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経口避妊薬(OC)に関する 考察

机译:考虑口服避孕药(OC)

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Oral contraceptives (OC) have been used world wide since 1960. Many women could avoid the unintended pregnancy, but some women experienced severe adverse events ; for example, breast cancer, venous thromboembolism (VTE), myocardial infarction (MI) and so on. In this regard, many scientists analyzed the medical reports and reviewed. However, some reviews were not always objective. Some scientists warned the third generation OC, while other people defended them. Media sometimes pointed out contentions appropriately, but they often misjudged the nature of contentions. Scientists as well as people often are swayed by articles regardless of the quality of news.We always have to judge carefully what is evident, and what is not evident. For the evidence of adverse events of OC, all are not conclusive. Recently, Public Citizen required that FDA should immediately ban the third generation OC for the risk of blood clots. Their base is not always new. They accept the relative risk (RR) of two-folds, and reject RR of three-folds. What is the difference between two and three? Is their base really scientific evidence?This is just the theme of this discussion. Most of medical papers I mentioned provide the base to Public Citizen. The risk of the third generation OC for VTE is still controversial. They should analyze the quality, social meaning and economical position of medical papers. Actually, social usability of the third generation is unclear. However, the discussion of risk should be conducted scientifically. I provide some points for the adverse events of OC.
机译:自1960年以来,口服避孕药已在世界范围内广泛使用。许多妇女可以避免意外怀孕,但有些妇女遭受了严重的不良事件。例如,乳腺癌,静脉血栓栓塞症(VTE),心肌梗塞(MI)等。对此,许多科学家分析了医学报告并进行了审查。但是,有些评论并不总是客观的。一些科学家警告了第三代超频,而其他人则为它们辩护。媒体有时会适当地指出争用,但他们常常会误判争用的性质。无论新闻的质量如何,科学家和人们经常被文章所左右。我们总是必须仔细判断哪些是显而易见的,哪些不是显而易见的。对于OC不良事件的证据,还不是全部。最近,公众公民要求FDA立即禁止第三代OC引发血液凝块风险。他们的基地并不总是新的。他们接受两倍的相对风险(RR),并拒绝三倍的RR。两个和三个之间有什么区别?他们的依据真的是科学依据吗?这只是本次讨论的主题。我提到的大多数医学论文都为市民提供了基础。第三代OC用于VTE的风险仍然存在争议。他们应该分析医学论文的质量,社会意义和经济地位。实际上,第三代的社会可用性尚不清楚。但是,有关风险的讨论应科学地进行。我提供了一些有关OC的不良事件的观点。

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