Objective:To determine the prevalence of bacteriospermia,the bacterial load,and the potential factors associated with bacterial contamination in boar semen collected by local smallholder artificial insemination operat...Objective:To determine the prevalence of bacteriospermia,the bacterial load,and the potential factors associated with bacterial contamination in boar semen collected by local smallholder artificial insemination operators.Methods:Fifteen individual raw semen samples were collected from locally available artificial insemination boars owned by different smallholder boar operators within the 5th district of Leyte,Philippines and were subjected to standard bacteriological culture and identification,including a survey of potentially associated factors.Prevalence and bacterial count were determined accordingly,while boar characteristics and collection practices were clustered following agglomerative hierarchical clustering technique.Results:One hundred percent contamination with a bacterial count of(2.01±0.38)×10^(3) CFU/mL was observed.At least 73.33%of the samples were positive for Bacillus spp.,while other identified isolates included Enterobacter spp.,Staphylococcus spp.,E.coli,Pseudomonas spp.,Citrobacter spp.,and Klebsiella spp.Conclusions:Despite the high prevalence of bacteriospermia,the bacterial count is low.Nevertheless,on-farm practices on boar health and management,semen collection,and sanitation as well as the enhancement of basic protocols to control contamination should be conscientiously considered in smallholder artificial insemination operation.展开更多
[Objective] To explore artificial insemination technique for production of mule ducks. [Method] Female Cherry Valley ducks were artificially inseminated with semen collected from male Muscovy ducks by massage method a...[Objective] To explore artificial insemination technique for production of mule ducks. [Method] Female Cherry Valley ducks were artificially inseminated with semen collected from male Muscovy ducks by massage method and vagina-insemination method to investigate the effects of insemination dose, insemination interval, insemination time and diluents on fertilization rate. [ Result ] The average fertilization rate was only 39.58%, when the female Cherry Valley ducks naturally mated with the male Muscovy ducks. However, it was increased to 74.79% by artificial insemination. The fertilization rate was 75.24% after semen was diluted by PBS buffer, while it was 75.16% after semen was diluted by Lake's buffer; however, there was not significant difference between the fertilization rate of the diluted semen and that of fresh semen (74.10%). After semen was respectively diluted by PBS buffer and Lake's buffer and then stored at 5 ℃ for 24 h, the fertilization rate was low, respectively 23.76% and 34133%. [ Conclusion] Artificial insemination technology can reduce insemination dose and increase fertilization rate in production of mule ducks.展开更多
Male factor infertility affects 30%-50% of infertile couples worldwide, and there is an increasing interest in the optimal management of these patients. In studies comparing double and single intrauterine insemination...Male factor infertility affects 30%-50% of infertile couples worldwide, and there is an increasing interest in the optimal management of these patients. In studies comparing double and single intrauterine insemination (IUI), a trend towards higher pregnancy rates in couples with male factor infertility was observed. Therefore, we set out to perform a meta-analysis to examine the superiority of double versus single IUI with the male partner's sperm in couples with male factor infertility. An odds ratio (OR) of 95% confidence intervals (CIs) was calculated for the pregnancy rate. Outcomes were analysed by using the ManteI-Haesel or DerSimonian-Laird model accordingto the