World Journal of Clinical Medicine最新文献_第2页

Investigation and Multivariate Analysis of Gynecological Examination Fear 妇科检查恐惧的调查及多因素分析

World Journal of Clinical Medicine Pub Date : 2023-06-15 DOI: 10.57237/j.wjcm.2023.02.003

Zhou Hong, Jinghan Chai, Mao-Feng Qi, Shihui Yang

{"title":"Investigation and Multivariate Analysis of Gynecological Examination Fear","authors":"Zhou Hong, Jinghan Chai, Mao-Feng Qi, Shihui Yang","doi":"10.57237/j.wjcm.2023.02.003","DOIUrl":"https://doi.org/10.57237/j.wjcm.2023.02.003","url":null,"abstract":": Objective: to analyze the subjective and objective factors of gynecological examination fear, and to provide a theoretical basis for eliminating gynecological examination fear. Methods: 350 valid and complete questionnaires were obtained from the subjects who underwent gynecological physical examination in the health management center of The First Affiliated Hospital of Ningbo University from October 2021 to December 2021. The subjective and objective factors of fear of gynecological examination were analyzed. Results: among the 350 respondents, 152 (43.43%) had fear of gynecological examination. The main subjective factor was that the previous gynecological examination was very painful; Objective factor analysis: there was a positive correlation between pre examination score and post examination score, and the degree of fear decreased after examination (t = 13.204, P = 0.000). Multivariate analysis showed that the fear of gynecological examination in recent asexual life was 0.369 times higher than that in others (P = 0.012), sexual intercourse pain was 8.304 times higher than that in painless people (P = 0.012), and regular physical examination was 2.979 times higher than that in non regular physical examination (","PeriodicalId":127322,"journal":{"name":"World Journal of Clinical Medicine","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133107764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Study on Prevention and Treatment of Venous Thrombosis in Puerperium 产褥期静脉血栓形成防治的临床研究

World Journal of Clinical Medicine Pub Date : 2023-04-25 DOI: 10.57237/j.wjcm.2023.02.001

Y. Rui, Yangyang Sun, Xudong Dong

{"title":"Clinical Study on Prevention and Treatment of Venous Thrombosis in Puerperium","authors":"Y. Rui, Yangyang Sun, Xudong Dong","doi":"10.57237/j.wjcm.2023.02.001","DOIUrl":"https://doi.org/10.57237/j.wjcm.2023.02.001","url":null,"abstract":": Objective: To analyze the risk factors of venous thromboembolism and the correlation between serum markers and thrombosis, so as to provide scientific basis for the early diagnosis, prevention and treatment of the disease. Methods: A total of 108 pregnant women diagnosed with thrombosis after delivery in the First People's Hospital of Yunnan Province from January 2020 to December 2021 and 540 pregnant women with the same gestational age who delivered in the same period were selected for the study. The risk factors of VTE and the correlation between VTE and serological markers were statistically analyzed. Results: The risk factors of venous thrombosis include parity (≥3 times), postpartum hemorrhage, pregnancy complications, perinatal surgery, intestinal obstruction and rheumatic immune system. There were significant differences in NLP, RDW, FDP, FIB, AT Ⅲ and D-dimer between the thrombosis group and the normal group (P ＜ 0.05). Conclusions: Prophylactic anticoagulant therapy was actively performed during puerperal period according to the VTE rating scale, and at the same time pay attention to the changes of serum markers, which is of significance for early identification and intervention of VTE in pregnant women.","PeriodicalId":127322,"journal":{"name":"World Journal of Clinical Medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114464963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Problems and Countermeasures on Ethics of Non-medical Indicated Oocyte Freezing 非医学指示性卵母细胞冷冻的伦理问题及对策

World Journal of Clinical Medicine Pub Date : 2023-04-25 DOI: 10.57237/j.wjcm.2023.02.002

Yu-ru Ma, Tang Li, Hua-wei Wang

{"title":"Problems and Countermeasures on Ethics of Non-medical Indicated Oocyte Freezing","authors":"Yu-ru Ma, Tang Li, Hua-wei Wang","doi":"10.57237/j.wjcm.2023.02.002","DOIUrl":"https://doi.org/10.57237/j.wjcm.2023.02.002","url":null,"abstract":": The threat of declining birth rate in China was becoming more and more serious. Modern women have delayed their childbearing age due to occupational, economic, emotional, and other factors. More and more women wanted to seek for freezing oocyte with the aims to preserve future emergencies situation and achieve reproductive freedom, which mainly included the populations, such as patients suffering from tumor, immune diseases, and genetic diseases and person who might get treatment with the damage to their fertility. At present, except the people who might suffer the damage to their fertility with medical indicator, oocyte freezing was not reliable for women with non-medical indications in China. Since there were still many problems especially ethical issues that have not been solved well, oocyte freezing for non-medical indications in China was only performed for patients with tumors and other diseases that needed to receive treatment, which could damage the function of ovarian, or the diseases would lead to the decrease of ovarian function. However, such strict standards for oocyte freezing have turned away the fertility preservation needs of","PeriodicalId":127322,"journal":{"name":"World Journal of Clinical Medicine","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132929819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cox Regression Analysis of Prognostic Factors in Full Crown Restoration of Premolars with Cervical Defect 颈椎缺损前磨牙全冠修复预后因素的Cox回归分析

World Journal of Clinical Medicine Pub Date : 2023-03-28 DOI: 10.57237/j.wjcm.2023.01.003

