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Objective To investigate satisfaction and treatment confidence of the infertility patientswho had received in vitro fertilization-embryo transfer（IVF-ET） treatment in one reproductive medicine department of Yunnan Province for providing a basis in terms of increasing efficient of service process， improving service quality and patient satisfaction of the assisted reproductive services. Methods A total of 161 female patients were interviewed，with an average age of 33 years and the average age of their husbands was 35 years. 113 patients （70.2%） were satisfied with the overall evaluation of the department，but the evaluation of service links such as registration and payment was relatively low，and the satisfaction score was 5.54. The most concernedproblem of patients is about the fewer number of occytes retrieved， accounting for 34.8% ， followed by the number of high-quality embryos，accounting for 30.4%. Their corre sponding average score of confidence in treatment was 4.95 and 4.78 respectively. The logistic regression results showed that women with in high school or a technical secondary school education （OR=0.372，95%CI：0.159-0.870） and Patients who have experienced problems in all aspects of treatment（OR=2.520，95%CI：1.117-5.687） are more likely to affect their satisfaction. The average waiting time of patients in all aspects of the visit is basically within the acceptable range. The low success rate of transplantation is the primary reason why patients （37.9%） choose to go to other hospitals for treatment. Conclusion During the patients visiting in the hospital，they were satisfied with the overall quality of service in all aspects of the reproductive medicine department， however，the registration fee， the treatment cards processing and outpatient service still need to be improved. The medical staff should help the problems that occur during the patient's visit promptly and effectively， and reduce the risk of patients' loss. [ABSTRACT FROM AUTHOR]

Objective　To assess the correlation between neutrophil-lymphocyte ratio （NLR） and the disease activity of systemic lupus erythematosus （SLE）. Methods　A total of 536 patients with SLE from the Department of Rheumatology and Immunology of the First Affiliated Hospital of Kunming Medical University were selected. According to the SLE Disease Activity Index （SLEDAI） score，patients with SLE were divided into inactive group，lightly active group，moderately active group，and severely active group. The differences in NLR among the four groups were compared，and the correlation between NLR and SLEDAI score was analyzed through Spearman correlation analysis. Results　There were differences in NLR levels among the four groups. The results of pairwise comparison showed that the NLR level of the moderately active group was higher than that of the inactive group （adjusted P < 0.001）；the NLR level of the severely active group was higher than that of the inactive group （adjusted P < 0.001）；the NLR level of the severely active group was higher than that of the lightly active group （ P = 0.011 after adjustment）. The NLR of SLE patients were positively correlated with SLEDAI scores （ P < 0.05. Conclusion　NLR can be used as a reference index to evaluate the disease activity of SLE patients. [ABSTRACT FROM AUTHOR]

Objective To evaluate the association between neutrophil-lymphocyte ratio （NLR） and renal damage in patients with systemic lupus erythematosus （SLE）. Methods A total of 410 patients with SLE from the Department of Rheumatology and Immunology of the First Affiliated Hospital of Kunming Medical University were selected. According to whether accompanied by renal involvement, patients with SLE were divided into non-lupus nephritis group （non-LN group） and lupus nephritis group （LN group）. The differences in NLR between the two groups were compared, and the correlation between NLR and renal damage was analyzed. Results The NLR of LN group was significantly higher than that of SLE patients in non-LN group, and the difference wsa statistically significant （P < 0.05）. The NLR of SLE patients were positively correlated with leukocyte count, neutrophils count, serum creatinine, blood urea nitrogen, ESR, CRP, PCT and 24-hour urine protein, and negatively correlated with lymphocyte count, total protein, albumin and globulin, respectively. Conclusion NLR can be used as an auxiliary index to evaluate renal damage in SLE patients. [ABSTRACT FROM AUTHOR]

