Objective:To investigate and analyze the prevalence and risk factors of infertility in a Mongolian population.Methods:We conducted a population-based cross-sectional study between September 2016 and November 2021.Our ...Objective:To investigate and analyze the prevalence and risk factors of infertility in a Mongolian population.Methods:We conducted a population-based cross-sectional study between September 2016 and November 2021.Our study population of 1919 participants consisted of residents of Ulaanbaatar city and four regions of Mongolia.A pretested standardized and structured questionnaire was used to gather data from the participants.Our questionnaire comprised categories influencing infertility,such as socioeconomic status,lifestyle factors,health,reproductive history,present status,and sexual function.In addition,trained staff conducted face-to-face interviews with the participants.Results:Our study showed an infertility incidence of 8.2%,with primary infertility at 2.76%and secondary infertility at 5.47%.Compared with the urban area of Ulaanbaatar,the prevalence of infertility was significantly higher amongst the rural population(P<0.001).Risk factors of infertility included advanced age(35-39 years,OR 1.8,95%CI 1.99-6.55;>40 years,OR 2.1,95%CI 2.62-8.55),living rural region(aOR 2.4,95%CI 1.62-3.69),alcohol consumption(aOR 1.6,95%CI 1.11-2.44),chronic diseases(aOR 1.6,95%CI 1.20-2.38),reproductive disease(aOR 2.6,95%CI 1.86-3.88),gynecological operative history(aOR 2.1,95%CI 1.38-3.21),ovarian cyst(aOR 4.2,95%CI 2.70-6.40),gonorrhea(aOR 2.4,95%CI 1.01-6.16),non-malignant uterine cancer(aOR 2.9,95%CI 1.40-6.70),and endometriosis(aOR 4.7,95%CI 1.41-15.62).Conclusions:In Mongolia,the average infertility rate is 8.2%,similar to the average worldwide and is significantly higher in rural communities.Our study shows the most significant risk factors for infertility are age,alcohol consumption,and rural living.In addition,an unfavorable gynecological history and some diseases also pose a risk to fertility.展开更多
Diagnosis of male infertility has mainly been based on the World Health Organization （WHO） manual-based semen parameter＇s concentration, motility and morphology. It has, however, become apparent that none of these ...Diagnosis of male infertility has mainly been based on the World Health Organization （WHO） manual-based semen parameter＇s concentration, motility and morphology. It has, however, become apparent that none of these parameters are reliable markers for evaluation of the fertility potential of a couple. A search for better markers has led to an increased focus on sperm chromatin integrity testing in fertility work-up and assisted reproductive techniques. During the last couple of decades, numerous sperm DNA integrity tests have been developed. These are claimed to be characterized by a lower intraindividual variation, less intralaboratory and interlaboratory variation and thus less subjective than the conventional sperm analysis. However, not all the sperm chromatin integrity tests have yet been shown to be of clinical value. So far, the test that has been found to have the most stable clinical threshold values in relation to fertility is the sperm chromatin structure assay （SCSA）, a flow cytometric test that measures the susceptibility of sperm DNA to acid-induced DNA denaturation in situ. Sperm DNA fragmentation as measured by SCSA has shown to be an independent predictor of successful pregnancy in first pregnancy planners as well as in couples undergoing intrauterine insemination, and can be used as a tool in investigation, counseling and treatment of involuntary childlessness. More conflicting data exist regarding the role of sperm DNA fragmentation in relation to fertilization, pre-embryo development and pregnancy outcome in in vitro fertilization and intracytoplasmic sperm injection （ICSI）.展开更多
A novel approach to estimate reliability properties of systems or components individually during operation is presented. It is distinguished between slow and fast reliability states based on an equivalent system repre...A novel approach to estimate reliability properties of systems or components individually during operation is presented. It is distinguished between slow and fast reliability states based on an equivalent system representation. Conditions for their observability and control are given and objectives for optimal reliability-based control are discussed in general.展开更多