Dai Jie

引用次数: 0

Cervical Cancer in Case with Pelvic Organ Prolapse (POP) and Stress Urinary Incontinence (SUI) 宫颈癌合并盆腔器官脱垂(POP)和压力性尿失禁(SUI)的病例分析

World Journal of Clinical Medicine Pub Date : 2023-03-02 DOI: 10.57237/j.wjcm.2023.01.002

Hong Qiao, Yu Ran, Qin Zhou, Cong Li

{"title":"Cervical Cancer in Case with Pelvic Organ Prolapse (POP) and Stress Urinary Incontinence (SUI)","authors":"Hong Qiao, Yu Ran, Qin Zhou, Cong Li","doi":"10.57237/j.wjcm.2023.01.002","DOIUrl":"https://doi.org/10.57237/j.wjcm.2023.01.002","url":null,"abstract":": Background: Combined cervical cancer and pelvic organ prolapse (POP) is extremely uncommon and there is no standard treatment guideline for the complex comorbidity. We attempted to provide a treatment strategy and explore possible reasons for the comorbidities. Case presentation: We presented a 62-year-old patient seeking treatment for postmenopausal tissue prolapse and leakage of urine. The gynecologic examination revealed the uterine prolapse with a 2.5 cm papillary and erosive lesion on the cervix that was pathologically confirmed as cervical squamous cell carcinoma in stage Ib1. Clinical diagnosis included cervical squamous cell carcinoma in stage Ib1, prolapse of uterus and vagina, stress urinary incontinence (SUI). Then she was performed radical surgery for cervical cancer and tension-free vaginal tape-obturator (TVT-O). The urine function was good after operation. The surgery solved two diseases, which improved the quality of life (QOL) of patient and radically cured cervical carcinoma at the same time. Follow up for more than two years, HPV was negative, no prolapse symptoms occurred, and the quality of life was good. Conclusions: Surgical-based treatment seems to be more suitable that can cure the two diseases and improve the QOL. We should pay attention to the potential high incidence of HPV infection and HPV-related cervical cancer so that we should not ignore the screening for cervical cancer in the prolapse group and initiate surgery treatment strategies of cervical cancer or pre-cancerous lesions as early as possible to reach an optimal outcome of patient.","PeriodicalId":127322,"journal":{"name":"World Journal of Clinical Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116831642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Discussion on Application Strategies of Genetic Counseling 遗传咨询的应用策略探讨

World Journal of Clinical Medicine Pub Date : 2023-02-03 DOI: 10.57237/j.wjcm.2022.01.006

L. Ying, Minhua Deng, Jinman Zhang

{"title":"Discussion on Application Strategies of Genetic Counseling","authors":"L. Ying, Minhua Deng, Jinman Zhang","doi":"10.57237/j.wjcm.2022.01.006","DOIUrl":"https://doi.org/10.57237/j.wjcm.2022.01.006","url":null,"abstract":": In recent years, with the rapid development of the field of genetics, genetic counseling services have developed rapidly in obstetrics, reproductive genetics, pediatrics and other disciplines, and are also gradually developed in the medical process of other disciplines such as oncology and multidisciplinary consultation. Genetic counseling physicians can reduce the risk of recurrence of genetic diseases by judging the pathogenesis of genetic diseases, selecting appropriate genetic testing techniques, analyzing test results, diagnosing diseases, carrying out genetic counseling to assist the treatment of genetic diseases, and giving fertility guidance. Genetic counseling service is the genetic counseling physicians through appropriate genetic counseling strategies to genetic basic research and genetic laboratory testing technology into clinical transformation, reduces the risk of birth defects and genetic diseases recurrence,reduces the mental and economic burden of hereditary diseases on the patients themselves, their families and society. At the same time, with the opening-up of Chinese fertility policy, the increase of the proportion of older pregnant women and the increase of the risk of birth defects, as well as the implementation of the \"Healthy China 2030\" program, the demand for genetic counseling services has increased in many disciplines. This paper will discuss the practical application of the current genetic counseling service strategy in clinical medicine.","PeriodicalId":127322,"journal":{"name":"World Journal of Clinical Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125500991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Scientific Pregnancy Preparation for Men of Childbearing Age at the Aspects of Theory and Practice 育龄男性科学备孕的理论与实践

World Journal of Clinical Medicine Pub Date : 2023-02-03 DOI: 10.57237/j.wjcm.2023.01.001

Tian Zhi-hua, Li Ping, Wu Yan-rui, Long Yan-xi, Xu Li, Li Yu-yang, Wang Hua-wei

引用次数: 0

Mutation and Phenotype Analysis in Patients with Osteopetrosis Caused by Loss-of-Function Mutation of CLCN7 Single Allele CLCN7单等位基因功能缺失突变致骨质疏松患者的突变与表型分析

World Journal of Clinical Medicine Pub Date : 2022-12-15 DOI: 10.57237/j.wjcm.2022.01.005

He Deqi, Yin Zhuona, Li Ping, Li Tingting, Xu Zicheng, Jin Wensheng

引用次数: 0

Study on Construction and Management of Pre-hospital Emergency Urban-rural Integration System 院前急救城乡一体化体系建设与管理研究

World Journal of Clinical Medicine Pub Date : 2022-12-01 DOI: 10.57237/j.wjcm.2022.01.004

Liu Qiongwen, Zhang Tao

引用次数: 0

Comparative Study on the Clinical Efficacy of Gallstone Preservation and Cholecystectomy 胆结石保留与胆囊切除术临床疗效的比较研究

World Journal of Clinical Medicine Pub Date : 2022-11-01 DOI: 10.57237/j.wjcm.2022.01.002

胡坤鹏, 刘琼雯

引用次数: 0