Objective　 To investigate the clinical application value of anti-dsDNA antibody, complement C3 and other laboratory indicators in patients with systemic lupus erythematosus (SLE) with renal injury. Methods　The clinical data of 296 SLE patients were retrospectively analyzed. The differences of autoantibodies and other laboratory indicators between SLE with renal injury group and without renal injury group were compared, and the immunological indicators of SLE renal injury were found. Results　The positive rates of serum anti-dsDNA, anti-nucleosome and anti-histone antibodies in SLE with renal injury group were significantly higher than those in without renal injury group, serum renal function indexes such as urea, creatinine and uric acid, electrolytes such as potassium, chlorine and calcium ion were significantly higher than those in without renal injury group, and the levels of immunoglobulin IgG, IgA and complement C3 were significantly lower than those in without renal injury group (P < 0.05). Conclusion　Anti-dsDNA, anti-nucleosome, anti-histone autoantibodies, complement C3 and other laboratory indicators may be associated with renal injury in SLE patients. [ABSTRACT FROM AUTHOR]

Objective To study the effect of pre-operative internal iliac artery capsule combined with the lower segment of the uterus with annular suture on the treatment of postpartum hemorrhage caused by dangerous placenta previa and the long-term effect of the operation. Methods from January 1, 2015 to March 31, 2017,the second people’s Hospital of Yunnan province for Cesarean danger in placenta of patients using preset internal iliac artery balloon combined with lower uterine segment ring-shaped suture in the treatment of 22 cases of patients as research group, Lower uterine segment multiple is not used in loop suture for treatment, but has a preset internal iliac artery balloon 18 cases of dangerous patients with placenta previa, as retrospective analysis clinical data of the comparison group. Results Mean blood loss in 22 patients 1329.54±290 ml. Does not occur in all patients around organ damage and other complications. 1 examples of hysterectomy. 5.23 days postoperative average hospital stay.After 3 months of follow-up ultrasound, uterus shape well. In 18 patients in the control group average blood loss1451.11 ±311 ml of blood loss were significantly higher in the study group, there was a statistically significant difference(P<0.05). 2 examples of hysterectomy in the control group. Uterine reservations there was statistically significant(P<0.05). Conclusion Combined preset internal iliac artery balloon uterus circular suturing for the dangerous result of placenta previa with placenta accreta intraoperative uterine bleeding for better effect. [ABSTRACT FROM AUTHOR]

Objective To analyze the presence of fetal deformation inconsistencies in different mode of delivery through evaluating the value of ultrasonography during the diagnosis of Cephalic presentation dystocia， and provide a theoretical guide to early identify Cephalic presentation dystocia with the proper usage of ultrasound. Methods In the study，through a case-control design，total term maternal 260 cases were selected from the Second People's Hospital of Yunnan Province from July 2015 to October 2016 deliveries which were normal pelvis. These pregnant women were measured by LaborPro Delivery monintoring system's noninvasive monitoring. Among those cases excluding fetal distress and social factors，there were 149 cases of natural childbirth，46 cases of forceps deliveries and 65 cases of caesarean birth. Comparing the difference of the related indicators such as fetal biparietal diameter，head circumference in three groups' data, the paper assessed the value and limitations of ultrasonography for identifying Cephalic presentation dystocia, and analyzed possible reasons of its limitations．Results In these ultrasound indicators， there were significant differences of BPD， head circumference, upper abdominal circumference values between Dystocia group and Natural childbirth group(P<0.05) . B-ultrasonic indicators of biparietal diameter，head circumference provided valuable prediction for dystocia prediction. Natural childbirth， forceps deliveries and cesarean birth, there were some differences of BPD and the head circumference changing of the amplitude(P<0.05) . Conclusions The ultrasound can not be completely as a basis for judging cephalopelvic disproportion. This study shows that the presence of fetal deformation inconsistencies in different mode of delivery. Therefore，Clinical evaluation of head-position dystocia requires comprehensive use of ultrasound and other relevant clinical examinations. [ABSTRACT FROM AUTHOR]