The classical peptide hormone gastrin was identified originally as a stimulant of gastric acid secretion, but is now known to also act as a growth factor for the gastrointestinal mucosa. In an earlier review the exist...The classical peptide hormone gastrin was identified originally as a stimulant of gastric acid secretion, but is now known to also act as a growth factor for the gastrointestinal mucosa. In an earlier review the existing evidence that gastrin and related peptides act as growth factors for the normal colonic mucosa and for colorectal carcinomas was summarised. In this review I will highlight some recent developments in the field.展开更多
Hairy cell leukemia(HCL)is a rare B-cell lymphoproliferative disorder.Patients typically present with cytopenia and splenomegaly.We describe the case of a 78-year-old patient with refractory HCL who acutely developed ...Hairy cell leukemia(HCL)is a rare B-cell lymphoproliferative disorder.Patients typically present with cytopenia and splenomegaly.We describe the case of a 78-year-old patient with refractory HCL who acutely developed a cystic lesion on the back while receiving moxetumomab pasudotox therapy.Biopsy of the lesion revealed the presence of adenocarcinoma,which prompted a detailed evaluation resulting in a diagnosis of stage IV gastric cancer.Nevertheless,to establish any association between moxetumomab pasudotox therapy and secondary cancer development,a satisfactory number of studies need to be conducted.展开更多
This work investigated the effect of dysprosium(Dy)ions on the structural,microstructural and magnetic properties of nickel nanospinelferrite,NiFe2 O4.The nanoparticles(NPs)of NiDyxFe(2-x)O4(0.0≤x≤0.1)were prepared ...This work investigated the effect of dysprosium(Dy)ions on the structural,microstructural and magnetic properties of nickel nanospinelferrite,NiFe2 O4.The nanoparticles(NPs)of NiDyxFe(2-x)O4(0.0≤x≤0.1)were prepared via the hydrothermal method.The formation of cubic phase of Ni nanoferrite was confirmed through X-ray diffraction,field emission scanning and transmission electron microscopy.Moreover,the magnetic properties of NiDyxFe(2-x)P4(0.01≤x≤0.10)NPs were discussed.The magnetization versus field,M(H)curves exhibit super paramagnetic nature at room temperature and ferrimagnetic nature at low temperature(10 K).A noticeable improvement in the different deduced magnetic parameters is obtained especially for the NiDy(0.07)Fe(1.93)O4(x=0.07)product.The obtained result is mostly derived from the substitution of Fe^3+ions of smaller ionic radii with Dy^3+ions of larger ionic radii that will strengthen the super exchange interactions among nanoparticles.The calculated squareness ratios are found to be much less than 0.5,due to the effect of spin disorder in the surface regions of NiDyxFe(2-x)O4(0.01≤x≤0.10)NPs.The Dy^3+ions substitution increases the magnetic hardness(higher values of remanence Mr,coercivity Hc,and magnetic moment nB)of nickel nanoferrite samples.展开更多
The Royal Military College of Canada, located on the north eastern shore of Lake Ontario, possesses an abundance of copper roofs and lacks surface water treatment prior to discharge into Lake Ontario. Rainwater, roof ...The Royal Military College of Canada, located on the north eastern shore of Lake Ontario, possesses an abundance of copper roofs and lacks surface water treatment prior to discharge into Lake Ontario. Rainwater, roof runoff and soil samples were collected and analyzed for copper and other parameters. Copper was consistently detected in runoff samples with average concentrations of 3200 ± 2100 μg/L. Multivariable linear regression analysis for a dependant copper runoff concentration yielded an adjusted R 2 value of 0.611, based on an independent variable model using minimum temperature, maximum temperature, total precipitation, and wind speed. Lake water samples taken in the vicinity of storm water outfalls draining areas with copper roofs ranged from 2.0 to 40 μg/L copper. Such data exceed the 2.0 μg/L Canadian Water Quality Guidelines for the Protection of Aquatic Life as outlined by the Canadian Council of Ministers of the Environment （CCME）. Analysis of raw, filtered and digested forms suggested that the majority of copper present in runoff and lake water samples was in a dissolved form. The majority of soils taken in this study displayed copper concentrations below the 63 μg/g CCME residential/parkland land use limits. These findings suggested that ion exchange processes between runoff water and soil do not occur to a sufficient extent to elevate copper levels in soil. It may therefore be concluded that the eventual fate of copper, which is not discharged via storm water outfalls, is lost to the water table and Lake Ontario through the sub-soil.展开更多
基金funded by the Mongolian National University of Medical Sciences’Science and Technology Support Fund’s“Domestication of IVF technology in Mongolia project”(Fund protocol number:2016/01).
