Surgery, gynecology & obstetrics最新文献

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Psychological Status of Clinical Laboratory Staff During the COVID-19 Outbreak. COVID-19 爆发期间临床实验室工作人员的心理状况。

IF 0.7

Surgery, gynecology & obstetrics

Pub Date : 2021-06-01 DOI: 10.5152/pcp.2021.21847

Chen Cheng, Ying-Bo Rao, Yun-Rong Lu

Background: In early December 2019, during the outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which was first detected in Wuhan, COVID-19 was suspected, detected, and confirmed in an increasing number of patients every day. The clinical laboratory staff have always played an important role in the laboratory diagnosis of patients. Currently, there are many research studies on the mental health of the first-line doctors or nurses managing the COVID-19 outbreak, both domestically and overseas, but data of the mental health and associated factors among the clinical laboratory staff who handle the blood or biological samples of confirmed cases and are consequently exposed to COVID-19 are limited.

Methods: This cross-sectional survey-based study was performed via an online survey in a single designated hospital from April 20 to April 23, 2020 in Yiwu,China. The online survey included questions on sociodemographic and clinical variables. Totally, 45 clinical laboratory staff and 20 nonmedical health workers participated. Mental health variables were assessed via 4 Chinese versions of validated measurement tools : Zung's Self-rating Depression Scale (SDS), Zung's Self-rating Anxiety Scale (SAS), the Pittsburgh Sleep Quality Index (PSQI), and the Eysenck Personality Questionnaire (EPQ).

Results: Significant differences were observed in the SDS and SAS scores, between the clinical laboratory staff and the nonmedical health workers (P < .001, P < .003, respectively). The scores for exposure risk and neuroticism of participants were the main factors influencing both the SDS scores of the clinical laboratory staff (P = .002, P = .005, respectively), and also their SAS scores (P = .003 P = .006, respectively).

Conclusions: The results showed that a significant proportion of clinical laboratory staff experienced anxiety and depression symptoms. Their scores for mental health problems, exposure risk, and neuroticism were associated with severe symptoms of depression and anxiety. Therefore, the high-risk group of the clinical laboratory staff and those individuals with higher neuroticism scores may need special attention.

背景：2019年12月初，在武汉首次发现严重急性呼吸综合征冠状病毒2型（SARS-CoV-2）疫情期间，每天都有越来越多的患者疑似、检出并确诊COVID-19。临床实验室工作人员在患者的实验室诊断中一直发挥着重要作用。目前，国内外有许多关于处理 COVID-19 疫情的一线医生或护士心理健康的研究，但关于处理确诊病例的血液或生物样本并因此暴露于 COVID-19 的临床实验室工作人员的心理健康及相关因素的数据却很有限：本研究以横断面调查为基础，于 2020 年 4 月 20 日至 4 月 23 日在中国义乌的一家定点医院进行了在线调查。在线调查包括社会人口学和临床变量问题。共有 45 名临床实验室工作人员和 20 名非医务卫生工作者参与了调查。心理健康变量通过4种中文版的有效测量工具进行评估：Zung抑郁自评量表（SDS）、Zung焦虑自评量表（SAS）、匹兹堡睡眠质量指数（PSQI）和艾森克人格问卷（EPQ）：临床实验室工作人员和非医疗卫生工作者的 SDS 和 SAS 分数存在显著差异（分别为 P < .001 和 P < .003）。参与者的暴露风险和神经质评分是影响临床实验室工作人员 SDS 评分（分别为 P = .002 和 P = .005）和 SAS 评分（分别为 P = .003 和 P = .006）的主要因素：结论：研究结果表明，相当一部分临床实验室工作人员有焦虑和抑郁症状。他们在心理健康问题、暴露风险和神经质方面的得分与严重的抑郁和焦虑症状有关。因此，临床实验室工作人员中的高危人群和神经质得分较高的人可能需要特别关注。

