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Evaluation of Serum Anti-Müllerian Hormone (AMH) Values for 28,016 Bulgarian Women: Prognostic Statistical Model of Age Specific AMH Declining
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作者 Martin Vladimirov Evan Gatev +6 位作者 Desislava Tacheva Aleksandra Kalacheva Milena Bojilova Serpil Izet Alexander Angelov Nedyalko Kalatchev Iavor K. Vladimirov 《Open Journal of Obstetrics and Gynecology》 2024年第5期651-673,共23页
The present study aims to establish a relationship between serum AMH levels and age in a large group of women living in Bulgaria, as well as to establish reference age-specific AMH levels in women that would serve as ... The present study aims to establish a relationship between serum AMH levels and age in a large group of women living in Bulgaria, as well as to establish reference age-specific AMH levels in women that would serve as an initial estimate of ovarian age. A total of 28,016 women on the territory of the Republic of Bulgaria were tested for serum AMH levels with a median age of 37.0 years (interquartile range 32.0 to 41.0). For women aged 20 - 29 years, the Bulgarian population has relatively high median levels of AMH, similar to women of Asian origin. For women aged 30 - 34 years, our results are comparable to those of women living in Western Europe. For women aged 35 - 39 years, our results are comparable to those of women living in the territory of India and Kenya. For women aged 40 - 44 years, our results were lower than those for women from the Western European and Chinese populations, close to the Indian and higher than Korean and Kenya populations, respectively. Our results for women of Bulgarian origin are also comparable to US Latina women at age 30, 35 and 40 ages. On the base on constructed a statistical model to predicting the decline in AMH levels at different ages, we found non-linear structure of AMH decline for the low AMH 3.5) the dependence of the decline of AMH on age was confirmed as linear. In conclusion, we evaluated the serum level of AMH in Bulgarian women and established age-specific AMH percentile reference values based on a large representative sample. We have developed a prognostic statistical model that can facilitate the application of AMH in clinical practice and the prediction of reproductive capacity and population health. 展开更多
关键词 Anti-Müllerian Hormone Women Age Ovarian Response ETHNICITY Prognostic Statistical Model
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Home Monitoring of Estrone-3-Glucuronide (E1-3G) Levels in Two Different Ovarian Stimulation Protocols: A Pilot Study
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作者 Iavor K. Vladimirov Desislava Tacheva +2 位作者 Evan Gatev Magdalena Rangelova Martin Vladimirov 《Open Journal of Obstetrics and Gynecology》 2024年第10期1640-1656,共17页
Background: Studies have shown a strong correlation between the growth of E2 in serum and estrone-3-glucuronide (E1-3G) in urine during ovarian stimulation. Thus, we developed theoretical models for using urinary E1-3... Background: Studies have shown a strong correlation between the growth of E2 in serum and estrone-3-glucuronide (E1-3G) in urine during ovarian stimulation. Thus, we developed theoretical models for using urinary E1-3G in ovarian stimulation and focused on their experimental verification and analysis. Methods: A prospective, observational pilot study was conducted involving 54 patients who underwent 54 cycles of ovarian stimulation. The goal was to establish the growth rate of urinary E1-3G during the course of stimulation and to determine the daily upper and lower limits of growth rates at which stimulation is appropriate and safe. Controlled ovarian stimulation was performed using two different stimulation protocols—an antagonist protocol in 25 cases and a progestin-primed ovarian stimulation protocol (PPOS) in 29 cases, with fixed doses of gonadotropins. From the second day of stimulation, patients self-measured their daily urine E1-3G levels at home using