heterogeneity of the results. Overall, five trials involving 1125 IUI cycles were included in the meta-analysis. There was a two-fold increase in pregnancies after a cycle with a double IUI compared with a cycle with a single IUI (OR. 2.0; 95% CI. 1.07-3.75; P〈O.03). Nevertheless, this result was mainly attributed to the presence of a large trial that weighted as almost 50% in the overall analysis. Sensitivity analysis, excluding this large trial, revealed only a trend towards higher pregnancy rates among double IUI cycles (OR. 1.58; 95% CI. 0.59-4.21), but without statistical significance (P=0.20). Our systematic review highlights that the available evidence regarding the use of double IUI in couples with male factor infertility is fragmentary and weak. Although there may be a trend towards higher pregnancy rates when the number of IUIs per cycle is increased, further large and well-designed randomized trials are needed to provide solid evidence toide current clinical practice.展开更多
Lazzaro Spallanzani(1729-1799)was a father of modern biology,with peculiar traits such as a multidisciplinary approach and penchant for scientific dissemination.Spallanzani consistently contributed to modern reproduct...Lazzaro Spallanzani(1729-1799)was a father of modern biology,with peculiar traits such as a multidisciplinary approach and penchant for scientific dissemination.Spallanzani consistently contributed to modern reproductive medicine by implementing experimental methods for the first historically successful artificial insemination.Nevertheless,he participated in discoveries pertaining to blood circulation,digestion,and respiration.Widely known in Europe in the eighteenth century,his fame prolonged to the following century,not exclusively through scientific acknowledgments,but even in literature.Nowadays,the figure of Spallanzani experience a kind of neglect and it would appear essential to maintain his work in the light of the history of medicine.展开更多
This paper aims to study the efficiency of two short-term progestagen (FGA vs. MAP) + eCG treatments in estrus synchronization and artificial insemination (AI) with fresh or chilled semen in Assaf ewes fertility rate....This paper aims to study the efficiency of two short-term progestagen (FGA vs. MAP) + eCG treatments in estrus synchronization and artificial insemination (AI) with fresh or chilled semen in Assaf ewes fertility rate. All ewes received a subcutaneous implant of exogenous melatonin 45 days before been treated with short-term progestagens + eCG. By June 1st, ewes were divided in two groups: half was treated with an intravaginal sponge impregnated with 20 mg of FGA and the other half with an intravaginal sponge impregnated with 60 mg of MAP. Progestagen treatments lasted for 6 days. At sponge withdraw, all ewes were injected with 750 IU of eCG. Ovarian activity was assessed by plasmatic progesterone levels before and after progestagens + eCG treatment. Semen was collected by electro ejaculation and extended with Andromed? or OviXcell?. AI was performed 55 hours after eCG administration with fresh or chilled semen. During AI several factors were assessed: vagina mucosa color and lubrication, external cervical Os type, cervical mucous viscosity, semen deposition place and seminal cervix outflow. Semen was deposited as deep as possible without distress or trauma cervix mucosa. All Assaf ewes presented cyclic activity before progestagen + eCG treatments (2nd fortnight of May). Short-term progestagen + eCG treatments were equally efficient (100.0%). About 76.5% of Assaf ewes were pregnant 41 days after AI. Fertility rate was influenced by external Os type, semen deposition place and seminal cervix outflow. However, this rate was not conditioned by vaginal color or lubrication, cervical mucus viscosity, semen preservation technic and semen extender.展开更多