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引用次数: 0

Exhibitors to Bleeding Disorders in the Context of Pre-Eclampsia: Analytical Preliminary Study About 50 Cases at Laquintinie Hospital (Douala, Cameroon) 子痫前期出血障碍的参展商:喀麦隆杜阿拉Laquintinie医院50例初步分析研究

Surgery, gynecology & obstetrics

Pub Date : 2021-01-01 DOI: 10.35248/2161-0932.21.11.556

H. Essome, Florence Obono Ebo, Fulbert Mangala Nkwele, R. Tchounzou, Merlin Boten, Gertrude Moukouri Same, Ingrid Doriane Ofakem Ilick, Grâce Tocki Toutou, G. P. Ngaba, P. Foumane

Introduction: Pre-eclampsia is one of the major causes of maternal and neonatal morbidity and mortality in the world. The complexity of its etiopathogenesis involves, among other things, age, primi-gravidity, obesity, lack of sensitization to the partner's sperm. Our objective was to describe the socio-clinical profile of the preeclampsia pregnant woman received in consultation in our department and to investigate its influence on certain coagulation parameters (prothrombin level, activated partial thromboplastin time). Methodology: We carried out an analytical cross-sectional study from 01st November 2018 to 31st May 2019, in the gynecology and obstetrics department of the Laquintinie Hospital in Douala. We recruited 150 pregnant women including 50 preeclampsia matched to 100 non-preeclampsia all with a gestational age greater than 20 weeks of amenorrhea. The variables of interest were age, pregnancy, parity, gestational age, marital status and body mass index, Prothrombin Level (PL), and Activated Cephalin Time (ACT). Statistical tests were considered significant for a p-value <0.05. Results: The majority age group in both groups was that of 25-30 years with a mean age of 27.80 ± 5.80 in the pregnant preeclampsia; the latter was predominantly pauci-gravid, nulliparous, and grade 1 obese with a gestational age predominantly ≥ 37 weeks of amenorrhea. In linear regression analysis and unvaried regression analysis, we did not find any socio-clinical factors exposing to coagulation disorders in preeclampsia. Conclusion: Our preliminary study reveals the non-existence of socio-clinical factors exposing to coagulation disorders in preeclampsia in our setting.

先兆子痫是世界上孕产妇和新生儿发病率和死亡率的主要原因之一。其发病机制的复杂性包括年龄、初产、肥胖、对伴侣精子缺乏敏感性等因素。我们的目的是描述在我科会诊的先兆子痫孕妇的社会临床特征，并调查其对某些凝血参数(凝血酶原水平，激活部分凝血活酶时间)的影响。方法:我们于2018年11月1日至2019年5月31日在杜阿拉Laquintinie医院的妇产科进行了一项分析性横断面研究。我们招募了150名孕妇，包括50名先兆子痫患者和100名非先兆子痫患者，所有患者的胎龄均大于20周闭经。感兴趣的变量是年龄、妊娠、胎次、胎龄、婚姻状况和体重指数、凝血酶原水平(PL)和激活脑素时间(ACT)。p值<0.05认为统计学检验显著。结果:两组孕妇先兆子痫以25 ~ 30岁年龄组居多，平均年龄(27.80±5.80);后者以少孕、无产、1级肥胖为主，孕龄≥37周闭经为主。在线性回归分析和无变量回归分析中，我们没有发现任何社会临床因素暴露于子痫前期的凝血障碍。结论:我们的初步研究表明，在我们的环境中，不存在社会临床因素暴露于子痫前期的凝血障碍。

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引用次数: 0

Congenital lobar emphysema. 先天性肺叶性肺气肿。

Surgery, gynecology & obstetrics

Pub Date : 2020-02-10 DOI: 10.32388/makbj9

G. Murray

引用次数: 1

Package. 包中。

Surgery, gynecology & obstetrics

Pub Date : 2020-02-07 DOI: 10.32388/a6gmkq

Sayanti Guha Majumder

Performs a two-sample multidimensional Kolmogorov-Smirnov test as described by Fasano and Franceschini (1987). This test evaluates the null hypothesis that two i.i.d. random samples were drawn from the same underlying probability distribution. The data can be of any dimension, and can be of any type (continuous, discrete, or mixed).

