% 为 AG 基因型,13.3% 为 GG 基因型。寻常痤疮与 GG 基因型密切相关。总之,ICAM-1 基因多态性可能会增加 AV 患者的易感性。
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引用次数: 0
Conversion of failed hip hemiarthroplasty to Total hip replacement 将失败的髋关节半关节置换术改为全髋关节置换术
Pub Date : 2023-11-28 DOI: 10.21608/bjas.2023.244005.1272
Ashraf Abd El Galil, Ahmed Allam, Ahmed Shawkat Risk, S. Shoulah
Background: Hip hemiarthroplasty, a common surgical intervention for femoral neck fractures and other hip pathologies, may sometimes lead to aseptic failure due to various complications. When such failure occurs, conversion to total hip replacement (THR) becomes necessary, posing unique surgical challenges. This study aimed to evaluate early results of Conversion of 30 cases of aseptic failed hip hemiarthroplasty (bipolar or unipolar) to total hip replacement. Methods: This study is a prospective analysis of 30 patients who sought treatment at Benha University Hospital,
背景:髋关节半关节成形术是治疗股骨颈骨折和其他髋关节病变的一种常见手术疗法,有时会因各种并发症而导致无菌性失败。一旦出现这种失败,就必须转为全髋关节置换术(THR),这给手术带来了独特的挑战。本研究旨在评估 30 例无菌性失败的髋关节半关节成形术(双极或单极)转为全髋关节置换术的早期效果。方法:本研究对在本哈大学医院就诊的 30 例患者进行了前瞻性分析、
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引用次数: 0
Evaluation of extent and severity of coronary artery disease in patients with type II diabetes mellitus using SYNTAX score 使用 SYNTAX 评分评估 II 型糖尿病患者冠状动脉疾病的范围和严重程度
Pub Date : 2023-11-28 DOI: 10.21608/bjas.2023.245468.1275
H. Rasheed, B. Abdelhamid, H. Allam, M. Abdallah
Your study aimed to investigate the extent who presented non-diabetic individuals. Based on the results, it was found that SYNTAX score (SS), a scoring system used to predict the prognosis and need for revascularization in CAD patients. Key findings and conclusions: High Prevalence of CAD in T2DM: The study recognizes the high prevalence of CAD in patients with T2DM, which is often characterized by severe disease. This aligns with existing literature that highlights the increased risk of CAD in diabetic populations. Regional Wall Motion Abnormalities (RSWMA): The study also found a statistically significant difference in RSWMA between the groups, indicating that the impact of CAD extended beyond the coronary arteries, potentially affecting myocardial function. These findings underscore the importance of recognizing the increased risk and severity of CAD in patients with T2DM, particularly those with stable angina. It highlights the clinical significance of assessing CAD severity using tools like the SYNTAX score to guide treatment decisions and predict prognosis in this high-risk population. While your study provides valuable insights into the relationship between T2DM and CAD severity, further research and larger multicenter studies may be needed to confirm and expand upon these findings. Additionally, assessing long-term outcomes and the impact of CAD severity on clinical management could contribute to a better understanding of the implications for patient care.
您的研究旨在调查非糖尿病患者的发病程度。结果发现,SYNTAX 评分(SS)是一种用于预测 CAD 患者预后和血管再通需求的评分系统。主要发现和结论T2DM 患者中 CAD 的高患病率:研究发现,T2DM 患者中 CAD 的患病率很高,而且通常病情严重。这与现有文献强调糖尿病人群患 CAD 风险增加的观点一致。区域室壁运动异常 (RSWMA):研究还发现各组之间的 RSWMA 存在显著的统计学差异,这表明 CAD 的影响超出了冠状动脉,可能会影响心肌功能。这些发现强调了认识到 T2DM 患者,尤其是稳定型心绞痛患者患 CAD 的风险和严重程度增加的重要性。它强调了使用 SYNTAX 评分等工具评估 CAD 严重程度的临床意义,以指导治疗决策并预测这类高危人群的预后。虽然您的研究为了解 T2DM 与 CAD 严重程度之间的关系提供了宝贵的见解,但可能还需要进一步的研究和更大规模的多中心研究来证实和扩展这些发现。此外,评估长期预后和 CAD 严重程度对临床管理的影响有助于更好地了解对患者护理的影响。
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引用次数: 0
Early Versus Delayed Oral Feeding after Uncomplicated Cesarean Section 无并发症剖宫产术后早期口服喂养与延迟口服喂养的比较
Pub Date : 2023-11-26 DOI: 10.21608/bjas.2023.243347.1271
Ahmed Mohamed Salim, Ahmed Ehab Ahmed Mansour, Aly Aly, Sabah Elsayed
Background: Cesarean section (CS) is the most common surgery in the world and is defined as a laparotomy followed by a hysterotomy and fetal delivery. The current global standard is to use regional anesthesia, which allows patients to remain awake which minimizes drug transfer to the fetus. Aim and objectives: to assess the safety of early Versus Delayed Oral Feeding after Uncomplicated Cesarean Section on the following post-operative outcomes: post-operative vomiting and abdominal distention, post-operative nausea and abdominal pain, return of intestinal movements, duration of intravenous fluid administration, duration of hospital stay. Subjects and methods: This randomized controlled trial study was conducted at Benha university hospitals. This study was conducted on 200 consenting women undergoing cesarean section. All patients were divided into 2 equal groups: patients were randomized to receive either early or delayed feeding. Results: there were high statistical significant differences between both groups regarding most of the secondary postoperative outcomes like time until return of bowel movements, time to ambulation, time to bowel opening, time of discontinuation of intravenous fluids (p<0.001). Majority of patients of both groups underwent spinal anesthesia (60%, 70% respectively). Conclusion: The current study showed that there were improvements in return of bowel function and maternal satisfaction, coupled with a lack of gastrointestinal complications, support the advisability of early oral feeding over late oral feeding.
