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Your search keyword '"Yin-Shiuan Bai"' showing total 3 results
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3 results on '"Yin-Shiuan Bai"'

1. Effectiveness of high-intensity focused ultrasound combined with gonadotropin-releasing hormone agonist or combined with levonorgestrel-releasing intrauterine system for adenomyosis: A systematic review and meta-analysis

Author

Yi-Liang Lee, Yin-Shiuan Bai, Mu-Hsien Yu, Fung-Wei Chang, Yu-Chi Wang, Kai-Jo Chiang, Gwo-Jang Wu, and Chang-Sheng Yin

Subjects
Gonadotropin-releasing hormone, High-intensity focused ultrasound ablation, Adenomyosis, Gynecology and obstetrics, RG1-991
Abstract

Gonadotropin-Releasing Hormone Agonist (GnRH-a) and levonorgestrel releasing intrauterine system (LNG-IUS) are conventional conservative treatments for adenomyosis, and high-intensity focused ultrasound (HIFU) is a novel ablation technique. This study aimed to investigate the effectiveness of HIFU combined with GnRH-a or LNG-IUS for adenomyosis patients.In this systematic review and meta-analysis, Pubmed, Embase, Cochrane Library and Scopus databases were searched up to December 2021. Published studies comparing HIFU plus GnRH-a with HIFU plus LNG-IUS in adenomyosis patients were assessed for eligibility by two independent authors. Risk of bias tool was utilized for risk evaluation. We selected treatment effective rate of dysmenorrhea (pain during menstruation) as the primary outcome; effective rate of menorrhagia severity and reduction rate of adenomyotic lesion as the secondary outcomes. Adverse effects were assessed.Four studies with a total 729 patients were enrolled in the meta-analysis. HIFU plus LNG-IUS showed lower dysmenorrhea [within 6 months: risk ratio (RR) 0.88, 95% confidence interval (CI) 0.83–0.93, p

Published
2024
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2. Vaginoscopic hysteroscopy in management for women with post-menopausal vaginal bleeding

Author

Yi Liang Lee, Yin Shiuan Bai, and Chang Sheng Yin

Subjects
Gynecology and obstetrics, RG1-991
Abstract

Objectives: The feasibility of vaginoscopic hysteroscopy combined with office endometrial biopsy after ultrasonography for management of post-menopausal vaginal bleeding (PMB). Materials and methods: A prospective observational study of with PMB whom attending the Outpatient Clinic of Kang Ning Hospital during a four months period (1st Feb to 31st May 2018) was included. Vaginoscopic hysteroscopy was performed with endometrial biopsy after the initial clinical pelvic examination and transvaginal ultrasound examination. Results: A total of 45 consecutive women with PMB was included. The hysteroscopy and endometrial biopsy were successful in 44 out of 45 (98%), a complete view in 82%, adequate tissue was in 91%, only one case was failed both procedures due to pain. The correlation between hysteroscopy and endometrial biopsy by was 100%. The mean operation time was 229 ± 68 s. The most common histological findings was atrophic endometrium 18 (42%). Five endometrial polyps and 2 submucosal leiomyomas were found. One rare case of endometrial carcinosarcoma (2%) was detected. Patients reported less pain for hysteroscopy than endometrial biopsy with rated VAS pain score was 3.5 ± 2.2, with 5 more score in 18%, and for endometrial biopsy 4.2 ± 2 and 33% respectively (p

Published
2019
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3. Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study

Author

Yi-Liang Lee, Yun Tien, Yin-Shiuan Bai, Chi-Kang Lin, Chang-Sheng Yin, Chi-Hsiang Chung, Chien-An Sun, Shi-Hao Huang, Yao-Ching Huang, Wu-Chien Chien, Chieh-Yi Kang, and Gwo-Jang Wu

Subjects
Depression, Postpartum, Suicide, Pregnancy, Risk Factors, depression, postpartum, puerperal disorders, suicide, Health, Toxicology and Mutagenesis, Postpartum Period, Public Health, Environmental and Occupational Health, Parturition, Humans, Female, Tuberculin
Abstract

Background: To examine the association of postpartum depression (PPD) with maternal suicide in the Taiwanese population. Methods: We examined the medical records of women aged 18–50 years who experienced childbirth and had PPD (the study cohort, n = 2882), who experienced childbirth but did not have PPD (comparison cohort 1, n = 5764), and who neither experienced childbirth nor had PPD (comparison cohort 2, n = 5764) between 2000 and 2015. The patients were followed up until suicide, withdrawal from the National Health Insurance program, or 31 December 2015. Results: The rates of anxiety and depression symptoms, as well as the cumulative risk of suicide, were significantly higher in the study cohort. PPD was significantly correlated with an increased risk of maternal suicide and was associated with a greater risk of developing comorbidities such as hypertension, diabetes mellitus, hyperlipidemia, and stroke. The comparison cohorts did not differ significantly in terms of suicide risk. Conclusion: PPD was associated with a significantly higher rate of suicide and a shorter time to suicide after childbirth. Younger age, winter, and subclinical depression and anxiety positively predicted suicide in the study cohort. To prevent maternal suicide, clinicians should be observant of subclinical depression and anxiety symptoms among patients.

Published
2022
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