文摘Objective:To investigate and analyze the prevalence and risk factors of infertility in a Mongolian population.Methods:We conducted a population-based cross-sectional study between September 2016 and November 2021.Our study population of 1919 participants consisted of residents of Ulaanbaatar city and four regions of Mongolia.A pretested standardized and structured questionnaire was used to gather data from the participants.Our questionnaire comprised categories influencing infertility,such as socioeconomic status,lifestyle factors,health,reproductive history,present status,and sexual function.In addition,trained staff conducted face-to-face interviews with the participants.Results:Our study showed an infertility incidence of 8.2%,with primary infertility at 2.76%and secondary infertility at 5.47%.Compared with the urban area of Ulaanbaatar,the prevalence of infertility was significantly higher amongst the rural population(P<0.001).Risk factors of infertility included advanced age(35-39 years,OR 1.8,95%CI 1.99-6.55;>40 years,OR 2.1,95%CI 2.62-8.55),living rural region(aOR 2.4,95%CI 1.62-3.69),alcohol consumption(aOR 1.6,95%CI 1.11-2.44),chronic diseases(aOR 1.6,95%CI 1.20-2.38),reproductive disease(aOR 2.6,95%CI 1.86-3.88),gynecological operative history(aOR 2.1,95%CI 1.38-3.21),ovarian cyst(aOR 4.2,95%CI 2.70-6.40),gonorrhea(aOR 2.4,95%CI 1.01-6.16),non-malignant uterine cancer(aOR 2.9,95%CI 1.40-6.70),and endometriosis(aOR 4.7,95%CI 1.41-15.62).Conclusions:In Mongolia,the average infertility rate is 8.2%,similar to the average worldwide and is significantly higher in rural communities.Our study shows the most significant risk factors for infertility are age,alcohol consumption,and rural living.In addition,an unfavorable gynecological history and some diseases also pose a risk to fertility.
文摘Diagnosis of male infertility has mainly been based on the World Health Organization （WHO） manual-based semen parameter＇s concentration, motility and morphology. It has, however, become apparent that none of these parameters are reliable markers for evaluation of the fertility potential of a couple. A search for better markers has led to an increased focus on sperm chromatin integrity testing in fertility work-up and assisted reproductive techniques. During the last couple of decades, numerous sperm DNA integrity tests have been developed. These are claimed to be characterized by a lower intraindividual variation, less intralaboratory and interlaboratory variation and thus less subjective than the conventional sperm analysis. However, not all the sperm chromatin integrity tests have yet been shown to be of clinical value. So far, the test that has been found to have the most stable clinical threshold values in relation to fertility is the sperm chromatin structure assay （SCSA）, a flow cytometric test that measures the susceptibility of sperm DNA to acid-induced DNA denaturation in situ. Sperm DNA fragmentation as measured by SCSA has shown to be an independent predictor of successful pregnancy in first pregnancy planners as well as in couples undergoing intrauterine insemination, and can be used as a tool in investigation, counseling and treatment of involuntary childlessness. More conflicting data exist regarding the role of sperm DNA fragmentation in relation to fertilization, pre-embryo development and pregnancy outcome in in vitro fertilization and intracytoplasmic sperm injection （ICSI）.
