World Journal of Clinical Medicine is an international, peer-reviewed open access journal dedicated to advancing research the field of clinical medicine. The journal provides a rapid publication process to ensure wide dissemination of high-quality articles to scientists, professionals, and interested individuals worldwide. Our goal is to serve as an efficient, reliable, and trusted platform for scholars and readers, publishing cutting-edge research in the field.
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, ATⅢ 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.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 Provin...Learn More
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 a comparable group of women. But if there were no restrictions on the indication of oocyte freezing for non-medical indications, which could cause our society withstand the corresponding potential risks? Therefore, we fully discussed the ethical issues involving in oocyte freezing without medical indications in this article, and promoted its countermeasures. This would provide a theoretical reference for better protecting women's reproductive rights while avoiding corresponding risks in the future.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 inc...Learn More
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 (P = 0.006); Cesarean section, childbirth and sexual intercourse pain are the influencing factors of poor cooperation score. Conclusion: gynecological examination fear is very common. The higher the degree of fear, the worse the degree of examination cooperation; Those with sexual intercourse pain, abortion history and regular physical examination have a relatively high degree of fear in gynecological examination. The history of cesarean section and sexual intercourse pain are the influencing factors of poor cooperation in examination. It is suggested that doctors should act gently during operation, use anesthesia during abortion operation, and guide pregnant women to adjust their emotions in time to avoid long-term fear.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 ...Learn More
Abstract: Objective: To observe and analyze the prognosis and factors of hospitalized patients with emergency tracheal intubation. Methods: From January 2015 to December 2018, the hospitalized patients undergone emergency endotracheal intubation in Union Hospital Affiliated to Fujian Medical University were retrospectively analyzed. The primary goal was in-hospital mortality 30 days after intubation; the secondary observation indicators were intubation causes, causes of death, intubation operation site (surgical ward or medical ward) and time (daytime or off-hours), ICU admission, etc. The differences of the above indexes and the risk factors of mortality were analyzed. Results: 558 patients with emergency endotracheal intubation were included in the study. The hospital mortality rate was 66.8%, showing a downward trend year by year; the most common causes of intubation were respiratory system diseases, cardiovascular system and nervous system diseases. The proportion of patients receiving emergency intubation in medical ward was significantly higher than that in surgical ward, and the mortality was also significantly higher than that in surgical ward (P<0.05); there was no significant difference in the intubation time between the dead patients and the surviving patients (P=0.36). The ICU occupancy rate of patients who died in hospital was significantly lower than that of patients who survived (P=0.00). Of the survival patients, the rate of cardiopulmonary cerebral resuscitation after intubation decreased significantly (P=0.04). In the death patients after intubation, the mean arterial pressure and venous oxygen saturation before intubation were significantly lower than those in the survival patients (P=0.00), and the shock index was significantly higher than that in the survival patients (P=0.00). Conclusion: The prognosis of patients with emergency endotracheal intubation is poor; The in-hospital mortality is as high as 66.8%; Intubation in surgical ward and ICU occupancy after intubation both are the risk factors to reduce the in-hospital mortality.Abstract: Objective: To observe and analyze the prognosis and factors of hospitalized patients with emergency tracheal intubation. Methods: From January 2015 to December 2018, the hospitalized patients undergone emergency endotracheal intubation in Union Hospital Affiliated to Fujian Medical University were retrospectively analyzed. The primary goal was in-h...Learn More