a portable analyzer. In parallel, a standard ultrasound follow-up protocol accompanied by a determination of E2, LH, and P levels was applied to optimally control stimulation. Results: The average daily growth rates in both groups were about 50%. The daily increase in E1-3G for the antagonist protocol ranged from 14% to 79%, while they were 28% to 79% for the PPOS protocol. Conclusion: This is the first study to analyze the dynamics of E1-3G in two different protocols and to estimate the limits of its increase during the entire course of the stimulation. The results confirm our theoretical model for the viability of using urinary E1-3G for monitoring ovarian stimulation. 展开更多
关键词 Ovarian Stimulation Monitoring E1-3G Antagonist Protocol PPOS Protocol IVF ART
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The Character and Formation of Elongated Depressions on the Upper Bulgarian Slope 被引量:2
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作者 XU Cuiling GREINERT Jens +3 位作者 HAECKEL Matthias BIALAS Jorg DIMITROV Lyubomir ZHAO Guangtao 《Journal of Ocean University of China》 SCIE CAS CSCD 2018年第3期555-562,共8页
Seafloor elongated depressions are indicators of gas seepage or slope instability. Here we report a sequence of slopeparallel elongated depressions that link to headwalls of sediment slides on upper slope. The depress... Seafloor elongated depressions are indicators of gas seepage or slope instability. Here we report a sequence of slopeparallel elongated depressions that link to headwalls of sediment slides on upper slope. The depressions of about 250 m in width and several kilometers in length are areas of focused gas discharge indicated by bubble-release into the water column and methane enriched pore waters. Sparker seismic profiles running perpendicular and parallel to the coast, show gas migration pathways and trapped gas underneath these depressions with bright spots and seismic blanking. The data indicate that upward gas migration is the initial reason for fracturing sedimentary layers. In the top sediment where two young stages of landslides can be detected, the slopeparallel sediment weakening lengthens and deepens the surficial fractures, creating the elongated depressions in the seafloor supported by sediment erosion due to slope-parallel water currents. 展开更多
关键词 methane seepage elongated depression POCKMARK LANDSLIDE Black Sea
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Evaluation on Sperm Acrosome Integrity of Infertile Men with Varicocele 被引量:3
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作者 P. Tzvetkova Wei-jie ZHU +1 位作者 Jing LI D. Tzvetkov 《Journal of Reproduction and Contraception》 CAS 2007年第1期19-24,共6页
Objective To determine the sperm acrosome integrity of samples from infertile men with varicocele. Methods Forty-nine infertile men with varicocele were divided into three groups according to the grade of varicocele. ... Objective To determine the sperm acrosome integrity of samples from infertile men with varicocele. Methods Forty-nine infertile men with varicocele were divided into three groups according to the grade of varicocele. Group A (grade Ⅰ), B (grade Ⅱ), and C (grade Ⅲ) consisted of 15, 18, and 16 cases, respectively. Besides, 15 semen samples from normospermic donors were used as the control. The acrosome integrity of sperm was examined with fluorescein-labeled Pisum sativum agglutinin. Acrosomal ultrastructure was observed with transmission electron microscopy. Results In three varicocele groups, most samples had high sperm abnormal morphology rates. There were significant differences in acrosome integrity rates between each varicocele group and the control (P〈0.01). Group C had the lowest acrosome integrity rate among the three groups. Ultrastructural observation showed that acrosome malformations revealed acrosomal membranes defects, swelling, hypoplasia, and dissolution of the matrix. Conclusions Infertile men with varicocele had low level of acrosome integrity. Severe varicocele for infertile men might be associated with severe acrosomal defects. Evaluating sperm acrosome should aid the understanding of the sperm structural state and benefit the treatment for infertile men. 展开更多