文摘A novel approach to estimate reliability properties of systems or components individually during operation is presented. It is distinguished between slow and fast reliability states based on an equivalent system representation. Conditions for their observability and control are given and objectives for optimal reliability-based control are discussed in general.
文摘The classical peptide hormone gastrin was identified originally as a stimulant of gastric acid secretion, but is now known to also act as a growth factor for the gastrointestinal mucosa. In an earlier review the existing evidence that gastrin and related peptides act as growth factors for the normal colonic mucosa and for colorectal carcinomas was summarised. In this review I will highlight some recent developments in the field.
文摘Hairy cell leukemia(HCL)is a rare B-cell lymphoproliferative disorder.Patients typically present with cytopenia and splenomegaly.We describe the case of a 78-year-old patient with refractory HCL who acutely developed a cystic lesion on the back while receiving moxetumomab pasudotox therapy.Biopsy of the lesion revealed the presence of adenocarcinoma,which prompted a detailed evaluation resulting in a diagnosis of stage IV gastric cancer.Nevertheless,to establish any association between moxetumomab pasudotox therapy and secondary cancer development,a satisfactory number of studies need to be conducted.
文摘This work investigated the effect of dysprosium(Dy)ions on the structural,microstructural and magnetic properties of nickel nanospinelferrite,NiFe2 O4.The nanoparticles(NPs)of NiDyxFe(2-x)O4(0.0≤x≤0.1)were prepared via the hydrothermal method.The formation of cubic phase of Ni nanoferrite was confirmed through X-ray diffraction,field emission scanning and transmission electron microscopy.Moreover,the magnetic properties of NiDyxFe(2-x)P4(0.01≤x≤0.10)NPs were discussed.The magnetization versus field,M(H)curves exhibit super paramagnetic nature at room temperature and ferrimagnetic nature at low temperature(10 K).A noticeable improvement in the different deduced magnetic parameters is obtained especially for the NiDy(0.07)Fe(1.93)O4(x=0.07)product.The obtained result is mostly derived from the substitution of Fe^3+ions of smaller ionic radii with Dy^3+ions of larger ionic radii that will strengthen the super exchange interactions among nanoparticles.The calculated squareness ratios are found to be much less than 0.5,due to the effect of spin disorder in the surface regions of NiDyxFe(2-x)O4(0.01≤x≤0.10)NPs.The Dy^3+ions substitution increases the magnetic hardness(higher values of remanence Mr,coercivity Hc,and magnetic moment nB)of nickel nanoferrite samples.
文摘The Royal Military College of Canada, located on the north eastern shore of Lake Ontario, possesses an abundance of copper roofs and lacks surface water treatment prior to discharge into Lake Ontario. Rainwater, roof runoff and soil samples were collected and analyzed for copper and other parameters. Copper was consistently detected in runoff samples with average concentrations of 3200 ± 2100 μg/L. Multivariable linear regression analysis for a dependant copper runoff concentration yielded an adjusted R 2 value of 0.611, based on an independent variable model using minimum temperature, maximum temperature, total precipitation, and wind speed. Lake water samples taken in the vicinity of storm water outfalls draining areas with copper roofs ranged from 2.0 to 40 μg/L copper. Such data exceed the 2.0 μg/L Canadian Water Quality Guidelines for the Protection of Aquatic Life as outlined by the Canadian Council of Ministers of the Environment （CCME）. Analysis of raw, filtered and digested forms suggested that the majority of copper present in runoff and lake water samples was in a dissolved form. The majority of soils taken in this study displayed copper concentrations below the 63 μg/g CCME residential/parkland land use limits. These findings suggested that ion exchange processes between runoff water and soil do not occur to a sufficient extent to elevate copper levels in soil. It may therefore be concluded that the eventual fate of copper, which is not discharged via storm water outfalls, is lost to the water table and Lake Ontario through the sub-soil.