Gradient heterostructure is one of fundamental interfaces and provides an effective platform to achieve gradually changed properties in mechanics,optics,and electronics.Among different types of heterostructures,the gr...Gradient heterostructure is one of fundamental interfaces and provides an effective platform to achieve gradually changed properties in mechanics,optics,and electronics.Among different types of heterostructures,the gradient one may provide multiple resistive states and immobilized conductive fila-ments,offering great prospect for fabricating memristors with both high neuromorphic computation capability and repeatability.Here,we invent a memristor based on a homologous gradient heterostructure(HGHS),compris-ing a conductive transition metal dichalcogenide and an insulating homolo-gous metal oxide.Memristor made of Ta–TaS_(x)O_(y)–TaS 2 HGHS exhibits continuous potentiation/depression behavior and repeatable forward/backward scanning in the read-voltage range,which are dominated by multi-ple resistive states and immobilized conductive filaments in HGHS,respec-tively.Moreover,the continuous potentiation/depression behavior makes the memristor serve as a synapse,featuring broad-frequency response(10^(-1)–10^(5) Hz,covering 106 frequency range)and multiple-mode learning(enhanced,depressed,and random-level modes)based on its natural and moti-vated forgetting behaviors.Such HGHS-based memristor also shows good unifor-mity for 5?7 device arrays.Our work paves a way to achieve high-performance integrated memristors for future artificial neuromorphic computation.展开更多
Objective: Congenital uterine anomalies are common; however, their effects on artificial insemination by husband(AIH) and the period during which AIH is converted to in vitro fertilization(IVF) are unclear. We examine...Objective: Congenital uterine anomalies are common; however, their effects on artificial insemination by husband(AIH) and the period during which AIH is converted to in vitro fertilization(IVF) are unclear. We examined the influence of uterine malformations on reproductive outcomes following AIH and the optimum number of AIH cycles before resorting to IVF-embryo transfer(IVF-ET).Methods: We retrospectively recruited 168 patients with uterine malformations(anomalous group) undergoing AIH between January 2011 and December 2016. Meanwhile, 168 patients with infertility but with normal uteri(normal group) were matched as controls according to age.Results: The clinical pregnancy rate was similar in both groups(12.4% vs. 12.3%, P=0.950); the cancellation(21.6% vs. 4.4%, P< 0.001),early pregnancy loss(35.7% vs. 11.4%, P = 0.032), and preterm birth rates(21.4% vs. 2.9%, P = 0.038) were higher in the anomalous group,resulting in lower term birth(32.1 % vs. 74.3%, P =0.001) and live birth rates(50.0% vs. 77.1 %, P = 0.034). After two AIH cycles, the clinical pregnancy rate was lower(3.6% vs. 23.1%, P = 0.037) among women with uterine anomalies than among those with normal uteri. There was no difference in the pregnancy rates(52.5% vs. 53.7%, P= 0.908) between the two groups of patients with unsuccessful AIH who then underwent IVF-ET.Conclusions: IVF-ET can be performed immediately after two unsuccessful AIH cycles in patients with uterine malformations. In patients undergoing AIH or IVF, uterine malformations increase the risk of adverse obstetric outcomes.展开更多
