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経口避妊薬(OC)に関する 考察

机译:对口腔避孕药(OC)的考虑

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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:口头避孕药(OC)自1960年以来一直在全球。许多女性可以避免意外怀孕,但有些女性经历过严重的不良事件;例如,乳腺癌,静脉血栓栓塞(VTE),心肌梗死(MI)等。在这方面,许多科学家分析了医疗报告并审查。但是,一些评论并不总是客观的。一些科学家警告第三代OC,而其他人则为他们辩护。媒体有时会适当地指出争论,但他们经常误判争议的性质。科学家和人们经常被文章摇曳,无论新闻的质量如何。我们总是必须仔细判断明显的事情,而且什么是不明智的。对于OC的不良事件的证据,一切都没有得出决定性。最近,公共公民要求FDA应立即禁止第三代OC,以实现血栓的风险。他们的基地并不总是新的。它们接受双折的相对风险(RR),并拒绝三折的RR。两到三个有什么区别?他们的基础真的是科学的证据吗?这只是本讨论的主题。我提到的大多数医学论文将基地提供给公共公民。第三代OC对于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,应科学地进行风险讨论。我为OC的不良事件提供了一些点。

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