1.Analysis of the changes of antisperm antibody, antiendometrial antibody and anti-mulerian hormone in serum of women with infertility
Yan WANG ; Yumin GENG ; Huimin LIU ; Hongbiao TIAN
Clinical Medicine of China 2012;28(11):1218-1220
		                        		
		                        			
		                        			ObjectiveTo examine the level of antisperm antibody (ASAb),antiendometrial antibody (EMAb) and anti-mulerian hormone(AMH) in serum of women with infertility and to provide a reliable basis for prediction,diagnosis and treatment of infertility.Methods Two hundred cases of women with infertility visiting our hospital between May.2010 and May.2011 were chosen as the infertility group and 100 cases of women with fertility experience visiting our hospital at the same period with the infertility group were chosen as the controlgroup.We examined the presence of ASAband EMAb and the levelsof AMHof the participants.ResultsIn the infertility group,the total positive rate of serum ASAb was 27.5% (55/200) and the positive rates of ASAb-IgG,ASAb-IgM and ASAb-IgA were 11.5 % (23/200),22.5 % (45/200) and 9.5 %(19/200) respectively.While in the control group,the rates were 6.0% (6/100),1.0% (1/100),0 and 2.0%(2/100) respectively ( x2 =5.33,5.37,5.41,4.05 ;P < 0.05 ).The total positive rate of EMAb was 148.5%(97/200),and the positive rates of EMAb-IgG and EMAb-IgM were 13.5% and 32.5% respectively,and EMAb-IgG + EMAb-IgM positive rate was 5.5% (11/20).These parameters were significantly higher than those in the control group [0,1.0% (1/100),3.0% (3/100),0,x2 =5.01,5.24,5.16,5.33 ;P <0.01 ].There was significantly difference on the level of AMH between the experimental group and the control group [ (5.39 ±1.42) μg/L vs.(2.55 ± 1.27 ) μg/L,t =5.39,P < 0.01 ].Significant correlation was found between ASAb and EMAb( x2 =6.27,P =0.03) by correlation analysis.ConclusionThe level of AMH and the positive rates of ASAb and EMAb are higher in women with infertility than in normal people. Detection of ASAb,EMAb and AMH are important in in finding cause for infertility and taking appropriate measures to treat infertility
		                        		
		                        		
		                        		
		                        	
2.Investigation report on the current status of health resources in second-tier urban hospitals and above in Henan Province
Juyu CAI ; Hongbiao ZHU ; Qingfeng TIAN
Chinese Journal of Hospital Administration 1996;0(03):-
		                        		
		                        			
		                        			Objective  To find out the possession and utilization of urban medical resources in Henan as well as other factors like medical quality, service level and human resources. Methods  A general investigation was made of the possession and structure of health resources and the level of medical services in second  tier urban hospitals and above in 18 cities of Henan Province. Results  There are altogether 182 second  tier urban hospitals in the province, with a total of   51 107   beds and a total of   22 859   doctors. The ratio of doctors to nurses is 1∶1  04, the bed utilization rate is 65  55%, the bed workdays are 234  63 days, the average bed turnover frequency is 15  51 times, and the average length of stay is 13  87 days. The average income surplus per hospital is   1 502 700   yuan, with the income from the sale of pharmaceuticals accounting for 44  67% of the total income. Conclusion  The operating efficiency of second  tier urban hospitals and above in Henan Province is close to the average national level, the structure of hospital allocations needs readjustment, and the percentage of income from the sale of pharmaceuticals is on the high side.
		                        		
		                        		
		                        		
		                        	
            
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