There is considerable pressure on equine veterinarians to achieve good pregnancy rates with very small doses of semen. Phenylephrine administration in the rabbit increased numbers of oviductal, uterine, and cervical s...There is considerable pressure on equine veterinarians to achieve good pregnancy rates with very small doses of semen. Phenylephrine administration in the rabbit increased numbers of oviductal, uterine, and cervical sperm, myometrial contractions, and fertilized ova after low dose insemination. The use of phenylephrine to enhance uterine contractility and fertility has not been investigated in the mare. Thus, the objective of this study was to determine if phenylephrine administration would result in clinically acceptable pregnancy rates in mares bred by low dose insemination. The hypothesis (Ha) was that pregnancy rates would be significantly higher in mares receiving phenylephrine compared to saline controls. Six pony mares and eight horse mares were enrolled in this study. Mares were inseminated within 24 hours of ovulation with 30 million progressively motile spermatozoa from a single fertile stallion. Immediately following insemination, mares were administered either phenylephrine (0.06 mg/kg) or 1mL of saline via IV injection. Pregnancy status was determined 14 days following ovulation via transrectal ultrasonography. Pregnancy rates in phenylephrine treated mares were 44% (4/9) while 22% (2/9) in saline-treated mares (P > 0.05).展开更多
背景:现子宫内膜结构及子宫螺旋动脉血流参数对夫精宫腔内人工授精(artificial insemination by husband,AIH)妊娠率的影响水平尚不明确,该研究通过校准其他混杂因素后,确定了其独立影响因素,并构建了预测模型,具有较好的临床应用效能...背景:现子宫内膜结构及子宫螺旋动脉血流参数对夫精宫腔内人工授精(artificial insemination by husband,AIH)妊娠率的影响水平尚不明确,该研究通过校准其他混杂因素后,确定了其独立影响因素,并构建了预测模型,具有较好的临床应用效能。目的:基于子宫内膜结构及子宫螺旋动脉血流参数构建AIH临床妊娠预测模型及验证。方法:回顾性分析2017年1月至2021年1月于常州市妇幼保健院接受AIH助孕治疗患者共1299例,将其中1182例未临床妊娠者纳入未妊娠组,117例临床妊娠者纳入妊娠组;通过1∶1倾向评分匹配,妊娠组与未妊娠组各匹配成功93例;采用单、多因素分析筛选子宫内膜结构及子宫螺旋动脉血流参数对AIH结局的影响因素,通过受试者工作曲线确定各独立影响因素的最佳截断值,限制性立方样条法分析各独立影响因素对AIH妊娠影响的风险趋势,临床决策曲线与临床影响曲线对该联合预测模型的临床应用效能进行检验。结果与结论:①倾向评分后妊娠组与未妊娠组各非内膜因素均无显著统计学意义,数据具有较好的均衡性(P>0.05);②单因素分析结果显示,内膜下血管化指数、血流指数、血管化血流指数、子宫动脉阻力指数、子宫动脉搏动指数、收缩期最高血流速度/舒张期末血流速度、基底子宫内膜到外子宫肌层内层平均交界区、最大交界区厚度为AIH妊娠的影响因素(P<0.05);③多因素Logistic回归结果显示,基底子宫内膜到外子宫肌层内层平均交界区厚度、子宫动脉搏动指数、血管化血流指数为AIH妊娠的独立影响因素,影响大小依次为血管化血流指数>基底子宫内膜到外子宫肌层内层平均交界区厚度>子宫动脉搏动指数;④受试者工作曲线显示,血管化血流指数的曲线下面积为0.704(0.629,0.779),最佳截断值为6.26;基底子宫内膜到外子宫肌层内层平均交界区厚度的曲线下面积为0.660(0.582,0.739),最佳截断值为6.38;子宫动脉搏动指数的曲线下面积为0.642(0.563,0.721),最佳截断值为1.18;⑤限制性立方样条曲线显示,当血管化血流指数>6.24时,其对AIH妊娠具有显著的正影响趋势;基底子宫内膜到外子宫肌层内层平均交界区厚度≤6.55 mm时,其对AIH妊娠具有显著的正影响趋势;当子宫动脉搏动指数>1.27时,其对AIH妊娠具有负影响风险;⑥临床决策曲线与临床影响曲线显示,该联合预测模型在阈概率值为0.17-0.93时具有临床最大净获益,且在该阈概率范围内损失与获益的比值始终小于1,显示出该联合预测模型具有较好的临床效能;⑦结果表明,通过倾向评分与多因素Logistic回归校正子宫内膜外其他混杂因素后,基底子宫内膜到外子宫肌层内层平均交界区厚度、子宫动脉搏动指数、血管化血流指数为AIH妊娠的独立影响因素,通过对其最佳截断值的确定与风险趋势性评估,证实该联合预测模型具有较好的预测价值与临床应用效能。展开更多
THE giant panda is a kind of endangered rare animal,the number of which is less than onethousand at present,specially distributed in China.According to the protective scheme issuedby The International Association of N...THE giant panda is a kind of endangered rare animal,the number of which is less than onethousand at present,specially distributed in China.According to the protective scheme issuedby The International Association of Nature Protection,stock population in captivity must展开更多
生育生活质量量表(Fertility Quality of Life Questionnaire,FertiQoL)是不孕不育人群生活质量测量的特异性量表。生育生活质量下降会影响不孕不育人群的治疗积极性及治疗依从性,从而影响患者的助孕结局。大量研究表明,不孕不育人群生...生育生活质量量表(Fertility Quality of Life Questionnaire,FertiQoL)是不孕不育人群生活质量测量的特异性量表。生育生活质量下降会影响不孕不育人群的治疗积极性及治疗依从性,从而影响患者的助孕结局。大量研究表明,不孕不育人群生育生活质量各模块及维度均有受损,但影响因素及对不同维度的影响程度尚无统一结论。中国和国外不孕不育人群生育生活质量受损情况不同,中国患者治疗模块受损更严重,国外患者核心模块受损更严重。社会支持、心理韧性是生育生活质量的保护因素,焦虑、抑郁、述情障碍、生育压力、病耻感则与生育生活质量呈负相关。除此之外,性别、年龄、居住地、受教育程度及不孕年限等一般特征也是不孕不育人群生育生活质量的重要影响因素。但目前对于提高患者生育生活质量的干预措施及干预后临床妊娠率是否得到提升的研究尚不充分。展开更多
基金funded by the DOST-Philippine Council for Agriculture,Aquatic and Natural Resources Research and Development(PCAARRD)through the Visayas State University(Project Code:20201050-1.93)。
