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Lu Weiqun, Chang Jinfen, Zhu Jiang, et al
Objective: To study the health situation and health requirements of leftbehind women in a mountainous area, so as to offer the strategy suggestions of health and family planning to serve these women effectively. Methods: One hundred leftbehind women were randomly selected from Kaiyang County, Zunyi County, Xingyi City and Liping County of Guizhou Province by stratified cluster random sampling. Totally 400 women were investigated with a questionnaire. Twenty women of them were deeply interviewed. Results: The leftbehind women gave optimistic subjective assessments on their own physical health. About 56.8% thought they were in good health. However, 47.3% of them had never had a whole physical examination, in whom the minority leftbehind women were more 14.4 percent than the Han ones. The education level was the contributing factor of physical and gynecological examinations of the leftbehind women（P＜0.001）. Most women (68.3%) had the life stress. And the elder the women were, the more pressures they felt (χ2=17.817, P＜0.001). The leftbehind women generally felt lonely after their husbands went out for being engaged in industry or project (87.0%) and the aloneness was the most serious among the leftbehind women at age 2635 and 615 years of marriageable age. Conclusion: Health conditions of the leftbehind women in a mountainous area are not optimistic. The educational level, nation and age were key factors which influence these women's physical and psychological health. It would be major ways of improving their health conditions to set up the electronic health record of leftbehind women in a mountainous area, to give them regularly physical and gynecological examinations, to extent service items and to enhance publicity on the knowledge of women's health.
2014 Vol. 22 (3): 150- [Abstract]（
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Wang Chengkuan, Zhang Weiyang, Li Chunping, et al
Objective: To explore differences of status and needs of contraceptive services among permanent residents of different characteristics in Wuxi City. Methods: A total of 3003 residents were interviewed with a structured questionnaire by trained investigators. Results: Results: On the choice of free or paid contraceptives, respondents who are under 25 years of age had the highest proportion of choosing paid contraceptives (37.7%). The reason of choosing paid contraceptives for the respondents of different age groups with different qualification and different types of household registration was all that paid contraceptives were better than free ones from their mind. The proportion of accessing the self-service for contraception was highest in the respondents with the college degree or above (23.7%) , and it was higher in urban residents (23.4%) than rural ones, as well as higher in the floating population (30.1%) than in the household ones (18.8%). For the types of contraceptive service, there was a preference of individual counseling and telephone counseling. Respondents under 25 years of age (22.9%) preferred to on online counseling. And more respondents with a college degree or above (24.8%) and more urban redidents (20.2%) also preferred to this way than those with a high school degree or below (24.8%) and urban residents (17.2%). While there wasn no significant difference between the floating population and the household population in the types of contraceptive service. Conclusion: Significant differences in the practice and the preference of contraceptive services were found among residents of different characteristics in Wuxi City. Different demands and preference in different inhabitants should be taken into consideration when providing contraceptive services and to meet the demand of permanent resident population.
2014 Vol. 22 (3): 156- [Abstract]（
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Xu Lufang, Li Jianbang, Liang Lingfei
Objective: To explore categories and incidence rates of diseases in medical authentication by analyzing medical statistical materials of disabled children in the past 10 years in Taizhou. Methods: Diseased suffered by children applied for medical authentication between 2002 and 2011 were classified and coded according to the International Classification of Diseases (ICD-10). And data were analyzed with SPSS software. Results: The top six kinds of diseases were congenital malformation, chromosome abnormality, neurological disease, mental illness, behavior disorder and tumor, accounting for 74.75% (3609/4828). The cumulative incidence of birth defects reached 37.88% (1829/4828), and the highest prevalence of congenital heart diseases was found. Conclusion: Birth defects could be the primary cause of children disability. To prevent congenital defects, the "threegrade" birth defect prevention system needs to be reinforced. Furthermore, revisions on the disability identifying methods and diagnosis criteria are advocated, and an information platform integrated management, service and research needs to be developed promptly.