关键词 VARICOCELE ACROSOME SPERM INFERTILITY
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A STUDY ON GRADIENT BLOW UP FOR VISCOSITY SOLUTIONS OF FULLY NONLINEAR,UNIFORMLY ELLIPTIC EQUATIONS
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作者 Bernd Kawohl Nikolai Kutev 《Acta Mathematica Scientia》 SCIE CSCD 2012年第1期15-40,共26页
We investigate sharp conditions for boundary and interior gradient estimates of continuous viscosity solutions to fully nonlinear, uniformly elliptic equations under Dirichlet boundary conditions. When these condition... We investigate sharp conditions for boundary and interior gradient estimates of continuous viscosity solutions to fully nonlinear, uniformly elliptic equations under Dirichlet boundary conditions. When these conditions are violated, there can be blow up of the gradient in the interior or on the boundary of the domain. In particular we de- rive sharp results on local and global Lipschitz continuity of continuous viscosity solutions under more general growth conditions than before. Lipschitz regularity near the boundary allows us to predict when the Dirichlet condition is satisfied in a classical and not just in a viscosity sense, where detachment can occur. Another consequence is this: if interior gra- dient blow up occurs, Perron-type solutions can in general become discontinuous, so that the Dirichlet problem can become unsolvable in the class of continuous viscosity solutions. 展开更多
关键词 fully nonlinear elliptic equations viscosity solutions gradient estimates gra-dient blow up
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Semen Quality in Infertile Men with a History of Unilateral Cryptorchidism
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作者 P. Tzvetkova Wei-Jie ZHU D. Tzvetkov 《Journal of Reproduction and Contraception》 CAS 2004年第3期139-143,共5页
Objective To evaluate semen quality in infertile men with a history of unilateral cryptorchidism Methods Semen samples were obtained from 47 infertile men with a history of unilateral cryptorchidism. Semen analysis an... Objective To evaluate semen quality in infertile men with a history of unilateral cryptorchidism Methods Semen samples were obtained from 47 infertile men with a history of unilateral cryptorchidism. Semen analysis and membrane integrity including both eosin Y stain and hyo-osmotic swelling tests were performed using standard procedures. All men were divided into three groups according to their age at surgery of orchidopexy as follows: group A, 2-7 years (n=23), group B, 8-13 years (n=14) and group C, 14-17years (n=10). Results There was wide range for sperm count and motility for all the subjects studied. Majority of men had high percentage of abnormal sperm morphology. Among the three groups of men, group A and B had significantly higher sperm count, motility and membrane integrity than that of group C. Group C also had the highest frequency of oligoasthenoteraozoospermia (50%) than group A (17%) and group B (35%). Conclusion Semen quality of men with a history of unilateral cryptorchidism appears to be related to their age of performing orchidopexy. Surgery at early age of childhood may improve spermatogenesis which results in better semen quality in adulthood. 展开更多
关键词 CRYPTORCHIDISM SPERM INFERTILITY ORCHIDOPEXY
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Poly(<i>N</i>-Vinyl Pyrrolidone-<i>b</i>-Dimethylsiloxane) Electrospun Nanofibers: Preparation, Characterization and Biological Response
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作者 Ivan L. Keranov Marc Michel +3 位作者 Anelia Kostadinova Valerie Toniazzo David Ruch Todorka Vladkova 《Open Journal of Biophysics》 2013年第2期148-157,共10页