文摘Objective:To determine the prevalence of bacteriospermia,the bacterial load,and the potential factors associated with bacterial contamination in boar semen collected by local smallholder artificial insemination operators.Methods:Fifteen individual raw semen samples were collected from locally available artificial insemination boars owned by different smallholder boar operators within the 5th district of Leyte,Philippines and were subjected to standard bacteriological culture and identification,including a survey of potentially associated factors.Prevalence and bacterial count were determined accordingly,while boar characteristics and collection practices were clustered following agglomerative hierarchical clustering technique.Results:One hundred percent contamination with a bacterial count of(2.01±0.38)×10^(3) CFU/mL was observed.At least 73.33%of the samples were positive for Bacillus spp.,while other identified isolates included Enterobacter spp.,Staphylococcus spp.,E.coli,Pseudomonas spp.,Citrobacter spp.,and Klebsiella spp.Conclusions:Despite the high prevalence of bacteriospermia,the bacterial count is low.Nevertheless,on-farm practices on boar health and management,semen collection,and sanitation as well as the enhancement of basic protocols to control contamination should be conscientiously considered in smallholder artificial insemination operation.
文摘[Objective] To explore artificial insemination technique for production of mule ducks. [Method] Female Cherry Valley ducks were artificially inseminated with semen collected from male Muscovy ducks by massage method and vagina-insemination method to investigate the effects of insemination dose, insemination interval, insemination time and diluents on fertilization rate. [ Result ] The average fertilization rate was only 39.58%, when the female Cherry Valley ducks naturally mated with the male Muscovy ducks. However, it was increased to 74.79% by artificial insemination. The fertilization rate was 75.24% after semen was diluted by PBS buffer, while it was 75.16% after semen was diluted by Lake's buffer; however, there was not significant difference between the fertilization rate of the diluted semen and that of fresh semen (74.10%). After semen was respectively diluted by PBS buffer and Lake's buffer and then stored at 5 ℃ for 24 h, the fertilization rate was low, respectively 23.76% and 34133%. [ Conclusion] Artificial insemination technology can reduce insemination dose and increase fertilization rate in production of mule ducks.
文摘Male factor infertility affects 30%-50% of infertile couples worldwide, and there is an increasing interest in the optimal management of these patients. In studies comparing double and single intrauterine insemination (IUI), a trend towards higher pregnancy rates in couples with male factor infertility was observed. Therefore, we set out to perform a meta-analysis to examine the superiority of double versus single IUI with the male partner's sperm in couples with male factor infertility. An odds ratio (OR) of 95% confidence intervals (CIs) was calculated for the pregnancy rate. Outcomes were analysed by using the ManteI-Haesel or DerSimonian-Laird model accordingto the heterogeneity of the results. Overall, five trials involving 1125 IUI cycles were included in the meta-analysis. There was a two-fold increase in pregnancies after a cycle with a double IUI compared with a cycle with a single IUI (OR. 2.0; 95% CI. 1.07-3.75; P〈O.03). Nevertheless, this result was mainly attributed to the presence of a large trial that weighted as almost 50% in the overall analysis. Sensitivity analysis, excluding this large trial, revealed only a trend towards higher pregnancy rates among double IUI cycles (OR. 1.58; 95% CI. 0.59-4.21), but without statistical significance (P=0.20). Our systematic review highlights that the available evidence regarding the use of double IUI in couples with male factor infertility is fragmentary and weak. Although there may be a trend towards higher pregnancy rates when the number of IUIs per cycle is increased, further large and well-designed randomized trials are needed to provide solid evidence toide current clinical practice.