2014 Vol. 22 (3): 161- [Abstract]（
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Wang Kun, Li Li, Li Laibao, et al
Objective: To compare the effectiveness of active γIUD inserted in menstrual interval (menstrual interval group) and immediately after vacuum aspiration (postabortion group). Methods: A multicenter clinical control trail was performed in 27 collaboration centers. Totally 1300 eligible women were inserted active γIUD during the two periods. Results: Among 1300 women, 824 had an active γIUD inserted in menstrual interval, 476 after abortion. By the end of the first year, the pregnancy rates with IUD in situ from the two groups were low (≤0.12/100 women year). The expulsion rates of two groups were 1.53/100 women years and 2.20/100 women years, respectively. For the expulsion reasons, IUD moving down was the most significant. The removal rate for medical reason were 1.76/100 women years and 1.06/100 women years in the two groups, and all of the medical removals in postabortion group occurred within 3 months. During the first 3 months after insertion, the removal rate for IUD relation in abortion group was higher than that in menstrual interval group. But by the end of the year, the removal rate for IUD relation of two groups were almost equal. All above, the differences were not statistically significant (P>0.05). Conclusion: Insertion of active γIUD in menstrual interval or immediately after vacuum aspiration are feasible, safe and effectiveness.
2014 Vol. 22 (3): 166- [Abstract]（
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Li Yimei, Wu Xiaoling
Objective: To evaluate the efficacy of radiofrequency endometrial ablation (RFEA) in treating abnormal uterine bleeding (AUB). Methods: Eightyfour women with AUB due to benign causes received RFEA treatment. Preoperative endometrial thinning was carried out using uterine curettage. All the patients were followedup at 1, 3, 6, 12 and 24 months after the treatment. The treatment effectiveness and sideeffects were evaluated. Results: Of these patients, the treatment succuss was found with no complication in 23 women with severe medical diseases. The endometritis in 6 women and the hematometra in 2 women were reported. The concentration of hemoglobin in 53 women with anemia increased significantly from (83±24) g/L to (118±19) g/L 3 months after operation (P<0.01). In 78 premenopausal women, amenorrhea in 49 (62.8%) women, a small amount of irregular vaginal bleeding in 2 (2.6%) women and regular menstruation in 27 (34.6%) were reported after the treatment and the treatment efficiency was 97.4% (76/78), and dysmenorrhoea was relieved in 75.0% (18/24) patients. During 2 years of followup visits, no abnormal uterine bleeding was reported in all of the premenopausal women. Meanwhile, no bleeding occurred in any one of 6 postmenopausal patients after RFEA. Conclusion: RFEA is a simple, safe and effective treatment on AUB.
2014 Vol. 22 (3): 171- [Abstract]（
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Liu ShuHong, Wu Yan, Dan Zeng, et al
Objective: To discuss whether methyl violet staining could distinguish between live and dead sperm, and in turn, to provide a new method for determining sperm survival and service male semen testing and the quality evaluation. Methods: Semen samples were stained with different concentrations of methyl violet solution and the staining results were observed under optical microscope to distinguish the live sperm and the dead sperm. The amount of total sperm was counted and the survival rate was calculated. The same semen samples were also analyzed with eosin staining, and the survival rates from two methods were compared statistically. Results: After methyl violet solution staining survived sperm was mainly light blue under the microscope, and dead sperm was mainly purple, the survival rate calculated was of no significant difference comparing with that of eosin staining method. Conclusion: The results of this study prove that a certain concentration of methyl violet staining can clearly distinguish the live sperm and the dead one, further the sperm survival rate of methyl violet could be reliable, and can be used as a new analysis of sperm survival evaluation.
2014 Vol. 22 (3): 174- [Abstract]（
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Wan Min, Zhao Jinyin, Qu Shoufang, et al
Objective: To evaluate the performance of new human papillomaviruses (HPV) genotyping methods, matrixassisted laser desorption/ionization time-off light mass spectrometry (MALDI-TOF-MS) and surface plasmon resonance (SPR) by control materials and clinical samples. Methods: The performance of new HPV genotyping methods, MALDI-TOF-MS and SPR in 30 kinds of HPV control materials and in 129 cases of cervical smears was evaluated. Results: The HPV genotyping accuracy of both MALDI-TOF-MS and SPR was 100% for the HPV genotyping of control materials. To appreciate the sensitivity and specificity of the MALDI-TOF-MS and SPR tests, the results obtained by both tests were compared to consensus HPV results. The consensus HPV results showed that 129 cervical samples contained 93 positive samples and 36 negative samples. Among 129 cervical samples, the high-risk-HPV genotyping accuracy was 100% (77/77) by MALDI-TOF-MS and 94.8% (73/77) by SPR, respectively. The sensitivity of MALDI-TOF-MS (88.2%, 82/93) was similar to that of SPR (98.9%, 92/93). The specificity of MALDI-TOF-MS was 88.9% (32/36). The specificity of SPR was 97.2% (35/36). Conclusion: These results support that MALDI-TOF-MS is a sensitive, specific and feasible method for high-risk-HPV detection in clinical application, compared with the SPR method.
2014 Vol. 22 (3): 178- [Abstract]（
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