执行Fasano和Franceschini(1987)所描述的双样本多维Kolmogorov-Smirnov检验。该检验评估零假设，即从相同的潜在概率分布中抽取两个i.i.d随机样本。数据可以是任何维度，可以是任何类型(连续的、离散的或混合的)。

引用次数: 199

Osgood-Schlatter's Disease Osgood-Schlatter病

Surgery, gynecology & obstetrics

Pub Date : 2020-02-07 DOI: 10.32388/84cqr8

引用次数: 6

Fibromuscular dysplasia. 纤维肌发育不良。

Surgery, gynecology & obstetrics

Pub Date : 2020-02-07 DOI: 10.32388/gkkhuf

M. Perry

引用次数: 0

Cyclosporine. 环孢菌素。

Surgery, gynecology & obstetrics

Pub Date : 2020-02-07 DOI: 10.32388/jzjhk5

P. W. Nelson

Cyclosporine is more selective in its suppression of the immune system than previously available drugs. Although the exact mechanism of action is not yet known, it probably acts by interfering with lymphokine secretion. It primarily inhibits T-lymphocyte responses, although some B cell responses are also affected. Neutrophils and platelet formation are spared. Its efficacy in prolonging the survival of transplanted organs in experimental animals has been a stimulus to the study of graft-host interactions and to the growth of clinical transplantation. In clinical renal transplantations, many, but not all, centers have observed an improvement in graft survival. Nephrotoxicity is common--the average creatinine level of a stable patient on cyclosporine is typically a third again higher than in a patient on conventional therapy. Results of studies up to three years have not shown a further deterioration in renal function, but longer term data are unavailable. Because patients on cyclosporine often have less severe rejection and require lower dosages of corticosteroids, progress in cardiac and hepatic transplantation is being made. The role of blood level monitoring in the avoidance of nephrotoxicity and other side effects remains unsettled. Only further experience with measuring concentrations of the drug in the blood will reveal if it is useful. Numerous drug interactions are important, particularly with aminoglycosides and amphotericin.

环孢素在抑制免疫系统方面比以前可用的药物更具选择性。虽然确切的作用机制尚不清楚，但它可能通过干扰淋巴因子的分泌而起作用。它主要抑制t淋巴细胞反应，尽管一些B细胞反应也受到影响。中性粒细胞和血小板的形成得以幸免。它在延长移植器官在实验动物中的存活方面的功效，刺激了移植物-宿主相互作用的研究和临床移植的发展。在临床肾移植中，许多，但不是所有的中心都观察到移植物存活率的提高。肾毒性是常见的——服用环孢素的稳定患者的平均肌酐水平通常比接受常规治疗的患者高三分之一。3年的研究结果未显示肾功能进一步恶化，但长期数据不可用。由于使用环孢素的患者通常有较轻的排斥反应，并且需要较低剂量的皮质类固醇，因此心脏和肝脏移植正在取得进展。血药浓度监测在避免肾毒性和其他副作用中的作用仍未确定。只有进一步测量血液中药物浓度的经验才能揭示它是否有用。许多药物相互作用是重要的，特别是与氨基糖苷类和两性霉素。

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引用次数: 0

Short Saphenous Vein 短隐静脉

Surgery, gynecology & obstetrics

Pub Date : 2020-02-07 DOI: 10.32388/mzn8ae

引用次数: 4

Cytoreductive surgery. Cytoreductive手术。

Surgery, gynecology & obstetrics

Pub Date : 2020-02-02 DOI: 10.1007/978-3-642-16483-5_1489

R. Giuntoli, R. Schulick, W. Cliby

引用次数: 25

Recurrent Endometrial Carcinoma 复发性子宫内膜癌

Surgery, gynecology & obstetrics

Pub Date : 2020-02-02 DOI: 10.32388/c30mql

引用次数: 1

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