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The Clinical Study on Short-Term Efficacy of Pelvic Magnetic Stimulation Combined with Pelvic Muscle Biofeedback on Female Idiopathic Overactive Bladder. 盆腔磁刺激联合盆腔肌生物反馈治疗女性特发性膀胱过动症近期疗效的临床研究。
Pub Date : 2023-03-24 DOI: 10.26502/fjwhd.2644-288400105
Liu Xiaofang, Lin Fang, Luo Shuang, L U Zongjie, H E Quanjiang, M U Yan, Peng Qiao

Objective: To evaluate the short-term efficacy of pelvic magnetic stimulation combined with pelvic muscle biofeedback on female Idiopathic Overactive Bladder (IOAB).

Methods: 96 cases of IOAB females were randomly divided into control group (magnetic stimulation treatment n=48) and observation group (magnetic stimulation with biofeedback n=48). All the patients were dealt with the sacralneuromagnetic stimulation (once, qod), with 5 times in total. Then the patients in observation group were processed with biofeedback (10 times). Overactive Bladder Symptom Score (OABSS), Patients Perception Bladder Condition (PPBC) and Incontinence Quality of Life Scale (I-QOL) were evaluated as the indexes.

Results: The effective rate of control group and observation group respectively were 89.58% and 93.75%. There were significant differences (P=0.67). The OABSS and PPBC of two groups were decreased, I-QOL were increased after treatment (P<0.05). Difference was statistically significant in OABSS three months after treatment between the two groups (P=0.00).The recurrence rate of three months after treatment of the two groups were 18.75% and 6.38% (P=0.04).

Conclusions: Both magnetic stimulation alone and magnetic stimulation with biofeedback were effective and safe in female patients with IOAB. Magnetic stimulation with biofeedback may reduce the recurrence rate and continue to improve the symptoms in a certain extent.

目的:评价盆腔磁刺激联合盆腔肌生物反馈治疗女性特发性膀胱过动症(IOAB)的近期疗效。方法:96例IOAB女性患者随机分为对照组(磁刺激治疗组48例)和观察组(磁刺激加生物反馈治疗组48例)。所有患者均行骶神经磁刺激,每次1次,共5次。观察组患者进行生物反馈处理(10次)。以膀胱过度活动症状评分(OABSS)、患者感知膀胱状况(PPBC)和尿失禁生活质量量表(I-QOL)为评价指标。结果:对照组和观察组有效率分别为89.58%和93.75%。差异有统计学意义(P=0.67)。两组患者治疗后OABSS、PPBC均降低,I-QOL均升高(p)。结论:单纯磁刺激和磁刺激联合生物反馈治疗女性IOAB患者均有效、安全。生物反馈磁刺激可降低复发率,并在一定程度上持续改善症状。
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引用次数: 0
Prediction of Ovarian Cancer Survival using Machine Learning: A Population-Based Study 使用机器学习预测卵巢癌生存:一项基于人群的研究
Pub Date : 2023-01-01 DOI: 10.26502/fjwhd.2644-288400109
M. Akazawa, K. Hashimoto
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引用次数: 0
Expression Pattern and Clinical Significance of E2F Transcription Factors in Skin Cutaneous Melanoma E2F转录因子在皮肤黑色素瘤中的表达模式及临床意义
Pub Date : 2023-01-01 DOI: 10.26502/fjwhd.2644-288400104
Liuchang Tan
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引用次数: 0
Facilitating Healing for Black Women Experiencing Gendered Racism and Traumatic Stress: The Moderation of Psychosocial Resources 促进经历性别种族主义和创伤压力的黑人妇女的康复:心理社会资源的调节
Pub Date : 2023-01-01 DOI: 10.26502/fjwhd.2644-288400110
Tiffany R Williams, Christy L. Erving, Whitney Frierson, Fanchen Gao, Jeffery E Bass, Reniece Martin, Taeja Mitchell
Black women must navigate a tumultuous sociopolitical terrain while simultaneously managing their psychological health. Experiences of gendered racism increase Black women’s vulnerability to psychological distress. Gendered racial microaggressions, a specific type of microaggression, account for the intricate ways racism and sexism intersect. The association between Black women’s experiences of gendered racial microaggressions and traumatic stress was investigated among 201 Black female-identified undergraduate and graduate students attending a Historically Black College or University. Whether psychosocial resources (i.e., resilience, social support, mastery, self-esteem) moderated the linkage between gendered racial microaggressions and traumatic stress was also examined. Gendered racial microaggressions were positively associated with traumatic stress. The microaggression Assumptions of Beauty and Sexual Objectification was the most strongly associated with traumatic stress, followed by Angry Black Woman. Resilience and mastery were protective factors, reducing the influence of gendered racial microaggressions on traumatic stress. In addition, high levels of social support reduced the impact of Assumptions of Beauty and Sexual Objectification on traumatic stress. To foster healing and posttraumatic growth for Black women, psychologists must decolonize their understanding and treatment of mental illness. Practice and research implications are discussed.
