<div><p style="text-align: justify;"><br><span style="color: rgb(51, 51, 51); font-family: arial, sans-serif; line-height: 18.211200714111328px; text-align: start; background-color: rgb(255, 255, 255);">A randomized, sham-controlled trial involving 18 adolescents and young women showed the efficacy of Japanese-style acupuncture for endometriosis-related pain</span></p><p style="text-align: justify;"><span style="color: rgb(51, 51, 51); font-family: arial, sans-serif; line-height: 18.211200714111328px; text-align: start; background-color: rgb(255, 255, 255);"><br></span></p><p style="text-align: justify;"><span style="color: rgb(51, 51, 51); font-family: arial, sans-serif; line-height: 18.211200714111328px; text-align: start; background-color: rgb(255, 255, 255);">however, data from large, randomized, controlled trials to confirm‎ these findings are lacking.(ㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋ)</span></p><p style="text-align: justify;"><span style="color: rgb(51, 51, 51); font-family: arial, sans-serif; line-height: 18.211200714111328px; text-align: start; background-color: rgb(255, 255, 255);"><br></span></p><p style="text-align: start;"><font color="#333333" face="arial, sans-serif"><span style="line-height: 18.211200714111328px; background-color: rgb(255, 255, 255);">이거 한 줄 딱있는데..</span></font></p><p style="text-align: start;"><font color="#333333" face="arial, sans-serif"><span style="line-height: 18.211200714111328px; background-color: rgb(255, 255, 255);">설마 이게 저자의 주장이라고 생각하는 것임??? ㅎㅎㅎㅎㅎㅎ 클라스 지린다 ㅋㅋㅋㅋ </span></font></p><p style="text-align: start;"><font color="#333333" face="arial, sans-serif"><span style="line-height: 18.211200714111328px; background-color: rgb(255, 255, 255);"><br></span></font></p><p style="text-align: start;"><font color="#333333" face="arial, sans-serif"><span style="line-height: 18.211200714111328px; background-color: rgb(255, 255, 255);"><br></span></font></p><p style="text-align: start;"><font color="#333333" face="arial, sans-serif"><span style="line-height: 18.211200714111328px; background-color: rgb(255, 255, 255);">이 논문의 결론!!!</span></font></p><p style="text-align: start;"><font color="#333333" face="arial, sans-serif"><span style="line-height: 18.211200714111328px; background-color: rgb(255, 255, 255);"><br></span></font></p><h3 id="articleConclusions and Recommendations" style="margin: 0px 0px 4px; padding: 0px; border: 0px; outline: 0px; font-size: 0.875em; vertical-align: baseline; text-transform: uppercase; line-height: normal; font-family: arial; color: rgb(51, 51, 51); background-color: rgb(255, 255, 255);">CONCLUSIONS AND RECOMMENDATIONS</h3><p style="padding-bottom: 15px; border: 0px; outline: 0px; font-size: 0.813em; vertical-align: baseline; line-height: 1.4em; color: rgb(51, 51, 51); font-family: arial, sans-serif; background-color: rgb(255, 255, 255);">The patient described in the vignette has symptoms of pain that are highly suggestive of endometriosis. After a thorough medical, surgical, gynecologic, and family history has been obtained, a pelvic examination should be performed. If the pelvic examination reveals adnexal pain or tenderness with or without fullness, the patient should undergo transvaginal ultrasonography to look for an ovarian endometrioma or other pelvic disease, although peritoneal disease will not be detected by this imaging method. In patients such as the woman described in the vignette, NSAIDs and cyclical combined oral contraceptives are recommended as first-line therapy in the absence of contraindications. If the pain persists, a switch to continuous combined oral contraceptives for 3 to 6 months or a levonorgestrel intrauterine system is warranted. If these approaches are not effective, GnRH agonist therapy with estrogen−progestin add-back therapy is appropriate. Laparoscopy would be indicated to eval‎uate and treat persistent pain, a pelvic mass, or both. The patient should be counseled about the association of endometriosis with infertility, but she should also be reassured that she may not have a problem conceiving and that treatment for endometriosis-associated infertility is often effective.</p><p style="padding-bottom: 15px; border: 0px; outline: 0px; font-size: 0.813em; vertical-align: baseline; line-height: 1.4em; color: rgb(51, 51, 51); font-family: arial, sans-serif; background-color: rgb(255, 255, 255);"><br></p><p style="padding-bottom: 15px; border: 0px; outline: 0px; font-size: 0.813em; vertical-align: baseline; line-height: 1.4em; color: rgb(51, 51, 51); font-family: arial, sans-serif; background-color: rgb(255, 255, 255);"><br></p><p style="padding-bottom: 15px; border: 0px; outline: 0px; font-size: 0.813em; vertical-align: baseline; line-height: 1.4em; color: rgb(51, 51, 51); font-family: arial, sans-serif; background-color: rgb(255, 255, 255);">야이 개 씹새끼야 여기에 어디 endometriosis때 침 놓으라고 되있냐.. 개새끼가 어디 시발 NEJM을 들먹여 뒤질라고 시발 약팔고 있네 ㅋㅋㅋㅋ</p><p style="text-align: center;"><br></p><p style="text-align: center;"><br></p></div><div id="sbi_camera_button" style="width: 29px !important; height: 27px !important; top: 251px !important; left: 521.5px !important; display: none !important;"></div><p><br></p>
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첫댓글그러면서 Studies of complementary or alternative therapies are needed. 이렇게 언급하고 있는데 시발 연구가 더 필요하대는데 지는 저거가지고 시발 거의 뭐 우수성을 인정받은 듯이 얘기하네 좆병신새끼가...ㅋㅋㅋ 그니까 에비던스가 뭐냐니까? 니가 주장하는 에비던스가 이런거야? ㅎㅎㅎㅎ
첫댓글 그러면서 Studies of complementary or alternative therapies are needed. 이렇게 언급하고 있는데 시발 연구가 더 필요하대는데 지는 저거가지고 시발 거의 뭐 우수성을 인정받은 듯이 얘기하네 좆병신새끼가...ㅋㅋㅋ 그니까 에비던스가 뭐냐니까? 니가 주장하는 에비던스가 이런거야? ㅎㅎㅎㅎ
아 시발 그럼 그렇지 NEJM 성님들이 미쳤다고 침술의 우수성을 밝힌 논문을 실어줄까 ㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋㅋ
경한무당 영어 실력 없는거 이해하고 살살해라 ㅋㅋ
어차피 과학과 주술의 싸움인데 멀 ㅋㅋㅋ