文摘Lazzaro Spallanzani(1729-1799)was a father of modern biology,with peculiar traits such as a multidisciplinary approach and penchant for scientific dissemination.Spallanzani consistently contributed to modern reproductive medicine by implementing experimental methods for the first historically successful artificial insemination.Nevertheless,he participated in discoveries pertaining to blood circulation,digestion,and respiration.Widely known in Europe in the eighteenth century,his fame prolonged to the following century,not exclusively through scientific acknowledgments,but even in literature.Nowadays,the figure of Spallanzani experience a kind of neglect and it would appear essential to maintain his work in the light of the history of medicine.
文摘This paper aims to study the efficiency of two short-term progestagen (FGA vs. MAP) + eCG treatments in estrus synchronization and artificial insemination (AI) with fresh or chilled semen in Assaf ewes fertility rate. All ewes received a subcutaneous implant of exogenous melatonin 45 days before been treated with short-term progestagens + eCG. By June 1st, ewes were divided in two groups: half was treated with an intravaginal sponge impregnated with 20 mg of FGA and the other half with an intravaginal sponge impregnated with 60 mg of MAP. Progestagen treatments lasted for 6 days. At sponge withdraw, all ewes were injected with 750 IU of eCG. Ovarian activity was assessed by plasmatic progesterone levels before and after progestagens + eCG treatment. Semen was collected by electro ejaculation and extended with Andromed? or OviXcell?. AI was performed 55 hours after eCG administration with fresh or chilled semen. During AI several factors were assessed: vagina mucosa color and lubrication, external cervical Os type, cervical mucous viscosity, semen deposition place and seminal cervix outflow. Semen was deposited as deep as possible without distress or trauma cervix mucosa. All Assaf ewes presented cyclic activity before progestagen + eCG treatments (2nd fortnight of May). Short-term progestagen + eCG treatments were equally efficient (100.0%). About 76.5% of Assaf ewes were pregnant 41 days after AI. Fertility rate was influenced by external Os type, semen deposition place and seminal cervix outflow. However, this rate was not conditioned by vaginal color or lubrication, cervical mucus viscosity, semen preservation technic and semen extender.
基金We thank the financial support from the National Science Fund for Distinguished Young Scholars(No.52125309)the National Natural Science Foundation of China(Nos.51991343,52188101,51920105002,and 51991340)+1 种基金Guang-dong Innovative and Entrepreneurial Research Team Pro-gram(No.2017ZT07C341)the Shenzhen Basic Research Program(Nos.JCYJ20200109144616617 and JCYJ20200109144620815)。
文摘Gradient heterostructure is one of fundamental interfaces and provides an effective platform to achieve gradually changed properties in mechanics,optics,and electronics.Among different types of heterostructures,the gradient one may provide multiple resistive states and immobilized conductive fila-ments,offering great prospect for fabricating memristors with both high neuromorphic computation capability and repeatability.Here,we invent a memristor based on a homologous gradient heterostructure(HGHS),compris-ing a conductive transition metal dichalcogenide and an insulating homolo-gous metal oxide.Memristor made of Ta–TaS_(x)O_(y)–TaS 2 HGHS exhibits continuous potentiation/depression behavior and repeatable forward/backward scanning in the read-voltage range,which are dominated by multi-ple resistive states and immobilized conductive filaments in HGHS,respec-tively.Moreover,the continuous potentiation/depression behavior makes the memristor serve as a synapse,featuring broad-frequency response(10^(-1)–10^(5) Hz,covering 106 frequency range)and multiple-mode learning(enhanced,depressed,and random-level modes)based on its natural and moti-vated forgetting behaviors.Such HGHS-based memristor also shows good unifor-mity for 5?7 device arrays.Our work paves a way to achieve high-performance integrated memristors for future artificial neuromorphic computation.