Here we report electrospinning of Poly(dimethylsiloxane-b-vinyl pyrrolidone) (PDMS-b-PVP) based fibrous scaffold materials. The morphology, thermal properties, surface composition, hydrophilicity and fibers formation ... Here we report electrospinning of Poly(dimethylsiloxane-b-vinyl pyrrolidone) (PDMS-b-PVP) based fibrous scaffold materials. The morphology, thermal properties, surface composition, hydrophilicity and fibers formation with different PDMS and PVP chain lengths were determined by using scanning electron microscopy (SEM), differential scanning calorimetry (DSC), X-ray photoelectron microscopy (XPS) and X-ray diffraction (RXD) water vapor uptake and water contact angle (WCA). The electrospinning parameters were controlled as well as fiber deposition area. The influence of polymer solution concentration on the morphology of electrospun fibers was also investigated. We checked out the applicability of the electrospun fibers for tissue engineering by the investigation of their capability to support fibroblast cell adhesion, cell growth and proliferation. 展开更多
关键词 ELECTROSPINNING NANOFIBERS AMPHIPHILIC Block COPOLYMERS PDMS PVP SEM
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Analysis of sea level changes in the Caspian Sea related to Cosmo-geophysical processes based on satellite and terrestrial data
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作者 Vladimir Kaftan Boris Komitov Sergey Lebedev 《Geodesy and Geodynamics》 2018年第6期449-455,共7页
Analysis results of the average annual sea levels in the Caspian Sea obtained from ground and satellite observations, corresponding to solar activity characteristics, magnetic field data, and length of day are present... Analysis results of the average annual sea levels in the Caspian Sea obtained from ground and satellite observations, corresponding to solar activity characteristics, magnetic field data, and length of day are presented. Spectra of the indicated processes were investigated and their approximation models were also built. Previously assumed statistical relationships between space-geophysical processes and Caspian Sea level(CSL) changes were confirmed. A close connection was revealed between the low-frequency models of the solar and geomagnetic activity parameters and the CSL changes. Predictions extending into the next decades showed a high probability of an increase in the CSL and a decrease of the compared space-geophysical parameters. 展开更多
关键词 CSL Analysis of sea level changes in the Caspian Sea related to Cosmo-geophysical processes based on satellite and terrestrial data LOD SSN
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A Concept about Guide on Hazards for the Real Estate Business-An Example from Bulgaria
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作者 Boyko Ranguelov Rumiana Glavcheva 《Journal of Civil Engineering and Architecture》 2023年第2期101-107,共7页
The paper is a part of wider investigation related to the application of basic sciences to the sustainable development of society.It deals with the presentation of knowledge to the real estate(fast growing business)ab... The paper is a part of wider investigation related to the application of basic sciences to the sustainable development of society.It deals with the presentation of knowledge to the real estate(fast growing business)about the local natural and man-made hazards in the near vicinity of any structure(inhabitant,recreation area,land,etc.)and their influence to the social safety and human comfort of life.The structure,necessary information and knowledge base for visible or hidden hazards about a guide for the real estate business is included.An example of application the knowledge about seismic hazard and related phenomena simplified to be more available to the non-specialists(such as real estate agents and companies)targeted to Sofia(the largest urban center and capital of Bulgaria)can attract and improve the learning abilities of the real estate for the society’s sake. 展开更多
关键词 Real estate local environment hazards knowledge guide
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中国西部地区猎隼(Falco cherrug)繁殖生物学与保护 被引量:9
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作者 马鸣 梅宇 +5 位作者 Eugene Potapov 吴逸群 Andrew Dixon Dimitar Ragyov 徐峰 Nicholas C.Fox 《干旱区地理》 CSCD 北大核心 2007年第5期654-659,共6页
