Risk factors associated with heat-related illness among sugarcane farmers in Thailand

Heatstroke is defined as severe symptoms of heat-related illness, which could lead to death. Sugarcane farmers are at high risk of heatstroke under extremely hot outdoor working conditions. We explored the prevalence of heat-related illness symptoms and risk factors related to heat-related illness among sugarcane farmers working in the summer. We conducted a cross-sectional study using questionnaire interviews among 200 sugarcane farmers in Kamphaeng Phet Province, Thailand. The questionnaire addressed demographics, heat-related symptoms experienced during summer at work, and occupational factors. Bioelectrical impedance analysis was used to assess body mass index and body fat percentage. Watson formula equations were used to estimate total body water. The prevalence of heat-related illness symptoms was 48%; symptoms included heavy sweating, weakness/fatigue, dizziness, muscle cramps, headache, and vertigo. Factors associated with heat-related illness included women and clothing. Sugarcane farmers wearing two-layer shirts had a higher risk of heat-related illness. Farmers with fluid intake 3.1–5.0 liters per day had a 79% lower risk of heat-related illness. Our findings demonstrated that sugarcane farmers are at risk of heat-related illness. We confirmed that working conditions, including wearing proper clothing and water-drinking habits, can reduce this risk.     

孕期营养指导在围产期孕妇保健工作中的应用效果分析

目的:研究将孕期营养指导应用于围产期孕妇中的作用与效果.方法:摘选2018年8月至2019年8月,本院接收的围产期孕妇280例,依据随机化分组,分为A组(n=140)、B组(n=140),A组施予常规性护理,而B组施予孕期营养指导,观察并比较其最终的结果.结果:B组各项营养状况指标与A组相比显著性更高(P<0.05);...     

孕产妇初乳及外周血矿物质含量及相关性分析

目的 了解孕产妇初乳及外周血矿物质含量及其相关性.方法 选取2019年5月在首都医科大学附属复兴医院生产的80名孕产妇为研究对象,收集其初乳及外周血.后采用微波消解-电感耦合等离子体质谱及原子荧光光谱测定其中9种矿物质含量,后利用SPSS 21.0探讨初乳中矿物质间及其与外周血之间的相关性.结果 检测的9种矿物质中,初...     

排卵汤联合枸橼酸氯米芬治疗多囊卵巢综合征不孕症46例临床观察

目的观察排卵汤联合枸橼酸氯米芬(CC)治疗多囊卵巢综合征(PCOS)不孕症临床疗效。方法将139例PCOS不孕症患者随机分为3组。对照1组46例予CC治疗,对照2组47例予CC、注射用尿促性素(HMG)治疗,治疗组46例予排卵汤联合CC治疗。观察子宫内膜厚度、排卵率、妊娠率、未破裂卵泡黄素化(LUF)、多胎率及流产率等。结果治疗组流产率、多胎率均低于对照1组、对照2组(P0.05);治疗组子宫内膜厚度为8~12 mm患者百分率及妊娠率高于对照1组、对照2组(P0.05)。结论排卵汤联合CC治疗PCOS患者可以获得满意的周期妊娠率,并降低并发症的发生。     

秦亮甫教授治疗围绝经期女性尿路感染经验撷英

总结全国名老中医秦亮甫教授治疗围绝经期女性尿路感染的学术思想和用药经验。     

Construction of an integrated sexual function questionnaire for women with breast cancer