基金supported by the emergency management project of the National Natural Science Foundation of China(No.31741094).
文摘Objective: Congenital uterine anomalies are common; however, their effects on artificial insemination by husband(AIH) and the period during which AIH is converted to in vitro fertilization(IVF) are unclear. We examined the influence of uterine malformations on reproductive outcomes following AIH and the optimum number of AIH cycles before resorting to IVF-embryo transfer(IVF-ET).Methods: We retrospectively recruited 168 patients with uterine malformations(anomalous group) undergoing AIH between January 2011 and December 2016. Meanwhile, 168 patients with infertility but with normal uteri(normal group) were matched as controls according to age.Results: The clinical pregnancy rate was similar in both groups(12.4% vs. 12.3%, P=0.950); the cancellation(21.6% vs. 4.4%, P< 0.001),early pregnancy loss(35.7% vs. 11.4%, P = 0.032), and preterm birth rates(21.4% vs. 2.9%, P = 0.038) were higher in the anomalous group,resulting in lower term birth(32.1 % vs. 74.3%, P =0.001) and live birth rates(50.0% vs. 77.1 %, P = 0.034). After two AIH cycles, the clinical pregnancy rate was lower(3.6% vs. 23.1%, P = 0.037) among women with uterine anomalies than among those with normal uteri. There was no difference in the pregnancy rates(52.5% vs. 53.7%, P= 0.908) between the two groups of patients with unsuccessful AIH who then underwent IVF-ET.Conclusions: IVF-ET can be performed immediately after two unsuccessful AIH cycles in patients with uterine malformations. In patients undergoing AIH or IVF, uterine malformations increase the risk of adverse obstetric outcomes.
文摘There is considerable pressure on equine veterinarians to achieve good pregnancy rates with very small doses of semen. Phenylephrine administration in the rabbit increased numbers of oviductal, uterine, and cervical sperm, myometrial contractions, and fertilized ova after low dose insemination. The use of phenylephrine to enhance uterine contractility and fertility has not been investigated in the mare. Thus, the objective of this study was to determine if phenylephrine administration would result in clinically acceptable pregnancy rates in mares bred by low dose insemination. The hypothesis (Ha) was that pregnancy rates would be significantly higher in mares receiving phenylephrine compared to saline controls. Six pony mares and eight horse mares were enrolled in this study. Mares were inseminated within 24 hours of ovulation with 30 million progressively motile spermatozoa from a single fertile stallion. Immediately following insemination, mares were administered either phenylephrine (0.06 mg/kg) or 1mL of saline via IV injection. Pregnancy status was determined 14 days following ovulation via transrectal ultrasonography. Pregnancy rates in phenylephrine treated mares were 44% (4/9) while 22% (2/9) in saline-treated mares (P > 0.05).