黑人女性必须在动荡的社会政治环境中穿行,同时还要管理好自己的心理健康。性别种族主义的经历增加了黑人女性心理困扰的脆弱性。性别化的种族微侵犯是一种特殊类型的微侵犯,它解释了种族主义和性别歧视相互交织的复杂方式。对一所历史悠久的黑人学院或大学的201名黑人女性本科生和研究生进行了性别种族微侵犯经历与创伤应激之间的关系调查。心理社会资源(即恢复力、社会支持、掌握、自尊)是否调节了性别、种族微侵犯与创伤应激之间的联系。性别、种族的微侵犯与创伤压力呈正相关。美和性物化的微攻击假设与创伤压力的关系最为密切,其次是愤怒的黑人女性。恢复力和精通是保护因素,降低了性别种族微侵犯对创伤应激的影响。此外,高水平的社会支持降低了美和性物化假设对创伤压力的影响。为了促进黑人女性的康复和创伤后的成长,心理学家必须去殖民化他们对精神疾病的理解和治疗。讨论了实践和研究意义。
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引用次数: 0
Placental Fatty Acid Metabolism and Transport in a Rat Model of Gestational Diabetes Mellitus. 妊娠期糖尿病大鼠胎盘脂肪酸代谢和转运模型。
Pub Date : 2023-01-01 DOI: 10.26502/fjwhd.2644-288400108
Jay S Mishra, Sathish Kumar

Gestational diabetes mellitus (GDM) is a form of heightened insulin resistance triggered during gestation. This study examines how insulin resistance alters placental long-chain polyunsaturated fatty acid (LCPUFA) transport and metabolism in a rat model of lean GDM. Pregnant Sprague Dawley rats were administered with S961, an insulin receptor antagonist (30 nmol/kg s.c. daily), or vehicle from gestational day (GD) 7 to 20. Daily maternal body weight, food, and water intake were measured. Blood pressure assessment and glucose tolerance test were done on GD20. Fetal plasma and placenta were collected on GD20 and processed for fatty acid measurement using LC-mass spectrometry. The expression of fatty acid metabolism-related genes in the placenta was assessed using RT2 Profiler PCR arrays. The results were validated by qRT-PCR. Blockade of insulin receptors with S961 in pregnant rats resulted in glucose intolerance with increased fasting glucose and insulin levels. Maternal body weight gain and food and water intake were not affected; however, S961 significantly increased maternal blood pressure and heart rate. The placenta n3 and n6 LCPUFA concentrations were significantly decreased by 8% and 11%, respectively, but their levels in the fetal plasma were increased by 15% and 4%. RT2 profiler arrays revealed that placental expressions of 10 genes related to fatty acid β-oxidation (Acaa1a, Acadm, Acot2, Acox2, Acsbg1, Acsl4, Acsm5, Cpt1b, Eci2, Ehhadh) and 3 genes related to fatty acid transport pathway (Fabp2, Fabp3, Slc27a3) were significantly upregulated. In summary, lack of insulin action increased the expression of genes related to placental fatty acid β-oxidation and transport with an increased transfer of LCPUFA to the fetus. The increased lipid levels routed toward the fetus may lead to fat adiposity and later-life metabolic dysfunction.

