Endometrial Status and Embryonic Implantation about 150 Cases at the Medically Assisted Procreation Laboratory “Le Diafounou”

Background: The endometrium is the tissue that lines the inside of the uterus. It undergoes multiple changes during the menstrual cycle and prepares to welcome the fertilized egg. Endovaginal ultrasound is a first-line examination in the assessment of female infertility. Objective: We aimed to determine the impact of endometrial status by endovaginal ultrasound on the outcome of embryo transfers. Subjects and Methods: This was a prospective cross-sectional study of 150 women collected between January and October 2020 at the “Le Diafounou” medically assisted procreation laboratory. Were included in the study, women presenting for desire of pregnancy and having continued the treatment until the transfer of fresh or frozen embryos. An uterine score was used. This score took into account the thickness of endometrium, it is coffee bean aspect, the presence of the notch, the echogenicity of the endometrium, the pulsatility index, the presence of the flow at the end of diastole and sub-endometrial flow. Ultrasounds were performed using a General Electric logic 500, logic 9 and Voluson E8 device. The data was entered into Excel and then analyzed using SPSS version 21. Results: 150 women were selected for the study. 83 women or 55.3% were between 17 and 35 years old and 44.7% were over 35 years old with an upper limit of 50 years old. The number of women who became pregnant was 69% or 46%. The average thickness of the endometrium was 11.40 mm with extremes of 4.65 mm and 18.6 mm. There was a correlation between the thickness of the endometrium and obtaining a pregnancy (p i.e. 88.7%. The pulsatility index was relatively low for those who started a pregnancy, i.e. 90%. The high pulsatility index is one of the reasons for the failure of embryo implantation. The correlation was significant (p = 0.009). 141 women had no notch in the uterine arteries, i.e. 94%. 94 women or 62.7% had a triple line endometrium or typical coffee bean appearance. End-diastolic flow was observed in 127 women, i.e. 84.7%. The sub-endometrial flow was found in 128 women or 85.3%. Conclusion: The Knowledge of the status of the endometrium is essential and has an impact on the outcome of embryo transfers. The thinner (7 and <15). Doppler factors also play an important role.

Medical assistance in fighting against COVID-19 in Wuhan,China:A frontline nurse’s experience and lessons learned

This article shared personal experiences of encountering challenges during the work at the frontline fighting against COVID-19 in Wuhan,China,and found solutions and suggestions to overcome the challenges during the period,including solutions to address challenges encountered during work,suggestions for smooth communication among different parties,and suggestions for optimizing work regulations and workflow and establishing behavior habits and professional knowledge and practices.These experiences would be helpful for health‑care workers to fight against the pandemic.

公立医院协助慈善医疗救助的实践与思考:以“格桑花之爱”项目为例

在政府主导下,作为社会救助体系和社会保障制度的重要方面和必要补充,慈善医疗救助对推进健康中国建设、增进民生福祉、提高人民生活品质起到不可或缺的作用,但在实践中也面临着一些困难和问题。文章以上海市儿童医院开展“格桑花之爱”项目的实践经验为例,提出有助于完善医疗机构慈善救助工作的建议,以期促进公立医院慈善医疗救助工作更好发展。

Human Herpes Virus Type 2 ( HSV2 ), Human Cytomegalovirus (HCMV) in the Male Genital Tract and Fertilization

The possibility of infection of the human male genital tract by human herpes virus type 2 (HSV2) or human cytomegalovirus (HCMV) is well established and their sexual transmission has been the object of many studies. Moreover, medically assisted procreation, which helps in numerous fertility problems, raises the question of new viral risks linked to the application of these new technologies. In this review, we shall consider current knowledge in terms of the presence of HSV 2 and HCMV in the different parts of the genital tract of immunocompetent or immunodepressed men. We shall also consider the possibility of viral transmission by the sexual act or by the various techniques used in medically assisted procreation. We shall describe studies in human beings and in animals.

On the ＂real people＂ in social security -Based on the existing social security system in China

In Chinese the existing social security system mode, all the provinces of the endowment insurance, social welfare, medical care and other aspects there are many problems, such as the loss of independence for the elderly pension problems, nursing homes, the contradiction between supply and demand of the elderly spiritual comfort and social medical assistance etc. there was a lot of trouble, but also formulated by the state the social security system does not take into account the above situation, this article mainly from the angle analysis, we propose to combine the actual situation in the present and make some laws and regulations, through the redistribution of national finance, provide material guarantee to solve the fundamental contradiction of reality and to solve this problem fundamentally, to avoid the occurrence of social conflicts. The discussion of the people in the reality of social security has the double meaning of theory and practice.

Euthanasia:National and International Experience(Based on the European Court of Human Rights Practice Materials)

Purpose:The relevance of the study is that today,there is no unanimous position on the right to euthanasia implementation.The European Court of Human Rights(ECtHR),in making its decision,relies on the national legislation of the respective state,as there is no single decision on the right to euthanasia in the European space.Therefore,the aim of the article is to comprehensively study the phenomenon of euthanasia,elaborate the decisions of the ECtHR on euthanasia and related rights,and develop recommendations on the possibility of legalizing euthanasia in Ukraine and prospects for the right to die implementation.Methodology:The leading method of research of this issue is comparative and law,which allows to comprehensively consider the right to euthanasia and its positive and negative components and helps to establish trends in the implementation of the outlined phenomenon.Findings:The article analyzes the current state of international and domestic legislation of some states on the use of euthanasia,reveals the meaning of the term“euthanasia,”provides a classification of euthanasia,analyzes the decisions of the ECtHR,and presents examples of national legislation of states within which euthanasia is legalized,the peculiarities of euthanasia recognition in the world are analyzed,as well as the research on the possibility of euthanasia legalization in Ukraine is presented.Value:The materials of the article have practical value for all those interested in euthanasia and the realization of the right to die,as well as for practicing lawyers and judicial authorities.

Disaster response approach in Hong Kong

The article will have a brief look at the overall disaster response approach in Hong Kong.The roles and responsibilities of individual frontline emergency response forces will be explained.Actions of individual parties in a multiple casualty incident(MCI)will be highlighted.Furthermore,common on-site problems will be identified and suggestions for improving the effectiveness of field operation in a frontline practical perspective will be discussed and summarised.