Objective:To identify the best predictor of late-onset severe ovarian hyperstimulation syndrome (OHSS) in ≤35 years old women undergoing ovarian stimulation.Methods:In this retrospective cohort study, the data from 1138 in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) cycles at the Third Affiliated Hospital of Guangzhou Medical University from December 2017 to December 2018 were analyzed. The pregnancy cycles were compared between OHSS group and non-OHSS group. The differences were calculated for two groups using one-way ANOVA and chi-squared test. Factors were identified to predict late onset OHSS using multivariable logistic regression. Receiver operating characteristic (ROC) curves were used to evaluate the predictors of OHSS. Results:Antral follicle count (AFC) ( P=0.009), estradiol levels on human chorionic gonadotropin (hCG) injection day ( P<0.001), the number of oocytes retrieved ( P=0.001), available embryos ( P=0.016) and high-quality embryos ( P=0.007) were higher, whereas, priming dosage of exogenous follicle-stimulating hormone (FSH) ( P=0.002), total dosage of gonadotropin (Gn) used ( P<0.001) and stimulation duration ( P=0.034) were lower in OHSS group than in non-OHSS group. The number of gestational sacs was higher in OHSS group than in non-OHSS group ( P<0.001). The number of gestational sacs ( OR=2.408, 95% CI=1.529-3.793, P<0.001) was found to be independent predictive factors of late onset OHSS in ≤35 years old women. Linear predictor (lp)=number of gestational sacs ×0.879-3.946. The risk ratio of OHSS was 2.25 for patients with the number of gestational sacs ≥2 compared with those with 1 gestational sacs. Conclusion:In ≤35 years old women, the number of gestational sacs was the independent predictive factor of late-onset severe OHSS, which was higher when ≥2 gestational sacs occurred.

Objective:To identify the best predictor of late-onset severe ovarian hyperstimulation syndrome (OHSS) in ≤35 years old women undergoing ovarian stimulation.Methods:In this retrospective cohort study, the data from 1138 in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) cycles at the Third Affiliated Hospital of Guangzhou Medical University from December 2017 to December 2018 were analyzed. The pregnancy cycles were compared between OHSS group and non-OHSS group. The differences were calculated for two groups using one-way ANOVA and chi-squared test. Factors were identified to predict late onset OHSS using multivariable logistic regression. Receiver operating characteristic (ROC) curves were used to evaluate the predictors of OHSS. Results:Antral follicle count (AFC) ( P=0.009), estradiol levels on human chorionic gonadotropin (hCG) injection day ( P<0.001), the number of oocytes retrieved ( P=0.001), available embryos ( P=0.016) and high-quality embryos ( P=0.007) were higher, whereas, priming dosage of exogenous follicle-stimulating hormone (FSH) ( P=0.002), total dosage of gonadotropin (Gn) used ( P<0.001) and stimulation duration ( P=0.034) were lower in OHSS group than in non-OHSS group. The number of gestational sacs was higher in OHSS group than in non-OHSS group ( P<0.001). The number of gestational sacs ( OR=2.408, 95% CI=1.529-3.793, P<0.001) was found to be independent predictive factors of late onset OHSS in ≤35 years old women. Linear predictor (lp)=number of gestational sacs ×0.879-3.946. The risk ratio of OHSS was 2.25 for patients with the number of gestational sacs ≥2 compared with those with 1 gestational sacs. Conclusion:In ≤35 years old women, the number of gestational sacs was the independent predictive factor of late-onset severe OHSS, which was higher when ≥2 gestational sacs occurred.

Objective To study the function of emotional capital theory in activating the nursing human resources. Methods We used emotional capital theory together with the use of incentives and humane management of emotional exchange to meet the individual demands of nurses, in order to accumulate good for the intrinsic emotional capital of the hospital. At the same time, attention was paid to detail services and vigorously carried out the moving services to accumulate external emotional capital for the hospital. Results After the implementation of emotional capital management, the satisfaction rate of the nurse improved 3.6% than before, and the satisfaction rate of the patients increased from 94.2% to 98.4%.In addition,the nursing complaints redueed from six down to two, the written recognition received from patients increased from 3 to 8, the quality of the care integrated service score increased from 93.3 points to 97.8 points on average, and the nursing errors reduced from 16 to 8. Condusions Use of emotional capital management theory was conducive to activate the nursing human resources, improve the quality of the nursing service and the efficiency of management.