妊娠期糖尿病(GDM)是妊娠期间引发的胰岛素抵抗升高的一种形式。本研究探讨了胰岛素抵抗如何改变瘦型GDM大鼠模型中胎盘长链多不饱和脂肪酸(LCPUFA)的转运和代谢。妊娠大鼠在妊娠第7 ~ 20天给予胰岛素受体拮抗剂S961 (30 nmol/kg s.c.每日)或对照药。测量了母亲每天的体重、食物和水的摄入量。GD20进行血压评估和葡萄糖耐量试验。在GD20上采集胎儿血浆和胎盘,用lc -质谱法测定脂肪酸。采用RT2 Profiler PCR检测胎盘中脂肪酸代谢相关基因的表达。结果经qRT-PCR验证。妊娠大鼠用S961阻断胰岛素受体导致葡萄糖耐受不良,空腹血糖和胰岛素水平升高。母亲体重增加、食物和水的摄入量不受影响;然而,S961显著提高了母亲的血压和心率。胎盘n3和n6 LCPUFA浓度分别显著降低8%和11%,但胎儿血浆中LCPUFA浓度分别升高15%和4%。RT2谱仪阵列显示,10个脂肪酸β-氧化相关基因(Acaa1a、Acadm、Acot2、Acox2、Acsbg1、Acsl4、Acsm5、Cpt1b、Eci2、Ehhadh)和3个脂肪酸转运途径相关基因(Fabp2、Fabp3、Slc27a3)的胎盘表达显著上调。总之,缺乏胰岛素作用增加了胎盘脂肪酸β-氧化和转运相关基因的表达,增加了LCPUFA向胎儿的转移。输送给胎儿的脂质水平升高可能导致脂肪性肥胖和后期代谢功能障碍。
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引用次数: 0
A Principal Component Analysis of Nursing Students’ Satisfaction with Blended E-learning following the Covid-19 Pandemic 新冠肺炎疫情后护生混合式电子学习满意度的主成分分析
Pub Date : 2023-01-01 DOI: 10.26502/fjwhd.2644-288400107
N. Tayyib, F. Alsolami, HI Asfour, P. Ramaih, EE Ahmed, I. Nomani, GM Lindsay
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引用次数: 0
Diagnosis , Management of Polycystic ovarian syndrome 多囊卵巢综合征的诊断和治疗
Pub Date : 2023-01-01 DOI: 10.26502/fjwhd.2644-288400106
HendAbdelbary Ibrahim Aly
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引用次数: 0
Assessing the Impact of Client Knowledge and Demand on Service Provision from Antenatal to Postnatal Care - An Implementation Science Design 评估客户知识和需求对产前产后护理服务提供的影响-一项实施科学设计
Pub Date : 2022-06-22 DOI: 10.26502/fjwhd.2644-28840101
Chancy Mauluka, Isabel Kazanga Chiumia, L. Maliwichi, W. Stones
Background: In low resource countries suboptimal clinical care has been identified a contributor to maternal and infant mortality. This study aimed to test the impact of a community intervention promoting client demand on provision of care during ANC, labour and the first postnatal contact (PNC). Methods: This was implementation science research in Kasungu district of Malawi using a quasi-experimental design with an intervention site where mothers were exposed to a package of interventions aiming to improve knowledge and demand. The results were compared with a site where there was no intervention in the same district. The intervention included checklists for mothers, posters and a Radio Distance Learning (RDL) program. The study used mixed methods (qualitative and quantitative). A total of 1040 mothers participated in individual interviews. Sixteen Focus Group Discussions (FGDs) were conducted with 128 mothers and 8 Key Informant Interviews were conducted with health workers. Health passports were used to check service provision at both comparison and intervention sites. In addition, mothers’ checklists were used at the intervention site to verify service provision. Quantitative data were processed in Stata 16.0 using binomial regression and two-sample proportion tests. NVivo 12 was used to process qualitative data for thematic analysis through coding and merging or creation of new codes. Results: At the intervention site there a 21.9% mean increase in knowledge of demandable services in ANC (43.3% to 56.1%, p<0.001,), intrapartum services for the mother (20.6%, 41.8% to 62.6%, p=0.003,) and the neonatal services before discharge (17.5%, 47% to 64.5%, p=0.0039). For PNC, changes were non-significant. Overall, women at the intervention site were 50% more likely than women at the comparison site to demand a service in the continuum of care (RR = 1.5). Actual service provision was increased at the intervention sites across all elements of the continuum, including laboratory testing, clinical examination of mothers and newborns and provision of essential interventions such as oxytocin for prevention of postpartum haemorrhage, chlorhexidine for umbilical cord care and vitamin K. Conclusion: The intervention positively contributed to increased knowledge on care practices, attitudes towards demand, actual demand for care practices, services provision and service satisfaction.
