ABSTRACT
BACKGROUND: Preeclampsia is a pregnancy-specific multi-system disease with multi-factor and multi-mechanism characteristics. The cure for preeclampsia is to terminate the pregnancy and deliver the placenta. However, it will reduce the perinatal survival rate, prolong the pregnancy cycle, and increase the incidence of maternal complications. With relaxation of the birth policy, the number of elderly pregnant women has increased significantly, and the prevalence rate of preeclampsia has increased. Inappropriate treatment can seriously affect the normal postpartum life of pregnant women. Studies have shown that postpartum anxiety in women with preeclampsia can affect physical and mental health, as well as infant growth and development. AIM: To analyze the factors influencing preeclampsia in pregnant women complicated with postpartum anxiety, and to construct a personalized predictive model. METHODS: We retrospectively studied 528 pregnant women with preeclampsia who delivered in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine between January 2018 and December 2021. Their basic data were collected, and various physiological and biochemical indicators were obtained by laboratory examination. The self-rating anxiety scale was used to determine whether the women had postpartum anxiety 42 d after delivery. The independent factors influencing postpartum anxiety in early pregnant women with eclampsia were analyzed with multifactor logistic regression and a predictive model was constructed. The Hosmer-Lemeshow test and receiver operating characteristic (ROC) curve were used to evaluate the calibration and discrimination of the predictive model. Eighty pregnant women with preeclampsia admitted to our hospital from January 2022 to May 2022 were retrospectively selected to verify the prediction model. RESULTS: We excluded 46 of the 528 pregnant women with preeclampsia because of loss to follow-up and adverse outcomes. A total of 482 cases completed the assessment of postpartum anxiety 42 d after delivery, and 126 (26.14%) had postpartum anxiety. Bad marital relationship, gender discrimination in family members, hematocrit (Hct), estradiol (E2) hormone and interleukin (IL)-6 were independent risk factors for postpartum anxiety in pregnant women with preeclampsia (P < 0.05). Prediction model: Logit (P) = 0.880 × marital relationship + 0.870 × gender discrimination of family members + 0.130 × Hct - 0.044 × E2 + 0.286 × IL-6 - 21.420. The area under the ROC curve of the model was 0.943 (95% confidence interval: 0.919-0.966). The threshold of the model was -1.507 according to the maximum Youden index (0.757), the corresponding sensitivity was 84.90%, and the specificity was 90.70%. Hosmer-Lemeshow χ2 = 5.900, P = 0.658. The sensitivity, specificity and accuracy of the model were 81.82%, 84.48% and 83.75%, respectively. CONCLUSION: Poor marital relationship, family gender discrimination, Hct, IL-6 and E2 are the influencing factors of postpartum anxiety in preeclampsia women. The constructed prediction model has high sensitivity and specificity.
ABSTRACT
The microstructure and spectral properties of Er3+ doped transparent oxyfluoride glass ceramics with high fluorine content were reported. Two samples with the same initial contents (50SiO2-45PbF2-5PbO-1ErF3) were prepared under the different preparation parameters. The final fluorine contents were detected by a fluoride ion selective electrode. The results shows that the final fluorine contents increase by covering crucibles with corundum lid during melt. The samples were characterized by X-ray diffraction, transmission electron microscopy (TEM), absorption spectra and upconversion luminescence spectra. The results show that PbF2 crystals were precipitated in the sample with high fluorine content before heat treatment. And the PbF2 crystals precipitated inside the glass matrix are spherical with diameters of approximately 10-15 nm in size from the high resolution TEM micrograph. The absorption spectra, J-O parameters and the upconversion spectra show that the Er3+ ions were located in crystalline and vitreous mixed states. It is different from the sample with low fluorine content which is completely amorphous. After heat treatment, Er3+ ions that remain in the glassy phase entered into fluoride nanocrystals in the sample with high fluorine content. The fluorine environment decreases non-radiative transfer which eases the upconversion processes. Hence, the upconversion luminescence intensity of Er3+ ions in the high fluorine content sample after heat treatment is much stronger than that in the precursor sample.
