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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.35.Ph.D.2020.Ha.S
100 0 _aHala Ahmed Hussein Sayed
245 1 0 _aSexual dysfunction and its determinants in patients with rheumatoid arthritis /
_cHala Ahmed Hussein Sayed ; Supervised Ghada Mahmoud Khafagy , Hassan Omar Ghareb , Hatem Hamdy Eleishi
246 1 5 _aالخلل الجنسى ومحدداته فى المرضى الذين يعانون من مرض الروماتويد المفصلى
260 _aCairo :
_bHala Ahmed Hussein Sayed ,
_c2020
300 _a111 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Family Medicine
520 _aIntroduction: Since rheumatoid arthritis (RA) is a chronic systemic inflammatory disease affects about 0.5 and 1% of adults in the developed world and sexuality is an important part of human quality of life, as it is one of those responsible for our individual welfare, study the association between them is important. Aim: To determine the possible different risk factors for sexual dysfunction(SD) in RA and study the frequency of SD among RA patients Methods: This is a case -control study carried on 302 participant (60 males and 242 females) according to the prevalence ratio of the disease , aged between 18-45 years- attending Family Medicine and Rheumatology clinic in Kasr alainy, Cairo University, Egypt. All participants were evaluated for socio demographic characters, medical data regarding disease duration, complication, drugs used, sexual dysfunction, psychological state, disease activity, quality of life and males were tested for free and total testosterone. Results: Both groups were matched regarding all socio demographic domains.There was statistically significant difference between both groups regarding PHQ9 (p value<.005) There was statistically significant difference between both groups regarding sexual dysfunction (73.7%of females with RA had sexual dysfunction, Mean total IIEF score in cases was 42.73± 25.65 versus 61.2 ±14.41 in control group)).There was statistically significant difference between both male groups regarding Free and Total testosterone(43.3% of cases have low serum level while in control group only 6.7% had low lever) and there was highly statistically significant relation between sexual dysfunction and serum testosterone level, depression, disease severity, disease caused disability and drugs used, logistic regression of the associated risk factors showed that only depression was the significant risk factor and after controlling its effect ,no risk factors was detected to affect SD
530 _aIssued also as CD
653 4 _aDepression
653 4 _aRheumatoid arthritis
653 4 _aSexual dysfunction
700 0 _aGhada Mahmoud Khafagy ,
_eSupervisor
700 0 _aHassan Omar Ghareb ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c79350
_d79350