自2001—2006年,中国科学院与英国鸟类研究中心联合对新疆准噶尔盆地和昆仑山、青海玉树地区、西藏那曲地区的猎隼(Falco cherrug)分布状况与繁殖生态进行深入调查。考察行程上万公里。卫星跟踪显示在俄罗斯、蒙古繁殖的猎隼迁往青... 自2001—2006年,中国科学院与英国鸟类研究中心联合对新疆准噶尔盆地和昆仑山、青海玉树地区、西藏那曲地区的猎隼(Falco cherrug)分布状况与繁殖生态进行深入调查。考察行程上万公里。卫星跟踪显示在俄罗斯、蒙古繁殖的猎隼迁往青藏高原越冬。但是,实地调查表明,在新-青-藏还有一些繁殖种群;繁殖区的海拔高度从600m,上升至5200m。根据观察,猎隼喜欢沿用旧巢,多数巢属于“垃圾巢”。因为高原缺乏合适的巢材,那些人类遗弃的皮管、铁丝、皮带、破布、汽车零件、骨片、绳子等垃圾充斥于巢穴之中。考察期间,共找到100多只猎隼成鸟、约35个猎隼巢或巢区;分布地点涉及昆仑山脉、准噶尔盆地、卡拉麦里山脉、北塔山、可可西里、唐古拉山脉等,包括新疆奇台、且末、青河、塔城,青海楚玛尔河、五道梁、曲麻菜、雁石坪、玉树,西藏安多、那曲等。猎隼巢址多位于悬崖凹陷处(21个)、河岸砂土洞(5)、桥梁(2)等处;巢高于地面7—30m。通常沿用渡鸦、大鸳、棕尾鸳、金雕的旧巢,有同步繁殖现象。附近有鼠兔、雪雀、地鸦、岩鸽、石鸡、沙鸡等活动。巢区沿着山脉或者丘陵连续分布,巢间距最近2.5km,通常4—8km或更远。在准噶尔盆地其繁殖密度1.1~1.6对/1000km^2。通常4—5月产卵,窝卵数3—5枚;5月上旬和中旬已有部分幼乌出壳。虽然在中国捕捉猎隼现象十分猖獗,但考察结果依然令人振奋。建议中国猎隼研究小组(CSRG)积极开展国际合作,通过卫星跟踪、GPS定位、电子微芯片标记(PIT)、DNA指纹图谱分析、人工猎隼栖架和巢穴招引技术等,不断完善监测手段和管理机制,为猎隼的保护与合理利用做出努力。 展开更多
关键词 猎隼 分布状况 繁殖生态 中国西部
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附睾降解性不活动精子症的研究 被引量:4
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作者 朱伟杰 P.Tzvetkova +2 位作者 D.Tzvetkov 李菁 梁蔚波 《生殖与避孕》 CAS CSCD 北大核心 2002年第4期208-211,F004,共5页
目的 :探讨精子不活动是否由附睾降解引起。方法 :本文选择 5例精液中无活动精子的不育患者 ,应用睾丸精子活力检测、精子头 -尾膜完整性结合试验和透射电镜观察 ,探讨其精子不活动的原因。结果 :5例患者睾丸活检组织所分离的睾丸精子 ... 目的 :探讨精子不活动是否由附睾降解引起。方法 :本文选择 5例精液中无活动精子的不育患者 ,应用睾丸精子活力检测、精子头 -尾膜完整性结合试验和透射电镜观察 ,探讨其精子不活动的原因。结果 :5例患者睾丸活检组织所分离的睾丸精子 ,经孵育后的活动率为 2 %~ 1 1 %。睾丸精子组中头膜 -尾膜均完整的精子率显著高于射出精子组 ( P<0 .0 1 )。睾丸精子未见明显的降解 ,但透射电镜显示射出精子的浆膜、核等结构表现显著的降解变化。结论 :本组患者的精子可能经历了病理性附睾降解 ,引致精子丧失活动性 ,对这类患者采用活动的睾丸精子作辅助生育治疗有可能改善成功率。 展开更多
关键词 男性不育症 附睾降解 不活动精子症
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单侧隐睾史不育患者的精子参数评价 被引量:6
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作者 Petia Tzvetkova 朱伟杰 Dimitar Tzvetkov 《生殖与避孕》 CAS CSCD 北大核心 2006年第5期291-293,共3页
目的:评价患者施行睾丸固定手术时的年龄对其后精子参数的可能影响。方法:47例单侧隐睾史不育患者,按照患者施行单侧睾丸固定术时的年龄分为A组(2-7岁,n=23),B组(8-13岁,n=14)和C组(14-17岁,n=10)。对3组患者的精液作精液分析和精子头-... 目的:评价患者施行睾丸固定手术时的年龄对其后精子参数的可能影响。方法:47例单侧隐睾史不育患者,按照患者施行单侧睾丸固定术时的年龄分为A组(2-7岁,n=23),B组(8-13岁,n=14)和C组(14-17岁,n=10)。对3组患者的精液作精液分析和精子头-尾膜的完整性检测。结果:3组患者的精液中均可观察到活动精子,精子活动率和精子浓度有很大的个体差异,畸形精子率普遍较高,精子头-尾膜完整率低。少弱畸精子症的发生率在B组(35%)和C组(50%)升高。结论:单侧隐睾史不育患者会有较差的精子参数。单侧隐睾症患者在幼年阶段尽早治疗有利于成年后的精子发生。 展开更多
关键词 隐睾症 不育 精子 睾丸同定术
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Human Sperm Immotility Caused by Degeneration in the Epididymis 被引量:1
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作者 朱伟杰 P.Tzvetkova +2 位作者 D.Tzvetkov 李菁 梁蔚波 《Journal of Reproduction and Contraception》 CAS 2001年第1期34-40,共7页
Objective To investigate whether sperm immotility was caused by degeneration in the epididymis Methods Five patients with totally immotile sperm were selected in this study. Testicular biopsy was used to obtain tes... Objective To investigate whether sperm immotility was caused by degeneration in the epididymis Methods Five patients with totally immotile sperm were selected in this study. Testicular biopsy was used to obtain testicular sperm to evaluate sperm motility. The combined hypoosmotic swelling eosin Y exclusion test was carried out to determine the sperm head and tail membrane integrity for the ejaculated and the testicular sperm. The ultrastructure of ejaculated sperm was examined by transmission electron microscope. Results No motile sperm were found in the ejaculated semen samples from 5 patients, whereas 2% to 11% motile testicular sperm extracted from the testicular biopsy tissues were observed. The percentage of testicular sperm with intact head and tail membranes was higher than that of the ejaculated sperm (P<0.01). Ultrastructure of the ejaculated sperm showed marked degenerative features. Seminal plasma from patients did not influence the motility of normal donor sperm. Conclusion Sperm could undergo degenerative changes during transit through and /or storage in the epididymis, which led to lose sperm motility in these patients. Using motile testicular sperm would benefit the treatment for such cases. 展开更多
关键词 immotile sperm testicular sperm EPIDIDYMIS DEGENERATION
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