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Demographic and Assisted Reproduction Related Factors Associated with Dichorionic Triplet Gestations 预览
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作者 Barbara V. Parilla Brett Goldman +2 位作者 Sue Jasulaitis Suela Sulo Angeline Beltsos 《妇产科期刊(英文)》 2015年第13期740-745,共6页
Our objective was to evaluate which demographic factors or assisted reproductive technologies were associated with IVF triplet gestations where one of the embryos split, resulting in a dichorionic triplet gestation. T... Our objective was to evaluate which demographic factors or assisted reproductive technologies were associated with IVF triplet gestations where one of the embryos split, resulting in a dichorionic triplet gestation. This was a case-control study of dichorionic versus trichorionic triplet gestations that underwent assisted reproductive technology over the last 5 years at our fertility center. There were 53 cases of dichorionic triamniotic triplet gestations compared to 119 trichorionic triplet controls. There were no significant demographic differences between the cases and controls. 51/53 dichorionic triplets and 86/119 trichorionic triplets were conceived through IVF, the remaining utilized intrauterine insemination. ICSI was performed in virtually all patients that underwent IVF. Of the potential risk factors studied, hatching was used in 70.6% of dichorionic compared to 89.5% of trichorionic IVF triplets (p = 0.005);embryo transfer was performed on Day 5 or 6 compared to Day 3 in 88.0% dichorionic vs 71.8% trichorionic (p = 0.028). Frozen sperm was utilized more frequently with dichorionic than with trichorionic triplets, 26.0% vs 10.9% (p < 0.011). Only 4 (7.5%) of the IVF cases underwent pre-implantation genetics. Certain assisted reproductive technologies appear to be associated with embryo splitting and a dichorionic triplet gestation. More research is needed in this area to further elucidate these findings. 展开更多
关键词 MONOCHORIONIC TRIPLETS EMBRYO Splitting
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中国老年人营养不良对健康和医疗花费的影响 被引量:5
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作者 韦军民 樊琳琳 +4 位作者 张毓辉 Jamie Partridge 许凌 李晓青 Suela Sulo 《中华老年医学杂志》 CSCD 北大核心 2017年第8期929-933,共5页
目的评估中国老年人营养不良现状及其对日常生活自理能力、健康状况、慢性病和医疗花费的影响。方法本研究资料来自北京大学2013年中国健康与养老追踪调查(China Health and Retirement Longitudinal Survey,CHARLS)数据库,该数据... 目的评估中国老年人营养不良现状及其对日常生活自理能力、健康状况、慢性病和医疗花费的影响。方法本研究资料来自北京大学2013年中国健康与养老追踪调查(China Health and Retirement Longitudinal Survey,CHARLS)数据库,该数据库涵盖了社区中老年居民的基本信息、家庭、健康状况和功能、医疗保健与保险以及工作收入信息。本研究抽取60岁及以上的老年人,最终样本量超过5900人。根据体质指数、体重减轻和握力下降定义营养不良,采用卡茨ADL指数和Lawton-Brody IADL指数测定日常生活自理能力,利用自我评价健康状况评估老年人的健康状况;运用Ordered Logistic回归分析营养不良对ADL、IADL和健康状况的影响。采用Logistic回归分析营养不良与不同慢性病的相关性。采用0LS回归分析由营养不良导致的健康状况所引起的医疗费用。结果30%的老年人患营养不良。营养不良与老年人IADL降低显著相关(OR=0.868,P〈0.05),并且降低老年人健康水平(OR=0.675,P〈0.001),增加患脑卒中(OR=1.399,P〈0.05)和慢性胃病(OR=1.241,P〈O.001)的概率。营养不良通过降低老年人健康水平与人均年医疗花费上升显著相关(增长了214元,14%,P〈0.01)。结论我国老年人营养不良发生率较高。营养不良导致老年人生活自理能力、健康水平的下降和相关医疗花费增加。常规对老年人进行营养风险筛查和评定,制定科学、个性化的营养支持方案,给予适时、适度的营养支持治疗,能提高患者的健康水平,并有效节约医疗成本。 展开更多
关键词 营养不良 健康状况 日常生活能力
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