RESUMO
This study investigates the effectiveness of information technology-based 2-way referral in the diagnosis and management of cervical lesions in Minhang District, Shanghai, China. Women who underwent screening for cervical lesions in 4 community health centers constituted the intervention group, whereas women from the other 9 community health centers were included as controls. The diagnosis rate of cervical lesions was higher in the intervention group (7.61%) than in the control group (0.36%; P = .000). The diagnosis rate of early cervical lesion was 97.11% in the intervention group and 85.71% in the control group, showing no statistically significant differences ( P = .080). However, early diagnosis rate of precancerous lesion was much higher in the intervention group (95.45%) compared with the control group (64.29%; P = .001). In conclusion, higher effectiveness of early diagnosis and management of cervical lesions was observed in the intervention group compared with the control group.
Assuntos
Detecção Precoce de Câncer/estatística & dados numéricos , Tecnologia da Informação , Encaminhamento e Consulta/estatística & dados numéricos , Neoplasias do Colo do Útero/diagnóstico , Neoplasias do Colo do Útero/terapia , Adulto , China , Centros Comunitários de Saúde , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
In the title compound, C(5)H(5)ClN(2), a by-product in the synthesis of ethyl 2-(3-chloro-pyridin-2-yl)-5-oxopyrazolidine-3-carboxyl-ate, the amine groups form inter-molecular hydrogen-bonding associations with pyridine N-atom acceptors, giving centrosymmetric cyclic dimers. Short inter-molecular Clâ¯Cl inter-actions [3.278â (3)â Å] also occur.