背景:在资源匮乏的国家,不理想的临床护理已被确定为孕产妇和婴儿死亡率的一个因素。本研究的目的是测试社区干预的影响,促进客户需求提供护理在产前,分娩和产后第一次接触(PNC)。方法:这是在马拉维Kasungu地区进行的实施科学研究,采用准实验设计,在一个干预地点,母亲们接触到旨在提高知识和需求的一揽子干预措施。结果与同一地区没有干预的地点进行了比较。干预措施包括母亲检查清单、海报和无线电远程学习(RDL)计划。本研究采用了定性和定量混合方法。共有1040名母亲参加了个人访谈。与128名母亲进行了16次焦点小组讨论,并与卫生工作者进行了8次关键信息提供者访谈。使用健康护照检查比较点和干预点的服务提供情况。此外,在干预地点使用母亲核对表来核实服务提供情况。定量数据在Stata 16.0中使用二项回归和双样本比例检验进行处理。使用NVivo 12通过编码和合并或创建新代码来处理定性数据以进行专题分析。结果:在干预点,对ANC(43.3%至56.1%,p<0.001,)、产妇产时服务(20.6%,41.8%至62.6%,p=0.003,)和新生儿出院前服务(17.5%,47%至64.5%,p=0.0039)的需求知识平均增加21.9%。对于PNC,变化不显著。总体而言,干预组的妇女比对照组的妇女在连续护理中要求服务的可能性高50% (RR = 1.5)。在连续统一体的所有要素中,干预点的实际服务提供都有所增加,包括实验室检测、对母亲和新生儿的临床检查,以及提供必要的干预措施,如预防产后出血的催产素、用于脐带护理的氯己定和维生素k。干预对提高护理实践的知识、对需求的态度、护理实践的实际需求、服务提供和服务满意度有积极的贡献。
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引用次数: 0
Oncogenic HPV Infection Dysregulates Histone H3 Clipping 致瘤性HPV感染异常调节组蛋白H3剪切
Pub Date : 2022-01-01 DOI: 10.26502/fjwhd.2644-28840093
Jorge SANDOVAL-BASILIO, Sofia L. Alcaraz-Estrada
, Abstract During infection by various pathogens, there is an accumulation of epigenetic alterations that lead to changes in gene expression or viral reactivation. Oncogenic Human Papillomavirus (HPV) dysregulate various epigenetic mechanisms. Impaired histone H3 clipping constitutes an epigenetic mechanism in cervical cancer. However, if the impaired H3 clipping occurred as a primary effect of the HPV infection or if is a consequence of cervical carcinogenesis due to the high number of alterations is unknown. Using human cervical samples with negative pathology to cancer, but positive and negative to oncogenic HPV, we were able to identify that H3 clipping was low in the positive oncogenic HPV cervix compared to the negative oncogenic HPV cervix. These results suggest that low H3 clipping previously observed in cervical cancer may be a primary effect of oncogenic HPV infection.