ObjectiveWith the increasing incidence of breast cancer in young women, its side effects have extended into the sexual lives of women. However, an appropriate tool to measure the sexual function is nonexistent. The aim of this study was to develop a suitable tool to measure sexual function in women with breast cancer.Materials and methodsAfter conducting literature reviews regarding the sexual function characteristics of women with breast cancer, this study designed a set of integrated sexual function questionnaires, which included pertinent information and three scales. The validity of the scales was examined under the guidance of three gender studies experts and two gynecologists who are also professors. Regarding the construct validity, researchers conducted exploratory factor analysis on the measurement results of 196 women with breast cancer.ResultsThe integrated sexual function questionnaires included the following three scales: “Breasts' Role Self-Checklist,” “Scales for Breasts' Role in the Foreplay,” and “Female Sexual Function Scale for BCSs.” The questionnaire tool consisted of the longitudinal time change, patients' and their partners' situation, information related to the recovery process, participants' perspective toward objectification of women's breasts, the role of breasts in foreplay during sexual activities, sexual desire, sexual satisfaction, sexual obstacle, and other self-evaluations. We first derived one factor from six questions in “Breasts' Role Self-Checklist” and named it as “The Importance of Breasts for Women.” The other two factors were obtained from eight questions in “Scales for Breasts' Role in the Foreplay” and named as “Sexual Attraction to Breasts” and “Function of Breasts in Foreplay.” In addition, three factors were derived from 16 questions in “Female Sexual Function Scale for BCSs” and named as “Sexual Desire,” “Sexual Satisfaction,” and “Sexual Obstacle.“ConclusionThis study determined that these integrated scales for breast cancer survivors are suitable due to their content validity, construct validity, and high internal consistency reliability, with a Cronbach's alpha of higher than 0.9 for all the three scales.     

麦滋林颗粒联合间苯三酚注射液治疗孕妇急性胃炎疗效观察

摘 要 目的： 观察麦滋林颗粒联合间苯三酚注射液治疗孕妇急性胃炎的临床疗效。方法: 102例急性胃炎孕妇采用随机数字法分为两组各51例。对照组予麦滋林颗粒0.67 g,餐前30 min用温水冲服,tid,观察组在对照组基础上加用间苯三酚注射液80 mg+0.9%氯化钠注射液20 ml,ivd qd。疗程均为2周。观察两组临床疗效,比较两组治疗前后症状积分变化及症状缓解时间。结果:观察组有效率明显高于对照组（94.12%vs78.43%,P<0.05),观察组治疗后胃脘痛、嗳气、口干积分较前明显下降（P<0.05）,且明显低于对照组（P<0.05）。观察组和对照组腹痛消失时间分别为（1.8±0.4）d和（3.9±1.1）d,差异有统计学意义（P<0.05）。两组患者治疗中均未出现严重不良反应。结论: 采用麦滋林颗粒联合间苯三酚注射液治疗孕妇急性胃炎临床效果较好。     

孕妇学校教育模式及课程内容需求的研究

目的：探讨孕妇学校健康教育的方法与效果及孕妇对课程内容的孕产期保健知识需求。方法选择2014年5月至11月随机调查教育模式改进前在孕妇学校参加健康教育的659名孕妇作为观察组;选择2015年6月至12月随机调查教育模式改进后在孕妇学校参加健康教育的659名孕妇作为观察组,对参加孕妇学校学习的孕产妇,采用孕产期保健知识及课程内容需求调查表进行问卷调查。结果观察组孕妇对于孕产期保健知识的掌握情况均显著的高于对照组孕妇（P<0.05）,说明改进后孕妇学校的教育模式效果优于改进前。结论孕妇学校根据孕妇的需求提供适宜多种形式的健康教育方式和内容,有利于孕产妇围产期知识的掌握,对提高孕妇学校健康教育效果显得尤为重要。     

一例高龄、高危孕妇案例分析并文献复习

随着“全面二孩”政策的放开,高龄孕产妇的人数越来越多,孕妇年龄的增加,合并内外科疾病的概率也明显增加,这也导致高龄孕妇及围生儿的不良结局增加。在实行“全面二孩”政策前,国内诸多医院的头胎剖宫产率远高于世界卫生组织推荐的15%的水平;随着“二胎政策”的落地,当初选择剖宫产的高龄妇女再次孕育新生命。育龄女性随着年龄的增加,身体各项机能逐步下降,生殖系统的功能也逐步衰退,瘢痕子宫伴随着年龄的增加逐渐老化,收缩能力下降。如何确保具有瘢痕子宫,且合并多种内外科疾病的高龄产妇安全分娩,是产科医师面临的一个新难题。通过查阅相关文献及总结青海大学附属医院1例高龄妊娠合并脑动脉瘤、颈动脉瘤、妊娠期肝内胆汁淤积症、妊娠期糖尿病的资料加深产科医师对相关疾病的重视与理解。