Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing ...Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing nations emphasis is placed on childbirth and inability to fulfill this role can be very distressing. There is an unmet need for assisted reproductive technology (ART) in many developing countries and where facilities exist, they are mostly privately owned, expensive and concentrated in urban areas. To bridge this gap, public fertility clinics have been established to provide subsidized care. Evaluating the characteristics and peculiarities of clientele presenting at these public facilities will aid planning and prioritization of care. Methodology: A descriptive retrospective study of 116 infertile patients presenting to the fertility clinic of the University College Hospital, Ibadan, Nigeria from inception on the 14<sup>th</sup> of February 2019 and 31<sup>st</sup> of December 2022.Data was analyzed using the Statical Package for Social Sciences (IBM, SPSS, New York) version 23. Descriptive statistics were used to summarize the results which were presented with the aid of bar charts and frequency tables. Result: The mean age of the patients was 40.70 ± 6.62 years. Post-menopausal patients accounted for about one-fifth of the study population while 80.2% (93 women) were older than 35 years. The mean duration of infertility was 9.39 ± 6.11years and nine patients (7.8%) had a duration greater than 2 decades. Secondary infertility occurred in 67.2% of the women. Twenty-nine women (25%) had undergone myomectomy prior to presentation. Hypertension (11.2%) was the most prevalent comorbidity. Nineteen patients (16.4%) had used contraceptives in the past with the male condom (36.8%)being the most preponderant. Sixty-seven patients had experienced pregnancy losses before 28 weeks of gestation while just 16 patients (13.8%) had undergone ART, and none was successful. Conclusion: Secondary infertility was the prevalent type of infertility and may not be unconnected with the low contraceptive usage and high risk of sexually transmitted infection. Late presentation coupled with a large proportion of post-menopausal clientele suggests delayed health-seeking behavior most probably due to the prohibitive cost of ART. The need to streamline services offered in public fertility clinics is paramount in low-income countries grappling with scarce resources. A pragmatic approach will involve the provision of low-cost ART, while enhancing gamete donation programs through the implementation of gamete sharing policies. This will invariably bridge the unmet need and skewed access to ART in developing countries.展开更多
The rescue work of our country is facing with huge moral risk, the problem that the waste and the lack of resistance resources exist at the same time commands the realization of the accurate allocation of assistance r...The rescue work of our country is facing with huge moral risk, the problem that the waste and the lack of resistance resources exist at the same time commands the realization of the accurate allocation of assistance resources. Basing on the analysis of the characteristics and hazards of this population, the writer puts forward the suggestions to construct the urban vagrants＇ accurate rescue system with the relevant suggestions： perfecting the relief systern, fulfilling the basic functions of the relief management station, setting up an environment of sound laws and regulations. Take the temporary solution as the way and the permanent cure as the goal, not only achieve the resolve of the matter on surface, but also the matter of essence, enhance the overall viability of the urban wandering population.展开更多
North East Asian countries are facing to rapid increase in aged population ratio.The most recent values of aged population ratios are 19.5%,8.7%,and 6.9%,for Japan,Korea and China,respectively.One of the welfare servi...North East Asian countries are facing to rapid increase in aged population ratio.The most recent values of aged population ratios are 19.5%,8.7%,and 6.9%,for Japan,Korea and China,respectively.One of the welfare services in the aged society is provision of assistive products.Electronic control systems are commonly adopted in modern assistive products and sensors are indispensable for control units.Alarm systems,such as fire alarm,smoke detectors,and gas leak detectors,have been regarded as indispensable to safety of elderly persons and persons with disability.Main application of chemical sensors in home care of elderly persons is in the field of personal care and personal medical treatment.Products for personal medical treatment include that for medical treatment in home care and that to keep elderly persons healthy.Large market is expected in the latter one.展开更多
文摘Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing nations emphasis is placed on childbirth and inability to fulfill this role can be very distressing. There is an unmet need for assisted reproductive technology (ART) in many developing countries and where facilities exist, they are mostly privately owned, expensive and concentrated in urban areas. To bridge this gap, public fertility clinics have been established to provide subsidized care. Evaluating the characteristics and peculiarities of clientele presenting at these public facilities will aid planning and prioritization of care. Methodology: A descriptive retrospective study of 116 infertile patients presenting to the fertility clinic of the University College Hospital, Ibadan, Nigeria from inception on the 14<sup>th</sup> of February 2019 and 31<sup>st</sup> of December 2022.Data was analyzed using the Statical Package for Social Sciences (IBM, SPSS, New York) version 23. Descriptive statistics were used to summarize the results which were presented with the aid of bar charts and frequency tables. Result: The mean age of the patients was 40.70 ± 6.62 years. Post-menopausal patients accounted for about one-fifth of the study population while 80.2% (93 women) were older than 35 years. The mean duration of infertility was 9.39 ± 6.11years and nine patients (7.8%) had a duration greater than 2 decades. Secondary infertility occurred in 67.2% of the women. Twenty-nine women (25%) had undergone myomectomy prior to presentation. Hypertension (11.2%) was the most prevalent comorbidity. Nineteen patients (16.4%) had used contraceptives in the past with the male condom (36.8%)being the most preponderant. Sixty-seven patients had experienced pregnancy losses before 28 weeks of gestation while just 16 patients (13.8%) had undergone ART, and none was successful. Conclusion: Secondary infertility was the prevalent type of infertility and may not be unconnected with the low contraceptive usage and high risk of sexually transmitted infection. Late presentation coupled with a large proportion of post-menopausal clientele suggests delayed health-seeking behavior most probably due to the prohibitive cost of ART. The need to streamline services offered in public fertility clinics is paramount in low-income countries grappling with scarce resources. A pragmatic approach will involve the provision of low-cost ART, while enhancing gamete donation programs through the implementation of gamete sharing policies. This will invariably bridge the unmet need and skewed access to ART in developing countries.
文摘The rescue work of our country is facing with huge moral risk, the problem that the waste and the lack of resistance resources exist at the same time commands the realization of the accurate allocation of assistance resources. Basing on the analysis of the characteristics and hazards of this population, the writer puts forward the suggestions to construct the urban vagrants＇ accurate rescue system with the relevant suggestions： perfecting the relief systern, fulfilling the basic functions of the relief management station, setting up an environment of sound laws and regulations. Take the temporary solution as the way and the permanent cure as the goal, not only achieve the resolve of the matter on surface, but also the matter of essence, enhance the overall viability of the urban wandering population.
文摘North East Asian countries are facing to rapid increase in aged population ratio.The most recent values of aged population ratios are 19.5%,8.7%,and 6.9%,for Japan,Korea and China,respectively.One of the welfare services in the aged society is provision of assistive products.Electronic control systems are commonly adopted in modern assistive products and sensors are indispensable for control units.Alarm systems,such as fire alarm,smoke detectors,and gas leak detectors,have been regarded as indispensable to safety of elderly persons and persons with disability.Main application of chemical sensors in home care of elderly persons is in the field of personal care and personal medical treatment.Products for personal medical treatment include that for medical treatment in home care and that to keep elderly persons healthy.Large market is expected in the latter one.