在各种病原体的感染过程中,表观遗传改变的积累导致基因表达或病毒再激活的变化。致瘤性人乳头瘤病毒(HPV)失调各种表观遗传机制。组蛋白H3剪切受损构成宫颈癌的表观遗传机制。然而,H3剪接受损是否作为HPV感染的主要影响发生,还是由于大量改变而导致宫颈癌的结果尚不清楚。使用对癌症病理呈阴性,但对致癌HPV呈阳性和阴性的人类宫颈样本,我们能够确定与致癌HPV阴性子宫颈相比,致癌HPV阳性子宫颈中的H3剪接较低。这些结果表明,以前在宫颈癌中观察到的低H3剪切可能是致癌HPV感染的主要影响。
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引用次数: 0
Altered Uterine Gene Expression in Lean and Obese Mice Following Maternal Oxytocin 母体催产素对瘦鼠和肥胖鼠子宫基因表达的影响
Pub Date : 2022-01-01 DOI: 10.26502/fjwhd.2644-28840090
S. Soni, P. K. Chatterjee, Frances F. Hsieh, Xiangying Xue, N. Kohn, Swati Madankumar, B. Rochelson, Christine N Metz
Background: Obese women exhibit higher rates of failed labor inductions with oxytocin. To investigate the mechanisms underlying parturition dysfunction in obese populations, we examined the changes in uterine gene expression profiles in lean and obese mice at term, with and without maternal oxytocin administration. Methods: Female C57BL/6 mice were fed either a high-fat or regular-lean diet for 6 weeks prior to conception and throughout pregnancy. At term, dams were given saline or oxytocin, with a second group of obese mice receiving high-dose oxytocin. Six hours later, uterine gene expression for 30 select transcripts associated with parturition (e.g. gap junctions, relaxation/contractility pathways, and oxytocin signaling) and obesity were analyzed by quantitative real time PCR. Results: Lean and obese uteri, at baseline, showed differential gene expression patterns at term. Oxytocin significantly altered the expression of numerous myometrial transcripts associated with parturition (gap junctions, relaxation/contractility pathways, and oxytocin signaling). The expression of numerous oxytocin-responsive genes depended on the dams’ body masses (lean vs. obese), with either blunted effects or no effects of oxytocin observed in obese mice vs. lean mice. Additionally, high-dose oxytocin did not consistently regulate parturition-related gene expression in obese uteri. In summary, gene expression patterns significantly differed in lean vs. obese uteri at term in the presence and absence of maternal oxytocin. Lean uteri were more responsive to oxytocin than obese uteri, even at higher doses of oxytocin. Conclusions: These findings support that blunted oxytocin responsiveness in obese uteri may contribute to obesity-related labor dysfunction.
背景:肥胖妇女使用催产素引产失败率较高。为了研究肥胖人群分娩功能障碍的机制,我们研究了瘦鼠和肥胖鼠在足月时子宫基因表达谱的变化,分别给药和不给药。方法:雌性C57BL/6小鼠在受孕前6周和整个妊娠期间分别饲喂高脂或常规瘦肉饮食。在足月,老鼠被给予生理盐水或催产素,另一组肥胖老鼠则接受高剂量的催产素。6小时后,通过实时定量PCR分析30个与分娩相关的转录本(如间隙连接、松弛/收缩通路和催产素信号传导)和肥胖的子宫基因表达。结果:在基线时,瘦和肥胖的子宫在足月时表现出不同的基因表达模式。催产素显著改变了许多与分娩相关的子宫肌瘤转录物的表达(间隙连接、松弛/收缩通路和催产素信号)。许多催产素反应基因的表达取决于小鼠的体重(瘦与胖),在肥胖小鼠与瘦小鼠中观察到的催产素的影响要么减弱,要么没有影响。此外,高剂量催产素并不能持续调节肥胖子宫中分娩相关基因的表达。总之,在母体催产素存在和不存在的情况下,足月时瘦子宫和肥胖子宫的基因表达模式显著不同。瘦子宫对催产素的反应比肥胖子宫更敏感,即使催产素的剂量更高。结论:这些发现支持肥胖子宫中催产素反应减弱可能导致肥胖相关的分娩功能障碍。
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引用次数: 0
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Journal of women's health and development
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