文摘背景:现子宫内膜结构及子宫螺旋动脉血流参数对夫精宫腔内人工授精(artificial insemination by husband,AIH)妊娠率的影响水平尚不明确,该研究通过校准其他混杂因素后,确定了其独立影响因素,并构建了预测模型,具有较好的临床应用效能。目的:基于子宫内膜结构及子宫螺旋动脉血流参数构建AIH临床妊娠预测模型及验证。方法:回顾性分析2017年1月至2021年1月于常州市妇幼保健院接受AIH助孕治疗患者共1299例,将其中1182例未临床妊娠者纳入未妊娠组,117例临床妊娠者纳入妊娠组;通过1∶1倾向评分匹配,妊娠组与未妊娠组各匹配成功93例;采用单、多因素分析筛选子宫内膜结构及子宫螺旋动脉血流参数对AIH结局的影响因素,通过受试者工作曲线确定各独立影响因素的最佳截断值,限制性立方样条法分析各独立影响因素对AIH妊娠影响的风险趋势,临床决策曲线与临床影响曲线对该联合预测模型的临床应用效能进行检验。结果与结论:①倾向评分后妊娠组与未妊娠组各非内膜因素均无显著统计学意义,数据具有较好的均衡性(P>0.05);②单因素分析结果显示,内膜下血管化指数、血流指数、血管化血流指数、子宫动脉阻力指数、子宫动脉搏动指数、收缩期最高血流速度/舒张期末血流速度、基底子宫内膜到外子宫肌层内层平均交界区、最大交界区厚度为AIH妊娠的影响因素(P<0.05);③多因素Logistic回归结果显示,基底子宫内膜到外子宫肌层内层平均交界区厚度、子宫动脉搏动指数、血管化血流指数为AIH妊娠的独立影响因素,影响大小依次为血管化血流指数>基底子宫内膜到外子宫肌层内层平均交界区厚度>子宫动脉搏动指数;④受试者工作曲线显示,血管化血流指数的曲线下面积为0.704(0.629,0.779),最佳截断值为6.26;基底子宫内膜到外子宫肌层内层平均交界区厚度的曲线下面积为0.660(0.582,0.739),最佳截断值为6.38;子宫动脉搏动指数的曲线下面积为0.642(0.563,0.721),最佳截断值为1.18;⑤限制性立方样条曲线显示,当血管化血流指数>6.24时,其对AIH妊娠具有显著的正影响趋势;基底子宫内膜到外子宫肌层内层平均交界区厚度≤6.55 mm时,其对AIH妊娠具有显著的正影响趋势;当子宫动脉搏动指数>1.27时,其对AIH妊娠具有负影响风险;⑥临床决策曲线与临床影响曲线显示,该联合预测模型在阈概率值为0.17-0.93时具有临床最大净获益,且在该阈概率范围内损失与获益的比值始终小于1,显示出该联合预测模型具有较好的临床效能;⑦结果表明,通过倾向评分与多因素Logistic回归校正子宫内膜外其他混杂因素后,基底子宫内膜到外子宫肌层内层平均交界区厚度、子宫动脉搏动指数、血管化血流指数为AIH妊娠的独立影响因素,通过对其最佳截断值的确定与风险趋势性评估,证实该联合预测模型具有较好的预测价值与临床应用效能。
文摘THE giant panda is a kind of endangered rare animal,the number of which is less than onethousand at present,specially distributed in China.According to the protective scheme issuedby The International Association of Nature Protection,stock population in captivity must
文摘生育生活质量量表(Fertility Quality of Life Questionnaire,FertiQoL)是不孕不育人群生活质量测量的特异性量表。生育生活质量下降会影响不孕不育人群的治疗积极性及治疗依从性,从而影响患者的助孕结局。大量研究表明,不孕不育人群生育生活质量各模块及维度均有受损,但影响因素及对不同维度的影响程度尚无统一结论。中国和国外不孕不育人群生育生活质量受损情况不同,中国患者治疗模块受损更严重,国外患者核心模块受损更严重。社会支持、心理韧性是生育生活质量的保护因素,焦虑、抑郁、述情障碍、生育压力、病耻感则与生育生活质量呈负相关。除此之外,性别、年龄、居住地、受教育程度及不孕年限等一般特征也是不孕不育人群生育生活质量的重要影响因素。但目前对于提高患者生育生活质量的干预措施及干预后临床妊娠率是否得到提升的研究尚不充分。