背景:剖腹产(CS)是世界上最常见的手术,其定义是先进行开腹手术,然后切除子宫并娩出胎儿。目前全球的标准是使用区域麻醉,这种麻醉允许患者保持清醒,从而最大限度地减少药物向胎儿的转移。目的和目标:评估无并发症剖宫产术后早期口服喂养与延迟口服喂养对以下术后结果的安全性:术后呕吐和腹胀、术后恶心和腹痛、肠蠕动恢复、静脉输液时间、住院时间。研究对象和方法:这项随机对照试验研究在本哈大学医院进行。研究对象是 200 名同意接受剖腹产手术的产妇。所有患者被分为两个相同的组:患者被随机分配接受早期喂养或延迟喂养。结果:两组患者在大多数次要术后结果方面,如恢复排便时间、下地活动时间、肠道开放时间、停止静脉输液时间等,均存在高度统计学差异(P<0.001)。两组的大多数患者都接受了脊髓麻醉(分别为 60%、70%)。结论目前的研究表明,肠道功能的恢复和产妇的满意度都有所提高,而且没有出现胃肠道并发症,因此早期口服喂养比晚期口服喂养更可取。
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引用次数: 0
New Approach in Prevention of Shivering with Spinal Anesthesia 脊髓麻醉预防颤抖的新方法
Pub Date : 2023-11-25 DOI: 10.21608/bjas.2023.242669.1269
Ehab Afifi, Marwa Abouseeda, Taghreed Mohamed
Background: Shivering during spinal anesthesia is a multifactorial challenge triggered by factors such as cold environments and vasodilation, leading to discomfort, increased oxygen consumption, and potential surgical complications. Effective prevention and management strategies are essential to ensure patient well-being. This review article explores a range of methods, including non-pharmacological and pharmacological approaches, for shivering prevention during spinal anesthesia, considering patient-specific factors and potential side effects, while also highlighting recent advancements in this field and their clinical implications. Objective: The aim of this review article is to provide a comprehensive overview of recent advancements and approaches in the prevention of shivering during spinal anesthesia. It explores the mechanisms underlying shivering, discusses a wide range of pharmacological interventions, highlights non-pharmacological strategies, and offers insights into clinical considerations. Conclusions: Shivering during spinal anesthesia remains a significant concern, but recent developments in both non-pharmacological and pharmacological methods offer promising avenues for prevention and management.
背景:脊髓麻醉期间的颤抖是由寒冷环境和血管扩张等因素引发的多因素挑战,会导致不适、耗氧量增加和潜在的手术并发症。有效的预防和管理策略对于确保患者的健康至关重要。这篇综述文章探讨了脊髓麻醉期间预防颤抖的一系列方法,包括非药物疗法和药物疗法,考虑了患者的特定因素和潜在副作用,同时还强调了该领域的最新进展及其临床意义。目的:这篇综述文章旨在全面概述脊麻过程中预防颤抖的最新进展和方法。文章探讨了颤抖的内在机制,讨论了广泛的药物干预措施,重点介绍了非药物策略,并对临床注意事项提出了见解。结论:脊麻期间的颤抖仍然是一个值得关注的重大问题,但非药物和药物治疗方法的最新发展为预防和管理提供了前景广阔的途径。
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引用次数: 0
Prevalence of Sexual Dysfunction and Domestic Violence During Quarantine of COVID 19 COVID 19 隔离期间性功能障碍和家庭暴力的发生率
Pub Date : 2023-10-30 DOI: 10.21608/bjas.2023.235791.1248
Sherine Ahmed, Ghada Mohamed, Mai elmahdy, Marwa Abd Elraouf, Shaimaa Mohammed
Background: The Sexual dysfunction and interpersonal violence have been reported as common social and health problems brought on by the COVID-19 pandemic. It is critical for public health and policymaking that we comprehend how the pandemic will affect these concerns. The goal of this descriptive study is to examine the incidence of sexual dysfunction and domestic violence during COVID-19 quarantine measures and to compare these figures to those from before the pandemic. It also examines the causes, symptoms, and diagnostic and therapeutic approaches to sexual dysfunction. It also looks at social isolation and other variables that may have contributed to an increase in domestic violence during the epidemic. Conclusions: An increase in sexual dysfunction, especially erectile dysfunction, has been seen in the wake of the COVID-19 pandemic. This is likely attributable to the virus's effect on endothelial function. Stress, economic instability, and restrictions on migration have all been linked to increases in domestic violence during quarantine times. Both sexes reported reduced levels of sexual pleasure during the COVID-19 epidemic. Anxiety and despair were more common among men.
背景:据报道,性功能障碍和人际暴力是 COVID-19 大流行带来的常见社会和健康问题。对于公共卫生和政策制定而言,了解大流行将如何影响这些问题至关重要。这项描述性研究的目的是检查 COVID-19 隔离措施期间性功能障碍和家庭暴力的发生率,并将这些数字与大流行之前的数字进行比较。研究还探讨了性功能障碍的原因、症状以及诊断和治疗方法。报告还探讨了社会隔离和其他可能导致疫情期间家庭暴力增加的变量。结论COVID-19 大流行后,性功能障碍,尤其是勃起功能障碍有所增加。这可能是由于病毒对内皮功能的影响。压力、经济不稳定和移民限制都与隔离期间家庭暴力的增加有关。在 COVID-19 流行期间,男女两性的性快感都有所下降。焦虑和绝望在男性中更为常见。
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引用次数: 0
期刊
Benha Journal of Applied Sciences
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